Inspection Reports for Cold Spring Hills Center for Nursing & Rehabilitation
378 Syosset-Woodbury Rd, Woodbury, NY 11797, NY, 11797
Back to Facility ProfileDeficiencies per Year
80
60
40
20
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 57
Oct 23, 2024
Visit Reason
State-compiled facility profile showing multiple complaint surveys and Covid-19 surveys from 2021 to 2024 with deficiency and enforcement history.
Findings
The facility has multiple complaint-related inspections with numerous deficiencies primarily at Level 2 severity, some at Level 3 and Level 4 indicating actual harm or immediate jeopardy. Deficiencies cover quality of care, resident rights, infection control, and life safety code issues. Enforcement actions include fines related to quality of care, infection control, and resident rights.
Complaint Details
Facility received 43 complaints from November 1, 2021 to October 31, 2025 with 71 complaint-related on-site inspections and 13 complaint-related citations during this period.
Severity Breakdown
Level 0: 1
Level 1: 2
Level 2: 65
Level 3: 2
Level 4: 3
Deficiencies (57)
| Description | Severity |
|---|---|
| Accuracy of assessments: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Develop/implement comprehensive care plan: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Essential equipment, safe operating condition: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Food procurement,store/prepare/serve-sanitary: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Free of accident hazards/supervision/devices: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Label/store drugs and biologicals: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Laboratory services: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Pharmacy srvcs/procedures/pharmacist/records: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Resident records - identifiable information: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Resident rights/exercise of rights: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Resident self-admin meds-clinically approp: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Safe/clean/comfortable/homelike environment: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Services provided meet professional standards: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Treatment/svcs to prevent/heal pressure ulcer: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Free from misappropriation/exploitation: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Quality of care: Standard Health Inspection Citation pertaining to quality of care. | Level 4 |
| Reporting - national health safety network: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Free of accident hazards/supervision/devices: Standard Health Inspection Citation pertaining to quality of care. | Level 4 |
| Qapi/qaa improvement activities: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Reporting of alleged violations: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| ADL care provided for dependent residents: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Administration: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Facility assessment: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Infection control: Standard Health Inspection Citation pertaining to quality of care. | Level 0 |
| Notify of changes (injury/decline/room, etc. ): Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Pain management: Standard Health Inspection Citation pertaining to quality of care. | Level 3 |
| Residents are free of significant med errors: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Right to be free from physical restraints: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Right to participate in planning care: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Sufficient nursing staff: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Use of outside resources: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Physician visits - review care/notes/order: Standard Health Inspection Citation pertaining to quality of care. | Level 2 |
| Alcohol based hand rub dispenser (abhr): Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Building construction type and height: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Cooking facilities: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Corridor - doors: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Develop ep plan, review and update annually: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 1 |
| Egress doors: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Electrical equipment - testing and maintenanc: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Electrical systems - other: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Elevators: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Exit signage: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Fire alarm system - testing and maintenance: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Gas and vacuum piped systems - maintenance pr: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| General requirements - other: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Hazardous areas - enclosure: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Means of egress - general: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Operating features - other: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 1 |
| Portable fire extinguishers: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Sprinkler system - installation: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Sprinkler system - maintenance and testing: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Stairways and smokeproof enclosures: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Standards of construction for new existing nh: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Subdivision of building spaces - smoke barrie: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Vertical openings - enclosure: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Emergency lighting: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
| Electrical systems - essential electric syste: Standard Life Safety Code Citation pertaining to life safety code requirements. | Level 2 |
Report Facts
Inspections on page: 38
Total citations: 85
Total complaints: 43
Total fines: 44000
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