Long Island Care Center Inc

Based on observations, record review, and interviews conducted during an abbreviated survey (2614147), the facility failed to ensure a resident's physician was notified of changes in condition. This was evident in one (1) out of five (5) residents (Resident #1) sampled. Specifically, the Medical Director was not notified of Resident #1's change in condition. A review of the Certified Nursing Assistant Accountability Record dated 08/01/2027 through 08/17/2025 documented that Resident #1 exhibited watery stool on 08/02/2025, 08/04/2025, 8/05/2025, 08/06/2025, and 08/09/2025. Record review of the medical and nursing notes revealed no documented evidence that the Medical Director was notified of Resident #1's watery stool. The findings include:The facility's policy titled, Notification of Medical Doctor of Residents Change in Condition dated 04/28/2025, documented it is the policy of the facility that the resident's primary medical doctor or designee, be made aware of any change in the resident's condition to facilitate complete and continuous quality of care to the residents and to…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during an abbreviated survey (2614147), the facility did not ensure that a resident care plan was reviewed and revised by the interdisciplinary team to reflect a resident's bowel pattern. This was evident in two (2) of five (5) residents (Resident #1 and #2) sampled. Specifically, the Certified Nursing Assistant Accountability Record documented that Resident #1 had watery bowel movements on 08/02/2025, 08/04/2025, 08/05/2025, 08/06/2025, and 08/09/2025. Additional, Resident #2 had watery bowel movements daily from 08/01/2025-08/19/2025 and 08/22/2025-08/30/2025. According to interviews with nursing staff and Medical Doctor #1, water bowel movements are expected due to enteral feeding. This was not reflected in Resident #1 and Resident #2's plan of care. The findings include:The facility's policy titled Updating Comprehensive Care Plans dated 05/2024 documented that it is the policy of the facility to treat the Comprehensive Care Plan as personalized plan of…

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.

Based on observation, record review, and interviews during an abbreviated survey (NY00308373), the facility failed to protect a resident from physical abuse by a nursing home staff. This was evident in one out of two residents (Resident #1) sampled for abuse. Specifically, on 01/09/23 at approximately 9:44 pm the facility's surveillance video recording showed Licensed Practical Nurse #1 hit Resident #1 on the left side of their face with a bottle (plastic). The facility's Accident and Incident Report dated 01/09/23 at 9:45 pm documented Resident #1 called the police and was transferred to the hospital. The findings are: The facility's Policy and Procedure titled Resident Abuse, Mistreatment, Exploitation, Misappropriation of Property, Corporal Punishment, Involuntary Seclusion, Neglect, and Injury of Unknown Source, dated 02/2022 states it is the policy of the facility to assure all residents and families that the facility has taken steps within its control to prevent abuse, neglect, and mistreatment, exploitation of the residents and the misappropriation of their property. Resident…

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.

Based on observation, record review, and interviews conducted during the Recertification survey from 04/17/2024 to 04/24/2024, the facility did not ensure that infection control prevention practices and procedures were maintained to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections. Specifically, Enhanced Barrier Precautions were not implemented in the facility. The findings are: The Centers for Medicare and Medicaid Services, Center for Clinical Standards and Quality/Quality, Safety & Oversight Group memorandum titled Enhanced Barrier Precautions in Nursing Homes, Ref: QSO-24-08-NH dated 03/20/2024 documented that effective 04/01/2024, Centers for Medicare and Medicaid Services is issuing a new guidance for long term care facilities on the use of enhanced barrier precautions to align with nationally accepted standards. Enhanced Barrier Precautions recommendations now include use of enhanced barrier precautions for residents with chronic wounds or indwelling medical devices during high-contact resident…

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.

Based on observations, interviews, and record review conducted during the Recertification Survey from 04/17/2024 to 04/24/2024, the facility did not ensure food was stored in accordance with professional standards for food service safety. This was evident in 1 of 6 pantries observed for food storage. Specifically, the 6th floor residents' pantry refrigerator had a temperature of 44 degrees Fahrenheit and contained an undated staff's food. The findings are: The facility policy and procedure titled Pantry Policy with an effective date of March 2024 documented that it is the policy of the facility to provide safe and clean pantry including a refrigerator on each unit to store resident's food and nourishments. Refrigerator temperatures are to be maintained between 32-40 degrees Fahrenheit. Items kept in the refrigerator must be dated and labeled with name and room number. Items will be disposed of after 3 days and any unlabeled and undated items will be disposed of as well. The Facility policy and procedure on Use and Storage of Food Brought to Residents from the Outside which was last…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews and interviews during the Recertification survey conducted from 3/23/22 to 3/30/22, the facility did not ensure that a clean, comfortable, and homelike environment was provided to residents. Specifically, broken heating unit, dirty windowsill, rusted radiator cover/vent unit, dusty and corroded window frame, missing wardrobe closet drawer and door, missing wardrobe closet handles/knobs/door, unpainted and peeling wall paints were observed in resident's rooms, hallways, and the common areas. This was evident in multiple area on 4 of 5 units (Units 6, 2, 5 and 4). The findings are: The facility policy and procedure titled Terminal Housekeeping Cleaning - Sanitizing and Disinfecting dated 3/20 documented it is facility's responsibility to maintain a hygienically clean environment by routine cleaning and infection control practice. It further documented that minor repair by maintenance worker will be completed. During observations of the environment conducted on Unit 6 on…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during the Recertification survey from 3/23/22-3/30/22 the facility did not ensure that a resident remained free from physical restraints. Specifically, a resident was observed with a left-hand mitten which was not identified as a restraint. This was evident for 1 of 2 residents reviewed for Physical Restraints out of a sample of 38 residents. (Resident #32) The findings are: The facility policy titled Physical Restraints revised July 3, 2019, documented it is the policy of the facility that before application of a restraint, all other alternatives will have been explored and/or tried. Only after documentation as to why these measures are ineffective or inappropriate will the least restrictive restraint be ordered and utilized. The resident has the right to make an informed choice regarding the use of restraints. In the case of a resident who is incapable of making a decision, the designated representative may exercise the right based on the same…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews conducted during the Recertification survey 3/23/2022 to 3/30/2022, the facility did not ensure, to the extent practicable, that residents/resident representatives participated in the development of a Comprehensive Care Plan (CCP). Specifically, there was no evidence cognitively intact residents were afforded the opportunity to participate in the care plan meetings or documentation explaining why they could not participate. This was evident for 3 of 4 residents reviewed for Care Plan out of a sample of 38 residents. (Resident #145 and #66) The findings are: The facility policy and procedure titled Comprehensive Care Plan (CCP) and Resident/Patient Meeting with effective date February 2022, supersedes:12/1/2019; 3/30/2017 documented under Policy/Procedures and Information 1) A CCP meeting (with the inclusion by invitation to the resident and/or family) will be conducted with 21 days from admission 2) The mechanics of how the interdisciplinary team meets its responsibilities…

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.

Based on observation, record review and staff interviews during the Recertification survey conducted 3/23/22 to 3/30/22, the facility did not ensure that care and services are provided according to accepted standards of clinical practice. Specifically, the facility did not ensure that a resident with intravenous (IV) Midline access site for antibiotic therapy was provided with proper administration of the initial dose by a Registered Nurse (RN) and assessment of the resident by an RN for symptoms and reactions to prevent further infection, and complications of IV therapy when administered by a Licensed Practical Nurse (LPN). This was evident for 1 of 10 residents observed for Medication Administration. (Resident #57). The findings are: The undated facility policy on Job Description: - Licensed Practical Nurse documented: The Licensed Practical Nurse, under the supervision of the RN Supervisor, renders professional nursing care to residents in support of medical care as ordered by the physician and pursuant to objectives and policies of Long Island Care Center. The New York State…

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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Citation Text for Tag 0755, Regulation FF11 [NAME], Daneya C. Based on interviews, observations and record reviews conducted during a Recertification survey from 3/23/2022 to 3/30/22, the facility did not ensure timely identification and removal of expired medications. Specifically, expired medications were observed in the medication room cabinet on (4th floor) The findings are: The facility's policy and procedure entitled Medication Storage Of effective date 6/1/2009, documented that medication are stored according to procedures established and in compliance with State and Federal regulations, as well as manufacturer's recommendations, to ensure the integrity of all medications. On 3/29/2022 at 4:40 PM, the medication storage room was observed. One unopened botte of Bisacodyl 5mg 100 tablets was observed with an expiry date of 1/2022 in the stock medication cabinet. On 3/29/2022 at 4:40 PM, Licensed Practical Nurse (LPN) #2 was interviewed. LPN #2 stated that all nurses are responsible for checking medications…

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.

Based on observation, record review and staff interviews during the Recertification survey conducted 3/23/22 to 3/30/22, the facility did not ensure that resident on intravenous therapy received adequate monitoring. Specifically, a resident's antibiotics medication was not adequately monitored every shift by a Registered Nurse for the indication for its use and/or for the possible presence of adverse consequences when administered by a Licensed Practical Nurse (LPN). This was evident for 1 of 10 residents observed for Medication Administration. (Resident #57). The findings are: The New York State Education Board for Nursing on Practice Information: - The Practice of IV Therapy by Licensed Practical Nurses in Long Term Care Settings last updated April 16, 2021, documented the role of the LPN in providing intravenous therapy is determined by a number of factors including the complexity of the procedure, the degree of direction, the setting, as well as the skill and competence of the licensee. A Registered Professional Nurse (RN) may delegate select activities associated with 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and staff interviews conducted during a Recertification survey from 3/23/22 to 3/30/22, the facility did not ensure that the resident's drug regimen was free of unnecessary medications. Specifically, a resident with a Dementia diagnosis was maintained on an antipsychotic medication with no documented behaviors to support the ongoing use of the medication. This was evident for 1 of 6 residents reviewed for the Unnecessary Medication out of a sample of 38 residents. (Resident # 67). The findings include. The facility policy, procedure, and information titled Medication: Psychoactive Medication Use revised 01/2022 documented that the facility will monitor all residents on psychoactive medications as mandated by the State and Federal Guidelines. Resident #67 was admitted to facility on 12/23/2021 diagnoses that included Non-Alzheimer's Dementia and Depression. The admission Minimum Data Set (MDS) dated [DATE] documented resident as severely cognitively impaired with no…

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.

Based on observations and staff interviews conducted during a Recertification survey from 3/23/2022 to 3/30/2022, the facility did not ensure 1). that controlled drugs were stored appropriately in locked compartments and 2). that medication and biologicals were labeled and dated appropriately when opened. Specifically, one of the two double locked narcotics cabinet door was unlocked and multi-use insulin vials were not labeled when opened. This was observed on 1 of 5 units during the Medication Storage Task. (Unit 2). The findings are: The facility policy titled Medication: Storage of effective date 6/1/2009 documented Medications are stored according to procedures established and in compliance with State and Federal regulations, as well as manufacturer's recommendations, to ensure the integrity of all medications. On 03/29/22 at 12:50 PM, the Medication cart was observed on the 2nd Floor in the hallway near the elevator bank. One Lantus insulin pen and one Novolog Flex pen were observed opened and there was no discard date on the label. On 03/29/22 at 01:02 PM, the narcotics…

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.