Oceanside Care Center Inc

Inspectors wroteBased on observations, interviews and record review, the facility did not ensure that a resident who was unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene. This was identified for one (1) (Resident #5) of one (1) resident reviewed for Activities of Daily Living. Specifically, Resident #5 was observed multiple times with long, dirty fingernails. There was no documented evidence that the resident refused to have their nails cut and/or cleaned by staff. The finding is: The facility policy titled Activities of Daily Living last revised 03/03/2025, documented residents will be provided with care, treatment, and services appropriate to maintain or improve their ability to carry out activities of daily living. [...]

Inspectors wroteBased on observations, record review, and interviews, 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. This was identified for one (1) (Resident #105) of three (3) residents reviewed for Pressure Ulcers. Specifically, Resident #105 had multiple pressure ulcers to the right heel, right lateral (side) leg, and left buttock and utilized an air mattress as an intervention as per the plan of care. During multiple observations, the adjustable weight setting on the air mattress pump was not set according to the resident's actual weight. The finding is:The facility's policy titled, Skin Prevention: [...]

Inspectors wroteBased on observation, record review, and interviews the facility did not ensure each resident admitted with an indwelling urinary (Foley) catheter is assessed for removal of the catheter as soon as possible unless the resident's clinical condition demonstrates that catheterization is necessary. This was identified for one (1) (Resident #1) of one (1) resident reviewed for urinary catheter. Specifically, Resident #1 had a Foley catheter; however, there was no clear indication in the medical record regarding when the catheter was first inserted, there was no physician's order for the use of the catheter, and no documented evidence that a trial of void was attempted. The finding is:The facility policy titled Catheterization, last revised 03/20/2025, documented that catheterizations are used only when essential and medically indicated. Catheterizations require a physician's order. [...]

Inspectors wroteBased on observation, record review, and interviews the facility did not ensure that medications and biologicals were stored in accordance with accepted professional standards of practice. This was identified for one of one medication storage room. Specifically, upon observation of the medication storage room on 12/30/2025, the medications were stored in a disorganized manner with boxes containing discontinued medications and medications that belonged to residents who expired or were no longer in the facility. The finding is:The facility's policy titled Medication Storage, last revised 03/12/2025, documented medications must be stored in accordance with manufacturer's specifications and secured in a locked storage areas in compliance with state and federal requirements and accepted professional standards of practice. [...]

Inspectors wroteBased on record review and interviews, the facility did not ensure that each resident's medical records were in accordance with accepted professional standards and practices and were complete and accurately documented. This was identified for one (1) (Resident #39) of five (5) residents reviewed for Unnecessary Medications. Specifically, Resident #39 had a physician's order for Tramadol (a controlled substance used to treat pain). A review of the narcotic tracking sheet for December 2025 revealed Tramadol 50 milligrams tablet was removed from the blister pack on 12/12/2025, 12/23/2025, and 12/27/2025; however, there was no documentation on the medication administration record to indicate the medication was administered to Resident #39. [...]

Inspectors wroteBased on observation, record review, and interviews during the Recertification Survey initiated on 11/7/2024 and completed on 11/14/2024, the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. This was evident during the Kitchen observation conducted on 11/13/2024. Specifically, the facility did not monitor the temperature of cold food items (sandwiches, tartar sauce), at the time of meal service. The finding is: A facility policy and procedure titled Food Distribution and Service dated August 2024 documented the facility will distribute and serve food items to the residents in a safe manner, thereby maintaining holding temperatures and safe, covered transportation of food to the resident population. [...]

Inspectors wroteBased on record review and interviews and during the Recertification Survey initiated on 11/7/2024 and completed on 11/14/2024, the facility did not ensure an assessment was completed to accurately reflect a resident's status. This was identified for one (Resident #55) of one resident reviewed for Physical Restraints. Specifically, Resident #55 had physician orders for the use of a floor mat alarm and a wheelchair alarm. Resident #55's quarterly Minimum Data Set assessments dated 10/29/2024 and 8/3/2024 did not accurately reflect the use of the chair alarm and the floor mat alarm. The finding is: The facility's policy titled Comprehensive Assessment and Comprehensive Care Planning Process effective 1/2000 and last revised in 12/2023 documented the interdisciplinary team is responsible for Resident Assessments and completion. [...]

Inspectors wroteBased on record review and interviews during the Recertification Survey initiated on 11/7/2024 and completed on 11/14/2024 the facility did not ensure that each resident who was prescribed psychotropic drugs (drugs that affect the mind, emotions, and behavior by altering the chemical makeup of the brain and nervous system) received gradual dose reductions unless clinically contraindicated. This was identified for one (Resident #25) of five residents reviewed for Unnecessary Medications. Specifically, Resident #25 was receiving Risperidone (also known as Risperdal, an antipsychotic medication) 0.5 milligrams in the morning and 1.25 milligrams at bedtime. On 3/6/2024 the Psychiatrist and on 9/12/2024 a Pharmacist recommended a gradual dose reduction. There was no documented clinical contraindication to attempt Risperdal gradual dose reduction for Resident #25. [...]

Inspectors wroteBased on record review and interviews during the Recertification Survey and Abbreviated Survey (Complaint #NY00287822) initiated on 3/5/2023 and completed on 3/10/2023, the facility did not notify the resident's Designated Representative (DR) when a new form of treatment was started. This was identified for one (Resident #145) of one resident reviewed for notification of change. Specifically, on 11/15/2021 at 5:41 AM Resident #145 had episodes of vomiting and was assessed to have a low oxygen saturation rate. Resident #145's physician ordered antiemetic (medication to treat vomiting) medication and to administer oxygen at 2 liters per minute (LPM). The facility staff did not notify the resident's family of the changes in the resident's condition. [...]

Inspectors wroteBased on record review, and interviews during the Recertification Survey and Abbreviated survey (NY00279474), initiated on 3/5/2023 and completed on 3/10/2023, the facility did not ensure that all alleged violations of abuse, neglect, exploitation, or mistreatment are thoroughly investigated. This was identified for one (Resident #244) of one resident reviewed for Abuse and one (Resident #43) of four residents reviewed for accidents. Specifically, 1) Resident #43 required the assistance of two persons for bed mobility. On 2/25/2023, Certified Nursing Assistant (CNA) #1 provided care to the resident in bed by themselves, resulting in the resident sliding out of bed. The incident investigation did not include statements from all staff who assisted the resident during the incident. [...]

Inspectors wroteBased on record review and interviews during the Recertification Survey initiated on 3/5/2023 and completed on 3/10/2023, the facility did not develop and implement a comprehensive person-centered care plan for each resident to meet the resident's medical and nursing needs that are identified in the comprehensive assessment. This was identified for two (Resident #43 and Resident #66) of four residents reviewed for Accidents and one (Resident #30) of one resident reviewed for Position and Mobility. Specifically, 1) Resident #43 required the assistance of two persons for bed mobility as per their Comprehensive Care Plan (CCP). On 2/25/2023, Certified Nursing Assistant (CNA) #1 did not follow the resident's CCP and provided care to the resident in bed by themselves resulting in the resident sliding out of bed. [...]

Inspectors wroteBased on observation, record review, and staff interviews during the Recertification Survey initiated on 3/5/2023 and completed on 3/10/2023 the facility did not ensure the resident environment remained as free of accident hazards as is possible. Specifically, on 3/5/2023 at 8:30 AM when the survey team entered facility through the front entrance, the front door was unlocked and there was no receptionist on duty. Visitors were observed entering the building and proceeding past the automatic sliding glass doors directly on to the nursing unit without checking in or being monitored. The finding is: The facility's policy titled Receptionist/Lobby last reviewed 7/2022 documented the facility utilizes receptionist/security to monitor the lobby area and provide safety to its residents and staff. [...]

Inspectors wroteBased on record review and interviews during the Recertification survey initiated on 3/5/2023 and completed on 3/10/2023, the facility did not ensure that all residents maintained 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. This was identified for one (Resident #38) of two residents reviewed for Nutrition. Specifically, Resident #38 had a significant weight loss which was not reported to the Dietician and Physician in a timely manner. The finding is: [...]

Inspectors wroteBased on observation, record review and interviews during the Recertification Survey initiated on 3/5/2023 and completed on 3/10/2023, the facility did not ensure pharmaceutical services including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals were provided to meet the needs of each resident. This was identified during the Medication Storage and Labeling Task on one of one medication room observations. Specifically, the narcotic cabinet assigned to unit 1 South was observed unlocked and open, and two blister packs containing a total of 47 tablets of controlled substances were not properly stored in the narcotic cabinet. The finding is: The undated facility's policy titled Controlled Substance documented that all controlled drugs will be subject to special receipt, handling, storage, disposal, and record keeping. [...]

Inspectors wroteBased on record review and interviews during the Recertification Survey initiated on 3/5/2023 and completed on 3/10/2023, the facility did not ensure that medication irregularities reported by the Consultant Pharmacist were reviewed and acted upon by the Physician for one (Resident #2) of five residents reviewed for unnecessary medications. Specifically, on 1/5/2023 and 2/8/2023, the Consultant Pharmacist recommended changing Levothyroxine (Thyroid Hormone) administration times from 6 AM to 7 AM; on 1/5/2023 the Consultant Pharmacist recommended changing Omeprazole (medication used to treat too much acid in the stomach) to Famotidine (H2 blocker) 40 mg at nighttime; and on 2/8/2023 the Consultant Pharmacist again recommended switching Omeprazole administration from every day to every other day for two weeks and then to discontinue. [...]

Inspectors wroteBased on record review and staff interviews during the Recertification Survey initiated on 3/5/2023 and completed on 3/10/2023, the facility did not ensure that medical records were maintained in accordance with accepted professional standards and practices and were complete and accurately documented. This was identified for one (Resident #82) of two residents reviewed for Pressure Ulcers. Specifically, Resident #82 was admitted to the facility on [DATE] with care profile instructions (instructions to the Certified Nursing Assistants regarding resident care needs) to turn and position the resident every two hours. The medical record did not include documented evidence that the resident was turned and positioned every two hours as indicated in the care profile instructions. The finding is: [...]

Inspectors wroteBased on observations, record review, and interviews during the Recertification Survey initiated on 3/5/2023 and completed on 3/10/2023, the facility did not ensure each resident's call device was accessible to the resident while in bed. Specifically, Resident #26 and Resident #30 were observed without their call bell device within their reach. The finding is: The facility's undated policy titled, Call Bells, documented call bells will be operable and accessible to all residents. Residents who are unable to utilize the standard call system will have the system modified to meet their needs. The call bell will be left within reach of the resident. 1) Resident #26 was admitted with diagnoses including Non-Alzheimer's Dementia, Chronic Obstructive Pulmonary Disease (COPD), and Difficulty in Walking. [...]