Comprehensive Rehabilitation and Nursing Center at

In the surveyor’s words

From the most serious findings on record at Comprehensive Rehabilitation and Nursing Center at, in the surveyor’s own words.

• Immediate jeopardy, patternF689Jun 21, 2024

  Based on observations, interviews, and record reviews conducted during an Abbreviated Partial Extended survey (Complaint #NY00345600), the facility failed to provide an environment free of accident hazards and adequate supervision to prevent elopement for seven (Resident #1, #2, #3, #4, #5, #6, and #7) of seven residents reviewed. Specifically, on 6/18/2024 at 4:30 AM, staff returned Resident #1 to the facility after they were found outside. The facility failed to initiate safety interventions after Resident #1 eloped to prevent recurrence. Subsequently, at 6:30 AM facility staff were unable to locate Resident #1 and local authorities were called. Resident #1 was returned to the facility at 4:00 PM by their Health Care Proxy. […]

• Immediate jeopardy, isolatedF689Jul 13, 2026

  Based on observation, record review and interviews conducted during survey, the facility failed to ensure that a resident received adequate supervision and assistive devices to prevent accident/hazards for one (Resident #2) of seven residents reviewed for accidents. Specifically, on 04/21/2026 at 8:14 PM, Resident #2, who had moderate cognitive impairment, exited the facility through the front doors after being let out by Licensed Practical Nurse #2 and left unsupervised. Two hours later, Resident #2 was located approximately 0.3 miles away from the facility by a staff member. This resulted in no actual harm that was Immediate Jeopardy and Substandard Quality of Care with the likelihood of serious harm, serious impairment, serious injury or death to Resident #2's health and safety. […]

• Immediate jeopardy, isolatedF689Jul 10, 2026

  Based on observation, interviews and record review conducted during survey, the facility failed to ensure that a resident received adequate supervision to prevent accidents for one (Resident #1) of two residents reviewed for accidents. Specifically, at 2:59 AM on 09/22/2025, Resident #1 who had severe cognitive impairment, wore a wander/elopement alarm and was at high risk for elopement, exited the facility undetected through delayed egress equipped (security device that restricts exit by sounding an alarm and delays a door from opening for 15-30 seconds) front doors without the staff knowledge. The system was re-engaged by Certified Nurse Aide #1 who failed to visually check the surrounding areas and go outside to verify that no residents had exited the building. […]

• No harm, potential for more than minimal, widespreadF921Feb 5, 2026

  Based on observations, interviews, and record review completed during a survey, the facility did not provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. Specifically, a project to replace the facility's roof began and was interrupted from being completed during and due to inclement seasonal weather. The issues involved various ceiling tiles that were missing or stained throughout the facility; buckets and receptacles, and buckets and receptacles containing standing water and drain hoses from ceilings were stored in corridors and a resident room bathroom; tarps with drain hoses were hung from the corridor's ceiling assemblies; floor tiles were not level to the floor's surface, and ceiling's had missing plaster and peeling paint. […]

• No harm, potential for more than minimal, widespreadF585Dec 6, 2024

  Based on observation, interview and record review conducted during a Standard survey, completed on 12/6/24, the facility did not ensure information on how to file a grievance or complaint was available to the residents and that they had an established grievance policy to ensure the prompt resolution of all grievances regarding the residents' rights. Specifically, Resident Council was unaware of the process and policy on how to file a grievance or a compliant. The facility did not have a policy to ensure prompt resolution of all grievances regarding resident rights that included all required information. […]