Inspection Reports for
Massapequa Center Rehabilitation & Nursing
101 Louden Ave, Amityville, NY 11701, United States, NY, 11701
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Inspection Report — Dec 11, 2024
Complaint Investigation State
Date: Dec 11, 2024
Visit Reason
State-compiled facility profile showing 9 inspections from 2022 to 2024 with deficiency and enforcement history.
Complaint Details
The facility received 60 complaints with 24 on-site inspections conducted. Two citations resulted from those complaints.
Findings
Across 9 inspections, 3 resulted in citations totaling 18 deficiencies primarily related to standard health and life safety code issues. The facility had 60 complaints with 24 on-site inspections and 3 enforcement actions with fines totaling $22,000.
Citations (11)
Standard Health Citation — quality of care: ADL Care Provided For Dependent Residents was deficient.
Standard Health Citation — quality of care: Infection Prevention & Control protocols were not adequately followed.
Standard Health Citation — quality of care: Label/store Drugs And Biologicals improperly handled.
Standard Health Citation — quality of care: Quality Of Care deficiencies noted.
Life Safety Code Citation — NFPA requirements: Building Construction Type And Height did not meet standards.
Life Safety Code Citation — NFPA requirements: Cooking Facilities were deficient.
Standard Health Citation — quality of care: Responsibilities Of Providers; Required Notification were deficient.
Life Safety Code Citation — NFPA requirements: Building Construction Type And Height did not meet standards.
Life Safety Code Citation — NFPA requirements: Electrical Systems - Essential Electric System were deficient.
Standard Health Citation — quality of care: Maintains Effective Pest Control Program was deficient.
Standard Health Citation — quality of care: Residents Are Free Of Significant Med Errors was deficient.
Report Facts
Inspections on page: 9
Total violations/deficiencies cited: 18
Inspections with violations: 3
Inspections without violations: 6
Complaints total: 60
Complaints leading to on-site inspections: 24
Citations from complaints: 2
Enforcement actions: 3
Total fines: 22000
Inspection Report — Dec 11, 2024
Annual Inspection CMS
Date: 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.
Citations (4)
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.
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.
Failure to ensure drugs and biologicals were stored in locked compartments; identified for Resident #46 with Calcitonin nasal spray left unattended on overbed table.
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.
Report Facts
Physician's Orders for Polytrim eye drops: 4
Missed doses of Polytrim eye drops: 6
Calcitonin Spray dosage: 200
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #3 | Certified Nursing Assistant | Assigned aide who noticed Resident #146's long nails and attempted to get nail clipper |
| Licensed Practical Nurse #6 | Unit Nurse | Stated Certified Nursing Assistant should check Resident #146's nails and nurse must trim nails for diabetic residents |
| Certified Nursing Assistant #7 | Certified Nursing Assistant | Resident #146's regularly assigned CNA who noticed long nails and reported refusal to nurse |
| Director of Nursing Services | Director of Nursing Services | Provided statements on nail care policies and infection control responsibilities |
| Registered Nurse #1 | Registered Nurse | Entered Physician's Orders for Polytrim eye drops and communicated with Ophthalmologist |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Noticed Polytrim eye drops had stopped and coordinated with resident's representative |
| Optometrist | Optometrist | Provided consultation on importance of Polytrim eye drops for Resident #93 |
| Licensed Practical Nurse #3 | Medication Nurse | Administered Calcitonin nasal spray to Resident #46 and left medication unattended |
| Licensed Practical Nurse #4 | Charge Nurse | Reported awareness that Resident #46 cannot self-administer medications and medication should not be left unattended |
| Pharmacist #1 | Pharmacist | Advised on proper storage of Calcitonin spray bottle |
| Wound Care Nurse | Wound Care Nurse | Reported Resident #14 received daily wound treatments |
| Infection Preventionist | Infection Preventionist | Responsible for tracking residents requiring Enhanced Barrier Precautions; acknowledged oversight for Resident #14 |
| Physician #3 | Physician | Provided information on Resident #120's chronic forehead lesion and family refusal of further workup |
| Nurse Practitioner #2 | Nurse Practitioner | Reported no treatment ordered for Resident #120's chronic forehead lesion |
Inspection Report — Jun 1, 2023
Annual Inspection CMS
Date: 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 — May 4, 2021
Annual Inspection CMS
Date: 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.
Citations (7)
Facility did not ensure residents' right to self-administer nutritional supplements; Resident #548 was not assessed for self-medication.
Facility failed to investigate an allegation of a CNA attempting to photograph Resident #174 while disrobed.
Facility did not provide necessary care to Resident #550 by not addressing Pulmonary Consult recommendations timely.
Attending Physician did not document rationale for disagreement with Pharmacy consultant's recommendation to stop Diphenhydramine for Resident #222.
Facility did not ensure Resident #498 remained free of unnecessary psychotropic drugs; Seroquel prescribed without proper psychiatric consultation.
Outside professional psychiatric services for Resident #222 were not furnished in a timely manner; psychiatry consult delayed over six weeks.
Facility did not maintain accurate Electronic Medical Records; Pulmonologist's consult note was erroneously deleted from EMR.
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
| Name | Title | Context |
|---|---|---|
| Registered Nurse Supervisor #4 | RN Supervisor | Interviewed regarding self-medication policy and abuse allegation investigation |
| Registered Nurse Supervisor #2 | Assistant Director of Nursing Services | Interviewed regarding self-medication policy and abuse allegation investigation |
| Licensed Practical Nurse #5 | LPN | Reported abuse allegation and interviewed about incident documentation |
| Certified Nursing Assistant #9 | CNA | Alleged to have attempted to photograph Resident #174 while disrobed |
| Director of Nursing Services | DNS | Interviewed regarding facility policies and investigation of abuse allegation |
| Physician | Interviewed regarding delayed response to Pulmonary Consult and medication rationale | |
| Pulmonologist | Consulted on Resident #550 and interviewed about delayed follow-up | |
| Registered Nurse Supervisor #5 | RN Supervisor | Interviewed regarding delayed psychiatric consult for Resident #222 |
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