Ocean Gardens Care Center

In the surveyor’s words

From the most serious findings on record at Ocean Gardens Care Center, in the surveyor’s own words.

• Actual harm, isolatedF689Mar 25, 2026

  Based on observation, record review, and interviews conducted during survey, the facility failed to ensure that a resident environment remained free of accident hazards over which the facility has control and provides supervision and assistive devices to each resident to prevent avoidable accidents. This was evident for one (1) out of five (5) residents (Resident #1) reviewed for accidents. Specifically, Resident #1 who requires two (2)-person assists for bed mobility and transfers, was observed on 02/28/2026 at 10:00 AM with a burn to their left thigh, which was later assessed as a second-degree full thickness burn. This resulted in actual harm to Resident #1 that was not Immediate Jeopardy. […]

• No harm, potential for more than minimal, widespreadF812May 11, 2021

  Based on observations, record review, and staff interviews conducted during the Recertification and Abbreviated survey, the facility did not ensure (1). safe food handling and storage was practiced to prevent food-borne illness, and (2). food was prepared, distributed, and served in accordance with professional standards of food service safety. Specifically, a container of Ricotta Cheese was not discarded on or before the expiration date and hand hygiene was not performed prior to handling food after picking an item up off the floor. […]

• No harm, potential for more than minimal, widespreadF880May 11, 2021

  Based on observation, record review, and staff interviews during the Recertification survey, the facility did not ensure infection prevention control practices were followed to help prevent the spread, development, and transmission of communicable diseases and infections. Specifically, (a). 4 residents on oxygen/nebulizer treatment were observed with the tubing not properly labeled and dated to indicate the time the tubing was replaced, (b). 1 resident receiving oxygen therapy was observed with tubing touching the floor on multiple occasions, and (c). […]

• No harm, potential for more than minimal, patternF836Mar 25, 2026

  N.Y. Comp. Codes R. & Regs. Tit. 10 SS 713-1.3 - Nursing units(h) Resident bedrooms shall be designed and equipped for adequate nursing care, comfort and privacy of the residents and shall comply with the following:(1) Placement of residents' beds shall be such that a bed may be approached from at least one side and one end. No bed shall be closer than three feet to a window, radiator, or an adjacent bed. Based on interview and record review conducted during an abbreviated survey, it was determined that the facility failed to ensure compliance with the State and Local Laws. Specifically, resident equipment (bed) is not kept at a minimum of 3 feet from the radiator as referenced in N.Y. Comp. Codes R. & Regs. Tit. 10 713-1.3 - Nursing units. […]

• No harm, potential for more than minimal, patternF584Jan 12, 2026

  Number of residents sampled:Number of residents cited:Based on observation, record review, and interviews, the facility failed to ensure that necessary housekeeping and maintenance services were provided to maintain a safe, clean, comfortable and homelike environment for residents. This was evident for four (4) (3rd Floor, 4th floor, 5th floor, and 6th floor) of five (5) resident units observed. Specifically, an accumulation of dust, dirt, and stains were noted on bedside tables, intravenous poles, feeding pumps, oxygen concentrators and suction machines, torn arm rests and soiled wheelchairs were observed in resident rooms, and rust stains were observed in resident shower rooms. […]