Queens Center for Rehabilitation and Nursing

In the surveyor’s words

From the most serious findings on record at Queens Center for Rehabilitation and Nursing, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF880Jan 31, 2025

  Based on observation, record review, and staff interviews during the Recertification survey, the facility did not conduct an annual review of the water management plan and did not complete an annual risk assessment form. The findings are: A record review of the Legionella Management Plan, revealed a risk assessment form, dated 6/19/2019. Item #6 of the policy is The Water Management Program will be reviewed at least once a year, or sooner. A record review of the policy and procedure on Legionella revealed that it was last reviewed in 3/2019. […]

• No harm, potential for more than minimal, isolatedF584Jan 31, 2025

  Based on observations, record review and interviews conducted during the Recertification Survey from 01/26/2026 to 01/31/2025, the facility did not ensure a safe, clean, comfortable, and homelike environment, allowing the resident to use his or her personal belongings to the extent possible. Specifically, the facility failed to exercise reasonable care for the protection of the resident's property from loss or theft. This was evident for 1 resident investigated for personal property out of 38 residents sample investigated, (Resident # 30). […]

• No harm, potential for more than minimal, isolatedF609Jan 31, 2025

  Based on observation, record review and staff interview during the Recertification /Complaint survey (NY00347053) conducted between 01/26/2025 and 01/31/2025, the facility did not ensure that all alleged violations involving abuse and injury of unknown origin were reported immediately to the New York State Department of Health, but not later than 2 hours after the allegation of abuse was reported. Specifically, the facility did not report within 2 hours when a resident (Resident #94) alleged that another resident (Resident #83) touched their breast. […]

• No harm, potential for more than minimal, isolatedF641Mar 6, 2023

  Based on record review, observation, and interviews conducted during the Recertification Survey from 2/27/2023 to 3/6/2023, the facility did not ensure that a resident's Minimum Data Set (MDS) assessment accurately reflected the resident's status. This was evident for 1 of 2 residents (Resident #49) investigated for Respiratory Care out of a sample of 36 residents. Specifically, the MDS assessment did not document the use of oxygen by Resident #49. The findings are: The facility policy and procedure titled Oxygen Administration last reviewed 1/2023, documented that prior to administering oxygen, staff should review the physician's orders as well as the resident's care plans. […]

• No harm, potential for more than minimal, isolatedF655Mar 6, 2023

  Based on record review and staff interviews conducted during a Recertification/Complaint Survey from 2/27/2023 to 3/6/2023, the facility did not ensure that the resident and their representative were provided with a written summary of the baseline care plan. This was evident for 2 of 3 residents reviewed for Care Plan out of 36 sampled residents. (Residents #140 and Resident #29) The findings are: The facility policy titled Care Plans - Baseline with effective date 8/17 and last review date of 1/2023 documented that the resident and their representative will be provided a summary of the baseline care plan that includes but is not limited to any services and treatments to be administered by the facility and personal acting on behalf of the facility. 1. […]