Inspection Reports for
Long Beach Nursing and Rehabilitation Center
375 East Bay Drive, Long Beach, NY, 11561
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
8.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
61% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Renewal
Capacity: 50
Deficiencies: 1
Date: Mar 21, 2025
Visit Reason
The Recertification Survey and Abbreviated Survey were conducted to assess compliance with nursing staff sufficiency and competency requirements.
Findings
The facility did not ensure sufficient Certified Nursing Assistants staffing on Unit 3 during weekends on multiple dates between September and October 2024. The facility assessment dated December 2024 required five CNAs for day and evening shifts and three for night shifts on Unit 3, but staffing sheets showed only four CNAs assigned on those shifts.
Deficiencies (1)
F 0725: The facility failed to provide enough nursing staff every day to meet the needs of every resident and have a licensed nurse in charge on each shift. Specifically, Unit 3 was insufficiently staffed with Certified Nursing Assistants on weekends during day and evening shifts on specified dates.
Report Facts
Residents on Unit 3: 48
Residents on Unit 3: 49
Residents on Unit 3: 50
Certified Nursing Assistants assigned: 4
Certified Nursing Assistants required: 5
Certified Nursing Assistants required: 3
Inspection Report
Annual Inspection
Deficiencies: 9
Date: Mar 21, 2025
Visit Reason
The survey was a Recertification Survey conducted to assess compliance with regulatory requirements for nursing home operations and resident care.
Findings
The facility was found deficient in multiple areas including pressure ulcer care, range of motion management, tube feeding administration, nurse staffing levels, nurse staffing posting, medication regimen review, medication labeling and storage, food safety and sanitation, and infection prevention and control practices.
Deficiencies (9)
F 0686: The facility failed to ensure residents with pressure ulcers received appropriate treatment and services, including proper air mattress settings and functionality for two residents.
F 0688: The facility did not provide appropriate care to maintain or improve range of motion for a resident with fixed contractures and used gauze rolls without physician orders or care plan.
F 0693: The facility failed to ensure proper enteral feeding administration, including use of correct formula and labeling of feeding bottles for a resident.
F 0725: The facility did not provide sufficient Certified Nursing Assistant staffing on Unit 3 during weekends in September and October 2024.
F 0732: The facility failed to post daily nurse staffing information accurately and consistently at the facility entrance.
F 0756: The facility did not ensure pharmacist recommendations for medication regimen changes were implemented or documented with rationale for one resident.
F 0761: The facility failed to label opened medications with open dates and did not remove discontinued medications from medication carts.
F 0812: The facility did not follow proper food safety and sanitation practices including inadequate dishmachine temperatures, storing wet dishes without drying, unclean storage areas, and improper storage of non-food items on the floor.
F 0880: The facility failed to provide an effective infection prevention and control program, including improper medication handling, incorrect isolation signage, and unclean medication storage areas.
Report Facts
Residents affected: 2
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 1
Staffing shortfalls: 5
Staffing shortfalls: 4
Staffing shortfalls: 50
Dishmachine temperature: 121
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #1 | Registered Nurse Supervisor | Named in medication regimen review and medication labeling deficiencies |
| Licensed Practical Nurse #1 | Named in pressure ulcer care and infection control deficiencies | |
| Director of Nursing Services | Interviewed regarding multiple deficiencies including pressure ulcer care, infection control, and medication labeling | |
| Director of Rehabilitation | Interviewed regarding range of motion care deficiency | |
| Physician #1 | Attending physician involved in medication regimen review deficiency | |
| Pharmacist #1 | Consultant pharmacist involved in medication regimen review and medication labeling deficiencies | |
| Director of Food Services | Interviewed regarding food safety and sanitation deficiencies |
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Apr 8, 2024
Visit Reason
One Level 2 deficiency for reporting to national health safety network; no actual harm but potential for more than minimal harm; widespread scope.
Findings
One Level 2 deficiency for reporting to national health safety network; no actual harm but potential for more than minimal harm; widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jan 30, 2024
Visit Reason
One Level 2 deficiency for reporting to national health safety network; no actual harm but potential for more than minimal harm; widespread scope.
Findings
One Level 2 deficiency for reporting to national health safety network; no actual harm but potential for more than minimal harm; widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Nov 20, 2023
Visit Reason
One Level 2 deficiency for reporting to national health safety network; no actual harm but potential for more than minimal harm; widespread scope.
Findings
One Level 2 deficiency for reporting to national health safety network; no actual harm but potential for more than minimal harm; widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Nov 6, 2023
Visit Reason
One Level 2 deficiency for reporting to national health safety network; no actual harm but potential for more than minimal harm; widespread scope.
Findings
One Level 2 deficiency for reporting to national health safety network; no actual harm but potential for more than minimal harm; widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Oct 30, 2023
Visit Reason
One Level 2 deficiency for reporting to national health safety network; no actual harm but potential for more than minimal harm; widespread scope.
Findings
One Level 2 deficiency for reporting to national health safety network; no actual harm but potential for more than minimal harm; widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 7
Date: Sep 13, 2023
Visit Reason
Multiple Level 2 deficiencies including competent nursing staff, drug regimen review, infection prevention & control, physician visits; life safety code deficiencies for electrical systems, fire alarm system, and door maintenance; all corrected by November 2023.
Findings
Multiple Level 2 deficiencies including competent nursing staff, drug regimen review, infection prevention & control, physician visits; life safety code deficiencies for electrical systems, fire alarm system, and door maintenance; all corrected by November 2023.
Deficiencies (7)
Competent nursing staff
Drug regimen review, report irregular, act on
Infection prevention & control
Physician visits - review care/notes/order
Electrical systems - essential electric system
Fire alarm system - testing and maintenance
Maintenance, inspection & testing - doors
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Sep 13, 2023
Visit Reason
The inspection was a Recertification Survey conducted to assess compliance with regulatory requirements for Long Beach Nursing and Rehabilitation Center.
Findings
The facility was found deficient in multiple areas including failure to ensure timely physician review of medication monitoring, inadequate nurse aide competency in offloading pressure ulcers, lack of timeframes in the drug regimen review policy, and improper infection control practices during medication administration.
Deficiencies (4)
F 0711: The facility did not ensure the resident's Primary Care Physician comprehensively reviewed the resident's medication program, resulting in a delayed serum Digoxin level test and continuation of a medication with a critically high level.
F 0726: Nurse aides failed to demonstrate competency in offloading heels for a resident with a Stage 4 pressure ulcer, as the resident's heels were observed resting on the mattress contrary to the care plan.
F 0756: The facility's Drug Regimen Review policy lacked defined timeframes for physician review and response to pharmacist recommendations.
F 0880: The facility did not maintain an infection prevention program during medication administration, as a nurse handled medications with gloved hands contacting medication surfaces, contrary to infection control standards.
Report Facts
Serum Digoxin level: 2.25
Pressure ulcer size: 6
Pressure ulcer size: 3.5
Brief Interview for Mental Status (BIMS) score: 7
Brief Interview for Mental Status (BIMS) score: 13
Brief Interview for Mental Status (BIMS) score: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Physician #1 | Primary Care Physician | Named in delayed serum Digoxin level monitoring and medication discontinuation. |
| RN Supervisor (RN #4) | Registered Nurse Supervisor | Documented and reviewed serum Digoxin level and communicated with PCP. |
| RN #3 | Registered Nurse | Observed improperly handling medications with gloved hands during medication administration. |
| Director of Nursing Services (DNS) | Director of Nursing Services | Interviewed regarding communication failures and infection control policy. |
| Medical Director | Medical Director | Interviewed regarding drug regimen review policy and Digoxin monitoring. |
| RN #1 | Registered Nurse | Observed resident's heels resting on pillows but did not offload heels. |
| RN #2 | Wound Care Nurse | Interviewed about proper heel offloading and staff training. |
| ADNS | Assistant Director of Nursing Services | Responsible for staff training on heel offloading. |
| Physician Assistant (PA) #1 | Physician Assistant | Documented resident evaluations and discussed case with PCP. |
| Physician Assistant (PA) #2 | Physician Assistant | Documented resident follow-up care and recommended Digoxin level check. |
| RN Infection Preventionist (IP) | Infection Preventionist | Interviewed about medication administration infection control practices. |
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jan 17, 2023
Visit Reason
One Level 2 deficiency for reporting to national health safety network; no actual harm but potential for more than minimal harm; widespread scope.
Findings
One Level 2 deficiency for reporting to national health safety network; no actual harm but potential for more than minimal harm; widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jan 9, 2023
Visit Reason
One Level 2 deficiency for reporting to national health safety network; no actual harm but potential for more than minimal harm; widespread scope.
Findings
One Level 2 deficiency for reporting to national health safety network; no actual harm but potential for more than minimal harm; widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Oct 24, 2022
Visit Reason
One Level 2 deficiency for reporting to national health safety network; no actual harm but potential for more than minimal harm; widespread scope.
Findings
One Level 2 deficiency for reporting to national health safety network; no actual harm but potential for more than minimal harm; widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jun 21, 2022
Visit Reason
One Level 2 deficiency for reporting to national health safety network; no actual harm but potential for more than minimal harm; widespread scope.
Findings
One Level 2 deficiency for reporting to national health safety network; no actual harm but potential for more than minimal harm; widespread scope.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Feb 23, 2022
Visit Reason
One Level 2 deficiency for free from abuse and neglect; no actual harm but potential for more than minimal harm; isolated scope; corrected as of May 3, 2022.
Findings
One Level 2 deficiency for free from abuse and neglect; no actual harm but potential for more than minimal harm; isolated scope; corrected as of May 3, 2022.
Deficiencies (1)
Free from abuse and neglect
Inspection Report
Annual Inspection
Deficiencies: 10
Date: Jul 13, 2021
Visit Reason
The survey was a Recertification Survey and Abbreviated Survey including complaint investigations conducted to assess compliance with regulatory requirements for nursing home care.
Complaint Details
Complaint #NY 00273922 and Complaint #NY 00272845 were investigated as part of the Recertification and Abbreviated Survey. Findings included failure to honor resident preferences, delayed physician notification, inadequate care plans, unsafe medication and environmental practices, and infection control breaches.
Findings
The facility was found deficient in multiple areas including failure to honor resident preferences, delayed physician notification for clinical complications, incomplete and outdated care plans, inadequate wound care and treatment, unsafe medication administration practices, environmental hazards, improper infection control practices, and unsafe mechanical lift equipment.
Deficiencies (10)
F 0561: The facility did not consistently honor Resident #45's request to be placed back to bed between 4:30 and 5:30 PM, resulting in prolonged wheelchair sitting.
F 0580: Resident #317's physician was not notified timely of a malodorous unstageable pressure ulcer, delaying treatment and hospitalization.
F 0656: The facility failed to develop a comprehensive care plan with measurable goals and interventions for Resident #53's hoarding behavior.
F 0657: The facility did not review and revise care plans to reflect Resident #45's preference for bed placement time and Resident #317's removal of bilateral siderails.
F 0684: Resident #84 was readmitted with multiple ulcers but the facility delayed assessment and treatment for three days after readmission.
F 0686: The facility failed to maintain a safe environment by leaving four razors in Resident #5's room and leaving oral medications unattended for Resident #75.
F 0726: Certified Nursing Assistant transferred Resident #45 using a mechanical lift without the required two-person assistance as ordered.
F 0812: The cooking range hood panels were heavily soiled with grime, grease, soot, and debris, indicating inadequate cleaning and maintenance.
F 0880: The wound care nurse failed to follow proper hand hygiene during wound care for Resident #22, risking cross contamination.
F 0908: Two Sarita mechanical lifts used for resident transfers had broken leg strap buckles, compromising resident safety.
Report Facts
Residents reviewed for Activities of Daily Living: 4
Residents reviewed for Pressure Ulcers: 3
Residents reviewed for accidents: 2
Residents affected by deficiencies: 1
Length of cooking range hood: 20
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #2 | Wound Care Nurse | Named in delayed wound assessment and infection control deficiency |
| RN #4 | Registered Nurse | Documented wound odor but failed to notify physician timely |
| DNS | Director of Nursing Services | Interviewed regarding multiple deficiencies including care plan updates and staff compliance |
| CNA #6 | Certified Nursing Assistant | Transferred Resident #45 alone despite two-person lift order |
| RN #10 | Registered Nurse Supervisor | Interviewed about CNA compliance with transfer orders |
| FSD | Food Service Director | Interviewed about cooking range hood cleaning deficiencies |
| Administrator | Facility Administrator | Interviewed about environmental and safety deficiencies |
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