Smithtown Center for Rehabilitation & Nursing Care

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF580Jan 23, 2026

  Based on observation, record review and interviews during an abbreviated survey (Intake ID: 2682221) initiated on 01/21/2026, the facility did not ensure that the designated representative was notified when the need to discontinue a treatment was identified. This was identified for one (1) resident (Resident #3) of three (3) residents reviewed for Notification of Change. Specifically, Resident #3's two half siderails were removed without notification to designated representative as required. Based on observation, record review and interviews during an abbreviated survey (Intake ID: 2682221) initiated on 01/21/2026, the facility did not ensure that the designated representative was notified when the need to discontinue a treatment was identified. […]

• No harm, potential for more than minimal, isolatedF641Jan 23, 2026

  Based on record review and interviews during the Abbreviated Survey initiated on 01/21/2026, the facility did not ensure the Minimum Data Set assessment was completed accurately and reflected each resident's status. This was identified for one (1) resident (Resident #2) of three (3) residents reviewed for Activities of Daily Living. Specifically, Resident #2's Annual Minimum Data Set assessment dated [DATE] documented Resident #2's functional ability as needing substantial/maximal assistance with putting on and taking off footwear. Resident #2 had bilateral (both sides) above the knee amputations and did not utilize footwear. […]

• No harm, potential for more than minimal, isolatedF657Jan 23, 2026

  Based on observation, Record review, and staff interviews during the Abbreviated Survey (Intake ID: 2682221) initiated on 01/21/2026, the facility did not ensure that each resident's Comprehensive Care Plan was revised by the interdisciplinary team after each assessment to reflect the resident's current status. This was identified for one (1) resident (Resident #2) of three (3) residents reviewed for Siderails. Specifically, Resident #2's Comprehensive Care Plan was not revised to reflect the discontinuation of the residents siderails.Based on observation, Record review, and staff interviews during the Abbreviated Survey (Intake ID: 2682221) initiated on 01/21/2026, the facility did not ensure that each resident's Comprehensive Care Plan was revised by the interdisciplinary team after each… […]

• No harm, potential for more than minimal, isolatedF554Apr 29, 2025

  Based on observations, record review, and interviews during the Recertification Survey initiated on 4/23/2025 and completed on 4/29/2025, the facility did not ensure the right to self-administer medications. This was identified for one (Resident #30) of two residents reviewed for Skin Condition. Specifically, Resident #30 was self-administering their eyedrop medications by themselves. The resident was not assessed by the Interdisciplinary team and did not have a physician's order to self-administer their medications. The finding is: The facility's Self Administration of Medications policy and procedure, revised in January 2025, documented to permit bedside medications for residents when ordered by the Attending Physician. […]

• No harm, potential for more than minimal, isolatedF645Apr 29, 2025

  Based on record review and staff interviews during the Recertification Survey initiated on 4/23/2025 and completed on 4/29/2025, the facility did not ensure that accurate Preadmission Screening for individuals with a mental disorder was accurately completed. This was identified for two (Resident #32 and #74) of 30 residents reviewed for the Pre-Admission Screen review. Specifically, Resident #32 and Resident #74 did not have a completed Level I Screen, Additionally, the screen did not accurately indicate the diagnosis of Dementia for both residents. The findings are: The facility's policy and procedure titled Pre-Admission Screen Annual Resident Review (PASARR), updated on 1/20/2025, documented the Pre-Admission process includes established criteria to determine admission eligibility. […]