Hempstead Park Nursing Home

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification Survey initiated on 07/28/2025 and completed on 08/05/2025, the facility did not ensure that drugs and biologicals were stored in a locked compartment. This was identified for one (1) (Resident #208) of eight (8) residents reviewed for Accidents. Specifically, a tube of unlabeled Hydrocortisone (a steroid cream to treat inflammation and allergies) cream 0.5 percent, and a labeled Triamcinolone (a prescription steroid cream to treat allergies and inflammation), 0.1 percent, cream were observed on Resident #208's overbed table. Additionally, there was a labeled Chlorhexidine Gluconate (anti-microbial mouthwash to treat inflammation of the gums) 0.12 percent bottle, a labeled Fluticasone (nasal spray for allergy) nasal spray, a labeled Patadine (eye drop for allergy) 0.1 percent eye drop bottle, and an unlabeled Refresh (eye lubricant) eye drop bottle on Resident #208's nightstand. There was no Nursing staff in the vicinity of 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review during the recertification survey initiated on 07/28/2025 and completed on 08/05/2025, the facility did not ensure If the facility did not employ a qualified professional person to furnish a specific service to be provided by the facility, services were furnished to residents by a person or agency outside the facility under an arrangement described in section 1861(w) of the Act for each resident. This was identified for one (1) (Resident #179) of one (1) resident reviewed for Vision/Hearing. Specifically, Resident #179 was seen by the Optometrist on 04/28/2025 and recommended a referral for an Ophthalmology consult for Cataract (a clouding of the lens of the eye) surgery. The facility did not arrange an appointment with the Ophthalmologist until 08/04/2025, approximately three (3) months after the recommendation was made. The finding is:The facility policy titled Consultants, last reviewed on 02/2025, documented the nurses on the unit will pick up an order for a consultant…

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 during the Recertification Survey initiated on 07/28/2025 and completed on 08/05/2025, the facility did not ensure each resident's bedside was adequately equipped to allow residents to call for staff assistance through a communication system that relayed the call directly to a staff member or to a centralized staff work area. This was identified for one (Resident #40) of three (3) residents reviewed during the Environmental Task. Specifically, on 07/28/2025 and 07/29/2025, Resident #40's call bell was not functioning, and the annunciator system at the nursing station did not register the calls from Resident #40's room. The finding is:The facility's policy, titled Resident's Use of Call Bells, last reviewed on 07/29/2025, documented call bell functioning will be checked monthly and as needed by the Maintenance Department. A supply of tap bells/hand bells will be available in the event of a call bell system malfunction. Any staff member who hears or sees a call…

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 interviews and record review in an abbreviated survey (Complaint # NY00340378), the facility did not ensure that Residents were appropriately supervise and implement interventions to prevent resident to resident sexual abuse for one Resident (Resident #2) of three residents reviewed for sexual abuse. Specifically, Resident #1 (Brief Interview Mental Status score 11) who is cognitivly impaired was observed behind closed doors engaging in sexual activities with Resident #2 (Brief Interview Mental Status score 0) The findings are. The Review of the facility policy dated 9/19/2022 entitled Abuse Prevention documented the resident has the right to be free from abuse. Sexual Abuse-nonconsensual sexual contact of any type with a resident. This includes non-consensual sexual intrusion, touching intimate body parts. The facility will evaluate an individual resident's capacity to consent to sexual activity when indicated. Resident #1 admitted to the facility on [DATE] with diagnoses that included schizoaffective…

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 the Recertification Survey initiated on 11/28/2023 and completed on 12/5/2023 the facility did not ensure the residents had a safe, clean, comfortable, and homelike environment. This was identified for one (Resident #29) of one resident reviewed for the Environment. Specifically, Resident #29's bed rail, wheelchair arm rest, and left side of the wheelchair were observed soiled with a cream colored and crusty substance on multiple occasions (11/28/2023, 11/29/2023 and 11/30/2023). The finding is: The facility's policy titled, Wheelchair/Gerichair/Cleaning Monitoring dated 10/12/2021 documented the 3 PM - 11 PM shift will prepare and have all wheelchairs and Geri chairs ready for cleaning. Any wheelchair designated by nursing which needs additional cleaning will be cleaned and returned to the unit by housekeeping staff. The facility policy titled, Cleaning and Disinfecting Resident Rooms dated 5/2020 documented to ensure that all resident's rooms are…

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 observation, record review and staff interviews conducted during the Recertification Survey and Abbreviated Survey (NY003183311) initiated on 11/28/2023 and completed on 12/5/2023 the facility did not ensure that each resident was free from abuse. This was identified for three (Resident #61, Resident #71 and Resident #84) of eight residents reviewed for resident to resident altercation. Specifically, on 6/13/2023 Resident #61 threw a can of soda at Resident #71. Resident #71 then threw a can of soda at Resident #61. Resident #61 was assisted to their room by Certified Nursing Assistant (CNA) #9. CNA #9 exited Resident #61's room to get a Hoyer (Mechanical) lift. Resident #61 exited their room with a broomstick and hit Resident #71 and Resident #84 with the broomstick. The finding is: The policy and procedure titled, Abuse Prevention effective 9/19/2022 and last reviewed on 9/19/2023 documented the resident has the right to be free from abuse, neglect, misappropriation of resident property, 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during the Recertification Survey and Abbreviated Survey (NY00327941), initiated on 11/28/2023 and completed on 12/5/2023 the facility did not ensure that all incidents were investigated thoroughly. This was identified for one (Resident #16) of 12 residents reviewed for Abuse. Specifically, Resident #16 was observed with a discoloration to the lower left eyelid, an injury of unknown origin, on 11/11/2023 at approximately 4 AM. The facility investigation did not include the assigned Certified Nursing Assistant (CNA) #1's statement to determine the root cause of the injury. The finding is: The facility Accident and Incident Investigation and Reporting policy and procedure dated 10/20/2023 documented that investigation statements are to be obtained from the assigned CNA, any witnesses to the occurrence, and the person who reported the occurrence. Resident #16 was admitted with diagnoses of Non-Alzheimer's Dementia, Insomnia, and Psychosis. The Quarterly Minimum Data Set (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.

Based on record review and staff interviews during the Recertification Survey initiated on 11/28/2023 and completed on 12/5/2023 the facility did not ensure that all services provided by the facility met professional standards of quality. This was identified for one (Resident #140) of five residents reviewed for Medication Regimen Review (MRR). Specifically, Resident #140's Insulin injections sites and Nitroglycerin (Heart medication) transdermal (through the skin) 24-hour patch application sites were not documented on the Medication Administration Record (MAR) on multiple occasions. The finding is: The facility's policy titled, Special Considerations for Medication Administrations, effective 10/10/2022 documented nurses administering medications will adhere to professional standards of practice as stipulated by the American Nurses Association, Centers for Medicare and Medicaid Services, and the Centers for Disease Control. There were no procedures specific to Insulin injections and medicated patch application other than the Fentanyl (controlled substance) patch. Resident #140 was…

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 conducted during a Recertification Survey initiated on 11/28/2023 and completed on 12/5/2023, the facility did not ensure that the residents' environment remained as free from accident hazards as possible, and each resident receives adequate supervision to prevent accidents. This was identified for one (Resident #186) of 14 residents reviewed for Accidents. Specifically, Resident #186 was observed on 11/28/2023 with multiple medication pills in a medication cup, including an antipsychotic medication, on their overbed table with no staff member in the vicinity. The resident was not assessed to safely self-administer medications. The finding is: The facility's policy titled Medication Administration dated 9/20/2023 documented a nurse will watch the resident swallow the medication and offer appropriate liquid. Resident #186 was admitted with diagnoses that included Schizophrenia, Schizoaffective Disorder and Constipation. A Quarterly Minimum Data Set (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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews during the Recertification Survey initiated on 11/28/2023 and completed on 12/5/2023 the facility did not ensure that the medical care of each resident was supervised by the Physician including monitoring changes in the resident's medical status. This was identified for one (Resident #38) of four residents reviewed for Nutrition. Specifically, Resident #38 had an unplanned significant weight loss of 5.8% over a 30-day period. There was no documented evidence that the resident's weight loss was addressed by the Physician. The finding is: The facility's policy titled Notification of Clinical Nutrition Changes, last reviewed on 12/1/2023, documented to inform the resident and/or representative and the resident's Physician when there is a change in the resident's clinical nutrition status or diet. The clinical dietician will communicate with the resident's Physician when there is a clinical nutritional status change or an indication for a diet change. The date and time 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 record review and staff interviews during the Recertification Survey initiated on 11/28/2023 and completed on 12/5/2023 the facility did not ensure each Pharmacy Consultant Medication Regimen Review (MRR) recommendation was addressed by the resident's attending physician. This was identified for two residents (Resident #140 and Resident #79) of five residents reviewed for Unnecessary Medications. Specifically, 1) Resident #140 was prescribed Lantus Solostar U-Insulin subcutaneously (beneath the skin) once daily, a Nitroglycerin (Heart medication) transdermal (through the skin) 24-hour patch, Budesonide suspension for nebulization (a mist that is inhaled into the lungs), and Fluticasone nasal spray on 7/18/2023. On 8/10/2023 the Pharmacy Consultant recommended the Lantus and Nitroglycerin patch application site should be documented and rotated. There was no documented evidence that the MRR recommendations were addressed before 11/21/2023. The Pharmacy Consultant also recommended to evaluate the use of both the Budesonide nebulizer and Fluticasone nasal spray because both…

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 record review and staff interviews during the Recertification Survey and Abbreviated Survey (Complaint # NY 00325593), initiated on 11/28/2023 and completed on 12/5/2023, the facility did not ensure each resident obtained radiological services timely. This was identified for one (Resident #6) of 10 residents reviewed for Abuse. Specifically, Resident #6 complained of pain to the right leg on 9/29/2023 and 9/30/2023. STAT (immediate) x-rays were ordered on 10/1/2023; however, the x-rays were not completed as ordered. On 10/2/2023 Resident #6 was found on the floor and continued to complain of pain to their right leg. New orders for the STAT x-rays were obtained on 10/2/2023. The x-rays were not completed until after five days on 10/6/2023, after the original order on 10/1/2023. The x-ray results revealed a right hip fracture. Subsequently the resident was transferred to the hospital. The finding is: The facility's policy titled Diagnostic Testing, dated 9/30/2022, documented the Registered Nurse (RN) supervisor will contact the diagnostic company for all STAT orders; 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 review, and interviews during the Recertification Survey completed on 11/8/2021, the facility failed to ensure that it maintained an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections for four (Resident #203, #86, #112, and#197) of four residents reviewed for Respiratory Care. Specifically, 1) Resident #203's oxygen (O2) tubing connected to their concentrator was not accurately dated and laying on the floor, and the O2 tubing on their wheelchair was undated, 2) Resident #86's O2 tubing connected to their concentrator was undated, 3) Resident #112's O2 tubing connected to their concentrator was undated, and 4) Resident #197's O2 tubing connected to their concentrator was not accurately dated and the O2 tubing on their wheelchair was undated. The findings include, but are not limited to: The facility's policy titled Oxygen Therapy, 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 record review and interview during the Recertification Survey and the Abbreviated survey (Complaint #NY00283512), completed on 11/8/2021, the facility did not ensure that all resident representatives were informed of significant change in the resident's status for 1 (Resident #355) of 1 resident reviewed for change in condition. Specifically, Resident #355 had a decline in ambulatory status identified on 7/7/2021. The resident was referred to physical therapy and was placed on rehabilitation services. The resident representative was not notified of the resident's change in condition which resulted in a need to commence physical therapy treatment. The finding is: The facility's policy on Family Communication of Staff to Resident Family dated 12/2020 documented that the Nursing Department will update residents' families or representatives on any change in resident condition or upon request by family or representative for any clinical concerns. Documentation of this communication will be present in 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 observation, interviews, and record review during the Recertification Survey and Abbreviated Survey (Complaint #NY00284403), the facility did not ensure resident rights to be free from abuse for two (Resident #57 and Resident #70) of four residents reviewed for Abuse. Specifically, Resident #57, who had Dementia, kicked Resident #70. Resident #70, who was assessed with intact cognition, in turn threw a garbage can at Resident #57 which resulted in two small lacerations to Resident #57's legs. The finding is: The facility Abuse Prevention Policy and Procedure, dated 11/2018 and revised 10/2020, documented the resident has the right to be free from abuse in the facility. Physical abuse is inappropriate physical contact resulting in injury or harm to a resident. It includes the willful infliction of injury with resulting physical harm. Physical abuse includes but is not limited to hitting, slapping, and kicking. Resident #57 was admitted to the facility with diagnoses of Non-Alzheimer's Dementia, Anxiety…

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 reviews and staff interviews during the Recertification Survey and Abbreviated Survey (Complaint #NY00261845 and # NY 00270792) completed on 11/8/2021, the facility did not ensure that injuries of unknown origin were reported immediately (no later than 24 hours) for one (Resident #304) of three residents reviewed for Change of Condition, and did not ensure that an accident and injury involving potential staff neglect was reported immediately (no later than 24 hours) for one (Resident #305) of 10 residents reviewed for Accidents. Specifically, 1) Resident #304 was identified by facility staff on 7/13/2020 and 7/16/2020 to have injuries of unknown origin; however, the injuries were not reported to the New York State Department of Health (NYSDOH) until 8/7/2020; and 2) Resident #305 was injured while being transferred by staff via a mechanical (Hoyer) lift on 1/8/2021; however, the incident was not reported to the NYSDOH until 1/29/2021. In addition, the facility did not ensure that the results 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during the Recertification Survey completed on 11/8/2021, the facility did not ensure that a comprehensive person-centered care plan was developed and implemented for each resident that includes measurable objectives and timeframes to meet a resident's medical and nursing needs. This was identified for one (Resident #148) of five residents reviewed for Unnecessary Medications. Specifically, Resident #148 received Clopidogrel, an anticoagulant; however, there was no Comprehensive Care Plan (CCP) developed for anticoagulant medication use. The finding is: Resident #148 was admitted with diagnoses including Myocardial Infarction, Essential Hypertension, and Atherosclerotic Heart Disease. The Quarterly Minimum Data Set (MDS) assessment dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 5, indicating the resident had severely impaired cognition. A Physician's admission order dated 5/25/2021 and active as of 11/5/2021 ordered Clopidogrel 75 milligrams (mg)…

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 observation, record review, and interviews during the Recertification Survey and the Abbreviated Survey (Complaint # NY 00273149), the facility did not ensure that each resident receives adequate supervision to prevent accidents for one (Resident #75) of one resident reviewed for Physical Restraints and that the resident environment remained free of accident hazards for one (Resident #112) of four residents reviewed for Accidents. Specifically, 1) Resident #75, who was assessed at high risk for falls, sustained a fall with injury when left unsupervised in a facility dining room on 3/16/2021; and 2) two Intravenous (IV) kits with 23-gauge needles and one IV kit with an 18-gauge needle was observed unattended in Resident #112's room. The findings are: The facility's policy titled Fall Prevention, last reviewed 1/2021, documented that a Fall Risk Assessment is completed upon admission, readmission, significant changes, quarterly, and as needed. Preventative measures shall be initiated immediately based 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, record review, and interviews during the Recertification Survey completed on 11/8/2021, the facility did not ensure that each resident who needs respiratory care is provided with such care, consistent with professional standards of practice for one (Resident #196) of 6 residents reviewed for Respiratory Care. Specifically, Resident #196, with a diagnosis of Chronic Obstructive Pulmonary Disease (COPD), was administered oxygen without a Physician's order. Additionally, the resident's oxygen saturation rate was not monitored to assess the resident's respiratory status and need for oxygen use. The finding is: The facility's policy titled Oxygen Therapy, dated 7/30/2021, documented the Primary Medical Doctor (PMD) will order supplemental oxygen therapy. The PMD will specify the route, the flow rate, and whether or not the oxygen is continuous or on an as needed basis (PRN). Resident #196 was admitted with diagnoses including Chronic Obstructive Pulmonary Disease (COPD), Diabetes Mellitus, 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the Recertification Survey completed on 11/8/2021, the facility did not label drugs and biologicals used in accordance with currently accepted professional principles, including dating the medication when first opened. This was identified during the medication storage task for two of six medication storage room/medication cart observations. Specifically, Resident #4, #177, and #29 had medications in the unit medication cart that were not dated when first opened. The findings are: The facility policy and procedure for Medication Labeling and Storage last reviewed 12/2020, documented that the nurse initiating a stock medication must ensure that the medication is dated upon opening. The policy did not include procedures to ensure dating of prescription medications upon opening. The Latanoprost Ophthalmic (eye drops used to treat high pressure inside the eye) solution manufacturer guideline last revised 8/2011 provided by the facility documented that once a…

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 reviews and staff interviews during the Recertification Survey and the Abbreviated Survey (Complaint # NY00261845 and NY 00270792) completed on 11/8/2021, the facility did not report an injury of unknown origin and an incident involving a mechanical lift to the New York State Department of Health (NYSDOH) in accordance with the NYSDOH Nursing Home Incident Reporting Manual for one (Resident #304) of three residents reviewed for Change of Condition and for one (Resident #305) of 10 residents reviewed for Accidents. Specifically, 1) Resident #304 was identified by facility staff on 7/13/2020 and 7/16/2020 to have injuries of unknown origin; however, the injuries were not reported to the NYSDOH until 8/7/2020; and 2) Resident #305 was injured while being transferred by staff via a mechanical lift (Hoyer lift) on 1/8/2021, however, the incident was not reported to the NYSDOH until 1/29/2021. The findings are: The New York State Department of Health Nursing Home Incident Reporting Manual dated August…

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.