Downtown Brooklyn Nursing & Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, widespreadF584Jun 27, 2025

  Based on observations, record review, and interviews conducted during the onsite visit for Complaint NY00384702, it was determined that the facility failed to maintain safe and comfortable temperature levels. This was evident on four (4) of four (4) resident floors, where 55 out of 55 rooms sampled had temperatures above the Federal and State requirements in accordance with 42 CFR Part 483 and 10 NYCRR: 415.29. Specifically, room [ROOM NUMBER] was 105 degrees Fahrenheit, room [ROOM NUMBER] was 102 degrees Fahrenheit, and Resident #1 room [ROOM NUMBER] temperature reading was 96 degrees Fahrenheit. Three (3) complaints were submitted to the State Agency regarding high temperatures throughout the facility from 06/24/2025 through 06/25/2025, stating all residents were affected. […]

• No harm, potential for more than minimal, widespreadF835Jun 27, 2025

  Based on observation, record review, and interviews conducted during an abbreviated and partial extended survey, complaint # NY00384702, it was determined that administration failed to ensure that the facility was administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. This was evident on four (4) of four (4) residents floors, where 55 out of 55 rooms sampled had temperatures above the Federal and State requirements. Specifically, on 06/25/2025 at 11:10 AM the temperature in room [ROOM NUMBER] was 105 degrees Fahrenheit, room [ROOM NUMBER] was 102 degrees Fahrenheit, and Resident #1 room [ROOM NUMBER] temperature reading was 96 degrees Fahrenheit. […]

• No harm, potential for more than minimal, isolatedF695Apr 10, 2025

  Based on observation, record review, and interviews conducted during the Recertification survey from 04/03/2025 to 04/10/2025, the facility did not ensure a resident who needed respiratory care was provided such care, consistent with professional standards of practice. This was evident for 1 (Resident #274) out of 4 residents reviewed for Respiratory Care out of 38 sampled residents. Specifically, Resident #274 was observed receiving oxygen via nasal cannula at a rate of 3 liters per minute without a Physician's order. The findings are: The facility's policy titled Transcription and Order Entry into PCC (Point Click Care) with effective date 6/15 documented that all resident orders must be entered into the electronic medical record to appear in the resident's medication profile. […]

• No harm, potential for more than minimal, isolatedF636Jan 10, 2024

  Based on record review and interviews conducted during the Recertification survey from 1/3/2024 to 1/10/2024, the facility did not ensure that comprehensive resident assessments were completed within 14 days of the assessment reference date. This is evident for 1 of 38 total sampled residents. Specifically, Resident #226's annual Minimum Data Set assessment was not completed within 14 days. The findings are: The facility policy titled Minimum Data Set Assessment Version 3.0 dated 12/2023 documented the Minimum Data Set Department will complete audit reports to review for quality data and timeliness of Minimum Data Set completion. […]

• No harm, potential for more than minimal, isolatedF638Jan 10, 2024

  Based on record review and interviews conducted during the Recertification survey from 01/03/2024 to 01/10/2024, the facility did not ensure residents were assessed using the quarterly review instrument specified by the State every 3 months. This was evident in 3 (Residents #62, #70 and #145) of 38 total sampled residents. Specifically, the quarterly Minimum Data Set 3.0 assessments for Residents #62, #70, and #145 were not completed within 14 days of the assessment reference date. The findings are: The facility policy titled Minimum Data Set 3.0 assessment dated ,d+[DATE] documented audit reports will be completed to review for timeliness of completion. […]