Gurwin Jewish Nursing and Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF689Aug 22, 2022

  Based on record review and staff interviews during the Recertification Survey and Abbreviated survey (NY 941 and NY 891) initiated on 8/15/2022 and completed on 8/22/2022, the facility did not ensure that each resident received adequate supervision and assistive devices to prevent accidents. This was identified for 2 (Resident #394 and Resident #35) of 7 residents reviewed for Accidents . Specifically, 1) Resident #394 required bilateral Ankle-Foot Orthoses (AFO) and Darco shoes (special orthopedic shoes) and two-person assistance for transfers from one surface to another. […]

• No harm, potential for more than minimal, isolatedF641Jan 8, 2026

  Based on observation, record review, and interviews the facility did not ensure the Minimum Data Set assessment was completed to accurately reflect each resident's status. This was identified for one (1) (Resident #11) of three (3) residents reviewed for Physical Restraints. Specifically, Resident #11's Minimum Data Set assessments dated 10/31/2025 and 11/11/2025 inaccurately documented that Resident #11 used physical restraint in a chair or out of bed daily.The finding is: The facility's policy titled Minimum Data Set Accuracy last revised on 09/2025, documented the Minimum Data Set Assessor will ensure the Minimum Data Set is coded accurately to reflect the resident's status. All Minimum Data Set assessments must be completed accurately and within the required timeframes. […]

• No harm, potential for more than minimal, isolatedF677Jan 8, 2026

  Based on observations, interviews, and record review, the facility did not ensure that each resident who is unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene. This was identified for one (1) (Resident #30) of three (3) residents reviewed for Activity of Daily Living. Specifically, Resident #30 had limited range of motion for both hands and required assistance with hand hygiene. The resident was observed with accumulation of moisture and brown sticky substance with a strong odor in the resident's hands. […]

• No harm, potential for more than minimal, isolatedF689Jan 8, 2026

  Based on observation, interviews, and record review (Complaint #2698214), the facility did not ensure each resident environment remained as free of accident hazards as possible. This was identified for one (1) (Resident #473) of five (5) residents reviewed for Accidents. Specifically, Resident #473 required two (2) person assistance for transfers as per their plan of care. On 12/19/2025, the assigned Certified Nursing Assistant #5 transferred Resident #473 alone from the wheelchair to a shower chair, resulting in the resident sustaining multiple skin tears to the right hand, left hand, and left shin.The finding is:A facility policy titled Activities of Daily Living last revised 09/2022 documented Certified Nursing Assistants must review the Certified Nursing Assistant Taks List and Kardex… […]

• No harm, potential for more than minimal, isolatedF756Jan 8, 2026

  Based on interviews and record review, the facility did not ensure the irregularities identified by the Pharmacist during the drug regimen review was documented on a separate, written report and the attending Physician documented in the resident's medical record that the irregularity identified by the Pharmacist had been reviewed and what action had been taken to address the recommendations. This was identified for one (1) (Resident #358) of five (5) residents reviewed for Unnecessary Medications. […]