Inspection Reports for
Smithtown Center for Rehabilitation & Nursing Care
391 North Country Road, Smithtown, NY, 11787
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
9.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
92% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Abbreviated Survey
Deficiencies: 3
Date: Jan 23, 2026
Visit Reason
The abbreviated survey was conducted to assess compliance with regulatory requirements related to resident notification of treatment changes, accuracy of Minimum Data Set assessments, and updating of Comprehensive Care Plans.
Findings
The facility failed to notify a resident's designated representative about the removal of bed siderails, inaccurately completed a resident's Minimum Data Set assessment regarding footwear needs, and did not update the Comprehensive Care Plan to reflect changes in bed siderail use.
Deficiencies (3)
F 0580: The facility did not notify Resident #3's designated representative when discontinuing the use of two half siderails as required by policy.
F 0641: The facility did not ensure Resident #2's Minimum Data Set assessment accurately reflected their functional status, incorrectly documenting the need for assistance with footwear despite bilateral above-knee amputations.
F 0657: The facility did not revise Resident #2's Comprehensive Care Plan to reflect the discontinuation of bed siderails after assessment and removal.
Report Facts
Residents reviewed: 3
Residents affected: 1
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Occupational Therapist #1 | Occupational Therapist | Completed inaccurate Minimum Data Set assessment for Resident #2 |
| Director of Rehabilitation | Director of Rehabilitation | Assessed Resident #3 for removal of side rails and commented on notification responsibility; stated Resident #2's Minimum Data Set was inaccurate |
| Director of Nursing Services | Director of Nursing Services | Stated designated representatives should be informed of treatment changes and care plans should be updated accordingly |
Inspection Report
Renewal
Deficiencies: 2
Date: Apr 29, 2025
Visit Reason
The inspection was a Recertification Survey and Abbreviated Survey conducted to assess compliance with regulatory requirements for the facility's license renewal.
Findings
The facility failed to provide timely respiratory care and pharmaceutical services to Resident #203, who did not receive all prescribed inhaler medications until three days after admission. The delay was due to pharmacy authorization requirements and medication unavailability, posing a risk of exacerbation of the resident's chronic pulmonary conditions.
Deficiencies (2)
F 0695: The facility did not provide safe and appropriate respiratory care for Resident #203 when inhaler medications were delayed until 3/9/2025 despite physician orders dated 3/6/2025.
F 0755: The facility did not ensure pharmaceutical services met resident needs as Resident #203's prescribed inhaler medications were not available until three days after admission, delaying timely administration.
Report Facts
Residents reviewed for Respiratory Care: 5
Medication administration delay days: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #7 | Assigned nurse who administered Ventolin inhaler and reported medication unavailability | |
| Pharmacist #1 | Pharmacist who described medication authorization and delivery timeline | |
| Registered Nurse #5 | Nurse who communicated with pharmacy and physician regarding medication authorization | |
| Physician #1 | Physician who ordered medications and commented on authorization requests | |
| Director of Nursing Services | Interviewed about pharmacy deliveries and responsibility for medication administration |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 10
Date: Apr 29, 2025
Visit Reason
Complaint Survey with 8 health and 2 life safety citations, all corrected by June 27, 2025.
Findings
Complaint Survey with 8 health and 2 life safety citations, all corrected by June 27, 2025.
Deficiencies (10)
Infection prevention & control
Label/store drugs and biologicals
Pasarr screening for md & id
Pharmacy srvcs/procedures/pharmacist/records
Resident self-admin meds-clinically approp
Respiratory/tracheostomy care and suctioning
Services provided meet professional standards
Treatment/svcs to prevent/heal pressure ulcer
Illumination of means of egress
Sprinkler system - maintenance and testing
Inspection Report
Annual Inspection
Deficiencies: 6
Date: Apr 29, 2025
Visit Reason
The inspection was a Recertification Survey conducted from 4/23/2025 to 4/29/2025 to assess compliance with regulatory requirements for nursing home operations and resident care.
Findings
The facility was found deficient in multiple areas including medication self-administration without proper physician orders, incomplete pre-admission screening for mental disorders, improper medication storage and labeling, incorrect air mattress settings for pressure ulcer prevention, and failure to maintain infection prevention and control protocols.
Deficiencies (6)
F 0554: The facility did not ensure residents had physician orders and assessments for self-administration of medications. Resident #30 self-administered eye drops without proper evaluation or orders.
F 0645: The facility did not complete accurate Pre-admission Screening for Mental Disorders for Residents #32 and #74, omitting dementia diagnoses and leaving key questions blank.
F 0658: The facility stored unlabeled, pre-poured medications refused by residents in a medication cart, risking medication errors. Licensed Practical Nurse #5 did not follow policy.
F 0686: Resident #61's air mattress weight setting was incorrectly set at 320 pounds instead of the physician-ordered 150-200 pounds, risking pressure ulcer development.
F 0761: The facility failed to ensure all drugs and biologicals were properly labeled and stored. Resident #30 kept multiple eyedrop medications unsecured at bedside without physician approval.
F 0880: Certified Nursing Assistant #1 failed to perform hand hygiene after caring for Resident #253 and before entering Resident #254's room, violating infection control protocols.
Report Facts
Deficiencies cited: 6
Medication cups: 5
Air mattress weight setting: 320
Air mattress weight order: 150
Air mattress weight order: 200
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #4 | Licensed Practical Nurse | Documented resident self-administering medications and educated resident about medication administration |
| Registered Nurse #1 | Registered Nurse | Observed medication administration and unaware of resident's self-administered eyedrops |
| Registered Nurse #3 | Unit Manager | Stated residents cannot self-administer medications without evaluation and physician order |
| Licensed Practical Nurse #5 | Licensed Practical Nurse | Stored unlabeled medications in medication cart and intended to re-administer refused medications |
| Registered Nurse Supervisor #5 | Registered Nurse Supervisor | Stated nurses are not allowed to pre-pour medications or store refused medications in medication carts |
| Director of Nursing Services | Director of Nursing Services | Provided multiple statements regarding medication policies, self-administration requirements, and infection control |
| Attending Physician #1 | Attending Physician | Stated resident must be evaluated before self-administering medications |
| Certified Nursing Assistant #1 | Certified Nursing Assistant | Failed to perform hand hygiene between resident care, violating infection control |
| Wound Care Registered Nurse #1 | Wound Care Registered Nurse | Responsible for checking air mattress settings weekly |
| Wound Care Nurse Practitioner #1 | Wound Care Nurse Practitioner | Stated air mattress weight setting must correspond to resident's weight to prevent wounds |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 10
Date: Feb 27, 2024
Visit Reason
Complaint Survey with 4 health and 6 life safety citations, all corrected by April 12, 2024.
Findings
Complaint Survey with 4 health and 6 life safety citations, all corrected by April 12, 2024.
Deficiencies (10)
Antibiotic stewardship program
Physician visits - review care/notes/order
Responsibilities of providers; required notif
Subsistence needs for staff and patients
Electrical equipment - other
Electrical systems - essential electric syste
Electrical systems - other
Emergency lighting
Gas and vacuum piped systems - inspection and
Sprinkler system - maintenance and testing
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Feb 27, 2024
Visit Reason
The inspection was a Recertification Survey conducted to evaluate compliance with regulatory requirements for the nursing home.
Findings
The facility failed to ensure that the resident's attending physician comprehensively reviewed and documented the use of antibiotics, specifically Xifaxin, for one resident. Additionally, the facility did not implement an antibiotic stewardship program that included monitoring and tracking antibiotic use for residents receiving antibiotic therapy.
Deficiencies (2)
F 0711: The resident's attending physician did not comprehensively review or document the rationale for prolonged antibiotic use in progress notes for Resident #52 receiving Xifaxin.
F 0881: The facility failed to implement an antibiotic stewardship program that monitors antibiotic use, including protocols and tracking systems, for residents receiving antibiotics.
Report Facts
Deficiencies cited: 2
Residents affected: 1
Medication dosage: 550
Inspection date range: Inspection initiated on 2024-02-21 and completed on 2024-02-27
Employees mentioned
| Name | Title | Context |
|---|---|---|
| attending Physician #1 | Interviewed regarding lack of documentation of antibiotic use | |
| Medical Director | Interviewed regarding expectations for antibiotic use assessment and monitoring | |
| Infection Preventionist (IP)/Registered Nurse (RN) #2 | Interviewed regarding responsibility for tracking antibiotic use | |
| Director of Nursing Services (DNS) | Interviewed regarding antibiotic review responsibilities | |
| Pharmacy Consultant | Interviewed regarding antibiotic use monitoring and prophylactic use |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 4, 2023
Visit Reason
The inspection was conducted as an abbreviated survey triggered by a complaint alleging abuse at the facility.
Complaint Details
The complaint investigation was based on allegations that Resident #1 was rough handled by staff during a shower. The allegation was not reported to the state because the facility determined it was not substantiated. Resident #1 had diagnoses including Dementia and Parkinson's Disease and was cognitively moderately impaired. The complaint was substantiated as an allegation but not confirmed as abuse.
Findings
The facility failed to timely report an allegation of abuse involving Resident #1 to the New York State Department of Health as required. Resident #1 reported rough handling by staff during a shower, but the facility did not report the allegation because it was not substantiated at the time.
Deficiencies (1)
10 NYCRR 415.4 b (2) requires timely reporting of suspected abuse to proper authorities. The facility did not report an allegation of abuse involving Resident #1 to the New York State Department of Health within the required timeframe.
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Apr 4, 2023
Visit Reason
Complaint Survey with 1 health citation corrected by May 26, 2023.
Findings
Complaint Survey with 1 health citation corrected by May 26, 2023.
Deficiencies (1)
Reporting of alleged violations
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Dec 5, 2022
Visit Reason
Covid-19 Survey with 1 health citation for reporting to national health safety network, widespread scope, not corrected as of report.
Findings
Covid-19 Survey with 1 health citation for reporting to national health safety network, widespread scope, not corrected as of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Nov 28, 2022
Visit Reason
Covid-19 Survey with 1 health citation for reporting to national health safety network, widespread scope, not corrected as of report.
Findings
Covid-19 Survey with 1 health citation for reporting to national health safety network, widespread scope, not corrected as of report.
Deficiencies (1)
Reporting - national health safety network
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 8
Date: Apr 22, 2022
Visit Reason
Complaint Survey with 4 health and 4 life safety citations, all corrected by June 17, 2022.
Findings
Complaint Survey with 4 health and 4 life safety citations, all corrected by June 17, 2022.
Deficiencies (8)
Bowel/bladder incontinence, catheter, uti
Develop/implement comprehensive care plan
Label/store drugs and biologicals
Personal privacy/confidentiality of records
Cooking facilities
Electrical systems - essential electric syste
Sprinkler system - maintenance and testing
Standards of construction for new existing nh
Inspection Report
Annual Inspection
Deficiencies: 4
Date: Apr 22, 2022
Visit Reason
The inspection was a Recertification Survey conducted from 4/18/2022 to 4/22/2022 to assess compliance with regulatory requirements for the nursing home.
Findings
The facility was found deficient in maintaining resident privacy during dental examinations, developing complete person-centered care plans for residents with hearing impairments, ensuring physician orders for indwelling catheters, and proper labeling of opened insulin pens on medication carts.
Deficiencies (4)
F 0583: The facility did not ensure resident privacy during dental treatment as the Dentist examined Resident #310 with the room door open and curtains not drawn, making the resident visible from the hallway.
F 0656: The facility failed to develop and implement a complete care plan with measurable objectives and timeframes to address Resident #108's hearing impairment.
F 0690: The facility did not have physician orders for the use and care of an indwelling Foley catheter for Resident #70 admitted with a catheter.
F 0761: The facility did not ensure opened insulin pens for Residents #75, #360, and #119 were labeled with the date opened, violating medication labeling policies.
Report Facts
Residents reviewed for privacy: 1
Residents reviewed for vision and hearing: 2
Residents reviewed for urinary catheter: 3
Medication carts reviewed: 3
Insulin pens identified unlabeled: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #3 | Unit Nurse Manager | Acknowledged incomplete care plan for Resident #108's hearing impairment |
| LPN #1 | Charge Nurse | Unaware Resident #70 had a catheter |
| RN #1 | Admission Nurse | Did not obtain physician order for Resident #70's catheter |
| RN #2 | Registered Nurse | Reviewed medication cart and noted unlabeled insulin pens |
| Facility Pharmacist | Stated insulin pens are usable for 28 days after opening and should be labeled | |
| Director of Nursing Services | DNS | Stated expectations for care plan initiation and insulin pen labeling |
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