Glen Cove Center for Nursing and Rehabilitation

Inspectors wroteBased on observations, interviews, and record review during the Recertification Survey initiated on 12/11/2025 and completed on 12/18/2025, the facility did not ensure each resident was served food that was palatable, attractive, and at a safe and appetizing temperature. This was identified for six (6) (Resident #23, Resident #39, Resident #25, Resident #8, Resident #121, Resident #129) of seven (7) residents during the Resident Council meeting. Specifically, during the Resident Council meeting held on 12/12/2025, six (6) of seven (7) alert and lucid residents in attendance complained the hot meals were served cold. On 12/16/2025, during the lunch meal service observations, the lunch meal temperatures for the hot food items were observed to be below 135 degrees Fahrenheit. [...]

Inspectors wroteBased on observations, interviews, and record review during the Recertification Survey initiated on 12/11/2025 and completed on 12/18/2025 the facility did not ensure that comfortable temperature levels were maintained in the facility. This was identified for one (1) (Resident #2) of one (1) resident reviewed for the Environmental Task. Specifically, on 12/15/2025 Resident #2 complained of being cold. The room temperature was measured to be 66 degrees Fahrenheit. The finding is:The facility policy titled Ambient Temperature, dated 01/02/2018, documented the facility is to maintain the temperature within the resident areas at a safe and comfortable level. Whenever the temperature in any resident area is outside the temperature range, the nursing home shall immediately evaluate the situation and take appropriate action to ensure the health, safety and comfort of its residents. [...]

Inspectors wroteBased on observations, record review, and interviews conducted during the Recertification Survey initiated on 12/11/2025 and completed on 12/18/2025, the facility did not follow proper sanitation practices to prevent the outbreak of foodborne illness and did not store and prepare food in accordance with professional standards for food service safety. This was identified during the Kitchen Task. Specifically, the floor of the kitchen's walk-in freezer was observed soiled with food debris and frozen brownish substance during the initial kitchen tour on 12/11/2025. On follow-up kitchen observation on 12/12/2025, the floor in the walk-in freezer remained dirty and soiled with the unknown brown substance stuck to the floor. Additionally, a bag of frozen chopped spinach was observed on the floor, wedged behind the foot of the shelf and the corner of the walk-in freezer. The finding is: [...]

Inspectors wroteBased on observation, record review, and interviews during the Recertification Survey initiated on 12/11/2025 and completed on 12/18/2025, the facility did not establish and maintain an infection prevention and control program designed to prevent the development and transmission of communicable diseases and infections. This was identified for one (Resident #110) of three residents reviewed for Transmission Based Precautions. Specifically, Resident #110 was placed on Contact Isolation precautions for Methicillin-Resistant Staphylococcus Aureus (MRSA-a contagious bacterial infection) of the nares(nostril). Certified Nursing Assistant #1 was observed entering Resident #110's room without wearing appropriate Personal Protective Equipment including a gown and gloves. Certified Nursing Assistant #1 did not perform hand hygiene before entering Resident #110's room. [...]

Inspectors wroteBased on observation, record review, and interviews conducted during the recertification survey initiated on 5/13/2024 and completed on 5/17/2024 the facility did not ensure that each resident had a call bell accessible to alert staff of the resident's needs. This was identified for one (Resident #80) of two residents reviewed for the Environmental Task. Specifically, on two occasions, Resident #80 was observed in bed with the call bell out of reach. The finding is: The facility's policy titled, Resident Call System, effective 10/2022 documented call lights are to be placed within the reach of residents. Staff will ensure the call bell is properly placed within the reach of a resident before exiting the room. Resident #80 was admitted with diagnoses that included Cerebral Infarction (Stroke), Dementia, and a History of Falls. [...]

Inspectors wroteBased on observations, record review, and interviews during the Recertification Survey initiated on 5/13/2024 and completed on 5/17/2024, the facility did not ensure that a clean, comfortable, and homelike environment was maintained for two (Resident #24 and Resident #80) of two residents reviewed for the Environmental Task. Specifically, 1) The privacy curtain in Resident #24's room was observed with large stained/soiled areas and 2) Resident #80's room had no window covering for one of the two windows observed in the room.

Inspectors wroteBased on observation, record review, and staff interviews during the Recertification Survey, initiated on 5/13/2024 and completed on 5/17/2024, the facility did not ensure that each resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing, for one (Resident #109) of four residents reviewed for Pressure Ulcers. Specifically, Resident #109 was admitted to the facility with a Deep Tissue Injury (a pressure injury caused by damage to the underlying soft tissues) to the sacrum (a bone at the base of the spine). The resident had a physician's order for an alternating pressure relief air mattress. During multiple observations, the adjustable weight setting for the mattress, which is meant to correspond to the resident's weight, was not set accurately. [...]

Inspectors wroteBased on observations, interviews, and record review during the Recertification Survey initiated on 5/13/2024 and completed on 5/17/2024, the facility did not ensure nursing staffing was posted daily and included the total number of licensed and unlicensed staff working per shift. Specifically, the facility's entrance lobby was observed on 5/13/2024 at 9:00 AM with the nursing staffing sheet dated 5/10/2024. Additionally, the nursing staffing sheets posted from 5/13/2024 to 5/16/2024 did not include the total number of licensed and unlicensed nursing staff working per shift. The finding is: A nursing staffing sheet was observed at the facility entrance by the receptionist area on 5/13/2024 at 9:00 AM. The nursing staffing sheet was dated 5/10/2024 and did not contain the number of licensed and unlicensed nursing staff directly responsible for resident care for each nursing shift: [...]

Inspectors wroteBased on record review and interviews during the Recertification Survey initiated on 5/13/2024 and completed on 5/17/2024 the facility did not ensure that each resident received the use of outside resources in a timely manner. This was identified for one (Resident #91) of five residents reviewed for Unnecessary Medications. Specifically, Resident #91 had a physician's order, dated 4/2/2024, for an initial psychiatry consult following the resident's admission to the facility on 4/1/2024; however, the resident did not receive their initial psychiatry consult until 5/15/2024. The finding is: The facility's policy titled, Physician Consultations effective 4/2023, documented it is the policy of this organization to ensure all residents receive medical care in a timely manner. The attending physician will indicate the appropriate time frame within which the specialist should see the resident. [...]

Inspectors wroteBased on interviews and record review during the Recertification Survey and Abbreviated survey (NY00296813) initiated on 9/6/2022 and completed on 9/13/2022, the facility did not ensure that all alleged violations are thoroughly investigated to rule out Abuse, Neglect, Exploitation, or Mistreatment. This was identified for one (Resident #208) of one resident reviewed for Change in Condition. Specifically, Resident #208 sustained a skin tear to the right forearm on 3/7/2022 and a skin tear to the left forearm on 3/8/2022. The facility did not initiate an investigation to determine the root cause of the incident and obtain pertinent statements to rule out Abuse, Neglect, Exploitation and Mistreatment. The finding is: The facility's policy, titled Risk Management: [...]

Inspectors wroteBased on record review and interviews during the Recertification Survey initiated on 9/6/2022 and completed on 9/13/2022, the facility did not ensure that the medical care of each resident was supervised by the Physician including monitoring changes in the resident's medical status. This was identified for two (Resident #30 and Resident #86) of three residents reviewed for Nutrition. [...]