Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
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 Momentum At South Bay For Rehabilation And Nursing during CMS and state inspections, most recent first.
Missing Comprehensive Care Plan for Contact Precautions: A resident with C. diff, BPH, and bacteremia had orders for contact precautions and room signage for Contact Enteric Precautions, but the chart lacked a comprehensive person-centered care plan with measurable goals and interventions for those precautions. The RN Mgr and DON stated a comprehensive care plan should have been developed when the resident was placed on contact precautions.
A resident with Down Syndrome, PVD, impaired cognition, and a Stage 3 heel pressure ulcer had a care plan that still directed staff to float the heels on a pillow, but the CNA guide did not include that instruction and bedside observations showed heel booties used without a pillow. The Wound Care RN said the pillow intervention should have been discontinued due to restless legs, while the DON stated the care plan should reflect the resident’s current needs and interventions.
Infection control practices were not followed for a resident on contact precautions and for shared glucose monitoring equipment. A CNA entered a room with contact enteric precautions without gown and gloves, despite signage and staff statements that PPE was required. In addition, an LPN cleaned a shared glucometer with alcohol pads instead of the EPA-registered germicidal wipes required by policy after each resident use.
A resident with spinal, hip, and pelvic fractures and documented moderate occasional pain did not receive consistent pain management oversight when an acetaminophen order ended and was not renewed. The pain mgmt NP recommended continuing acetaminophen without reviewing current orders, staff did not report the resident’s pain complaints, and therapy notes showed the resident later reported pain levels of 4/10 and 6/10 during rehab.
Physician oversight was not maintained for a resident with spinal, hip, and pelvic fractures who was on a pain management program. The resident’s acetaminophen order expired after a 14-day course and was not renewed, yet the pain mgmt NP later recommended continuing the medication without reviewing the MAR or confirming the active order. The attending MD stated staff did not notify them of the resident’s pain complaints or the consultant’s recommendation, and the resident continued to report hip pain.
A resident with a Peripheral IV Catheter did not have a physician's order for its placement and monitoring, leading to a lack of documentation on the Medication Administration Record. Despite the facility's policies requiring regular assessments of the catheter site, the nursing staff failed to document these assessments, as confirmed by interviews with the RN Manager and DON.
A resident with C-Diff infection did not receive proper infection control measures during care. A CNA failed to perform hand hygiene after glove removal, contrary to facility policy. The resident had multiple diagnoses, including an unstageable pressure ulcer, and was experiencing loose bowel movements. The CNA did not alert a nurse when the wound dressing became exposed to fecal material, increasing infection risk.
Missing Comprehensive Care Plan for Contact Precautions
Penalty
Summary
A comprehensive person-centered care plan was not implemented for Resident #57 to address contact precautions and meet the resident’s identified needs. Resident #57 was admitted with diagnoses including Enterocolitis due to Clostridium difficile, Benign Prostatic Hyperplasia, and Bacteremia, and the 5-day admission MDS documented a BIMS score of 13, indicating the resident was cognitively intact. The resident had a baseline care plan dated 08/11/2025 that documented contact isolation with infection control interventions per protocol, and a physician’s order dated 08/12/2025 required strict isolation contact precautions, later discontinued on 08/27/2025 and replaced with a contact precautions order on 08/27/2025. Review of the comprehensive care plan showed no documented evidence that a Comprehensive Care Plan with measurable goals and interventions for contact isolation was developed by 14 days of admission and no later than 21 days, as required by facility policy. During observations on 09/02/2025 and 09/03/2025, the resident’s room door displayed signage for Contact Enteric Precautions directing staff and doctors to wear a gown and gloves at the door and to wash hands with soap and water before and after care. During interviews, the RN Manager stated the resident should have had a Comprehensive Care Plan developed for contact precautions, and the DON stated that a Comprehensive Care Plan should have been developed when the resident was placed on contact precautions.
Care Plan Not Updated for Heel Offloading Intervention
Penalty
Summary
The facility did not ensure a comprehensive person-centered care plan was reviewed and revised by the interdisciplinary team to reflect Resident #1’s current status. Resident #1 was admitted with diagnoses including Down Syndrome and Peripheral Vascular Disease, and the 07/01/2025 MDS documented severely impaired cognitive skills for daily decision making, dependence on staff for bed mobility, and one Stage 3 pressure ulcer. A comprehensive care plan effective 07/13/2025 identified an impaired skin integrity problem for the right heel and included an intervention to float the resident’s heels on a pillow. Record review and observations showed the care plan and related instructions were not updated when the intervention changed. The CNA care guide for September 2025 did not include instructions to float the heels on a pillow, only noting that the resident had a right heel wound. A wound note documented improvement in the right heel ulcer and recommended floating the heels with a pillow. During observations on 09/02/2025 and 09/04/2025, the resident was in bed wearing bilateral heel booties, with heels resting directly on the bed and no pillow used to offload the heels. The Wound Care RN stated the resident had restless legs and that the pillow intervention should have been discontinued, while the CNA stated they had never been instructed to place a pillow under the resident’s legs and had only applied heel booties. The DON stated the care plan should reflect the resident’s current needs and interventions.
Infection Control Program Not Followed for Contact Precautions and Glucometer Disinfection
Penalty
Summary
The facility did not maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections. Resident #57 had diagnoses including Enterocolitis due to Clostridium difficile, benign prostatic hyperplasia, and bacteremia, and had a physician’s order for strict isolation contact precautions that was later changed to contact precautions. The resident’s room had signage directing staff to use gown and gloves at the door and to wash hands with soap and water before and after care. During an observation, Certified Nursing Assistant #4 sanitized their hands and entered Resident #57’s room without putting on personal protective equipment. The CNA exited the room about a minute later carrying an empty breakfast tray to the food truck located outside the room. When interviewed, the CNA stated they did not put on PPE because they were not going to touch the resident and did not think PPE was needed. The RN Manager stated every staff member needs to wear PPE when going into a resident’s room on contact isolation precautions, including when picking up or dropping off a meal tray. The Infection Preventionist/Inservice Coordinator and the DON also stated staff should wear appropriate PPE before entering a room on contact precautions. During the Medication Storage task, an LPN stated the shared glucometer was cleaned with alcohol pads before and after use for each resident, and demonstrated cleaning the glucometer with an alcohol pad. The facility policy required the glucometer to be cleaned and disinfected between each resident test using an EPA-registered germicidal or bleach wipe effective against HIV, Hepatitis B, and Hepatitis C. The LPN stated germicidal wipes were on the medication cart but were only used for the blood pressure cuff. The RN Manager initially stated alcohol pads were used to clean the glucometer, then later clarified the facility uses germicidal wipes after each resident’s use. The Infection Preventionist/Inservice Coordinator and DON stated the policy required germicidal wipes and that alcohol pads do not disinfect the glucometer.
Pain management order lapsed and resident pain was not effectively communicated
Penalty
Summary
The facility did not ensure safe, appropriate pain management for a resident with spinal, hip, and pelvic fractures who was cognitively intact and documented as having moderate occasional pain and being on a pain management program. The resident’s care plan included monitoring for signs and symptoms of pain, and an admission order provided acetaminophen 650 mg every 6 hours as needed with pain management consultation as needed. That order was discontinued on 08/05/2025, and a pain management consult the same day documented neck pain and recommended changing acetaminophen to 1000 mg every 8 hours for 14 days. The physician’s order for acetaminophen 1000 mg every 8 hours ended on 08/19/2025 and was not renewed. The MAR documented pain monitoring every shift with a consistent score of 0, and staff interviews indicated they did not recall the resident reporting pain or did not recognize that the acetaminophen order had ended. The pain management nurse practitioner later stated they were not aware the order had ended and recommended continuing acetaminophen without reviewing the resident’s current medication orders. The attending physician stated they relied on staff to notify them of pain complaints and were not informed of the resident’s pain or the consultant’s recommendation. On 09/09/2025, the resident reported pain to therapy staff, including a pain level of 4/10 in the morning and 6/10 while receiving therapy in the rehab room. Therapy documentation from the prior period contained little to no pain-level documentation, and the OT and PT both stated the resident had occasional pain that usually improved after therapy. The medical director and DON stated the pain management consultant should have reviewed the MAR and communicated recommendations to the attending physician, and the DON stated the consultant should have reviewed the resident’s medication orders and communicated the recommendation through nursing supervision.
Physician Oversight Not Maintained for Pain Medication Orders
Penalty
Summary
The facility did not ensure that Resident #92’s medical care was supervised by a physician, including monitoring changes in the resident’s status and the need for changes in treatment. Resident #92 was admitted with spinal, hip, and pelvic fractures, had a BIMS score of 14 indicating cognitive intactness, and was documented as having moderate occasional pain and being on a pain management program. The care plan included monitoring for signs and symptoms of pain, and the admission physician order included acetaminophen 650 mg every 6 hours as needed and pain management consultation as needed, which was discontinued on 08/05/2025. A pain management consult on 08/05/2025 documented neck pain and recommended changing acetaminophen from as needed to 1000 mg every 8 hours, and the physician ordered acetaminophen 1000 mg every 8 hours for 14 days. That order ended on 08/19/2025 and was not renewed. On 09/07/2025, the pain management nurse practitioner documented a plan to continue acetaminophen 1000 mg every 8 hours for 14 days without reviewing the resident’s physician orders, and the attending physician stated staff did not notify them of the resident’s pain complaints or the consultant’s recommendation. During observation on 09/09/2025, the resident reported right hip pain rated 6/10, and a PT note documented pain rated 4/10 earlier that day.
Failure in IV Antibiotic Administration and Documentation
Penalty
Summary
The facility failed to ensure the safe and appropriate administration of intravenous (IV) antibiotics for a resident, as observed during a recertification and complaint survey. Specifically, a resident with a Peripheral Intravenous Catheter in their right arm did not have a physician's order for the placement and monitoring of the catheter site. The facility's policies required documentation of catheter site assessments for phlebitis, infection, or infiltration at least once per shift, and the physician's order for the IV antibiotic Rocephin was not transcribed onto the Medication Administration Record. This oversight led to a lack of documentation regarding the catheter's placement and site assessment. The resident involved had a medical history of Chronic Obstructive Pulmonary Disease, Lymphedema, and Acute and Chronic Respiratory Failure, with intact cognition as per their recent assessment. The comprehensive care plan indicated the need for regular monitoring and maintenance of the IV site to prevent infection. However, the nursing staff failed to document the necessary assessments and physician's orders, as confirmed by interviews with the Registered Nurse Manager and the Director of Nursing Services. The physician also emphasized the importance of following orders and documenting observations of the catheter site for signs of infection.
Infection Control Breach During Resident Care
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by the actions of Certified Nursing Assistant #4 during the care of a resident with a Clostridium Difficile (C-Diff) infection. The resident, who had a physician's order for Contact Enteric Isolation, was observed receiving perineal care from the nursing assistant. After completing the care, the assistant removed their dirty gloves and donned a new pair without performing the required hand hygiene. This action was contrary to the facility's policy, which mandates handwashing after glove removal to prevent the spread of infection. The resident involved in this incident had multiple diagnoses, including Acute Respiratory Failure, Irritable Bowel Syndrome, and an Unstageable Pressure Ulcer on the sacral region. The resident's cognitive status was severely impaired, as indicated by a BIMS score of zero. During the care, the resident was experiencing continuous loose bowel movements, and the wound dressing on the sacral area became exposed to fecal material. Despite this, the nursing assistants did not alert a nurse, which was a necessary step given the risk of infection to the exposed wound. Interviews with the staff, including the Infection Preventionist and the Director of Nursing Services, confirmed that the nursing assistant's failure to perform hand hygiene was a breach of protocol. The Director of Nursing Services emphasized the importance of handwashing, especially in cases involving C-Diff, to minimize contamination risks. The incident highlighted a lapse in following established infection control procedures, which are critical in preventing the transmission of communicable diseases 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 East Islip
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Affinity Skilled Living And Rehabilitation Center | 3.3 mi | ★★★★★ | 15 | 1 |
| Sunrise Manor Ctr For Nursing And Rehabilitation | 3.4 mi | ★★★★★ | 1 | 0 |
| Maria Regina Rehabilitation And Nursing | 4.6 mi | ★★★★★ | 0 | 0 |
| Ross Center For Nursing And Rehabilitation | 4.8 mi | ★★★★★ | 11 | 0 |
| Good Samaritan Nursing And Rehabilitation Care Ctr | 5 mi | ★★★★★ | 5 | 0 |
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