Surge Rehabilitation and Nursing LLC

In the surveyor’s words

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

• Immediate jeopardy, isolatedF609Dec 22, 2025

  Based on interviews and record review, the facility failed to ensure that all allegations of abuse, neglect, and mistreatment were reported immediately but not later than two (2) hours to the Administrator or the or the New York State Department of Health after the allegation was made, and failed to report results of the investigation to the New York State Department of Health within five (5) working days of the incident. This was identified for two (2) (Resident #96 and Resident #98) of three (3) residents reviewed for Abuse. Specifically, on 11/30/2025 Resident #96's family member reported an allegation of physical abuse towards Resident #96 to Licensed Practical Nurse #1. The facility Administrator was not made aware of the incident until 12/01/2025. […]

• Immediate jeopardy, isolatedF610Dec 22, 2025

  Based on interviews and record review, the facility failed to ensure that all allegations of abuse, neglect, and mistreatment were thoroughly investigated; failed to put measures in place to prevent further potential abuse, neglect, exploitation or mistreatment; and failed to report results of the investigation to the New York State Department of Health within five (5) working days of the incident. This was identified for two (2) (Resident #96 and Resident #98) of three (3) residents reviewed for Abuse. Specifically, on 11/30/2025, Licensed Practical Nurse #1 received an allegation of physical abuse concerning Resident #96 from the resident's family member. The facility Administrator was not made aware of the incident until 12/01/2025. […]

• No harm, potential for more than minimal, widespreadF882Dec 6, 2022

  Based on record review and staff interviews during the Recertification Survey initiated on 11/29/2022 and completed on 12/6/2022, the facility must designate one or more individual(s) as the Infection Preventionist(s) (IP)(s) who are responsible for the facility's Infection Prevention Control Program (IPCP). The IP must have completed specialized training in infection prevention and control. Specifically, the facility's designated IP did not have documented evidence of specialized training in infection prevention and control. […]

• No harm, potential for more than minimal, patternF755Dec 22, 2025

  Based on record review and interviews initiated on 12/15/2025 and completed on 12/22/2025, the facility did not ensure that an established system of records of receipt and disposition of controlled drugs in sufficient detail to enable an accurate reconciliation is maintained. This was identified for one (1) (Resident #12) of one (1) resident reviewed for Dialysis. Specifically, Resident #12 had a Physician's order for Fentanyl (opioid pain medication) 50 microgram/hour transdermal patch (a medicated adhesive patch to deliver medication through the skin layers into the blood stream) to be applied to the chest wall every three (3) days. There was no documented evidence that on multiple days a second nurse was utilized as a witness to appropriately dispose the used Fentanyl Patch. […]

• No harm, potential for more than minimal, patternF761Dec 22, 2025

  Based on observation, record review, and interviews during the Recertification Survey, initiated on 12/15/2025 and completed on 12/22/2025, the facility did not ensure drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles. This was identified for one (Unit 3 North, Medication Cart A) of four (4) Medication Carts reviewed for the Medication Storage Task. Specifically, during observation on 12/17/2025, an open foil packet of Ipratropium Bromide-Albuterol Sulfate (used to prevent and treat wheezing and difficult breathing) nebulizer medication for Resident #79 was observed in the medication cart. […]