Inspection Reports for
Surge Rehabilitation and Nursing LLC

49 Oakcrest Avenue, Middle Island, NY, 11953

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Citations (last 5 years)

Citations (over 5 years) 3.4 citations/year

Citations are regulatory findings recorded during state inspections.

33% better than New York average
New York average: 5.1 citations/year

Citations per year

12 9 6 3 0
2019
2021
2022
2024
2025

Inspection Report

Complaint Investigation
Capacity: 60 Citations: 1 Date: Aug 13, 2025

Visit Reason
One standard health citation for misappropriation/exploitation with level 2 severity.

Findings
One standard health citation for misappropriation/exploitation with level 2 severity.

Citations (1)
Free from misappropriation/exploitation

Inspection Report

Complaint Investigation
Capacity: 60 Citations: 3 Date: Aug 9, 2024

Visit Reason
Standard health citation for care plan development and two life safety code citations for exit signage and interior nonbearing wall construction, all level 2 severity and corrected.

Findings
Standard health citation for care plan development and two life safety code citations for exit signage and interior nonbearing wall construction, all level 2 severity and corrected.

Citations (3)
Develop/implement comprehensive care plan
Exit signage
Interior nonbearing wall construction

Inspection Report

Renewal
Citations: 1 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
NameTitleContext
Registered Nurse Supervisor #1Interviewed regarding care plan development and confirmed no care plan was developed for anticoagulant use
Director of Nursing ServicesInterviewed and confirmed no documented care plan for anticoagulant medication use

Inspection Report

Complaint Investigation
Capacity: 60 Citations: 6 Date: Dec 6, 2022

Visit Reason
Multiple standard health citations including care plan development, infection preventionist qualifications, and provider responsibilities; life safety code citations for building construction, fire alarm system, and smoke barrier; most corrected.

Findings
Multiple standard health citations including care plan development, infection preventionist qualifications, and provider responsibilities; life safety code citations for building construction, fire alarm system, and smoke barrier; most corrected.

Citations (6)
Develop/implement comprehensive care plan
Infection preventionist qualifications/role
Responsibilities of providers; required notif
Building construction type and height
Fire alarm system - testing and maintenance
Subdivision of building spaces - smoke barrie

Inspection Report

Annual Inspection
Citations: 2 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
NameTitleContext
CNA #9Certified Nursing AssistantNamed in failure to apply Darco shoe to Resident #92
Director of Nursing ServicesDirector of Nursing ServicesInterviewed regarding expectations for care plan and infection preventionist training
RN #1Registered NurseTraining to be infection preventionist but not yet certified
LPN #4Licensed Practical Nurse Unit Nurse/ Nurse ManagerLocated Darco shoe and interviewed about care plan compliance

Inspection Report

Capacity: 60 Citations: 1 Date: Nov 28, 2022

Visit Reason
Standard health citation for reporting to national health safety network with level 2 severity.

Findings
Standard health citation for reporting to national health safety network with level 2 severity.

Citations (1)
Reporting - national health safety network

Inspection Report

Capacity: 60 Citations: 1 Date: Nov 15, 2021

Visit Reason
Standard health citation for reporting to national health safety network with level 2 severity.

Findings
Standard health citation for reporting to national health safety network with level 2 severity.

Citations (1)
Reporting - national health safety network

Inspection Report

Annual Inspection
Citations: 2 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
NameTitleContext
Director of Nursing ServicesDirector of Nursing ServicesInterviewed regarding abuse reporting and care plan deficiencies
Registered Nurse SupervisorRegistered Nurse SupervisorInterviewed regarding care plan oversight for Midline catheter
AdministratorAdministratorInterviewed regarding abuse reporting process

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