King David Center for Nursing And Rehabilitation

In the surveyor’s words

From the most serious findings on record at King David Center for Nursing And Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Dec 3, 2025

  Based on observation, interview, and record review the facility failed to maintain the residents' right to a safe, clean, and comfortable homelike environment. Specifically, housekeeping and maintenance services were not maintained in Units 2, 3, 4, 5, and 8. The findings include but are not limited to: The facility's undated Maintenance Policy and Procedure Manual stated that the building will be maintained in good repair and kept free of hazards. The responsibility for all maintenance and all preventive maintenance rests with the Maintenance Services Director, who reports directly to Administration. […]

• No harm, potential for more than minimal, patternF609Dec 3, 2025

  Based on observation, record review, and interviews, during the Recertification and Complaint (#523045) Survey, the facility failed to ensure that all alleged violations involving abuse, neglect, including injuries of unknown source were reported immediately, but not later than 2 hours after the allegation was made, if the events that cause the allegation involve abuse or result in serious bodily injury, or no later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the New York State Department of Health. This was evident for 3 (Residents #63, 145, and 12) of 4 residents reviewed for Accidents out of 35 total sampled residents. […]

• No harm, potential for more than minimal, patternF657Dec 3, 2025

  Based on interview and record review conducted during the Recertification Survey from 09/24/2025 to 10/01/2025, the facility did not ensure a comprehensive person-centered care plan was reviewed and revised to address a resident's needs. This was evident for 2 (Residents #164 and #116) of 38 total sampled residents. Specifically, 1) Resident #164's comprehensive care plan was not reviewed and revised to reflect Resident #164's behavior problem, and 2) Resident #116's comprehensive care plans were not reviewed and revised to reflect the elopement/wandering behavior.The findings include: The undated facility policy titled Care Plans - Comprehensive documented the care plans are revised as changes in the resident's condition dictate. […]

• No harm, potential for more than minimal, patternF812Dec 3, 2025

  Based on observation, record review, and interviews, the facility failed to store, prepare, and serve food in accordance with professional standards for food safety. This was evident during the kitchen observation task and dining observation for one (1) (Unit 8) of 7 units observed. Specifically, 1.) The kitchen staff's facial hair was not fully covered during food preparation, 2.) Enteral feedings were not discarded past it's used by date, and 3.) Certified Nursing Assistant #8 was handling residents' food with bare hands. The findings include:1.) The facility policy and procedure titled Dietary/Food Handling dated 01/2025 documented clean uniforms must be worn daily. Hairnets or caps must be worn effectively to keep hair from contacting exposed food, clean equipment, utensils and linens. […]

• No harm, potential for more than minimal, patternF656Nov 10, 2021

  Based on record reviews and interviews conducted during Recertification and an Abbreviated survey (NY 610 and NY 209), the facility did not ensure that person-centered care plans with measurable goals, time frames, and interventions were developed to address resident's concerns. Specifically: 1) A care plan was not developed to address a resident's oxygen use. 2) A care plan was not developed to address a resident with aggressive behavior. 3) A Care Plan was not developed to address a resident's actual skin breakdown and risk for further skin breakdown. 4) A Care Plan was not developed with interventions documneted to prevent further skin breakdown. This was evident for 4 residents out of a total of 38 sample residents reviewed. […]