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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Inspection Report — May 6, 2026
State
Date: May 6, 2026
Visit Reason
State-compiled facility profile showing 11 inspections from June 2022 to May 2026 with citation and complaint history.
Complaint Details
The state logged 218 complaints about this facility; 14 led to on-site inspections. The facility received 49.9 complaints per 100 beds versus a statewide rate of 57.4. Two citations resulted from those complaints.
Findings
Across 11 inspections, 9 had no citations while 2 inspections resulted in 12 total citations split evenly between standard health and Life Safety Code issues. The facility had 218 complaints with 14 on-site inspections and one enforcement action involving fines.
Citations (12)
Standard Health Citation — quality of care: Baseline Care Plan was deficient with a pattern of issues not yet corrected.
Standard Health Citation — quality of care: Posted Nurse Staffing Information was deficient with a pattern of issues not yet corrected.
Life Safety Code Citation — NFPA requirements: Emergency Lighting was deficient as an isolated issue not yet corrected.
Standard Health Citation — quality of care: Food Procurement, store/prepare/serve-sanitary was deficient as an isolated issue corrected on March 20, 2024.
Standard Health Citation — quality of care: Maintains Effective Pest Control Program was deficient as an isolated issue corrected on March 20, 2024.
Standard Health Citation — quality of care: Menus Meet Resident Needs/prep In Advance/followed was deficient as an isolated issue corrected on March 20, 2024.
Standard Health Citation — quality of care: Right To Participate In Planning Care was deficient as an isolated issue corrected on March 20, 2024.
Life Safety Code Citation — NFPA requirements: Egress Doors were deficient as an isolated issue corrected on February 19, 2024.
Life Safety Code Citation — NFPA requirements: Electrical Equipment - Power Cords And Extensions were deficient as an isolated issue corrected on February 19, 2024.
Life Safety Code Citation — NFPA requirements: Gas Equipment - Cylinder And Container Storage was deficient as an isolated issue corrected on February 19, 2024.
Life Safety Code Citation — NFPA requirements: Illumination Of Means Of Egress was deficient as an isolated issue corrected on February 19, 2024.
Life Safety Code Citation — NFPA requirements: Maintenance, Inspection & Testing - Doors was deficient with a pattern of issues corrected on February 19, 2024.
Report Facts
Inspections on page: 11
Total violations/deficiencies cited: 12
Inspections with violations: 2
Inspections without violations: 9
Total complaints: 218
On-site complaint inspections: 14
Total enforcement actions: 1
Total fines: 12000
Inspection Report — Jan 23, 2024
Abbreviated Survey CMS
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.
Citations (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
| Name | Title | Context |
|---|---|---|
| Director of Maintenance | Interviewed regarding pest control contract and treatment frequency | |
| Housekeeping Director | Interviewed regarding pest control treatment on 8th Floor |
Inspection Report — Jan 23, 2024
Annual Inspection CMS
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.
Citations (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
| Name | Title | Context |
|---|---|---|
| Dietician #3 | Interviewed regarding Resident #38's refusal to drink vanilla Ensure | |
| Dietary Supervisor | Interviewed about supply issues with chocolate Ensure and alternatives offered | |
| Regional Dietary Director | Interviewed about manufacturer's supply issues with chocolate Ensure | |
| Registered Nurse #5 | Registered Nurse | Interviewed about tray ticket checks and food delivery for Resident #58 |
| Regional Director of Social Work | Interviewed about grievance response related to Resident #58's meal tray | |
| Registered Nurse #1 | Registered Nurse | Observed pantry refrigerator temperature and interviewed about defrost timer |
| Director of Maintenance | Interviewed about pantry refrigerator defrost timer and pest control contract | |
| Housekeeping Director | Interviewed about pest control treatment on 8th Floor |
Inspection Report — Aug 30, 2021
Complaint Investigation CMS
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.
Citations (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
| Name | Title | Context |
|---|---|---|
| RN #3 | Registered Nurse Supervisor | Notified of resident altercations and involved in assessment and reporting |
| RN #5 | Registered Nurse Charge Nurse | Reported incidents involving Resident #26 and Resident #344 |
| CNA #3 | Certified Nursing Assistant | Reported incident involving Resident #415 and Resident #344 |
| Director of Nursing | Director of Nursing (DON) | Responsible for reporting incidents to NYSDOH and overseeing incident management |
| Administrator | Facility Administrator | Interviewed regarding incident reporting awareness and timelines |
| CNA #1 | Certified Nursing Assistant | Interviewed regarding application of splints and heel boots for Resident #59 |
| RN #1 | Registered Nurse | Interviewed regarding monitoring Resident #59 and medication storage observation |
| Director for Rehabilitation | Director for Rehabilitation | Interviewed regarding therapy and device use for Resident #59 |
| Corporate Nurse | Corporate Nurse | Interviewed regarding scheduling and follow-up of dermatology appointment for Resident #341 |
| Physician | Physician | Interviewed regarding awareness of dermatology appointment for Resident #341 |
| Medical Director | Medical Director | Interviewed regarding appointment scheduling and resident follow-up |
| RN #2 | Registered Nurse | Interviewed regarding medication storage audit on 4th floor |
| Assistant Director of Nursing | Assistant Director of Nursing (ADNS) | Interviewed regarding pharmacy audits and medication removal procedures |
Inspection Report — Feb 26, 2019
Annual Inspection CMS
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.
Citations (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
| Name | Title | Context |
|---|---|---|
| Certified Nurse Assistant (CNA) #1 | Interviewed regarding catheter drainage bag touching floor | |
| Registered Nurse (RN) #1 | Interviewed regarding catheter drainage bag touching floor and risk of infection | |
| Registered Nurse (RN) #2 | Interviewed regarding catheter drainage bag touching floor, tubing kinks, and infection risk | |
| Certified Nursing Assistant #2 | Interviewed regarding catheter drainage bag inside dignity bag touching floor mat |
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