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Focus Rehabilitation And Nursing Center At Otsego

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About Focus Rehabilitation And Nursing Center At Otsego

General Information

Legal Business NameCcrn Operator LLC
Ownership TypeFor Profit - Individual
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJune 1, 1974 (43 years)
Capacity174
Residents170
Percent Occupied98%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasParti

Ratings for Focus Rehabilitation And Nursing Center At Otsego

Focus Rehabilitation And Nursing Center At Otsego
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of New York Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

July 28, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
LManyImmediate JeopardyComplaint+InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
LManyImmediate JeopardyComplaint+InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
LManyImmediate JeopardyComplaint+InspectionEnsure that residents are safe from serious medication errors.
GFewActual HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmComplaint+Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
ESomePotential for HarmFire Safety InspectionProperly protected cooking facilities.
ESomePotential for HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmComplaint+InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .

March 31, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintProvide timely notification to the resident before transfer or discharge.

December 17, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmComplaintChoose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility.
DFewPotential for HarmComplaintGive the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances.
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

October 9, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
ESomePotential for HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaintChoose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility.
DFewPotential for HarmComplaintGive the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances.
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

May 22, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
ESomePotential for HarmFire Safety InspectionProper stairway enclosures and vertical shafts.
ESomePotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
DFewPotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
DFewPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Focus Rehabilitation And Nursing Center At Otsego require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 30min
2hr 25min
ReportedExpected
CNA
1hr 20min
35min
ReportedExpected
LPN
50min
1hr 5min
ReportedExpected
RN
4hr 35min
4hr 5min
ReportedExpected
Total Nursing

This facility also provides approximately 45min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.0%
97.5%
97.5%
97.4%
Q1 2015Q2 2015Q3 2015NY
Assessed and Appropriately Given the Seasonal Influenza Vaccine
96.7%
95.4%
89.6%
96.0%
Q1 2015Q2 2015Q3 2015NY
Assessed and Appropriately Given the Pneumococcal Vaccine
40.3%
55.2%
40.0%
47.4%
Q1 2015Q2 2015Q3 2015NY
Low Risk Residents Who Lose Control of Their Bowel or Bladder
13.5%
12.9%
14.8%
16.3%
Q1 2015Q2 2015Q3 2015NY
Received an Antipsychotic Medication
23.8%
17.9%
11.9%
14.2%
Q1 2015Q2 2015Q3 2015NY
Need for Help with ADLs has Increased
12.2%
22.2%
20.7%
5.3%
Q1 2015Q2 2015Q3 2015NY
Self Report Moderate to Severe Pain
4.7%
32.0%
15.6%
6.5%
Q1 2015Q2 2015Q3 2015NY
Lose Too Much Weight
6.9%
9.9%
9.5%
7.5%
Q1 2015Q2 2015Q3 2015NY
High Risk Residents With Pressure Ulcers
16.5%
14.2%
14.1%
10.6%
Q1 2015Q2 2015Q3 2015NY
Have Depressive Symptoms
0.7%
1.3%
1.3%
4.9%
Q1 2015Q2 2015Q3 2015NY
With a Urinary Tract Infection
2.6%
4.0%
3.2%
2.8%
Q1 2015Q2 2015Q3 2015NY
Experiencing One or More Falls with Major Injury
5.6%
5.8%
5.1%
2.7%
Q1 2015Q2 2015Q3 2015NY
With a Catheter Inserted and Left in Their Bladder
18.4%
20.5%
16.2%
1.4%
Q1 2015Q2 2015Q3 2015NY
Were Physically Restrained

Quality Measures for Short Stay Residents

81.1%
76.1%
68.8%
82.1%
Q1 2015Q2 2015Q3 2015NY
Assessed and Appropriately Given the Pneumococcal Vaccine
81.6%
76.2%
76.2%
84.6%
Q1 2015Q2 2015Q3 2015NY
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
39.8%
43.4%
35.3%
12.9%
Q1 2015Q2 2015Q3 2015NY
Self Report Moderate to Severe Pain
0.0%
0.0%
1.2%
2.2%
Q1 2015Q2 2015Q3 2015NY
Newly Received an Antipsychotic Medication
2.1%
0.9%
0.8%
1.2%
Q1 2015Q2 2015Q3 2015NY
With Pressure Ulcers That Are New or Worsened