Inspection Reports for
Quantum Rehabilitation and Nursing LLC

63 Oakcrest Ave, Middle Island, NY, 11953

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Deficiencies (last 4 years)

Deficiencies (over 4 years) 2.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

45% better than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

8 6 4 2 0
2021
2022
2023
2024

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Dec 23, 2024

Visit Reason
One isolated Level 2 deficiency related to resident records - identifiable information; corrected as of March 3, 2025.

Findings
One isolated Level 2 deficiency related to resident records - identifiable information; corrected as of March 3, 2025.

Deficiencies (1)
Resident records - identifiable information

Inspection Report

Complaint Investigation
Census: 3 Deficiencies: 1 Date: Dec 17, 2024

Visit Reason
The inspection was conducted as a complaint survey to investigate concerns regarding the facility's maintenance of resident medical records and neurological checks following an incident involving Resident #1.

Complaint Details
The complaint investigation found that Resident #1's medical records were not accurately maintained, specifically neurological checks documented after the resident was no longer in the facility. The investigation concluded no cause to believe any abuse.
Findings
The facility failed to maintain accurate and timely neurological check documentation for Resident #1 after a head injury and transfer to hospital. Staff documented neurological checks after the resident had already left the facility, indicating noncompliance with accepted professional standards.

Deficiencies (1)
F 0842: The facility did not maintain medical records for Resident #1 in accordance with accepted professional standards. Neurological checks were documented after the resident was transferred to the hospital, indicating inaccurate record keeping.
Report Facts
Residents reviewed for medical records accuracy: 3 Neurological checks documented: 14

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 2 Date: Jul 15, 2024

Visit Reason
Isolated Level 2 deficiencies in care plan timing and revision and building construction type and height; both corrected by late 2024.

Findings
Isolated Level 2 deficiencies in care plan timing and revision and building construction type and height; both corrected by late 2024.

Deficiencies (2)
Care plan timing and revision
Building construction type and height

Inspection Report

Annual Inspection
Deficiencies: 1 Date: Jul 15, 2024

Visit Reason
The inspection was a recertification survey conducted from 2024-07-08 to 2024-07-15 to assess compliance with regulatory requirements for the nursing facility.

Findings
The facility failed to develop a comprehensive person-centered care plan with measurable objectives and timeframes for a resident on long-term antibiotic therapy. Specifically, Resident #58 did not have a care plan addressing the long-term use of Minocycline antibiotic therapy as required.

Deficiencies (1)
F 0657: The facility did not develop a comprehensive care plan within 7 days of the comprehensive assessment for Resident #58 on long-term antibiotic therapy. The care plan lacked measurable objectives and interventions for monitoring antibiotic use and adverse reactions.
Report Facts
Residents affected: 1

Employees mentioned
NameTitleContext
Registered Nurse #1Documented progress note regarding Resident #58's biopsy and antibiotic therapy
Registered Nurse #2Interviewed regarding care plan requirements for residents on long-term antibiotic therapy
Registered Nurse #3Infection Control PreventionistInterviewed about Resident #58's antibiotic therapy and care plan necessity
Director of Nursing ServicesInterviewed about care plan requirements for residents on long-term antibiotics

Inspection Report

Annual Inspection
Deficiencies: 2 Date: Jun 26, 2023

Visit Reason
The inspection was conducted as a Recertification Survey to assess compliance with regulatory standards for nursing home care and facility administration.

Findings
The facility failed to ensure proper treatment and care for Resident #30 related to wheelchair positioning and did not administer resources effectively, as evidenced by inadequate linen supply on Unit 3.

Deficiencies (2)
F 0684: The facility did not ensure Resident #30 received appropriate treatment and care according to professional standards, as the resident was observed improperly positioned in a wheelchair leaning to the left side.
F 0835: The facility did not administer resources effectively and efficiently, as Unit 3 lacked an adequate supply of linens, specifically chucks, to meet residents' Activities of Daily Living needs.
Report Facts
Residents affected: 1 Residents affected: 1 Chucks per package: 25 Minimum chucks required per unit per shift: 100

Employees mentioned
NameTitleContext
Certified Nursing Assistant #2CNARepositioned Resident #30 and reported discomfort to LPN #2
Licensed Practical Nurse #2LPNRepositioned Resident #30 and responsible for notifying Physical Therapy
Licensed Practical Nurse #3LPNUsed pillow to support Resident #30 and aware of poor positioning
Director of Nursing ServicesDNSStated staff should have notified Rehabilitation Department about Resident #30's positioning
Director of Physical TherapyDirector of Physical TherapyAssessed Resident #30 and implemented lateral support intervention
Laundry Supervisor #1Laundry SupervisorReported chucks supply issue and quantity per package
Director of Housekeeping #1Director of HousekeepingCommented on linen supply and vendor change impact
AdministratorAdministratorUnaware of chuck supply concerns prior to interview

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 1 Date: Jun 30, 2022

Visit Reason
Isolated Level 2 deficiency related to resident records - identifiable information; corrected as of August 23, 2022.

Findings
Isolated Level 2 deficiency related to resident records - identifiable information; corrected as of August 23, 2022.

Deficiencies (1)
Resident records - identifiable information

Inspection Report

Annual Inspection
Deficiencies: 3 Date: Apr 22, 2021

Visit Reason
The inspection was a Recertification Survey conducted to assess compliance with regulatory requirements for the nursing home.

Findings
The facility was found deficient in maintaining a secure environment, specifically a patio exit door alarm and hardware were not functioning properly, allowing unauthorized entry and exit. Additionally, one resident was prescribed an antipsychotic medication without proper indication, and the facility failed to ensure a safe, functional, and comfortable environment for residents.

Deficiencies (3)
F 0689: The patio exit door alarm and hardware were not functioning properly, allowing the door to open without mechanical resistance and the alarm to reset without staff intervention.
F 0757: Resident #63 was prescribed an antipsychotic medication without proper indication, despite having no behavior problems warranting its use.
F 0921: The facility did not ensure a safe, functional, sanitary, and comfortable environment, as the patio exit door was unsecured and alarm hardware was defective.
Report Facts
Residents reviewed for unnecessary medications: 5 Assessment days resident received medications: 7

Employees mentioned
NameTitleContext
Director of Nursing ServicesInterviewed regarding resident medication and behaviors
AdministratorInterviewed and observed door alarm malfunction
Director of EngineeringInterviewed about door hardware and alarm checks
Director of RecreationInterviewed about resident access to first floor
Resident's PhysicianPhysicianInterviewed regarding antipsychotic medication use

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