Above 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 Daleview Care Center during CMS and state inspections, most recent first.
Two residents in an LTC facility did not receive adequate pressure ulcer care. One resident developed a new Stage 2 ulcer without proper assessment or physician's order, and treatment was administered without authorization. Another resident's care plan was not updated to reflect necessary interventions, and staff failed to document or perform required care. Interviews revealed communication and documentation lapses among staff.
An unsecured oxygen E-Cylinder tank was found beside a resident's bed, contrary to facility policy requiring tanks to be secured. The resident, with a history of acute renal failure and COPD, was receiving oxygen therapy, although the physician's order had been discontinued. Staff interviews revealed a lack of awareness about the tank's presence and proper securing, with the DON confirming the need for securing to prevent hazards.
A facility failed to label enteral feeding equipment for a resident, leading to a deficiency. Observations showed the feeding bottle and water bag lacked labels with the resident's name, start time, and physician instructions. Interviews revealed that nurses forgot to label due to busyness and lack of supplies. The Unit Manager and DON confirmed labeling is required.
The facility failed to ensure proper documentation when a Nurse Practitioner disagreed with a Pharmacist's recommendations for two residents. The Nurse Practitioner did not provide clinical rationale for disagreeing with medication recommendations for residents with conditions like Orthostatic Hypotension and Multiple Myeloma. Interviews revealed the Nurse Practitioner was unaware of the documentation requirement.
An LPN at an LTC facility crushed and administered an extended-release Metoprolol tablet to a resident, despite a physician's order not to crush it. The facility's policy did not address extended-release medications, contributing to the error. The resident, with a history of hypertension, was not monitored for blood pressure changes post-administration, highlighting a significant oversight.
A resident with severe cognitive impairment was found with an unlabeled Albuterol inhaler on their bed, without a physician's order or assessment for self-administration. The facility's policy requires medications to be stored in locked compartments, which was not adhered to in this case. Nursing staff were unaware of the inhaler's presence, and the DON confirmed that the resident should not have had unsupervised access to medications.
A facility failed to maintain proper infection control practices for a resident with Influenza. Staff members were observed not wearing appropriate PPE, such as gowns, N95 masks, and eye protection, while cleaning the resident's room, despite the facility's policies requiring such precautions. Management confirmed that staff were expected to follow isolation precaution directions, but these were not adhered to, resulting in a deficiency.
A facility failed to complete a resident's Annual MDS assessment within the required 12-month period, resulting in a delay of 369 days since the last assessment. The delay was attributed to the MDS Director being on vacation, and the facility lacked a backup assessor to ensure timely completion. The resident had a history of cellulitis, hypertension, and dysuria, with mild cognitive impairment.
A facility failed to transmit a resident's MDS assessment to CMS within the required 14-day period. The assessment was completed but not submitted until 15 days later due to the MDS Director being on vacation. The facility's policy requires timely transmission, and a backup assessor should have been in place.
A resident with severe cognitive impairment and an elopement risk exited an LTC facility undetected through an unalarmed door. The resident was found by police 0.2 miles away, but staff did not notice the absence until hours later. The facility's policies on elopement prevention and Wander Guard monitoring were not effectively implemented, contributing to the incident.
Inadequate Pressure Ulcer Care for Two Residents
Penalty
Summary
The facility failed to provide adequate pressure ulcer care for two residents, leading to deficiencies in treatment and prevention of new ulcers. Resident #90, who had multiple pressure ulcers, was observed with a new Stage 2 pressure ulcer on the right buttock during a wound care observation. There was no documented assessment or physician's order for this new ulcer, and treatment was administered without proper authorization. The wound care nurse and other staff members failed to communicate and document the presence of the new ulcer, leading to a lack of appropriate care. Resident #237, who was admitted with a Stage 2 pressure ulcer on the sacrum, did not receive the recommended treatment frequency as per the wound physician's orders. The care plan was not updated in a timely manner to reflect the necessary interventions, such as turning and positioning every two hours. The facility's staff did not document or consistently perform the required interventions, resulting in inadequate care for the resident's pressure ulcer. Interviews with facility staff revealed a lack of communication and documentation regarding the residents' conditions and care needs. The Director of Nursing Services and other staff members acknowledged the failures in following physician orders and updating care plans. These deficiencies highlight the facility's inability to ensure that residents with pressure ulcers receive necessary treatment and services consistent with professional standards of practice.
Unsecured Oxygen Tank Poses Hazard
Penalty
Summary
The facility failed to ensure that a resident's environment was free from accident hazards, as observed during a recertification survey. Specifically, an unsecured oxygen E-Cylinder tank was found on the right side of a resident's bed. The facility's policy requires that oxygen tanks be secured in a rolling safety stand, metal rack, or chained to the wall. The resident in question had a history of acute renal failure with hypoxia and chronic obstructive pulmonary disease (COPD) and was receiving oxygen therapy via an oxygen concentrator at the time of the observation. However, the resident's physician's order for oxygen therapy had been discontinued prior to the survey. Interviews with facility staff revealed a lack of awareness regarding the presence and proper securing of the oxygen tank. A Certified Nursing Assistant did not notice the tank during morning care, and both a Licensed Practical Nurse and a Registered Nurse were unaware of who placed the tank by the bed. The Unit Manager explained that the tank might have been brought in due to a power outage the previous day. The Director of Nursing Services confirmed that the tank should have been secured to prevent potential hazards, such as falling or exploding.
Failure to Label Enteral Feeding Equipment
Penalty
Summary
The facility failed to ensure proper labeling of enteral feeding equipment for a resident with a feeding tube, leading to a deficiency in care. During the recertification survey, it was observed that the enteral feeding bottle and water bag for a resident receiving tube feeding were not labeled with the resident's name, the time feeding was started, or the feeding directions as prescribed by the physician. This lack of labeling was noted during observations on two separate occasions on the same day. Interviews with nursing staff revealed that the labeling oversight was due to a combination of forgetfulness and lack of available supplies, such as a marker or pen. The Licensed Practical Nurse on the morning shift did not notice the missing labels, while the nurse from the previous evening shift admitted to forgetting to label the equipment due to being busy with other tasks. The Unit Manager and Director of Nursing Services confirmed that proper labeling is required and that it is the responsibility of the nursing staff on each shift to ensure compliance.
Failure to Document Pharmacist Recommendation Disagreements
Penalty
Summary
The facility failed to ensure that the Physician documented in the resident's medical record that the irregularity identified by the Pharmacist had been reviewed and what action had been taken to address it. This deficiency was identified during a Recertification Survey for two residents reviewed for unnecessary medications. Specifically, the Nurse Practitioner disagreed with the recommendations provided by the Consultant Pharmacist for both residents but did not document the reason for the disagreement in the residents' medical records. Resident #121, who had diagnoses including Atrial Fibrillation and Orthostatic Hypotension, was receiving both Midodrine and Fludrocortisone. The Consultant Pharmacist recommended evaluating the need for both medications and considering discontinuing one. The Nurse Practitioner disagreed with this recommendation but failed to provide a clinical rationale for the disagreement. Similarly, Resident #116, with diagnoses including Benign Prostatic Hyperplasia and Multiple Myeloma, was receiving multiple medications, including Haloperidol and Melatonin. The Consultant Pharmacist made several recommendations regarding these medications, but the Nurse Practitioner disagreed without documenting any clinical rationale. Interviews with the Nurse Practitioner and Primary Physician revealed that the Nurse Practitioner was unaware of the requirement to document the rationale for disagreeing with the Pharmacist's recommendations. The Primary Physician acknowledged that the Nurse Practitioner should have documented a response when disagreeing with the recommendations. This lack of documentation and communication led to the deficiency identified during the survey.
Medication Administration Error: Crushing Extended-Release Medication
Penalty
Summary
The facility failed to ensure that a resident was free from significant medication errors during a recertification survey. Specifically, a Licensed Practical Nurse (LPN) crushed and administered Metoprolol Succinate Extended Release, a medication with a physician's order indicating it should not be crushed, to a resident diagnosed with Essential Hypertension. The facility's policy on medication administration did not specifically address the handling of extended-release medications, which contributed to the error. The LPN, unaware of the specific instructions not to crush the medication, relied on the medication blister pack label, which did not indicate the restriction, leading to the administration error. The resident involved had a recent admission with diagnoses including Joint Replacement Surgery, Diabetes Mellitus, and Hypertensive Heart Disease. The error was identified during a medication administration observation, and subsequent interviews with the LPN, Medical Director, Pharmacist, and other nursing staff confirmed the mistake. The Medical Director and Pharmacist highlighted the potential risks of crushing extended-release medications, such as a sudden drop in blood pressure. Despite the error, there was no documentation of monitoring the resident's blood pressure following the administration of the crushed medication, which was a significant oversight in the resident's care.
Medication Storage Deficiency
Penalty
Summary
The facility failed to ensure that drugs and biologicals were stored in locked compartments, as required by regulations. During a recertification survey, it was observed that a resident with severe cognitive impairment had an unlabeled Albuterol inhaler on top of their bed without any nursing staff present. The resident did not have a physician's order for the Albuterol inhaler and was not assessed to self-administer medication. The facility's policy mandates that medications be stored in locked compartments and that residents participating in a self-administration program have a locked medication cabinet in their room. The resident in question was admitted with chronic lung conditions, including Chronic Obstructive Pulmonary Disorder and Emphysema, and had a physician's order for a different inhaler, Breo Ellipta, to be administered once daily by nursing staff. Interviews with nursing staff revealed that they were unaware of the presence of the Albuterol inhaler and confirmed that the resident was not capable of self-administering medication due to confusion. The Director of Nursing Services acknowledged that the resident should not have had access to medications without supervision, highlighting a lapse in the facility's medication storage and handling procedures.
Inadequate Infection Control Practices for Influenza Precautions
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the improper use of Personal Protective Equipment (PPE) by staff members when dealing with a resident diagnosed with Influenza. Resident #283, who was readmitted to the facility with a positive diagnosis of Influenza, was placed under Contact and Droplet Precautions. However, during observations, staff members were seen cleaning the resident's room without wearing the appropriate PPE, such as gowns, N95 masks, and eye protection, as required by the facility's infection control policies. This oversight was noted during two separate observations involving different staff members. The facility's policies clearly outlined the need for droplet and contact precautions, including the use of specific PPE to prevent the transmission of infectious agents like the Influenza virus. Despite this, staff members failed to adhere to these protocols, as evidenced by one staff member exiting the room without removing PPE and another reaching out of the room to access additional PPE while still wearing contaminated gloves. Interviews with facility management confirmed that staff were expected to follow the isolation precaution directions provided on the signage, but these expectations were not met, leading to a deficiency in infection control practices.
Failure to Timely Complete Annual MDS Assessment
Penalty
Summary
The facility failed to conduct a comprehensive assessment of a resident at least once every 12 months, as required. Specifically, the Annual Minimum Data Set (MDS) assessment for a resident was completed 369 days after the previous comprehensive assessment, exceeding the 366-day requirement. Additionally, the assessment was not completed until 21 days after the Assessment Reference Date, which was a delay beyond the expected timeline. The resident involved had a history of cellulitis, hypertension, and dysuria, and was noted to have mild cognitive impairment with a Brief Interview for Mental Status (BIMS) score of 10. Interviews with facility staff revealed that the delay in completing the MDS assessment was due to the MDS Director being on vacation at the time the assessment was due. The Director of Nursing Services indicated that the staff have five days to complete their assigned sections of the MDS, and the MDS Coordinator is responsible for ensuring timely completion. The facility's Administrator acknowledged the importance of completing MDS assessments on time and suggested that a backup assessor should be in place to prevent such delays.
Delayed Transmission of MDS Assessment
Penalty
Summary
The facility failed to ensure that all completed Minimum Data Set (MDS) assessments were electronically transmitted to the Center for Medicare and Medicaid Services (CMS) within the required 14-day period following the completion of the resident assessment. This deficiency was identified during a Recertification Survey for one resident, whose Annual MDS assessment was completed on February 10, 2025, but was not transmitted until February 25, 2025, which was 15 days after the completion date. The facility's policy requires timely and accurate completion and transmission of MDS assessments, and the MDS Coordinator is responsible for this process. The delay in transmission was attributed to the MDS Director being on vacation at the time the assessment was due for transmission. The Director stated that any Registered Nurse could have completed and transmitted the MDS assessment in their absence. Interviews with the Director of Nursing Services and the Administrator confirmed that the facility's protocol requires timely transmission of MDS assessments and that a backup assessor should be in place to ensure compliance with this requirement.
Resident Elopement Due to Inadequate Monitoring and Unalarmed Exit
Penalty
Summary
The facility failed to ensure a secure environment free from accident hazards, resulting in a resident with severe cognitive impairment and an assessed risk for elopement exiting the facility undetected. The resident, who had a history of exit-seeking behavior, left through an unalarmed south stairwell emergency exit door. The resident was found by local law enforcement 0.2 miles away from the facility approximately 45 minutes after leaving, but the facility staff did not identify the resident as missing until over two hours later. The facility's policies on elopement prevention and the use of Wander Guards were not effectively implemented. The resident had a Wander Guard placed on their right hand, which was supposed to be checked every shift. However, documentation showed inconsistencies in monitoring, and the Wander Guard was found intact in the dining room after the incident. Surveillance footage revealed that the resident exited the building through a door that was not equipped with an alarm, which was a known issue as the door was used by staff and delivery personnel. Interviews with staff indicated a lack of immediate response and awareness regarding the resident's whereabouts. The CNA assigned to the resident's shift did not document the Wander Guard check, and the LPN on duty did not notice the resident's absence until hours later. The Director of Maintenance confirmed the lack of an alarm on the exit door, and the Director of Nursing acknowledged the failure in monitoring the resident's Wander Guard. These lapses contributed to the resident's undetected elopement and delayed response in locating them.
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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 East Farmingdale
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Massapequa Center Rehabilitation & Nursing | 3.3 mi | ★★★★★ | 0 | 0 |
| Central Island Healthcare | 3.6 mi | ★★★★★ | 0 | 0 |
| Parkview Care And Rehabilitation Center, Inc | 4.2 mi | ★★★★★ | 0 | 0 |
| Belair Care Center Inc | 5.5 mi | ★★★★★ | 0 | 0 |
| Berkshire Nursing & Rehabilitation Center | 5.7 mi | ★★★★★ | 6 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.