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Inspection Reports for Maria Regina Rehabilitation and Nursing

1725 Brentwood Rd - Bldg 1, Brentwood, NY, 11717

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Inspection Report Summary

The most recent inspection on January 28, 2025, found multiple quality of care and life safety deficiencies, all of which were corrected by March 19, 2025. Earlier inspections showed a pattern of quality of care and life safety issues, including staffing, care planning, medication labeling, and fire safety system maintenance. Complaint investigations were not listed in the available reports, and no fines or enforcement actions were noted. Prior reports identified accident hazards and nursing staff competence as areas needing attention, with all cited issues addressed promptly. The facility’s correction of deficiencies over time suggests efforts toward improvement, though some recurring themes appeared across reports.

Deficiencies (last 4 years)

Deficiencies (over 4 years) 6.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

27% worse than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

20 15 10 5 0
2022
2023
2024
2025
High (Actual Harm) Moderate (Potential Harm) Low (Minimal Harm)
State average

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 17 Date: Jan 28, 2025
Visit Reason
Multiple quality of care and life safety deficiencies identified, all corrected by March 19, 2025 or earlier.
Findings
Multiple quality of care and life safety deficiencies identified, all corrected by March 19, 2025 or earlier.
Deficiencies (17)
Accuracy of assessments — quality of care
Care plan timing and revision — quality of care
Develop/implement comprehensive care plan — quality of care
Label/store drugs and biologicals — quality of care
Nutrition/hydration status maintenance — quality of care
Reporting of alleged violations — quality of care
Resident self-admin meds-clinically approp — quality of care
Resident's care supervised by a physician — quality of care
Sufficient nursing staff — quality of care
Develop ep plan, review and update annually — life safety code
Electrical systems - essential electric syste — life safety code
Electrical systems - other — life safety code
Fire alarm system - testing and maintenance — life safety code
Fire drills — life safety code
Fundamentals - building system categories — life safety code
Physical environment — life safety code
Sprinkler system - maintenance and testing — life safety code

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Apr 23, 2024
Visit Reason
One Level 3 quality of care deficiency related to accident hazards, corrected by June 12, 2024.
Findings
One Level 3 quality of care deficiency related to accident hazards, corrected by June 12, 2024.
Deficiencies (1)
Free of accident hazards/supervision/devices — quality of care

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 7 Date: Sep 25, 2023
Visit Reason
Multiple Level 2 quality of care and life safety deficiencies identified, all corrected by November 15, 2023 or earlier.
Findings
Multiple Level 2 quality of care and life safety deficiencies identified, all corrected by November 15, 2023 or earlier.
Deficiencies (7)
Competent nursing staff — quality of care
Label/store drugs and biologicals — quality of care
Respiratory/tracheostomy care and suctioning — quality of care
Responsibilities of providers; required notif — quality of care
Services provided meet professional standards — quality of care
Corridors - areas open to corridor — life safety code
Sprinkler system - maintenance and testing — life safety code

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Jan 3, 2022
Visit Reason
One Level 2 quality of care deficiency related to reporting to national health safety network, not corrected at time of report.
Findings
One Level 2 quality of care deficiency related to reporting to national health safety network, not corrected at time of report.
Deficiencies (1)
Reporting - national health safety network — quality of care

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