Masonic Care Community of New York

In the surveyor’s words

From the most serious findings on record at Masonic Care Community of New York, in the surveyor’s own words.

• Immediate jeopardy, patternF689Nov 12, 2025

  Based on observations, record review, and interviews conducted during the abbreviated (iQIES incident #2607732) survey, the facility failed to ensure residents received adequate supervision to prevent accidents for two (2) of five (5,) residents (Residents #1 and #3) reviewed for accidents. Specifically, Resident #1 was at risk for elopement and exited the facility undetected on 09/03/2025 and 10/25/2025; and Resident #3 left the facility grounds on 07/25/2025, undetected, on their motorized scooter and was found two (2) hours later at a fast-food restaurant approximately four (4) miles away. […]

• No harm, potential for more than minimal, widespreadF576Apr 6, 2026

  Based on observations and interviews, the facility failed to ensure each resident had the right to exercise their rights as a resident of the facility and as a citizen or resident of the United States to include sending and receiving mail and to receive letters, packages, and other materials delivered to the facility for all 296 of 296 residents residing in the facility. Specifically, mail was not delivered to residents promptly to include Saturdays.Findings include: The facility policy Resident Mail, last reviewed 9/2025, documented incoming mail would be sorted and distributed daily. […]

• No harm, potential for more than minimal, widespreadF755Apr 6, 2026

  Based on observations, record review, and interviews (iQIES Intake 2722137) the facility failed to ensure routine and emergency drugs and biologicals were provided to two (2) of two (2) residents (Residents #14 and #247) reviewed. Specifically, three (3) doses of Resident #14's alprazolam (used to treat anxiety) were not administered due to the medication not being available from pharmacy; and Resident #247 was not administered five different medications (diltiazem, methimazole, nadolol, hydralazine, and lisinopril) between February 2026 and March 2026 due to the medications not being available from pharmacy. […]

• No harm, potential for more than minimal, patternF561Apr 6, 2026

  Based on observations, record review, and interviews, the facility failed to ensure resident's right to choose activities and health care services consistent with their interests, assessments, and plan of care and the right to participate in social and community activities for two (2) of two (2) residents (Residents #133 and #281) reviewed and for 13 of 13 anonymous residents present at the resident group meeting. Specifically, Residents #133 and #281 and 13 anonymous residents present at the resident group meeting expressed their displeasure with not being able to go outside on facility grounds without supervision.Findings include: The facility policy Resident [NAME] of Rights, last reviewed 05/2020, documented residents had the right to make choices about aspects of their life that were… […]

• No harm, potential for more than minimal, patternF761Apr 6, 2026

  Based on observations and interviews, the facility failed to ensure drugs and biologicals were labeled and stored in accordance with currently accepted professional principles for five (5) of eleven (11) medication carts ([NAME], [NAME], Westchester, Manhattan, and Placid Neighborhoods) reviewed. Specifically, the Placid Neighborhood narcotic box contained 30 morphine (opiate) syringes and 57 lorazepam (anti-anxiety) syringes belonging to a deceased resident; the Manhattan Neighborhood medication cart contained one (1) morphine syringe without a resident's name on the label; the Westchester Neighborhood medication cart contained three (3) pre-poured medication cups; the [NAME] Neighborhood medication cart contained expired eye drops and a nasal spray that was not labeled with an open date;… […]