Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Lynbrook Restorative Therapy And Nursing during CMS and state inspections, most recent first.
Late Transmission of MDS Assessments: The facility did not ensure that completed MDS assessments were encoded and transmitted within the required timeframe. Two residents had Discharge - Return Not Anticipated MDS assessments that were completed but transmitted 40 and 41 days late. The MDS Coordinator stated the error was not discovered until the Nursing Home Validation Report was reviewed, and the Administrator was not aware the assessments had missed the required transmission window.
IV Medication Not Labeled During Administration: A resident with DM, PVD, and major depressive disorder was receiving IV vancomycin via a PICC line when the medication vial, NS bag, and IV tubing were observed without the resident’s name, start time/date, or the initiating nurse’s initials. An LPN observed the infusion, and the RN Infection Preventionist later confirmed starting the dose; the RN Supervisor and DON stated the IV medication should have been labeled.
Incomplete immunization documentation was found for four residents whose COVID-19 vaccine records were either missing or not fully completed. One resident’s refusal form lacked the resident’s name, date, and signature, another resident’s declination had no date or indication of who declined it, and two residents had no completed COVID-19 consent form or documented vaccine status in the chart. Staff stated the vaccine status was kept on the IP’s personal tracker instead of in the residents’ medical records.
Incomplete Flu and Pneumococcal Immunization Documentation: Immunization records for several residents were incomplete or unavailable, with missing vaccine status, unsigned refusal forms, and consent forms that did not identify whether the resident or representative gave consent. The records also lacked documentation that education on vaccine benefits and potential side effects was provided, and staff interviews confirmed the paper immunization sheets in the charts were not fully completed.
A facility failed to maintain accurate drug records for a controlled medication, Lacosamide, due to an LPN's failure to document administration immediately. A resident with seizures and moderate cognitive impairment was involved, and the discrepancy was noted during a survey when the blister pack count did not match the administration record.
A medication cart in an LTC facility was found with an undated opened bottle of Lipopolysaccharide-Sugar Free (LPS-SF) supplement, contrary to facility policy requiring dating upon opening. Staff interviews confirmed the bottle should have been discarded, as per guidelines. The deficiency was noted for a resident with health conditions requiring dietary supplements.
A resident on Contact Isolation for ESBL in the urine was not properly managed due to a CNA entering the room without PPE and failing to perform hand hygiene. The CNA was unaware of the precautions, leading to a breach in infection control protocols, as confirmed by interviews with facility staff.
Late Transmission of MDS Assessments
Penalty
Summary
The facility did not ensure that completed Minimum Data Set (MDS) assessments were encoded and transmitted to the State within the required timeframe. Record review showed that two residents, Resident #21 and Resident #118, each had a Discharge - Return Not Anticipated MDS assessment that was completed but not transmitted within fourteen days after completion, as required by facility policy and Federal and State guidelines. Resident #21’s assessment had an assessment reference date of 12/03/2025, was completed on 12/09/2025, and was not transmitted to CMS until 02/02/2026, making it 41 days late. Resident #118’s assessment had an assessment reference date of 12/04/2025, was completed on 12/10/2025, and was not transmitted until 02/02/2026, making it 40 days late. During interview, the MDS Coordinator stated the assessments were not transmitted within fourteen days after completion and that a transmittal error was not discovered until the Nursing Home Validation Report was reviewed that day. The Administrator stated they were not aware the assessments had not been transmitted within the required timeframe.
IV Medication Not Labeled During Administration
Penalty
Summary
Drugs and biologicals used in the facility were not labeled in accordance with accepted professional principles for one resident receiving intravenous vancomycin. Resident #77 was admitted with diagnoses including diabetes mellitus, peripheral vascular disease, and major depressive disorder, and the admission MDS documented moderate cognitive impairment. The resident had a physician’s order for vancomycin 1 gram/250 milliliter in 0.9% sodium chloride intravenously every 12 hours at 9:00 AM and 9:00 PM for six weeks for extradural and subdural abscesses. During an observation, the resident was seen in bed receiving vancomycin through a PICC line in the right upper arm. The medication vial, normal saline bag, and IV tubing were not labeled with the resident’s name, the time and date the IV antibiotic was started, or the initials of the nurse who started it. An LPN observed the infusion and stated it had been set up and started by the RN Infection Preventionist. The RN Supervisor and the DON stated the IV medication should have been labeled with the resident name, time and date of administration, and staff initials, and the RN Infection Preventionist later stated the vial, saline bag, and tubing should have been labeled.
Incomplete Immunization Documentation in Resident Records
Penalty
Summary
Medical records for four residents reviewed for immunizations were not maintained in accordance with accepted professional standards and practices because the facility’s immunization documentation was either unavailable or incomplete. The facility policy required eligible residents who wished to receive a COVID-19 vaccine to be offered and administered the vaccine or accommodated within 14 days of admission, with education, consent or declination, and documentation of the resident or representative’s decision in the medical record. During record review, the Director of Nursing Services stated the immunization records were kept on paper in each resident’s chart at the nursing station. For one resident, the COVID-19 vaccination consent form did not include the resident’s name, documented refusal due to personal reasons, lacked a date of refusal, and was not signed by the resident or representative. For a second resident, the COVID-19 vaccination was declined, but the record did not show the date or whether the declination came from the resident or representative, and there was no signature. For two additional residents, the COVID-19 Vaccination Consent Forms were not completed and the medical record did not indicate their COVID-19 vaccine status. Staff interviews confirmed the forms should have been fully completed, that the vaccine status information was kept on the Infection Preventionist’s personal tracker rather than in the residents’ medical records, and that the admission immunization packet should have been complete and up to date.
Incomplete Flu and Pneumococcal Immunization Documentation
Penalty
Summary
The facility did not ensure that residents’ medical records contained complete documentation of influenza and pneumococcal immunizations or documentation that residents or their representatives received education about the benefits and potential side effects of the vaccines. Four of five residents reviewed for immunizations had incomplete or unavailable influenza and pneumococcal records, including missing vaccine status, missing consent details, and refusal forms that lacked dates and signatures. The facility’s policies required vaccination status to be assessed within 5 working days of admission, documentation of administration or refusal in the medical record, and documentation that education was provided. Resident #12’s immunization packet did not include the resident’s name on the flu/pneumococcal consent/education records, and both vaccines were marked rejected, but the refusal forms did not document the dates of refusal and were not signed by the resident or representative. Resident #34’s pneumococcal status was not completed, and the influenza vaccine was rejected with verbal consent documented, but the form did not identify whether consent came from the resident or the representative. Resident #27 and Resident #77 had flu/pneumococcal immunization records that did not indicate vaccine status. Staff interviews confirmed that the forms were not thoroughly completed, that vaccine information was kept on a separate tracker by the Infection Preventionist, and that the paper immunization sheets in the residents’ charts should have been complete and up to date.
Failure to Document Controlled Substance Administration
Penalty
Summary
The facility failed to ensure that drug records were in order and accounted for all controlled drugs during a recertification survey. This deficiency was identified in one of the two nursing units during the Medication Storage Task. Specifically, the Controlled Substance Administration Record form for a resident prescribed Lacosamide (Vimpat), a controlled medication, indicated there were 56 tablets available, but the blister pack contained only 55 tablets. The discrepancy was due to a failure in documentation by the licensed nurse responsible for administering the medication. The resident involved had a history of seizures and moderate cognitive impairment, as indicated by their medical records. The nurse, after administering a dose of Lacosamide, failed to update the Controlled Substance Administration Record form immediately, as required by the facility's policy. Interviews with the LPN, the nurse supervisor, and the Director of Nursing Services confirmed that the nurse did not follow the expected protocol of signing the record form immediately after administering the medication.
Medication Labeling Deficiency
Penalty
Summary
The facility failed to ensure that drugs and biologicals were labeled in accordance with currently accepted professional principles, as observed during a recertification survey. Specifically, on Unit 2, a medication cart was found with an opened bottle of Lipopolysaccharide-Sugar Free (LPS-SF) supplement that lacked a date indicating when it was first opened. This oversight was identified during a medication pass observation, where a Licensed Practical Nurse (LPN) was unable to provide information on when the bottle was opened, acknowledging that it should have been discarded due to the absence of a date. The facility's policy required that all oral supplements, including LPS-SF, be dated upon opening and discarded according to the manufacturer's guidelines, which specified a 60-day discard period after opening. Interviews with facility staff, including a pharmacist and the Director of Nursing Services, confirmed that the undated bottle should have been discarded and a new one opened with the date marked. The deficiency was noted in the context of a resident with multiple health conditions, including congestive heart failure, who was prescribed the LPS-SF supplement as part of their dietary nutrition plan.
Inadequate Adherence to Contact Isolation Precautions
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by the improper handling of Transmission-Based Precautions for a resident diagnosed with Extended-Spectrum-Beta-Lactamases (ESBL) in the urine. The resident, who was admitted with Type 2 Diabetes, Sepsis, and ESBL resistance, was placed on Contact Isolation as per the physician's order. Despite the presence of a precaution sign outside the resident's room indicating the need for Personal Protective Equipment (PPE) such as gowns and gloves, a Certified Nursing Assistant (CNA) entered the room without adhering to these precautions. The CNA was observed entering the resident's room with a lunch tray without wearing the required PPE and failed to perform hand hygiene before and after entering the room. During an interview, the CNA admitted to not being aware of the contact precautions and did not read the signage outside the resident's room. The CNA mistakenly believed that PPE was only necessary for high-contact care, which led to the breach in protocol. Interviews with the Unit Supervisor, Infection Preventionist, and Director of Nursing Services confirmed that the CNA's actions were inconsistent with the facility's infection control policies. The staff members emphasized the importance of following the posted instructions for contact isolation precautions to prevent the spread of infection. The deficiency highlights a lapse in communication and adherence to established infection control procedures within the facility.
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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 Lunbrook
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Grand Pavilion For Rhb & Nrsg At Rockville Ctr | 1.3 mi | ★★★★★ | 0 | 0 |
| Rockville Skilled Nursing & Rehabilitation Center, | 1.3 mi | ★★★★★ | 0 | 0 |
| Oceanside Care Center Inc | 1.5 mi | ★★★★★ | 5 | 0 |
| Mount Sinai South Nassau T C U | 1.9 mi | ★★★★★ | 1 | 0 |
| North Shore - Lij Orzac Center For Rehabilitation | 2.4 mi | ★★★★★ | 0 | 0 |
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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.