Inspection Reports for
Central Island Healthcare

825 Old Country Rd, Plainview, NY 11803, United States, NY, 11803

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Citations (last 4 years)

Citations (over 4 years) 6.5 citations/year

Citations are regulatory findings recorded during state inspections.

27% worse than New York average
New York average: 5.1 citations/year

Citations per year

16 12 8 4 0
2022
2023
2024
2025

Inspection Report

Annual Inspection
Capacity: 60 Citations: 11 Date: Jun 16, 2025

Visit Reason
Certification Survey with 7 health and 4 life safety citations, all corrected by August 2025.

Findings
Certification Survey with 7 health and 4 life safety citations, all corrected by August 2025.

Citations (11)
Baseline care plan
Develop/implement comprehensive care plan
Infection prevention & control
Label/store drugs and biologicals
Pharmacy srvcs/procedures/pharmacist/records
Resident records - identifiable information
Treatment/svcs to prevent/heal pressure ulcer
Building construction type and height
Electrical systems - essential electric syste
Elevators
Means of egress - general

Inspection Report

Abbreviated Survey
Citations: 1 Date: Jun 9, 2025

Visit Reason
The abbreviated survey was conducted to assess the accuracy of resident assessments, specifically reviewing Minimum Data Set (MDS) accuracy for residents.

Findings
The facility failed to ensure that resident assessments were accurate and reflective of the resident's status, particularly regarding pressure injuries present on admission. The Minimum Data Set assessment did not align with nursing admission notes and wound care documentation.

Citations (1)
Failure to ensure each resident receives an accurate assessment reflective of the resident's status, specifically related to pressure injuries documented in the Minimum Data Set.
Report Facts
Residents Affected: 1 Look back period: 7

Employees mentioned
NameTitleContext
RN #1Wound Care RNDocumented nursing progress note regarding suspected Deep Tissue Injury
Minimum Data Set CoordinatorInterviewed regarding MDS completion and documentation

Inspection Report

Complaint Investigation
Capacity: 60 Citations: 1 Date: Jun 9, 2025

Visit Reason
Complaint Survey with one Level 2 health citation corrected by July 14, 2025.

Findings
Complaint Survey with one Level 2 health citation corrected by July 14, 2025.

Citations (1)
Accuracy of assessments

Inspection Report

Annual Inspection
Capacity: 60 Citations: 1 Date: Jul 10, 2024

Visit Reason
Abuse reporting documentation deficiency noted.

Findings
Abuse reporting documentation deficiency noted.

Citations (1)
R9-10-803.J — Abuse reporting documentation

Inspection Report

Annual Inspection
Citations: 7 Date: Jan 9, 2024

Visit Reason
The inspection was a Recertification Survey conducted from 1/2/2024 to 1/9/2024 to evaluate compliance with regulatory requirements for nursing home care.

Findings
The facility was found deficient in multiple areas including failure to thoroughly investigate alleged violations such as skin tears, incomplete development and implementation of comprehensive care plans, inadequate provision of restorative nursing programs, failure to obtain physician orders for treatments, discrepancies in pain management medication orders, lack of psychological counseling services as ordered, and lapses in infection prevention and control practices.

Citations (7)
Failure to investigate skin tears and injuries of unknown origin for residents, including lack of incident reports and root cause analysis.
Incomplete development and implementation of comprehensive care plans for pressure ulcer prevention and skin condition management.
Failure to provide necessary restorative nursing services such as the Floor Ambulation Program as recommended by rehabilitation.
Failure to obtain physician orders and provide appropriate treatment for a resident with a wrist fracture, including non-use of prescribed wrist splint.
Inadequate pain management due to a discrepancy in physician's order for Oxycodone dosing, resulting in under-medication.
Failure to provide psychological counseling services as ordered for a resident with depression.
Non-compliance with infection prevention protocols, including failure to remove personal protective equipment before exiting a resident's room on Contact and Droplet precautions.
Report Facts
Medication doses per day: 4 Medication doses per day: 6 Physical therapy minutes: 420 Ambulation distance: 175 Ambulation distance: 150

Employees mentioned
NameTitleContext
Physician #1Medical DirectorPhysician who wrote the Oxycodone order and provided progress notes regarding pain management.
Registered Nurse Supervisor #3Registered Nurse SupervisorResponsible for incident reports and investigation related to skin tear for Resident #129.
Director of Nursing ServicesDirector of Nursing ServicesInterviewed regarding oversight failures in care plans, incident reporting, and treatment orders.
Certified Nursing Assistant #9Certified Nursing AssistantObserved failing to remove PPE before exiting room of resident on Contact and Droplet precautions.
Registered Nurse #1Wound Care NurseInterviewed about care for Resident #62's heel injury and refusal to wear heel booties.
Physical Therapist #2Physical TherapistProvided therapy and discharge assessment for Resident #19.
Occupational TherapistOccupational TherapistInterviewed regarding care and referral process for Resident #152's wrist fracture and splint use.
PsychologistPsychologistResponsible for psychotherapy services; acknowledged not seeing Resident #138 since September 2023.
Director of RehabilitationDirector of RehabilitationInterviewed about responsibility for therapy referrals and safety concerns for Resident #152.

Inspection Report

Complaint Investigation
Capacity: 60 Citations: 1 Date: Nov 24, 2023

Visit Reason
Complaint Survey with one Level 2 life safety citation corrected by February 7, 2024.

Findings
Complaint Survey with one Level 2 life safety citation corrected by February 7, 2024.

Citations (1)
Building construction type and height

Inspection Report

Complaint Investigation
Capacity: 60 Citations: 1 Date: Jul 29, 2022

Visit Reason
Complaint Survey with one Level 4 health citation (immediate jeopardy) corrected by September 19, 2022.

Findings
Complaint Survey with one Level 4 health citation (immediate jeopardy) corrected by September 19, 2022.

Citations (1)
Cardio-pulmonary resuscitation (cpr)

Inspection Report

Abbreviated Survey
Citations: 3 Date: Jan 4, 2022

Visit Reason
The inspection was conducted as a Recertification Survey and an Abbreviated Survey triggered by Complaint #NY 00262655 and Complaint #NY 00286283 to evaluate compliance with regulations related to abuse reporting, medication storage, and psychotropic medication administration.

Complaint Details
The abbreviated survey was complaint-related, triggered by Complaint #NY 00262655 regarding abuse reporting and Complaint #NY 00286283 regarding psychotropic medication use. The facility was found non-compliant in timely reporting injuries and documenting psychotropic medication use.
Findings
The facility failed to timely report injuries of unknown origin to the New York State Department of Health, did not discard an opened influenza vaccine vial within the manufacturer's recommended timeframe, and did not ensure documentation of non-pharmacological interventions prior to administering PRN psychotropic medication for one resident.

Citations (3)
Failure to timely report injuries of unknown origin to the New York State Department of Health for one resident.
Opened multidose vial of Influenza Vaccine was not discarded within the manufacturer's recommended 28 days after opening.
Non-pharmacological interventions were not implemented or documented prior to administering PRN psychotropic medication for one resident.
Report Facts
Medication vial volume remaining: 2 Medication vial expiration date: May 28, 2022 Medication vial opened date: Nov 24, 2021 PRN Alprazolam administration dates: 2 Physician order dosage: 0.25

Employees mentioned
NameTitleContext
Registered Nurse #1Registered NurseReviewed investigative statements and completed occurrence investigation summary for Resident #67
Director of Nursing ServicesDirector of Nursing ServicesNotified of Resident #67 incident and involved in decision not to report injury to NYSDOH
Medical DirectorMedical DirectorAttending physician for Resident #67, provided clinical information about injury and treatment
Licensed Practical Nurse #1Licensed Practical NurseInterviewed regarding Influenza Vaccine disposal practices
Licensed Practical Nurse #3Licensed Practical NurseAdministered Alprazolam to Resident #401 and interviewed about documentation practices
Registered Nurse #2Registered NurseAdministered Alprazolam to Resident #401 and interviewed about documentation practices

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