Inspection Reports for
Belair Care Center Inc
2478 Jerusalem Ave, No Bellmore, NY, 11710
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
14.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
180% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
24
18
12
6
0
Inspection Report
Annual Inspection
Deficiencies: 5
Date: May 7, 2025
Visit Reason
The Recertification Survey was conducted to assess compliance with regulatory standards for nursing home care.
Findings
The facility was found deficient in multiple areas including failure to develop baseline care plans, improper pressure ulcer care, inadequate respiratory care, improper medication storage, and unsafe environmental conditions such as storing flammable aerosol near oxygen.
Deficiencies (5)
F 0655: The facility failed to develop and implement a baseline care plan for Resident #192 regarding the use of an external urinary catheter as ordered by the physician.
F 0686: The facility did not ensure residents with pressure ulcers received appropriate treatment and prevention, including incorrect air mattress weight settings for Residents #242 and #60.
F 0695: The facility failed to provide safe and appropriate respiratory care for Resident #80, including allowing the oxygen tank to be empty while the resident required continuous oxygen therapy.
F 0761: The facility did not ensure drugs and biologicals were stored in locked compartments and properly labeled; Residents #60, #41, and #340 had unlabeled or improperly stored medications in their rooms.
F 0921: The facility failed to provide a safe environment for Resident #23 by allowing a highly flammable aerosol hairspray to be stored at the bedside near continuous oxygen use.
Report Facts
Treatment Administration Record opportunities: 12
External urinary catheter not applied: 7
Air mattress weight setting: 225
Air mattress weight setting: 200
Oxygen saturation: 89
Aerosol hairspray can size: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #4 | Medication Nurse | Unaware of residents storing medications in rooms; supervised Resident #60's self-administration |
| Director of Nursing Services | Provided statements on medication storage policy and nursing responsibilities | |
| Licensed Practical Nurse #6 | Assigned nurse for Resident #80; acknowledged oxygen tank was empty and oxygen saturation was low | |
| Registered Nurse #1 | Unit Supervisor | Stated expectations for oxygen therapy and medication storage |
| Certified Nursing Assistant #4 | Reported not using external urinary catheter for Resident #192 during shift | |
| Director of Plant Operations #1 | Explained responsibilities for air mattress setup and maintenance | |
| Wound Care Nurse Practitioner #1 | Provided expert opinion on air mattress weight settings for wound healing | |
| Physical Therapist #1 | Monitored Resident #80 during therapy without oxygen; did not notify nursing upon return | |
| Occupational Therapist #1 | Returned Resident #80 to room without notifying nursing or checking oxygen tank | |
| Attending Physician #1 | Stated expectations for oxygen therapy adherence and physician notification |
Inspection Report
Annual Inspection
Capacity: 60
Deficiencies: 7
Date: May 7, 2025
Visit Reason
Certification Survey identified 5 standard health citations and 2 life safety code citations, all corrected by June 2025.
Findings
Certification Survey identified 5 standard health citations and 2 life safety code citations, all corrected by June 2025.
Deficiencies (7)
Baseline care plan — quality of care
Label/store drugs and biologicals — quality of care
Respiratory/tracheostomy care and suctioning — quality of care
Safe/functional/sanitary/comfortable environment — quality of care
Treatment/services to prevent/heal pressure ulcer — quality of care
Electrical systems - essential electric system — life safety
Organization and administration — life safety
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Feb 27, 2024
Visit Reason
The inspection was conducted as a Recertification Survey and Abbreviated Survey triggered by Complaint #NY00315743 to ensure all incidents were investigated thoroughly.
Complaint Details
Complaint #NY00315743 initiated the survey. The complaint was substantiated as the facility failed to investigate an incident involving Resident #238 thoroughly.
Findings
The facility failed to ensure that all incidents were investigated thoroughly, specifically for Resident #238 who was found on the floor after attempting to self-transfer. The investigation lacked statements from the resident and the assigned staff member, and the nurse supervisor who completed the report was unavailable for follow-up.
Deficiencies (1)
F 0610: The facility did not ensure thorough investigation of incidents. The Accident Incident Report for Resident #238 lacked statements from the resident and the assigned Certified Nursing Assistant, and did not identify who assisted the resident to the toilet.
Report Facts
Residents reviewed for accidents: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #1 | Interviewed regarding the incident involving Resident #238 and the bathroom call bell response | |
| Director of Rehabilitation | Registered Occupational Therapist (OTR) | Interviewed about Resident #238's therapy needs and assistance requirements |
| Director of Nursing Services | Interviewed regarding the investigation and unavailability of the Nurse Supervisor who completed the Accident Incident Report |
Inspection Report
Recertification Survey
Deficiencies: 4
Date: Feb 27, 2024
Visit Reason
The inspection was a Recertification Survey and Abbreviated Survey including complaint investigation to assess compliance with regulatory requirements related to resident environment, incident investigations, care planning, and treatment.
Complaint Details
The complaint investigation (Complaint # NY00315743) focused on the facility's failure to thoroughly investigate a resident fall incident involving Resident #238. The investigation lacked statements from the resident and assigned staff, and the nurse supervisor who completed the report was unavailable for follow-up.
Findings
The facility was found deficient in maintaining a safe, clean, and homelike environment with unrepaired wall damages and faulty equipment. The facility failed to thoroughly investigate a resident fall incident. Additionally, the facility did not develop a comprehensive care plan for a resident using a Pure Wick Urine Collection System and failed to ensure a resident wore a prescribed left-hand splint and follow-up orthopedic consultation was initiated.
Deficiencies (4)
F 0584: The facility did not ensure a safe, clean, and homelike environment; multiple residents had holes and damaged wallpaper near beds and faulty bed equipment with exposed wires and taped headboards.
F 0610: The facility did not respond appropriately to an alleged violation; the investigation of a resident fall did not include statements from the resident or assigned staff to identify the root cause.
F 0656: The facility failed to develop and implement a comprehensive care plan for a resident using the Pure Wick Urine Collection System, lacking measurable objectives and documentation of care.
F 0684: The facility did not ensure a resident received treatment and care according to orders; a resident was observed not wearing a prescribed left-hand splint and no follow-up orthopedic consultation was initiated as per hospital discharge instructions.
Report Facts
Residents reviewed for environment: 4
Residents reviewed for accidents: 3
Residents reviewed for bladder and bowel incontinence: 1
Residents reviewed for skin conditions: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #1 | Named in fall incident investigation for Resident #238 | |
| Certified Nursing Assistant #2 | Interviewed regarding bed controller repair and Pure Wick system care | |
| Certified Nursing Assistant #3 | Interviewed regarding Resident #294 splint compliance | |
| Registered Nurse Unit Supervisor #1 | Interviewed regarding maintenance and fall incident investigation | |
| Registered Nurse #1 | Interviewed regarding Pure Wick care plan oversight and Resident #294 splint | |
| Registered Nurse #3 | Observed Resident #294 without splint and applied splint | |
| Licensed Practical Nurse #1 | Interviewed regarding Pure Wick system responsibilities | |
| Director of Nursing Services | Interviewed regarding fall investigation and Pure Wick system care plan | |
| Environmental Director | Interviewed regarding environmental repair issues | |
| Director of Rehabilitation Services | Registered Occupational Therapist (OTR) | Interviewed regarding Resident #238 assistance and Resident #294 orthopedic follow-up |
| Nurse Practitioner #1 | Interviewed regarding lack of orthopedic consult for Resident #294 | |
| Administrator | Interviewed regarding environmental repairs and renovation plans |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 5
Date: Feb 27, 2024
Visit Reason
Complaint Survey found 5 standard health citations and 1 life safety code citation, all corrected by April 2024.
Findings
Complaint Survey found 5 standard health citations and 1 life safety code citation, all corrected by April 2024.
Deficiencies (5)
Develop/implement comprehensive care plan — quality of care
Investigate/prevent/correct alleged violation — quality of care
Quality of care — quality of care
Safe/clean/comfortable/homelike environment — quality of care
Gas equipment - cylinder and container storage — life safety
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Jul 7, 2022
Visit Reason
The inspection was a Recertification Survey conducted to assess compliance with regulatory requirements for nursing home care.
Findings
The facility failed to develop comprehensive care plans addressing residents' specific needs, including hearing impairments for Resident #61 and proper management of psychotropic medications for Resident #8. The facility also did not ensure appropriate audiology services or non-pharmacological interventions prior to psychotropic medication administration.
Deficiencies (3)
F 0656: The facility did not develop a comprehensive care plan addressing Resident #61's hearing impairment despite documented hearing difficulties and observations confirming the issue.
F 0685: The facility failed to assist Resident #61 in gaining access to hearing services and did not obtain audiology consultations or provide hearing aids to meet communication needs.
F 0758: The facility did not ensure non-pharmacological interventions were attempted before administering PRN psychotropic medication Xanax to Resident #8, and the medication order lacked a documented duration.
Report Facts
Medication administration occasions: 10
Medication administration occasions: 17
Medication administration occasions: 25
Medication administration occasions: 26
Medication administration occasions: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #2 | Registered Nurse (medication nurse) | Interviewed regarding Resident #61's hearing aids and care plan |
| RN #3 | Unit Supervisor | Interviewed regarding Resident #61's hearing aids and care plan; also entered Xanax order into computer |
| Director of Nursing Services | Director of Nursing Services (DNS) | Interviewed regarding Resident #61's hearing aids and care plan and Resident #8's Xanax order |
| RN #4 | MDS Director | Interviewed regarding Resident #61's hearing and care plan responsibility |
| CNA #2 | Certified Nursing Assistant | Interviewed regarding Resident #61's hearing difficulty |
| CNA #3 | Certified Nursing Assistant | Interviewed regarding Resident #8's cooperation and requests for Xanax |
| LPN #1 | Licensed Practical Nurse | Administered PRN Xanax to Resident #8 and interviewed about non-pharmacological interventions |
| LPN #2 | Licensed Practical Nurse | Administered PRN Xanax to Resident #8 and interviewed about documentation practices |
| NP #2 | Nurse Practitioner | Ordered PRN Xanax for Resident #8 and interviewed about order duration |
| NP #3 | Nurse Practitioner | Interviewed regarding continuation of Resident #8's Xanax medication |
| MD | Medical Director and Primary Physician | Interviewed regarding PRN Xanax order duration and regulation compliance |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 17
Date: Jul 7, 2022
Visit Reason
Complaint Survey identified multiple standard health and life safety code citations, all corrected by September 2022.
Findings
Complaint Survey identified multiple standard health and life safety code citations, all corrected by September 2022.
Deficiencies (17)
Develop/implement comprehensive care plan — quality of care
Free from unnecessary psychotropic meds/prn use — quality of care
Responsibilities of providers; required notification — quality of care
Treatment/devices to maintain hearing/vision — quality of care
Cooking facilities — life safety
Corridor - doors — life safety
Develop emergency plan, review and update annually — life safety
Egress doors — life safety
Electrical equipment - power cords and extension cords — life safety
Electrical systems - essential electric system — life safety
Elevators — life safety
Exit signage — life safety
Hazardous areas - enclosure — life safety
Interior wall and ceiling finish — life safety
Means of egress - general — life safety
Sprinkler system - installation — life safety
Sprinkler system - supervisory signals — life safety
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Apr 6, 2022
Visit Reason
Covid-19 Survey found one standard health citation related to staff vaccination, not corrected as of report date.
Findings
Covid-19 Survey found one standard health citation related to staff vaccination, not corrected as of report date.
Deficiencies (1)
Covid-19 vaccination of facility staff — quality of care
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