Throgs Neck Rehabilitation & Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF851Jan 7, 2026

  Based on record review and interviews conducted during the Abbreviated Survey 1DED64-H1, the facility failed to submit the direct care staffing information on the schedule specified by the Centers for Medicare and Medicaid Services. Specifically, the facility failed to submit the direct care staffing data for Quarter four (4), 07/01/2025 -09/30/2025 in a timely manner.The findings are:The facility policy titled Reporting Direct-Care Staffing Information (Payroll -Based Journal) dated 11/20/2022, documented staffing and census information will be reported electronically to Centers for Medicare and Medicaid Services through the Payroll-Based Journal system in compliance with 6106 of Affordable Care Act. […]

• No harm, potential for more than minimal, patternF760Mar 13, 2026

  Based on observation, record review, and interviews, the facility failed to ensure residents are free of any significant medication errors. This was evident in one (1) (Resident #193) of five (5) residents reviewed for medication administration out of 39 total sampled residents. Specifically, Resident #193 was not administered 26 doses of methocarbamol (a muscle relaxant) as ordered by a physician.The findings are:The facility Policy titled Medication Reconciliation on admission with a review date of 02/10/2026 documented it is the policy of the facility to reconcile resident's medications with medications taken while in the facility. To ensure continuity of prescribed medication regimen while in the facility. […]

• No harm, potential for more than minimal, isolatedF609Mar 13, 2026

  Based on observation, record review, and interviews, the facility failed to ensure that all alleged violations involving abuse, neglect, including injuries of unknown source were reported immediately, but not later than 2 hours after the allegation was made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the New York State Department of Health. This was evident for one (1) (Resident #160) of three (3) residents reviewed for accidents out of 39 total sampled residents. […]

• No harm, potential for more than minimal, isolatedF695Mar 13, 2026

  Based on observation, record review, and interviews, the facility failed to ensure that a resident receiving respiratory care received such care consistent with professional standards of practice. This was evident for one (1) (Residents #96) of one (1) resident reviewed for respiratory care out of 39 total sampled residents. Specifically, Resident #96 received oxygen continuously at a flow rate of two (2) liters per minute without a physician's order. The findings include:The facility policy and procedure titled Oxygen Therapy that was last revised on 01/07/2026 stated that oxygen therapy must be ordered by a physician, except in an emergency, where a registered nurse may start oxygen therapy without a physician's order and then obtain the order by telephone. […]

• No harm, potential for more than minimal, isolatedF842Mar 13, 2026

  Based on observation, record review, and interviews, the facility failed to ensure that clinical records were maintained in accordance with accepted professional standards and practices that are complete and accurately documented. This was evident for one (1) (Resident #201) of one (1) resident reviewed for death out of 39 total sampled residents. Specifically, Resident #201's medical record did not contain assessment of the resident's change in condition on 02/19/2026. The findings are:The facility's policy and procedure titled Change in Condition with a last reviewed date of 01/15/2026 documented that at the time a change in condition is identified the nurse will notify the nursing supervisor/Registered Nurse Manager. […]