Northwell Health Stern Family Center for Rehabilit

In the surveyor’s words

From the most serious findings on record at Northwell Health Stern Family Center for Rehabilit, in the surveyor’s own words.

• Actual harm, isolatedF686Aug 4, 2026

  Based on record review and staff interviews, the facility failed to ensure a resident with pressure ulcers received necessary treatment and services consistent with professional standards of practice to promote healing and prevent infection. This was evident for one (Resident #1) of three residents reviewed for pressure ulcers. Specifically, Resident #1 was admitted with a Stage 2 (a partial-thickness skin loss where the outer layer and part of the underlying layer are damaged, appearing as a shallow open red-pink sore or a fluid-filled blister) sacral (triangle-shaped bone at the base of the spine) ulcer with a documented change in the wound and there was no assessment or interventions completed. […]

• No harm, potential for more than minimal, isolatedF578Feb 12, 2025

  Based on record review and interviews during the Recertification Survey initiated on 2/6/2025 and completed on 2/12/2025, the facility did not ensure that each resident's Advanced Directive wishes were formulated and clearly communicated. This was identified for one (Resident #374) of five residents reviewed for Advanced Directives. Specifically, Resident #374 completed a Medical Orders for Life-Sustaining Treatment (MOLST) form while in the hospital on 1/19/2025 indicating Do Not Attempt Resuscitation. Upon readmission to the facility, there was no Physician order placed for Do Not Resuscitate. […]

• No harm, potential for more than minimal, isolatedF635Feb 12, 2025

  Based on record review and interviews during the Recertification Survey initiated on 2/6/2025 and completed on 2/12/2025, the facility did not ensure that at the time each resident was admitted , the facility had physician orders for the resident's immediate care. This was identified for one (Resident #427) of two residents reviewed for Urinary Catheter. Specifically, Resident #427 was readmitted to the facility on [DATE] and was utilizing an external urinary catheter at bedtime. The Physician's order was not obtained for the use of the external catheter until 2/11/2025. The finding is: Resident #427 was admitted with diagnoses that included a Right Femur Fracture, Osteoporosis, and Malnutrition. […]

• No harm, potential for more than minimal, isolatedF641Feb 12, 2025

  Based on record review and interviews during the Recertification Survey initiated on 2/6/2025 and completed on 2/12/2025, the facility did not ensure the Minimum Data Set assessment was completed to accurately reflect each resident's status. This was identified for one (Resident #222) of two residents reviewed for hospitalization . Specifically, Resident #222's Discharge Minimum Data Set assessment dated [DATE] did not correctly reflect Resident #222's discharge location. The finding is: The facility's policy titled Minimum Data Set (MDS) Assessment last revised on 9/2024 documented that the Minimum Data Set is utilized by all disciplines responsible for the care of the resident. […]

• No harm, potential for more than minimal, isolatedF656Feb 12, 2025

  Based on observation, record review, and interviews during the Recertification initiated on 2/06/2025 and completed on 2/12/2025, the facility did not ensure that a comprehensive person-centered care plan was developed and implemented for each resident that includes measurable objectives and timeframes to meet medical and nursing needs. This was identified for one (Resident #130) of four residents reviewed for Skin Conditions. Specifically, Resident #130 had a Physician Order to apply Mupirocin (an antibiotic) ointment to the left large toe for an infection. There was no documented evidence that a care was developed to address Resident #130's left large toe infection. […]