Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Apex Rehabilitation & Care Center during CMS and state inspections, most recent first.
The facility failed to ensure all drugs and biologicals were stored in locked compartments on Unit 1A. The medication closet, located behind the nurse's station, was observed without a lock, making medications accessible to anyone in the area. Staff interviews revealed that the closet had been unlocked for about two to three months due to ongoing renovations.
The facility failed to maintain a clean, comfortable, and homelike environment for its residents, as evidenced by the poor condition of room furniture and sink vanities in the rooms of four residents. Despite daily tours and cleaning, these issues were not reported or addressed by the staff, and the Administrator was unaware of the environmental concerns.
The facility failed to ensure a safe environment and adequate supervision, leading to a resident with dementia wandering outside and multiple residents' bathrooms having loose handrails. Additionally, the medication storage closet on Unit 1A was found to be unlocked, posing a risk to resident safety.
A resident with a history of stroke, dementia, and bipolar disorder was found with a hematoma on their forehead. The injury was not reported to the state health department within the required timeframe, and the facility's policy on abuse prevention was not followed. The Assistant Director of Nursing Services and the Director of Nursing Services acknowledged the oversight.
A resident with a history of stroke, dementia, and bipolar disorder was observed with a hematoma on their forehead, but the facility did not thoroughly investigate the injury to determine its root cause. The investigation lacked statements from previous shift staff and was not comprehensive enough to rule out abuse, neglect, or mistreatment.
The facility failed to ensure the MDS assessment accurately reflected a resident's dialysis treatment. Despite a physician's order for hemodialysis, the MDS did not document this treatment. The MDS Coordinator acknowledged the oversight.
The facility failed to ensure a comprehensive care plan was reviewed and revised for a resident, as required. The resident or their representative were not invited to care plan meetings after quarterly assessments, and the care plans were not reviewed in conjunction with the MDS assessments.
A resident with Diabetes Mellitus, Schizophrenia, and Depression was observed with long, dirty, and jagged fingernails. The resident's care plan and Kardex lacked specific instructions for nail care, and staff failed to report or address the issue despite policies requiring nail care on shower days. The resident's refusal of nail care was not communicated to the nurse, and the nurse did not check the resident's nails as required.
The facility failed to ensure sufficient nursing staff were available to provide necessary care, particularly on weekends, between July and September 2023. The Payroll Based Journal (PBJ) Staffing Data Report and Daily Staffing Assignments revealed multiple instances of insufficient CNAs on duty, compromising resident care. The Staffing Coordinator and Director of Nursing Services confirmed the staffing shortfalls, and the Administrator acknowledged the issue but was not directly involved in staffing decisions.
A CNA was observed using a sink to store water for providing care to a resident, which is against the facility's infection control protocols. The resident required total assistance for bathing and personal hygiene. The CNA's actions were corrected by an LPN, and interviews confirmed that the proper procedure was to use a designated wash basin.
The facility failed to ensure timely pacemaker checks for a resident with Atrial Fibrillation and a cardiac pacemaker, as required by the Physician's order. The last documented check was on 10/4/2023, and the next check due in January 2024 was not completed, leading to a deficiency identified during the survey.
The facility failed to ensure a resident received routine dental services, resulting in the loss of upper dentures and the misplacement of lower dentures. Staff were unaware of the resident's dental needs, and there was no follow-up on dental consults.
The facility failed to maintain an effective infection control program. A CNA did not wear appropriate PPE while caring for a COVID-19 positive resident, another CNA used a shared sink for hygiene care, and an RN did not use soap for hand washing during wound care. These actions breached infection control protocols and posed risks of infection transmission.
Medication Storage Deficiency
Penalty
Summary
The facility did not ensure all drugs and biologicals were stored in locked compartments and permitted only authorized personnel to have access to the keys. This deficiency was identified on Unit 1A during the Medication Storage Task. Specifically, the medication closet on Unit 1A was observed without a lock or locking mechanism installed. The closet contained various medications, syringes, and intravenous medication bags and was located behind the nurse's station. There were no staff members present in the vicinity during the observation, making the medications accessible to anyone in the area. Interviews with staff revealed that the nurse's station was under renovation, and the medication had been stored in the unlocked closet for about two to three months. The Director of Maintenance confirmed that the closet doors had not had locks for the same duration, as they did not think locks were needed. The Director of Nursing Services acknowledged that the medication storage closet should be locked, even though residents do not typically go behind the nurse's station. This oversight led to the deficiency noted during the survey.
Facility Fails to Maintain Homelike Environment
Penalty
Summary
The facility did not ensure a clean, comfortable, and homelike environment for its residents, as evidenced by the poor condition of room furniture and sink vanities in the rooms of four residents. Specifically, Resident #146's room had a nightstand with a drawer that could not be shut, detached base molding, missing drywall, and a sink vanity with missing drawers and exposed rusty metal parts. Despite daily tours and cleaning, these issues were not reported or addressed by the staff, including the Certified Nursing Assistant, Housekeeper, Registered Nurse, Licensed Practical Nurse, and Maintenance Worker assigned to the unit. Resident #85's room had similar issues, with a bureau drawer that would not stay shut and a sink vanity with a missing drawer replaced by a wooden plank. Again, these issues were not reported or addressed by the staff, including the Certified Nursing Assistant, Housekeeper, Licensed Practical Nurse, and Maintenance Worker. The Director of Maintenance confirmed that no maintenance requests had been submitted for these issues, and the Administrator was unaware of the environmental concerns in the unit. Resident #104's room had a bureau with a broken top drawer and a missing handle on the second drawer. The resident reported these issues but could not recall when or to whom. The staff, including the Certified Nursing Assistant, Housekeeper, Licensed Practical Nurse, and Maintenance Worker, did not report or address these issues. The Director of Maintenance confirmed that no maintenance requests had been submitted for these issues, and the Administrator was unaware of the environmental concerns in the unit.
Failure to Prevent Accidents and Secure Medication Storage
Penalty
Summary
The facility did not ensure that the residents' environment remained as free from accident hazards as possible, and each resident received adequate supervision to prevent accidents. Specifically, Resident #146, who had a diagnosis of Dementia and was identified as an elopement risk, wandered outside of the facility after being directed to an outdoor area by the receptionist. The resident left the facility without staff knowledge and was brought back by the local police after being found knocking at the door of a private home. The receptionist failed to follow the facility's policy regarding elopement and did not notify the nursing supervisor or provide an escort for the resident. Additionally, the alarmed door that the resident exited was found to be operational, but the receptionist claimed not to have heard it. The fence enclosing the outdoor area was also found to be broken, allowing the resident to wander off the premises. Multiple residents' bathrooms were found to have loose and unsteady handrails, posing a risk of accidents. Residents #93, #104, #146, #103, #112, and #85 all had bathrooms with handrails that were not secure. Despite daily tours and cleaning by staff, the loose handrails were not reported or addressed. Maintenance staff acknowledged that the handrails were frequently tightened but did not provide a permanent solution. The Director of Maintenance and the Administrator were unaware of the ongoing issue with the handrails, and no maintenance requests were logged for these repairs. During the Medication Storage Task on Unit 1A, the medication storage closet was observed to be unlocked, containing various medications and medical supplies. The closet had been without a lock for two to three months due to renovations, and the Director of Maintenance did not think a lock was necessary. The Director of Nursing Services acknowledged that the closet should be locked, but it remained accessible to unauthorized personnel, residents, and visitors. This oversight in securing medication storage posed a significant risk to resident safety.
Failure to Report Injury of Unknown Origin
Penalty
Summary
The facility failed to report an injury of unknown origin involving Resident #98 to the New York State Department of Health within the required timeframe. Resident #98, who has a history of Cerebral Vascular Accident (Stroke), Dementia, and Bipolar Disorder, was found with a hematoma on the right side of their forehead on 11/24/2023. The injury was documented in a progress note and an Accident/Incident Report, but there was no evidence that it was reported to the state health department as mandated by the facility's policy. The resident's condition, including being nonverbal and cognitively impaired, was noted, and the injury was observed by a Certified Nursing Assistant and reported to a Licensed Practical Nurse, who could not recall the event during the survey interview. The Assistant Director of Nursing Services acknowledged that an investigation should have been conducted, including reviewing the previous three shifts to rule out abuse, but concluded that the injury was likely accidental. The Director of Nursing Services admitted that the incident should have been reported to the state health department within twenty-four hours and that the failure to do so was an oversight. The facility's policy on abuse prevention, which requires reporting injuries of unknown origin, was not followed in this case.
Failure to Thoroughly Investigate Injury of Unknown Origin
Penalty
Summary
The facility did not ensure that all incidents, including injuries of unknown origin, were thoroughly investigated. This deficiency was identified for a resident who was observed with a hematoma on their forehead with no known origin. The facility's policies required thorough investigations of such incidents, including statements from staff, witnesses, and residents, as well as medical record reviews. However, the investigation for this incident did not include statements from the previous shift staff to identify the root cause of the injury, and the investigation was not thorough enough to rule out abuse, neglect, or mistreatment. The resident involved had a history of cerebral vascular accident, dementia, and bipolar disorder, and was nonverbal and cognitively impaired. The resident was observed with a hematoma on their forehead, but no one witnessed how the injury occurred. The Assistant Director of Nursing Services acknowledged that the investigation should have included interviews with staff from the previous three shifts. The Director of Nursing Services also confirmed that the investigation was not thorough, and as a result, the root cause of the injury could not be determined to rule out abuse, neglect, or mistreatment.
Inaccurate MDS Assessment for Dialysis Treatment
Penalty
Summary
The facility did not ensure that the Minimum Data Set (MDS) assessment accurately reflected the resident's status, specifically for a resident receiving dialysis treatment. The resident, who was admitted with diagnoses including Cancer, End-Stage Renal Disease (ESRD), and Dependence on Renal Dialysis, had a Minimum Data Set assessment that failed to capture their dialysis treatment. Despite a physician's order for hemodialysis at an outside center, the MDS assessment did not document this treatment. The MDS Coordinator acknowledged the oversight during an interview, stating that the MDS was not coded correctly.
Failure to Review and Revise Comprehensive Care Plan
Penalty
Summary
The facility did not ensure a person-centered comprehensive care plan was reviewed and revised to address each resident's needs. This deficiency was identified for one resident out of 35 sampled residents. Specifically, a quarterly Minimum Data Set (MDS) assessment was completed for the resident, but there was no documented evidence that a care plan meeting was held after each assessment, including both the comprehensive and quarterly review assessments. The resident or their representative were not provided notice of a care plan meeting for an opportunity to attend and participate. Additionally, the resident's comprehensive care plan related to Resident/Family participation in assessment and care planning and Satisfaction with the current plan of care were not reviewed and revised upon the quarterly MDS assessment. The facility's policy and procedure for care planning, last reviewed in October 2023, documented that each resident should have an individualized interdisciplinary plan of care, with the initial comprehensive care plan meeting conducted no later than 21 days after admission. However, the policy did not address when the resident and/or their representative should be invited to participate in the care plan meeting. Interviews with the Registered Nurse MDS Coordinator and the Director of Social Work revealed that the facility did not invite the resident or their representative for quarterly assessment meetings, only for initial, annual, and significant change meetings. A review of the resident's electronic medical record confirmed that there was no documentation of a care plan meeting held for the resident other than the initial meeting, and the comprehensive care plans were not reviewed in conjunction with the MDS assessments.
Failure to Provide Necessary Nail Care
Penalty
Summary
The facility did not ensure that Resident #122, who was unable to carry out activities of daily living, received the necessary services to maintain personal hygiene. Specifically, on 2/6/2024, Resident #122 was observed with long, dirty, and jagged fingernails with a brown substance under the nails on both hands. The resident, who has diagnoses including Diabetes Mellitus, Schizophrenia, and Depression, was cognitively intact and required supervision for personal hygiene tasks according to their care plan. However, the care plan did not include specific instructions regarding nail care, and the Kardex also lacked specific instructions for nail care. On 2/6/2024, Resident #122 approached the nurse's station and requested their fingernails be trimmed. The surveyor observed the resident's fingernails to be in poor condition, and Registered Nurse #1 escorted the resident back to their unit to address the issue. The charge nurse on Unit C, where Resident #122 resided, stated that the Certified Nursing Assistants are responsible for nail care and should report any refusals to the nurse. However, the charge nurse was not made aware of the issue until the surveyor's observation. Interviews with staff revealed that nail care is supposed to be provided on shower days at least twice a week, and any refusals should be reported to the nurse. The skin monitoring sheet for 2/3/2024 indicated that Resident #122 received a shower with no concerns documented. However, the Certified Nursing Assistant and the nurse who signed the sheet did not report any issues with the resident's nails. The Director of Nursing Services stated that the resident had refused nail care, but this refusal was not communicated to the nurse, and the nurse did not check the resident's nails as required.
Insufficient Nursing Staff on Multiple Occasions
Penalty
Summary
The facility did not ensure sufficient nursing staff were available to provide nursing and related services to ensure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial wellbeing of each resident. This deficiency was identified for three of four units during the Recertification Survey. Specifically, a review of the Payroll Based Journal (PBJ) Staffing Data Report, the Facility Assessment, and weekend staffing during the survey revealed the facility had insufficient nursing staff on numerous occasions. The facility's staffing policy indicated that employees who call out sick should be replaced to the highest degree possible and practical, and overtime should be used when necessary to ensure staffing levels. However, the facility failed to meet these requirements on multiple weekends between July and September 2023, resulting in fewer Certified Nursing Assistants (CNAs) on duty than required by the Facility Assessment. Examples of insufficient staffing included having only 49 CNAs on duty instead of the required 58 on July 1, 2023, and only 46 CNAs on duty on July 16, 2023. Similar shortfalls were noted on August 5, September 9, and September 24, 2023. Additionally, the actual Daily Staffing Assignments revealed that on several occasions, units had only one CNA on duty during the 11:00 PM-7:00 AM shift, despite having a census of over 40 residents. The Staffing Coordinator and the Director of Nursing Services confirmed these staffing levels and acknowledged the difficulty in replacing staff who called out sick, particularly on weekends. The Director of Nursing Services stated that they were not informed about the insufficient staffing levels and would have taken action if they had been made aware. The Administrator stated that they were not directly involved with staffing and did not recall any complaints about short staffing. They mentioned that the par-levels are census-based and were set up before their tenure at the facility. The Administrator expected that other staff would be called to replace those who called out sick if the units fell below their par levels. The report highlights a systemic issue with maintaining adequate staffing levels, particularly on weekends, which compromised the facility's ability to provide the necessary care for its residents.
Improper Use of Sink for Resident Hygiene Care
Penalty
Summary
The facility did not ensure that nurse's aides demonstrated competency in skills and techniques necessary to care for residents' needs, as identified through resident assessments and described in the plan of care. Specifically, a Certified Nursing Assistant (CNA) was observed using a sink as a basin to store water for providing care to a resident in a semi-private room. The sink was also utilized by other residents for handwashing and other hygiene tasks, which is a breach of infection control protocols. The CNA stated that they always provided hygiene care for the resident using the sink as the basin, which was against the facility's policy and proper procedures for providing morning care. The resident involved had diagnoses including Vascular Dementia, Adult Failure to Thrive, and Liver Cell Carcinoma, and required total staff assistance for bathing and personal hygiene. The CNA's actions were observed by a Licensed Practical Nurse (LPN) who instructed the CNA to use the designated wash basin instead. Interviews with the LPN, the Staff Educator, and the Director of Nursing Services confirmed that the CNA should have used the resident's designated wash basin and that using the sink was a mode of transmission of infection. The facility's policy required the use of a wash basin for administering care, and the CNA's failure to follow this protocol led to the deficiency.
Failure to Ensure Timely Pacemaker Checks
Penalty
Summary
The facility did not ensure that Resident #48 received timely pacemaker checks as per the Physician's order. The resident, who had diagnoses including Atrial Fibrillation, Hypertension, and the presence of a cardiac pacemaker, was supposed to have pacemaker checks every three months. However, there was no documented evidence that the pacemaker checks were conducted after 10/4/2023, despite the Physician's order requiring checks every three months. The last documented pacemaker check was on 10/4/2023, and the next check was due in January 2024, but it was not completed. Interviews with the Unit Manager, Assistant Director of Nursing Services, and Director of Nursing Services revealed that the responsibility for ensuring the pacemaker checks were completed fell on the charge nurses and the Unit Manager. The Unit Manager admitted that the oversight occurred, and the Assistant Director and Director of Nursing Services confirmed that the checks should have been done as ordered by the Physician. The facility's failure to follow through with the required pacemaker monitoring led to the deficiency identified during the survey.
Failure to Provide Routine Dental Services
Penalty
Summary
The facility did not ensure that Resident #147 received routine dental services to meet their needs. Resident #147, who was admitted with full upper and lower dentures, lost their upper dentures while at the facility. A dental consult indicated that a preliminary impression for the lost dentures would be taken at the next session, but there was no documented evidence that this was completed. Additionally, the resident was not offered their lower dentures, which were being stored in the medication cart, and facility staff were unaware of their whereabouts. The facility's Dental Policy required staff to assist residents in obtaining routine and emergency dental care, including taking impressions for dentures and fitting them. Despite this, there was no follow-up on the dental consult for the upper dentures, and the resident's family had requested the resident remain on a puree diet until the upper dentures were addressed. Multiple staff members, including the assigned Certified Nursing Assistant and the Unit C Charge Nurse, were unaware of the resident's need for dentures or the dental consults. Further investigation revealed that the previous Director of Nursing Services had communicated to the Dentist that the resident was a short-term resident, and therefore, the upper dentures were not needed. This information was not documented in the resident's medical record. The lower dentures were eventually found in the medication cart, but staff were unsure why they were not being used. The Director of Nursing Services acknowledged that it was unacceptable that the lower dentures were not provided and that there was no follow-up for the lost upper dentures.
Infection Control Deficiencies
Penalty
Summary
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. Specifically, a Certified Nursing Assistant (CNA) failed to wear the appropriate Personal Protective Equipment (PPE) while caring for a resident on Contact and Droplet Precautions for COVID-19. The CNA entered the resident's room wearing only a surgical mask, despite signage indicating the need for full PPE, including a gown, gloves, eye protection, and an N95 respirator. The CNA stated they rushed into the room to assist the resident without donning the required PPE, leading to potential exposure to COVID-19. The CNA was later observed wearing full PPE after being educated on the proper protocol, but initially, there was a clear breach in infection control practices. Another deficiency was observed when a CNA used the room sink as a water basin to provide hygiene care to a resident. The resident shared the room and sink with another resident, which posed a risk of cross-contamination. The CNA admitted to regularly using the sink for hygiene care, contrary to the facility's infection control policy, which mandates the use of designated wash basins for each resident. The Licensed Practical Nurse (LPN) in charge and the Infection Preventionist confirmed that using the sink in this manner was a breach of infection control protocols. Additionally, during a wound care observation, a Registered Nurse (RN) failed to wash their hands with soap after cleaning a resident's wound and after the resident had a bowel movement. The RN only used water to wash their hands, which is against the facility's policy that requires hand washing with soap and water before donning new gloves. The RN acknowledged the mistake and stated they were aware of the proper hand hygiene procedures but failed to follow them during the dressing change. This lapse in hand hygiene practices further highlighted deficiencies in the facility's infection control program.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Huntington Station
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Huntington Hills Center For Health And Rehabilitat | 1.7 mi | ★★★★★ | 0 | 0 |
| Carillon Nursing And Rehabilitation Center | 1.9 mi | ★★★★★ | 0 | 0 |
| Pine Forest Car Center For Rehab & Healthcare | 3 mi | ★★★★★ | 10 | 2 |
| White Oaks Rehabilitation And Nursing Center | 3.6 mi | ★★★★★ | 10 | 0 |
| Excel At Woodbury For Rehabilitation And Nursing, | 3.6 mi | ★★★★★ | 0 | 0 |
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