Nassau Rehabilitation & Nursing Center

In the surveyor’s words

From the most serious findings on record at Nassau Rehabilitation & Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF805May 8, 2025

  Based on observation, staff interview and record review during an abbreviated survey (NY00373760), the facility failed to ensure food was prepared in a form designed to meet the resident's needs as documented on a hospital discharge summary for one (1) (Resident #1) of three (3) residents reviewed. Specifically, Resident #1 was admitted with a modified consistency diet of minced moist consistency and thickened liquids. The facility diet order documented chopped consistency with thin liquids. Resident # 1 was found unresponsive in the dining room during breakfast on 09/10/2024. This resulted in Resident #1 being transported to the hospital with upper airway obstruction from food and subsequently expired. […]

• No harm, potential for more than minimal, isolatedF550Apr 28, 2025

  Based on observations, record review, and interviews during the Recertification Survey initiated on 4/21/2025 and completed on 4/28/2025, the facility did not ensure that each resident was treated with respect and dignity and cared for in a manner that promoted maintenance or enhancement of their quality of life. This was identified for two (Resident #78 and Resident #155) of the two residents reviewed for Dignity. Specifically, during a lunch meal observation on 4/21/2025, Occupational Therapist Assistant #1 was observed standing over Resident #78 while they assisted the resident with the lunch meal. During the same lunch meal observation, Transporter #1 was also observed standing over Resident #155 while they assisted the resident with their lunch meal. […]

• No harm, potential for more than minimal, isolatedF677Apr 28, 2025

  Based on observations, record review, and interviews during the Recertification Survey initiated on 4/21/2025 and completed on 4/28/2025, the facility did not ensure that each resident who is unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene. This was identified for one (Resident #232) of one resident reviewed for Bowel and Bladder Incontinence. Specifically, Resident #232's room was observed with a strong urine smell. Staff Interviews and record review revealed the resident did not receive staff assistance with incontinence care and assistance with personal hygiene as per the resident's plan of care. […]

• No harm, potential for more than minimal, isolatedF686Apr 28, 2025

  Based on observation, record review, and interviews during the Recertification Survey initiated on 4/21/2025 and completed on 4/28/2025, the facility did not ensure that residents received care consistent with professional standards of practice to promote healing, prevent infections, and prevent new ulcers from developing. This was identified for two (Resident #176 and Resident#196) of four residents reviewed for Skin Conditions. Specifically, 1) Resident #176 had a history of a pressure ulcer to the mid-back and utilized an air mattress for pressure relief. During multiple observations, Resident #176 was observed in bed with their air mattress weight setting at 450 pounds. Resident #176 weighed 114.4 pounds on 4/02/2025. […]

• No harm, potential for more than minimal, isolatedF761Apr 28, 2025

  Based on observation, record review, and staff interviews during the Recertification Survey initiated on 4/21/2025 and completed on 4/28/2025, the facility did not ensure all drugs and biologicals were stored in a locked compartment. This was identified for one (Resident #28) of five residents reviewed for Accident Hazards. Specifically, Resident #28 was observed with an unlabeled, clear bottle of Safetussin Cough and Chest Congestion (medication for cough and congestion) on their nightstand with no nursing staff within the vicinity of Resident #28's room. Additionally, there was no Physician's Order for the Safetussin Cough and Chest Congestion medication, and Resident #28 was not assessed to self-administer medications. […]