Hollis Park Manor Nursing Home

In the surveyor’s words

From the most serious findings on record at Hollis Park Manor Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF761May 16, 2025

  Based on observation, record review, and interviews during the Recertification Survey conducted from 05/12/2025 to 05/16/2025, the facility did not ensure that all drugs and biological were stored in accordance with currently accepted professional principles. This was evident in 1 (Unit C) of 2 units observed. Specifically, expired medications were stored in Unit C medication cabinet. The findings are: The facility policy and procedure titled Medication Administration with a revision date of 09/2024 stated over the counter drugs should be labeled clearly and monitored regularly. The labels should include expiration dates and any specific storage instructions. […]

• No harm, potential for more than minimal, isolatedF558Jan 23, 2024

  Based on observation, record review, and interviews conducted during the recertification survey from 01/16/2024 to 01/23/2024, the facility did not ensure a resident's right to receive services with reasonable accommodation of their needs and preferences. This was evident for 1 (Resident #15) of 21 total sampled residents. Specifically, Resident #15 was prevented from using their room's bathroom due to the door being locked. The findings are: Resident #15 was admitted on [DATE] with diagnoses of cerebral vascular accident with left hemiplegia and atrial fibrillation. The Minimum Data Set 3.0 assessment dated [DATE] documented Resident #15 was cognitively intact, required substantial to maximal assistance with toileting, and had episodes of bladder incontinence. […]

• No harm, potential for more than minimal, isolatedF584Jan 23, 2024

  Based on observation, interviews, and record review conducted during the Recertification Survey from 01/16/2024 to 01/23/2024, the facility did not ensure the residents' right to a safe, clean, comfortable, and homelike environment. This was evident for 1 (Unit C) of 3 units. Specifically, resident rooms had loose wires and dusty, dirty equipment, and the floor dining room had dirty window shades. The findings are: 1) Unit C was observed multiple times from 01/16/2024 at 8:00 AM to 01/23/2024 at 12:00 PM with the following: 1- Room C05 had a wheelchair and seat cushion with crusty brown stains, food particles, and dust and dirt on the metal frame and wheel spokes. 2- Room C06 had a dusty wheelchair with brown stains and a tube feeding pump and pole with crusty brown stain. […]

• No harm, potential for more than minimal, isolatedF609Jan 23, 2024

  Based on observation, record review and interviews conducted during the Recertification survey from 01/16/2024 to 01/23/2024, the facility did not ensure all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source, were reported immediately, but not later than 2 hours after the allegation was made, to the New York State Department of Health. This was evident in 1 (Resident #30) of 18 total sampled residents. Specifically, Resident #30 fall resulting in spinal fracture was not reported to the New York State Department of Health. […]

• No harm, potential for more than minimal, isolatedF658Jan 23, 2024

  Based on observation, record review, and interviews conducted during the Recertification survey from 01/16/2024 to 01/23/2024, the facility did not services provided met professional standards of quality. This was evident for 1 (Resident #16) 18 total sampled residents. Specifically, the nurse did not inform Physician #1 of Resident #16's high fingerstick blood sugar readings in accordance with Physician's Orders. The findings are: The facility policy titled Long-term Diabetic Care dated 07/2017 documented the Physician will confirm factors that may influence glucose tolerance. Resident #16 had diagnoses of diabetes mellitus and hypertension. The Minimum Data Set 3.0 assessment dated [DATE] documented Resident #16 was moderately cognitively impaired. […]