East Neck Nursing & Rehabilitation Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF695Nov 19, 2025

  Based on observations, record reviews, and staff interviews, during the Recertification Survey initiated on 09/14/2025 and completed on 09/18/2025, the facility did not maintain equipment for respiratory care, such as oxygen equipment, in accordance with federal, state, and local laws and regulations. This was identified for two (2) (Resident #200 and Resident#142) of five (5) residents reviewed for Respiratory Care. Specifically, during an observation on 09/14/2025, the oxygen tubing for Resident #142's and Resident #200's oxygen concentrator and nebulizer machines were not changed since 08/25/2025.The findings are:The facility's policy titled Care of Nebulizer Equipment, last reviewed on 09/05/2025, documented to administer treatment via nebulizer as ordered by the physician and to… […]

• No harm, potential for more than minimal, patternF812Nov 19, 2025

  Based on observations, record review, and interviews during the Recertification Survey initiated on 09/14/2025 and completed on 09/18/2025, the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. This was identified during the initial Kitchen tour and during the Dining Task observation of the lunch meal on 09/14/2025. Specifically, 1) several frozen food items in the walk-in freezer were stored undated and with open packaging; and 2) the facility did not monitor the temperature of cold food items. […]

• No harm, potential for more than minimal, isolatedF690Dec 9, 2025

  Based on record review and interviews during an Abbreviated Survey (2625704), the facility did not ensure that each resident's clinical condition demonstrated the need for an indwelling urinary catheter in the absence of clinical indications for use and did not document the provision of counseling to assist the resident in understanding the clinical implications and risks associated with the use of a urinary catheter for one (Resident #1) of one resident reviewed for urinary catheter. Specifically, Resident #1 received a urinary catheter insertion after the resident requested a catheter due to urinary incontinence. […]

• No harm, potential for more than minimal, isolatedF561Nov 19, 2025

  Based on record review and interviews during the Recertification and Abbreviated Survey (2569298), initiated on 09/14/2025 and completed on 09/18/2025, the facility did not ensure that each resident had the right to make choices about aspects of their life in the facility that are significant to them. This was identified for one (Resident #78) of four Residents reviewed for Abuse. Specifically, Resident #78 wanted a shower on their scheduled shower day; however, Certified Nursing Assistant #6 gave a bed bath against the resident's wishes.The finding is:The facility's policy titled Resident's Rights and Organizational Ethics, dated 11/2016 and last reviewed 09/05/2025, documented that the facility shall ensure that all residents are afforded the right to a dignified existence,… […]

• No harm, potential for more than minimal, isolatedF684Nov 19, 2025

  Based on observations, interviews, and record review during the Recertification Survey initiated on 09/14/2025 and completed 09/18/2025, the facility did not ensure that all residents received treatment and care in accordance with professional standards of practice. This was identified for one (1) (Resident #225) of two (2) residents reviewed for Skin Conditions. Specifically, Resident #225 was identified with two skin tears to the left forearm on 09/11/2025. Registered Nurse #5 applied the treatment to the skin tears; however, there was no documented evidence of the skin assessment and physician orders for the wound care treatment until 09/16/2025.The finding is:The Facility policy titled Non-Pressure Related Skin Ulcer/Wounds, reviewed on 09/05/2025, documented [the facility will]… […]