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 Northwell Health Stern Family Center For Rehabilit during CMS and state inspections, most recent first.
A resident's Advanced Directive wishes were not properly documented or communicated upon readmission to the facility. Despite having a MOLST form indicating Do Not Attempt Resuscitation, there was no corresponding Physician order, and the social work assessment inaccurately documented the resident as Full Code. The facility's processes for managing Advanced Directives were not followed, leading to a lack of communication and documentation.
A resident was readmitted to a facility using an external urinary catheter at bedtime, but a physician's order for its use was not obtained until several days later. The resident had intact cognition and diagnoses including a right femur fracture and osteoporosis. Interviews revealed unclear facility policies regarding staff roles in catheter use, and the attending physician was not informed of the catheter use until later, indicating a communication gap in the admission process.
A facility failed to accurately document a resident's discharge location in the MDS assessment. The resident, with Dysphagia and Hypertension, was discharged to home with home health services, but the MDS incorrectly noted a hospital discharge. The Lead MDS Specialist acknowledged the error, and the DON confirmed the need for accurate MDS completion.
A resident with an infected left large toe did not have a comprehensive care plan developed, despite a physician's order for Mupirocin ointment. The facility's policy requires a care plan to be created by the interdisciplinary team, but nursing staff failed to initiate it due to oversight and awaiting culture results. The resident had intact cognition and was at risk for pressure ulcers, highlighting the need for a timely care plan.
A resident refused physician-ordered ace wraps for edema and used personal compression socks instead. The facility failed to update the care plan to reflect this change, despite the resident's clear preference and cognitive intactness. Staff were aware of the refusal but did not document the communication with the physician or update the care plan and orders.
A resident with Diabetes Mellitus used an Ankle Foot Orthosis (AFO) Brace for a right foot drop without a physician's order or a care plan. The facility's policy requires such orders and regular skin assessments, which were not documented. Staff were aware of the brace use but did not provide necessary assessments or education.
A registered nurse administered a Lovenox injection to a resident during breakfast, contrary to the facility's policy prohibiting injections during meals. The nurse left the room before the resident finished taking oral medications, indicating a lack of awareness of the policy. The resident had a history of fractures and hypertension and was cognitively intact.
The facility failed to maintain an effective infection control program, as incorrect signage was posted for two residents with COVID-19. One resident had signage indicating Enhanced Barrier Precautions instead of Contact/Isolation Precautions, while another's signage omitted eye protection requirements. Staff interviews revealed oversight and misunderstanding of COVID-19 precaution requirements.
Failure to Document and Communicate Resident's Advanced Directives
Penalty
Summary
The facility failed to ensure that a resident's Advanced Directive wishes were properly documented and communicated upon readmission. The resident, who had been admitted with diagnoses including septicemia, anxiety disorder, and depression, had completed a Medical Orders for Life-Sustaining Treatment (MOLST) form in the hospital indicating a Do Not Attempt Resuscitation (DNAR) status. However, upon returning to the facility, there was no corresponding Physician order for Do Not Resuscitate (DNR), and the social work assessment inaccurately documented the resident as Full Code. The facility's policy required nursing staff to verify and document any existing DNR orders upon admission and to obtain a Physician's order if the resident wished to continue with the DNR status. Despite the resident's MOLST form indicating a DNAR status, the nursing admission assessment failed to prompt the necessary Physician order. Registered Nurse #2 assumed the system would automatically notify the Physician, which did not occur, resulting in the absence of a DNR order in the resident's medical record. Interviews with facility staff revealed a lack of communication and follow-up regarding the resident's Advanced Directives. The Social Worker did not recall discussing the resident's wishes, and the MOLST form was not uploaded into the electronic medical record, leading to incorrect documentation of the resident's code status. The Director of Nursing Services acknowledged that a comprehensive care plan for the resident's DNR status should have been in place, highlighting a breakdown in the facility's processes for managing Advanced Directives.
Failure to Obtain Timely Physician Order for External Catheter Use
Penalty
Summary
The facility failed to ensure that a physician's order was obtained for a resident's immediate care upon admission. This deficiency was identified for a resident who was readmitted to the facility and was using an external urinary catheter at bedtime. Despite the resident's preference and use of the catheter, a physician's order was not obtained until several days after the readmission. The resident had diagnoses including a right femur fracture, osteoporosis, and malnutrition, and was assessed to have intact cognition. The resident's care plan indicated the use of an external catheter at night, but the necessary physician's order was missing until it was obtained on a later date. Interviews with facility staff revealed a lack of clarity in the facility's policy regarding the roles of Certified Nursing Assistants and Licensed Nurses in the use of external urinary catheters. The Director of Nursing Services acknowledged that a physician's order should have been obtained upon the resident's admission. The attending physician was not informed of the resident's use of the external catheter until several days after the readmission, highlighting a communication gap in the facility's admission process. The deficiency was noted during a recertification survey, indicating a failure in the facility's protocol for obtaining timely physician orders for resident care.
Inaccurate MDS Assessment of Discharge Location
Penalty
Summary
The facility failed to ensure the Minimum Data Set (MDS) assessment accurately reflected the discharge location for a resident. Specifically, the Discharge MDS assessment for a resident with diagnoses including Dysphagia and Hypertension incorrectly documented the discharge location as a short-term general hospital, while the resident was actually discharged to home with a Certified Home Health service in place. This discrepancy was identified during a recertification survey, where it was noted that the MDS assessment did not align with the Interdisciplinary Team Discharge Patient Instructions and nursing progress notes, both of which indicated the resident was discharged to home. Interviews conducted during the survey revealed that the Lead MDS Specialist was responsible for completing the section of the MDS assessment related to discharge location and acknowledged the error. The Director of Nursing Services also confirmed that all MDS assessments should be completed accurately, and the discharge location should have been documented as home under the care of an organized home health service organization. This deficiency was identified under 10 NYCRR 415.11(b).
Failure to Develop Comprehensive Care Plan for Resident's Toe Infection
Penalty
Summary
The facility failed to ensure a comprehensive person-centered care plan was developed and implemented for a resident with a skin condition. Specifically, the resident had a physician's order to apply Mupirocin ointment to an infected left large toe, but there was no documented evidence of a care plan addressing this infection. The facility's policy requires the interdisciplinary team to create a comprehensive care plan that includes measurable objectives and timeframes to meet the resident's medical and nursing needs. However, this was not done for the resident in question. The resident, who had intact cognition, was admitted with multiple diagnoses, including Type 2 Diabetes Mellitus and Pulmonary Hypertension, and was at risk for developing pressure ulcers. Despite the presence of a wound on the left great toe and a physician's order for treatment, the nursing staff failed to initiate a care plan. Interviews with nursing staff revealed that the care plan was not developed due to oversight and waiting for culture results, which is contrary to the facility's policy. The Director of Nursing Services acknowledged that a care plan should have been initiated.
Failure to Update Care Plan for Resident's Treatment Preference
Penalty
Summary
The facility failed to ensure that comprehensive care plans were reviewed and revised by the interdisciplinary team to reflect each resident's preferences and status after each assessment. This deficiency was identified for a resident who had a physician's order to use ace wraps for edema management but refused the treatment and opted to use personal compression socks instead. The care plan was not updated to reflect the resident's refusal of the ace wraps and the use of their own compression socks, despite the resident's cognitive intactness and clear communication of their preference. The facility's policy required that interventions and goals be documented and reviewed to ensure anticipated results are achieved, and that a physician's order is necessary for applying compression stockings. However, the care plan was not updated to include the use of ace wraps as per the physician's orders, nor was it revised to reflect the resident's use of personal compression socks. Staff interviews revealed that the resident's refusal was known, but the care plan and physician's orders were not updated accordingly, and the communication with the physician was not documented.
Lack of Physician's Order and Care Plan for AFO Brace Use
Penalty
Summary
The facility failed to ensure that a resident received treatment and care in accordance with professional standards of practice. This deficiency was identified for a resident with a diagnosis of Diabetes Mellitus who utilized an Ankle Foot Orthosis (AFO) Brace for their right dropped foot without a physician's order. The resident brought the AFO Brace from home, and there was no documented evidence of a care plan for its use or skin assessments as per the facility's policy. The facility's policy requires all braces to have a physician's order and mandates hygiene inspections every shift to observe for redness, irritation, or swelling. However, the resident's admission assessments and the Minimum Data Set did not document the use of the AFO Brace or a history of right foot drop. Although the Physical and Occupational Therapy evaluations noted the use of the AFO Brace, they did not include assessments or recommendations for its continued use, nor was there evidence of staff education regarding the brace. Interviews with facility staff, including the Registered Nurse Manager, Occupational Therapist, Physical Therapist, and Director of Nursing Services, confirmed awareness of the resident's use of the AFO Brace. However, they acknowledged the absence of a physician's order, a care plan, and specific instructions for monitoring skin integrity. The staff also recognized the need for assessing the resident's ability to use the brace correctly.
Nurse Administers Injection During Meal Against Policy
Penalty
Summary
The facility failed to ensure that each licensed nurse had the specific competencies and skill sets necessary to care for residents' needs, as evidenced by an incident involving a registered nurse during a medication administration. On 2/7/2025, during the breakfast meal, a registered nurse handed a resident a souffle cup of oral medication tablets and left the room before the resident consumed the medications. The nurse then returned to the resident's room, interrupted the resident's meal, and administered a Lovenox injection into the resident's abdomen, contrary to the facility's policy that prohibits administering injections during meals. The resident involved was admitted with diagnoses including a fracture of the left pubic ramus, sacral fracture, and hypertension, and was cognitively intact with a Brief Interview for Mental Status score of 15. The facility's policy on medication administration, dated 2/2024, clearly states that injections should not be given during meals. Interviews with the nurse, nurse educator, and the Director of Nursing Services confirmed that the nurse was not aware of the policy and should not have left the room before the resident completed taking the oral medications, nor should they have administered the injection during the meal.
Inadequate Infection Control Signage for COVID-19 Precautions
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by incorrect signage for residents on Transmission Based Precautions. Specifically, two residents with confirmed COVID-19 infections were not properly identified with the correct precautionary signage. Resident #525, who was positive for COVID-19, had signage indicating Enhanced Barrier Precautions instead of the required Contact/Isolation Precautions. Similarly, Resident #32, also positive for COVID-19, had signage that omitted the requirement for eye protection, which was contrary to the facility's policy. The facility's policy required healthcare providers to use specific Personal Protective Equipment (PPE) when entering rooms of residents with confirmed COVID-19 infections, including N95 masks, gowns, gloves, and eye protection. However, during observations, it was noted that the signage outside Resident #525's room did not reflect these requirements, and the signage for Resident #32 did not include eye protection. Interviews with staff, including the Unit Secretary and the Infection Preventionist, revealed that the incorrect signage was due to oversight and a misunderstanding of the requirements for COVID-19 precautions. The Director of Nursing Services and the Medical Director confirmed that the signage for both residents was incorrect and did not comply with the facility's infection control policies. The Infection Preventionist acknowledged the error and stated that eye protection was mandatory for staff entering rooms of residents with COVID-19. The deficiency was identified during a recertification survey, highlighting lapses in the facility's infection control practices and the need for accurate communication and implementation of precautionary measures.
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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 Manhasset
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Highfield Gardens Care Center Of Great Neck | 0.3 mi | ★★★★★ | 0 | 0 |
| The Grand Rehabilitation And Nursing At Great Neck | 1.3 mi | ★★★★★ | 0 | 0 |
| Parker Jewish Institute For Health Care & Rehab | 1.6 mi | ★★★★★ | 1 | 0 |
| Little Neck Care Center | 1.7 mi | ★★★★★ | 1 | 1 |
| New Glen Oaks Nursing Home, Inc | 2 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.