Inspection Reports for
Oasis Rehabilitation and Nursing, LLC
6 Frowein Road, Center Moriches, NY, 11934
Back to Facility Profile5 Reports
Inspection Report — Feb 2, 2026
Annual Inspection CMS
Date: Feb 2, 2026
Visit Reason
The inspection was conducted to assess compliance with care plan development and revision requirements, specifically ensuring comprehensive care plans were reviewed and updated by the interdisciplinary team to reflect residents' preferences and status after assessments.
Findings
The facility failed to ensure that comprehensive care plans for two residents were revised to include the use of ace wraps as ordered by physicians. Both residents had physician orders for ace wraps to their lower extremities, but their care plans did not reflect this treatment or monitoring requirements.
Citations (1)
F 0657: The facility did not revise comprehensive care plans for Resident #75 and Resident #7 to include the use and monitoring of ace wraps as ordered by physicians for lower extremity edema.
Report Facts
Residents affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse Unit Manager #1 | Stated responsibility for updating care plans and acknowledged omission of ace wraps in Resident #75's care plan | |
| Registered Nurse Unit Coordinator #1 | Confirmed Resident #7 had physician's order for ace wraps and care plan should have been updated | |
| Director of Nursing Services | Stated care plans for Residents #75 and #7 should have been updated to include ace wrap use when orders were received |
Inspection Report — Feb 2, 2026
Original Licensing State
Date: Feb 2, 2026
Visit Reason
State-compiled facility profile showing 13 inspections from June 2022 to May 2026 with citation and complaint history.
Complaint Details
The state logged 22 complaints about this facility; 7 led to on-site inspections. Two citations resulted from those complaints.
Findings
Across 13 inspections, 17 citations were issued, mostly standard health citations with one Life Safety Code citation. The facility had 22 complaints with 7 on-site inspections and no formal enforcement actions.
Citations (11)
Standard Health Citation — quality of care: Care Plan Timing And Revision was cited for a certification survey on 2026-02-02.
Standard Health Citation — quality of care: Facility Assessment was cited during the certification survey on 2024-12-19.
Standard Health Citation — quality of care: Infection Prevention & Control was cited during the certification survey on 2024-12-19.
Standard Health Citation — quality of care: Safe/clean/comfortable/homelike Environment was cited during the certification survey on 2024-12-19.
Standard Health Citation — quality of care: Reporting - National Health Safety Network was cited multiple times in COVID19 surveys on 2023-09-25, 2023-07-24, 2023-05-23, 2023-05-08, and 2022-09-12.
Standard Health Citation — quality of care: Free Of Accident Hazards/supervision/devices was cited during a complaint survey on 2023-06-15.
Standard Health Citation — quality of care: Food Procurement,store/prepare/serve-sanitary was cited during a certification/complaint survey on 2023-04-19.
Standard Health Citation — quality of care: Pharmacy Srvcs/procedures/pharmacist/records was cited during a certification/complaint survey on 2023-04-19.
Standard Health Citation — quality of care: Residents Are Free Of Significant Med Errors was cited during a certification/complaint survey on 2023-04-19.
Standard Health Citation — quality of care: Services Provided Meet Professional Standards was cited during a certification/complaint survey on 2023-04-19.
Life Safety Code Citation — NFPA requirements: Electrical Systems - Essential Electric System was cited during a certification/complaint survey on 2023-04-19.
Report Facts
Inspections on page: 13
Total violations/deficiencies cited: 17
Inspections with violations: 9
Inspections without violations: 4
Total complaints: 22
On-site complaint inspections: 7
Citations from complaints: 2
Total enforcement actions: 0
Inspection Report — Dec 19, 2024
Annual Inspection CMS
Date: Dec 19, 2024
Visit Reason
The inspection was a Recertification Survey conducted from 12/15/2024 to 12/19/2024 to assess compliance with regulatory requirements for nursing home operations.
Findings
The facility was found deficient in maintaining a safe, clean, and homelike environment, ensuring adequate facility-wide staffing assessments, and implementing an effective infection prevention and control program, particularly related to COVID-19 precautions.
Citations (3)
F 0584: The facility did not ensure residents were provided a safe, clean, and homelike environment. Resident #292 was observed with a ripped, inverted fitted bed sheet on multiple occasions.
F 0838: The facility failed to conduct a facility-wide assessment that included specific staffing needs for each resident unit and did not document the use of staffing agencies.
F 0880: The facility did not establish and maintain an infection prevention and control program to prevent communicable diseases. Breaches included improper use of personal protective equipment by housekeeping staff and failure to post appropriate COVID-19 isolation signage.
Report Facts
Beds in Starboard unit: 54
Beds in Port unit: 46
Certified Nursing Assistants required - day shift: 11
Certified Nursing Assistants required - evening shift: 7
Certified Nursing Assistants required - night shift: 3
Licensed Nurses required - day and evening shifts: 4
Licensed Nurses required - night shift: 1
COVID-19 positive residents: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #1 | Unit Manager | Interviewed regarding bed sheet issue for Resident #292 |
| Certified Nursing Assistant #1 | CNA | Interviewed regarding bed sheet issue for Resident #292 |
| Housekeeping Director | Interviewed regarding housekeeping and infection control practices | |
| Director of Nursing Services | Interviewed regarding bed sheet change policy and infection control | |
| Housekeeper #1 | Observed and interviewed regarding infection control breach | |
| Licensed Practical Nurse #1 | Responded to infection control breach and interviewed | |
| Registered Nurse #2 | Unit Manager | Interviewed regarding infection control signage and outbreak |
| Infection Preventionist | Interviewed regarding COVID-19 outbreak and infection control practices | |
| Administrator | Interviewed regarding facility assessment and staffing |
Inspection Report — Jun 15, 2023
Abbreviated Survey CMS
Date: Jun 15, 2023
Visit Reason
The abbreviated survey was conducted to evaluate compliance with food allergy protocols after a reported incident where a resident was served food containing allergens.
Findings
The facility failed to ensure that Resident #1 was not served food containing fish and shellfish allergens. The resident was given a crab cake despite documented allergies, resulting in a minimal harm incident with no apparent distress.
Citations (1)
F 0689: The facility did not ensure Resident #1's environment was free from accident hazards related to food allergies. Resident #1 was served food containing fish and shellfish allergens despite documented allergies and protocols.
Report Facts
Residents Affected: 1
Date of incident: Feb 26, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | LPN | Documented resident complaint and assessment after allergen exposure. |
| Registered Nurse Supervisor #1 | RNS | Responded to resident and assessed after allergen exposure. |
| Food Service Supervisor #1 | Interviewed regarding the allergen incident and food preparation. | |
| Dietician #1 | Interviewed regarding documentation and food allergy protocols. | |
| Food Service Director #1 | FSD | Interviewed regarding the allergen incident and food service errors. |
| Certified Nurse Assistant #1 | CNA | Interviewed about meal delivery and resident interaction. |
| Physician Assistant #1 | PA | Notified and ordered Benadryl after allergen exposure. |
| Director of Nursing Services | DNS | Interviewed regarding the incident and staff awareness. |
Inspection Report — Apr 19, 2023
Annual Inspection CMS
Date: Apr 19, 2023
Visit Reason
The inspection was a Recertification Survey conducted to assess compliance with professional standards of quality, medication management, food safety, and other regulatory requirements at Oasis Rehabilitation and Nursing, LLC.
Findings
The facility was found deficient in ensuring proper rotation of injection sites for anticoagulant administration, accurate medication orders and administration particularly for Lasix beyond prescribed duration, and proper food storage and expiration date management in the kitchen.
Citations (4)
F 0658: The facility failed to ensure rotation of subcutaneous injection sites for Lovenox, resulting in bruising on Resident #21's abdomen due to repeated injections at the same site.
F 0755: The facility did not ensure pharmaceutical services met resident needs, as Resident #64 received Lasix medication beyond the prescribed 10-day order without a current physician's order.
F 0760: The facility failed to prevent significant medication errors by administering Lasix outside the specified duration date for Resident #64, risking dehydration and renal function impairment.
F 0812: The facility did not ensure food was stored, prepared, and served according to professional standards, failing to track expiration dates and safety of consumption for emergency dry food and canned products.
Report Facts
Days Lovenox administered at same site: 18
Duration of Lasix order: 10
BUN level: 44
Creatinine level: 1.49
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #3 | Medication Nurse | Interviewed regarding Lovenox injection site rotation and EMR limitations. |
| Director of Nursing Services | Director of Nursing Services | Interviewed about injection site rotation and medication order procedures. |
| Physician Assistant #1 | Physician Assistant | Interviewed about Lasix orders and medication management for Resident #64. |
| Pharmacist Director | Pharmacist Director | Interviewed about medication dispensing and order renewal processes. |
| Licensed Practical Nurse #2 | Licensed Practical Nurse | Interviewed about medication order entry and administration verification. |
| Licensed Practical Nurse #4 | Licensed Practical Nurse | Entered original Lasix order in EMR and interviewed about order duration entry. |
| Registered Nurse #2 | Registered Nurse | Interviewed about medication order duration and system discontinuation. |
| Assistant Director of Nursing Services | Assistant Director of Nursing Services | Interviewed about pharmacy review and medication order entry errors. |
| Food Services Director | Food Services Director | Interviewed about food expiration date management and vendor communications. |
| Dietary Aide #1 | Dietary Aide | Interviewed about food receiving and expiration date checks. |
| Food Service Supervisor | Food Service Supervisor | Interviewed about food delivery and expiration date inspection practices. |
| Administrator | Administrator | Interviewed about expectations for food safety and expiration date management. |
Viewing
Loading inspection reports...
