New Lebanon Rehabilitation and Healthcare Center

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 26, 2025.

Provide activities to meet all resident’s needs.

Rule F0679. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 26, 2025.

Have policies on smoking.

Rule F0926. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 26, 2025.

Let each resident or the resident’s legal representative access or purchase copies of all the resident’s records.

Rule F0573. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 26, 2025.

Honor the resident’s right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Rule F0585. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 26, 2025.

Provide care and assistance to perform activities of daily living for any resident who is unable.

Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 26, 2025.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 26, 2025.

Provide safe and appropriate respiratory care for a resident when needed.

Rule F0695. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 26, 2025.

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Rule F0755. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 26, 2025.

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Rule F0761. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 26, 2025.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 26, 2025.

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Rule F0925. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 26, 2025.

Provide and implement an infection prevention and control program.

Rule F0880. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 4, 2025.

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Rule F0755. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 25, 2024.

Provide and implement an infection prevention and control program.

Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 25, 2024.

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Rule F0925. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 25, 2024.

Reasonably accommodate the needs and preferences of each resident.

Rule F0558. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 25, 2024.

Respond appropriately to all alleged violations.

Rule F0610. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 25, 2024.

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Rule F0622. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 25, 2024.

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Rule F0623. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 25, 2024.

Prepare residents for a safe transfer or discharge from the nursing home.

Rule F0624. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 25, 2024.

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Rule F0646. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 25, 2024.

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Rule F0657. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 25, 2024.

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Rule F0690. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 25, 2024.

Obtain a doctor’s order to admit a resident and ensure the resident is under a doctor’s care.

Rule F0710. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 25, 2024.

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Rule F0745. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 25, 2024.

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Rule F0773. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 25, 2024.

Provide or obtain dental services for each resident.

Rule F0791. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 25, 2024.

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Rule F0807. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 25, 2024.

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Rule F0835. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 25, 2024.

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Rule F0837. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 25, 2024.

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Rule F0838. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 25, 2024.

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

Rule F0841. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 25, 2024.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Rule F0842. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 25, 2024.

Have a plan that describes the process for conducting QAPI and QAA activities.

Rule F0865. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 25, 2024.

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Rule F0883. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 25, 2024.

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Rule F0712. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Oct 17, 2024.

Post nurse staffing information every day.

Rule F0732. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Oct 17, 2024.

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Rule F0686. K: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Oct 25, 2024.

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Rule F0725. L: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Oct 25, 2024.

Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Rule F0550. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 25, 2024.

Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Rule F0580. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 25, 2024.

Ensure each resident receives an accurate assessment.

Rule F0641. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 25, 2024.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 25, 2024.

Provide care and assistance to perform activities of daily living for any resident who is unable.

Rule F0677. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 25, 2024.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 25, 2024.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 25, 2024.

Provide and implement an infection prevention and control program.

Rule F0880. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 25, 2024.

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Rule F0921. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 25, 2024.

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Rule F0925. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 25, 2024.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 27, 2024.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 27, 2024.

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.

Rule F0584. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 13, 2024.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 31, 2024.