Inspection Reports for
Surge Rehabilitation and Nursing LLC
49 Oakcrest Avenue, Middle Island, NY, 11953
Back to Facility Profile5 Reports
Inspection Report — Dec 22, 2025
Complaint Investigation State
Date: Dec 22, 2025
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 53 complaints about this facility; 16 led to on-site inspections. Two citations resulted from those complaints.
Findings
Across 12 inspections, 7 had no citations while 5 resulted in 41 total citations including standard health and Life Safety Code violations. The facility had 53 complaints with 16 on-site inspections and no formal enforcement actions.
Citations (24)
Standard Health Citation — quality of care: Failed to develop and implement a comprehensive care plan.
Standard Health Citation — quality of care: Deficiencies in discharge process.
Standard Health Citation — quality of care: Infection prevention and control issues.
Standard Health Citation — quality of care: Failed to investigate, prevent, and correct alleged violations.
Standard Health Citation — quality of care: Violations of personal privacy and confidentiality of records.
Standard Health Citation — quality of care: Deficiencies in pharmacy services, procedures, pharmacist, and records.
Standard Health Citation — quality of care: Reporting of alleged violations was deficient.
Standard Health Citation — quality of care: Respiratory, tracheostomy care, and suctioning issues.
Standard Health Citation — quality of care: Services provided did not meet professional standards.
Standard Health Citation — quality of care: Tube feeding management and restoration of eating skills deficient.
Life Safety Code Citation — NFPA requirements: Electrical systems essential electric system deficiencies.
Life Safety Code Citation — NFPA requirements: Standards of construction for new and existing nursing home.
Life Safety Code Citation — NFPA requirements: Subdivision of building spaces - smoke barriers deficient.
Standard Health Citation — quality of care: Free from misappropriation and exploitation violation.
Standard Health Citation — quality of care: Failed to develop and implement a comprehensive care plan.
Life Safety Code Citation — NFPA requirements: Exit signage deficient.
Life Safety Code Citation — NFPA requirements: Interior nonbearing wall construction deficient.
Standard Health Citation — quality of care: Failed to develop and implement a comprehensive care plan.
Standard Health Citation — quality of care: Infection preventionist qualifications and role deficient.
Standard Health Citation — quality of care: Responsibilities of providers and required notifications deficient.
Life Safety Code Citation — NFPA requirements: Building construction type and height deficient.
Life Safety Code Citation — NFPA requirements: Fire alarm system testing and maintenance deficient.
Life Safety Code Citation — NFPA requirements: Subdivision of building spaces - smoke barriers deficient.
Standard Health Citation — quality of care: Reporting to National Health Safety Network deficient.
Report Facts
Inspections on page: 12
Total violations/deficiencies cited: 41
Inspections with violations: 5
Inspections without violations: 7
Total complaints: 53
On-site complaint inspections: 16
Citations issued from complaints: 2
Enforcement actions: 0
Inspection Report — Aug 13, 2025
Complaint Investigation CMS
Date: Aug 13, 2025
Visit Reason
Complaint Investigation Survey was conducted to determine compliance with 42 CFR Part 483 requirements for Long Term Care Facilities following allegations of misappropriation of resident property.
Complaint Details
Complaint Investigation Survey ACTS reference # (NY00366463) was conducted from 07/25/2025 through 08/11/2025. The complaint was substantiated as the facility failed to prevent misappropriation of Resident #1's property by a staff member.
Findings
The facility did not ensure each resident was free from misappropriation of resident property. A facility employee obtained and cashed 16 personal checks from Resident #1, who was cognitively impaired and voluntarily gave money to the employee. The employee was terminated following the investigation.
Citations (1)
F 0602: The facility failed to protect residents from misappropriation of property when a Certified Nurse's Aide accepted and cashed 16 personal checks from Resident #1, totaling amounts between $400 and $6,080. Resident #1 was cognitively impaired and at risk for exploitation.
Report Facts
Check amounts: 16
Check amount: 2500
Check amount: 2000
Check amount: 3500
Check amount: 3200
Check amount: 1000
Check amount: 3000
Check amount: 1800
Check amount: 2700
Check amount: 1600
Check amount: 400
Check amount: 500
Check amount: 6080
Check amount: 2000
Check amount: 3700
Check amount: 2000
Check amount: 2800
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse's Aide #1 | Certified Nurse's Aide | Named in misappropriation of resident property finding and terminated from employment |
| Director of Nursing | Director of Nursing | Interviewed regarding the findings and facility policies on resident exploitation |
| Administrator | Administrator | Interviewed regarding the incident and employee termination |
Inspection Report — Aug 9, 2024
Renewal CMS
Date: Aug 9, 2024
Visit Reason
The survey was a Recertification Survey conducted from 08/05/2024 to 08/09/2024 to assess compliance with regulatory requirements for continued certification and licensure of the nursing facility.
Findings
The facility failed to develop and implement a person-centered comprehensive care plan for anticoagulant medication use for one resident reviewed. Specifically, Resident #81 was receiving Enoxaparin without a documented comprehensive care plan addressing this medication.
Citations (1)
10 NYCRR 415.11 (c)(1): The facility did not develop a comprehensive care plan for the use of anticoagulant medication for Resident #81 receiving Enoxaparin. No documented evidence of a care plan was found despite physician orders and medication administration.
Report Facts
Residents Affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse Supervisor #1 | Interviewed regarding care plan development and confirmed no care plan was developed for anticoagulant use | |
| Director of Nursing Services | Interviewed and confirmed no documented care plan for anticoagulant medication use |
Inspection Report — Dec 6, 2022
Annual Inspection CMS
Date: Dec 6, 2022
Visit Reason
The inspection was a Recertification Survey conducted to assess compliance with regulatory requirements for nursing home care.
Findings
The facility failed to implement a comprehensive person-centered care plan for a resident requiring a specialized offloading shoe, and the designated Infection Preventionist lacked documented specialized training in infection prevention and control.
Citations (2)
F 0656: The facility did not implement a comprehensive care plan including measurable objectives and timeframes for Resident #92, who was observed not wearing the prescribed right heel offloading Darco shoe on two occasions.
F 0882: The facility failed to designate a qualified infection preventionist with documented specialized training and certification in infection prevention and control.
Report Facts
Residents Affected: 1
Residents Affected: Many residents affected by infection preventionist deficiency
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #9 | Certified Nursing Assistant | Named in failure to apply Darco shoe to Resident #92 |
| Director of Nursing Services | Director of Nursing Services | Interviewed regarding expectations for care plan and infection preventionist training |
| RN #1 | Registered Nurse | Training to be infection preventionist but not yet certified |
| LPN #4 | Licensed Practical Nurse Unit Nurse/ Nurse Manager | Located Darco shoe and interviewed about care plan compliance |
Inspection Report — Nov 25, 2019
Annual Inspection CMS
Date: Nov 25, 2019
Visit Reason
The visit was a Recertification Survey to assess compliance with regulatory requirements for the nursing home.
Findings
The facility failed to timely report an alleged abuse incident to the State Agency and did not develop a comprehensive care plan for a resident with a Midline catheter, including measurable interventions and monitoring.
Citations (2)
F 0609: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The facility did not report an alleged abuse within two hours to the State Agency for Resident #258.
F 0656: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The facility did not develop care plan interventions for monitoring and care of the Midline catheter for Resident #159.
Report Facts
Residents Affected: 1
Residents Affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing Services | Director of Nursing Services | Interviewed regarding abuse reporting and care plan deficiencies |
| Registered Nurse Supervisor | Registered Nurse Supervisor | Interviewed regarding care plan oversight for Midline catheter |
| Administrator | Administrator | Interviewed regarding abuse reporting process |
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