Island Nursing and Rehab Center

In the surveyor’s words

From the most serious findings on record at Island Nursing and Rehab Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF725Jun 11, 2024

  Based on observations, record review, and interviews during the Recertification and abbreviated Survey (Complaint #NY 00327627) initiated on 6/05/2024 and completed on 6/11/2024, the facility did not ensure sufficient nursing staff were available to provide nursing services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. This was identified for two (Unit 2 and Unit 3) of three units reviewed during the Sufficient Nursing Staffing Task. […]

• No harm, potential for more than minimal, patternF880Sep 13, 2022

  Based on observations, record reviews, and interviews during the Recertification Survey initiated on 9/6/2022 and completed on 9/13/2022, the facility failed to establish and maintain infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development of communicable diseases. This was identified for six (Resident #77, #57, #50, #9, #43, #32) of seven residents reviewed for respiratory care. Specifically, for six (Resident #77, #57, #50, #9, #43, #32) of six residents receiving nebulizer treatment the facility did not follow their policy and procedures to change or clean the tubing, the mouthpiece, and the mask utilized to provide treatment via the nebulizer to prevent and minimize the risk of infection. […]

• No harm, potential for more than minimal, isolatedF656Jul 15, 2026

  Based on observation, record review, and interviews, the facility did not ensure that each resident had a person-centered Comprehensive Care Plan (CCP) developed and implemented that included measurable objectives and time frames to meet a resident's medical, nursing, mental and psychosocial needs. This was identified for one (Resident #1) of three residents reviewed for Quality of Care/Treatment. Specifically, Resident #1 did not have Comprehensive Care Plans developed to address the resident's cardiac, diabetes mellitus, and edema diagnoses. […]

• No harm, potential for more than minimal, isolatedF554Aug 6, 2025

  Based on observations, record review, and interviews during the Recertification Survey initiated on 07/31/2025 and completed on 08/06/2025, the facility did not ensure the resident's right to self-administer medications. This was identified for one (Resident #8) of six (6) residents reviewed for Accidents. Specifically, Resident #8 was observed with a souffle medication cup containing four pills on their bedside table. There was no documented evidence Resident #8 was assessed to self-administer medications, and the resident did not have a physician's order to self-administer their medications. […]

• No harm, potential for more than minimal, isolatedF656Aug 6, 2025

  Based on record review and interview during the recertification survey initiated on 07/31/2025 and completed on 08/06/2025, the facility did not ensure person-centered comprehensive care plans that included measurable objectives and timeframes to meet the resident's medical, nursing, mental, and psychosocial needs were developed and implemented. This was identified for one (Resident #8) of two residents reviewed for Behavioral and Emotional Status. Specifically, Resident #8 had a Physician's order for a two-person approach in care and a Comprehensive Care Plan for Accusatory Behaviors with interventions that included a two-person approach. […]