Premier Nursing and Rehab Center of Far Rockaway

In the surveyor’s words

From the most serious findings on record at Premier Nursing and Rehab Center of Far Rockaway, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584Mar 7, 2025

  Based on observation, record review, and interviews during the Recertification Survey conducted from 03/02/2025 to 03/07/2025, the facility failed to maintain each resident's right to a safe, clean, comfortable, and homelike environment. This was evident in 3 (Units 2, 3, and 4) of 4 units observed. Specifically, resident's room, bathroom, and medical equipment were observed with dirt and rust, wheelchairs were soiled, peeled paints, and window treatments were not in good condition. […]

• No harm, potential for more than minimal, patternF582Jul 3, 2023

  Based on record review and interviews conducted during the recertification survey, the facility did not ensure appropriate liability and appeal notices were provided to Medicare beneficiaries. This was evident for 3 (Resident #114, 319 and # 419) of 3 residents reviewed for Beneficiary Protection Notification Rights out of a sample size of 36 residents. Specifically, the facility did not provide residents with the Notice of Medicare Non-Coverage (NOMNC) Form CMS-10123 at the termination of their Medicare Part A benefits to Resident #114, #319, and #419 at the completion of Medicare Part A coverage. […]

• No harm, potential for more than minimal, patternF584Jul 3, 2023

  Based on observation, record review, and interviews conducted during the recertification survey, the facility did not ensure residents were provided with a clean and homelike environment. This was observed on 3 out of 4 units (Units 2, 3, and 4). Specifically, windows were noted with missing blinds, closet doors were missing paint, radiator/ac units were rusty, dirty, and missing paint, bathrooms were missing tiles, bathroom ceilings missing parts, bathroom ceilings were noted with dried leak marks, privacy curtains were off the track, and baseboard covering missing leaving raw cement exposed. […]

• No harm, potential for more than minimal, patternF657Jul 3, 2023

  Based on observation, record review, and interviews conducted during the recertification survey from 6/26/23 to 7/3/23, the facility did not ensure that the comprehensive care plans (CCP) were reviewed and revised after each assessment. This was evident for 3 (Resident #126, #80, and #128) of 36 total sampled residents. Specifically, The 1) CCP related to dementia care and unnecessary medication were not reviewed and revised for Resident #126, 2) multiple CCPs for Resident #80 were not reviewed and revised upon assessment, and 3) the CCP related to psychotropic medications was not reviewed and revised for Resident #128. […]

• No harm, potential for more than minimal, patternF812Jul 3, 2023

  Based on observation, interview, and record review conducted during the recertification survey from 6/26/23 - 7/3/23, the facility did not ensure food was prepared, distributed, and served in accordance with professional standards for food service safety. This was observed during the Kitchen review. Specifically, cold sandwiches were observed being held at an unsafe temperature above 41 F. The findings are: A facility policy titled Food Temperatures dated 3/2023 documented it is the practice to ensure that all residents' meals are served at the appropriate temperatures. The Food Service Director/Supervisor will record temperatures of all food on the tray line. The Food Service Director/Supervisor/Designee will record the temperature of all items. […]