Queens Nassau Rehabilitation And Nursing Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Sep 12, 2023

  Based on observation, interviews, and record review during an abbreviated and partial extended survey (NY00322953), the facility failed to ensure a resident, identified as an elopement risk and had a history of previous elopement, received adequate supervision to prevent elopement from facility. This was evident in 1 of 5 residents sampled (Resident #1). Specifically, on 08/29/2023, Resident #1, who was cognitively impaired and had a wander alert device in place, left the building undetected. Resident #1 returned to the facility from a clinic appointment on 08/29/2023 at 3:42 PM. There was no documented evidence that Resident #1 was monitored by staff every 15 minutes, as an intervention to prevent elopement, after 3:45 PM on 08/29/2023. […]

• No harm, potential for more than minimal, patternF812Mar 16, 2023

  Based on observation, record review and interview, during the recertification survey of [DATE] to [DATE], the facility failed to ensure food was storeed, prepared, and distributed in accordance with professional standards for food service safety. This was evident during the kitchen observation. Specifically, multiple items were observed in the dairy and meat walk-in refrigerators without proper labeling and dating. Two expired food items were observed in the emergency storage area. An employee was observed without a hair restraint or beard restraint, with hair exposed. The findings are: A facility policy and procedure titled Food Storage review/updated [DATE], documented that old stock is always used first. […]

• No harm, potential for more than minimal, isolatedF578Jul 9, 2025

  Based on record review and interviews conducted during the Recertification and Complaint- survey, the facility did not ensure that residents are informed and provided information concerning their right to accept or refuse medical or surgical treatment and, at the resident's option, formulate an advance directive. This was evident for 1 (Resident # 84) of 3 residents reviewed for Advance Directives out of a total sample of 38 residents. Specifically, the facility failed to discuss the resident's right and option to formulate an advance directive for Resident # 84. […]

• No harm, potential for more than minimal, isolatedF609Jul 9, 2025

  Based on interviews and record review conducted during the Recertification and survey, the facility did not ensure all alleged violations involving injuries of unknown source were reported immediately, but not later than 2 hours after the allegations were made, to the State Survey Agency. This was evident for 1 (Resident #159) out of 2 residents reviewed for Accident. Specifically, the facility did not report Resident #159 was found with injuries of an unknown source to the New York State Department of Health (NYSDOH) within 2 hours. The findings are:The facility policy titled Abuse Prevention with no effective date and last review date 2/2025 was reviewed. The policy did not document allegation of injuries of unknown and what to do for injuries of unknown. […]

• No harm, potential for more than minimal, isolatedF656Jul 9, 2025

  Based on record review and interview during the Recertification survey, the facility did not ensure that a comprehensive person-centered care plan for each resident was developed and implemented, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs. This was evident for 1 (Residents #96) of 8 residents investigated for Pressure Ulcer/Injury out of 38 total sampled residents. Specifically, there was no comprehensive care plan developed to address at risk for skin breakdown and potential to develop pressure ulcers for Resident #96. […]