Inspection Reports for Cold Spring Hills Center for Nursing & Rehabilitation
378 Syosset-Woodbury Rd, Woodbury, NY 11797, NY, 11797
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
27 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
429% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
80
60
40
20
0
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 28
Oct 23, 2024
Visit Reason
Inspection revealed multiple standard health and life safety code deficiencies including accuracy of assessments, care planning, equipment safety, food sanitation, resident rights, and building safety features. All deficiencies were corrected by December 2024 or January 2025.
Findings
Inspection revealed multiple standard health and life safety code deficiencies including accuracy of assessments, care planning, equipment safety, food sanitation, resident rights, and building safety features. All deficiencies were corrected by December 2024 or January 2025.
Deficiencies (28)
| Description |
|---|
| Accuracy of assessments |
| Develop/implement comprehensive care plan |
| Essential equipment, safe operating condition |
| Food procurement, store/prepare/serve-sanitary |
| Free of accident hazards/supervision/devices |
| Label/store drugs and biologicals |
| Laboratory services |
| Pharmacy services/procedures/pharmacist/records |
| Resident records - identifiable information |
| Resident rights/exercise of rights |
| Resident self-admin meds-clinically appropriate |
| Safe/clean/comfortable/homelike environment |
| Services provided meet professional standards |
| Treatment/services to prevent/heal pressure ulcer |
| Building construction type and height |
| Cooking facilities |
| Egress doors |
| Electrical equipment - testing and maintenance |
| Electrical systems - other |
| Elevators |
| Exit signage |
| Fire alarm system - testing and maintenance |
| Gas and vacuum piped systems - maintenance |
| Physical environment |
| Portable space heaters |
| Sprinkler system - installation |
| Sprinkler system - maintenance and testing |
| Standards of construction for new existing nursing home |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
May 16, 2024
Visit Reason
Inspection identified a single standard health citation related to free from misappropriation/exploitation, corrected by May 31, 2024.
Findings
Inspection identified a single standard health citation related to free from misappropriation/exploitation, corrected by May 31, 2024.
Deficiencies (1)
| Description |
|---|
| Free from misappropriation/exploitation |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Mar 29, 2024
Visit Reason
Inspection found a severe systemic deficiency in quality of care with immediate jeopardy, corrected by April 18, 2024.
Findings
Inspection found a severe systemic deficiency in quality of care with immediate jeopardy, corrected by April 18, 2024.
Deficiencies (1)
| Description |
|---|
| Quality of care |
Inspection Report
Capacity: 60
Deficiencies: 1
Mar 11, 2024
Visit Reason
Covid-19 survey identified a standard health citation for reporting to national health safety network, widespread scope, not yet corrected.
Findings
Covid-19 survey identified a standard health citation for reporting to national health safety network, widespread scope, not yet corrected.
Deficiencies (1)
| Description |
|---|
| Reporting - national health safety network |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 2
Mar 4, 2024
Visit Reason
Inspection found two standard health citations including a severe systemic deficiency with immediate jeopardy for accident hazards and a pattern deficiency for QAPI/QAA improvement activities, both corrected by March 21, 2024.
Findings
Inspection found two standard health citations including a severe systemic deficiency with immediate jeopardy for accident hazards and a pattern deficiency for QAPI/QAA improvement activities, both corrected by March 21, 2024.
Deficiencies (2)
| Description |
|---|
| Free of accident hazards/supervision/devices |
| Qapi/qaa improvement activities |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Feb 12, 2024
Visit Reason
Inspection identified a standard health citation for reporting of alleged violations, corrected by March 1, 2024.
Findings
Inspection identified a standard health citation for reporting of alleged violations, corrected by March 1, 2024.
Deficiencies (1)
| Description |
|---|
| Reporting of alleged violations |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 45
Aug 10, 2023
Visit Reason
Inspection revealed multiple standard health and life safety code citations including ADL care, administration, care planning, facility assessment, accident hazards, infection control, medication management, pain management, resident rights, nursing staff sufficiency, and various life safety code issues. Most deficiencies were corrected by late 2023.
Findings
Inspection revealed multiple standard health and life safety code citations including ADL care, administration, care planning, facility assessment, accident hazards, infection control, medication management, pain management, resident rights, nursing staff sufficiency, and various life safety code issues. Most deficiencies were corrected by late 2023.
Deficiencies (45)
| Description |
|---|
| ADL care provided for dependent residents |
| Administration |
| Develop/implement comprehensive care plan |
| Facility assessment |
| Free of accident hazards/supervision/devices |
| Infection control |
| Label/store drugs and biologicals |
| Notify of changes (injury/decline/room, etc.) |
| Pain management |
| Pharmacy services/procedures/pharmacist/records |
| Quality of care |
| Resident call system |
| Resident rights/exercise of rights |
| Residents are free of significant medication errors |
| Right to be free from physical restraints |
| Right to participate in planning care |
| Safe/clean/comfortable/homelike environment |
| Services provided meet professional standards |
| Sufficient nursing staff |
| Treatment/services to prevent/heal pressure ulcer |
| Use of outside resources |
| Alcohol based hand rub dispenser (ABHR) |
| Building construction type and height |
| Cooking facilities |
| Corridor - doors |
| Develop emergency plan, review and update annually |
| Egress doors |
| Electrical systems - essential electric system |
| Electrical equipment - testing and maintenance |
| Electrical systems - other |
| Elevators |
| Exit signage |
| Fire alarm system - testing and maintenance |
| General requirements - other |
| Hazardous areas - enclosure |
| Means of egress - general |
| Operating features - other |
| Portable fire extinguishers |
| Sprinkler system - maintenance and testing |
| Sprinkler system - installation |
| Stairways and smokeproof enclosures |
| Standards of construction for new existing nursing home |
| Subdivision of building spaces - smoke barrier |
| Vertical openings - enclosure |
| Emergency lighting |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
May 9, 2022
Visit Reason
Inspection found a severe systemic deficiency with immediate jeopardy related to cardio-pulmonary resuscitation (CPR), not yet corrected.
Findings
Inspection found a severe systemic deficiency with immediate jeopardy related to cardio-pulmonary resuscitation (CPR), not yet corrected.
Deficiencies (1)
| Description |
|---|
| Cardio-pulmonary resuscitation (CPR) |
Inspection Report
Capacity: 60
Deficiencies: 1
Jan 17, 2022
Visit Reason
Covid-19 survey identified a standard health citation for reporting to national health safety network, widespread scope, not yet corrected.
Findings
Covid-19 survey identified a standard health citation for reporting to national health safety network, widespread scope, not yet corrected.
Deficiencies (1)
| Description |
|---|
| Reporting - national health safety network |
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