DELMAR CENTER FOR REHABILITATION AND NURSING
DELMAR CENTER FOR REHABILITATION AND NURSING, in DELMAR, New York, holds 120 certified beds and has been certified for Medicare and Medicaid since 1991-12-18, averaging 116.4 residents a day.
Has DELMAR CENTER FOR REHABILITATION AND NURSING been cited for violations?
CMS lists 72 health-inspection deficiencies for DELMAR CENTER FOR REHABILITATION AND NURSING since 2023-02-03, 61 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2026-03-13.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-03-13 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E |
| 2026-03-13 | F0550, F0605, F0656, F0677, F0679, F0695, F0757, F0761, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Provide and implement an infection prevention and control program. | D |
| 2025-01-23 | F0725, F0726, F0880 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Provide and implement an infection prevention and control program. | F |
| 2025-01-23 | F0550, F0554, F0584, F0585, F0609, F0622, F0645, F0656, F0657, F0679, F0684, F0692, F0695, F0727, F0759, F0761, F0812, F0814, F0835, F0842, F0868, F0882 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Allow residents to self-administer drugs if determined clinically appropriate. / 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. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / 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. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / Ensure medication error rates are not 5 percent or greater. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E |
| 2025-01-23 | F0577, F0600, F0610, F0625, F0689, F0757, F0760, F0813 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Respond appropriately to all alleged violations. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure that residents are free from significant medication errors. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D |
| 2024-05-23 | F0609, F0610 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. | E |
| 2024-05-23 | F0550, F0684, F0689, F0760, F0761, F0770, F0773, F0842 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure that residents are free from significant medication errors. / 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. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2023-11-30 | F0584, F0677, F0812 | 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-11-30 | F0656, F0686, F0790, F0838, F0880 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide routine and 24-hour emergency dental care for each resident. / 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. / Provide and implement an infection prevention and control program. | D |
| 2023-02-03 | F0584, F0689, F0812, F0880, F0940 | 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E |
| 2023-02-03 | F0677, F0756, F0760, F0806, F0825, F0925 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure that residents are free from significant medication errors. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Provide or get specialized rehabilitative services as required for a resident. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D |
How is DELMAR CENTER FOR REHABILITATION AND NURSING staffed relative to the NY average?
| Measure | This facility | NY average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.51117 | 3.62468 |
| Average number of residents per day | 116.4 | 168.0 |
Who owns DELMAR CENTER FOR REHABILITATION AND NURSING, and what chain is it in?
DELMAR CENTER FOR REHABILITATION AND NURSING is registered with CMS as For profit - Limited Liability company, operates under the legal business name GOOD SAMARITAN LUTHERAN HEALTH CARE CENTER INC and belongs to the CENTERS HEALTH CARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | GOOD SAMARITAN LUTHERAN HEALTH CARE CENTER INC | since 02/01/1975 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | THE LUTHERAN CARE NETWORK INC | since 12/13/1972 |
| W-2 MANAGING EMPLOYEE | WOODCOCK, KAREN | since 09/05/2014 |
| CORPORATE DIRECTOR | ALBANO, LOUIS, BALL, ANNETTE, DAVIS, ALEC, HARTWELL, ROBERT, JONES, CHRISTOPHER, KNOWLES, ANNA MAE, MAZER, PETER, MCWEENEY, BRIAN, OLSON, RICHARD, RACZAK, BARBARA, ROZENBERG, KENNETH, RUTH, JOHN, SHANE, JOHN, TAYLOR, LYNETTE, TRIPODI, FRANK, UPRIGHT, ARTHUR | since 01/01/1995 |
| CORPORATE OFFICER | FELLEGARA, LARAINE, TRIPODI, FRANK, UPRIGHT, ARTHUR | since 01/01/2000 |
| OPERATIONAL/MANAGERIAL CONTROL | FELLEGARA, LARAINE | since 01/01/2010 |
Were you or a family member harmed at DELMAR CENTER FOR REHABILITATION AND NURSING?