Inspection Reports for
Oceanside Care Center Inc
2914 Lincoln Avenue, Oceanside, NY, 11572
Back to Facility Profile4 Reports
Inspection Report — Jan 5, 2026
Original Licensing State
Date: Jan 5, 2026
Visit Reason
State-compiled facility profile showing 6 inspections from 2022 to 2026 with citation and enforcement history.
Complaint Details
The state logged 17 complaints about this facility; 5 led to on-site inspections.
Findings
Across 6 inspections, 4 resulted in citations totaling 31, mostly related to standard health and life safety code violations. The facility had 2 enforcement actions with fines totaling $4,000 and received 17 complaints with 5 on-site inspections.
Citations (26)
Standard Health Citation — quality of care: ADL Care Provided For Dependent Residents was deficient.
Standard Health Citation — quality of care: Bowel/bladder Incontinence, Catheter, Uti was deficient.
Standard Health Citation — quality of care: Label/store Drugs And Biologicals was deficient.
Standard Health Citation — quality of care: Resident Records - Identifiable Information was deficient.
Standard Health Citation — quality of care: Treatment/svcs To Prevent/heal Pressure Ulcer was deficient.
Standard Health Citation — quality of care: Accuracy Of Assessments was deficient.
Standard Health Citation — quality of care: Food Procurement,store/prepare/serve-sanitary was deficient.
Standard Health Citation — quality of care: Free From Unnec Psychotropic Meds/prn Use was deficient.
Life Safety Code Citation — NFPA requirements: Illumination Of Means Of Egress was deficient.
Standard Health Citation — quality of care: Develop/implement Comprehensive Care Plan was deficient.
Standard Health Citation — quality of care: Drug Regimen Review, Report Irregular, Act On was deficient.
Standard Health Citation — quality of care: Food Procurement,store/prepare/serve-sanitary was deficient.
Standard Health Citation — quality of care: Free Of Accident Hazards/supervision/devices was deficient.
Standard Health Citation — quality of care: Investigate/prevent/correct Alleged Violation was deficient.
Standard Health Citation — quality of care: Notify Of Changes (injury/decline/room, Etc. ) was deficient.
Standard Health Citation — quality of care: Nutrition/hydration Status Maintenance was deficient.
Standard Health Citation — quality of care: Pharmacy Srvcs/procedures/pharmacist/records was deficient.
Standard Health Citation — quality of care: Resident Call System was deficient.
Standard Health Citation — quality of care: Resident Records - Identifiable Information was deficient.
Standard Health Citation — quality of care: Responsibilities Of Providers; Required Notif was deficient.
Life Safety Code Citation — NFPA requirements: Electrical Systems - Essential Electric Syste was deficient.
Life Safety Code Citation — NFPA requirements: Elevators was deficient.
Life Safety Code Citation — NFPA requirements: Means Of Egress - General was deficient.
Life Safety Code Citation — NFPA requirements: Sprinkler System - Maintenance And Testing was deficient.
Life Safety Code Citation — NFPA requirements: Standards Of Construction For New Existing Nh was deficient.
Standard Health Citation — quality of care: Infection Prevention & Control was deficient.
Report Facts
Inspections on page: 6
Total violations/deficiencies cited: 31
Inspections with violations: 4
Inspections without violations: 2
Total complaints: 17
On-site complaint inspections: 5
Plan of correction counts: Not explicitly stated
Total fines: 4000
Number of enforcement actions: 2
Inspection Report — Nov 14, 2024
Annual Inspection CMS
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.
Citations (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 — Mar 10, 2023
Annual Inspection CMS
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.
Citations (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 — Sep 23, 2020
Annual Inspection CMS
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.
Citations (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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