Inspection Reports for Caton Park Rehabilitation and Nursing Center, LLC
1312 Caton Avenue, Brooklyn, NY, 11226
Back to Facility ProfileInspection Report Summary
The most recent inspection on November 10, 2025, identified a deficiency for failing to timely report a serious injury involving a resident. Earlier inspections showed a pattern of deficiencies related to care plan updates, resident assessments, infection control, and accident hazard prevention, with many issues corrected after follow-up. Inspectors frequently cited delays in reporting injuries or alleged abuse, care plan and assessment documentation problems, and infection control concerns. Complaint investigations were mostly unsubstantiated except for a substantiated pest control issue in 2023 and some substantiated delays in reporting injuries. The facility’s record shows ongoing challenges with timely reporting and care documentation, with some improvements noted in correcting prior deficiencies.
Deficiencies (last 5 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Inspection Report
Abbreviated Survey| Name | Title | Context |
|---|---|---|
| Director of Nursing | Responsible for reporting incident to Department of Health and conducting incident investigation; acknowledged delay in reporting | |
| Certified Nursing Assistant #1 | Provided care during which Resident #1 fell from bed | |
| Nurse Supervisor | Notified Director of Nursing immediately after Resident #1's fall | |
| Administrator | First made aware of the incident on 07/28/2025 at 10:00 AM |
Inspection Report
Complaint InvestigationInspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Registered Nurse #1 | Unit Manager | Named in fall care plan deficiency and interview regarding Resident #15 |
| Director of Nursing | Interviewed regarding care plan updates and infection control | |
| Certified Nursing Assistant #2 | Interviewed regarding failure to place floor mats for Resident #75 | |
| Licensed Practical Nurse #4 | Interviewed regarding fall risk and floor mat responsibility for Resident #75 | |
| Licensed Practical Nurse #2 | Observed and interviewed regarding failure to don PPE during gastrostomy tube medication administration for Resident #87 | |
| Registered Nurse #2 | Interviewed regarding staff training on Enhanced Barrier Precautions | |
| Infection Control Preventionist | Interviewed regarding infection control training and monitoring | |
| Controller | Interviewed regarding late submission of Minimum Data Set assessments | |
| Director of Minimum Data Set | Interviewed regarding assessment submission process and oversight | |
| Physician | Interviewed regarding fall risk and floor mat order for Resident #75 | |
| Director of Nursing Services | Interviewed regarding floor mat order and fall risk for Resident #75 |
Inspection Report
Complaint InvestigationInspection Report
Abbreviated Survey| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Observed Resident #1's swollen right leg and administered Tylenol; involved in pain management and notification | |
| Registered Nurse Supervisor #1 | Assessed Resident #1 on 08/27/23, called Nurse Practitioner, but did not document observations | |
| Registered Nurse Supervisor #3 | Assessed Resident #1 on 08/28/23, notified Nurse Practitioner, obtained x-ray order | |
| Nurse Practitioner #1 | Ordered x-rays and pain medication; assessed Resident #1 on 08/29/23 and 08/30/23; ordered hospital transfer | |
| Director of Nursing | Provided statements on expected nursing assessments and pain management policies |
Inspection Report
Complaint InvestigationInspection Report
Abbreviated Survey| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) | Reported that roach sightings were noted in the Vendor's Pest Control Inspection & Service Report book | |
| CNA | Reported seeing roaches two months prior and ants mostly in summer | |
| Housekeeping Staff | Reported seeing about 3 roaches in a resident room and notifying housekeeping supervisor | |
| Director of Maintenance and Housekeeping | Reported contracting pest control vendor and weekly exterminator visits |
Inspection Report
Complaint InvestigationInspection Report
Complaint Investigation| Name | Title | Context |
|---|---|---|
| Registered Nurse Manager #1 | Registered Nurse Manager | Interviewed regarding Resident #102's IV line removal and FSBS testing for Resident #50 |
| Director of Nursing | Director of Nursing | Interviewed regarding reporting requirements and facility policies |
| Nurse Practitioner | Nurse Practitioner | Provided medical orders and interviewed regarding Resident #40 and Resident #79 dental follow-up |
| Unit Clerk | Unit Clerk | Responsible for making outside consultant appointments; stated no dental appointment was made for Resident #79 |
| Registered Nurse Unit Manager #1 | Registered Nurse Unit Manager | Interviewed about dental appointment issues for Resident #79 |
| Assistant Director of Nursing | Assistant Director of Nursing | Interviewed regarding renewal orders and implementation |
| Physician's Assistant | Physician's Assistant | Interviewed regarding Resident #40's injury diagnosis |
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Complaint InvestigationInspection Report
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Annual Inspection| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA) | Interviewed regarding the missing hand roll device and its application | |
| Licensed Practical Nurse (LPN) | Interviewed regarding rounds and observation of the resident's use of the hand roll device |
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