Inspection Reports for Massapequa Center Rehabilitation & Nursing

101 Louden Ave, Amityville, NY 11701, United States, NY, 11701

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 5.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

14% worse than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

8 6 4 2 0
2021
2022
2023
2024
Inspection Report Complaint Investigation Capacity: 60 Deficiencies: 6 Dec 11, 2024
Visit Reason
Complaint Survey with 4 health and 2 life safety citations, including deficiencies in ADL care, infection control, medication labeling, quality of care, building construction, and cooking facilities. All deficiencies corrected by early 2025.
Findings
Complaint Survey with 4 health and 2 life safety citations, including deficiencies in ADL care, infection control, medication labeling, quality of care, building construction, and cooking facilities. All deficiencies corrected by early 2025.
Deficiencies (6)
DescriptionSeverity
ADL care provided for dependent residentsLevel 2
Infection prevention & controlLevel 2
Label/store drugs and biologicalsLevel 2
Quality of careLevel 2
Building construction type and heightLevel 2
Cooking facilitiesLevel 2
Inspection Report Annual Inspection Deficiencies: 4 Dec 11, 2024
Visit Reason
The Recertification Survey was initiated on 12/3/2024 and completed on 12/11/2024 to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in multiple areas including failure to provide adequate assistance with activities of daily living, failure to provide treatment and care according to physician orders, improper medication storage, and failure to implement an infection prevention and control program as required.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 4
Deficiencies (4)
DescriptionSeverity
Failure to ensure residents unable to perform activities of daily living received necessary grooming and hygiene assistance, identified for Resident #146 with long, yellow fingernails on contracted right hand.Level of Harm - Minimal harm or potential for actual harm
Failure to provide appropriate treatment and care according to orders and resident preferences, identified for Resident #120 with untreated chronic forehead lesion and Resident #93 with missed antibiotic eye drops.Level of Harm - Minimal harm or potential for actual harm
Failure to ensure drugs and biologicals were stored in locked compartments; identified for Resident #46 with Calcitonin nasal spray left unattended on overbed table.Level of Harm - Minimal harm or potential for actual harm
Failure to implement an ongoing infection prevention and control program; Resident #14 with chronic infected wound was not placed on Enhanced Barrier Precautions as required.Level of Harm - Minimal harm or potential for actual harm
Report Facts
Physician's Orders for Polytrim eye drops: 4 Missed doses of Polytrim eye drops: 6 Calcitonin Spray dosage: 200
Employees Mentioned
NameTitleContext
Certified Nursing Assistant #3Certified Nursing AssistantAssigned aide who noticed Resident #146's long nails and attempted to get nail clipper
Licensed Practical Nurse #6Unit NurseStated Certified Nursing Assistant should check Resident #146's nails and nurse must trim nails for diabetic residents
Certified Nursing Assistant #7Certified Nursing AssistantResident #146's regularly assigned CNA who noticed long nails and reported refusal to nurse
Director of Nursing ServicesDirector of Nursing ServicesProvided statements on nail care policies and infection control responsibilities
Registered Nurse #1Registered NurseEntered Physician's Orders for Polytrim eye drops and communicated with Ophthalmologist
Licensed Practical Nurse #1Licensed Practical NurseNoticed Polytrim eye drops had stopped and coordinated with resident's representative
OptometristOptometristProvided consultation on importance of Polytrim eye drops for Resident #93
Licensed Practical Nurse #3Medication NurseAdministered Calcitonin nasal spray to Resident #46 and left medication unattended
Licensed Practical Nurse #4Charge NurseReported awareness that Resident #46 cannot self-administer medications and medication should not be left unattended
Pharmacist #1PharmacistAdvised on proper storage of Calcitonin spray bottle
Wound Care NurseWound Care NurseReported Resident #14 received daily wound treatments
Infection PreventionistInfection PreventionistResponsible for tracking residents requiring Enhanced Barrier Precautions; acknowledged oversight for Resident #14
Physician #3PhysicianProvided information on Resident #120's chronic forehead lesion and family refusal of further workup
Nurse Practitioner #2Nurse PractitionerReported no treatment ordered for Resident #120's chronic forehead lesion
Inspection Report Complaint Investigation Capacity: 60 Deficiencies: 3 Jun 1, 2023
Visit Reason
Complaint Survey with 1 health and 2 life safety citations, including provider responsibilities, building construction, and electrical systems deficiencies. All corrected by late 2023.
Findings
Complaint Survey with 1 health and 2 life safety citations, including provider responsibilities, building construction, and electrical systems deficiencies. All corrected by late 2023.
Deficiencies (3)
DescriptionSeverity
Responsibilities of providers; required notifLevel 0
Building construction type and heightLevel 2
Electrical systems - essential electric systeLevel 2
Inspection Report Annual Inspection Deficiencies: 0 Jun 1, 2023
Visit Reason
The inspection was conducted as a standard annual survey of the nursing home facility to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report Complaint Investigation Capacity: 60 Deficiencies: 2 Oct 12, 2022
Visit Reason
Complaint Survey with 2 health citations related to pest control and medication errors. Deficiencies corrected by end of October 2022.
Findings
Complaint Survey with 2 health citations related to pest control and medication errors. Deficiencies corrected by end of October 2022.
Deficiencies (2)
DescriptionSeverity
Maintains effective pest control programLevel 2
Residents are free of significant med errorsLevel 2
Inspection Report Complaint Investigation Capacity: 60 Deficiencies: 1 Feb 21, 2022
Visit Reason
Covid-19 Survey with 1 health citation for reporting to national health safety network. Deficiency widespread and not corrected at time of report.
Findings
Covid-19 Survey with 1 health citation for reporting to national health safety network. Deficiency widespread and not corrected at time of report.
Deficiencies (1)
DescriptionSeverity
Reporting - national health safety networkLevel 2
Inspection Report Annual Inspection Deficiencies: 7 May 4, 2021
Visit Reason
The inspection was a Recertification Survey conducted to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in multiple areas including resident self-determination regarding self-medication, failure to investigate alleged abuse, delayed response to pulmonary consult recommendations, lack of physician rationale for continued use of certain medications, inappropriate use of psychotropic medications without timely psychiatric consultation, delayed psychiatric consults, and inaccurate electronic medical records due to deletion of consult notes.
Severity Breakdown
Level of Harm - Minimal harm or potential for actual harm: 7
Deficiencies (7)
DescriptionSeverity
Facility did not ensure residents' right to self-administer nutritional supplements; Resident #548 was not assessed for self-medication.Level of Harm - Minimal harm or potential for actual harm
Facility failed to investigate an allegation of a CNA attempting to photograph Resident #174 while disrobed.Level of Harm - Minimal harm or potential for actual harm
Facility did not provide necessary care to Resident #550 by not addressing Pulmonary Consult recommendations timely.Level of Harm - Minimal harm or potential for actual harm
Attending Physician did not document rationale for disagreement with Pharmacy consultant's recommendation to stop Diphenhydramine for Resident #222.Level of Harm - Minimal harm or potential for actual harm
Facility did not ensure Resident #498 remained free of unnecessary psychotropic drugs; Seroquel prescribed without proper psychiatric consultation.Level of Harm - Minimal harm or potential for actual harm
Outside professional psychiatric services for Resident #222 were not furnished in a timely manner; psychiatry consult delayed over six weeks.Level of Harm - Minimal harm or potential for actual harm
Facility did not maintain accurate Electronic Medical Records; Pulmonologist's consult note was erroneously deleted from EMR.Level of Harm - Minimal harm or potential for actual harm
Report Facts
Medication administration delay: 4 Psychiatry consult delay: 47 Days Resident #498 resisted care: 16 Days Resident #498 displayed frequent crying/tearfulness: 11 Days Resident #498 displayed yelling/screaming: 3 Days Resident #498 displayed wandering: 11
Employees Mentioned
NameTitleContext
Registered Nurse Supervisor #4RN SupervisorInterviewed regarding self-medication policy and abuse allegation investigation
Registered Nurse Supervisor #2Assistant Director of Nursing ServicesInterviewed regarding self-medication policy and abuse allegation investigation
Licensed Practical Nurse #5LPNReported abuse allegation and interviewed about incident documentation
Certified Nursing Assistant #9CNAAlleged to have attempted to photograph Resident #174 while disrobed
Director of Nursing ServicesDNSInterviewed regarding facility policies and investigation of abuse allegation
PhysicianInterviewed regarding delayed response to Pulmonary Consult and medication rationale
PulmonologistConsulted on Resident #550 and interviewed about delayed follow-up
Registered Nurse Supervisor #5RN SupervisorInterviewed regarding delayed psychiatric consult for Resident #222

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