Sprain Brook Manor Rehab in Scarsdale, New York received 40 citations for violations of public health laws between October 2015 and September 2019, according to the New York State Department of Health records accessed on November 4, 2019. The citations resulted from eight inspections by the Department of Health, the public entity tasked with overseeing health and safety standards in nursing home facilities; the statewide average is 32 citations. The violations described by the Department’s citations include the following:
1. The nursing home did not ensure the competency of its nursing staff. Section 483.35 of the Federal Code requires nursing home facilities to employ “sufficient nursing staff with the appropriate competencies and skills sets” to care for residents. A May 2019 citation found that Sprain Brook Rehab did not ensure that its Certified Nursing Assistants “demonstrated competency to provide safe care and respond to individual needs” for one of three residents reviewed. An inspector specifically found that the resident, who was unable to stand and needed assistance to transfer with the aid of a mechanical device, was transferred by nursing assistants when that device was not functioning, but that the assistants did not inform the nurse or seek “guidance for how to safely transfer the resident.” The inspector noted that the resident described feeling pain when she was being transferred.