Inspection Reports for
Berkshire Nursing and Rehabilitation Center
10 Berkshire Road, W Babylon, NY, 11704
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
2% better than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: Sep 22, 2025
Visit Reason
The abbreviated survey was initiated to assess compliance with professional standards of care, specifically regarding bowel management and resident treatment.
Findings
The facility failed to ensure three residents received appropriate bowel care, resulting in actual harm to one resident and immediate jeopardy to others. Staff did not properly monitor or report residents' bowel movements as required by facility policy.
Deficiencies (1)
F 0684: The facility failed to provide appropriate treatment and care according to orders and resident preferences, resulting in prolonged lack of bowel movements for three residents without notifying the physician. This led to actual harm and immediate jeopardy to resident health and safety.
Report Facts
Residents affected: 3
Consecutive days without bowel movements: 8
Consecutive days without bowel movements: 8
Consecutive days without bowel movements: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Aide #2 | Interviewed regarding Resident #1 fall and constipation | |
| Certified Nursing Aide #3 | Interviewed about Resident #1's constipation and enema | |
| Licensed Practical Nurse #2 | Interviewed about bowel report monitoring and lack of knowledge on bowel report | |
| Registered Nurse #1 | Interviewed about bowel report monitoring practices | |
| Medical Doctor #1 | Primary care physician for Residents #1 and #2, interviewed about notification and monitoring | |
| Director of Nursing Services | Interviewed about awareness of bowel report issues and nursing responsibilities | |
| Administrator | Interviewed about facility policy adherence and Quality Assurance meetings |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Oct 30, 2024
Visit Reason
One Level 2 deficiency for reporting of alleged violations causing minor discomfort but corrected by November 22, 2024.
Findings
One Level 2 deficiency for reporting of alleged violations causing minor discomfort but corrected by November 22, 2024.
Deficiencies (1)
R9-10-803.J — Abuse reporting documentation
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: Oct 30, 2024
Visit Reason
The visit was an abbreviated survey conducted in response to complaint #NY00347913 regarding alleged resident abuse.
Complaint Details
Complaint #NY00347913 involved an allegation that a Certified Nursing Assistant hit Resident #1 with their elbow. The allegation was not reported as required. The complaint was substantiated by the survey findings.
Findings
The facility failed to report an alleged abuse incident involving a Certified Nursing Assistant hitting a resident with their elbow to the New York State Department of Health or local law enforcement within the required two-hour timeframe.
Deficiencies (1)
F 0609: The facility did not timely report suspected abuse of Resident #1 to the appropriate authorities as required by federal and state regulations. The allegation was reported by staff but was not reported within two hours to the New York State Department of Health or local law enforcement.
Report Facts
Residents Affected: 1
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Aug 20, 2024
Visit Reason
The inspection was a Recertification Survey and Abbreviated Survey conducted to assess compliance with regulatory requirements, including investigation of a complaint (Complaint #NY 00322088).
Complaint Details
The complaint investigation (Complaint #NY 00322088) focused on allegations of abuse, neglect, and mistreatment related to Resident #360's fall. The facility's investigation was found deficient due to lack of witness statements and failure to address inconsistent staff reports. The investigation concluded no abuse or neglect occurred.
Findings
The facility was found deficient in investigating alleged violations related to a resident fall, ensuring proper pressure ulcer care, and providing adequate supervision and assistance to prevent accidents. Deficiencies included failure to obtain witness statements, improper air mattress weight settings, and failure to update care plans reflecting residents' needs for assistance.
Deficiencies (3)
F 0610: The facility failed to thoroughly investigate alleged abuse, neglect, and mistreatment related to Resident #360's fall by not obtaining a statement from the resident's roommate and not addressing inconsistencies in staff statements.
F 0686: The facility did not ensure Resident #95 received appropriate pressure ulcer care, as the alternating-pressure air mattress weight setting was not adjusted to the resident's weight, risking skin ulcer development.
F 0689: The facility failed to provide adequate supervision and assistance to Resident #71, who required two-person assistance for bed mobility but was cared for by one staff member, resulting in a fall and fracture.
Report Facts
Resident weight: 176
Wound size: 1
Wound size: 2
Wound size: 0.1
Air mattress weight setting: 300
Fall date: Jun 24, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #5 | Unit Charge Nurse | Named in investigation of Resident #360 fall and in care provision to Resident #71 during fall |
| Registered Nurse #6 | Unit Manager at time of incident | Completed Accident and Incident report for Resident #360 fall |
| Risk Manager #1 | Responsible for investigating Resident #360's fall incident | |
| Risk Manager #2 | Reviewed investigation of Resident #360's fall | |
| Registered Nurse #3 | Wound Care Nurse | Responsible for setting and auditing air mattress weight settings |
| Certified Nursing Assistant #5 | Provided care to Resident #71 during fall incident | |
| Physical Therapist #1 | Completed quarterly Rehabilitation screens for Resident #71 | |
| Director of Nursing Services | Interviewed regarding investigation and care plan responsibilities | |
| Physician #1 | Attributed Resident #71's fracture to fall from bed |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 6
Date: Aug 20, 2024
Visit Reason
Multiple deficiencies including one Level 3 for accident hazards and several Level 2 deficiencies related to investigation, treatment of pressure ulcers, and life safety code issues, all corrected by late September 2024.
Findings
Multiple deficiencies including one Level 3 for accident hazards and several Level 2 deficiencies related to investigation, treatment of pressure ulcers, and life safety code issues, all corrected by late September 2024.
Deficiencies (6)
Free of accident hazards/supervision/devices
Investigate/prevent/correct alleged violation
Treatment/svcs to prevent/heal pressure ulcer
Electrical systems - essential electric syste
Illumination of means of egress
Physical environment
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Aug 20, 2024
Visit Reason
The inspection was initiated due to a complaint investigation (#NY 00322088) concerning allegations of abuse, neglect, and mistreatment related to a resident fall incident.
Complaint Details
Complaint #NY 00322088 was investigated. The complaint was substantiated to the extent that the facility did not thoroughly investigate the alleged violations, including failure to obtain witness statements and address inconsistencies. The investigation concluded no abuse, neglect, or mistreatment occurred.
Findings
The facility failed to thoroughly investigate the alleged violations related to Resident #360's fall, including not obtaining a statement from the resident's roommate who initially reported the incident and inconsistencies in staff statements. The investigation concluded no abuse, neglect, or mistreatment occurred, but documentation and investigative procedures were incomplete.
Deficiencies (1)
The facility did not obtain a written statement from Resident #360's roommate who initially reported the fall incident. The investigation summary included inconsistent statements from Licensed Practical Nurse #5, which were not addressed by the facility.
Report Facts
Residents reviewed for Accident: 8
Deficiencies cited: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #5 | Named in inconsistent statement regarding Resident #360's fall | |
| Registered Nurse #6 | Unit Manager at time of incident | Completed Accident and Incident report and interviewed regarding investigation |
| Risk Manager #1 | Responsible for investigating Resident #360's fall incident | |
| Risk Manager #2 | Reviewed Accident and Incident report and commented on investigation deficiencies | |
| Director of Nursing Services | Interviewed regarding responsibility for reviewing Accident and Incident reports |
Inspection Report
Deficiencies: 0
Date: Mar 29, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction for Berkshire Nursing & Rehabilitation Center following a survey completed on March 29, 2023.
Findings
No health deficiencies were found during the survey.
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 4
Date: Mar 29, 2023
Visit Reason
Several deficiencies including a Level 2 for means of egress and sprinkler system maintenance, and Level 0 for construction standards and submission requirements, all corrected by mid-2023.
Findings
Several deficiencies including a Level 2 for means of egress and sprinkler system maintenance, and Level 0 for construction standards and submission requirements, all corrected by mid-2023.
Deficiencies (4)
Requirements before submitting a request for
Means of egress - general
Sprinkler system - maintenance and testing
Standards of construction for new existing nh
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Sep 24, 2020
Visit Reason
The inspection was a Recertification Survey to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in maintaining resident dignity and privacy, ensuring comprehensive care plans are reviewed and updated by an interdisciplinary team, and properly labeling and storing medications and biologicals.
Deficiencies (3)
F 0550: The facility did not ensure resident privacy during wound assessment as the door was open and curtains were not drawn while a physician assessed a resident's foot wound in full view of the hallway.
F 0657: The facility failed to review and revise a resident's comprehensive care plan to reflect the addition and discontinuation of a psychotropic medication within the required timeframe.
F 0761: The facility did not ensure all medications and biologicals were stored and labeled properly; several topical medications were open and not dated on the treatment cart.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #2 | Unit East B Charge Nurse | Interviewed regarding unlabeled medications on treatment cart. |
| Licensed Practical Nurse #2 | LPN | Interviewed about medication labeling and discarding unlabeled medications. |
| Director of Nursing Services | DNS | Interviewed about privacy during care and medication labeling policies. |
| Registered Nurse Supervisor | RN Supervisor | Interviewed about resident privacy during care. |
| Unit Charge Registered Nurse | RN | Interviewed about responsibility for care plan development and revisions. |
| Physician | Interviewed about resident wound assessment and privacy. |
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