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 Haym Solomon Home For The Aged during CMS and state inspections, most recent first.
Two residents experienced falls due to inadequate supervision and failure to adhere to care plans. One resident, requiring a two-person assist, was improperly transferred by a CNA, resulting in multiple fractures and subsequent death. Another resident, with severe cognitive impairment, was left unattended on the toilet, leading to a fall and head injury. The facility's lack of proper training and enforcement of policies contributed to these incidents.
The facility failed to provide quarterly financial statements to two residents, despite having a policy requiring it. Interviews revealed that statements were mailed without confirmation of receipt, and there was no documentation in residents' charts. This led to a deficiency noted during a recertification survey.
The facility did not secure a sufficient surety bond to cover the total amount of residents' funds, affecting 81 residents. The bond was $175,000, while the total funds were $191,407.87. The Director of Finance and Administrator acknowledged the issue and were working to adjust the bond amount.
Two residents in an LTC facility experienced injuries of unknown origin that were not reported to the New York State Department of Health in a timely manner. One resident had extensive bruising and was on Eliquis, while another had a leg hematoma possibly related to a Hoyer lift transfer. The facility's policy lacked specific timeframes for reporting, contributing to the delay.
A resident with a morphine pump for chronic pain management did not receive appropriate care, as the facility failed to document the pump's cartridge changes and lacked active physician orders for pain management. Staff were unaware of the pump and had not received training on its monitoring. The attending physician was uncertain about the current pain management specialist, contributing to the deficiency.
Inadequate Supervision and Care Plan Adherence Leads to Resident Falls
Penalty
Summary
The facility failed to ensure adequate supervision and adherence to care plans, resulting in accidents involving two residents. Resident #1, who required a two-person assist with a mechanical lift, was improperly transferred by a Certified Nurse Assistant (CNA) who was not trained by the facility. The CNA mistakenly attempted to transfer Resident #1 alone, leading to a fall that resulted in multiple fractures. The resident was later found unresponsive and was transferred to the hospital, where they were pronounced deceased. Resident #2, who had severe cognitive impairment, was left unattended on the toilet by another CNA. This resulted in a fall that caused a hematoma on the resident's forehead. The CNA violated the facility's policy by leaving the resident alone, although there was no documented evidence in the care plan indicating that the resident should not be left unattended in the bathroom prior to the incident. The facility's policies and procedures were not adequately communicated or enforced, leading to these incidents. The CNAs involved were either not properly trained or did not follow the care plans, resulting in harm to the residents. The facility's failure to provide adequate supervision and ensure staff adherence to care plans contributed to these deficiencies.
Plan Of Correction
Plan of Correction: Approved January 8, 2025 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** DP(NAME) F689 1. Immediate Correction: 1) The facility respectfully states Resident # 1 expired on [DATE] while in the hospital. 2) On [DATE] CNA #1 was terminated from employment and the Agency was notified of the reason for termination. 3) On [DATE] the DNS provided LPN# one with education and counseling on the need to conduct a thorough Shift report for all staff and the need to adjust CNA assignment as needed. 4) On [DATE] Rehab assessed resident post fall and there were no changes. 5) On [DATE] the DNS provided education and counseling for CNA #2 on the need to provide residents at risk for falls and/or with impaired cognition constant supervision when seated on the toilet. 6) On [DATE] resident #2 was assessed by the Rehab Department for the need for any assistive device to use when using the toilet. CCP was updated to reflect current toileting needs and supervision required. Instructions were carried over to CNAAR. 7) On [DATE] the facility contracted with GNYHCFA to develop and implement a DP(NAME) and Directed Inservice. 8) On [DATE] the GNYHCFA QA Consultants convened the Facility QA Meeting to review causative factors, specific interventions, and systems to maintain compliance with ensuring that the environment is as free of accident hazards as possible and that each resident receives adequate supervision to prevent accidents. II. Identification of Others: 1) The facility respectfully states that all residents were potentially affected. 2) The DON /RNS will reassess all facility residents for fall risk. The RNS will review/revise Fall risk CCP and CNAAR for individualized safety interventions as indicated. 3) A list of all residents requiring substantial to maximum assistance with transfer to the toilet was generated by the MDS Coordinator from the medical record. 4) The DON, RNS and MDS Coordinator reviewed each resident to determine the supervision required when sitting on the toilet considering fall risk, cognition, and behaviors. The residents CCP will be updated and instructions carried over to CNAAR. Any identified issues will be addressed. III. Systemic Changes: 1) The DON and GNYHCFA Consultant reviewed and revised the Policy and Procedure for Fall Prevention. 2) The DON and GNYHCFA consultant reviewed and revised the Policy and Procedure for CNA Accountability /Assignments. 3) All Nursing Staff and Rehab staff will receive Education by GNYHCFA on ensuring that the environment is as free of accident hazards as possible and adequate supervision and assistance is provided to residents to ensure resident safety. Highlights of the Lesson Plan include: - All residents are assessed for Falls Risk on admission, readmission and quarterly and as needed. - Any resident at High risk for Falls will be placed on the Falling Star identifier program with a green star in Electronic Medical Record (EMR), on Resident door and assistive mobility device if indicated. - Any resident requiring physical assistance getting on/off toilet and/or with cognitive impairment cannot be left unattended in the bathroom. - The joint responsibility of Rehab and Nursing to determine the amount of staff assistance required for all ADL's. - The responsibility of the RNS to clearly communicate and document on the CNAAR/CCP the assistance needed for resident safety. - The responsibility of the RNS to conduct Unit Rounds to supervise direct care staff for care provided to residents. - The responsibility of the licensed unit nurse to complete assignments for CNAs and print from EMR a current list of residents requiring Mechanical lift with two persons and provide Shift Report to all CNAs. - The responsibility of each CNA to identify the transfer status of their assigned residents and the steps to take to perform task. - The steps the Nursing Assistant needs to take if he/she feels the directives for Residents care needs should be reviewed by the RNS/ IDT. - The responsibility of all Nursing Staff to be aware of each resident's need for assistance and supervision as documented in the resident's CCP/CNAAR to prevent accidents. IV. Quality Assurance: 1) The GNYHCFA Consultant in conjunction with the DON developed an audit tool to monitor the facility’s compliance with: A) Ensuring that each resident is provided with adequate supervision and assistance to ensure Resident safety while assisting residents with toileting and transferring care needs. B) Ensuring that all residents at high risk for falls will be identified and individualized interventions will be communicated to Direct Care staff. 2) Audits will be done by the RNS on five randomly selected residents, and five randomly selected staff members on each unit on random shifts weekly x 4 weeks followed by monthly x 6 months. 3) Findings from the audits that require corrective actions will immediately be rectified and brought to the Morning QA Meeting for review. 4) Findings will be reviewed during the Quarterly QA Meeting to ensure sustainability. V. Person Responsible for this FTag: Director of Nursing
Failure to Provide Quarterly Financial Statements to Residents
Penalty
Summary
The facility failed to provide quarterly financial statements to residents and their representatives, as required by their policy. This deficiency was identified during a recertification survey, where it was found that two residents, both with intact cognition, did not receive their financial statements. Resident #60 reported never receiving a statement, while Resident #174 could not recall the last time they received one. The facility's policy, last revised in May 2024, mandates that residents and their designated representatives receive account statements quarterly, but there was no documented evidence that these statements were provided to the residents in question. Interviews with facility staff revealed a lack of documentation and confirmation regarding the delivery of financial statements. The Director of Finance stated that statements are mailed to residents and their families, but there is no system in place to confirm receipt, as the statements are sent with regular mail and not signed for. The Director of Recreation confirmed that statements are hand-delivered with other mail but are not documented in residents' charts. The Administrator acknowledged that the business office logs mailed statements but could not explain the absence of documentation in residents' charts. This lack of documentation and confirmation led to the deficiency noted in the survey.
Insufficient Surety Bond for Resident Funds
Penalty
Summary
The facility failed to ensure the security of all personal funds of residents deposited with them, as required by regulations. During a recertification survey, it was found that the surety bond obtained by the facility was insufficient to cover the total amount of residents' funds. Specifically, the facility had a surety bond amounting to $175,000, which was inadequate to cover the total resident funds of $191,407.87. This deficiency affected 81 residents who maintained personal funds accounts with the facility. The facility's policy, revised in May 2024, mandates the purchase of a surety bond to secure residents' deposited funds. However, the Director of Finance acknowledged that the bond amount was not enough and mentioned that they were in the process of securing a new bond before the current one expires. The Administrator was also informed of the insufficiency and confirmed that efforts were underway to adjust the bond amount. The deficiency was identified under the regulation 10 NYCRR 415.26(h)(5)(v).
Delayed Reporting of Injuries of Unknown Origin
Penalty
Summary
The facility failed to report injuries of unknown origin in a timely manner to the New York State Department of Health, as required by regulations. This deficiency was identified during a survey conducted from October 31, 2024, to November 7, 2024, and involved two residents. The facility's policy on abuse, neglect, and reporting did not specify timeframes for reporting incidents to the Department of Health, contributing to the delay in reporting. One resident was observed with large bruising on the left breast and chest area on April 29, 2024. Despite the severity and unknown origin of the injuries, the facility did not report the incident to the Department of Health until May 2, 2024. The resident was on long-term Eliquis therapy, which increased the risk of bruising, and exhibited behaviors such as repetitive movements. The discoloration spread to other areas, and the resident was eventually transferred to the hospital, where further injuries were identified. The Director of Nursing delayed reporting, believing the injuries were related to a blood disorder and medication use. Another resident was found with a hematoma on the left leg on October 23, 2023. The facility did not report this injury to the Department of Health until October 25, 2023. The resident required assistance with transfers and had a history of moderate cognitive impairment. The facility's investigation suggested the injury occurred during a Hoyer lift transfer, but staff involved in the transfer did not recall any incident. The Director of Nursing delayed reporting, waiting for diagnostic results to determine the injury's severity, despite the unknown origin of the injury and the potential for abuse.
Inadequate Pain Management for Resident with Morphine Pump
Penalty
Summary
The facility failed to provide appropriate pain management for a resident with a morphine pump, as required by professional standards and the resident's care plan. The resident, who had a history of low back pain and multiple back surgeries, had a morphine pump installed in 2020. However, there was no documented evidence that the pump's cartridge was changed or refilled as required every six months, nor was there evidence of a referral to pain management in over a year. Additionally, there were no active physician orders for the morphine pump or as-needed pain medication, despite the resident frequently experiencing moderate pain. Observations and interviews revealed that the resident was aware of the morphine pump and its purpose but was unsure about the dosage and the last replacement date. The resident reported a pain level of 6/10 and relied on resting in bed for relief. Staff members, including CNAs and LPNs, were unaware of the morphine pump's presence and had not received training on its monitoring or management. The facility's Director of Nursing was also unaware of the pump until informed by staff, indicating a lack of communication and oversight regarding the resident's pain management needs. The attending physician acknowledged the resident's history of refusing certain medical care and stated that the morphine pump was last refilled in May 2023 by a private doctor who no longer takes the resident's insurance. The physician was uncertain about the current pain management specialist responsible for the pump. Despite the resident's participation in activities and stable vital signs, the lack of documented pain management follow-up and staff awareness of the morphine pump contributed to the deficiency in providing safe and appropriate pain management for the resident.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 1,366 citations issued within 25 miles in the last 12 months — including the 19 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Brooklyn
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| King David Center For Nursing And Rehabilitation | 0.1 mi | ★★★★★ | 12 | 0 |
| Bensonhurst Center For Rehabilitation & Healthcare | 1.1 mi | ★★★★★ | 0 | 0 |
| Seagate Rehabilitation And Nursing Center | 1.2 mi | ★★★★★ | 3 | 1 |
| Saints Joachim & Anne Nursing And Rehab Center | 1.5 mi | ★★★★★ | 0 | 0 |
| Sea Crest Nursing And Rehabilitation Center | 1.5 mi | ★★★★★ | 5 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Haym Solomon Home For The Aged.
100% money-back within 48 hours.
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.