Inspection Reports for Carillon Nursing and Rehabilitation Center
830 Park Avenue, Huntington, NY, 11743
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
6.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
29% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Annual Inspection
Deficiencies: 6
Date: May 19, 2025
Visit Reason
The inspection was a Recertification Survey conducted from 5/13/2025 to 5/19/2025 to assess compliance with regulatory requirements for nursing home operations and resident care.
Findings
The facility was found deficient in multiple areas including timely transmission of Minimum Data Set assessments, updating care plans to reflect resident preferences, pressure ulcer care, pain management, sufficient nursing staffing, and infection prevention and control practices.
Deficiencies (6)
Failure to ensure Minimum Data Set assessments were transmitted electronically within required timeframes.
Failure to review and revise comprehensive care plans to reflect resident preferences and refusals, specifically regarding use of hand splints and palm grips.
Failure to provide appropriate pressure ulcer care, including improper calibration of air mattress weight settings for pressure relief.
Failure to provide safe and appropriate pain management during wound care treatment, including failure to assess and address resident pain complaints.
Failure to provide sufficient nursing staff to meet resident needs, with documented understaffing on multiple units during weekends.
Failure to implement infection prevention and control program effectively, including failure of staff to perform hand hygiene between resident contacts.
Report Facts
Days late for Minimum Data Set transmission: 62
Days late for Discharge-Return Minimum Data Set assessment: 131
Resident weight: 279.2
Air mattress weight setting: 100
Air mattress weight setting: 200
Air mattress weight setting order: 250
Facility census: 38
Staffing requirement: 1
Staffing shortage: 1
Unit 6 census: 48
Unit 7 census: 51
Certified Nursing Assistants assigned: 4
Certified Nursing Assistants required: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #3 | Registered Nurse | Responsible for updating care plans and completing Minimum Data Set assessments; acknowledged care plan should have been revised. |
| Director of Nursing Services | Director of Nursing Services | Stated Minimum Data Set Coordinators should check validation reports; acknowledged understaffing and care plan deficiencies. |
| Registered Nurse #4 | Registered Nurse | Administered wound care to Resident #335; failed to assess and address resident's pain during treatment. |
| Wound Care Registered Nurse #1 | Wound Care Registered Nurse | Stated Registered Nurse #4 should have stopped treatment and assessed pain; explained treatment order changes. |
| Registered Nurse #6 | Registered Nurse | Reported understaffing on Unit 6 and its impact on medication administration and resident care. |
| Registered Nurse #8 | Registered Nurse | Observed failing to perform hand hygiene between resident contacts during medication pass. |
| In-service Coordinator | In-service Coordinator | Stated hand hygiene is basic infection control; confirmed Registered Nurse #8 should have performed hand hygiene. |
| Administrator | Administrator | Acknowledged weekend staffing shortages and efforts to hire more staff. |
| Certified Nursing Assistant #2 | Certified Nursing Assistant | Reported inability to complete incontinence care and turning due to understaffing. |
| Certified Nursing Assistant #4 | Certified Nursing Assistant | Reported incomplete incontinence care due to staffing and meal service. |
| Certified Nursing Assistant #5 | Certified Nursing Assistant | Reported weekend staffing shortages causing delays in resident care. |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 12
Date: May 19, 2025
Visit Reason
Multiple standard health and life safety code citations with level 2 severity, all corrected by mid-July 2025.
Findings
Multiple standard health and life safety code citations with level 2 severity, all corrected by mid-July 2025.
Deficiencies (12)
Care plan timing and revision
Encoding/transmitting resident assessments
Infection prevention & control
Pain management
Sufficient nursing staff
Treatment/svcs to prevent/heal pressure ulcer
Discharge from exits
Electrical equipment - power cords and extens
Electrical systems - essential electric syste
Fire alarm system - testing and maintenance
Hazardous areas - enclosure
Sprinkler system - maintenance and testing
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Feb 13, 2024
Visit Reason
The inspection was conducted following a complaint alleging physical abuse of Resident #1 by Certified Nursing Assistant #1 on 12/27/2023.
Complaint Details
The complaint investigation substantiated that Certified Nursing Assistant #1 physically assaulted Resident #1, causing bruising and pain. The facility reported the incident to the New York State Department of Health and Suffolk County Police, suspended and terminated the aide, and monitored the resident for sequelae.
Findings
The facility failed to prevent physical abuse of Resident #1, who sustained bruising and pain from the assault by Certified Nursing Assistant #1. The facility investigated, suspended, and subsequently terminated the aide. The abuse was substantiated based on resident statements, staff interviews, and video review.
Deficiencies (1)
Failure to protect Resident #1 from physical abuse by a staff member resulting in actual harm.
Report Facts
Pain rating: 3
Date of abuse incident: Dec 27, 2023
Date of termination: Jan 8, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #1 | Certified Nursing Assistant | Perpetrator of physical abuse against Resident #1. |
| Registered Nurse Manager #2 | Registered Nurse Manager | Conducted assessment and reported abuse allegation. |
| Medical Director | Medical Director | Evaluated Resident #1 post-abuse and ordered X-ray. |
| Director of Social Work | Director of Social Work | Reviewed investigation and confirmed consistency of Resident #1's statements. |
| Assistant Director of Nursing | Assistant Director of Nursing | Reported suspension of Certified Nursing Assistant #1 and investigation findings. |
| Nursing Home Administrator | Nursing Home Administrator | Acknowledged abuse findings and termination of Certified Nursing Assistant #1. |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Feb 13, 2024
Visit Reason
One level 3 severity citation for free from abuse and neglect, corrected by April 3, 2024.
Findings
One level 3 severity citation for free from abuse and neglect, corrected by April 3, 2024.
Deficiencies (1)
Free from abuse and neglect
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jan 22, 2024
Visit Reason
One level 2 severity citation for reporting - national health safety network, widespread scope, not corrected.
Findings
One level 2 severity citation for reporting - national health safety network, widespread scope, not corrected.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Oct 25, 2023
Visit Reason
The inspection was a Recertification Survey initiated on 10/19/2023 and completed on 10/25/2023 to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in multiple areas including failure to thoroughly investigate alleged violations of resident abuse and neglect, inadequate supervision to prevent accidents for residents requiring extensive assistance, improper storage and handling of disposable razors posing safety risks, and failure to implement an effective infection prevention and control program including improper use of PPE by staff.
Deficiencies (4)
Failure to ensure all alleged violations of resident abuse, neglect, exploitation, or mistreatment were thoroughly investigated, specifically related to Resident #113's fall and toileting supervision.
Failure to provide adequate supervision to prevent avoidable accidents for residents requiring extensive assistance, including Resident #113 left unattended in bathroom leading to fall and hip fracture, and Resident #31 found with a disposable razor accessible.
Failure to properly store disposable razors, leaving them accessible to residents who cannot safely use them, posing safety hazards.
Failure to implement an infection prevention and control program, including improper use of PPE by nursing staff and maintenance worker entering rooms with contact and droplet precautions without appropriate PPE.
Report Facts
Residents reviewed for accidents: 4
Fall risk score: 80
Dates of fall and injury: Resident #113 fell on 2023-09-07 and was diagnosed with a left hip fracture.
Dates of survey: Survey initiated on 2023-10-19 and completed on 2023-10-25.
Duration of contact and droplet precautions: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #3 | Certified Nursing Assistant | Left Resident #113 unattended on the toilet leading to fall; was written up by RN #6. |
| RN #4 | Registered Nurse, Charge Nurse | Provided statements regarding Resident #113 fall and toileting supervision; interviewed multiple times. |
| RN #6 | Registered Nurse Supervisor | Assessed Resident #113 after fall; wrote up CNA #3 for leaving resident unattended. |
| CNA #2 | Certified Nursing Assistant | Assigned CNA for Resident #113 during fall; on break when fall occurred. |
| RN #2 | Registered Nurse | Observed medication administration for Resident #141; did not fully comply with PPE protocols. |
| Maintenance Worker #1 | Entered Resident #141's room without proper PPE despite contact and droplet precautions signage. | |
| COTA #2 | Certified Occupational Therapist Assistant | Observed providing therapy to Resident #617 without proper PPE. |
| DNS | Director of Nursing Services | Interviewed regarding deficiencies and facility policies; stated expectations for staff supervision and PPE use. |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 5
Date: Oct 25, 2023
Visit Reason
Multiple level 2 and one level 1 severity citations for standard health and life safety code issues, all corrected by December 2023 or earlier.
Findings
Multiple level 2 and one level 1 severity citations for standard health and life safety code issues, all corrected by December 2023 or earlier.
Deficiencies (5)
Free of accident hazards/supervision/devices
Infection prevention & control
Investigate/prevent/correct alleged violation
Fire drills
Sprinkler system - maintenance and testing
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Mar 6, 2023
Visit Reason
One level 2 severity citation for reporting - national health safety network, widespread scope, not corrected.
Findings
One level 2 severity citation for reporting - national health safety network, widespread scope, not corrected.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Nov 15, 2022
Visit Reason
One level 2 severity citation for reporting - national health safety network, widespread scope, not corrected.
Findings
One level 2 severity citation for reporting - national health safety network, widespread scope, not corrected.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Jul 12, 2022
Visit Reason
One level 2 severity citation for free from abuse and neglect, corrected by August 16, 2022.
Findings
One level 2 severity citation for free from abuse and neglect, corrected by August 16, 2022.
Deficiencies (1)
Free from abuse and neglect
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Sep 21, 2021
Visit Reason
This document is a Statement of Deficiencies and Plan of Correction for Carillon Nursing and Rehabilitation Center following a survey completed on 09/21/2021.
Findings
No health deficiencies were found during the survey.
Inspection Report
Capacity: 60
Deficiencies: 0
Visit Reason
Two inspections resulted in no citations.
Findings
Two inspections resulted in no citations.
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