Kings Harbor Multicare Cente

In the surveyor’s words

From the most serious findings on record at Kings Harbor Multicare Cente, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF851Apr 6, 2026

  Number of residents sampled: 39Number of residents cited: N/A Based on interviews and record reviews conducted during the Recertification survey, the facility failed to ensure that the direct care staffing information based on payroll data was submitted based on the schedule specified by the Centers for Medicare and Medicaid Services. Specifically, the facility failed to submit the direct care staffing data for fiscal year Quarter 1 2026 (10/01/2025 - 12/31/2025) timely. The findings include:The Centers for Medicare & Medicaid Services Electronic Staffing Data Submission Payroll-Based Journal, Long Term Care Facility Policy Manual version 2.6 dated 06/2022 documented Section 6106 of the Affordable Care Act requires facilities to electronically submit direct care staffing information… […]

• No harm, potential for more than minimal, patternF656May 4, 2023

  Based on observation, record review, and interview conducted during the Recertification and Complaint (NY00312479) survey from 04/27/23 to 05/04/23, the facility did not ensure a person-centered Comprehensive Care Plan (CCP) was developed and implemented to meet resident needs. This was evident for 3 (Residents #193, #513, and #936) of 41 total sampled residents. Specifically, 1) a CCP related to abuse prevention was not developed for Resident #193 following a substantiated abuse allegation, 2) a CCP related to dialysis treatment was not developed for Resident #513 who receives dialysis, and 3) a CCP related to fractures was not developed for Resident #936 following a left rib fracture. […]

• No harm, potential for more than minimal, isolatedF554Apr 6, 2026

  Number of residents sampled: 3Number of residents cited: 1 Based on observation, record review, interview, the facility failed to ensure that resident was assessed by an interdisciplinary team to determine their ability to safely self-administer medication when clinically appropriate. This was evident for one (1) of three (3) residents (Resident #439) reviewed for Respiratory Care. Specifically, there were multiple observations of a Ventolin HFA inhaler left unsecured at Resident #439's bedside, and there was no evidence Resident #439 had been assessed by the interdisciplinary team, and a determination made that they could safely self-administer the medication. […]

• No harm, potential for more than minimal, isolatedF580Apr 6, 2026

  Number of residents sampled:5Number of residents cited:1Based on record review and interviews, the facility failed to ensure they immediately informed the resident, consulted with the resident's physician and notified the resident's representative when there was a need to alter treatment significantly. This was evident for one (1) of five (5) residents (Resident #630) reviewed for Pain Management out of 39 sampled residents. Specifically, there was no documented evidence that Resident #630 or their designated representative was informed when Dilaudid was initiated and added to their pain management regimen.The findings include:The facility's policy and procedure titled Pain Assessment, Education and Management effective 3/2006 and revised 01/2025 documented information on pain may be… […]

• No harm, potential for more than minimal, isolatedF604Apr 6, 2026

  Based on observation, interview, and record review conducted during the survey the facility failed to ensure that a resident was free from physical restraints for purposes of discipline or convenience and that are not required to treat the resident's medical symptom. This was evident for one (1) of two (2) residents (Resident #642) reviewed for Physical Restraints out of 39 total sampled residents. Specifically, Resident #642 was observed, on multiple occasions, in bed with two (2) upper half side rails raised on both sides. […]