Cobble Hill Health Center Inc

In the surveyor’s words

From the most serious findings on record at Cobble Hill Health Center Inc, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jun 26, 2026

  Based on observation, record review, and interviews conducted during survey, the facility failed to ensure that residents are free from physical abuse. This was evident for one of six residents (Resident #1) sampled for abuse. Specifically, the facility surveillance video dated 06/14/2026 from 09:38:24 AM through 09:39:55 AM revealed Certified Nursing Assistant #1 running out of the dining room chasing Resident #1 who walked out of the dining room into the hallway holding a banana. In the hallway, Certified Nursing Assistant #1 grabbed Resident #1 at the back of their neck and used their right hand to hit Resident #1 on the top of their head. During the incident, Resident #1 fell on the floor and hit their head on another resident's wheelchair. […]

• No harm, potential for more than minimal, widespreadF812Feb 15, 2024

  Based on observations, record review, and interviews conducted during the Recertification survey from [DATE] to [DATE], the facility did not ensure food was prepared and served in accordance with professional standards for food service safety to prevent foodborne illness. This was evident during kitchen observation. Specifically, expired food was observed in the kitchen refrigerator. The findings are: The facility policy titled Labeling and Dating Items dated ,d+[DATE] documented all food items that enter the facility will have the date that the case was received to ensure that all food items entering the facility are utilized using the First In, First Out process. Any items found out of date will note be used and will be discarded. […]

• No harm, potential for more than minimal, patternF812Dec 8, 2021

  Based on observation, staff interview, and record review conducted during the Recertification survey, the facility did not ensure food storage in accordance with professional standards. Specifically, undated and expired food was observed in the Kitchen and Storage Room during the Kitchen Task. The findings are: The facility policy titled General Purchasing of Food and Non Food Products last revised ,d+[DATE] documented all items received in the kitchen will be dated by the storeroom worker. Refrigerated foods and opened boxes/cans/bottles are to be dated. […]

• No harm, potential for more than minimal, isolatedF609May 20, 2026

  Based on observation, record review and interview, the facility failed to ensure 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 was made, if the events that cause the allegation result in serious bodily injury, to the State Survey Agency. This was evident in one (1) (Resident #370) of five (5) residents reviewed for accidents. Specifically, Resident #370 had an unwitnessed fall on 03/20/2026 and was later diagnosed with an acute subcapital left hip fracture on 03/23/2026. The resident had severe cognitive impairment and was unable to provide information regarding the circumstances of the fall. […]

• No harm, potential for more than minimal, isolatedF657May 20, 2026

  Based on observation, record review, and interview, the facility failed to ensure that a resident's comprehensive care plan was reviewed and revised following a significant change in condition and ongoing pain management interventions. This was evident in one (1) of three (3) residents reviewed for pain management out of 35 total sampled residents. Specifically, Resident #1's comprehensive care plan for potential pain was not reviewed and revised despite the resident exhibiting actual pain.The findings include:The facility policy titled Comprehensive Care Plan and Baseline Comprehensive Care Plan with a last reviewed date of 04/2026 documented the interdisciplinary team will review and revise the care plan upon a change in condition and as needed.Resident #1 had diagnoses that included… […]