NEW YORK STATE VETERANS HOME AT MONTROSE
CMS
Actual Harm
Documentation Failure
Medication Error
Resident Neglect
Penalty
$29,153
Outcome
NEW YORK STATE VETERANS HOME AT MONTROSE in MONTROSE, NY was fined $29,153 by CMS following 18 deficiency citations identified during federal surveys.
Details
NEW YORK STATE VETERANS HOME AT MONTROSE (MONTROSE, NY) — $29,153 in CMS Fines
Outcome: NEW YORK STATE VETERANS HOME AT MONTROSE in MONTROSE, NY was fined $29,153 by CMS following 18 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Respond appropriately to all alleged violations.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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