North Shore - LIJ Orzac Center For Rehabilitation

In the surveyor’s words

From the most serious findings on record at North Shore - LIJ Orzac Center For Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF760Aug 2, 2024

  Based on interviews, observations, and record reviews, during an abbreviated survey (NY00338693), the facility failed to ensure that residents were free from significant medication errors. Specifically, the facility failed to have systems in place to ensure that newly admitted and readmitted residents received their Physician ordered scheduled medications. This was evident for one (Resident #1) of 6 sampled residents. Resident #1 was administered incorrect daily doses of two medications, Furosemide (a diuretic used to reduce fluid retention in patients with certain kidney disorders and chronic heart failure) and Metoprolol (a beta blocker used to treat chest pain, heart failure, and high blood pressure), used in the treatment of Congestive Heart Failure, for 12 consecutive days. […]

• No harm, potential for more than minimal, widespreadF812May 16, 2025

  Based on observations, record review, and interviews conducted during a Recertification Survey initiated on 5/12/2025 and completed on 5/16/2025, the facility did not ensure that food was stored and prepared in accordance with professional standards for food service safety. This was identified during the Kitchen observation conducted on 5/12/2025. Specifically, the walk-in refrigerator for meat had uncooked pork bacon and prepared raw steak stored over raw salmon. In addition, eight trays of assorted pre-cupped salad dressings were observed in the reach-in refrigerator and were not discarded after the must use-by date. […]

• No harm, potential for more than minimal, isolatedF686May 16, 2025

  Based on observations, record review, and interviews during the Recertification Survey initiated on 5/12/2025 and completed on 5/16/2025 the facility did not ensure that each resident received care, consistent with professional standards of practice, to prevent pressure ulcers. This was identified for one (Resident # 6) of the three residents reviewed for Pressure Ulcers. Specifically, Resident #6 had a Stage 4 (full-thickness skin and tissue loss, exposing muscle, tendons, or bone) pressure ulcer to the sacrum. The resident utilized an air mattress for pressure redistribution and prevention of further pressure ulcer development. The air mattress weight setting was not consistent with the resident's actual weight. […]

• No harm, potential for more than minimal, isolatedF880May 16, 2025

  Based on observation, record review, and interviews during the Recertification Survey initiated on 5/12/2025 and completed on 5/16/2025, the facility did not ensure it maintained an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections. This was identified for one (Resident #210) of three residents reviewed for the Infection Control Task. Specifically, Resident #210 was admitted to the facility with a Peripherally Inserted Central Catheter in their left arm. The resident was not placed on Enhanced Barrier Precautions. […]

• No harm, potential for more than minimal, isolatedF684Aug 2, 2024

  Based on interviews, observations, and record reviews, during an abbreviated survey (NY00338693), the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice and comprehensive care plans for 1 (Resident #1) of 3 sampled residents. Specifically, Resident #1 received daily, lower-than-prescribed doses of two medications (Furosemide and Metoprolol) used in the treatment of Congestive Heart Failure for 12 consecutive days. Subsequently, Resident #1 experienced significant weight gain and edema (fluid retention). The facility failed to notify Resident #1's physicians of a change in the resident's condition. Resident #1 was transported to the emergency room and admitted to the hospital and expired 3 days later. […]