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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Citations (last 4 years)

Citations (over 4 years) 8.5 citations/year

Citations are regulatory findings recorded during state inspections.

67% worse than New York average
New York average: 5.1 citations/year

Citations per year

16 12 8 4 0
2021
2022
2023
2025

Inspection Report

Annual Inspection
Census: 35 Capacity: 61 Citations: 4 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 Facility total capacity: 61 Facility census: 35

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

Complaint Investigation
Capacity: 60 Citations: 10 Date: Apr 22, 2025

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

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

Citations (10)
Develop/implement comprehensive care plan
Pharmacy srvcs/procedures/pharmacist/records
Reporting of alleged violations
Services provided meet professional standards
Electrical equipment - testing and maintenanc
Electrical systems - essential electric syste
Electrical systems - other
Fire alarm system - testing and maintenance
Hazardous areas - enclosure
Physical environment

Inspection Report

Abbreviated Survey
Citations: 1 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

Complaint Investigation
Capacity: 60 Citations: 1 Date: Jan 27, 2025

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

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

Citations (1)
Personal privacy/confidentiality of records

Inspection Report

Complaint Investigation
Capacity: 60 Citations: 9 Date: Aug 31, 2023

Visit Reason
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.

Findings
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.

Citations (9)
Develop/implement comprehensive care plan
Food procurement,store/prepare/serve-sanitary
Reporting of alleged violations
Building construction type and height
Electrical systems - essential electric syste
Electrical systems - receptacles
Maintenance, inspection & testing - doors
Sprinkler system - installation
Sprinkler system - maintenance and testing

Inspection Report

Complaint Investigation
Capacity: 60 Citations: 2 Date: Oct 6, 2022

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

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

Citations (2)
Reporting of alleged violations
Reporting of reasonable suspicion of a crime

Inspection Report

Annual Inspection
Citations: 7 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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