Mineola Gardens Wellness & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Mineola Gardens Wellness & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF580Apr 17, 2025

  Based on interview and record review, the facility failed to immediately consult with the resident's physician and notify the resident representative of a significant change in the resident's physical, mental, or psychosocial status (that is, a deterioration in health, mental, or psychosocial status in either life-threatening conditions or clinical complications) for 1 (Resident #1) of 6 residents reviewed for notification of changes. The facility failed to ensure LVN A notified the physician/designee and the resident's representative after Resident #1 had a change of condition with agonal breathing (the medical term for gasping for air), fixed pupils, no urine output and lethargy. The noncompliance was identified as PNC. […]

• Immediate jeopardy, isolatedF684Apr 17, 2025

  Based on interview and record review, the facility failed to ensure each resident received treatment and care in accordance with professional standards of practice for 1 of 6 resident's reviewed for quality of care. The facility failed to notify the physician/designee and or seek a higher level of care on 4/07/2025 5:00 a.m. - 6:00 a.m. when Resident #1 had a change of condition with agonal breathing, fixed pupils, no urine output and lethargic. The facility failed to ensure LVN A documented any additional assessments/monitoring of Resident #1 after the initial assessment on 4/07/2025 at 5:00 a.m. The facility failed to ensure LVN A initiated any interventions to prevent a further decline in Resident #1. The noncompliance was identified as PNC. […]

• Immediate jeopardy, isolatedF600Jan 21, 2025

  Based on observation, interview, and record review, the facility failed to ensure residents had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for 2 of 9 residents (Residents #1 and #2) reviewed for abuse. The facility failed to ensure CNA A did not sexually abuse Resident #1 during his shower earlier in the week of January 5, 2025 - January 9, 2025, when he allegedly placed his finger in his rectum. The facility failed to ensure CNA A did not sexually abuse Resident #2 during a shower provided during the period of December 28, 2024, and December 29, 2024, when he allegedly attempted to place his finger in his rectum. The noncompliance was identified as PNC. […]

• Immediate jeopardy, isolatedF607Jun 26, 2024

  Based on observation, interview, and record review, the facility failed to implement their written policies and procedures that prohibit and prevent the abuse of residents for 1 of 7 residents (Resident #149) reviewed for abuse. 1. The facility failed to ensure the Administrator was notified immediately when Resident #149 accused CNA L of sexual abuse. 2. The facility failed to ensure Resident #149 and other vulnerable residents were protected from CNA L. CNA L was not immediately suspended and remained in the facility until the end of his shift. 3. The facility failed to ensure allegations of abuse were thoroughly investigated. […]

• Immediate jeopardy, isolatedF580Feb 4, 2023

  Based on interview and record review the facility failed to immediately consult with the physician regarding a significant change in resident's condition for 1 of 3 residents sampled for change in condition. (Reident#1) The facility failed to immediately consult the resident's physician when Resident #1 experienced a change in condition in which he began to have involuntary jerking movements. The facility failed contact Resdient #1' the physician when NP orders on 01/06/23 for a UA were not followed, and on 01/10/23 the resident was sent to the hospital septic from a UTI. An Immediate Jeopardy (IJ) situation was identified on 02/03/23 at 1:30 p.m. […]