El exilio: neobarroco de la revolución

Division of Home & Community Based Services Character and Competence Staff Review Name of Agency: Meadowbrook Terrace, Inc.

Address: Carthage County: Jefferson

Structure: Not-For-Profit Corporation Application Number: 1990-L

Description of Project:

Meadowbrook Terrace, Inc., a not-for-profit corporation, requests approval to obtain licensure as a home care services agency under Article 36 of the Public Health Law.

This application is requesting approval to establish a licensed home care services agency (LHCSA) associated with a new Assisted Living Program (ALP). This LHCSA will be associated with

Meadowbrook Terrace, Inc.

The parent of Meadowbrook Terrace, Inc. is Carthage Area Hospital, Inc., another not-for-profit corporation.

The members of the Board of Directors of Meadowbrook Terrace, Inc. comprise the following individuals:

Dale A. Klock, President (Chairperson) FVP/CFO, Carthage Federal Savings & Loan Affiliation: Carthage Area Hospital

Nata Z. Parnes, M.D., Vice President

Director of Orthopedics, Carthage Area Hospital

Patricia M. Bishop, Secretary

Executive Director, Northern New York Rural Healthcare Alliance, Inc.

Kelly E. Bush, Treasurer

Public Housing Manager, Town of Wilna Housing Authority

Victoria H. Collins, Esq.

Attorney, Conboy, McKay, Bachman & Kendall, LLP

James A. Nabywaniec

Regional VP, Robert J. Natoil (retail)

Brian J. Scott, R.Ph.

Supervising Pharmacist/Store Manager, Kinney Drugs, Inc.

Affiliation: Carthage Area Hospital

Amjad G. Sheikh, M.D.

Physician, Mirza Ashraf, M.D., P.C.

Mary M. Storms

Deputy Town Clerk, Town of Wilna Affiliation: Carthage Area Hospital

The members of the Board of Directors of Carthage Area Hospital, Inc. comprise the following individuals:

Brian J. Scott, R.Ph., President (Chairperson) (Disclosed above)

Mary M. Storms, Vice President (Disclosed above)

Lawrence D. Hasseler, Esq., Secretary Partner, Conboy, McKay, Bachman & Kendall, LLP

Affiliation: Mental Health Association of Jefferson County

Mary M. Rumble, Treasurer

Reading teacher, Carthage School District

Mirza M. Ashraf, M.D

Cardiologist, Mirza Ashraf, M.D., P.C.

Robert J. Bookser Retired

Dale A. Klock (Disclosed above)

John F. McHugh

Community Development Coordinator, Jefferson County Industrial Development Authority

Maria J. Roche Retired

Affiliations: Children’s Home of Jefferson County, North Country Children’s Clinic

Anne M. Rohr Retired

Gary E. Rowe, C.P.A. Self-employed

A search of the individuals named above revealed no matches on either the Medicaid Disqualified Provider List or the OIG Exclusion List.

The Office of the Professions of the State Education Department, the New York Physician Profile and the Office of Professional Medical Conduct, where appropriate, indicates no issues with the licenses of the healthcare professionals associated with this application.

A Certificate of Good Standing has been received for all attorneys.

The applicant proposes to serve the residents of Jefferson County from an office located at 21957 Cole Road, Carthage, New York 13619.

The applicant proposes to provide the following health care services:

Nursing Home Health Aide Personal Care Occupational Therapy Physical Therapy Medical Social Services Respiratory Therapy Nutrition

Housekeeper Speech-Language Pathology

A ten year review of the operations of the following facilities was performed as part of this review: Carthage Area Hospital

North Country Children’s Clinic Children’s Home of Jefferson County

Mental Health Association of Jefferson County

The Information provided by the Division of Certification and Surveillance has indicated that the hospital and diagnostic and treatment center reviewed have provided sufficient supervision to prevent harm to the health, safety and welfare of patients and to prevent recurrent code violations.

The information provided by the Office of Mental Health has indicated that the applicant has provided sufficient supervision to prevent harm to the health, safety and welfare of patients and to prevent recurrent code violations.

Review of the Personal Qualifying Information indicates that the applicant has the required character and competence to operate a licensed home care services agency.

Contingency

Submission of any and all information requested by the Division of Legal Affairs, in a form and manner acceptable to the Department.

Recommendation: Contingent Approval Date: June 23, 2011

Division of Home & Community Based Services Character and Competence Staff Review

Name of Agency: Chautauqua County Department of Health Address: Mayville

County: Chautauqua Structure: Public Application Number: 1966-L Description of Project:

Chautauqua County Department of Health requests approval to obtain licensure as a home care services agency under Article 36 of the Public Health Law in order to enable the county to provide essential public health nursing services.

The applicant proposes to serve the residents of Chautauqua County from an office located at: HRC Building, 4th Floor, 7 North Erie Street, Mayville, New York 14757.

The applicant proposes to provide the following health care services: Nursing

Chautauqua County Department of Health currently operates a Diagnostic and Treatment Center, Chautauqua County Home (residential health care facility), and Chautauqua County Office of Mental Hygiene.

The Bureau of Quality Assurance and Surveillance has indicated the following:

Chautauqua County Home was fined $10,000 pursuant to a stipulation and order dated March 11, 2011 for surveillance findings of January 6, 2009. Deficiencies were found under 10 NYCRR 415.12 Quality of Care.

The information provided by the Bureau of Quality Assurance and Surveillance has indicated that the residential health care facility reviewed has provided sufficient supervision to prevent harm to the health, safety and welfare of patients and to prevent recurrent code violations.

The information provided by the Division of Certification and Surveillance has indicated that the diagnostic and treatment center reviewed has provided sufficient supervision to prevent harm to the health, safety and welfare of patients and to prevent recurrent code violations.

The information provided by the Office of Mental Health has indicated that the applicant has provided sufficient supervision to prevent harm to the health, safety and welfare of patients and to prevent recurrent code violations.

Since the applicant is a public entity, it is not subject to a character and competence review. Contingency

Submission of any and all information requested by the Division of Legal Affairs, in a form and manner acceptable to the Department.

Recommendation: Contingent Approval Date: June 21, 2011