Inspection Reports for North Westchester Restorative Therapy and Nursing Center

3550 Lexington Ave, Mohegan Lake, NY 10547, NY, 10547

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Inspection Report Complaint Investigation Deficiencies: 41 May 23, 2025
Visit Reason
State-compiled facility profile showing multiple complaint surveys and Covid-19 surveys from 2021 to 2025 with deficiency and citation history.
Findings
Across all inspections, the facility received multiple Level 2 deficiencies primarily related to quality of care and life safety code issues, with no citations involving actual harm or immediate jeopardy. All deficiencies noted were corrected by the dates indicated.
Complaint Details
The facility received 8 complaints from November 1, 2021 to October 31, 2025, with 9 complaint-related on-site inspections and 4 complaint-related citations during this period.
Severity Breakdown
Level 2: 44 Level 1: 2
Deficiencies (41)
DescriptionSeverity
Develop/implement comprehensive care plan: Standard Health Inspection Citation pertaining to quality of care.Level 2
Quality of care: Standard Health Inspection Citation pertaining to quality of care.Level 2
Resident records - identifiable information: Standard Health Inspection Citation pertaining to quality of care.Level 2
Infection prevention & control: Standard Health Inspection Citation pertaining to quality of care.Level 2
Right to access/purchase copies of records: Standard Health Inspection Citation pertaining to quality of care.Level 2
Department criminal history review: Standard Health Inspection Citation pertaining to quality of care.Level 2
Develop/implement comprehensive care plan: Standard Health Inspection Citation pertaining to quality of care.Level 2
Food procurement,store/prepare/serve-sanitary: Standard Health Inspection Citation pertaining to quality of care.Level 2
Free from abuse and neglect: Standard Health Inspection Citation pertaining to quality of care.Level 2
Free of accident hazards/supervision/devices: Standard Health Inspection Citation pertaining to quality of care.Level 2
Pain management: Standard Health Inspection Citation pertaining to quality of care.Level 2
Pharmacy srvcs/procedures/pharmacist/records: Standard Health Inspection Citation pertaining to quality of care.Level 2
Reporting of alleged violations: Standard Health Inspection Citation pertaining to quality of care.Level 2
Residents are free of significant med errors: Standard Health Inspection Citation pertaining to quality of care.Level 2
Respiratory/tracheostomy care and suctioning: Standard Health Inspection Citation pertaining to quality of care.Level 2
Reporting - national health safety network: Standard Health Inspection Citation pertaining to quality of care.Level 2
Reporting - national health safety network: Standard Health Inspection Citation pertaining to quality of care.Level 2
Corridor - doors: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Electrical equipment - power cords and extens: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Exit signage: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Fire drills: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Portable fire extinguishers: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Subdivision of building spaces - smoke barrie: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Subdivision of building spaces - smoke barrie: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Egress doors: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Electrical equipment - power cords and extens: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Electrical systems - essential electric syste: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Electrical systems - essential electric syste: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Ep testing requirements: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 1
Fire alarm system - testing and maintenance: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Fire drills: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Horizontal sliding doors: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Illumination of means of egress: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Maintenance, inspection & testing - doors: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Physical environment: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Portable space heaters: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Smoke detection: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Smoking regulations: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Sprinkler system - maintenance and testing: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Subdivision of building spaces - smoke barrie: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 2
Subsistence needs for staff and patients: Standard Life Safety Code Citation pertaining to life safety code requirements.Level 1
Report Facts
Inspections on page: 7 Total citations: 16 Number of complaints: 8 Complaint-related inspections: 9 Complaint-related citations: 15

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