Inspection Reports for The Knolls, A Bethel Community

NY, 10595

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Deficiencies (last 5 years)

Deficiencies (over 5 years) 2.4 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

53% better than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

8 6 4 2 0
2019
2021
2023
2024
2025

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Jan 3, 2025

Visit Reason
One violation related to Records and reports (CFR Code 485.11 (b)) with Plan/Notice of Correction Under Review.

Findings
One violation related to Records and reports (CFR Code 485.11 (b)) with Plan/Notice of Correction Under Review.

Deficiencies (1)
485.11 (b) — Records and reports

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 0 Date: Jul 12, 2024

Visit Reason
No violations found.

Findings
No violations found.

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Jul 8, 2024

Visit Reason
One violation related to Records and reports (CFR Code 485.11 (b)) with Plan/Notice of Correction Under Review.

Findings
One violation related to Records and reports (CFR Code 485.11 (b)) with Plan/Notice of Correction Under Review.

Deficiencies (1)
485.11 (b) — Records and reports

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Jul 5, 2024

Visit Reason
One violation related to Records and reports (CFR Code 485.11 (b)) with Plan/Notice of Correction Under Review.

Findings
One violation related to Records and reports (CFR Code 485.11 (b)) with Plan/Notice of Correction Under Review.

Deficiencies (1)
485.11 (b) — Records and reports

Inspection Report

Capacity: 60 Deficiencies: 1 Date: Jul 3, 2024

Visit Reason
One violation related to Records and reports (CFR Code 485.11 (b)) with Plan/Notice of Correction Under Review.

Findings
One violation related to Records and reports (CFR Code 485.11 (b)) with Plan/Notice of Correction Under Review.

Deficiencies (1)
485.11 (b) — Records and reports

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Oct 16, 2023

Visit Reason
The document is an annual inspection report for The Knolls nursing home conducted to assess compliance with health and safety regulations.

Findings
No health deficiencies were found during the inspection.

Inspection Report

Annual Inspection
Deficiencies: 8 Date: Jul 6, 2021

Visit Reason
The inspection was a recertification survey to assess compliance with federal and state regulations for nursing home care.

Findings
The facility was found deficient in multiple areas including failure to update and monitor care plans for drug interactions, failure to timely report and treat skin conditions, inaccurate measurement of resident fluid intake, failure to monitor medication lab levels as ordered, inadequate monitoring of psychotropic medication effects and drug interactions, improper food storage and labeling, lack of carbon monoxide detectors in required areas, and failure to maintain an updated Legionella Risk Assessment and Water Management Plan.

Deficiencies (8)
Failure to ensure comprehensive person-centered care plans were reviewed and revised to reflect drug-drug interactions and monitor for adverse effects for Resident #63.
Failure to provide timely reporting and treatment of a change in skin condition for Resident #7.
Failure to accurately measure and monitor fluid intake for Resident #64 on fluid restriction.
Failure to ensure irregularities identified by the pharmacist, specifically missed Lithium lab monitoring, were communicated to the physician and acted upon for Resident #7.
Failure to provide ongoing monitoring of medication effects, side effects, and adverse reactions including drug-drug interaction monitoring for Resident #63.
Failure to ensure proper food storage including labeling, dating, discarding expired foods, and storing dry goods in closed containers.
Failure to install carbon monoxide detectors in areas with fuel-burning appliances as required by code.
Failure to provide and implement an infection prevention and control program including an annually assessed Legionella Risk Assessment and Water Management Plan.
Report Facts
Residents reviewed for unnecessary medications: 5 Residents reviewed for skin conditions: 1 Residents reviewed for hydration: 1 Fluid restriction: 1500 Medication orders: 3 Lab monitoring intervals: 3 Missed lab intervals: 5 Missed lab intervals: 4 Food items expired: 10 Weight of unlabeled frozen fish: 4.6 Weight of unlabeled frozen breaded cod: 2.33 Weight of unlabeled frozen breaded fish: 1.18 Weight of raw ground beef unlabeled: 10 Weight of raw chicken thighs unlabeled: 9.7 Weight of raw pork loin unlabeled: 6.5

Employees mentioned
NameTitleContext
RN #1Registered NurseInterviewed regarding pharmacy drug-drug interaction documentation and monitoring for Resident #63.
Director of NursingDirector of NursingInterviewed regarding responsibility for care plan updates and monitoring for Resident #63 and lab monitoring for Resident #7.
RN #2Registered NurseInterviewed regarding awareness of missed Lithium lab levels for Resident #7.
Cook #1CookInterviewed regarding responsibility for checking food expiration dates.
Cook #2CookInterviewed regarding labeling of pulled frozen foods.
Regional ManagerRegional ManagerInterviewed regarding food labeling and discarding expired items.
Dietary AideDietary AideInterviewed regarding fluid measurement for Resident #64.
Registered DieticianRegistered DieticianInterviewed regarding fluid restrictions and measurement for Resident #64.
Maintenance DirectorMaintenance DirectorInterviewed regarding carbon monoxide detector installation and Legionella program review.
Pharmacy ConsultantPharmacy ConsultantInterviewed regarding communication of medication regimen review irregularities.

Inspection Report

Annual Inspection
Deficiencies: 0 Date: Sep 12, 2019

Visit Reason
Annual survey inspection of The Knolls nursing home to assess compliance with health and safety regulations.

Findings
No health deficiencies were found during the inspection.

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