Inspection Reports for
Park Avenue Extended Care Facility
425 National Boulevard, Long Beach, NY, 11561
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Inspection Report — Nov 4, 2024
State
Date: Nov 4, 2024
Visit Reason
State-compiled facility profile showing 12 inspections from June 2022 to May 2026 with citation and complaint history.
Complaint Details
The state logged 97 complaints about this facility; 20 led to on-site inspections. Four citations resulted from those complaints.
Findings
Across 12 inspections, 10 had no citations while 2 inspections resulted in 20 citations total, all corrected with minor potential harm. The facility had 97 complaints with 20 on-site inspections and no formal enforcement actions.
Citations (20)
Standard Health Citation — quality of care: ADL Care Provided For Dependent Residents was deficient.
Standard Health Citation — quality of care: Food Procurement, store/prepare/serve-sanitary was deficient.
Standard Health Citation — quality of care: Nutrition/hydration Status Maintenance was deficient.
Standard Health Citation — quality of care: Pharmacy Services/procedures/pharmacist/records were deficient.
Standard Health Citation — quality of care: Posted Nurse Staffing Information was deficient.
Standard Health Citation — quality of care: Resident Call System was deficient.
Standard Health Citation — quality of care: Resident Rights/exercise Of Rights was deficient.
Standard Health Citation — quality of care: Resident's Care Supervised By A Physician was deficient.
Standard Health Citation — quality of care: Services Provided Meet Professional Standards were deficient.
Standard Health Citation — quality of care: Sufficient Nursing Staff was deficient.
Standard Health Citation — quality of care: Treatment/services To Prevent/heal Pressure Ulcer was deficient.
Life Safety Code Citation — NFPA requirements: Illumination Of Means Of Egress was deficient.
Life Safety Code Citation — NFPA requirements: Means Of Egress - General was deficient.
Standard Health Citation — quality of care: Bowel/bladder Incontinence, Catheter, Uti was deficient.
Standard Health Citation — quality of care: Influenza And Pneumococcal Immunizations were deficient.
Standard Health Citation — quality of care: Resident's Care Supervised By A Physician was deficient.
Life Safety Code Citation — NFPA requirements: Electrical Systems - Essential Electric System was deficient.
Life Safety Code Citation — NFPA requirements: Emergency Lighting was deficient.
Life Safety Code Citation — NFPA requirements: Sprinkler System - Maintenance And Testing was deficient.
Life Safety Code Citation — NFPA requirements: Vertical Openings - Enclosure was deficient.
Report Facts
Inspections on page: 12
Total violations/deficiencies cited: 20
Inspections with violations: 2
Inspections without violations: 10
Total complaints: 97
On-site complaint inspections: 20
Citations from complaints: 4
Enforcement actions: 0
Inspection Report — Nov 4, 2024
Annual Inspection CMS
Date: Nov 4, 2024
Visit Reason
The survey was a Recertification and Abbreviated Survey conducted to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in multiple areas including resident dignity and care, medication administration, pressure ulcer care, nutritional and hydration management, physician orders, staffing adequacy, pharmaceutical services, food safety, and call system accessibility.
Citations (11)
F 0550: The facility failed to ensure residents #92 and #87 were treated with dignity and respect, as they were found wearing multiple saturated briefs and lying on beds with multiple layers of linens and plastic liners.
F 0658: Resident #14 did not receive Diclofenac 0.1% eye drops as ordered from 1/16/2024 to 1/23/2024 due to pharmacy delivery delay and lack of communication.
F 0677: Residents #92 and #87 did not receive timely morning care, with briefs saturated and rooms having strong urine odor, indicating inadequate assistance with activities of daily living.
F 0686: Resident #156's heel pressure ulcers were not treated timely due to delayed wound care orders, and Resident #48's pressure ulcer treatments were missed on multiple occasions due to staffing issues.
F 0692: Resident #102 exceeded physician-ordered fluid restrictions, receiving more fluids than allowed during medication passes and meals.
F 0710: Resident #75's anti-seizure medication Topiramate was abruptly stopped for four days without physician order or evaluation, risking seizure activity.
F 0725: The facility staffing plan did not match actual staffing levels, with frequent understaffing of Certified Nursing Assistants and nurses, leading to delayed medication administration and missed wound care.
F 0732: The facility failed to post daily nursing staffing information in a prominent location with actual numbers of staff per shift.
F 0755: Pharmaceutical services were deficient as Resident #14's Diclofenac eye drops were delayed due to pharmacy clarification issues and lack of timely communication with the physician.
F 0812: Frozen food items in the kitchen freezer were stored with opened packaging and undated, risking freezer burn and cross-contamination.
F 0919: Call bells were not accessible to residents #350, #4, and #87, with bells observed out of reach or on the floor, compromising resident safety.
Report Facts
Medication missed: 16
Medication missed: 4
Pressure ulcer treatments missed: 2
Fluid intake excess: 1120
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #9 | Named in findings related to delayed morning care and multiple briefs on residents #92 and #87 | |
| Registered Nurse #1 | Interviewed regarding morning care timing and staff awareness of care issues | |
| Director of Nursing Services | Interviewed regarding care expectations, staffing, and medication administration | |
| Licensed Pharmacist #1 | Interviewed regarding pharmacy delay and clarification for Diclofenac eye drops | |
| Physician #1 | Primary Care Physician and Medical Director | Interviewed regarding medication order renewal and seizure medication management for Resident #75 |
| Physician #2 | Interviewed regarding ophthalmology care and Diclofenac eye drop order for Resident #14 | |
| Registered Nurse #4 | Interviewed regarding missed wound care treatments on Resident #48's unit | |
| Registered Nurse #5 | Overnight Supervisor | Interviewed regarding coverage and missed wound care documentation |
| Certified Nursing Assistant #2 | Interviewed regarding call bell placement for Resident #350 | |
| Registered Nurse Supervisor #11 | Interviewed regarding pharmacy communication and medication availability |
Inspection Report — Jan 26, 2023
Annual Inspection CMS
Date: Jan 26, 2023
Visit Reason
The survey was a Recertification Survey conducted to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in providing appropriate catheter care and monitoring, ensuring physician supervision for dialysis patients, and timely administration of pneumococcal vaccinations to residents who requested them.
Citations (3)
F 0690: The facility failed to ensure appropriate care and monitoring after removal of an indwelling urinary catheter for Resident #115, resulting in abdominal distension and re-catheterization without proper documentation of voiding monitoring.
F 0710: The facility did not ensure physician supervision with adequate orders for blood pressure monitoring and medication parameters for Resident #367 receiving Midodrine for Orthostatic Hypotension.
F 0883: The facility failed to administer pneumococcal vaccinations in a timely manner to three residents who requested the vaccine, due to vaccine unavailability and lack of follow-up.
Report Facts
Urine output: 1500
Medication hold dates: 4
Residents reviewed for immunization: 5
Residents who did not receive pneumococcal vaccine: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #4 | Registered Nurse | Discontinued Foley catheter and monitored Resident #115; involved in re-catheterization |
| RN #5 | Registered Nurse Supervisor | Supervised monitoring shifts related to Resident #115's voiding trial |
| LPN #4 | Licensed Practical Nurse | Monitored urine output and reported abdominal distension for Resident #115 |
| RN #7 | Registered Nurse | Medication nurse for Resident #367; noted lack of blood pressure parameters in orders |
| Primary Physician #1 | Physician | Provided orders and interviews regarding Resident #115 and Resident #367 care |
| Director of Nursing Services | Director of Nursing | Interviewed regarding documentation and immunization issues |
| Assistant Director of Nursing Services | Assistant Director of Nursing | Interviewed regarding catheter monitoring and immunization vaccine availability |
Inspection Report — Feb 19, 2020
Annual Inspection CMS
Date: Feb 19, 2020
Visit Reason
The inspection was a Recertification Survey to assess compliance with regulatory requirements for Park Avenue Extended Care Facility.
Findings
The facility was found deficient in ensuring accurate resident assessments, developing and implementing comprehensive care plans, providing appropriate pressure ulcer care, and preventing significant medication errors. Specific issues included incomplete nutrition assessments, failure to address resident refusals of supplements, incomplete care plans for pressure ulcers and mood/behavior, delayed treatment of pressure ulcers, and medication administration errors.
Citations (5)
F 0641: The facility failed to ensure each resident received an accurate assessment, as Resident #211's Quarterly Minimum Data Set (MDS) did not include the resident's weight despite available weights from hemodialysis records.
F 0656: The facility did not develop or implement complete care plans addressing residents' needs, including failure to address Resident #58's refusal of liquid protein supplement and failure to implement safety interventions for Resident #103 to prevent self-harm.
F 0657: The facility failed to review and revise comprehensive care plans to reflect residents' current status, as Resident #209's pressure ulcer care plan was not updated to include the use of heel booties.
F 0686: The facility did not provide timely pressure ulcer care, as Resident #198's Stage 3 pressure ulcer was not assessed or treated until 15 days after initial skin impairment was noted by staff.
F 0760: The facility failed to ensure residents were free from significant medication errors, as Resident #162 received Metoprolol twice daily for 19 days despite a physician order change to once daily.
Report Facts
Days Metoprolol administered twice daily after order change: 19
Days delay in pressure ulcer treatment: 15
Pressure ulcer wound size: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Documented resident refusals of liquid protein supplement and reported wound to supervisor. |
| NP #1 | Nurse Practitioner | Interviewed regarding medication order changes and resident care. |
| RN Supervisor | Registered Nurse Supervisor | Interviewed regarding resident complaints and care plan updates. |
| Director of Nursing Services | DNS | Interviewed regarding medication administration errors and care plan compliance. |
| Chief Clinical Dietitian | Dietitian | Interviewed regarding nutrition assessment and resident weight documentation. |
| MDS Coordinator | MDS Coordinator | Interviewed regarding completion of nutrition section of MDS. |
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