Inspection Reports for
Dry Harbor Nursing Home and Rehabilitation Center

61-35 Dry Harbor Rd, Middle Village, NY 11379, United States, NY, 11379

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5 Reports

1 state, 4 CMS 2021–2025

Inspection Report — Apr 22, 2025

State
Date: Apr 22, 2025

Visit Reason
State-compiled facility profile showing 7 inspections from 2022 to 2025 with citation and enforcement history.

Complaint Details
The state logged 118 complaints about this facility; 9 led to on-site inspections.
Findings
Across 7 inspections, 4 resulted in citations totaling 29 deficiencies primarily related to standard health and Life Safety Code issues, all with minor potential harm. The facility had 118 complaints with 9 on-site inspections and 2 enforcement actions involving fines.

Citations (23)
Standard Health Citation — quality of care: Develop/implement Comprehensive Care Plan was deficient.
Standard Health Citation — quality of care: Pharmacy services, procedures, pharmacist records were deficient.
Standard Health Citation — quality of care: Reporting Of Alleged Violations was deficient.
Standard Health Citation — quality of care: Services Provided Meet Professional Standards was deficient.
Life Safety Code Citation — NFPA requirements: Electrical Equipment - Testing And Maintenance was deficient.
Life Safety Code Citation — NFPA requirements: Electrical Systems - Essential Electric System was deficient.
Life Safety Code Citation — NFPA requirements: Electrical Systems - Other was deficient.
Life Safety Code Citation — NFPA requirements: Fire Alarm System - Testing And Maintenance was deficient.
Life Safety Code Citation — NFPA requirements: Hazardous Areas - Enclosure was deficient.
Life Safety Code Citation — NFPA requirements: Physical Environment was deficient.
Standard Health Citation — quality of care: Personal Privacy/confidentiality Of Records was deficient.
Standard Health Citation — quality of care: Develop/implement Comprehensive Care Plan was deficient.
Standard Health Citation — quality of care: Food Procurement, store/prepare/serve-sanitary was deficient.
Standard Health Citation — quality of care: Label/store Drugs And Biologicals was deficient.
Standard Health Citation — quality of care: Reporting Of Alleged Violations was deficient.
Life Safety Code Citation — NFPA requirements: Building Construction Type And Height was deficient.
Life Safety Code Citation — NFPA requirements: Electrical Systems - Essential Electric System was deficient.
Life Safety Code Citation — NFPA requirements: Electrical Systems - Receptacles was deficient.
Life Safety Code Citation — NFPA requirements: Maintenance, Inspection & Testing - Doors was deficient.
Life Safety Code Citation — NFPA requirements: Sprinkler System - Installation was deficient.
Life Safety Code Citation — NFPA requirements: Sprinkler System - Maintenance And Testing was deficient.
Standard Health Citation — quality of care: Reporting Of Alleged Violations was deficient.
Standard Health Citation — quality of care: Reporting Of Reasonable Suspicion Of A Crime was deficient.
Report Facts
Inspections on page: 7 Total violations/deficiencies cited: 29 Inspections with violations: 4 Inspections without violations: 3 Total complaints: 118 On-site complaint inspections: 9 Enforcement actions: 2 Total fines: 20000 Citations from complaints: 4

Inspection Report — Apr 22, 2025

Annual Inspection CMS
Date: Apr 22, 2025

Visit Reason
The Recertification Survey was conducted from 04/15/2025 to 04/22/2025 to assess compliance with regulatory requirements for Dry Harbor Nursing Home.

Findings
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.

Citations (4)
Failure to timely report suspected abuse, neglect, or injury of unknown source to the State Survey Agency as required.
Failure to develop and implement a comprehensive person-centered care plan addressing osteoporosis for Resident #277.
Failure to ensure services met professional standards of quality, specifically Licensed Practical Nurse left medications on Resident #27's overbed table and falsely documented administration.
Failure to provide pharmaceutical services that assure accurate dispensing and administration of medications, resulting in medications left unattended for Resident #27.
Report Facts
Residents reviewed for accidents: 3 Residents reviewed for care planning: 4 Residents reviewed for unnecessary medications: 5 Total sampled residents: 38

Employees mentioned
NameTitleContext
Certified Nursing Assistant #6Certified Nursing AssistantInterviewed regarding discovery of discoloration on Resident #270's left hip
Director of NursingDirector of NursingInterviewed regarding failure to report injury and care plan responsibilities
Registered Nurse #3Registered Nurse SupervisorInterviewed about care plan creation for Resident #277
Licensed Practical Nurse #2Licensed Practical NurseInterviewed about medication administration and leaving medications on Resident #27's table
Medical Doctor #1Medical DoctorInterviewed about medication orders and administration for Resident #27
Licensed Practical Nurse #1Licensed Practical NurseInterviewed about medication rounds and observation of medications left on Resident #27's table
Registered Nurse #1Registered Nurse SupervisorInterviewed about medication administration record and suspected medication left by night shift nurse

Inspection Report — Jan 27, 2025

Abbreviated Survey CMS
Date: Jan 27, 2025

Visit Reason
The inspection was conducted as an abbreviated survey to investigate a complaint regarding a Certified Nursing Assistant posting a resident's image on social media without consent.

Complaint Details
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.
Findings
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.

Citations (1)
Failure to ensure resident privacy and confidentiality by posting a resident on social media without consent.
Report Facts
Staff in-service percentages: 94 Registered Nurses in-service percentage: 62.2 Licensed Practical Nurses in-service percentage: 82 Certified Nursing Assistants in-service percentage: 91.3 Staff interviewed: 14

Employees mentioned
NameTitleContext
Certified Nursing Assistant #3Named in the finding for posting resident on social media without consent and subsequently terminated.
Certified Nursing Assistant #4Reported the social media post to Risk Manager.
Risk Manager #2Informed Director of Nursing about the social media post.
Director of NursingDirector of NursingConducted investigation, terminated CNA #3, and led in-services on dignity and social media policies.
AdministratorAdministratorInformed about the incident, confirmed termination of CNA #3, and described policy updates and in-services.

Inspection Report — Aug 31, 2023

Complaint Investigation CMS
Date: Aug 31, 2023

Visit Reason
The inspection was conducted as a Recertification and Complaint Survey from 08/24/2023 to 08/31/2023 to investigate allegations of abuse and to assess compliance with regulatory requirements.

Complaint Details
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.
Findings
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.

Citations (4)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Report Facts
Residents sampled: 35 Residents affected: 2 Open insulin pens not labeled: 6 Units reviewed for medication storage: 9 Units observed for dining facility task: 9 Units with food service deficiencies: 2

Employees mentioned
NameTitleContext
Licensed Practical Nurse (LPN #4)Interviewed regarding Resident #235's injury and care resistance
Registered Nurse (RN #6)Interviewed regarding reporting procedures for Resident #292's fall
Director of Nursing (DON)Interviewed regarding investigation and reporting policies
AdministratorInterviewed regarding fall investigations and reporting
Registered Nurse Manager (RNM #5)Interviewed regarding care plan initiation and implementation
MDS CoordinatorInterviewed regarding care plan initiation and oversight
Licensed Practical Nurse (LPN #1)Interviewed regarding insulin labeling procedures
RN Unit Manager (#2)Interviewed regarding insulin labeling procedures
Certified Nursing Assistant (CNA #1)Observed and interviewed regarding improper food handling and hand hygiene
Certified Nursing Assistant (CNA #2)Interviewed regarding hand hygiene during meal service
Certified Nursing Assistant (CNA #3)Interviewed regarding hand washing prior to meals
Registered Nurse Manager (RNM #1)Interviewed regarding infection control at mealtime
Director of Nursing Services (DNS)Interviewed regarding hand hygiene and infection control during meal service
In-service Coordinator/Infection Control Preventionist (IPC)Interviewed regarding infection control procedures and training priorities

Inspection Report — Jun 29, 2021

Annual Inspection CMS
Date: Jun 29, 2021

Visit Reason
The inspection was conducted as part of a Recertification and Abbreviated survey to assess compliance with regulatory requirements for Dry Harbor Nursing Home.

Findings
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.

Citations (7)
Failure to provide quarterly statements of resident personal funds to residents or their representatives within 30 days after the end of the quarter.
Inaccurate Minimum Data Set (MDS) assessments with missing diagnoses of Anxiety Disorder and Depression.
Failure to develop and implement a comprehensive care plan addressing anticoagulant medication use.
Failure to review and revise resident care plans by the interdisciplinary team after assessments.
Failure to provide appropriate treatment and care for residents with IV Heplock and PICC lines, including failure to change dressings and monitor for infection.
Failure to ensure medications and biologicals were properly labeled with opening dates and resident names, and medication refrigerators were not consistently monitored or maintained within acceptable temperature ranges.
Failure to implement infection prevention and control practices, including oxygen tubing observed touching the floor for residents receiving oxygen therapy.
Report Facts
Resident sample size: 39 Residents reviewed for unnecessary medications: 5 Residents affected by deficiencies: 1 Residents affected by deficiencies: 1 Residents affected by deficiencies: 2 Residents affected by deficiencies: 2 Inspection date: Jun 29, 2021

Employees mentioned
NameTitleContext
RN Supervisor #4Registered Nurse SupervisorInterviewed regarding care plan development and responsibility
MDS AssessorInterviewed regarding MDS assessment inaccuracies and care plan responsibilities
MDS CoordinatorInterviewed regarding scheduling and review of MDS assessments
Assistant Director of Nursing (ADON)Assistant Director of NursingInterviewed regarding care plan audits and medication labeling
Director of Social Work and Recreation (DSW/R)Director of Social Work and RecreationInterviewed regarding financial statements and care plan monitoring
AdministratorInterviewed regarding mailing of financial statements
Licensed Practical Nurse (LPN #1)Licensed Practical NurseInterviewed regarding PICC line dressing care
Registered Nurse (RN #1)Registered NurseInterviewed regarding PICC line dressing care and IV Heplock monitoring
Infection Control/Risk Manager & In-service Coordinator (ICRM)Interviewed regarding infection control practices and staff re-education
Registered Nurse Supervisor (RNS #1)Registered Nurse SupervisorInterviewed regarding monitoring of PICC line dressing changes
Recreation Leader (RL)Interviewed regarding oxygen tubing infection control
Certified Nursing Assistant (CNA #7)Certified Nursing AssistantInterviewed regarding oxygen tubing infection control
Infection Control Nurse (ICN)Interviewed regarding infection control training and monitoring
Acting Director of Nursing Services (ADNS)Acting Director of Nursing ServicesInterviewed regarding oxygen tubing infection control and care plan responsibilities

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