Brooklyn-Queens Nursing Home

In the surveyor’s words

From the most serious findings on record at Brooklyn-Queens Nursing Home, in the surveyor’s own words.

• Immediate jeopardy, patternF610Apr 20, 2023

  Based on observation, record review, and interviews conducted during an Abbreviated and Partially Extended Survey (Case # NY00314584), the facility failed to prevent further potential abuse, neglect, exploitation, or mistreatment while an investigation in allegation of abuse was in progress. This was evident for (Resident #1, 2, 3) out of the 14 residents reviewed. Specifically, on 04/12/2023 at 3:06 am, Licensed Practical Nurse (LPN) #1 and Certified Nurse Assistant (CNA) #2 heard a loud noise in Resident #1's room and responded to the room. Resident #1 was sitting at the edge of the foot of their bed and CNA #1 was standing, facing Resident #1. CNA #1 was visibly shaken, and Resident #1 was screaming, and dressed in a hospital gown with no adult brief on and touching their private parts. […]

• No harm, potential for more than minimal, patternF609Jun 2, 2026

  Based on observation, record review and interviews, the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source, are 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. This was evident in three (Residents #144, #135, and #68) of seven residents reviewed for accidents and abuse. […]

• No harm, potential for more than minimal, patternF610Jun 2, 2026

  Based on observation, record review, and interviews, the facility failed to ensure all alleged violations were thoroughly investigated. This was evident in three (Residents #144, #135, and #68) of seven residents reviewed for accidents and abuse. Specifically, the facility failed to conduct thorough investigations regarding: 1.) Resident #144, who intentionally punched a window, causing it to shatter and resulting in multiple lacerations and a fractured finger; 2.) Resident #135, who was found on the floor with left orbital swelling and pain and subsequently alleged being pushed; and 3.) Resident #68, who was observed with bruise of unknown origin to the left thigh. […]

• No harm, potential for more than minimal, patternF657Sep 10, 2024

  Based on observations, record review and staff interviews conducted during the Recertification survey and Complaint survey (NY00348151) from 09/03/2024 to 09/10/2024, the facility did not ensure that residents comprehensive care plans were reviewed and revised to reflect the resident's status. This was evident for 1 (Resident #91) of 2 residents reviewed for Activities of Daily Living, 1 (Resident #105) of 6 residents reviewed for Abuse and 1 (Resident #7) of 5 residents reviewed for Unnecessary Medication out of 31 sampled residents. Specifically, 1). Resident #91's comprehensive care plan was not reviewed and revised to reflect their preference for wearing hospital-style gowns, and refusal to have their hair care needs addressed, 2). […]

• No harm, potential for more than minimal, patternF880Apr 21, 2021

  Based on observations, and staff interviews during the recertification survey, the facility did not ensure that infection control practices and procedures were maintained. Specifically, (1) Glucometer and blood pressure cuffs were not sanitized before and after multiple residents' use. (2)Oxygen tubing was observed touching the floor on four occasions. This was evident for observations of 2 of 4 nurses during Medication Administration and 1 out 1 resident reviewed for Respiratory Care (Resident # 22). The findings are. 1) On 04/15/21 between 11:45 AM and 11:48 AM, LPN #1 was observed checking residents' finger Stick (F/S), the LPN used the same glucometer to perform the 2 resident's F/S without sanitizing the glucometer between residents. […]