Waters Edge at Port Jefferson for Rehabilitation a

In the surveyor’s words

From the most serious findings on record at Waters Edge at Port Jefferson for Rehabilitation a, in the surveyor’s own words.

• Immediate jeopardy, patternF695Aug 11, 2025

  Based on observations, record reviews, and interviews, during the Recertification Survey initiated on 07/21/2025 and completed on 08/11/2025, the facility failed to ensure that a resident requiring respiratory care is provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences. This was identified for two (2) (Resident #74 and Resident #119) of four (4) residents reviewed for Respiratory Care. Specifically, Resident #74 with a diagnosis of Chronic Obstructive Pulmonary Disease had a physician's order for supplemental oxygen and did not receive it. On 07/25/2025, the resident was in respiratory distress and was utilizing accessory muscles, appeared pale with gray lips, and verbalized I need air. […]

• Immediate jeopardy, isolatedF684Feb 21, 2025

  Based on interviews and closed record reviews , during an abbreviated survey (NY00370917), the facility failed to ensure that each resident received treatment and care in accordance with professional standards of practice for one (1) out of three (3) residents. Specifically, on [DATE] at 8:01 PM, Resident #2 was evaluated for symptoms including fever and tachycardia. Nurse Practitioner #1 was notified on [DATE] at 6:30 PM of critical lab values and ordered to send Resident #2 to the hospital for an emergent blood transfusion. Registered Nurse Supervisor #1 documented Resident #2 would be sent to the hospital in the morning. Subsequently, on [DATE] at 1:20 AM, Resident #2 was found to be unresponsive, pulseless, and without respirations. Resident #2 expired at 2:01 AM. […]

• No harm, potential for more than minimal, patternF812Aug 11, 2025

  Based on observation, interviews, and record review conducted during the Recertification Survey, initiated on 07/21/2025 and completed on 08/11/2025, the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. This was identified during the Kitchen Task observation. Specifically, 1) the walk-in freezer, the storage shelf in the kitchen, and the two-door reach-in freezer had one opened and undated food or food packages. […]

• No harm, potential for more than minimal, patternF835Aug 11, 2025

  Based on record review and staff interviews, during the re-certification survey initiated on 07/21/2025 and completed on 08/11/2025, the facility did not ensure it was administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. This was identified for two (2) (Resident #74 and Resident #119) of (4) four residents reviewed for Respiratory care. Specifically, the facility was not effectively administered to ensure two (2) (Resident #74 and Resident #119) of (4) four residents were monitored for respiratory care. […]

• No harm, potential for more than minimal, patternF689Feb 21, 2025

  Based on observation, interview and record review conducted during an abbreviated survey (NY00370917), the facility did not provide person-centered care and services necessary to maintain the highest practicable physical, mental, and psychosocial well-being for three of six residents (Resident #2 #3 #5) reviewed for Accidents. Specifically, (1) Resident #2 was identified as high risk for aspiration (choking) and was to be fed via percutaneous endoscopic gastrostomy (PEG) tube (a feeding tube that allows nutrition directly through your stomach.) Resident #2 physician orders documented medications to be administered by mouth. (2) Resident #3 was evaluated by speech and deemed to be at risk for aspiration, a physician's order indicated a puree diet. […]