Inspection Reports for
Peconic Landing at Southold

1500 Brecknock Road, Greenport, NY, 11944

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 3.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

35% better than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

8 6 4 2 0
2021
2023
2025

Inspection Report

Annual Inspection
Capacity: 60 Deficiencies: 4 Date: Apr 8, 2025

Visit Reason
The inspection was a Recertification Survey conducted from April 8 to April 11, 2025, to assess compliance with regulatory standards for nursing home operations.

Findings
The facility was found deficient in several areas including failure to ensure residents were treated with dignity during meal assistance, improper medication administration and storage practices, and incomplete facility-wide staffing assessments that did not consider unit-specific staffing needs for each shift.

Deficiencies (4)
10 NYCRR 415.3(d)(1)(i): The facility did not ensure that residents were treated with respect and dignity during meal assistance, as a nurse was observed standing over a resident while feeding them instead of sitting at eye level.
10 NYCRR 415.11(c)(3)(i): Licensed Practical Nurse left medications at a resident's bedside in a covered cup for self-administration later, contrary to policy requiring administration in the nurse's presence.
10 NYCRR 415.18(e)(1-4): The facility failed to ensure all drugs and biologicals were stored in locked compartments, as medications and eye drops were found unattended in a resident's room.
10 NYCRR 415.26: The facility assessment did not include a breakdown of staffing needs by unit and shift, failing to consider specific staffing requirements for the Rehabilitation and Long-Term Care units.
Report Facts
Licensed beds: 60

Employees mentioned
NameTitleContext
Licensed Practical Nurse #3Named in medication administration deficiency for leaving medications unattended
Registered Charge Nurse #1Named in dignity deficiency for standing while assisting resident with meal
Director of Nursing ServicesProvided statements regarding proper meal assistance and medication storage policies
Licensed Practical Nurse #1Interviewed regarding medication storage and administration practices
Licensed Practical Nurse #2Unit ManagerInterviewed about medication storage safety
Medical Doctor #1Medical DoctorInterviewed about medication safety and storage
Staffing CoordinatorDiscussed staffing responsibilities and facility units
AdministratorDiscussed facility assessment and staffing levels

Inspection Report

Abbreviated Survey
Deficiencies: 1 Date: Jan 27, 2025

Visit Reason
The abbreviated survey was conducted to assess compliance with regulations related to resident safety and care, specifically focusing on supervision and prevention of accidents.

Findings
The facility failed to ensure adequate supervision and assistance to prevent accidents for Resident #1, who was served the wrong food consistency, resulting in a choking incident requiring abdominal thrusts, oxygen administration, and a chest x-ray. Communication failures regarding diet changes contributed to the incident.

Deficiencies (1)
10 NYCRR 415.12(h)(1) The facility did not ensure Resident #1 received the correct mechanically soft diet and was served raw fruits and vegetables, leading to a choking incident with minimal harm.
Report Facts
Residents Affected: 3

Employees mentioned
NameTitleContext
Dietary Aide #1Observed Resident #1 choking and took meal order
Licensed Practical Nurse #1Responded to choking incident and administered care
Dietary ManagerReviewed communication logs and diet change messages
Speech Language PathologistEvaluated Resident #1 after choking incident
Medical DoctorOrdered chest x-ray and provided medical orders
Certified Nursing Assistant #2Assigned CNA during choking incident
Registered Nurse #1Performed abdominal thrusts and initiated diet change
Dietary SupervisorResponsible for initiating dietary changes in dining software
Director of Nursing ServicesProvided statements on diet change communication
DieticianDiscussed risks of incorrect diet consistency

Inspection Report

Annual Inspection
Deficiencies: 2 Date: Dec 13, 2023

Visit Reason
The inspection was conducted as a Recertification Survey from 12/7/2023 to 12/13/2023, including an Abbreviated Survey related to Complaint #NY 00327126.

Complaint Details
The visit included an Abbreviated Survey related to Complaint #NY 00327126. The complaint was substantiated based on findings of inadequate supervision and medication management.
Findings
The facility failed to ensure adequate supervision and assistance to prevent accidents for two residents, including failure to apply required floor mats and lack of physician orders and assessment for self-administered medications and supplements.

Deficiencies (2)
F 0689: The facility did not ensure Resident #5 received required floor mats at bedside to prevent injury, resulting in a fall on 12/5/2023. The assigned CNA admitted forgetting to place the floor mats as per the care plan.
F 0689: Resident #19 was observed with multiple supplement and eye drop bottles on their windowsill without physician orders or assessment for safe self-administration. Staff were unaware of the resident's self-administration practice.
Report Facts
Residents reviewed for accidents: 3 Fall incident date: Dec 5, 2023

Employees mentioned
NameTitleContext
CNA #1Certified Nursing AssistantAdmitted forgetting to place floor mats for Resident #5 on 12/5/2023.
Director of Nursing ServicesDirector of NursingInterviewed and confirmed CNA did not follow care plan.
Registered Nurse #1Charge NurseUnaware of Resident #19 self-administering medications and storing them in room.
Physician #1PhysicianUnaware of Resident #19 self-administering medications and stated physician should be informed of all medications.

Inspection Report

Annual Inspection
Deficiencies: 3 Date: Dec 13, 2023

Visit Reason
The inspection was a Recertification Survey conducted from 12/7/2023 to 12/13/2023, including an Abbreviated Survey related to a complaint, to assess compliance with professional standards of care, accident prevention, infection control, and medication administration.

Complaint Details
The inspection included an Abbreviated Survey related to Complaint #NY 00327126 concerning inadequate supervision and accident prevention.
Findings
The facility failed to ensure professional standards in medication administration, accident prevention, and infection control. Deficiencies included failure to rotate subcutaneous injection sites, improper medication handling, inadequate supervision to prevent falls, unauthorized self-administration of medications, and poor hand hygiene by staff.

Deficiencies (3)
F 0658: The facility did not ensure rotation of subcutaneous injection sites for Resident #9 receiving Lovenox, resulting in bruising. Medications were also pre-poured and stored before administration for Resident #33, contrary to policy.
F 0689: The facility failed to provide adequate supervision and accident prevention for Residents #5 and #19. Floor mats were not placed as required for Resident #5, leading to a fall. Resident #19 self-administered medications without physician orders or staff assessment.
F 0880: The facility did not maintain an effective infection prevention program. Licensed Practical Nurse #2 failed to wash hands properly and touched medication tablets with bare hands, risking infection transmission.
Report Facts
Medication doses: 7 Medication administration observation date: Dec 8, 2023 Fall incident date: Dec 5, 2023 Hand washing observation date: Dec 8, 2023 Medication handling observation date: Dec 12, 2023

Employees mentioned
NameTitleContext
Licensed Practical Nurse #1Medication NurseInterviewed regarding failure to document and rotate Lovenox injection sites.
Licensed Practical Nurse #2NurseObserved administering pre-poured medications and improper hand hygiene; touched medication tablets with bare hands.
Certified Nursing Assistant #1CNAFailed to place floor mats as required, contributing to Resident #5's fall.
Director of Nursing ServicesDNSInterviewed regarding policies and deficiencies in medication administration, accident prevention, and infection control.
Registered Nurse #1Charge NurseUnaware of Resident #19 self-administering medications and storing them in their room.
Physician #1PhysicianInterviewed regarding risks of non-rotated injections, medication administration timing, and unawareness of Resident #19's self-medication.
Attending PhysicianPhysicianInterviewed about infection risks related to improper hand hygiene and medication handling.

Inspection Report

Deficiencies: 0 Date: Nov 8, 2021

Visit Reason
The document is a statement of deficiencies and plan of correction related to a regulatory inspection of the nursing home facility.

Findings
No health deficiencies were found during the inspection.

Inspection Report

Capacity: 60 Deficiencies: 0 Date: Inspection Report

Visit Reason
Inspection history and citations summary for Peconic Landing at Southold

Findings
No citations or deficiencies were found in any inspections from October 1, 2021 through September 30, 2025. No enforcement actions have been taken during the reporting period.

Report Facts
Total inspections: 0

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