Highfield Gardens Care Center of Great Neck

In the surveyor’s words

From the most serious findings on record at Highfield Gardens Care Center of Great Neck, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF804Feb 3, 2025

  Based on observations, record review, and interviews during the Recertification Survey initiated on 1/28/2025 and completed on 2/3/2025, the facility did not ensure each resident was served food and drink that was palatable, attractive, and at a safe and appetizing temperature. This was identified for ten (Resident #83, Resident #111, Resident # 33, Resident # 52, Resident #53, Resident #20, Resident #18, Resident #164, Resident #118, and Resident #171) of ten residents during the Resident Council meeting. Specifically, during the Resident Council meeting held on 1/29/2025, ten of the ten residents in attendance complained of hot food being served at cold temperatures. […]

• No harm, potential for more than minimal, patternF812Feb 3, 2025

  Based on observations, record review, and interviews during the Recertification Survey initiated on 1/28/2025 and completed on 2/3/2025, the facility did not follow proper sanitation practices to prevent the outbreak of foodborne illness and did not distribute and serve food in accordance with professional standards for food service safety. This was identified during the Kitchen and Dining task. Specifically, 1) during the kitchen observation on 1/28/2025, the rinse temperature of the high-temperature dishmachine was observed to be below 180 degrees Fahrenheit. The manufacturer's temperature recommendation for the rinse cycle was 180 degrees Fahrenheit and above. Additionally, the facility did not monitor the rinse and wash cycle temperatures of the dishmachine. […]

• No harm, potential for more than minimal, patternF925Feb 3, 2025

  Based on observation, record review, and interviews conducted during the Recertification Survey initiated on 1/28/2025 and completed on 2/3/2025 the facility did not maintain an effective pest control program. This was identified for two (Unit 2 South and Unit 3 North) of five units observed during the Environmental Task. Specifically, a cockroach was observed at the 2 South nursing station on 1/28/2025. Additionally, all residents (10 of 10) in the resident council meeting confirmed the sighting of cockroaches throughout the facility and had concerns about pest control. […]

• No harm, potential for more than minimal, patternF812Apr 11, 2023

  Based on observation, record review, and interviews during the Recertification Survey initiated on 4/3/2023 and completed on 4/11/2023, 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 tour of the kitchen on 4/3/2023. Specifically, 12 unopened boxes of food including raw chicken drumsticks, raw fresh ground beef, and cooked turkey breast were observed placed on the patio outside the front entrance of the facility. These boxes of food were observed to be left during multiple observations between 11:16 AM and 2:06 PM when the outside temperature was between 50 to 53 degrees Fahrenheit. […]

• No harm, potential for more than minimal, isolatedF645Feb 3, 2025

  Based on record review and interviews during the Recertification Survey initiated on 1/28/2025 and completed on 2/3/2025, the facility did not ensure that accurate preadmission screening for individuals with a mental disorder and individuals with intellectual disability was accurately conducted. This was identified for one (Resident #69) of 37 residents reviewed for Pre-Admission Screening and Resident Review (PASRR). Specifically, Resident #69 did not have a complete Level 1 screen and was missing the screener identification number. […]