Inspection Reports for
Medford Multicare Center for Living
3115 Horseblock Road, Medford, NY, 11763
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
11.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
129% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: Jun 2, 2025
Visit Reason
The abbreviated survey was initiated to investigate allegations of abuse reported by Resident #1 regarding being punched in the ribs by nursing staff.
Complaint Details
The investigation was complaint-related based on Resident #1's allegation of being punched in the ribs by nursing staff on 4/14/2025. The facility concluded the allegation was not substantiated based on interviews and assessments, but failed to document overnight staff interviews. The complaint was investigated but not substantiated.
Findings
The facility did not ensure all incidents, including allegations of abuse, were thoroughly investigated. Specifically, there was no documented evidence that overnight staff were interviewed to rule out abuse, despite verbal interviews reportedly conducted but not documented.
Deficiencies (1)
10NYCRR 415.4 (b) (3) The facility failed to thoroughly investigate allegations of abuse by not documenting interviews with overnight staff to rule out abuse of Resident #1 who alleged being punched in the ribs by nursing staff.
Report Facts
Residents reviewed for abuse: 3
Brief Interview for Mental Status score: 11
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #1 | Certified Nursing Assistant | Assigned CNA for Resident #1 on 4/14/2025 who reported the allegation to nursing staff |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Reported the allegation to Registered Nurse #1 and was aware of the incident |
| Registered Nurse #1 | Registered Nurse | Assessed Resident #1 and interviewed during investigation |
| Occupational Therapist | Occupational Therapist | Reported Resident #1's allegation and participated in investigation |
| Director of Nursing Services | Director of Nursing Services | Submitted addendum and stated verbal interviews were conducted but not documented |
| Administrator | Administrator | Stated overnight staff interviews were conducted but not documented due to time constraints |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: May 1, 2025
Visit Reason
The inspection was conducted as an abbreviated survey triggered by a complaint alleging physical abuse of a resident by a staff member.
Complaint Details
Complaint # NY00378355 was substantiated. The investigation found reasonable cause to believe abuse, neglect, or mistreatment occurred. The resident was cognitively impaired and unable to self-report. Law enforcement and next of kin were notified.
Findings
The facility did not ensure one of three residents reviewed was free from physical abuse by a Certified Nursing Assistant who was observed on video shaking the resident in a wheelchair. The facility investigation found reasonable cause to believe abuse occurred, leading to suspension and termination of the staff member.
Deficiencies (1)
F 0600: Protect each resident from all types of abuse including physical abuse. The facility failed to prevent physical abuse when a Certified Nursing Assistant was observed shaking a resident in a wheelchair. The staff member was suspended and terminated following the incident.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #1 | Named in physical abuse finding and subsequent suspension and termination. | |
| Administrator | Interviewed regarding the abuse incident and staff termination. |
Inspection Report
Annual Inspection
Deficiencies: 5
Date: Feb 28, 2025
Visit Reason
The inspection was a Recertification Survey conducted from 2/24/2025 to 2/28/2025 to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in multiple areas including failure to develop timely and effective care plans for residents, improper administration and monitoring of intravenous fluids, oxygen therapy provided without physician orders, and inadequate infection prevention and control practices.
Deficiencies (5)
F 0655: The facility failed to create and implement a baseline care plan for Resident #519 admitted with COVID-19, lacking a care plan for Droplet and Contact Precautions.
F 0694: The facility did not ensure proper monitoring and measurement of the Peripheral Inserted Central Catheter (PICC) site for Resident #242, missing documentation of assessments and external catheter length measurements.
F 0695: Resident #32 received oxygen therapy without a physician's order, and the facility failed to develop a care plan or monitor oxygen saturation as recommended.
F 0711: The facility did not ensure the resident's physician reviewed the total program of care, including medications and treatments, at each required visit for Resident #32 receiving oxygen therapy.
F 0880: The facility failed to maintain an effective infection prevention and control program, including staff not wearing required personal protective equipment when caring for residents with infectious conditions such as MDRO pneumonia and Clostridium difficile.
Report Facts
Residents reviewed for Infection Control: 3
Residents reviewed for Hydration: 3
Residents reviewed for Respiratory Care: 5
Duration of Droplet/Contact Precautions: 10
PICC flush volume: 10
Oxygen flow rate: 2
Contact Precautions order duration: 31
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse Clinical Care Coordinator #1 | Registered Nurse Clinical Care Coordinator | Interviewed regarding care plan deficiencies for Resident #519 and PICC line monitoring for Resident #242. |
| Registered Nurse Infection Preventionist #1 | Registered Nurse Infection Preventionist | Interviewed about care plan requirements for Droplet and Contact Precautions for Resident #519 and infection control practices. |
| Director of Nursing Services | Director of Nursing Services | Interviewed regarding care plan development and infection control compliance. |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Interviewed about PICC line care responsibilities. |
| Licensed Practical Nurse #9 | Licensed Practical Nurse | Interviewed about oxygen therapy administration for Resident #32. |
| Registered Nurse Manager #1 | Registered Nurse Manager | Interviewed about oxygen therapy and physician orders for Resident #32. |
| Physician #1 | Physician | Interviewed about oxygen therapy orders for Resident #32. |
| Respiratory Therapist #1 | Respiratory Therapist | Observed and interviewed regarding infection control practices during tracheostomy care for Resident #147. |
| Certified Nursing Assistant #3 | Certified Nursing Assistant | Observed and interviewed regarding failure to use Personal Protective Equipment for Resident #521. |
| Infectious Disease Physician | Infectious Disease Physician | Interviewed about appropriate PPE use for Respiratory Therapist #1. |
| Medical Director | Medical Director | Interviewed about infection control requirements for Respiratory Therapist #1. |
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Apr 26, 2024
Visit Reason
The Recertification Survey was initiated to assess compliance with regulations related to enteral feeding care and treatment for residents with feeding tubes.
Findings
The facility failed to ensure appropriate care for residents receiving enteral feeding, including improper positioning during feeding and failure to label feeding bottles with required information.
Deficiencies (3)
F 0693: The facility did not ensure that feeding tubes were used only with medical justification and resident agreement, and appropriate care was not provided to prevent complications such as aspiration during tube feeding.
Resident #69 was observed lying flat in bed while receiving tube feeding, contrary to policy requiring head of bed elevation at 30-45 degrees to prevent aspiration.
Resident #148's tube feeding bottles were not labeled with nursing initials, date, and time as required by facility policy.
Report Facts
Tube feeding formula volume: 1000
Tube feeding rate: 50
Tube feeding formula volume: 1500
Tube feeding formula volume: 3000
Tube feeding rate: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #7 | Observed providing care to Resident #69 while tube feeding was running and lying flat | |
| Certified Nursing Assistant #8 | Assisted care for Resident #69 and unaware tube feeding was running | |
| Licensed Practical Nurse #8 | Interviewed about proper tube feeding procedures and stopping feeding before care | |
| Director of Nursing Services | Interviewed regarding proper tube feeding care and staff responsibilities | |
| Medical Doctor #2 | Interviewed about tube feeding precautions to prevent aspiration | |
| Licensed Practical Nurse #6 | Interviewed about labeling and hanging tube feeding bottles for Resident #148 | |
| Registered Nurse Supervisor #5 | Interviewed about nursing staff responsibilities for labeling tube feeding bottles |
Inspection Report
Annual Inspection
Deficiencies: 11
Date: Apr 26, 2024
Visit Reason
The survey was a Recertification Survey conducted to assess compliance with state and federal regulations for nursing home care.
Findings
The facility was found deficient in multiple areas including resident dignity and privacy, medication administration, abuse reporting and investigation, care plan development and revision, accident hazard prevention, tube feeding care, dialysis care, medication storage and control, medication error prevention, and privacy in semi-private rooms.
Deficiencies (11)
F 0550: The facility failed to ensure residents were treated with respect and dignity, specifically Resident #92's Foley catheter bag was left uncovered and visible from the hallway on two occasions.
F 0554: The facility did not ensure the interdisciplinary team determined clinical appropriateness for self-administration of medications for Resident #186, who was observed self-administering inhalers without documented assessment or physician order.
F 0609: The facility failed to timely report allegations of sexual abuse and failed to investigate allegations thoroughly for Resident #26, resulting in immediate jeopardy.
F 0610: The facility failed to respond appropriately to allegations of abuse, neglect, and mistreatment for Resident #26, including failure to remove the alleged abuser from the schedule and conduct a timely investigation.
F 0657: The facility did not ensure comprehensive care plans were reviewed and revised by the interdisciplinary team after each comprehensive and quarterly assessment for Residents #114, #227, and #186.
F 0689: The facility failed to ensure Resident #226's environment was free from accident hazards by not placing Dycem non-slip mats under high floor mats as required by the care plan.
F 0693: The facility failed to ensure proper care for residents with feeding tubes, including Resident #69 lying flat during tube feeding and Resident #148's tube feeding bottles not properly labeled with nurse initials, date, and time.
F 0698: The facility failed to provide safe dialysis care for Resident #152 by not following dialysis center recommendations to hold blood pressure medications before dialysis and failing to notify the physician.
F 0755: The facility failed to ensure pharmaceutical services met resident needs, including inaccurate narcotic counts and missing nurse signatures on controlled drug count sheets on multiple units, and inaccurate reconciliation of controlled substances for Residents #130 and #170.
F 0760: The facility failed to ensure residents were free from significant medication errors, including late administration of insulin for Resident #79 and failure to perform timely blood sugar checks and insulin administration for Resident #143.
F 0914: The facility failed to provide adequate privacy in a semi-private room shared by Residents #108 and #111, as the privacy curtain was too short to prevent Resident #108 from seeing Resident #111's behavior.
Report Facts
Deficiencies cited: 11
Residents affected: 40
Insulin administration delay: 118
Tube feeding rate: 50
Medication counts: 32
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #9 | Named in finding regarding failure to provide privacy bag for Resident #92's Foley catheter. | |
| Registered Nurse #5 | Named in finding regarding failure to ensure privacy bag for Resident #92's Foley catheter. | |
| Certified Nursing Assistant #1 | Named in sexual abuse allegation involving Resident #26. | |
| Registered Nurse #1 | Clinical Care Coordinator | Named in failure to report and investigate sexual abuse allegations for Resident #26. |
| Certified Nursing Assistant #3 | Named in reporting sexual abuse allegation for Resident #26. | |
| Licensed Practical Nurse #1 | Named in failure to report sexual abuse allegations for Resident #26. | |
| Licensed Practical Nurse #6 | Named in medication administration and tube feeding labeling deficiencies. | |
| Licensed Practical Nurse #9 | Named in narcotic count sheet reconciliation deficiency. | |
| Licensed Practical Nurse #10 | Named in narcotic count sheet reconciliation deficiency. | |
| Licensed Practical Nurse #12 | Named in insulin administration delay and medication error findings. | |
| Registered Nurse #3 | Unit Manager | Named in privacy curtain deficiency. |
| Director of Nursing Services | Named in multiple findings including abuse reporting, care plan review, medication administration, and privacy. |
Inspection Report
Deficiencies: 0
Date: Apr 26, 2024
Visit Reason
State-compiled facility profile showing enforcement actions and citation history for Medford Multicare Center for Living from 2015 through 2025 with no citations reported from inspections.
Findings
The facility received no citations from inspections between October 1, 2021 and September 30, 2025. Multiple enforcement actions with fines related to quality of care and multiple deficiencies occurred between 2015 and 2024.
Report Facts
Enforcement actions on page: 8
Total fines: 148000
Inspection Report
Annual Inspection
Capacity: 320
Deficiencies: 14
Date: Jun 8, 2022
Visit Reason
The survey was a Recertification Survey and Abbreviated Survey conducted to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in multiple areas including resident rights regarding room changes, neglect in oral care for ventilator-dependent residents, incomplete care plans, insufficient nursing staffing, delayed physician visits, inadequate dialysis care, missing dental services, improper infection control practices, and failure to ensure COVID-19 vaccination and precautions for staff.
Deficiencies (14)
F 0559: The facility did not ensure residents received written notice before room changes. Resident #396 had multiple room changes without documented prior written notification or reasons.
F 0600: Resident #113, ventilator dependent, was not provided mouth care for approximately two months and did not receive a dental consult as ordered.
F 0656: Resident #10's care plan did not address right elbow bursitis and antibiotic treatment despite physician orders and documented treatment.
F 0656: Resident #270 sustained lip bruising due to missing padded side rails required for seizure precautions.
F 0677: Resident #113, ventilator dependent, was not provided oral care as ordered from admission through survey completion.
F 0685: Resident #10 lost eyeglasses and dentures after hospitalization; dentures were not replaced timely and resident was not seen by dentist for replacement.
F 0698: Resident #191's dialysis site was not consistently monitored for bruit, thrill, bleeding, or infection as ordered, with many shifts lacking documentation.
F 0712: Resident #262 was not seen by a physician at least every 30 days for the first 90 days after admission as required.
F 0725: Facility staffing was insufficient to meet resident needs, with multiple units understaffed for CNAs, LPNs, and RNs, causing delayed care and resident complaints.
F 0755: Resident #190 missed doses of Suboxone for opioid dependence due to delayed physician order and pharmacy delivery.
F 0791: Resident #10 was not provided dental services timely for lost dentures; dentures were lost again and replacement was delayed.
F 0838: Facility assessment did not reflect increased staffing needs for LPNs on day shift and CNAs on ventilator unit (1C).
F 0880: Staff including CNAs and respiratory monitor did not wear face masks properly, exposing residents to infection risk.
F 0888: Facility failed to ensure unvaccinated staff member with medical exemption wore N95 mask as required and lacked proper exemption documentation.
Report Facts
Facility licensed capacity: 320
Shifts missing dialysis site monitoring: 44
Shifts missing bruit and thrill monitoring: 43
Suboxone doses missed: 4
Residents reporting staffing concerns: 6
Residents on ventilator unit: 40
Residents on units with full census: 40
Residents on Unit 1C: 34
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RT #1 | Respiratory Therapist | Unvaccinated staff member with medical exemption not wearing N95 mask as required |
| RN #4 | Registered Nurse | Logged receipt of Suboxone medication on 5/20/2022 |
| NP #2 | Nurse Practitioner | Notified physician and hand-delivered Suboxone prescription |
| RN #5 | Registered Nurse | Faxed Suboxone prescription to pharmacy and communicated delays |
| RN #8 | Registered Nurse, Clinical Care Coordinator | Filed dental consults and reported difficulty obtaining optometry consult |
| DNS | Director of Nursing Services | Interviewed regarding staffing shortages, dental and optometry consults, and mask policies |
| IP #1 | Infection Preventionist / Assistant Director of Nursing | Provided education on mask use and infection control |
| Dentist | Interviewed about dental care and resident examinations | |
| Human Resources Director | Signed for Suboxone delivery but denied receiving medication |
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