Long Island Care Center Inc

Inspectors wroteBased on observations, record review, and interviews conducted during an abbreviated survey (2614147), the facility failed to ensure a resident's physician was notified of changes in condition. This was evident in one (1) out of five (5) residents (Resident #1) sampled. Specifically, the Medical Director was not notified of Resident #1's change in condition. A review of the Certified Nursing Assistant Accountability Record dated 08/01/2027 through 08/17/2025 documented that Resident #1 exhibited watery stool on 08/02/2025, 08/04/2025, 8/05/2025, 08/06/2025, and 08/09/2025. Record review of the medical and nursing notes revealed no documented evidence that the Medical Director was notified of Resident #1's watery stool.

Inspectors wroteBased on observations, record review, and interviews during an abbreviated survey (2614147), the facility did not ensure that a resident care plan was reviewed and revised by the interdisciplinary team to reflect a resident's bowel pattern. This was evident in two (2) of five (5) residents (Resident #1 and #2) sampled. Specifically, the Certified Nursing Assistant Accountability Record documented that Resident #1 had watery bowel movements on 08/02/2025, 08/04/2025, 08/05/2025, 08/06/2025, and 08/09/2025. Additional, Resident #2 had watery bowel movements daily from 08/01/2025-08/19/2025 and 08/22/2025-08/30/2025. According to interviews with nursing staff and Medical Doctor #1, water bowel movements are expected due to enteral feeding. This was not reflected in Resident #1 and Resident #2's plan of care.

Inspectors wroteBased on observation, record review, and interviews during an abbreviated survey (NY00308373), the facility failed to protect a resident from physical abuse by a nursing home staff. This was evident in one out of two residents (Resident #1) sampled for abuse. Specifically, on 01/09/23 at approximately 9:44 pm the facility's surveillance video recording showed Licensed Practical Nurse #1 hit Resident #1 on the left side of their face with a bottle (plastic). The facility's Accident and Incident Report dated 01/09/23 at 9:45 pm documented Resident #1 called the police and was transferred to the hospital.

Inspectors wroteBased on observation, record review, and interviews conducted during the Recertification survey from 04/17/2024 to 04/24/2024, the facility did not ensure that infection control prevention practices and procedures were maintained to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections. Specifically, Enhanced Barrier Precautions were not implemented in the facility.

Inspectors wroteBased on observations, interviews, and record review conducted during the Recertification Survey from 04/17/2024 to 04/24/2024, the facility did not ensure food was stored in accordance with professional standards for food service safety. This was evident in 1 of 6 pantries observed for food storage. Specifically, the 6th floor residents' pantry refrigerator had a temperature of 44 degrees Fahrenheit and contained an undated staff's food.

Inspectors wroteBased on observations, record reviews and interviews during the Recertification survey conducted from 3/23/22 to 3/30/22, the facility did not ensure that a clean, comfortable, and homelike environment was provided to residents. Specifically, broken heating unit, dirty windowsill, rusted radiator cover/vent unit, dusty and corroded window frame, missing wardrobe closet drawer and door, missing wardrobe closet handles/knobs/door, unpainted and peeling wall paints were observed in resident's rooms, hallways, and the common areas. This was evident in multiple area on 4 of 5 units (Units 6, 2, 5 and 4).

Inspectors wroteBased on observations, interviews, and record review conducted during the Recertification survey from 3/23/22-3/30/22 the facility did not ensure that a resident remained free from physical restraints. Specifically, a resident was observed with a left-hand mitten which was not identified as a restraint. This was evident for 1 of 2 residents reviewed for Physical Restraints out of a sample of 38 residents. (Resident #32)

Inspectors wroteBased on record review and interviews conducted during the Recertification survey 3/23/2022 to 3/30/2022, the facility did not ensure, to the extent practicable, that residents/resident representatives participated in the development of a Comprehensive Care Plan (CCP). Specifically, there was no evidence cognitively intact residents were afforded the opportunity to participate in the care plan meetings or documentation explaining why they could not participate. This was evident for 3 of 4 residents reviewed for Care Plan out of a sample of 38 residents. (Resident #145 and #66)

Inspectors wroteBased on observation, record review and staff interviews during the Recertification survey conducted 3/23/22 to 3/30/22, the facility did not ensure that care and services are provided according to accepted standards of clinical practice. Specifically, the facility did not ensure that a resident with intravenous (IV) Midline access site for antibiotic therapy was provided with proper administration of the initial dose by a Registered Nurse (RN) and assessment of the resident by an RN for symptoms and reactions to prevent further infection, and complications of IV therapy when administered by a Licensed Practical Nurse (LPN). This was evident for 1 of 10 residents observed for Medication Administration. (Resident #57).

Inspectors wroteCitation Text for Tag 0755, Regulation FF11 [NAME], Daneya C. Based on interviews, observations and record reviews conducted during a Recertification survey from 3/23/2022 to 3/30/22, the facility did not ensure timely identification and removal of expired medications. Specifically, expired medications were observed in the medication room cabinet on (4th floor)

Inspectors wroteBased on observation, record review and staff interviews during the Recertification survey conducted 3/23/22 to 3/30/22, the facility did not ensure that resident on intravenous therapy received adequate monitoring. Specifically, a resident's antibiotics medication was not adequately monitored every shift by a Registered Nurse for the indication for its use and/or for the possible presence of adverse consequences when administered by a Licensed Practical Nurse (LPN). This was evident for 1 of 10 residents observed for Medication Administration. (Resident #57).

Inspectors wroteBased on observations, record reviews, and staff interviews conducted during a Recertification survey from 3/23/22 to 3/30/22, the facility did not ensure that the resident's drug regimen was free of unnecessary medications. Specifically, a resident with a Dementia diagnosis was maintained on an antipsychotic medication with no documented behaviors to support the ongoing use of the medication. This was evident for 1 of 6 residents reviewed for the Unnecessary Medication out of a sample of 38 residents. (Resident # 67).

Inspectors wroteBased on observations and staff interviews conducted during a Recertification survey from 3/23/2022 to 3/30/2022, the facility did not ensure 1). that controlled drugs were stored appropriately in locked compartments and 2). that medication and biologicals were labeled and dated appropriately when opened. Specifically, one of the two double locked narcotics cabinet door was unlocked and multi-use insulin vials were not labeled when opened. This was observed on 1 of 5 units during the Medication Storage Task. (Unit 2).