Brookhaven Rehab & Health Care Center L L C
250 Beach 17th Street, Far Rockaway, NY 11691 · For profit - Individual · 298 certified beds · (718) 471-7500 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- no federal fines or payment denials on record
- it has abuse, neglect, or exploitation citations (F0600, F0602) — most recent Mar 2024
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- a high number of inspection citations overall (25) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (2/5)
- its payroll-based staffing rating is low (2/5)
- its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 5.4% | 14.1% | 15.4% | better |
| Long-stay residents who lose too much weight | 3.2% | 5.8% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.2% | 0.5% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.1% | 1.3% | 2.0% | better |
| Long-stay residents with depressive symptoms | 6.9% | 19.5% | 6.5% | typical |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better |
| Long-stay residents with falls causing major injury | 0.3% | 3.1% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 5.5% | 12.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 8.8% | 13.2% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 99.7% | 95.3% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 3.1% | 6.5% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 20.7% | 19.5% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 12.6% | 13.7% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 88.9% | 78.8% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 15.6% | 20.6% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 9.4% | 9.6% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.01 | 1.70 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 0.83 | 1.36 | 1.80 | better |
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
Met the expected recovery: 34.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 52 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.16 therapist hours per resident per day in 2026Q1 — more than 14% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 16% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.7%CMS range 7.8–16.2 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 34.6% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 26.9% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 44.2% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 96.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 79.3% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 1.3% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.58 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 298 beds and averages 291.0 residents a day — about 98% occupied, or roughly 7 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.34 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.70 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.12 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.05 hrs/resident/day on weekends vs 3.46 on weekdays — 12% thinner on weekends. RN hours go from 0.77 to 0.55 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 40% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
25 citations, most serious first. The 10 most serious are shown; the remaining 15 are one tap away and print in full.
- Potential for harm · Dcited before2025-05-20 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews conducted during an Abbreviated Survey (NY00352779), the facility did not ensure that the alleged violations involving abuse, neglect, exploitation, mistreatment, or misappropriation of resident property were reported immediately, but not later that two (2) hours after the allegation is made, if the events that caused the allegation involved abuse or resulted in serious bodily injury, or not later than 24 hours if the events that caused the allegation do not involved abuse and do not involve serious bodily injury, to the administrator of the facility and to other officials (including to the State Agency). This was evident for one (1) out of four (4) residents (Resident #1) sampled. Specifically, Resident #1 was observed on the floor in their room bleeding from their nostrils at around 7:03 AM on 08/20/2024. Resident #1 was transferred to the hospital and was diagnosed with nasal bone fracture. Resident #1 was re-admitted to the facility on [DATE] with diagnosis of nasal…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-05-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during an abbreviated survey (NY00352779), the facility did not ensure that each resident received adequate supervision to prevent accidents. This was evident in one (1) out four (4) residents (Resident #1) sampled. Specifically, Resident #1 who was at risk for fall, was observed on the floor next to their bed bleeding from their nostrils at around 7:03 AM on 08/20/2024 during morning round. Resident #1 was transferred to the hospital on [DATE] and was readmitted to the facility on [DATE] with diagnosis of nasal bone fracture. Record review of Resident #1's plan of care revealed Resident #1 has had multiple falls into their room, however, the facility had no documented evidence that the effectiveness of the interventions implemented were evaluated. Additionally, there were no documented evidence of the frequency of monitoring. The findings include: The facility's Policy and Procedure titled title Fall, Accident and Incident Report with a review date of 02/2024…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2024-03-08 · tag F0725 — failed to have enough nursing staff — widespreadProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews and record review conducted during the Recertification and Complaint survey (NY00330312) from 03/04/2024 to 03/08/2024, the facility did not ensure that sufficient nursing staff was consistently provided to meet the needs of residents on all shifts. Specifically, 1) multiple residents reported during confidential interviews and the Resident Council meeting that the facility was short staffed at times especially at night and on the weekends, there was a lack of timely staff response to call bells, 2) multiple nursing staff members reported a lack of sufficient staffing; and 3) analysis of the actual staffing schedule showed that on multiple occasions from January 05, 2024 through February 25, 2024, the facility was below the minimum levels documented on the Facility Assessment. The findings included but were not limited to: 1. During an interview on 03/04/24 at 11:46 AM, Resident #165 stated that staff were always short in all shifts, and when staff were short, they must wait.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-03-08 · tag F0677 — failed to help fully-dependent residents with daily care — patternProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews conducted during the Recertification and Complaint survey (NY00326246) from 03/04/2024 to 03/08/2024, the facility did not ensure that residents who are unable to carry out activities of daily living receive the necessary services and assistance to maintain grooming, and personal hygiene. Specifically, resident care was not provided to ensure proper hygiene and grooming. This was evident for 4 of 11 residents reviewed for Activities of Daily Living out of a sample of 38 residents (Resident #21, Resident #165, Resident #98, and Resident #67) The findings include: The facility's policy titled Activities of Daily Living, revised 03/2024, documented that all residents will be provided care for the activities of daily living based on the amount of assistance needed. Activities of daily living include bathing, dressing, eating, toileting, transfers, and ambulation. Bathing including bed bath, showers, oral care, hair care, nail care. Toileting includes use of bed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-03-08 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
2. The facility policy titled Infection Control -Standard Policy last reviewed 11/2023 documented hand hygiene is a major component of standard precautions and one of the most effective methods to prevent transmission of pathogens associated with health care. The policy further documented all individuals including residents should comply with infection control practices in the health-care setting. During an observation of Medication Administration on the 6th Floor on 03/04/24 at 08:30 AM, Registered Nurse #1 was observed administering medication to Resident #80. Registered Nurse #1 removed the resident's medications from the cart and poured the liquid medication into a medication cup, removed, and crushed the tablets, and poured them into the medication cups. Registered Nurse #1 was not observed sanitizing their hands before or after preparing the medication. Registered Nurse #1 then entered Resident #80's room, turned off the tube feeding, adjusted the bed control, donned gloves, and then proceeded to administer the medication without sanitizing their hands. On 03/04/24 at 08:44…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-03-08 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during the Recertification survey from 03/04/2024 to 03/08/2024, the facility did not ensure that the resident's right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences was maintained. This was evident for 1 of 1 resident reviewed for Accommodation of Needs out of 38 sampled residents. Specifically, Resident #186 was not able to enter the bathroom in their room. The closet, which was placed in a corner of the resident's room, prevented the bathroom door from opening fully to permit Resident #186 to enter the bathroom in their wheelchair. The findings are: The facility policy and procedure titled Routine Maintenance revised 12/23 documented that the maintenance department will ensure that the physical environment, furniture, and equipment is maintained in good repair throughout the facility. The routine maintenance program will ensure a safe and comfortable environment for residents and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-03-08 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews conducted during the Recertification survey from 3/04/2024 to 3/08/2024, the facility did not ensure a clean, comfortable, and homelike environment was maintained. This was evident on 4 of 5 resident floors (Floors 3, 4, 5 and 6) during review of the Environment. Specifically, 1) Air Conditioning/Heating (AC/H) units were noted to have dirty with debris and in disrepair, missing baseboards in multiple resident rooms and a room noted with discolored floor tiles and a persistent urine odor in a Resident's room, 2) a resident room with a persistently dripping faucet, and 3) a room that did not accommodate resident preference to use toilet in their room. The findings are: #1.On 03/04/2024 at 07:56 AM, On 03/05/2024 at 11:30 AM, 03/06/2024 at 11:56AM and 04:45PM and 03/08/2024 at 11:29 AM, room [ROOM NUMBER] was observed with missing baseboards, ripped wallpaper approximately 6 inches to left of headboard and by AC/heater unit at wall. On 03/04/2024 at 08:01 AM, in…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-03-08 · tag F0602 — failed to protect residents from theft of their belongings — isolatedProtect each resident from the wrongful use of the resident's belongings or money.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews conducted during the Recertification and Complaint (NY00326272) survey from 03/04/2024 to 03/08/2024, the facility did not ensure that a resident was free from misappropriation of property. This was evident for 1 (Resident # 172) of 3 residents reviewed for Abuse out of 38 total sampled residents. Specifically, a Certified Nursing Assistant used Resident #172's Electronic Benefit Transfer (EBT) card to purchase items totaling about $1000.00 without Resident #172's consent. The findings are: The facility policy titled Abuse Prevention with effective date 2/2022 and last review 10/2023 documented the resident will be protected from misappropriation of resident property. It also documented the misappropriation of resident property means deliberate misplacement, exploitation or wrongful, temporary, or permanent use of a resident's belongings or money without the resident's consent. Resident #172 had diagnoses which included chronic respiratory failure, chronic combined systolic…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-03-08 · tag F0660 — isolatedPlan the resident's discharge to meet the resident's goals and needs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during the Recertification survey from 03/04/2024 to 03/08/2024, the facility did not ensure an effective discharge planning process was developed and implemented. This was evident for 1 (Resident #186) of 1 resident reviewed for Discharge out of 38 total sampled residents. Specifically, there was no documentation of additional follow-up on a discharge referral for Resident #186. The findings are: The policy titled Discharge Planning/Implementation dated 10/2023 documented that it is the policy of the facility that the Social Work department, along with the Interdisciplinary Team, begin discharge planning for each resident upon admission to the facility. Discharge planning options are also reviewed during quarterly and annual comprehensive care plan meetings. The policy also documented that the Social Worker would maintain contact with the Interdisciplinary team to facilitate an appropriate discharge for the resident and ample time to coordinate…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-03-08 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during the Recertification and Complaint Survey, from 03/04/2024 to 03/08/2024, the facility did not provide specialized care needs for the provision of respiratory care in accordance with professional standards of practice, and the resident's care plan. This was evident for 1(Resident #225) of 3 residents reviewed for Respiratory Care out of 38 total sampled residents. Specifically, Resident #225's oxygen cannula/tubing was found on the floor on multiple days, and there was no date on the tubing indicating when the tubing was changed. The findings are: The facility policy Care of Oxygen-Nasal Cannula revised 09/2023, included that oxygen tubing/cannula must not be permitted to touch the floor and to document date and initial on tape attach to the tubing/cannula when changed. If the cannula/tubing touches the floor, it should be changed immediately. Resident #225 had diagnoses including mild intermittent Asthma with (acute)exacerbation, and Chronic…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 15 citations
- Potential for harm · D2024-03-08 · tag F0791 — failed to provide routine dental services — isolatedProvide or obtain dental services for each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews conducted during the Recertification and Complaint (NY00327102) survey from 03/04/2024 to 03/08/2024, the facility did not ensure that a resident with missing dentures was promptly referred for dental evaluation. This was evident for 1 (Resident #9) of 5 residents reviewed for Dental out of 38 sampled residents. Specifically, the facility policy did not identify those circumstances when the loss or damage of dentures is the facility's responsibility. The findings are: The facility policy titled Dental Services revised 12/23 it is the policy that resident complaining of toothache or other oral problems, or with broken, ill-fitting, or missing dentures will be referred to the dentist for evaluation and treatment within 3 days. In the event that dentures are lost or broken, a grievance report will be completed, and the matter investigated within 3 days. Resident #9 had diagnoses of Bipolar Disorder, Morbid Obesity, and COPD. The Minimum Data Set (MDS) dated [DATE]…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-08-22 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and interviews during an abbreviated survey (Case # NY 00321675), the facility did not ensure a resident's right to be free from verbal abuse for 1 (Resident #1) of 3 residents reviewed. Specifically, on 08/06/2023 at 10:35 PM, the Facility's Surveillance camera shown Resident #1 was pacing up and down the hallway on the unit in front of the nursing station. On 08/06/2023 at approximately 10:15 PM, License Practical Nurse (LPN) #1 was then seen talking to Resident #1 in the presence of three Certified Nursing Assistants (CNA)s #1, #2 and #3 at the nurses' station. Resident #1 was holding a cell phone and pointing it to LPN #1. LPN # 1 attempted to take Resident #1's cellphone. CNA #1, #2, and #3 separating LPN# 1 and Resident #1 to prevent any physical contact. CNA #1, CNA #2 and CNA #3 reported to the Registered Nursing Supervisor (RNS) that LPN #1 used inappropriate cursing language at Resident #1. The findings are: The Facility's Policy and Procedure Titled Abuse Prevention dated 08/07/2023, documented that residents will be protected from…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2022-01-12 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and interviews conducted during the Recertification survey, the facility did not ensure that necessary housekeeping services were provided to maintain a safe, clean, comfortable, and homelike environment. Specifically, disrepaired handrails, broken and loosely fitted window blinds, broken walls, unpainted areas, mis-matched paint, a blocked bathtub, and cluttered floors were observed in residents' living areas. This was evident in multiple rooms on several units. (Units 2, 3 and 6). The findings are: The facility policy and procedure titled Environmental Rounds revised on 05/2012 documented it is the policy to ensure the safety and cleanliness of the facility. The facility will be properly maintained and in compliance with Federal and NYS regulations All issues/conditions must be entered in logs books for Maintenance or Housekeeping .Examples of Maintenance issues include stained ceiling tiles, broken furniture, holes in walls, loose moldings, broken venetian blinds,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2022-01-12 · tag F0657 — failed to keep the care plan current — patternDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews conducted during the Recertification survey, the facility did not ensure that each resident or resident representative was offered the opportunity to participate in the revision and/or review of the Comprehensive Care Plan (CCP) and the facility did not ensure a resident's CCP was revised. Specifically, residents were not invited to quarterly care plan meetings and the facility did not revise a resident's CCP following a resident to resident interaction. This was evident for 2 of 5 residents reviewed for Care Planning and 1 of 8 residents reviewed for Accidents out of 38 sampled residents (Resident #177, #143, and #65). The findings are: The facility policy and procedure titled Comprehensive Care Plan/Baseline Care Plan revised 8/2021 documented: Resident and Resident Representatives are invited to discuss their anticipated plan of care and to participate in the actual care planning process. and The CCP will be reviewed and revised daily and episodically during the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2022-01-12 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, and interviews conducted during the Recertification survey conducted 01/06/2022 to 01/12/2022, the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases, infections, and COVID-19 within the facility. Specifically, 1) oxygen tubing was undated and was observed lying on the floor, and 2) residents wore their face masks in a manner that did not cover their nose and mouth. This was observed on 2 of 5 units. (Unit 2 and Unit 3) The undated facility policy titled BIPAP/CPAP Filler, Tubing and Mask Change documented it is the policy of the facility to change BIPAP bacteria viral filter, tubing and mask as needed. The policy also documented that the BIPAP bacteria viral filter will be changed monthly and prn by Respiratory Therapist. 1(a). Resident # 123 was admitted to the facility with diagnoses that included Heart Failure, Obstructive…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-01-12 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview conducted during the Recertification and Complaint Survey (NY00282786), the facility did not ensure that residents' representatives were immediately notified about residents' conditions. Specifically, the facility did not notify the resident's representative immediately of the resident's COVID-19 status (Resident #143). This was evident for 1 of 3 residents reviewed for Notification of Change out of a sample of 38 residents. (Resident #143) The findings are: The facility's policy Notification of Change renewed on 11/2014 documented that it is the policy of the facility that the facility will immediately notify the resident, consult with the resident's physician, and if known, notify the resident's legal representative or interested family member. On 09/08/21 a complaint was made with an addendum on 10/08/21, that complainant, resident's representative was not informed that resident was tested positive for COVID-19 on 10/08/21. Resident #143 was admitted to the facility…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-01-12 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews and record review conducted during the Recertification survey, the facility did not ensure all alleged violations involving abuse, neglect, exploitation, or mistreatment, including injuries of unknown source and misappropriation of resident property, were reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, to the State Survey Agency. Specifically, the facility did not report a resident-to-resident altercation to the New York State Department of Health (NYSDOH). This was evident for 2 of 9 residents reviewed for Abuse out of a sample of 38 residents. (Resident #65 and Resident #162). The findings are: The facility policy titled Abuse, Neglect, Mistreatment, with revision date of 01/2020, documented that all residents of the Brookhaven Rehab and Health Care Center, will be protected from abuse, mistreatment, neglect, or misappropriation of property in accordance with state and federal regulations. The policy also documented that this also includes…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-01-12 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview conducted during the Recertification survey, the facility did not ensure that the assessment accurately reflected the resident's status. Specifically, the behavioral symptoms of a resident was not captured on the Minimum Data Sets (MDS). This was evident for 1 of 9 residents reviewed for Abuse out of total sample of 38 residents (Resident # 100). The findings are: The facility policy and procedure titled Minimum Data Set Assessments reviewed 10/2012, documented: To accurately complete the MDS each assessor should review the medical record, interview, and observe the resident, interview direct care staff, and interview family/significant others. and Section E: The social Worker will evaluate identifying the frequency and impact of behavioral symptoms. Resident # 100 was admitted with diagnoses which included Mood Disorder, Essential Hypertension, and Type 2 Diabetes Mellitus. The Comprehensive Care Plan (CCP) for Behavior, created on 8/10/21 and updated 1/6/22,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-01-12 · tag F0655 — isolatedCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview conducted during the Recertification survey, the facility did not ensure that a resident and their representative was provided a summary of the baseline care plan. This was evident for 1 of 5 residents reviewed for Care Plan out of a sample of 38 residents. (Resident # 323) The finding is: The facility policy and procedure titled Comprehensive Care Plans/Baseline Care Plans revised in 6/2019 documented this facility shall develop and implement a Comprehensive Care plan, including a baseline care plan for each residents that includes instructions needed to provide effective and person-centered care of the resident that meet the professional standards of quality of care within 48 hours of a resident's admission. The policy also documented that the baseline care plan shall be given to the resident/resident's representative at the completion of the CCP by the RN Supervisor/designee and signature should be obtained from the receiving party. Resident # 323 was admitted to the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-01-12 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and staff interviews conducted during the Recertification and Complaint survey (NY 00286634), the facility did not ensure that residents receive treatment and care in accordance with professional standards of practice and the comprehensive person centered care plan and the resident's choices. Specifically, 1) compression devices were not applied as per physician's order for a resident with Lymphedema, and 2) wound care treatments were not provided as per physician's orders. This was evident in 2 of 4 residents reviewed for Quality of Care out of a sample of 38 residents. (Resident #81 and Resident #623) The findings are: 1. The facility Policy and Procedure titled Consultations revised in 07/2018 documented all residents will receive comprehensive medical services. In addition to attending Physicians, the resident will receive services from Consultants if ordered by the Attending Physician. Resident # 81 was admitted to the facility Bariatric specialty unit with diagnoses that…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-01-12 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and staff interview conducted during the Recertification survey the facility did not ensure that pharmaceutical services were provided to meet the needs of each resident. Specifically, 1) the facility did not ensure that resident's prescribed medication was made available in a timely manner by the pharmacy as per order, and 2) the facility did not ensure that expired medications were removed and discarded according to the manufacturer's recommendation. This was evident for 1 of 1 resident reviewed for Vision/Hearing out of a sample of 38 residents and for 1 of 5 medication carts observed. (Resident #99, and 5th Floor) The findings are: 1). The facility policy and procedure titled Delivery, Receipt, Storage, and Inventory of Medications/Products last revised on 04/2014 documented each facility has routine deliveries to meet the facility's needs and ensure timeliness of medication availability. If any item ordered is not received, check for a communication slip indicating back…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2019-06-04 · tag F0656 — failed to write and follow a full care plan — patternDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and staff interviews during the Recertification Survey the facility did not ensure that comprehensive person-centered care plans were developed and implemented for each resident and that care was provided in accordance with each resident's Comprehensive Care Plan (CCP). This was identified for 1 (Resident #3) of 1 resident reviewed for Insulin/Anticoagulant use; 3 (Resident #206, #235 and #161) of 6 residents reviewed for Positioning/Mobility; and 1 (Resident #117) of 6 residents reviewed for Unnecessary Medications. Specifically, 1) Resident # 3 had a physician's order to monitor the blood glucose level via fingerstick and to notify the physician if the results were below 70 milligrams/deciliter (mg/dl). On six occasions in April 2019 the fingerstick results were identified at less than 70 (mg/dl) and the physician was not notified; 2) Residents #206 and #235 had Physician's order to apply Spenco boots to feet at all times. Both residents were observed not wearing Spenco…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-06-04 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during the recertification survey the facility did not ensure that Accident/Incident (A/I) Reports related to falls were thoroughly investigated. This was identified for 1 (Resident #244) of 1 resident reviewed for accidents. Specifically, Resident #244 had a fall on 5/16/19. The A/I Report did not thoroughly investigate the fall incident regarding the functioning of the resident's call bell, whether the call bell was placed within the resident's reach, and if the resident was wearing footwear at the time of the incident. The finding is: The facility's policy and procedure dated 5/2019 titled A/I Report documented . 6. The Accident/Incident Investigation Report will be completed by the unit nurse, and provide all information required on the form . Resident #244 has diagnoses including Type 2 Diabetes Mellitus (DM), Loss of Hearing, and Restlessness and Agitation. The resident was admitted to the facility on [DATE]. The Quarterly Minimum Data Set (MDS) assessment dated [DATE]…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2019-06-04 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews during the recertification survey, the facility did not ensure that each resident's assessment must accurately reflect the resident's status. This was identified for 1 (Resident #161) of 3 residents reviewed for nutrition. Specifically, Resident #161 had a Quarterly Minimum Data Set (MDS) Assessment that was completed on 4/2/19. The MDS documented the resident lost and gained weight during the review period. Review of the resident's weights revealed the resident lost weight throughout the review period, no weight gain had occurred. The finding is: Resident #161 has diagnoses including Morbid Obesity, Major Depressive Disorder, and Type 2 Diabetes Mellitus (DM). The resident was admitted to the facility on [DATE]. The Quarterly MDS assessment dated [DATE] documented the resident's Brief Interview for Mental Status (BIMS) score was 15 indicating the resident was independent for daily decision making and that the resident required supervision and setup for eating. The MDS…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · B2019-06-04 · tag F0842 — failed to keep accurate, complete medical records — patternSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview during the recertification survey, the facility did not ensure that each resident's medical record was maintained in accordance with accepted professional standards and practices that is complete and accurately documented. This was evident in 1 (Resident #244) of 41 residents reviewed for medical records. Specifically, Resident #244 had a Physician's Order to administer Oxygen (O2) inhalation via nasal cannula (n/c) at 3 liters per minute (lpm) for O2 saturation <92% for Shortness of Breath (SOB). Review of the medical record revealed that there was no documented evidence that the O2 saturation was monitored prior to the administration of O2 to justify its use. The finding is: Resident #244 has diagnoses including Type 2 Diabetes Mellitus (DM), Major Depressive Disorder, and Shortness of Breath. The resident was admitted to the facility on [DATE]. The Quarterly Minimum Data Set (MDS) assessment dated [DATE] documented the resident was moderately impaired in cognition…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to BENJAMIN LANDA — 48 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 3 of 5 | 3.4 | -0.4 vs chain |
| Health inspection | 2 of 5 | 3.3 | -1.3 vs chain |
| Staffing | 2 of 5 | 2.3 | -0.3 vs chain |
| Quality measures | 5 of 5 | 3.5 | +1.5 vs chain |
The other 47 homes this chain runs (chain average 3.4★, per CMS)
Showing 40 of 47; lowest-rated first.
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| JANKLOWICZ, JACK | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% | since 04/11/2011 |
| JANKLOWICZ, LEONARD | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% | since 04/11/2011 |
| LICHTSCHEIN, TEDDY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 8% | since 04/11/2011 |
| POLLAK, THEODORE | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 6% | since 04/11/2011 |
| BONURA, JODY | Individual | W-2 MANAGING EMPLOYEE | — | since 10/13/2015 |
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $2.8M paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in NY
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New York Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 335582. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-03-08, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.