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 Quantum Rehabilitation And Nursing Llc during CMS and state inspections, most recent first.
Improper Food Storage and Labeling: Surveyors found multiple opened food items in a walk-in refrigerator without open dates, including mayonnaise, salad dressing, Swiss cheese, milk, and half and half, along with milk products past their best-if-used-by dates and one container soiled with a jellylike substance. In emergency food storage, several cases of expired pureed carrots and pureed green beans were also observed. The DS and FSD stated opened items should be dated and expired products should have been discarded.
A resident with dementia and Alzheimer’s disease was incorrectly assessed as high risk for elopement after a first visit to the bakery, and an RN placed a wander guard bracelet based on inaccurate responses on the risk form. The resident had no documented wandering behaviors, the record lacked an admission elopement assessment, and the resident later stated they did not understand why they were wearing the bracelet and were not trying to leave. The DON, ADON, and RN supervisor stated the assessment was wrong and that the resident did not have exit-seeking behaviors.
A resident with a history of [MEDICAL CONDITION] experienced a head injury and was transferred to the hospital. Despite the transfer, staff continued to document neurological checks as if the resident was still present, leading to inaccurate medical records. The facility's policy required checks for 24 hours post-injury, but documentation errors were noted by the DON.
A resident who sustained a head injury was transferred to the hospital after a change in condition, but staff continued to document neurological checks on the resident's record for several hours after the transfer. This resulted in inaccurate and incomplete medical records, as required neurological assessments were recorded for a resident no longer present in the facility.
A resident prescribed Minocycline for long-term antibiotic therapy did not have a comprehensive care plan developed, as required by facility policy. Despite recommendations from an infectious disease specialist, the facility failed to create a care plan to monitor the antibiotic use and potential adverse reactions, resulting in a deficiency.
Improper Food Storage and Labeling
Penalty
Summary
The facility did not follow proper sanitation practices to prevent outbreak of foodborne illness and did not store and prepare food in accordance with professional standards for food service safety. During a kitchen observation with the Dietary Supervisor, a walk-in refrigerator contained an open jar of mayonnaise and an opened jar of salad dressing that were not dated with the dates they were opened. The same refrigerator also had an opened container of half and half with a best if used by date of 01/31/2026, an opened container of whole milk with a best if used by date of 02/07/2026, and another container of whole milk covered in a sticky, jellylike substance. A refrigerator containing deli cheeses had an opened and used block of Swiss cheese that was not dated with the date it was opened. During observation of the emergency food storage with the Food Service Director, several cases of expired pureed carrots dated 01/2025 and 03/2025, and pureed green beans dated 01/2024, were found. In interview, the Dietary Supervisor stated the milk and half and half should have been discarded by the best if used by dates and that staff are expected to date each item when opened. The Food Service Director stated the expired pureed carrots and pureed green beans should have been removed and discarded, and stated they personally check the emergency food storage every six months. The Director also stated the Dietary Supervisor was responsible for checking refrigerators for expired products, ensuring opened items had open dates, and keeping the refrigerators clean and organized.
Inaccurate Elopement Assessment and Improper Wander Guard Placement
Penalty
Summary
The facility did not ensure that a resident was treated with respect and dignity when staff incorrectly identified the resident as being at high risk for elopement and placed a wander guard bracelet on the resident. The resident had diagnoses including dementia and Alzheimer’s disease, with an MDS documenting moderately impaired cognitive function and no wandering behaviors. The record also lacked documented evidence that an elopement risk assessment was completed upon admission. On 01/30/2026, the resident went to the facility bakery for the first time and was accompanied back to the unit. After that visit, an LPN documented that a wander guard bracelet was placed on the resident’s left lower extremity. The wander guard risk assessment completed by an RN scored the resident as high risk, based on responses indicating wandering, exit-seeking, or attempts to leave unescorted, although the LPN later stated those findings were inaccurate and that the resident should have scored as low risk. During later observations, the resident was seen in an elevator with the wander guard alarm sounding and stated they did not know why they were wearing the bracelet and were not trying to leave. In another observation, the resident again stated they did not understand why the bracelet had been placed on them and said they were aware they were in the facility for therapy and care. The DON, ADON, and RN supervisor stated the assessment was inaccurate and that the resident did not have exit-seeking behaviors, while the DON also stated the bracelet potentially affected the resident’s ability to move within the building, including going to the bakery.
Inaccurate Documentation of Neurological Checks
Penalty
Summary
The facility failed to maintain accurate and complete medical records for a resident who experienced a head injury. The resident, who had a history of [MEDICAL CONDITION] and was at risk for falls, was found in bed with a small laceration on the back of the head after reportedly having a bad dream. Neurological checks were ordered by the attending physician and documented by staff. However, the documentation continued even after the resident was transferred to the hospital, indicating that the checks were inaccurately recorded for a period when the resident was no longer present in the facility. The facility's policy required neurological checks to be conducted for 24 hours following a head trauma unless otherwise directed by a physician. Despite this, the documentation showed that neurological checks were recorded at scheduled intervals, including times after the resident had been transferred to the hospital. This discrepancy was acknowledged by the Director of Nursing, who confirmed that staff should not have documented checks for a resident who was not in the facility. The inaccurate documentation of neurological checks led to the deficiency cited in the report.
Plan Of Correction
Plan of Correction: Approved January 14, 2025 The facility acknowledges resident #1 was affected by this deficient practice. Resident #1’s Neurological checks sheet was reviewed, to ensure it reflected the appropriate time frame and updated accordingly. A full house audit was conducted on all residents on neurological checks to ensure they are filled out accurately by the director of nursing or designee. All current residents on neurological checks were reviewed to ensure compliance with no issues identified. A lesson plan was developed for education, and all LPNs and RNs will be educated on accurate documentation in the medical record and specifically the neurological checks. The facility policy on Neurological checks was reviewed on 1/6/25 with no changes made. The director of nursing/designee created an audit to ensure all neurological checks are completed accurately. The director of nursing/designee will conduct a weekly audit on 10% of all residents on neurological checks to ensure they are completed accurately to ensure compliance for 8 weeks, then monthly thereafter until 100% compliance is achieved. Any negative audit findings will be immediately addressed by the DNS/designee with an onsite teaching/inservice and disciplinary action as needed. The findings of these audits will be discussed by the DNS/designee at the QA meetings monthly for 3 months, then quarterly in order to review and discuss any unfavorable patterns that may prevent achieving 100% compliance. The director of nursing is responsible for the correction and completion of this deficiency.
Inaccurate Documentation of Neurological Checks After Resident Transfer
Penalty
Summary
The facility failed to maintain accurate and complete medical records in accordance with accepted professional standards for a resident who experienced a head injury. After the resident was found with a small laceration on the back of the head and exhibiting distress, the facility initiated neurological checks as per policy and notified the attending physician. Documentation indicated that neurological checks were to be performed for 24 hours following the incident, and the resident's care plan was updated to reflect the fall and injury risk. Despite the resident being transferred to the hospital via 911 later that same day due to a change in condition, neurological checks continued to be documented on the resident's observation sheet for several hours after the resident had left the facility. The documentation included positive responses for neurological assessments at times when the resident was no longer present in the facility. This discrepancy was confirmed during interviews, where it was acknowledged that staff should not have documented neurological checks for a resident who was not in the facility. The deficiency centers on the inaccurate and incomplete documentation of neurological checks, as staff continued to record assessments for a resident who had already been transferred out of the facility. This failure to maintain accurate, complete, and systematically organized medical records did not meet the requirements for proper recordkeeping as outlined in facility policy and federal regulations.
Failure to Develop Comprehensive Care Plan for Long-term Antibiotic Therapy
Penalty
Summary
The facility failed to ensure a comprehensive person-centered care plan was developed for a resident prescribed long-term antibiotic therapy. Specifically, a resident with diagnoses including paraplegia and type 2 diabetes mellitus was prescribed Minocycline for Klebsiella Pneumoniae, but no care plan was created to address the long-term use of this antibiotic. The facility's policy required comprehensive care plans to be developed within 14 days of admission and revised as needed, but this was not adhered to in this case. Interviews with facility staff, including registered nurses and the Director of Nursing Services, confirmed that a care plan should have been in place for the resident's long-term antibiotic therapy. The resident had been evaluated by an infectious disease specialist who recommended the antibiotic treatment due to an infected hardware and a right femur abscess. Despite these recommendations, the facility did not develop a care plan to monitor the use of antibiotics and potential adverse reactions, leading to the identified deficiency.
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What surveyors actually found near you
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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 Middle Island
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Surge Rehabilitation And Nursing Llc | 0 mi | ★★★★★ | 14 | 1 |
| Allegria Nursing & Rehab Center Of Port Jefferson | 4.3 mi | ★★★★★ | 0 | 0 |
| Medford Multicare Center For Living | 4.6 mi | ★★★★★ | 0 | 0 |
| John T Mather Memorial Hosp T C U | 5.3 mi | ★★★★★ | 0 | 0 |
| Island Nursing And Rehab Center | 5.6 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.