Long Island State Veterans Home

In the surveyor’s words

From the most serious findings on record at Long Island State Veterans Home, in the surveyor’s own words.

• Actual harm, isolatedF600Jul 1, 2021

  Based on record review and interviews during the Recertification Survey and the Abbreviated Survey (Complaint # NY 584) completed on 7/1/2021, the facility failed to ensure resident rights to be free from abuse for two of two residents reviewed for abuse (Resident #23 and Resident #157). Specifically, Resident #23 who was identified with aggressive behavior, pushed a wandering resident (Resident #157) when Resident #157 grabbed and shook Resident #23's arm. Resident #157 fell to the floor and sustained two lacerations to the back of the head. Subsequently Resident #157 was sent to the hospital with a change in mental status and the two lacerations to the back of the head required five staples. […]

• No harm, potential for more than minimal, patternF578Nov 9, 2022

  Based on interviews and record review during an abbreviated survey (Case # NY00304466), the facility did not ensure that advanced directives were implemented for 1 (Resident #1) of 9 resident reviewed. Specifically, the facility did not ensure that Resident #1's advanced directive status for Do Not Resuscitate (DNR), withhold cardiopulmonary resuscitation, (CPR), when the heart stops beating) was honored. On [DATE], the resident was found without a pulse and respirations and cardiopulmonary resuscitation (CPR) was administered. The findings are: The Facility's policy titled Resident's Rights last revised ,d+[DATE] documented the facility will protect and promote the rights of each resident and will encourage and assist each resident in the fullest, possible way to exercise their rights. […]

• No harm, potential for more than minimal, isolatedF656Mar 11, 2025

  Based on observation, record review, and interviews during the Recertification Survey initiated on 3/5/2025 and completed on 3/11/2025, the facility did not ensure it implemented a comprehensive person-centered care plan for each resident to meet the resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment. This was identified for one (Resident #260) of two residents observed for Medication Administration. Specifically, on 3/6/2025, during the medication pass observation for Resident #260, Licensed Practical Nurse #1 did not rinse the resident's mouth after administering a Symbicort inhaler (a medication that helps reduce inflammation and keep airways open; the inhaler contains a steroid medication that increases the risk of oral… […]

• No harm, potential for more than minimal, isolatedF657Sep 1, 2023

  Based on record review and staff interviews during the Recertification Survey initiated on 8/28/2023 and completed on 9/1/2023 facility did not ensure each resident's Comprehensive Care Plan (CCP) was reviewed and revised to reflect the current needs of the resident. This was identified for one (Resident #288) of five residents reviewed for unnecessary medications and one (Resident #163) of two residents reviewed for vision/hearing. Specifically, 1) Resident #288's behavioral and activities care plans were not updated to reflect behaviors the resident exhibited and precautionary measures to be taken when the resident attended activity programs; and 2) Resident #163's communication care plan was not updated to reflect the current status of the resident's use of the hearing aid or a hearing… […]

• No harm, potential for more than minimal, isolatedF604Sep 12, 2022

  Based on record review and interviews during an abbreviated survey (Complaint #NY 076)) completed on 9/12/2022, the facility did not ensure each resident was free from physical restraints not required to treat the resident's medical symptoms for 1 (Resident #1) of 3 residents reviewed. Specifically, Resident #1 was restrained to their wheelchair by use of a nightgown tucked under Resident #1's thighs and tied to the bar on the right side of the wheelchair which was restraining and restricting Resident#1 from rising from the wheelchair. […]