Inspection Reports for
Emerge Nursing and Rehabilitation at Glen Cove
2 Medical Plaza, Glen Cove, NY, 11542
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
5.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
14% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Jan 2, 2025
Visit Reason
The inspection was a Recertification Survey conducted to assess compliance with regulatory requirements and the facility's adherence to care plans and food safety standards.
Findings
The facility failed to ensure the comprehensive care plan was reviewed and revised to meet Resident #21's current needs, particularly regarding toileting assistance and non-compliance. Additionally, the facility did not monitor the temperature of cold food items served, resulting in yogurt being served at unsafe temperatures.
Deficiencies (2)
F 0657: The facility did not ensure the comprehensive care plan was reviewed and revised to meet Resident #21's current toileting needs and non-compliance behavior. Resident #21 required staff assistance for toileting, but the care plan lacked interventions to monitor and supervise non-compliance.
F 0812: The facility did not monitor the temperature of cold food items served, with yogurt measured at 60 and 62 degrees Fahrenheit, exceeding the safe temperature of below 41 degrees Fahrenheit.
Report Facts
Certified Nursing Assistant Accountability records: 21
Certified Nursing Assistant Accountability records: 15
Certified Nursing Assistant Accountability records: 43
Temperature of yogurt containers: 60
Temperature of yogurt containers: 62
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Stated Resident #21 was allowed and able to toilet on their own and preferred to transfer and toilet independently. |
| Certified Nursing Assistant #1 | Certified Nursing Assistant | Reported Resident #21 was continent of bladder and often toileted themselves without asking for assistance. |
| Registered Occupational Therapist #1 | Registered Occupational Therapist | Assessed Resident #21 and stated the resident required minimum assistance for toileting and was discharged from skilled therapy. |
| Registered Nurse Supervisor #1 | Registered Nurse Supervisor | Acknowledged Resident #21's non-compliance and care plan, and expected staff to respond when Resident #21 pressed the call bell. |
| Director of Nursing Services | Director of Nursing Services | Stated Resident #21 should be provided one-person staff assistance during toileting and care plan interventions should be evaluated for effectiveness. |
| Food Service Director | Food Service Director | Stated cold food items should be served below 42 degrees Fahrenheit and acknowledged risk of bacterial growth if served above this temperature. |
| Dietary Supervisor | Dietary Supervisor | Measured yogurt temperatures at 60 and 62 degrees Fahrenheit during lunch meal service. |
| Administrator | Administrator | Stated unawareness of cold food items being served above safe temperature prior to survey notification. |
Inspection Report
Annual Inspection
Capacity: 60
Deficiencies: 3
Date: Jan 2, 2025
Visit Reason
Certification Survey with 2 Standard Health and 1 Life Safety Code citations, all Level 2, corrected after inspection.
Findings
Certification Survey with 2 Standard Health and 1 Life Safety Code citations, all Level 2, corrected after inspection.
Deficiencies (3)
Care plan timing and revision
Food procurement,store/prepare/serve-sanitary
Corridor - doors
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Nov 13, 2023
Visit Reason
Covid-19 Survey with 1 Standard Health citation for reporting to national health safety network, Level 2, not corrected at time of report.
Findings
Covid-19 Survey with 1 Standard Health citation for reporting to national health safety network, Level 2, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Sep 25, 2023
Visit Reason
The survey was a Recertification Survey and Abbreviated Survey conducted to assess compliance with professional standards of care, medication management, infection control, and other regulatory requirements at Emerge Nursing and Rehabilitation at Glen Cove.
Findings
The facility was found deficient in multiple areas including failure to provide appropriate care during a urinary catheter voiding trial, inadequate pain management and monitoring, improper medication labeling and storage, unsafe medication administration practices, and lapses in infection prevention and control procedures.
Deficiencies (4)
F 0690: The facility failed to ensure timely monitoring and assessment of Resident #191 after Foley catheter removal during a voiding trial, lacking documented parameters for re-catheterization and proper bladder scan assessments.
F 0697: The facility did not consistently assess Resident #190's pain level before and after administration of PRN pain medications, and staff lacked knowledge on entering pain management evaluation protocols into the Medication Administration Record.
F 0761: The facility failed to label medications accurately; Resident #78's Lexapro blister pack label did not match the physician's order and lacked change in order stickers. Resident #32 was observed with a physician-prescribed inhaler left unattended in their room.
F 0880: The facility did not maintain infection prevention and control; Resident #193's wound care involved placing the resident back onto a soiled barrier after cleansing the wound without re-cleansing, risking infection.
Report Facts
Bladder scan residual urine volume: 576
Bladder scan residual urine volume: 230
Pain scale rating: 10
Pressure ulcer size: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| PA #1 | Physician Assistant | Involved in orders and interviews related to Resident #191's void trial and catheter care. |
| RN #4 | Registered Nurse Supervisor | Provided interviews regarding documentation and care during Resident #191's void trial and Resident #190's pain management. |
| RN #6 | Unit Supervisor | Entered bladder scan order and interviewed about catheterization parameters for Resident #191. |
| LPN #8 | Licensed Practical Nurse | Performed bladder scan and interviewed about evaluation of Resident #191 during void trial. |
| LPN #5 | Licensed Practical Nurse | Administered STAT dose of Oxycodone and PRN pain medications to Resident #190; interviewed about pain medication monitoring. |
| Pharmacist #1 | Pharmacist | Interviewed regarding medication supply and labeling issues for Resident #78 and Resident #190. |
| Pharmacy Director | Pharmacy Director | Interviewed about medication order processing and labeling discrepancies. |
| LPN #4 | Licensed Practical Nurse | Observed administering medication with labeling discrepancy for Resident #78. |
| LPN #1 | Licensed Practical Nurse | Interviewed regarding medication administration and inhaler storage for Resident #32. |
| LPN #2 | Licensed Practical Nurse | Interviewed about inhaler administration and leaving inhaler unattended for Resident #32. |
| RN #2 | Registered Nurse and Infection Preventionist | Observed wound care and interviewed about infection control procedures for Resident #193. |
| RN #3 | Wound Care Nurse | Interviewed about proper wound care procedures for Resident #193. |
| Director of Nursing Services | Director of Nursing Services | Interviewed multiple times regarding catheter care, pain management, medication labeling, inhaler storage, and infection control. |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 7
Date: Sep 25, 2023
Visit Reason
Complaint Survey with 4 Standard Health and 3 Life Safety Code citations including infection control, medication labeling, pain management, and sprinkler system issues, all Level 2 and corrected after inspection.
Findings
Complaint Survey with 4 Standard Health and 3 Life Safety Code citations including infection control, medication labeling, pain management, and sprinkler system issues, all Level 2 and corrected after inspection.
Deficiencies (7)
Bowel/bladder incontinence, catheter, uti
Infection prevention & control
Label/store drugs and biologicals
Pain management
Electrical systems - essential electric syste
Sprinkler system - installation
Sprinkler system - maintenance and testing
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Sep 25, 2023
Visit Reason
The inspection was conducted as a Recertification Survey and Abbreviated Survey to assess compliance with professional standards of care and regulatory requirements.
Findings
The facility was found deficient in providing appropriate care related to urinary catheter management for one resident and pain management for another resident. Deficiencies included failure to monitor and assess a resident after Foley catheter removal and inconsistent pain assessment before and after administration of PRN pain medications.
Deficiencies (2)
10 NYCRR 415.12(d)(1) The facility failed to ensure timely monitoring and assessment of a resident after Foley catheter removal during a voiding trial, lacking documented parameters for re-catheterization and resident assessment.
10 NYCRR 415.12 The facility failed to consistently assess and document the effectiveness of PRN pain medications before and after administration for a resident, and staff lacked knowledge on entering pain management evaluation protocols into the Medication Administration Record.
Report Facts
Bladder scan urine volume: 576
Pain scale rating: 10
PRN Tramadol doses administered: 14
PRN Tylenol doses administered: 3
PRN Ibuprofen doses administered: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| PA #1 | Physician Assistant | Involved in orders and interviews related to Resident #191's void trial and catheter management |
| RN #4 | Registered Nurse Supervisor | Provided interview and progress notes related to Resident #191 and Resident #190 |
| RN #6 | Unit Supervisor | Entered bladder scan order and provided interview regarding catheterization parameters |
| LPN #8 | Licensed Practical Nurse | Conducted bladder scan and provided interview regarding resident evaluation |
| LPN #5 | Licensed Practical Nurse | Administered PRN pain medications and provided interview on pain medication monitoring |
| RN #5 | Registered Nurse | Entered PRN Tramadol order and provided interview on pain medication follow-up |
| RN #2 | Inservice Coordinator | Provided interview on pain assessment protocols and education |
| Pharmacist #1 | Pharmacist | Interviewed regarding prescription and dispensing of Tramadol for Resident #190 |
| Pharmacy Director | Pharmacy Director | Interviewed regarding prescription and dispensing of Tramadol for Resident #190 |
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Feb 14, 2022
Visit Reason
Covid-19 Survey with 1 Standard Health citation for reporting to national health safety network, Level 2, not corrected at time of report.
Findings
Covid-19 Survey with 1 Standard Health citation for reporting to national health safety network, Level 2, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Aug 19, 2021
Visit Reason
The Recertification Survey was conducted to assess compliance with professional standards of care, medication administration, facility assessment, and resource adequacy for residents.
Findings
The facility failed to ensure timely administration of prescribed antibiotics for one resident, administered IV fluids without a documented physician's order for another resident, and did not include specific staffing ratios or minimum staffing levels in the facility-wide assessment.
Deficiencies (3)
F 0684: The facility did not ensure Resident #179 received antibiotic treatment in a timely manner following an orthopedic consult on 7/29/2021, resulting in a five-day delay before starting Minocycline.
F 0694: Resident #61 received intravenous fluids on 8/15/2021 without a documented physician's order, contrary to the facility's medication management policy.
F 0838: The facility assessment did not include the overall number of facility staff needed to ensure sufficient qualified staff to meet residents' needs during day-to-day operations and emergencies.
Report Facts
Deficiencies cited: 3
Blood Urea Nitrogen (BUN) level: 31
Creatinine level: 1.83
IV fluid rate: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | Registered Nurse | Named in the finding related to delayed antibiotic administration for Resident #179. |
| LPN #1 | Licensed Practical Nurse | Documented Resident #179's return from orthopedic appointment without noting consult recommendations. |
| RN #5 | Registered Nurse | Interviewed regarding discontinuation of IV fluids and antibiotics for Resident #61. |
| LPN #4 | Licensed Practical Nurse | Documented Resident #61 receiving IV fluids and interviewed about IV fluid administration. |
| RN #6 | Registered Nurse | Received verbal physician order to extend IV fluids for Resident #61 but did not enter order into medical record. |
| Director of Nursing Services | DNS | Interviewed about facility policies and quality assurance related to consults and medication administration. |
| Administrator | Facility Administrator | Interviewed regarding staffing levels and facility assessment. |
| Medical Director | Attending Physician | Interviewed about verbal orders for IV fluid administration for Resident #61. |
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