Morris Park Rehabilitation and Nursing Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689May 14, 2026

  Based on observation, record review, and interviews during survey, the facility failed to ensure residents received adequate supervision to prevent elopement. This was evident in one out of six residents (Resident #1) sampled for elopement. Specifically, Resident #1, who was severely cognitively impaired, with a history of wandering behavior and identified as an elopement risk exited the facility grounds unsupervised on 05/08/2026 at 12:30:40 AM per video surveillance footage and has not been found. Resident #1 exited through the New Wing Hall lobby (1st floor); the alarm on the exit door did not activate due to alarm system malfunction. Resident #1 was last seen on 05/08/2026 at 12:15 AM by Certified Nursing Assistant #1 in a hallway on the first-floor unit. […]

• Actual harm, isolatedF689Jul 3, 2023

  Based on observation, record review, and interview conducted during a Recertification and Abbreviated (NY00312961) survey, the facility failed to ensure a resident received adequate supervision to prevent accidents. This was evident for 1 (Resident #284) of 4 residents reviewed for Accidents of 38 total sample residents. Specifically, on 3/19/2023 Resident #284 fell in their room when left unsupervised by a Certified Home Health Aide (HHA) #1 assigned to provide the resident one-to-one (1:1) observation. Subsequently, Resident #284 sustained a left scalp hematoma (bruising and swelling) and left hip fracture. This resulted in actual harm to Resident #284 that was not immediate jeopardy. […]

• Actual harm, isolatedF689Sep 22, 2022

  Based on record review and interviews during an abbreviated survey (NY00294773), the facility failed to ensure that the resident environment remains as free from accident hazards as is possible, and each resident receives adequate supervision and assistance devices to prevent accidents. This was evident in 1 out of 3 residents sampled (Resident #1). Specifically, on 4/14/2022 during the 3-11 shift, Resident #1 stated that while having a shower, he/she fell in the bathroom. The three Certified Nurse Assistants (CNA) who were present, did not report the fall to the Charge Nurse/ Licensed Practical Nurse #1 (LPN #1). On 4/14/2022, during the night shift, Resident #1 was complaining of pain and was seen kneeling on the floor. […]

• No harm, potential for more than minimal, widespreadF851May 14, 2026

  Based on interviews and record reviews, 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 2.7 dated 06/2025 documented Section 6106 of the Affordable Care Act requires facilities to electronically submit direct care staffing information (including agency and contract staff) based on payroll and other auditable data. […]

• No harm, potential for more than minimal, widespreadF725Jan 31, 2025

  Based on observation, record review, and interviews during the Recertification and Abbreviated Survey (NY00365258) conducted from 01/26/2025 to 01/31/2025, the facility did not ensure that sufficient nursing staff was consistently provided to meet residents' needs in a manner that promotes each resident's rights, physical, mental, and psychosocial well-being, as determined by resident assessments and individual plans of care. Specifically, 1.) Several residents reported the facility was short staffed of Certified Nursing Assistants which resulted in lack of timely staff response to residents who needed assistance, 2.) Multiple nursing staff members reported lack of sufficient staffing, 3.) Facility's staffing levels were repeatedly below facility assessed levels, and 4.) Excessively low… […]