Inspection Reports for
Huntington Hills Center for Health and Rehabilitation
400 South Service Road, Melville, NY, 11747
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
13 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
155% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Nov 15, 2024
Visit Reason
The inspection was a Recertification Survey and Abbreviated Survey conducted to assess compliance with regulatory requirements for Huntington Hills Center for Health and Rehabilitation.
Findings
The facility was found deficient in timely reporting of injuries of unknown origin, ensuring physician follow-up on psychiatric evaluations, providing sufficient nursing staff especially on weekends, and arranging timely outside professional psychiatric consultations.
Deficiencies (4)
F 0609: The facility failed to timely report an injury of unknown origin involving Resident #54 to the New York State Department of Health as required.
F 0711: The facility did not ensure the attending physician reviewed and followed up on Resident #187's psychiatric evaluation after incidents of physical aggression and biting.
F 0725: The facility did not provide sufficient nursing staff on weekends, resulting in delayed care and resident complaints about staffing shortages.
F 0840: The facility failed to ensure timely arrangements for psychiatric consultation for Resident #187, with no documented evidence of evaluation until three months after the initial order.
Report Facts
Residents affected: 1
Residents affected: 1
Residents affected: 8
Resident Council attendees: 13
Residents complaining about staffing: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Physician #1 | Attending Physician | Named in deficiency related to failure to follow up on psychiatric evaluation for Resident #187 |
| Physician Assistant #1 | Ordered psychiatric consultation for Resident #187 and acknowledged failure to follow up | |
| Medical Director | Medical Director | Acknowledged failure to follow up on psychiatric consult and standard intervention for resident altercations |
| Director of Nursing Services | Director of Nursing Services | Named in deficiencies related to injury reporting, staffing awareness, and consultation follow-up |
| Registered Nurse Supervisor #2 | Registered Nurse Supervisor | Ordered psychiatric consult for Resident #187 |
| Psychiatrist #1 | Psychiatrist | Visited facility weekly but was unaware of Resident #187's consult order in May 2024 |
| Unit Clerk #1 | Unit Clerk | Responsible for arranging outside consultation services and maintaining psychiatry appointment book |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Involved in investigation of Resident #54's alleged injection and bruise |
| Licensed Practical Nurse #3 | Licensed Practical Nurse | Administered medication to Resident #54 and interviewed during investigation |
| Infection Preventionist | Infection Preventionist Nurse | Assessed Resident #54's bruise and involved in investigation |
Inspection Report
Annual Inspection
Deficiencies: 8
Date: Nov 15, 2024
Visit Reason
The survey was a Recertification Survey and Abbreviated Survey conducted to assess compliance with regulatory requirements including resident care, staffing, infection control, and administration.
Findings
The facility was found deficient in timely reporting of injuries of unknown origin, providing respiratory care consistent with physician orders, ensuring physician follow-up on psychiatric evaluations, maintaining sufficient nursing staff especially on weekends, conducting a comprehensive facility assessment with detailed staffing needs, arranging timely outside psychiatric consultations, and implementing infection prevention and control protocols.
Deficiencies (8)
F 0609: The facility failed to timely report an injury of unknown origin involving Resident #54 to the New York State Department of Health as required.
F 0695: Resident #236 was observed receiving oxygen at 2 liters per minute instead of the prescribed 4 liters per minute, and staff failed to ensure correct oxygen flow during transfers.
F 0711: The facility did not ensure the attending physician reviewed and followed up on Resident #187's psychiatric evaluation after incidents of aggression.
F 0725: The facility did not provide sufficient nursing staff on weekends across all units, resulting in delayed resident care and resident complaints of inadequate staffing.
F 0835: The facility failed to administer resources effectively and efficiently by not ensuring sufficient staffing and not monitoring repeated deficiencies.
F 0838: The facility's Facility Assessment lacked a detailed breakdown of staffing needs by unit and shift, impairing competent resident care planning.
F 0840: The facility did not ensure timely psychiatric consultation for Resident #187 after aggressive incidents and lacked policies for outside consultant services.
F 0880: Staff failed to follow infection prevention protocols by not wearing required Personal Protective Equipment when entering isolation rooms for residents with COVID-19.
Report Facts
Residents affected: 5
Residents affected: 2
Residents affected: 2
Residents affected: 8
Staffing census ranges: 31
Staffing census ranges: 40
Staffing levels: 1
Psychiatric consult delay: 97
Call bell wait time: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Physician #1 | Attending Physician | Named in failure to follow up on psychiatric evaluation for Resident #187 |
| Physician Assistant #1 | Physician Assistant | Ordered psychiatric consultation and acknowledged failure to follow up for Resident #187 |
| Medical Director | Medical Director | Acknowledged failure to follow up on psychiatric consultation for Resident #187 |
| Psychiatrist #1 | Psychiatrist | Not aware of psychiatric consult order for Resident #187 in May 2024 |
| Director of Nursing Services | Director of Nursing Services | Named in staffing deficiencies and failure to ensure infection control compliance |
| Certified Nursing Assistant #1 | Certified Nursing Assistant | Observed not wearing required PPE in isolation room |
| Registered Nurse #1 | Unit Supervisor | Stated CNA #1 should have used appropriate PPE |
| Registered Nurse Supervisor #2 | Registered Nurse Supervisor | Ordered psychiatric consult for Resident #187 |
| Unit Clerk #1 | Unit Clerk | Responsible for arranging outside consultation services |
| Staffing Coordinator | Staffing Coordinator | Named in staffing deficiencies and lack of awareness of facility assessment staffing levels |
| Certified Nursing Assistant #8 | Certified Nursing Assistant | Reported staffing shortages on weekends |
| Certified Nursing Assistant #9 | Certified Nursing Assistant | Reported staffing shortages on weekends |
| Administrator | Facility Administrator | Acknowledged staffing deficiencies and lack of staffing policy |
| Infection Preventionist | Infection Preventionist | Stated CNA #1 did not follow infection control procedures |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 8
Date: Nov 15, 2024
Visit Reason
Inspection identified multiple Level 2 standard health citations related to administration, facility assessment, infection prevention, physician visits, reporting of alleged violations, respiratory care, nursing staff sufficiency, and use of outside resources. All deficiencies were corrected by January 14, 2025.
Findings
Inspection identified multiple Level 2 standard health citations related to administration, facility assessment, infection prevention, physician visits, reporting of alleged violations, respiratory care, nursing staff sufficiency, and use of outside resources. All deficiencies were corrected by January 14, 2025.
Deficiencies (8)
Administration — quality of care
Facility assessment — quality of care
Infection prevention & control — quality of care
Physician visits - review care/notes/order — quality of care
Reporting of alleged violations — quality of care
Respiratory/tracheostomy care and suctioning — quality of care
Sufficient nursing staff — quality of care
Use of outside resources — quality of care
Inspection Report
Recertification
Capacity: 40
Deficiencies: 5
Date: Jun 9, 2023
Visit Reason
The Recertification Survey and Abbreviated Survey were conducted to assess compliance with regulatory requirements including care planning, respiratory care, staffing, and facility-wide assessment.
Complaint Details
The survey included a complaint investigation (Complaint # NY 00310491) related to care planning and staffing deficiencies.
Findings
The facility failed to implement comprehensive person-centered care plans with measurable objectives for residents, ensure oxygen therapy was administered per physician orders, maintain sufficient nursing staff on weekends, and conduct a facility-wide assessment that includes detailed staffing needs by unit and shift.
Deficiencies (5)
F 0656: The facility did not implement a comprehensive person-centered care plan with measurable objectives and timeframes for Resident #64, who lacked bilateral hand rolls as ordered by a physician.
F 0657: The facility failed to develop the complete care plan within 7 days of the comprehensive assessment and did not invite Resident #77's representative to the initial care plan meeting.
F 0695: The facility did not ensure residents needing respiratory care received it per physician orders; Resident #68 was observed without ordered oxygen, and Resident #454 received oxygen without a physician's order.
F 0725: The facility did not provide enough nursing staff on four weekend days in May 2023, with three CNAs instead of four on unit 2C during the 2:30 PM to 10:30 PM shift.
F 0838: The facility-wide assessment did not include the overall number of nursing staff needed by unit and shift to ensure competent care during day-to-day operations and emergencies.
Report Facts
Deficiencies cited: 5
Staffing shortage days: 4
Licensed capacity: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | Registered Nurse Supervisor | Named in relation to failure to add physician's order for hand rolls to care plan. |
| RN #3 | Registered Nurse | Signed Treatment Administration Record for hand rolls and applied hand rolls after surveyor observation. |
| DNS | Director of Nursing Services | Interviewed regarding care plan and oxygen therapy deficiencies. |
| LPN #2 | Licensed Practical Nurse | Interviewed about oxygen administration to Resident #68. |
| CNA #1 | Certified Nursing Assistant | Interviewed regarding care of Resident #64 and lack of hand rolls. |
| CNA #4 | Certified Nursing Assistant | Interviewed about oxygen use for Resident #68. |
| RN #4 | Registered Nurse | Interviewed about lack of physician order for Resident #454's oxygen. |
| Staffing Coordinator | Interviewed about weekend CNA staffing shortages. | |
| Administrator | Interviewed about staffing shortages and facility assessment. |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 5
Date: Jun 9, 2023
Visit Reason
Inspection found several Level 2 and one Level 1 standard health citations related to care plan timing and revision, comprehensive care plan development, facility assessment, respiratory care, and nursing staff sufficiency. All deficiencies were corrected by July 31, 2023.
Findings
Inspection found several Level 2 and one Level 1 standard health citations related to care plan timing and revision, comprehensive care plan development, facility assessment, respiratory care, and nursing staff sufficiency. All deficiencies were corrected by July 31, 2023.
Deficiencies (5)
Care plan timing and revision — quality of care
Develop/implement comprehensive care plan — quality of care
Facility assessment — quality of care
Respiratory/tracheostomy care and suctioning — quality of care
Sufficient nursing staff — quality of care
Inspection Report
Abbreviated Survey
Capacity: 40
Deficiencies: 2
Date: Jun 9, 2023
Visit Reason
The survey was conducted as a Recertification Survey and Abbreviated Survey (Complaint # NY 00310491) initiated on 6/4/2023 and completed on 6/9/2023 to assess compliance with care planning and staffing requirements.
Complaint Details
Complaint # NY 00310491 triggered the abbreviated survey focusing on care planning and staffing issues.
Findings
The facility failed to ensure comprehensive care plans were properly prepared, reviewed, and revised by an interdisciplinary team including resident representatives. Additionally, the facility did not maintain sufficient nursing staff on certain weekend shifts, resulting in staffing shortages on unit 2C.
Deficiencies (2)
F 0657: The facility did not ensure the Comprehensive Care Plan was prepared and reviewed by an interdisciplinary team including the resident's representative. Resident #77's representative was not invited to the initial care plan meeting, and Resident #64's care plan was not updated to reflect physician-ordered bilateral hand rolls after hospitalization.
F 0725: The facility did not provide enough nursing staff every day to meet resident needs and failed to have a licensed nurse in charge on each shift. On four weekend days in May 2023, unit 2C had three CNAs instead of four during the 2:30 PM to 10:30 PM shift, causing staffing shortages.
Report Facts
Deficiencies cited: 2
Staffing shortage days: 4
Unit capacity: 40
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | Registered Nurse Supervisor | Named in relation to failure to update care plan with physician's order for bilateral hand rolls. |
| Director of Nursing Services | Director of Nursing Services | Interviewed regarding care plan meeting invitations and staffing issues. |
| Staffing Coordinator | Staffing Coordinator | Interviewed about CNA staffing shortages on weekends. |
| Administrator | Administrator | Interviewed about awareness of staffing shortages and facility recruitment challenges. |
Inspection Report
Capacity: 60
Deficiencies: 1
Date: May 2, 2023
Visit Reason
Covid-19 Survey identified a Level 2 standard health citation related to reporting to the national health safety network. Deficiency was not marked as corrected.
Findings
Covid-19 Survey identified a Level 2 standard health citation related to reporting to the national health safety network. Deficiency was not marked as corrected.
Deficiencies (1)
Reporting - national health safety network — quality of care
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Oct 28, 2021
Visit Reason
The inspection was a Recertification Survey to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in treating residents with dignity during feeding, accommodating resident shower schedule preferences, and providing proper assistive hearing devices. Several residents experienced minimal harm or potential for harm due to these deficiencies.
Deficiencies (3)
F 0550: The facility failed to ensure residents were treated with respect and dignity during feeding. CNA #3 was observed instructing Resident #14 in a loud tone and feeding Resident #150 in a rushed manner while standing.
F 0561: The facility did not accommodate Resident #85's request to change shower days, limiting resident choice and self-determination.
F 0685: The facility failed to provide proper assistive hearing devices for Resident #112, who had a malfunctioning hearing aid and was not assisted in obtaining a replacement.
Report Facts
Residents affected: 2
Residents affected: 1
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #3 | Certified Nursing Assistant | Named in feeding and dignity deficiency findings |
| RN #4 | Registered Nurse Unit Coordinator | Interviewed regarding shower schedule and resident care |
| CNA #2 | Certified Nursing Assistant | Involved in shower schedule and resident care |
| RN #3 | Registered Nurse | Interviewed regarding hearing aid deficiency |
| LPN #2 | Licensed Practical Nurse | Interviewed regarding hearing aid collection and care |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 3
Date: Oct 28, 2021
Visit Reason
Inspection found Level 2 standard health citations related to resident rights, self-determination, and treatment/devices to maintain hearing/vision. All deficiencies were corrected by November 19, 2021.
Findings
Inspection found Level 2 standard health citations related to resident rights, self-determination, and treatment/devices to maintain hearing/vision. All deficiencies were corrected by November 19, 2021.
Deficiencies (3)
Resident rights/exercise of rights — quality of care
Self-determination — quality of care
Treatment/devices to maintain hearing/vision — quality of care
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