Inspection Reports for
Upper East Side Rehabilitation and Nursing Center

211 E 79th St, New York, NY 10075, United States, NY, 10075

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 6.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

31% worse than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

16 12 8 4 0
2019
2021
2024

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 10 Date: Jan 23, 2024

Visit Reason
Inspection history and complaint-related citations for Upper East Side Rehabilitation and Nursing Center

Complaint Details
14 complaints received from November 1, 2021 to October 31, 2025, with 15 complaint-related inspections and 24 complaint-related citations during this period.
Findings
Multiple complaint-related deficiencies were identified across various categories including dietary services, physical environment, quality of care, and resident rights. The most recent inspection on January 23, 2024, cited several standard health and life safety code deficiencies, all corrected by early 2024. No citations involved actual harm or immediate jeopardy.

Deficiencies (10)
Food procurement,store/prepare/serve-sanitary — sanitary food handling
Maintains effective pest control program — pest control
Menus meet resident nds/prep in adv/followed — menu planning
Right to participate in planning care — resident rights
Egress doors — life safety egress
Electrical equipment - power cords and extens — electrical safety
Gas equipment - cylinder and container storag — gas equipment safety
Illumination of means of egress — lighting for egress
Maintenance, inspection & testing - doors — door maintenance
R9-10-803.J — Abuse reporting documentation
Report Facts
Total inspections: 11

Inspection Report

Abbreviated Survey
Deficiencies: 1 Date: Jan 23, 2024

Visit Reason
The inspection was conducted as a recertification and abbreviated survey to evaluate the facility's pest control program and compliance with regulatory requirements.

Findings
The facility failed to maintain an effective pest control program to prevent and control roach infestations, as evidenced by the sighting of a live roach in the 8th Floor pantry refrigerator and documented roach activity on multiple floors.

Deficiencies (1)
Failure to maintain an effective pest control program to prevent and control roach infestations.
Report Facts
Resident units with infestation: 1 Floors with roach activity: 8 Pest Control Service visits per week: 2

Employees mentioned
NameTitleContext
Director of MaintenanceInterviewed regarding pest control contract and treatment frequency
Housekeeping DirectorInterviewed regarding pest control treatment on 8th Floor

Inspection Report

Annual Inspection
Deficiencies: 4 Date: Jan 23, 2024

Visit Reason
The inspection was conducted as a Recertification survey from 01/16/2024 to 01/23/2024 to assess compliance with regulatory requirements for Upper East Side Rehabilitation and Nursing Center.

Findings
The facility was found deficient in several areas including failure to incorporate resident preferences in care plans, failure to ensure resident menus and dietary preferences were followed, improper food storage with refrigerator temperatures above required levels, and ineffective pest control program evidenced by live roach sightings.

Deficiencies (4)
Facility did not ensure a resident's preferences were incorporated in developing care plan goals; Resident #38 requested chocolate Ensure but was served vanilla Ensure.
Facility did not ensure resident menus and dietary preferences were followed; Resident #58 did not receive food items listed on the tray ticket during mealtime.
Facility did not ensure food was stored in accordance with professional standards; 8th Floor pantry refrigerator temperature was 55 degrees Fahrenheit and contained undated and unlabeled melted ice cream.
Facility did not maintain an effective pest control program; a live roach was sighted in the 8th Floor pantry refrigerator.
Report Facts
Residents sampled: 38 Resident units with pantry refrigerators: 13 Pantry refrigerator temperature: 55 Ensure supplement amount: 8

Employees mentioned
NameTitleContext
Dietician #3Interviewed regarding Resident #38's refusal to drink vanilla Ensure
Dietary SupervisorInterviewed about supply issues with chocolate Ensure and alternatives offered
Regional Dietary DirectorInterviewed about manufacturer's supply issues with chocolate Ensure
Registered Nurse #5Registered NurseInterviewed about tray ticket checks and food delivery for Resident #58
Regional Director of Social WorkInterviewed about grievance response related to Resident #58's meal tray
Registered Nurse #1Registered NurseObserved pantry refrigerator temperature and interviewed about defrost timer
Director of MaintenanceInterviewed about pantry refrigerator defrost timer and pest control contract
Housekeeping DirectorInterviewed about pest control treatment on 8th Floor

Inspection Report

Complaint Investigation
Deficiencies: 4 Date: Aug 30, 2021

Visit Reason
The inspection was conducted based on a recertification and abbreviated survey to investigate allegations of resident-to-resident abuse and other quality of care concerns.

Complaint Details
The complaint investigation (NY00269377) focused on allegations of resident-to-resident abuse involving Residents #26, #344, and #415. The facility reported incidents to NYSDOH several hours after the occurrences, exceeding the required 2-hour reporting timeframe. Interviews with staff and administrators confirmed delays in reporting and incomplete awareness of reporting timelines.
Findings
The facility failed to timely report allegations of resident-to-resident abuse to the State Survey Agency within 2 hours as required. Additionally, the facility did not ensure proper application of prescribed devices to maintain resident mobility, failed to assist a resident with transportation to a dermatology appointment, and did not remove expired medications from the medication supply.

Deficiencies (4)
Failure to timely report allegations of resident-to-resident abuse to the New York State Department of Health within 2 hours.
Failure to ensure services and treatments were provided to prevent further decrease in range of motion or mobility; specifically, carrot splints and heel boots were not applied as ordered for Resident #59.
Failure to provide medically-related social services to assist a resident hospitalized for psoriasis with transportation to a pre-scheduled dermatology appointment.
Failure to ensure expired medications were removed from the current medication supply; expired Dextrose solution bags, Piperacillin, and Tazobactam vials were found in medication storage.
Report Facts
Time delay in reporting: 247 Time delay in reporting: 214 Residents reviewed for Position and Mobility: 38 Residents reviewed for Quality of Care: 1 Units reviewed for Medication Storage: 7 Expired medication items observed: 4

Employees mentioned
NameTitleContext
RN #3Registered Nurse SupervisorNotified of resident altercations and involved in assessment and reporting
RN #5Registered Nurse Charge NurseReported incidents involving Resident #26 and Resident #344
CNA #3Certified Nursing AssistantReported incident involving Resident #415 and Resident #344
Director of NursingDirector of Nursing (DON)Responsible for reporting incidents to NYSDOH and overseeing incident management
AdministratorFacility AdministratorInterviewed regarding incident reporting awareness and timelines
CNA #1Certified Nursing AssistantInterviewed regarding application of splints and heel boots for Resident #59
RN #1Registered NurseInterviewed regarding monitoring Resident #59 and medication storage observation
Director for RehabilitationDirector for RehabilitationInterviewed regarding therapy and device use for Resident #59
Corporate NurseCorporate NurseInterviewed regarding scheduling and follow-up of dermatology appointment for Resident #341
PhysicianPhysicianInterviewed regarding awareness of dermatology appointment for Resident #341
Medical DirectorMedical DirectorInterviewed regarding appointment scheduling and resident follow-up
RN #2Registered NurseInterviewed regarding medication storage audit on 4th floor
Assistant Director of NursingAssistant Director of Nursing (ADNS)Interviewed regarding pharmacy audits and medication removal procedures

Inspection Report

Annual Inspection
Deficiencies: 1 Date: Feb 26, 2019

Visit Reason
The inspection was conducted as a re-certification survey to assess the facility's infection prevention and control practices, specifically regarding the maintenance of urinary catheter care.

Findings
The facility failed to maintain proper infection control practices related to urinary catheter care, as a Foley catheter drainage bag and tubing were observed touching the floor and floor mat on multiple occasions, posing a risk for infection. Staff interviews confirmed the improper positioning of the catheter drainage bag and tubing.

Deficiencies (1)
Failure to maintain infection prevention and control program related to urinary catheter care, with catheter drainage bag and tubing touching the floor and floor mat.
Report Facts
Foley catheter balloon size: 30 MDS 3.0 BIMS score: 13 MDS 3.0 Mood Total Severity Score: 1 Inspection date: Feb 26, 2019

Employees mentioned
NameTitleContext
Certified Nurse Assistant (CNA) #1Interviewed regarding catheter drainage bag touching floor
Registered Nurse (RN) #1Interviewed regarding catheter drainage bag touching floor and risk of infection
Registered Nurse (RN) #2Interviewed regarding catheter drainage bag touching floor, tubing kinks, and infection risk
Certified Nursing Assistant #2Interviewed regarding catheter drainage bag inside dignity bag touching floor mat

Report


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