Inspection Reports for
Hamilton Park Nursing and Rehabilitation Center
691 92 Street, Brooklyn, NY, 11228
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 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
20
15
10
5
0
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 12
Date: Feb 25, 2025
Visit Reason
Inspection identified 9 standard health citations and 3 life safety code citations, all corrected by April 2025. Deficiencies involved care planning, food sanitation, infection control, medication errors, environment, and sprinkler systems.
Findings
Inspection identified 9 standard health citations and 3 life safety code citations, all corrected by April 2025. Deficiencies involved care planning, food sanitation, infection control, medication errors, environment, and sprinkler systems.
Deficiencies (12)
Care plan timing and revision
Food procurement,store/prepare/serve-sanitary
Infection control
Infection prevention & control
Resident allergies, preferences, substitutes
Residents are free of significant med errors
Responsibilities of providers; required notif
Safe/clean/comfortable/homelike environment
Services provided meet professional standards
Multiple occupancies
Sprinkler system - installation
Sprinkler system - maintenance and testing
Inspection Report
Annual Inspection
Deficiencies: 7
Date: Feb 25, 2025
Visit Reason
The inspection was a Recertification Survey conducted from 02/18/2025 to 02/25/2025 to assess compliance with regulatory standards for nursing home operations.
Findings
The facility was found deficient in maintaining a safe, clean, and homelike environment, ensuring comprehensive care plan reviews, administering medications properly, accommodating resident allergies, following food safety standards, and implementing infection control practices.
Deficiencies (7)
F 0584: The facility failed to maintain a safe, clean, and homelike environment as evidenced by missing tiles, peeling paint, grime buildup, and rust stains in multiple resident bathrooms and closets.
F 0657: The facility did not ensure that a resident's comprehensive care plan was reviewed and revised quarterly by the interdisciplinary team as required, specifically for Resident #33 in hospice care.
F 0658: Licensed nursing staff failed to administer psychotropic medication as ordered for Resident #102 and did not notify the physician or monitor for adverse reactions.
F 0760: Resident #102 was not administered 7 doses of Venlafaxine as ordered, and no medication error report or physician notification was documented.
F 0806: Resident #343, allergic to mushrooms, was served mushroom soup despite allergy alerts on meal tickets and multiple staff checks.
F 0812: Certified Nursing Assistant #4 was observed touching lettuce with bare hands while preparing a sandwich, violating food safety policies.
F 0880: Licensed Practical Nurse #4 failed to perform hand hygiene and glove changes appropriately during wound care for Resident #130.
Report Facts
Missing tiles: 29
Missed medication doses: 7
Sampled residents: 38
Residents reviewed for psychotropic medications: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #3 | Named in medication administration failure for Resident #102 | |
| Licensed Practical Nurse #2 | Named in medication administration failure for Resident #102 | |
| Licensed Practical Nurse #1 | Named in medication administration failure for Resident #102 | |
| Licensed Practical Nurse #4 | Named in infection control failure during wound care and food handling | |
| Registered Nurse #1 | Interviewed regarding care plan review and medication administration | |
| Social Worker #1 | Interviewed regarding care plan review for Resident #33 | |
| Director of Nursing | Interviewed regarding care plan review and medication administration issues | |
| Dietary Director | Interviewed regarding food allergy incident | |
| Certified Nursing Assistant #4 | Observed and interviewed regarding food handling violation | |
| Physician #1 | Interviewed regarding missed medication doses for Resident #102 |
Inspection Report
Annual Inspection
Capacity: 60
Deficiencies: 1
Date: Jul 10, 2024
Visit Reason
Abuse reporting documentation deficiency noted.
Findings
Abuse reporting documentation deficiency noted.
Deficiencies (1)
R9-10-803.J — Abuse reporting documentation
Inspection Report
Recertification
Deficiencies: 3
Date: Feb 9, 2023
Visit Reason
The survey was a Recertification/Complaint survey conducted from 2/2/23 to 2/9/23 to assess compliance with care planning, nurse staffing posting, and physical environment standards.
Complaint Details
The survey included complaint investigation elements as it was a Recertification/Complaint survey from 2/2/23 to 2/9/23. Specific complaints related to care planning, nurse staffing posting, and call bell functionality were investigated.
Findings
The facility failed to provide a written summary of the baseline care plan to a resident and their representative, did not post daily nurse staffing information in a prominent place accessible to residents and visitors, and did not ensure a resident had a functioning call bell in their bathroom and bathing area.
Deficiencies (3)
F 0655: The facility did not provide Resident #178 and their representative with a written summary of the baseline care plan as required, with no documented evidence of delivery or signature.
F 0732: The facility did not post daily nurse staffing information in a prominent place accessible to residents and visitors on all four units observed.
F 0919: Resident #31 was observed without a functioning call bell in their room, and staff confirmed the call bell was not working despite policies requiring prompt repair.
Report Facts
Residents reviewed for Care Planning: 37
Residents affected by baseline care plan deficiency: 1
Units without posted nurse staffing: 4
Residents reviewed for Physical Environment: 3
Residents affected by call bell deficiency: 1
Inspection Report
Capacity: 60
Deficiencies: 6
Date: Jan 12, 2023
Visit Reason
Covid-19 Survey identified 4 standard health citations and 2 life safety code citations, all corrected by March 31, 2023. Deficiencies included baseline care plan, nurse staffing info, reporting violations, resident call system, electrical systems, and means of egress.
Findings
Covid-19 Survey identified 4 standard health citations and 2 life safety code citations, all corrected by March 31, 2023. Deficiencies included baseline care plan, nurse staffing info, reporting violations, resident call system, electrical systems, and means of egress.
Deficiencies (6)
Baseline care plan
Posted nurse staffing information
Reporting of alleged violations
Resident call system
Electrical systems - essential electric syste
Means of egress - general
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Dec 16, 2019
Visit Reason
The inspection was a recertification survey to assess compliance with federal regulations for nursing homes.
Findings
The facility was found deficient in maintaining a clean and homelike environment, ensuring accurate resident assessments, developing comprehensive care plans, and implementing infection prevention and control practices. Specific issues included dirty floor mats and bedside tables, inaccurate coding of wander/elopement alarms in assessments, lack of care plans for hearing impairment, and oxygen tubing observed touching the floor.
Deficiencies (4)
F 0584: The facility did not ensure a clean, comfortable, and homelike environment; dusty, dirty, and stained floor mats and bedside tables were observed in multiple resident rooms.
F 0641: The facility did not ensure assessments accurately reflected residents' status; Minimum Data Set assessments failed to identify use of wander/elopement alarms for two residents.
F 0656: The facility did not develop a comprehensive care plan addressing a resident's hearing impairment, lacking measurable objectives and timeframes.
F 0880: The facility failed to maintain infection control practices; multiple residents' oxygen tubing was observed touching the floor on several occasions.
Report Facts
Residents reviewed: 38
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #2 | Certified Nursing Assistant | Interviewed regarding cleaning practices and floor mats |
| Housekeeper #1 | Housekeeper | Interviewed about cleaning procedures and floor mats |
| Housekeeper #2 | Housekeeper | Interviewed about cleaning nursing station and resident rooms |
| Administrator | Administrator | Interviewed about housekeeping oversight and cleaning policies |
| CNA #3 | Certified Nursing Assistant | Interviewed about resident wandering and Wanderguard use |
| RN #2 | Registered Nurse | Interviewed about resident wandering and Wanderguard use |
| CNA #4 | Certified Nursing Assistant | Interviewed about resident wandering and Wanderguard use |
| RN #3 | Registered Nurse | Interviewed about MDS assessments and coding accuracy |
| CNA #5 | Certified Nursing Assistant | Interviewed about resident hearing impairment and communication |
| RN #4 | Registered Nurse | Interviewed about care plan development for hearing impairment |
| RN #5 | Unit Manager | Interviewed about recognition of resident hearing deficit and care plans |
| CNA #1 | Certified Nursing Assistant | Interviewed about oxygen tubing and infection control |
| RN #1 | Registered Nurse, Unit Manager | Interviewed about infection control rounds and staff training |
| ADNS | Assistant Director of Nursing/Infection Control Nurse | Interviewed about infection control training and procedures |
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