Central Island Healthcare

In the surveyor’s words

From the most serious findings on record at Central Island Healthcare, in the surveyor’s own words.

• Immediate jeopardy, patternF678Jul 29, 2022

  Based on observation, interviews, and record review during an abbreviated survey (Complaint # NY 682), the facility failed to accurately identify each resident's advance directive status and did not initiate Cardiopulmonary Resuscitation (CPR) when a resident was found unresponsive and with no pulse. This was identified for one (Resident #1) of eight residents reviewed for advance directives. Specifically, on [DATE], at approximately 11:00 AM, when Certified Nursing Assistant (CNA) #1 was providing morning care to Resident #1 the resident became unresponsive. CNA #1 alerted Registered Nurse (RN) #1 who evaluated the resident and noted that the resident was unresponsive and had no pulse or respiration. Resident #1 had a physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF640Jan 9, 2024

  Based on record review and interviews during the Recertification Survey, initiated on 1/2/2024 and completed on 1/9/2024 the facility did not ensure that all residents' Minimum Data Set assessments were transmitted to the Centers for Medicaid and Medicare Services System within 14 days of the resident assessment completion. This was identified for 15 (Resident #37, #49, #52, #57, #65, #67, #80, #83, #87, #102, #122, #125, #127, #135, and #142) of 16 residents reviewed for Resident Assessment. Specifically, the facility identified transmittal rejections on 10/1/2023. As of 1/9/2024, the Quarterly Minimum Data Set assessments were not transmitted to the Centers for Medicaid and Medicare Services System. […]

• No harm, potential for more than minimal, patternF886Jan 13, 2021

  Based on observation, interviews and record review, during a Focused Infection Control Survey conducted on 1/13/2021, the facility did not store COVID-19 specimens according to the manufacturer's instructions to ensure the accuracy of test results. This was identified for one of two refrigerators utilized to store COVID-19 swab specimens. Specifically, the facility did not monitor the refrigerator temperature used for storing the staff COVID-19 specimens. When the refrigerator temperature was measured on 1/13/2021 the temperature, range was between 58-60 degrees Fahrenheit which is above the normal range (36-46 degrees Fahrenheit). […]

• No harm, potential for more than minimal, isolatedF655Jun 16, 2025

  Based on observations, record review, and interviews during the Recertification Survey initiated on 6/10/2025 and completed on 6/16/2025, the facility did not develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meets professional standards of quality care. This was identified for one (Resident #305) of one resident reviewed for Urinary Catheter. Specifically, Resident #305 was admitted on [DATE] with the use of an indwelling Foley catheter. The baseline care plan, completed on 6/9/2025, did not document the use of the Foley catheter. […]

• No harm, potential for more than minimal, isolatedF656Jun 16, 2025

  Based on observations, record review, and interviews during the Recertification Survey initiated on 6/10/2025 and completed on 6/16/2025, the facility did not ensure that a comprehensive person-centered care plan was developed or implemented for each resident to meet a resident's medical and nursing needs. This was identified for one (Resident #93) of four residents reviewed for Skin Conditions Non-Pressure. Specifically, Resident #93 had a Physician's Order to put on a compression bandage wrap in the morning and remove at bedtime, for bilateral (both) lower extremities. Resident #93 was observed multiple times without the compression bandage wrap on the right lower extremity. […]