Inspection Reports for Lynbrook Restorative Therapy and Nursing
243 Atlantic Avenue, Lynbrook, NY, 11563
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 11, 2024, identified deficiencies related to pharmaceutical services, including controlled substance record-keeping, medication labeling and storage, and infection prevention and control practices. Earlier inspections showed mostly clean results with occasional issues in sprinkler system installation and infection control, some of which were corrected. Inspectors cited recurring themes around medication management and infection control protocols, including failure to follow contact isolation precautions and discrepancies in medication counts. A substantiated complaint investigation in 2021 found failures in notifying family of condition changes, wound care documentation, and infection control practices, but no enforcement actions or fines were listed in the available reports. The facility’s inspection history shows some ongoing challenges in medication and infection control areas, with no clear trend of improvement or worsening in recent years.
Deficiencies (last 3 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
Inspection Report
Annual Inspection| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Named in medication administration documentation deficiency and undated supplement bottle | |
| Registered Nurse #2 | Nurse Supervisor for Unit 2 | Stated expectations for controlled substance record updates and medication cart checks |
| Director of Nursing Services | Stated expectations for medication documentation and infection control compliance | |
| Pharmacist #1 | Stated supplement discard guidelines and expectations | |
| Registered Nurse #1 | Unit Supervisor | Stated expectations for contact isolation precautions compliance |
| Certified Nursing Assistant #1 | Observed breaching infection control by not wearing PPE and not performing hand hygiene | |
| Infection Preventionist | Stated requirements for contact isolation precautions |
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Complaint Investigation| Name | Title | Context |
|---|---|---|
| RN #7 | Registered Nurse Supervisor | Interviewed and acknowledged failure to notify family of resident's change in condition |
| Director of Nursing Services | Director of Nursing | Interviewed and stated family should be notified of any change in condition and thorough wound assessments should be documented |
| RN #2 | Wound Care Registered Nurse | Interviewed regarding wound assessment responsibilities and documentation |
| RN #3 | Wound Care Registered Nurse | Interviewed and admitted wound assessments were not thorough |
| Wound Care Physician | Physician | Interviewed and acknowledged poor documentation and lack of access to EMR |
| LPN #1 | Licensed Practical Nurse | Observed not donning PPE and not performing hand hygiene during medication pass for resident with C-Diff; admitted oversight |
| RN Infection Preventionist | Infection Preventionist | Interviewed regarding PPE requirements and hand hygiene recommendations for C-Diff resident |
| RN Supervisors #2 and #3 | Registered Nurse Supervisors | Interviewed and stated PPE should have been worn during medication pass for C-Diff resident |
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