| Sodus Rehabilitation & Nursing Center | |
| 6884 Maple Avenue, Sodus, New York 14551 | |
| (315) 483-9118 | |
| Name | Sodus Rehabilitation & Nursing Center |
|---|---|
| Location | 6884 Maple Avenue, Sodus, New York |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 130 |
| Occupancy Rate | 88.62% |
| Medicare ID (CCN) | 335378 |
| Legal Business Name | Bvrnc Operating LLC |
| Ownership Type | For Profit - Corporation |
| Chain | Personal Healthcare Management (21 nursing homes) |
| Chain Average Overall Rating | 2.9 out of 5 |
| NPI Number | 1285099523 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Bvrnc Operating LLC |
| Doing Business As | Sodus Rehabilitation & Nursing Center |
| Address | 6884 Maple Ave, Sodus, NY 14551 |
| Phone Number | 315-483-9118 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.6 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.46 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.86 | 0.86 |
| Nurse aide hours per resident per day | 2.28 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.91 | 3.42 |
| RN hours per resident per day on the weekend | 0.2 | 0.48 |
| Physical therapist hours per resident per day | 0.09 | 0.07 |
| Total nursing staff turnover | 52.6% | 45.8% |
| Registered nurse turnover | 45.5% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Oct 11, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Dec 4, 2024 |
| Oct 11, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 4, 2024 |
| Oct 11, 2024 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 4, 2024 |
| Oct 11, 2024 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Dec 4, 2024 |
| Apr 10, 2024 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jun 10, 2024 |
| Oct 14, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Complaint inspection | Potential for harm, isolated | Corrected by Nov 28, 2023 |
| Nov 2, 2022 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jan 4, 2023 |
| Nov 2, 2022 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jan 4, 2023 |
| Nov 2, 2022 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Jan 4, 2023 |
| Nov 2, 2022 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 4, 2023 |
| Nov 2, 2022 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 4, 2023 |
| Nov 2, 2022 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 4, 2023 |
| Nov 2, 2022 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 4, 2023 |
| Nov 2, 2022 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 4, 2023 |
| Nov 2, 2022 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. F0691, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 4, 2023 |
| Nov 2, 2022 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 4, 2023 |
| Sep 24, 2020 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Nov 22, 2020 |
| Sep 24, 2020 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Nov 22, 2020 |
| Sep 24, 2020 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Nov 22, 2020 |
| Sep 24, 2020 | Assist a resident in gaining access to vision and hearing services. F0685, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 22, 2020 |
| Sep 24, 2020 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 22, 2020 |
| Sep 24, 2020 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 22, 2020 |
| Sep 24, 2020 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 22, 2020 |
| Sep 24, 2020 | Provide or obtain dental services for each resident. F0791, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 22, 2020 |
| Sep 24, 2020 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Nov 22, 2020 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.67 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 9.67 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 1.1 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.58 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.98 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 85.06 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.21 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.4 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.89 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 69.23 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.9 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.71 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 7.69 | 15.38 |