Inspection Reports for
Oceanside Care Center Inc
2914 Lincoln Avenue, Oceanside, NY, 11572
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
5.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
8% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Annual Inspection
Deficiencies: 3
Date: Nov 14, 2024
Visit Reason
The inspection was a Recertification Survey conducted to assess compliance with regulatory requirements for nursing home operations and resident care.
Findings
The facility was found deficient in ensuring accurate resident assessments, implementing gradual dose reductions for psychotropic medications, and maintaining proper food storage temperatures during meal service.
Deficiencies (3)
F 0641: The facility did not ensure that the quarterly Minimum Data Set assessments accurately reflected the use of a chair alarm and floor mat alarm for Resident #55. This was identified as a human error by the Minimum Data Set Coordinator.
F 0758: The facility failed to implement gradual dose reductions for psychotropic medications for Resident #25 despite recommendations by a Psychiatrist and Pharmacist. The resident's family refused the dose reduction, and no clinical contraindication was documented.
F 0812: The facility did not ensure that cold food items, including tartar sauce and sandwiches, were stored and served at safe temperatures during meal service. Temperatures recorded were above the recommended maximum of 40 degrees Fahrenheit.
Report Facts
Medication dosage: 0.5
Medication dosage: 1.25
Temperature: 48
Temperature: 46
Deficiencies cited: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse #1 | Unit Manager | Documented progress notes related to psychotropic medication dosage and resident observations |
| Physician #1 | House/Covering Physician | Agreed with pharmacist recommendations but did not alter medication due to family refusal |
| Physician #2 | Primary Attending Physician | Unaware of gradual dose reduction recommendations and family refusal; commented on clinical contraindications |
| Director of Nursing Services | Provided statements regarding assessment errors and medication dose reduction attempts | |
| Dietary Manager | Provided information on food temperature monitoring and food safety practices | |
| Minimum Data Set Coordinator | Responsible for scheduling and completing assessments; acknowledged errors in assessment documentation |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 4
Date: Nov 14, 2024
Visit Reason
Complaint Survey with 3 health deficiencies and 1 life safety code deficiency, all corrected by December 2024.
Findings
Complaint Survey with 3 health deficiencies and 1 life safety code deficiency, all corrected by December 2024.
Deficiencies (4)
Accuracy of assessments — quality of care
Food procurement, store/prepare/serve-sanitary — quality of care
Free from unnec psychotropic meds/prn use — quality of care
Illumination of means of egress — life safety code
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Mar 10, 2023
Visit Reason
The survey was a Recertification Survey and Abbreviated Survey conducted from 3/5/2023 to 3/10/2023 to assess compliance with regulatory requirements including complaint investigations.
Complaint Details
The survey included complaint investigations (Complaint #NY00287822 and NY00279474) related to failure to notify family of clinical changes and inadequate investigation of abuse allegations.
Findings
The facility failed to notify a resident's family of a change in clinical status and new treatment initiation. Additionally, the facility did not thoroughly investigate alleged abuse, neglect, or mistreatment incidents, missing statements from involved staff and failing to document investigations of verbal abuse allegations.
Deficiencies (2)
F 0580: The facility did not notify Resident #145's family of a change in clinical status and new treatment started on 11/15/2021, contrary to facility policy requiring family notification.
F 0610: The facility failed to thoroughly investigate alleged abuse and neglect, including incomplete staff interviews for Resident #43's fall incident and no documented investigation for Resident #244's verbal abuse allegations.
Report Facts
Date of incident: Nov 15, 2021
Date of incident: Feb 25, 2023
Date of allegation: Jul 22, 2020
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #6 | Nursing Supervisor | Interviewed regarding Resident #145's clinical change and hospital transfer |
| RN #8 | Registered Nurse | Documented family presence and resident condition on 11/15/2021 |
| RN #1 | Unit Nurse Manager | Interviewed about family notification policy and Resident #145's care |
| Director of Nursing Services | DNS | Interviewed about family notification and investigation procedures |
| CNA #1 | Certified Nursing Assistant | Involved in Resident #43's fall incident and interviewed about care provided |
| CNA #2 | Certified Nursing Assistant | Assisted during Resident #43's fall incident and interviewed |
| Risk Manager #1 | Risk Manager | Completed investigation of Resident #43's fall incident |
| Director of Social Work | DSW | Interviewed regarding Resident #244's verbal abuse allegation |
| Administrator | Administrator | Interviewed about expectations for abuse investigations |
Inspection Report
Annual Inspection
Deficiencies: 10
Date: Mar 10, 2023
Visit Reason
The survey was a Recertification Survey and Abbreviated Survey conducted from 3/5/2023 to 3/10/2023 to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in multiple areas including failure to notify family of resident condition changes, incomplete abuse investigations, inadequate care plan implementation, unsecured narcotic storage, failure to act on pharmacist medication recommendations, improper food thawing, incomplete medical record documentation, and inaccessible resident call bells.
Deficiencies (10)
F 0580: The facility failed to notify Resident #145's family of a change in clinical status and new treatment on 11/15/2021, contrary to facility policy.
F 0610: The facility did not ensure thorough investigations of alleged abuse and neglect for Residents #244 and #43, missing staff statements and documentation.
F 0656: The facility failed to develop and implement comprehensive care plans for Residents #43, #66, and #30, including failure to follow bed mobility assistance and anticoagulant monitoring orders.
F 0689: The facility did not maintain adequate supervision at the front entrance, leaving the door unlocked and unmonitored, allowing visitors to enter without sign-in.
F 0692: Resident #38 experienced significant unreported weight loss; the facility failed to notify the dietician and physician timely and did not implement appropriate interventions.
F 0755: The narcotic cabinet on Unit 1 South was found unlocked and open with controlled substances improperly stored, violating facility policy.
F 0756: Medication regimen review recommendations for Resident #2 regarding administration times and medication changes were agreed to by the physician but not implemented.
F 0812: Frozen ground chicken was thawed in hot water in the kitchen sink, violating food safety standards; the prepared food was discarded.
F 0842: Resident #82's medical record lacked documentation of turning and positioning every two hours as required by care profile until re-admission on 3/1/2023.
F 0919: Residents #26 and #30 were observed without accessible call bells; call bells were found out of reach or behind pillows and repositioned after surveyor notification.
Report Facts
Weight loss percentage: 8.93
Weight loss percentage: 5.18
Controlled substances count: 47
Medication administration times: 6
Medication administration times: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Observed unlocked narcotic cabinet and reported broken lock |
| RN #1 | Nurse Manager | Interviewed about narcotic cabinet security |
| RN #5 | Inservice Coordinator | Interviewed about call bell accessibility and CNA accountability record |
| Cook #1 | Cook | Observed thawing chicken in hot water and acknowledged improper procedure |
| RD #1 | Registered Dietician | Interviewed about unreported weight loss and food safety |
| Physician #2 | Primary Care Physician | Interviewed about unimplemented medication regimen review recommendations |
| RN #6 | Admission Nurse | Interviewed about failure to add turning and positioning task to CNA accountability record |
| RN #7 | Wound Care Nurse | Interviewed about turning and positioning documentation for Resident #82 |
| LPN #3 | Licensed Practical Nurse | Notified about inaccessible call bells for Residents #26 and #30 |
| RN #4 | Registered Nurse | Repositioned call bell for Resident #30 and updated care plan |
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Dec 8, 2022
Visit Reason
Covid-19 Survey with one health deficiency related to infection prevention and control, corrected by January 2023.
Findings
Covid-19 Survey with one health deficiency related to infection prevention and control, corrected by January 2023.
Deficiencies (1)
Infection prevention & control — quality of care
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Sep 23, 2020
Visit Reason
The inspection was conducted as a recertification survey to assess compliance with regulatory requirements for nursing home care.
Findings
The facility failed to properly assess and document significant changes in residents' conditions and did not ensure the resident environment was free from accident hazards, specifically regarding unsecured main entrance doors leading to an elopement incident.
Deficiencies (2)
F 0637: The facility did not complete a Significant Change Assessment within fourteen days for Resident #26 despite documented declines in cognition, ADLs, and continence. The Comprehensive Care Plan was not updated to reflect these changes or include new goals and interventions.
F 0689: The facility failed to ensure the main entrance door was secured or supervised between 9:00 PM and 11:00 PM, resulting in Resident #16 eloping by exiting the building without staff knowledge. No elopement risk assessment or care plan was developed following the incident.
Report Facts
BIMS score: 10
BIMS score: 3
BIMS score: 9
Time: 9.5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MDS Coordinator/Registered Nurse (RN) | Interviewed regarding assessment and care planning for Resident #26 | |
| Assistant Director of Nursing Services (ADNS) | Interviewed regarding elopement care plan and risk assessment for Resident #16 | |
| Social Worker (SW) | Interviewed regarding responsibility for elopement care plans and risk assessments | |
| RN Supervisor | Interviewed regarding Resident #16 elopement incident and facility monitoring | |
| Licensed Practical Nurse (LPN #2) | Charge Nurse on duty during Resident #16 elopement incident | |
| Director of Nursing Services (DNS) | Interviewed regarding facility monitoring and safety related to Resident #16 incident | |
| Administrator | Interviewed regarding facility admission policies and monitoring of entrance doors |
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