Inspection Reports for
Daleview Care Center
574 Fulton Street, Farmingdale, NY, 11735
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
10.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
104% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 9
Date: Feb 28, 2025
Visit Reason
Multiple standard health citations related to quality of care were identified and corrected, including comprehensive assessments, drug regimen review, resident assessments, accident hazards, infection control, medication labeling, and pressure ulcer treatment.
Findings
Multiple standard health citations related to quality of care were identified and corrected, including comprehensive assessments, drug regimen review, resident assessments, accident hazards, infection control, medication labeling, and pressure ulcer treatment.
Deficiencies (9)
Comprehensive assessments & timing
Drug regimen review, report irregular, act on
Encoding/transmitting resident assessments
Free of accident hazards/supervision/devices
Infection prevention & control
Label/store drugs and biologicals
Residents are free of significant med errors
Treatment/svcs to prevent/heal pressure ulcer
Tube feeding mgmt/restore eating skills
Inspection Report
Annual Inspection
Deficiencies: 9
Date: Feb 28, 2025
Visit Reason
The inspection was a Recertification Survey conducted to assess compliance with state and federal regulations for nursing home operations and resident care.
Findings
The facility was found deficient in multiple areas including timely completion and transmission of Minimum Data Set assessments, pressure ulcer care and prevention, medication management including crushing extended-release medications, medication regimen review documentation, safe storage of medications, infection control practices, and environmental safety related to oxygen tank storage.
Deficiencies (9)
F0636: The facility failed to complete a comprehensive resident assessment at least every 12 months and delayed transmission of Minimum Data Set assessments to CMS.
F0640: The facility did not transmit completed Minimum Data Set assessments to CMS within 14 days of completion.
F0686: The facility failed to provide appropriate pressure ulcer care and prevent new ulcers, including failure to follow treatment orders and turning and positioning protocols.
F0689: The facility did not ensure the resident's environment was free from accident hazards; an unsecured oxygen E-Cylinder tank was found at a resident's bedside.
F0693: The facility failed to label enteral feeding bottles and water bags with resident identification and feeding start times.
F0756: The facility did not ensure the physician documented rationale when disagreeing with consultant pharmacist recommendations for medication regimen review.
F0760: A nurse crushed and administered an extended-release Metoprolol Succinate tablet despite a 'Do Not Crush' order, risking adverse effects.
F0761: The facility failed to ensure drugs and biologicals were stored in locked compartments; an unlabeled Albuterol inhaler was found unsecured at a resident's bedside without a physician's order.
F0880: The facility failed to maintain an infection prevention and control program; staff did not wear appropriate personal protective equipment when caring for a resident on Contact and Droplet Precautions.
Report Facts
Days late for MDS assessment completion: 21
Days late for MDS transmission: 15
Pressure ulcer measurements: 3
Medication doses: 25
Blood pressure reading: 124
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nurse Practitioner #1 | Nurse Practitioner | Disagreed with consultant pharmacist recommendations without documenting rationale. |
| Licensed Practical Nurse #5 | Licensed Practical Nurse | Crushed and administered extended-release Metoprolol Succinate against physician order. |
| Director of Nursing Services | Director of Nursing | Provided statements on medication administration and infection control expectations. |
| Registered Nurse #1 | Unit Manager | Reported no knowledge of resident using unsecured Albuterol inhaler. |
| Assistant Director of Nursing/Infection Preventionist #1 | Infection Preventionist | Reported failure to follow isolation precautions and oversight in care plan. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Aug 27, 2024
Visit Reason
The inspection was conducted as an abbreviated survey triggered by complaint #NY00350920 regarding the facility's failure to maintain a secure environment to prevent resident elopement.
Complaint Details
The complaint investigation was substantiated. Resident #1 exited the facility undetected through an unalarmed emergency exit door at 5:55 PM and was found by local law enforcement at 6:40 PM. The facility staff identified the resident missing at 8 PM and initiated a Code Orange. The resident was transported to the hospital and appeared uninjured.
Findings
Resident #1, identified as an elopement risk with severe cognitive impairment, exited the facility undetected through an unalarmed emergency exit door and was found by police offsite. The facility failed to ensure adequate supervision and environmental safeguards to prevent elopement despite policies and procedures in place.
Deficiencies (1)
10 NYCRR 415.12(h)(2) The facility did not ensure that the nursing home area was free from accident hazards and did not provide adequate supervision to prevent resident elopement.
Report Facts
Residents identified as elopement risk: 13
Time resident was missing: 125
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #2 | Assigned to Resident #1 during 3-11 shift on 8/10/24; reported missing resident and search efforts | |
| Licensed Practical Nurse #1 | Noted Resident #1 missing at 7:30 PM on 8/10/24 and alerted staff; last nurse to see resident at 5 PM | |
| Unit Manager | Reported elopement risk assessment and wander guard placement on Resident #1 | |
| Director of Maintenance | Reported that emergency exit door used by Resident #1 was not alarmed | |
| Director of Nursing | Informed of missing resident and search efforts; confirmed wander guard intact | |
| Administrator | Informed of elopement and search; coordinated emergency response |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Aug 27, 2024
Visit Reason
One standard health citation for accident hazards/supervision/devices was identified with a pattern scope and corrected.
Findings
One standard health citation for accident hazards/supervision/devices was identified with a pattern scope and corrected.
Deficiencies (1)
Free of accident hazards/supervision/devices
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Jan 31, 2024
Visit Reason
One standard health citation for free from misappropriation/exploitation was identified with a pattern scope and corrected.
Findings
One standard health citation for free from misappropriation/exploitation was identified with a pattern scope and corrected.
Deficiencies (1)
Free from misappropriation/exploitation
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: Jan 31, 2024
Visit Reason
The abbreviated survey was conducted to investigate allegations of misappropriation of resident property and exploitation involving two residents at the facility.
Complaint Details
The investigation was complaint-related, substantiated by findings of theft and misappropriation of resident property involving two residents. Police were notified, and emotional support and psychological services were provided to affected residents.
Findings
The facility failed to ensure residents were free from misappropriation of property and exploitation. Two residents had money and personal belongings stolen by staff, and the facility did not secure camera footage or obtain a police report. The suspected staff were removed from the schedule and police investigations are ongoing.
Deficiencies (1)
F 0602: The facility did not protect residents from wrongful use of their belongings or money. Resident #1 had credit cards fraudulently used and cash stolen, and Resident #2 had $500 taken from her purse. The facility failed to secure camera footage and did not obtain a police report.
Report Facts
Amount stolen from Resident #1: 32
Amount stolen from Resident #2: 500
Credit card fraudulent charges: 800
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 9
Date: Dec 14, 2023
Visit Reason
Multiple standard health citations related to care planning, transfer/discharge notice, quality of care, reporting alleged violations, medication errors, respiratory care, and pressure ulcer treatment were identified and corrected. Life safety code citations for ramps/exits and construction standards were also cited and corrected.
Findings
Multiple standard health citations related to care planning, transfer/discharge notice, quality of care, reporting alleged violations, medication errors, respiratory care, and pressure ulcer treatment were identified and corrected. Life safety code citations for ramps/exits and construction standards were also cited and corrected.
Deficiencies (9)
Develop/implement comprehensive care plan
Notice requirements before transfer/discharge
Quality of care
Reporting of alleged violations
Residents are free of significant med errors
Respiratory/tracheostomy care and suctioning
Treatment/svcs to prevent/heal pressure ulcer
Ramps and other exits
Standards of construction for new existing nh
Inspection Report
Annual Inspection
Deficiencies: 7
Date: Dec 14, 2023
Visit Reason
The survey was a Recertification Survey and Abbreviated Survey conducted to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in multiple areas including failure to timely report injuries of unknown origin, failure to notify the Long-Term Care Ombudsman of resident hospital transfers, incomplete and untimely care plans, failure to provide ordered treatments and respiratory care, and significant medication administration delays.
Deficiencies (7)
F 0609: The facility failed to timely report injuries of unknown origin to the New York State Department of Health as required, specifically for Resident #274 with an unwitnessed bruise.
F 0623: The facility did not notify the Office of the Long-Term Care Ombudsman of Resident #75's hospital transfer as required.
F 0656: The facility failed to develop and implement a complete care plan with measurable objectives for Resident #21's skin conditions and treatments, resulting in missed treatments for two days.
F 0684: Resident #327 did not consistently receive physician-ordered ACE wraps and compression stockings, and ACE wraps were not removed as ordered, compromising treatment for edema and cellulitis.
F 0686: Resident #328 with a Stage 4 pressure ulcer did not receive timely wound treatment upon admission, wound depth was incorrectly documented, and turning and positioning interventions were not included in the care plan.
F 0695: Resident #425 received oxygen at 4 and 5 liters per minute on two occasions despite physician orders for 2 liters per minute continuously.
F 0760: Three residents (#29, #95, #92) experienced significant medication administration delays, including late pain medications, insulin, and thyroid medications, causing potential discomfort and risk.
Report Facts
Residents receiving medications late: 12
Residents receiving medications late: 22
Wound measurement: 10
Wound measurement: 4.5
Wound measurement: 1.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #6 | Licensed Practical Nurse | Signed Treatment Administration Record for Resident #21's treatments that were not completed |
| LPN #8 | Licensed Practical Nurse | Responsible for late medication pass causing delays on 12/10/2023 |
| RN #5 | Registered Nurse Supervisor | Adjusted oxygen flow for Resident #425 and confirmed oxygen order |
| Wound Care RN #1 | Wound Care Nurse | Performed wound care for Resident #328 and interviewed regarding wound treatment |
| Primary Physician #1 | Physician | Interviewed regarding wound care orders and medication timing |
| Medical Director | Medical Director | Interviewed regarding medication timing and wound care oversight |
| Director of Nursing Services | Director of Nursing Services | Interviewed regarding multiple deficiencies including reporting, care plans, and medication delays |
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Dec 14, 2023
Visit Reason
The inspection was conducted as a Recertification Survey and Abbreviated Survey to assess compliance with regulatory requirements, including timely reporting of injuries of unknown origin.
Findings
The facility failed to ensure that all injuries of unknown origin were reported to the New York State Department of Health within the required timeframes. Specifically, an injury to Resident #274 on 7/21/2023 was not reported as required despite the facility's policies.
Deficiencies (1)
F 0609: The facility did not timely report suspected abuse, neglect, or injury of unknown origin to the proper authorities as required. Resident #274 had an unwitnessed bruise on 7/21/2023 that was not reported to the New York State Department of Health.
Report Facts
Residents Affected: 1
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Dec 16, 2022
Visit Reason
One standard health citation for infection prevention & control with pattern scope was identified and corrected.
Findings
One standard health citation for infection prevention & control with pattern scope was identified and corrected.
Deficiencies (1)
Infection prevention & control
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Dec 13, 2022
Visit Reason
One standard health citation for facility assessment with pattern scope was identified and corrected.
Findings
One standard health citation for facility assessment with pattern scope was identified and corrected.
Deficiencies (1)
Facility assessment
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Dec 12, 2022
Visit Reason
One standard health citation for reporting to national health safety network with widespread scope was identified; correction status not indicated.
Findings
One standard health citation for reporting to national health safety network with widespread scope was identified; correction status not indicated.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 6
Date: Nov 19, 2021
Visit Reason
Multiple standard health citations related to nursing staff competence, care planning, quality of care, and resident accommodations were identified and corrected. Life safety code citations for electrical systems and wall construction were also cited and corrected.
Findings
Multiple standard health citations related to nursing staff competence, care planning, quality of care, and resident accommodations were identified and corrected. Life safety code citations for electrical systems and wall construction were also cited and corrected.
Deficiencies (6)
Competent nursing staff
Develop/implement comprehensive care plan
Quality of care
Reasonable accommodations needs/preferences
Electrical systems - essential electric syste
Interior nonbearing wall construction
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Nov 19, 2021
Visit Reason
The inspection was conducted as a Recertification Survey and Abbreviated Survey including complaint investigation to assess compliance with regulatory requirements for resident care and facility operations.
Complaint Details
Complaint # NY 00281299 was investigated as part of the Recertification and Abbreviated Survey. The complaint involved failure to reasonably accommodate resident needs and preferences.
Findings
The facility was found deficient in accommodating resident needs and preferences, developing and implementing comprehensive care plans, providing appropriate treatment and care according to orders, and ensuring nurse aides demonstrated competency in care techniques. Specific issues included call bells not within reach, missing care plans for anticoagulant use and communication aids, delayed wound assessment and treatment, and improper application of a prescribed splint.
Deficiencies (4)
F 0558: The facility did not ensure residents received services with reasonable accommodation of needs and preferences. Resident #63 could not reach the call bell while in a wheelchair.
F 0656: The facility failed to develop and implement a complete care plan with measurable objectives and timeframes. Resident #96 lacked a care plan for anticoagulant use and Resident #16 did not have a communication board as indicated in the care plan.
F 0684: The facility did not ensure residents received treatment and care according to professional standards. Resident #109 had a skin wound not promptly assessed or treated, and Resident #59 received treatment for an open purpura without a physician's order.
F 0726: The facility failed to ensure nurse aides demonstrated competency in care skills. Resident #109's skin condition was not reported by CNA, and Resident #20's prescribed left hand splint was applied incorrectly on multiple occasions.
Report Facts
Deficiencies cited: 4
Wound size: 1.5
Wound size: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #3 | Nurse Manager | Named in findings related to call bell accessibility, wound assessment, and splint application. |
| RN #1 | Unit Manager | Interviewed regarding lack of anticoagulant care plan for Resident #96. |
| RN #2 | RN Supervisor | Responsible for basic care plans at admission, including anticoagulant care plan. |
| DNS | Director of Nursing Services | Interviewed regarding call bell placement, care planning, wound reporting, and physician notification. |
| CNA #6 | Certified Nursing Assistant | Observed Resident #109's skin condition but did not report due to not being regular CNA. |
| LPN #1 | Licensed Practical Nurse | Interviewed about communication board for Resident #16. |
| RN #4 | Nurse Manager | Involved in treatment observation for Resident #59 and interview about physician notification. |
| LPN #2 | Licensed Practical Nurse | Interviewed about treatment for Resident #59's open purpura. |
| CNA #9 | Certified Nursing Assistant | Interviewed about call bell placement and splint application. |
| Physical Therapist | Interviewed about CNA responsibilities for splint application. | |
| Director of Rehabilitation | Interviewed about Resident #20's left-hand splint use. |
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