Quantum Rehabilitation and Nursing LLC

In the surveyor’s words

From the most serious findings on record at Quantum Rehabilitation and Nursing LLC, in the surveyor’s own words.

• Actual harm, isolatedF684Apr 22, 2021

  Based on record reviews and staff interviews during the Recertification and Abbreviated Survey (Complaint #NY 858) completed on 04/22/2021, the facility did not ensure that each resident received treatment and care in accordance with professional standards of practice. Specifically, Resident #135 had a history of [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #135 was admitted to the facility on [DATE] with instructions from the hospital to provide [MEDICATION(S)] 100 mg three times a day for a total of 300 milligrams (mg) per day. The resident received half the amount of [MEDICATION(S)] from 3/6/2020-3/23/2020. Subsequently, Resident #135 experienced [CONDITION(S)] activity with a subtherapeutic [MEDICATION(S)] level of 1.3 microgram/milliliter (mcg/mL) (therapeutic range 10-20 mcg/mL). […]

• No harm, potential for more than minimal, widespreadF812Feb 12, 2026

  Based on observations, record review, and interviews, the facility did not follow proper sanitation practices to prevent outbreak of foodborne illness and did not store and prepare food in accordance with professional standards for food service safety. This was identified during the Kitchen Task. Specifically, the walk-in refrigerator was observed with multiple opened items with no opened date; there were expired milk containers and expired half and half containers; and a milk container soiled with a jellylike substance. A refrigerator containing deli cheeses, had an opened and used block of Swiss cheese that was not dated with the date it was opened. […]

• No harm, potential for more than minimal, isolatedF550Feb 12, 2026

  Based on observations, interviews and record review, the facility did not ensure that each resident was treated with respect and dignity and care in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality. This was identified for one (1) (Resident #78) of one (1) resident reviewed for Elopement risk. Specifically, on 01/30/2026, Resident #78 visited the facility bakery for the first time. The facility staff inaccurately assessed Resident #78 to be at high risk for elopement based on the visit to the bakery. A wanderguard bracelet (a device that triggers alarms and can lock monitored doors to prevent the residents from leaving unattended) was erroneously placed on Resident #78. […]

• No harm, potential for more than minimal, isolatedF842Dec 23, 2024

  Based on observation, interview and record review conducted during the Complaint survey dated 12/17/2024, the facility did not ensure the each resident's medical record was maintained in accordance with accepted professional standards and practices, the facility must maintain medical records on each resident that are Complete; Accurately documented; Readily accessible; and Systematically organized. Specifically, one Resident (Resident #1) of three residents reviewed for medical records accuracy reflected documentation for neurological checks (an assessment to determine residents level of conciousness, neurological status and vital signs) dated 11/17/2024 at 6:30 AM thru 11/18/2024 at 2PM. Resident #1 was transferred to the hospital dated 11/17/2024 at 4:40PM via 911. […]

• No harm, potential for more than minimal, isolatedF657Jul 15, 2024

  Based on record review and interviews, during the recertification survey initiated on 7/8/2024 to 7/15/2024, the facility did not ensure a comprehensive person-centered care plan was developed with measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment. This was identified for one (Resident #58) of four residents reviewed for Antibiotics. Specifically, Resident #58 was prescribed Minocycline (an Antibiotic medication) 100 milligrams capsule in February 2024; however, a Comprehensive Care Plan addressing the long-term use of Antibiotic therapy was not developed. […]