Inspection Reports for
Grandell Rehabilitation and Nursing Center
645 W Broadway, Long Beach, NY, 11561
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
8.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
63% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Aug 27, 2025
Visit Reason
The inspection was a Recertification Survey conducted to assess the facility's compliance with regulatory requirements, specifically reviewing the accuracy of the Facility Assessment related to staffing levels.
Findings
The facility failed to update the Facility Assessment to accurately reflect current staffing needs, particularly the number of Registered Nurse Supervisors during the 11:00 PM-7:00 AM shift and the replacement of a Registered Nurse by a Licensed Practical Nurse on the first floor during the 7:00 AM-3:00 PM shift.
Deficiencies (1)
F 0838: The Facility Assessment was not updated to reflect actual staffing levels, inaccurately documenting two Registered Nurse Supervisors needed during the 11:00 PM-7:00 AM shift and a Registered Nurse on the first floor during the 7:00 AM-3:00 PM shift, which was replaced by a Licensed Practical Nurse.
Report Facts
Licensed Practical Nurses scheduled: 3
Registered Nurse Supervisors scheduled: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staffing Coordinator #1 | Provided information about staffing levels and par sheets during interviews on 08/27/2025 | |
| Director of Nursing Services | Discussed staffing numbers and Facility Assessment details during interview on 08/27/2025 | |
| Administrator | Entered staffing numbers in the Facility Assessment and reviewed staffing needs during interview on 08/27/2025 |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 4
Date: Aug 27, 2025
Visit Reason
Inspection identified 4 standard health citations related to quality of care including accuracy of assessments and facility assessment with no life safety citations.
Findings
Inspection identified 4 standard health citations related to quality of care including accuracy of assessments and facility assessment with no life safety citations.
Deficiencies (4)
Accuracy of assessments
Facility assessment
Investigate/prevent/correct alleged violation
Nutrition/hydration status maintenance
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Aug 27, 2025
Visit Reason
The survey was a Recertification Survey conducted to assess compliance with regulatory requirements for Grandell Rehabilitation and Nursing Center.
Findings
The facility was found deficient in thoroughly investigating alleged violations related to resident falls, accurately completing Minimum Data Set assessments, ensuring residents received adequate nutrition, and maintaining an accurate facility-wide staffing assessment.
Deficiencies (4)
F 0610: The facility did not ensure all alleged violations were thoroughly investigated, specifically failing to obtain a statement from a resident's roommate who reported a fall incident.
F 0641: The facility did not ensure the Minimum Data Set assessment accurately reflected residents' status, including failure to document isolation status and significant weight loss.
F 0692: The facility did not ensure a resident received a recommended nutritional supplement, resulting in inadequate maintenance of nutritional and hydration status.
F 0838: The facility assessment was not updated to accurately reflect actual staffing levels, including Registered Nurse Supervisors and Registered Nurses needed per shift.
Report Facts
Residents reviewed for Accidents: 8
Residents reviewed for Transmission Based Precautions: 3
Residents reviewed for Nutrition: 6
Weight loss percentage: 10.39
Weight loss percentage: 16.2
Glucerna Shake dosage: 240
Licensed Practical Nurses scheduled: 3
Registered Nurse Supervisors scheduled: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #1 | Charge Nurse and Registered Nurse Supervisor | Responsible for initiating accident reports and assessments related to Resident #256's fall. |
| Licensed Practical Nurse #3 | Licensed Practical Nurse | Notified Registered Nurse Supervisor of Resident #256's fall and found resident on floor. |
| Director of Nursing Services | Director of Nursing Services | Responsible for reviewing accident reports and ensuring thorough investigations. |
| Minimum Data Set Director | Minimum Data Set Director | Acknowledged omissions in Minimum Data Set assessments for Resident #142 and Resident #7. |
| Registered Dietitian #1 | Registered Dietitian | Recommended nutritional supplements for Resident #7 and responsible for documentation. |
| Staffing Coordinator #1 | Staffing Coordinator | Provided information on staffing levels and par sheets for nursing units. |
| Administrator | Facility Administrator | Reviewed staffing needs and trusted Director of Nursing Services for accident report oversight. |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 5
Date: Mar 8, 2024
Visit Reason
Inspection identified 5 standard health citations related to quality of care including care planning, medication labeling, respiratory care, and quality of care; all corrected as of May 6, 2024.
Findings
Inspection identified 5 standard health citations related to quality of care including care planning, medication labeling, respiratory care, and quality of care; all corrected as of May 6, 2024.
Deficiencies (5)
Develop/implement comprehensive care plan
Investigate/prevent/correct alleged violation
Label/store drugs and biologicals
Quality of care
Respiratory/tracheostomy care and suctioning
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Mar 8, 2024
Visit Reason
The inspection was a Recertification Survey conducted to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in multiple areas including failure to thoroughly investigate injuries to rule out abuse, incomplete and untimely updates to comprehensive care plans, lack of physician orders for treatments, inadequate respiratory care parameters, and medication labeling discrepancies.
Deficiencies (5)
F 0610: The facility did not ensure investigations were conducted to rule out abuse or neglect for Resident #206's injury after a fall on 1/2/2024, with no new accident report initiated for the injury discovered on 1/5/2024.
F 0656: The facility failed to implement a comprehensive care plan reflecting the administration of Timolol eye drops for Resident #156 until 3/5/2024, despite a physician order from 1/27/2023.
F 0684: Resident #192 received a dressing to a large salivary gland mass without a physician's order until 3/5/2024, and treatment documentation was lacking prior to that date.
F 0695: Resident #233 had a physician order for oxygen at 3-10 liters per minute without parameters guiding oxygen administration based on clinical condition or oxygen saturation levels.
F 0761: The label on Resident #156's Timolol eye drop medication bottle did not match the physician's order, and the discrepancy was not promptly addressed by nursing staff.
Report Facts
Residents reviewed for Accidents: 8
Residents observed during medication administration: 6
Residents reviewed for skin conditions: 3
Residents reviewed for respiratory care: 6
Brief Interview for Mental Status score: 99
Brief Interview for Mental Status score: 15
Brief Interview for Mental Status score: 10
Oxygen flow rate range: 3
Oxygen flow rate range: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #8 | Licensed Practical Nurse | Named in investigation and reporting of Resident #206's injury. |
| Registered Nurse #1 | Registered Nurse Supervisor | Assessed Resident #206's injury and involved in investigation. |
| Registered Nurse #2 | Registered Nurse | Wrote investigation summary for Resident #206's fall and communicated with family. |
| Certified Nurse Aide #8 | Certified Nurse Aide | Reported injury to Resident #206 on 1/5/2024. |
| Director of Nursing Services | Director of Nursing Services | Interviewed regarding investigation and care plan deficiencies. |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Prepared and administered Timolol eye drops to Resident #156 and noted label discrepancy. |
| Registered Nurse #2 | Unit Charge Nurse | Educated Resident #156 and addressed medication order discrepancy. |
| Pharmacist #1 | Pharmacist | Interviewed about medication label discrepancy for Timolol eye drops. |
| Registered Nurse #4 | Wound Care Nurse | Interviewed about care and dressing for Resident #192's salivary gland mass. |
| Physician Assistant #1 | Physician Assistant | Interviewed about treatment preferences for Resident #192's mass. |
| Medical Director | Medical Director and Primary Care Physician | Interviewed regarding oxygen therapy orders for Resident #233. |
Inspection Report
Annual Inspection
Deficiencies: 6
Date: May 3, 2022
Visit Reason
The inspection was a Recertification Survey and Abbreviated Survey conducted from 2022-04-26 to 2022-05-03 to assess compliance with federal regulations for nursing home care.
Findings
The facility was found deficient in multiple areas including incomplete investigations of accidents, failure to develop comprehensive care plans for new diagnoses, inadequate documentation and monitoring of intravenous therapy, insufficient supervision to prevent accidents, failure to promptly notify physicians of abnormal lab results, and lapses in infection prevention and control practices.
Deficiencies (6)
F 0610: The facility did not ensure thorough investigation of Resident #65's fall down a stairwell, missing documentation on timeline, supervision, resident's position, and extent of injuries.
F 0656: The facility failed to develop a comprehensive care plan for Resident #319's pneumonia diagnosis and IV antibiotic treatment.
F 0658: The facility did not document IV therapy details for Resident #319, including site of access, catheter type, and flushing before and after antibiotic administration.
F 0689: The facility failed to provide adequate supervision and 30-minute monitoring for Resident #65, resulting in a fall down a stairwell and injuries.
F 0773: The facility did not ensure the ordering physician was promptly notified of abnormal lab results for Resident #97, including elevated BUN and creatinine levels.
F 0880: The facility failed to document the site and reading of the first Mantoux PPD test for Resident #269, violating infection control policies.
Report Facts
Fall risk score: 16
Number of falls: 4
BUN level: 41
Creatinine level: 1.52
PPD test dates: Resident #269's first PPD administered 9/27/2021, second on 10/9/2021, read on 10/11/2021.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #2 | RN Supervisor | Named in investigation and assessment of Resident #65's fall incident. |
| LPN #2 | Unit Charge Nurse | Responded to Resident #65's fall in stairwell. |
| CNA #2 | Certified Nursing Assistant | Assigned CNA for Resident #65, involved in monitoring and statements about fall. |
| CNA #3 | Certified Nursing Assistant | Responded to stairwell door alarm related to Resident #65's fall. |
| CNA #4 | Certified Nursing Assistant | Found Resident #65 in stairwell and called for help. |
| RN #4 | Registered Nurse Supervisor | Documented and interviewed regarding Resident #319's pneumonia care and IV therapy. |
| LPN #9 | Licensed Practical Nurse | Interviewed about Resident #97's lab results and notification process. |
| RN #5 | Registered Nurse, Nursing Care Coordinator | Interviewed about Resident #97's lab results and physician notification. |
| LPN #1 | Licensed Practical Nurse | Administered first Mantoux PPD for Resident #269. |
| LPN #5 | Licensed Practical Nurse, Nursing Care Coordinator | Interviewed about oversight of PPD documentation for Resident #269. |
| RN #3 | Infection Control Registered Nurse | Interviewed about PPD documentation and monitoring system. |
| DNS | Director of Nursing Services | Interviewed multiple times regarding investigations, supervision, lab results, and infection control. |
| Administrator | Interviewed regarding investigation summary and surveillance review for Resident #65's fall. |
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