Inspection Reports for
Apex Rehabilitation & Care Center
78 Birchwood Drive, Huntington Station, NY, 11746
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
22.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
347% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
40
30
20
10
0
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 20
Date: Apr 16, 2025
Visit Reason
Complaint Survey with 13 health and 7 life safety citations, all corrected by May and June 2025.
Findings
Complaint Survey with 13 health and 7 life safety citations, all corrected by May and June 2025.
Deficiencies (20)
Administration — quality of care
Food procurement, store/prepare/serve — sanitary
Free of accident hazards/supervision/devices
Infection prevention & control
Investigate/prevent/correct alleged violation
Quality of care
Reporting of alleged violations
Resident records - identifiable information
Resident rights/exercise of rights
Responsibilities of providers; required notification
Routine/emergency dental services in SNFs
Staff qualifications
Treatment/services to prevent/heal pressure ulcer
Discharge from exits — life safety
Exit signage
Fire alarm system - testing and maintenance
Maintenance, inspection & testing - doors
Ramps and other exits
Smoking regulations
Sprinkler system - maintenance and testing
Inspection Report
Annual Inspection
Deficiencies: 12
Date: Apr 8, 2025
Visit Reason
The survey was a Recertification Survey initiated on 4/8/2025 and completed on 4/16/2025, including an abbreviated complaint investigation.
Complaint Details
The survey included an abbreviated complaint investigation (Complaint # NY 00349884) related to abuse reporting and investigation.
Findings
The facility was found deficient in multiple areas including resident dignity and privacy, timely reporting and investigation of abuse allegations, appropriate treatment and care, pressure ulcer prevention, environmental safety, dental care follow-up, food service sanitation, staff licensure compliance, medical record completeness, and infection prevention and control.
Deficiencies (12)
F 0550: The facility failed to ensure residents with catheters had privacy bags covering catheter drainage bags, compromising dignity and privacy.
F 0609: The facility did not timely report alleged abuse and failed to investigate all abuse allegations thoroughly.
F 0610: The facility failed to obtain statements from all staff involved in a resident's injury of unknown origin to determine the root cause.
F 0684: The facility did not ensure proper care and monitoring of a resident's Jackson Pratt drain, including maintaining negative pressure as ordered.
F 0686: The facility failed to set air mattress weight settings according to residents' actual weights, risking pressure ulcer prevention.
F 0689: Hazardous items including nail polish remover and room sprays were found in a resident's room without supervision, posing safety risks.
F 0790: The facility did not assist a resident in scheduling necessary dental services following a dentist's recommendation for full mouth extraction.
F 0812: The dishmachine final rinse temperature was below required levels, risking inadequate sanitization of dishes.
F 0835: The facility allowed multiple Medication/Treatment Nurses to work as Registered Nurses without valid New York State RN licenses or approved limited permits.
F 0839: The facility employed Medication/Treatment Nurses without required New York State RN licensure or limited permits, violating state laws.
F 0842: The facility failed to maintain complete medical records by not documenting monitoring of a resident's dialysis catheter site for bleeding and infection signs every shift.
F 0880: The facility did not post Contact Precautions signage for a resident with shingles and failed to perform hand hygiene before and after glove use during blood glucose testing.
Report Facts
Deficiencies cited: 12
Resident affected count: 5
Dishmachine temperature: 134
Dishmachine temperature: 150
Air mattress weight setting: 300
Air mattress weight setting: 260
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Medication/Treatment Nurse #1 | Unlicensed Registered Nurse | Named in findings for working without valid RN license or limited permit and failure to start NCLEX-RN process. |
| Medication/Treatment Nurse #2 | Unlicensed Registered Nurse | Named in findings for working without valid RN license or limited permit and failure to perform hand hygiene during medication administration. |
| Medication/Treatment Nurse #3 | Unlicensed Registered Nurse | Named in findings for working without valid RN license or limited permit. |
| Medication/Treatment Nurse #4 | Unlicensed Registered Nurse | Named in findings for working without valid RN license or limited permit. |
| Medication/Treatment Nurse #6 | Unlicensed Registered Nurse | Named in findings for working without valid RN license or limited permit. |
| Licensed Practical Nurse #1 | Charge Nurse | Named in dignity/privacy deficiency and environmental safety deficiency. |
| Registered Nurse #5 | Unit Charge Nurse | Named in infection control and dialysis catheter monitoring deficiencies. |
| Director of Nursing Services | Named in multiple interviews related to deficiencies in staff licensure, infection control, and care practices. | |
| Director of Human Resources/Assistant Administrator | Named in interviews regarding failure to ensure staff licensure compliance. | |
| Dentist | Named in dental care deficiency regarding failure to follow up on recommendations. | |
| Registered Nurse #4 | Registered Nurse Supervisor | Named in dialysis catheter monitoring deficiency for failure to enter physician orders. |
| Registered Nurse #2 | Named in dialysis catheter monitoring deficiency for failure to document assessments. | |
| Registered Nurse Infection Preventionist #1 | Named in infection control deficiency for failure to post Contact Precautions signage. |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Apr 8, 2025
Visit Reason
The inspection was initiated as a Recertification and abbreviated complaint survey triggered by complaints regarding abuse, neglect, and staff licensure issues at the facility.
Complaint Details
The complaint investigation (Complaint # NY 00349884 and Complaint # NY 00359457) substantiated failures in timely reporting of abuse and resident altercations, and employment of unlicensed nursing staff.
Findings
The facility failed to timely report alleged abuse and resident-to-resident altercations to the Department of Health. Additionally, the facility allowed multiple Medication/Treatment Nurses to work as Registered Nurses without valid New York State Registered Nurse licenses or approved limited permits.
Deficiencies (3)
F0609: The facility did not timely report suspected abuse and resident-to-resident altercations to the Department of Health within required timeframes.
F0835: The facility administration did not ensure effective use of resources by allowing unlicensed Medication/Treatment Nurses to work as Registered Nurses without proper credentials.
F0839: The facility employed Medication/Treatment Nurses who lacked required New York State Registered Nurse licenses or approved limited permits to work as Registered Nurses.
Report Facts
Residents affected: 2
Residents affected: 1
Medication/Treatment Nurses without valid licenses: 5
Days late reporting incident: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Medication/Treatment Nurse #1 | Unlicensed Registered Nurse | Named in deficiency for working without valid license and failure to report incident |
| Director of Nursing Services | Responsible for reporting incidents and aware of unlicensed nurses working at the facility | |
| Director of Human Resources/Assistant Administrator | Responsible for obtaining credentials of Medication/Treatment Nurses and acknowledged failure to ensure valid licenses | |
| Administrator | Acknowledged oversight in allowing unlicensed nurses to work as Registered Nurses | |
| Certified Nursing Assistant #1 | Certified Nursing Assistant | Named in resident scratch incident but not recalled as the one who caused injury |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Feb 27, 2024
Visit Reason
The inspection was conducted as a complaint investigation (Complaint #NY00313313) initiated on 2024-02-21 and completed on 2024-02-27 regarding inadequate pain management for a resident following a fall.
Complaint Details
Complaint #NY00313313 was substantiated. The investigation found that the facility failed to provide adequate pain management consistent with professional standards and the resident's care plan. The Registered Nurse Supervisor was suspended and terminated for failure to notify the physician and manage the resident's pain appropriately.
Findings
The facility failed to provide timely and appropriate pain management to Resident #1 after a fall, resulting in the resident enduring severe pain for three hours before transfer to the Emergency Department. The nursing staff did not administer prescribed pain medication nor notify the physician promptly, and the Registered Nurse Supervisor was suspended and later terminated due to these failures.
Deficiencies (1)
F 0697: The facility did not ensure safe, appropriate pain management for a resident requiring such services. Resident #1 suffered severe pain after a fall, but pain medication was not administered and the physician was not notified, resulting in prolonged untreated pain and hospital admission for hip fracture.
Report Facts
Pain rating: 10
Medication dose: 25
Medication dose: 325
Time without pain medication: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse Supervisor | Named in failure to notify physician and manage pain after resident fall; suspended and terminated | |
| Certified Nursing Assistant #1 | Reported resident's pain and condition to nurse; limited ability to intervene | |
| Director of Nursing Services | Director of Nursing Services | Provided statements on expected pain management procedures |
| Medical Director | Medical Director | Provided clinical guidance on pain management and medication orders |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Feb 27, 2024
Visit Reason
Complaint Survey with 1 health citation related to pain management, corrected by March 30, 2024.
Findings
Complaint Survey with 1 health citation related to pain management, corrected by March 30, 2024.
Deficiencies (1)
Pain management
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Feb 14, 2024
Visit Reason
The inspection was conducted as a Recertification Survey and Abbreviated Survey to assess compliance with regulatory requirements for nursing home operations and resident safety.
Findings
The facility failed to maintain a safe, clean, and homelike environment, with multiple residents' rooms having furniture and fixtures in disrepair. Additionally, the facility did not ensure adequate supervision to prevent accidents, as evidenced by a resident eloping from the facility. Loose and unsteady toilet handrails were observed in several residents' bathrooms, and the medication storage closet was unsecured.
Deficiencies (2)
F 0584: The facility did not maintain furniture and sink vanities in residents' rooms in good repair, with missing drawers, detached molding, and rusty exposed metal parts noted in four residents' rooms.
F 0689: The facility failed to ensure residents' environment was free from accident hazards and provide adequate supervision, including a resident eloping due to staff not following alarm notification procedures, loose toilet handrails in multiple residents' bathrooms, and an unlocked medication storage closet.
Report Facts
Residents reviewed for environment: 4
Residents reviewed for accident hazards: 6
Residents reviewed for accidents/elopement: 11
Residents affected by deficiencies: 1
Dates of survey: Feb 6, 2024
Dates of survey: Feb 14, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Charge Nurse | Mentioned in relation to maintenance requests and resident supervision |
| Certified Nursing Assistant #6 | Regularly assigned to residents #146, #85, and #93; mentioned in relation to maintenance reporting | |
| Housekeeper #1 | Regularly assigned housekeeper; mentioned in relation to observations of maintenance issues | |
| Maintenance Worker #1 | Responsible for repairs and maintenance requests on the unit | |
| Director of Maintenance | Interviewed regarding maintenance procedures and repair logs | |
| Administrator | Interviewed regarding awareness of environmental concerns | |
| Licensed Practical Nurse #2 | Unit Charge Nurse | Mentioned in relation to medication storage area |
| Director of Nursing Services | Interviewed regarding elopement incident and medication storage |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 22
Date: Feb 14, 2024
Visit Reason
Complaint Survey with 14 health and 8 life safety citations covering multiple quality of care and safety issues, all corrected by March and April 2024.
Findings
Complaint Survey with 14 health and 8 life safety citations covering multiple quality of care and safety issues, all corrected by March and April 2024.
Deficiencies (22)
Accuracy of assessments
ADL care provided for dependent residents
Care plan timing and revision
Competent nursing staff
Free of accident hazards/supervision/devices
Infection prevention & control
Investigate/prevent/correct alleged violation
Label/store drugs and biologicals
Radiology/other diagnostic services
Reporting of alleged violations
Routine/emergency dental services in SNFs
Safe/clean/comfortable/homelike environment
Subsistence needs for staff and patients
Sufficient nursing staff
Discharge from exits — life safety
Hazardous areas - enclosure
Means of egress - general
Ramps and other exits
Sprinkler system - installation
Sprinkler system - maintenance and testing
Standards of construction for new existing nursing home
Subdivision of building spaces - smoke barrier
Inspection Report
Annual Inspection
Deficiencies: 13
Date: Feb 14, 2024
Visit Reason
The survey was a Recertification and Abbreviated Survey to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in multiple areas including environmental maintenance, timely reporting and investigation of injuries, accurate resident assessments, care planning, activities of daily living assistance, medication storage security, staffing sufficiency, infection control practices, dental care, and wound care procedures.
Deficiencies (13)
F 0584: The facility failed to maintain a safe, clean, and homelike environment as evidenced by multiple residents' rooms having furniture and sink vanities in disrepair with missing drawers and detached molding.
F 0609: The facility did not timely report an injury of unknown origin to the New York State Department of Health and failed to thoroughly investigate the incident to rule out abuse or neglect for Resident #98.
F 0610: The facility failed to respond appropriately to all alleged violations by not thoroughly investigating an injury of unknown origin for Resident #98, lacking statements from all shifts and failing to rule out abuse or neglect.
F 0641: The Minimum Data Set assessment for Resident #61 did not accurately reflect the resident's dialysis treatment status.
F 0657: The facility did not ensure a person-centered comprehensive care plan was reviewed and revised to address each resident's needs, including Resident #152's lack of documented care plan meetings and resident/family participation.
F 0677: Resident #122 was observed with long, dirty, jagged fingernails with brown substance under nails, indicating failure to provide necessary assistance for personal hygiene.
F 0689: The facility did not ensure the residents' environment was free from accident hazards and did not provide adequate supervision to prevent accidents, including Resident #146 eloping and multiple residents having loose toilet handrails; medication storage closet was unlocked.
F 0725: The facility failed to provide sufficient nursing staff on multiple occasions, including weekends, with staffing levels below facility assessment par levels.
F 0726: Certified Nursing Assistant #8 was observed using a sink as a water basin to provide hygiene care to Resident #48, violating infection control practices.
F 0761: Medication storage closet on Unit 1A was unlocked and accessible to unauthorized persons during renovations.
F 0776: Resident #48 did not receive pacemaker checks as ordered every three months; last documented check was 10/4/2023.
F 0790: Resident #147 was not provided routine dental services to replace lost upper dentures; lower dentures were stored but not used by the resident.
F 0880: Infection prevention and control program deficiencies included failure to wear appropriate PPE for Resident #383 on COVID-19 isolation, improper use of sink as water basin for Resident #48, and inadequate hand hygiene by Registered Nurse #10 during wound care.
Report Facts
Deficiencies cited: 13
Certified Nursing Assistants on duty: 46
Certified Nursing Assistants on duty: 49
Certified Nursing Assistants on duty: 48
Certified Nursing Assistants on duty: 48
Certified Nursing Assistants on duty: 52
Residents on Unit 1A: 44
Residents on Unit 1A: 46
Residents on Unit C: 57
Residents on Unit 1A: 44
Residents on Unit 2A: 29
Residents on Unit 1A: 46
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #3 | Named in PPE violation for Resident #383 and sent home for COVID-19 exposure | |
| Certified Nursing Assistant #8 | Named in improper hygiene care using sink as basin for Resident #48 | |
| Registered Nurse #10 | Named in inadequate hand hygiene during wound care | |
| Licensed Practical Nurse #2 | Unit Manager | Named in failure to ensure pacemaker checks and medication storage security |
| Registered Nurse #2 | Unit C Charge Nurse | Named in failure to ensure dentures provided to Resident #147 |
| Registered Nurse #7 | Named in failure to follow-up on dental consult for Resident #147 | |
| Director of Nursing Services | Named in multiple interviews regarding deficiencies and expectations | |
| Director of Maintenance | Named in interviews regarding maintenance issues and medication closet lock | |
| Staff Educator | Infection Preventionist | Named in infection control deficiencies |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Dec 21, 2023
Visit Reason
Complaint Survey with 1 health citation related to right to be free from physical restraints, corrected by January 9, 2024.
Findings
Complaint Survey with 1 health citation related to right to be free from physical restraints, corrected by January 9, 2024.
Deficiencies (1)
Right to be free from physical restraints
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 11
Date: Feb 14, 2022
Visit Reason
Complaint Survey with 5 health and 6 life safety citations including care plan development, infection control, quality of care, and life safety issues, all corrected by April 2022.
Findings
Complaint Survey with 5 health and 6 life safety citations including care plan development, infection control, quality of care, and life safety issues, all corrected by April 2022.
Deficiencies (11)
Develop/implement comprehensive care plan
Free of accident hazards/supervision/devices
Infection prevention & control
Quality of care
Respiratory/tracheostomy care and suctioning
Discharge from exits — life safety
Electrical systems - essential electric system
Emergency lighting
Illumination of means of egress
Number of exits - corridors
Physical environment
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Feb 14, 2022
Visit Reason
The inspection was a Recertification Survey conducted to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in developing comprehensive person-centered care plans, providing care according to physician orders, maintaining a safe environment free from hazards, ensuring appropriate respiratory care, and implementing infection prevention and control practices.
Deficiencies (5)
F 0656: The facility failed to develop a comprehensive person-centered care plan for Resident #222 with a Stage 3 Pressure Ulcer, lacking specific interventions for turning and positioning.
F 0684: Resident #4's wound care was not provided according to physician orders as RN #6 did not pack the right plantar foot wound with Iodoform as ordered.
F 0689: Resident #152 was exposed to accident hazards due to a wet floor from a leak without proper signage or relocation, posing a fall risk.
F 0695: Resident #17 received oxygen therapy without a current physician's order, indicating a lapse in respiratory care documentation and orders.
F 0880: Infection prevention and control practices were deficient as nurses failed to perform hand hygiene and glove changes during wound care for Residents #4, #53, and #154, risking infection transmission.
Report Facts
Residents reviewed for Pressure Ulcers: 3
Residents reviewed for skin conditions: 4
Residents reviewed for accidents: 8
Residents reviewed for respiratory care: 2
Residents reviewed for infection control: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #6 | Registered Nurse | Named in findings related to wound care deficiencies for Residents #4 and #53. |
| RN #5 | Registered Nurse | Named in infection control deficiency related to wound care for Resident #154. |
| RN #4 | Unit Nurse Supervisor | Interviewed regarding wet floor hazard and oxygen therapy observations. |
| RN #7 | Charge Nurse | Interviewed regarding oxygen therapy orders for Resident #17. |
| Director of Nursing Services | Director of Nursing Services | Interviewed regarding care plan development, wound care, accident hazard, oxygen therapy, and infection control deficiencies. |
| RN Infection Preventionist/Wound Care Nurse | Infection Preventionist/Wound Care Nurse | Interviewed regarding wound care and infection control practices. |
| PA | Physician Assistant | Interviewed regarding oxygen therapy needs for Resident #17. |
| NP | Nurse Practitioner | Interviewed regarding oxygen therapy orders for Resident #17. |
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