Livingston Hills Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Livingston Hills Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF600Sep 20, 2022

  Based on record review and interview during an abbreviated survey (Case #NY 861), the facility failed to ensure all residents were free from abuse, neglect, and mistreatment when allegations of sexual abuse by Resident #4 were reported. Specifically, on 7/26/2022 at 1:30 AM, Certified Nursing Assistant (CNA) #3 observed Resident #4, who had severely impaired cognition, standing next to the bedside of Resident #2, who had moderately impaired cognition. Resident #2's sheets were off and hospital gown was pulled up. CNA #3 removed Resident #4 from the room. On the same day, 7/26/2022 at 4:45 AM, Resident #4 wandered into the room of Resident #3, who was cognitively intact and reported to CNA #3 and Registered Nurse (RN) #1 that they were sexually assaulted by Resident #4. […]

• Immediate jeopardy, widespreadF610Sep 20, 2022

  Based on record review and interviews during an abbreviated survey (Case #NY 681) the facility failed to thoroughly investigate allegations of abuse for 2 (Resident #2 and #3) of 2 residents reviewed for abuse. Specifically, on 7/26/2022 at 1:30 AM, Certified Nursing Assistant (CNA) #3 observed Resident #4, who had severely impaired cognition, standing next to the bedside of Resident #2, who had moderately impaired cognition. Resident #2's sheets were off and hospital gown was pulled up. CNA #3 removed Resident #4 from the room. On the same day, 7/26/2022 at 4:45 AM, Resident #4 wandered into the room of Resident #3, who was cognitively intact and reported to CNA #3 and Registered Nurse (RN) #1 that they were sexually assaulted by Resident #4. […]

• Immediate jeopardy, patternF689May 1, 2024

  Based on observations, record review, and interviews during an abbreviated survey (Case # NY00325764), the facility failed to ensure the resident environment remained as free of accident hazards as possible for 7 (Resident #'s 2, 3, 20, 21, 22, 25, and 26) of 7 residents reviewed. Specifically, the facility (A) failed to provide meals to Resident #'s 2, 20, 21, 22, 25 and 26 who required a modified diet (provides foods that have a texture that is easier to eat), with meal items that were consistent with the physician ordered food texture, and (B) did not ensure that kitchen and nursing staff knew how to properly and consistently prepare and identify modified diets that were safe for residents. Subsequently, this put all residents with modified diets at risk for choking. […]

• No harm, potential for more than minimal, widespreadF567Jul 30, 2025

  Based on observation, record review, and interviews conducted during recertification surveys, the facility did not ensure action as a fiduciary (trustee) of the resident's funds and hold, safeguard, manage, and account for the residents' personal funds deposited with the facility. Specifically, seven (7) out of eight (8) residents at a surveyor led Resident Council meeting reported they were not able to get money from their resident funds account because the money in the cash box at the reception desk would be empty, even if the arrangements for withdrawal were made in advance.This is evidenced by:The Facility's Policy titled, Resident Finance dated 9/2024, documented the facility would maintain written records of all financial arrangements with the resident or responsible family member… […]

• No harm, potential for more than minimal, widespreadF576Jul 30, 2025

  Based on record review and interviews conducted during the Recertification survey, the facility did not ensure that residents had the right to send and promptly receive mail, and to receive letters, packages and other materials delivered to the facility for the resident through a means other than a postal service. Specifically, residents did not receive mail on Saturdays. This impacted all residents within the facility.This is evidenced by: Facility Policy titled, Resident Right-Right to Forms of Communication with Privacy, dated 11/2024, documented residents had the right to send and receive mail, and to receive letters, packages, and other materials delivered to the facility for the residents through a means other than the postal service. […]