Inspection Reports for
Bezalel Rehabilitation and Nursing Center
29-38 Far Rockaway Blvd, Far Rockaway, NY, 11691
Back to Facility ProfileCitations (last 3 years)
Citations (over 3 years)
8.7 citations/year
Citations are regulatory findings recorded during state inspections.
71% worse than New York average
New York average: 5.1 citations/yearCitations per year
12
9
6
3
0
Inspection Report
Annual Inspection
Capacity: 60
Citations: 1
Date: Jul 10, 2024
Citations (1)
R9-10-803.J — Abuse reporting documentation
Inspection Report
Annual Inspection
Citations: 1
Date: Mar 21, 2024
Visit Reason
The visit was a Recertification survey conducted from 03/14/2024 to 03/21/2024 to assess compliance with regulatory requirements.
Findings
The facility failed to ensure that Minimum Data Set 3.0 assessments were transmitted within 14 days of completion for one resident out of 24 sampled. Specifically, Resident #88's assessments were transmitted late multiple times in 2023.
Citations (1)
F 0640: The facility did not transmit Minimum Data Set 3.0 assessments within 14 days of completion for Resident #88 on multiple occasions in 2023.
Report Facts
Residents reviewed: 24
Residents with late assessments: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Minimum Data Set Coordinator | Interviewed regarding responsibility for transmitting assessments | |
| Administrator | Interviewed regarding awareness of late resident assessment submissions |
Inspection Report
Certification Survey
Capacity: 60
Citations: 3
Date: Mar 21, 2024
Visit Reason
Standard Health and Life Safety Code citations with deficiencies corrected by May 2024
Findings
Standard Health and Life Safety Code citations with deficiencies corrected by May 2024
Citations (3)
Encoding/transmitting resident assessments
Building construction type and height
Electrical systems - essential electric syste
Inspection Report
Abbreviated Survey
Citations: 2
Date: Mar 20, 2024
Visit Reason
The visit was conducted as an abbreviated survey to investigate compliance with timely reporting of suspected abuse, neglect, or theft and to ensure adequate supervision to prevent elopement.
Findings
The facility failed to report alleged abuse and neglect incidents within the required 2-hour timeframe and did not submit follow-up investigation reports within 5 working days. Additionally, the facility did not provide adequate supervision to prevent elopement of a cognitively impaired resident who left the building undetected.
Citations (2)
F 0609: The facility did not ensure that all alleged violations involving abuse and neglect were reported immediately, but not later than 2 hours after the allegation was made. Follow-up investigation reports were not submitted within 5 working days for three residents.
F 0689: The facility did not ensure adequate supervision to prevent elopement. One resident with severe cognitive impairment and a wander alert device left the building undetected through the front door.
Report Facts
Residents affected: 3
Residents affected: 1
Delay in reporting: 2
Follow-up report timeframe: 5
Elopement time: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Responsible for reporting incidents to the Department of Health and submitting follow-up reports | |
| Director of Nursing | Notified Administrator of abuse allegations and involved in investigation and reporting | |
| Registered Nurse Supervisor #1 | Registered Nurse Supervisor | Notified Director of Nursing about abuse and elopement incidents |
| Registered Nurse Supervisor #2 | Registered Nurse Supervisor | Documented report of sexual inappropriate behavior by Resident #2 |
Inspection Report
Complaint Investigation
Capacity: 60
Citations: 2
Date: Mar 20, 2024
Visit Reason
Standard Health citations related to accident hazards and reporting of alleged violations, corrected by May 2024
Findings
Standard Health citations related to accident hazards and reporting of alleged violations, corrected by May 2024
Citations (2)
Free of accident hazards/supervision/devices
Reporting of alleged violations
Inspection Report
Annual Inspection
Citations: 6
Date: Mar 15, 2022
Visit Reason
The inspection was a Recertification survey conducted from 03/08/2022 to 03/15/2022 to assess compliance with federal regulations for nursing homes.
Findings
The facility was found deficient in multiple areas including timely transmission of Minimum Data Set (MDS) assessments, resident participation in care plan meetings, proper storage of controlled substances, food storage and glove use, garbage disposal, and infection prevention control practices related to Legionella water management.
Citations (6)
F 0640: The facility did not ensure that Minimum Data Set (MDS) assessments were electronically transmitted to CMS within 14 days after completion for 11 of 29 residents reviewed.
F 0657: The facility did not ensure cognitively intact residents participated in Comprehensive Care Plan meetings, as evidenced by 2 of 3 residents reviewed not being afforded this opportunity.
F 0761: Controlled drugs requiring refrigeration were not stored in double locked compartments on 2 of 3 units, and locked narcotic boxes were not permanently affixed in refrigerators.
F 0812: Nutrition supplement/paper goods storage room was unclean and unsanitary, and staff did not change contaminated gloves after disposing of garbage.
F 0814: Garbage dumpsters outside were uncovered, overflowing, and surrounded by scattered debris and trash, indicating improper disposal of refuse.
F 0880: The facility lacked a facility-specific Legionella water management plan with mandatory components, did not have a sampling plan, and had not reviewed the environmental risk assessment within the last year.
Report Facts
Residents with late MDS transmission: 11
Residents reviewed for care plan participation: 3
Units with medication storage issues: 2
Days of survey: 8
Inspection Report
Covid-19 Survey
Capacity: 60
Citations: 1
Date: Feb 28, 2022
Visit Reason
Standard Health citation for reporting to national health safety network, widespread scope, not corrected
Findings
Standard Health citation for reporting to national health safety network, widespread scope, not corrected
Citations (1)
Reporting - national health safety network
Inspection Report
Covid-19 Survey
Capacity: 60
Citations: 1
Date: Feb 21, 2022
Visit Reason
Standard Health citation for reporting to national health safety network, widespread scope, not corrected
Findings
Standard Health citation for reporting to national health safety network, widespread scope, not corrected
Citations (1)
Reporting - national health safety network
Inspection Report
Annual Inspection
Citations: 9
Date: Jun 17, 2019
Visit Reason
The inspection was a recertification survey to assess compliance with federal regulations for nursing homes.
Findings
The facility was found deficient in multiple areas including resident dignity and clothing provision, posting of survey results, accuracy of resident assessments, range of motion care, social services, medication regimen reviews, psychotropic medication management, medication labeling, and infection control practices.
Citations (9)
F 0550: The facility did not ensure a resident was cared for in a manner that maintained dignity, as one resident was observed wearing a hospital gown in common areas due to lack of appropriate clothing.
F 0577: The facility did not ensure that a notice of the availability of survey results was posted in prominent and accessible areas for residents and visitors.
F 0641: The facility did not ensure comprehensive and quarterly assessments accurately reflected a resident's diagnosis of Diabetes Mellitus.
F 0688: The facility did not ensure a resident with limited range of motion received appropriate treatment, as hand rolls and knee separator devices were often not in place as ordered.
F 0745: The facility did not ensure a resident received medically-related social services to obtain clothing, resulting in the resident lacking adequate clothing and sometimes wearing a hospital gown.
F 0756: The facility did not ensure the physician documented clinical rationale for continuing a medication identified as an irregularity by the pharmacist, specifically for Voltaren gel.
F 0758: The facility did not ensure gradual dose reductions were attempted for a resident on psychotropic medication, and lacked documentation of psychiatric history and symptom monitoring.
F 0761: The facility did not ensure drugs and biologicals were labeled in accordance with professional principles, as inhaler pumps lacked labels on the actual pump.
F 0880: The facility did not maintain an effective infection prevention and control program, as a nurse failed to sanitize hands before insulin administration and oxygen tubing was observed resting on the floor for multiple residents.
Report Facts
Residents reviewed: 26
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 10
Residents affected: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | Registered Nurse Supervisor | Interviewed about clothing referral process and oxygen tubing monitoring |
| RN #2 | Registered Nurse MDS Coordinator | Interviewed about missing diabetes diagnosis on assessments |
| RN #4 | Registered Nurse Supervisor | Interviewed about resident mood symptoms and psychotropic medication |
| RN #5 | Registered Nurse Supervisor | Interviewed about range of motion care and device placement |
| CNA #1 | Certified Nursing Assistant | Interviewed about oxygen tubing on floor |
| CNA #2 | Certified Nursing Assistant | Interviewed about resident clothing and care |
| CNA #5 | Certified Nursing Assistant | Interviewed about resident mood and depression symptoms |
| CNA #7 | Certified Nursing Assistant | Interviewed about range of motion care and device placement |
| LPN #1 | Licensed Practical Nurse | Interviewed about oxygen tubing care |
| LPN #3 | Licensed Practical Nurse | Observed and interviewed about hand hygiene during insulin administration |
| Director of Social Work | Director of Social Work | Interviewed about resident clothing assistance |
| DON | Director of Nursing | Interviewed about medication labeling and infection control |
| Pharmacy Director of Compliance | Pharmacy Director of Compliance | Interviewed about medication labeling |
| Psychiatrist | Psychiatrist | Interviewed about psychotropic medication and gradual dose reduction |
| PMD | Primary Medical Doctor | Interviewed about psychotropic medication management |
| Medical Director | Medical Director | Interviewed about psychotropic medication and gradual dose reduction |
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