Sands Point Center for Health and Rehabilitation

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF725Mar 13, 2026

  Based on record review and interviews the facility did not ensure that there was sufficient nursing staff to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. This was identified on five (5) (Unit 1 Center, Unit 1 North, Unit 1 West, Unit 2 Center, and Unit 2 West) of five (5) units reviewed for the Sufficient Nursing Staffing Task. Specifically, the Payroll-Based Journal Staffing Data Report indicated the facility had excessively low weekend staffing for Quarter one (1) through Quarter four (4) for Fiscal Year 2025 and for Quarter one (1) for Fiscal Year 2026. […]

• No harm, potential for more than minimal, patternF880Mar 13, 2026

  Based on record review, and staff interviews the facility did not ensure it established and maintained an infection prevention and control program designed to provide a safe and sanitary environment and to help prevent the development, and transmission of communicable diseases and infections. This was identified during the Infection Control Task. Specifically, the facility did not provide documented evidence of testing all portions of the potable water system for Legionnaires' and other Waterborne pathogens. […]

• No harm, potential for more than minimal, patternF725May 30, 2024

  Based on observations, record review, and interviews during the Recertification Survey and Abbreviated Survey (NY 00329525) initiated on 5/22/2024 and completed on 5/30/2024, the facility did not ensure that there was sufficient nursing staff to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, the Payroll-Based Journal Staffing Data Report indicated that the facility had a 1-star staffing rating; Ten (Resident #8, #20, #55, #59, #66, #72, #99, #113, #117, and #119) out of Ten residents in the Resident Council Task reported complaints about short staffing; and a random sampling of facility nursing staffing assignments did not reflect the staffing ratio… […]

• No harm, potential for more than minimal, patternF610Aug 31, 2022

  Based on record review and staff interviews during the Recertification Survey and Abbreviated survey (Complaint #NY 247) initiated on 8/24/2022 and completed on 8/31/2022 the facility did not ensure that accidents were thoroughly investigated to rule out abuse, neglect, or mistreatment. This was identified for two (Resident #270 and Resident #106) of 6 residents reviewed for Accidents. Specifically, 1) Resident #270 had a fall on 7/8/2022 in their (Resident #270) room; however, the accident and incident (A/I) report did not include an accurate written statement from Licensed Practical Nurse (LPN) #1, the nurse who responded to the resident's fall; and 2) Resident #106 had unwitnessed falls on 6/20/2022, 6/28/2022, and 8/12/2022; however, the A/I reports did not have complete statements… […]

• No harm, potential for more than minimal, isolatedF641Mar 13, 2026

  Based on record review and interviews the facility did not ensure a resident assessment was completed to accurately reflect each resident's status. This was identified for one (1) of two (2) residents reviewed for Tube Feeding. Specifically, Resident #1 was admitted to the facility with a percutaneous endoscopic gastrostomy (PEG) tube (a type of feeding tube inserted into the stomach). The admission Minimum Data Set assessment dated [DATE] did not reflect the resident had a feeding tube while a resident. The finding is:A facility policy titled MDS last reviewed 10/01/2025 documented the Minimum Data Set 3.0 process requires input form the health care team to complete the designated areas in a timely and accurate fashion in accordance with state and federal regulations. […]