The Grand Rehabilitation and Nursing at Great Neck

In the surveyor’s words

From the most serious findings on record at The Grand Rehabilitation and Nursing at Great Neck, in the surveyor’s own words.

• Immediate jeopardy, isolatedF692Apr 1, 2022

  Based on observation, record review and interviews during a Recertification Survey and Abbreviated Survey initiated on 3/23/2022 and completed on 4/1/2022, the facility failed to Maintains acceptable parameters of nutritional status, such as usual body weight or desirable body weight range and electrolyte balance, unless the resident's clinical condition demonstrates that this is not possible or resident preferences indicate otherwise; the facility failed to reassess the resident after the weight loss was identified and failed to notify the Physician and the Dietician to implement interventions to address and monitor the unplanned weight loss. […]

• No harm, potential for more than minimal, patternF880Jun 2, 2026

  Based on observations, record review, and interviews during the survey, the facility failed to ensure it maintained an infection control program to help prevent the development and transmission of communicable diseases and infections. This was identified for (1) one (Resident #219) of six (6) residents observed during the medication administration task, for one (1) (first floor medication cart) of four (4) medication carts observed during the medication storage task; and for one (1) (Resident #95) of four (4) residents reviewed for respiratory care. Specifically, 1) Resident #219 had a physician's order for contact precautions for conjunctivitis (a contagious eye infection). […]

• No harm, potential for more than minimal, patternF725Apr 1, 2022

  Based on observation, interviews, and record review during the Recertification Survey initiated on 3/23/2022 and completed on 4/1/2022, the facility did not ensure that there was sufficient nursing staff to provide nursing and related services to assure resident safety and to attain or maintain the highest practicable physical, mental and psychosocial wellbeing of each resident as determined by resident assessment and individual plans of care. This was identified through staff interviews, resident council task, review of facility assessment and staffing assignments. […]

• No harm, potential for more than minimal, isolatedF656Jun 2, 2026

  Based on observations, record review, and interviews during the survey, the facility failed to ensure that a comprehensive person-centered care plan was developed for each resident that included measurable objectives and timeframes to meet each resident's medical, nursing, mental, and psychosocial needs that are identified in the comprehensive assessment. This was identified for one (1) (Resident #119) of three (3) resident reviewed for communication and sensory problems. Specifically, Resident #119 was assessed with moderate hearing difficulty. […]

• No harm, potential for more than minimal, isolatedF761Jun 2, 2026

  Based on observations, record review, and interviews during the survey, the facility failed to ensure that drugs and biologicals were stored and labeled in accordance with accepted professional principles. This was identified for one (1) (Resident #159) of one (1) resident reviewed for pain management; and one (1) (Unit 2 medication cart) of four (4) medication carts reviewed during the medication storage task. Specifically, 1) on 05/26/2026, Resident #159 had a box of lidocaine (a local anesthetic) pain patches at their bedside and there were no staff in the vicinity. […]