Brooklyn Gardens Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Brooklyn Gardens Nursing & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF842Dec 9, 2025

  Based on observation, record review, and interviews conducted during the Complaint Survey (Complaint 711914), the facility did not ensure medical records were complete and accurately documented in accordance with accepted professional standards and practices. This was evident for 1 of 3 Residents ( Resident #2). Specifically, Resident #2 had physician's order for the treatment of the right medial bunion. A review of the treatment administration record revealed that the treatments were not documented on several occasions.The findings are:The facility's policy and procedure titled Documentation in the Medical Record which was last reviewed on 04/13/2022 documented that progress notes must document all events pertaining to the residents stay in the facility. […]

• No harm, potential for more than minimal, patternF694May 29, 2025

  Based on observation, record review, and interviews during the Recertification Survey conducted from [DATE] to [DATE], the facility failed to ensure that parenteral fluids were administered consistent with professional standards of practice. This was evident in 2 of 3 residents reviewed for hydration. Specifically, 1.) On [DATE], Resident #37, who had physician orders for administration of intravenous solution was observed receiving expired intravenous fluids. 2.) On [DATE], Resident #482's peripheral intravenous catheter insertion site dressing was observed undated. Additionally, the physician's order for Resident #482's intravenous hydration did not include the infusion rate, and assessment and maintenance of intravenous site. […]

• No harm, potential for more than minimal, patternF656May 16, 2023

  Based on observation, record review, and interviews conducted during the Recertification survey from 5/9/23 to 5/16/23, the facility did not ensure person-centered care plans (CCP) was developed and implemented to meet resident needs. This was evident for 3 (Resident #190, #86, and #47) of 38 total sampled residents. Specifically, 1) a CCP related to wandering and elopement was not developed for Resident #190, 2) a CCP related to seizure disorder was not developed for Resident #86, and 3) a CCP related to behavior was not developed for Resident #47. […]

• No harm, potential for more than minimal, patternF812May 16, 2023

  Based on observations, record review, and staff interviews conducted during the Recertification survey (T37011), the facility did not ensure safe food storage was practiced. This was evident during the Kitchen Observation facility task. Specifically, (1) expired honey thickened orange juice and enteral feeding bottles were observed in the dry food storage area. (2) the emergency food storage area was observed with expired thickened orange juice and multiple bottles and boxes of expired enteral feeding. […]

• No harm, potential for more than minimal, isolatedF580Dec 9, 2025

  Based on observation, record review, and interviews during the Complaint Survey (iQIES 711881), the facility failed to notify the designated representative of Resident #4's significant weight loss. The findings are: The facility's policy titled Notification of Changes with effective date 12/22/2020 and last reviewed date 12/22/2024 documented the facility was to inform resident and resident's representative when there was a significant change in the resident's physical, mental, or psychosocial status. It also documented the family/representative would be notified of the change by either nurse or social worker. […]