Deficiencies (last 4 years)
Deficiencies (over 4 years)
7.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
53% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 13
Date: May 30, 2025
Visit Reason
Complaint Survey with 9 health and 4 life safety code citations, all corrected by July 21, 2025.
Findings
Complaint Survey with 9 health and 4 life safety code citations, all corrected by July 21, 2025.
Deficiencies (13)
Develop/implement comprehensive care plan
Infection control
Quality of care
Quality of life
Resident records - identifiable information
Right to be free from physical restraints
Right to survey results/advocate agency info
Self-determination
Treatment/svcs to prevent/heal pressure ulcer
Electrical systems - essential electric system
Emergency lighting
Hazardous areas - enclosure
Vertical openings - enclosure
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: May 13, 2025
Visit Reason
Complaint Survey with 1 health citation corrected by July 4, 2025.
Findings
Complaint Survey with 1 health citation corrected by July 4, 2025.
Deficiencies (1)
Free of accident hazards/supervision/devices
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: May 13, 2025
Visit Reason
The abbreviated survey was conducted to assess the facility's compliance with safety and supervision requirements, specifically focusing on fall prevention and resident safety following incidents involving residents being found on the floor after being left unsupervised.
Findings
The facility failed to provide adequate supervision to prevent accidents for two residents at high risk for falls, resulting in multiple falls with injuries including abrasions and a subdural hematoma. Investigations concluded no abuse or neglect, but staff failed to maintain proper supervision during assigned dining room and bathroom monitoring duties.
Deficiencies (1)
Failure to provide adequate supervision to prevent accidents, resulting in falls of two residents with injuries including abrasions and subdural hematoma.
Report Facts
Residents affected: 2
Fall risk score: 19
Fall risk score threshold: 7
Fall risk assessment date: Dates not specified for fall risk assessments for residents
Tylenol dosage: 650
Subdural hematoma size: 4
Dining room watch duty duration: 30
Scheduled dining room coverage: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #3 | Left dining room unsupervised leading to Resident #2 fall | |
| Registered Nurse #1 | Responded to Resident #2 fall and assessed injuries | |
| Registered Nurse Supervisor #1 | Assessed Resident #2 after fall | |
| Medical Doctor #1 | Assessed Resident #2 and Resident #5, ordered hospital transfers | |
| Certified Nursing Assistant #4 | Left Resident #5 unattended in bathroom leading to fall | |
| Registered Nurse Supervisor #2 | Assessed Resident #5 after bathroom fall and hospital transfer | |
| Certified Nursing Assistant #5 | Was on dining room assignment but was inattentive during Resident #5 fall | |
| Registered Nurse #2 | Responded to Resident #5 fall in dining room | |
| Registered Nurse #3 | Documented Resident #5 fall and assessment | |
| Director of Nursing | Director of Nursing | Notified of incidents and provided statements on staffing and investigations |
| Administrator | Administrator | Provided statements on staff training and incident investigations |
| Assistant Director of Nursing | Assistant Director of Nursing | Provided statements on fall incidents and staff counseling |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 14
Date: Apr 24, 2023
Visit Reason
Complaint Survey with 2 health and 12 life safety code citations, all corrected by May 23, 2023.
Findings
Complaint Survey with 2 health and 12 life safety code citations, all corrected by May 23, 2023.
Deficiencies (14)
Baseline care plan
Reporting of alleged violations
Cooking facilities
Electrical equipment - power cords and extension cords
Electrical equipment - testing and maintenance
Electrical systems - essential electric system
Emergency lighting
Fire alarm system - testing and maintenance
Fundamentals - building system categories
Gas equipment - cylinder and container storage
Hazardous areas - enclosure
Horizontal sliding doors
Sprinkler system - maintenance and testing
Standards of construction for new existing nursing home
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Apr 24, 2023
Visit Reason
The inspection was conducted as a Recertification survey from 4/17/2023 to 4/24/2023 to assess compliance with regulatory requirements including timely reporting of injuries, baseline care planning, and other care standards.
Findings
The facility failed to timely report an injury of unknown source involving Resident #197 to the New York State Department of Health within 2 hours as required. Additionally, the facility did not complete the baseline care plan within 48 hours of admission nor provide a written summary of the baseline care plan to Resident #129 or their representative.
Deficiencies (2)
Failure to timely report suspected abuse or injury of unknown source involving Resident #197 to the State Survey Agency within 2 hours.
Failure to complete baseline care plan within 48 hours of admission and failure to provide resident or representative with a written summary of the baseline care plan for Resident #129.
Report Facts
Residents reviewed for Falls: 38
Residents reviewed for Care Planning: 38
Residents reviewed for Falls with deficiency: 1
Residents reviewed for Care Planning with deficiency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) #1 | Interviewed regarding Resident #197 fall incident and reporting. | |
| Director of Nursing (DON) | Interviewed regarding reporting procedures and fall incident involving Resident #197 and baseline care plan completion. | |
| Assistant Director of Nursing (ADON) | Interviewed regarding responsibility for reporting incidents to NYSDOH and knowledge of reporting requirements. | |
| Registered Nurse (RN) #2 | Interviewed regarding baseline care plan creation and responsibilities. | |
| Social Worker (SW) | Interviewed regarding baseline care plan responsibilities and completion. | |
| Director of Social Services (DSS) | Interviewed regarding oversight of baseline care plan completion and distribution. | |
| MDS Coordinator (MDSC) | Interviewed regarding baseline care plan completion and provision to residents. | |
| Director of Rehab (DR) | Interviewed regarding therapist sections of baseline care plan and monitoring. |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Sep 14, 2020
Visit Reason
The document is an annual inspection report for the New York Center for Rehabilitation & Nursing conducted to assess compliance with health regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Aug 2, 2018
Visit Reason
The inspection was conducted as an annual survey of the New York Center for Rehabilitation & Nursing to assess compliance with health regulations.
Findings
No health deficiencies were found during the inspection.
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