Inspection Reports for Dry Harbor Nursing Home and Rehabilitation Center

The survey identified multiple deficiencies including failure to timely report an injury of unknown source, lack of a comprehensive care plan for osteoporosis, and improper medication administration where medications were left unattended and falsely documented as given.

Inspection revealed 4 standard health citations and 6 life safety code citations, all Level 2 severity, all corrected by mid-2025.

The complaint involved a Certified Nursing Assistant posting Resident #4 on their TikTok social media account without obtaining consent. The resident was unaware and unable to retain the information. The staff member was terminated, and the facility conducted in-services and policy updates. The complaint was substantiated as Past Noncompliance with no potential harm.

The facility failed to ensure a resident was treated with respect and dignity, specifically regarding privacy and confidentiality, when a Certified Nursing Assistant posted a video of Resident #4 on TikTok without consent. The facility took corrective actions including termination of the staff member, in-services on abuse and social media policies, and policy updates.

One standard health citation for personal privacy/confidentiality of records, Level 2 severity, corrected by October 2024.

The complaint investigation found that the facility did not report alleged abuse incidents involving two residents (Resident #235 and Resident #292) to NYSDOH within the required 2-hour timeframe. The facility staff and administration believed reporting was unnecessary if no abuse was found after investigation.

The facility failed to timely report suspected abuse or injury of unknown origin to the New York State Department of Health within the required 2-hour timeframe for two residents. Investigations were conducted, but the facility staff and administration did not report the incidents because they believed no abuse was found. The deficiencies were cited with minimal harm and affected a few residents.

The complaint investigation revealed that the facility did not ensure all alleged violations involving abuse were reported immediately to the New York State Department of Health within 2 hours after the alleged occurrence. This was evident for 2 residents (Resident #292 and Resident #235) out of 35 sampled residents. The facility staff believed that if an investigation found no reason to believe abuse occurred, reporting was not required within 2 hours.

The facility failed to timely report suspected abuse to the New York State Department of Health within 2 hours for two residents. Additionally, the facility failed to develop and implement a comprehensive care plan for a resident receiving comfort measures, failed to properly label insulin pens with open and expiration dates, and failed to follow proper food service sanitation practices including hand hygiene during meal service.

Multiple standard health and life safety code citations, all Level 2 severity, including care plan, food sanitation, reporting violations, and building construction issues, all corrected by late 2023.

Two standard health citations related to reporting alleged violations and reasonable suspicion of a crime, Level 2 severity, corrected by November 2022.

The facility was found deficient in several areas including failure to provide quarterly financial statements to residents or their representatives, inaccurate Minimum Data Set (MDS) assessments, incomplete care plans especially related to anticoagulant use, inadequate infection control practices related to IV/PICC line care and oxygen tubing management, and improper medication storage and labeling.