Sullivan County Adult Care Center
Inspection Findings
F-Tag F0841
F 0841 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
make them aware, but they are not aware of this communication until later. Medical Provider stated they usually sign the death certificate within 24 hours because they do not want to wait because you can forget with everything going on. If they are not aware that the death certificate needs to be signed, then they cannot sign it. They go to the facility once a week, but they are available 24 hours. They signed the Resident #1's death certificate once they were made aware. The facility investigated and spoke with the nursing staff, but the facility had no documentation that anyone called them to sign. That is why they signed
it late because they were not informed. The nurses are aware they need to call the provider otherwise how would they know to sign the certificate. Surveyor reviewed the expiration note with the provider, and the Medical Director stated they spoke with the nurse who put the expiration note in the system and the nurse acknowledged that they put the note in but never followed up with a phone call to inform me. This is rare and typically does not happen. 10NYCRR 415.15(a)
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SULLIVAN COUNTY ADULT CARE CENTER in LIBERTY, NY inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LIBERTY, NY, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SULLIVAN COUNTY ADULT CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.