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 Sayville Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and full dependence for transfers was injured when a CNA attempted a Hoyer lift transfer alone, contrary to the care plan and facility policy requiring two staff. The resident slid from the lift and was lowered to the floor, resulting in pain and hospital evaluation, where a contusion and UTI were diagnosed.
The facility failed to provide sufficient nursing staff to meet resident needs, as identified during a survey. The Payroll-Based Journal indicated low weekend staffing, and daily staffing sheets showed a lack of Certified Nursing Assistants (CNAs) as required by the facility assessment. Residents expressed concerns about short staffing on weekends and nights. Interviews revealed staff were unfamiliar with the facility assessment and staffing tools, and the facility struggled to hire enough staff for weekends.
The facility's assessment failed to specify staffing needs for each unit, as required by policy. The assessment, last updated in June 2024, provided general staffing numbers for the entire facility but did not account for the additional workload on the second floor, which has 20 extra beds. The Director of Nursing and Administrator acknowledged the omission, noting no perceived acuity difference between units, but agreed the assessment could be updated.
A resident with multiple health conditions was not provided sufficient fluids to meet their daily needs, as observed during a survey. Despite a care plan indicating a potential for fluid deficit, the resident was not offered enough drinkable fluids, partly due to their fear of incontinence. The facility staff failed to communicate and address the resident's hydration needs, leading to a deficiency in care.
A resident with COPD and Sleep Apnea was using oxygen therapy without a physician's order, contrary to facility policy requiring prescriptions for oxygen use. Staff interviews revealed a lack of awareness about the need for physician orders, with conflicting statements from medical personnel regarding the necessity of such orders.
A resident with severe cognitive impairment and pressure ulcers was not properly managed under Enhanced Barrier Precautions due to staff confusion. Nurses failed to wear isolation gowns during wound care, as they relied on an incorrect list not meant for staff use. The incident revealed a breakdown in communication and adherence to infection control protocols.
Failure to Follow Two-Person Mechanical Lift Policy Results in Resident Injury
Penalty
Summary
A deficiency occurred when a Certified Nursing Assistant (CNA) failed to follow the resident's Comprehensive Care Plan (CCP) and facility policy regarding mechanical lift transfers. The resident involved had significant medical conditions, including anemia, peripheral vascular disease, and dementia, and was assessed as severely impaired for decision-making and fully dependent on staff for transfers. The CCP and facility policy both required two staff members to assist with mechanical lift transfers for this resident. Despite these requirements, the CNA attempted to transfer the resident alone using a Hoyer lift. During the process, the CNA placed the sling under the resident without assistance and proceeded with the transfer. The resident began to slide out of the Hoyer pad, and the CNA lowered the resident to the floor. The incident resulted in the resident complaining of severe pain in the right shoulder and hip, and emergency services were called to transport the resident to the hospital. Medical evaluation at the hospital revealed no acute fractures or intracranial hemorrhage, but the resident was diagnosed with a contusion and a urinary tract infection. The facility's investigation confirmed that the CNA was aware of the two-person requirement for Hoyer transfers but proceeded alone because other staff were unavailable at the time. The incident was documented as a failure to implement the care plan and facility policy, resulting in neglect as defined by both facility and federal standards.
Staffing Shortages Lead to Deficiency in Resident Care
Penalty
Summary
The facility failed to ensure sufficient nursing staff were available to meet the needs of residents, as identified during a Recertification Survey. The deficiency was noted in both units reviewed for the Sufficient Nursing Staffing Task. The Payroll-Based Journal (PBJ) Staffing Data Report for Quarter 2, 2024, indicated excessively low weekend staffing. Additionally, the daily staffing sheets showed that the facility did not provide the required number of Certified Nursing Assistants (CNAs) as outlined in the facility assessment. During a Resident Council meeting, several residents expressed concerns about short staffing on weekends and nights. The facility's policy on staffing hours, last reviewed in August 2024, stated that adequate staffing would be provided to meet the care needs of residents. However, the review of staffing sheets from January to March 2024, and again in August and September 2024, revealed consistent shortfalls in the number of CNAs available during various shifts, particularly on weekends. The facility assessment required 18-21 CNAs during the day and evening shifts and 9-12 CNAs during the night shift, but these numbers were not consistently met. Interviews with facility staff revealed a lack of familiarity with the facility assessment and the tools used to determine staffing needs. The Staffing Coordinator relied on a staffing generator calculator based on resident census, but was not aware of the facility assessment requirements. The Director of Nursing Services and the Administrator acknowledged the staffing shortages and the challenges in hiring enough staff for weekends. The Administrator also noted that the staffing calculator was designed to meet the New York State minimum nursing staffing standard, yet the facility still faced staffing shortages.
Facility Assessment Lacks Unit-Specific Staffing Needs
Penalty
Summary
The facility failed to ensure its Facility Assessment adequately considered specific staffing needs for each resident unit during the Recertification Survey conducted from October 3 to October 10, 2024. The assessment, last updated in June 2024, did not provide a breakdown of staffing needs for the first and second floors, despite the facility's policy requiring a detailed review of resources necessary to meet resident needs. The assessment only provided a general staffing requirement for the entire facility, without distinguishing between the two units. During an interview, the Director of Nursing Services and the Administrator acknowledged the omission, stating that the Facility Assessment did not include unit-specific staffing needs because there was no perceived difference in acuity between the units, which housed both short-term and long-term residents. However, it was noted that the second floor had 20 additional beds, which would logically increase the workload for that unit. The Administrator agreed that the Facility Assessment could be updated to reflect the staffing needs for each unit.
Failure to Ensure Adequate Hydration for a Resident
Penalty
Summary
The facility failed to ensure that Resident #127 was offered sufficient fluid intake to maintain proper hydration and health, as observed during a recertification survey. Resident #127, who was admitted with diagnoses including Diabetes Mellitus, Malnutrition, and Osteomyelitis, required 1,620 milliliters of fluid per day according to their nutritional assessment. However, the resident was not offered an adequate amount of fluids, as evidenced by the meal tray observations and the lack of reassessment by the dietician after intravenous hydration therapy was completed. The resident's care plan, which had not been updated since August, documented a potential for fluid deficit and included interventions to encourage fluid intake. Despite this, the resident was consistently observed without accessible drinkable fluids in their room, and the fluids provided with meals were insufficient, especially since the resident did not consume coffee. The resident's fear of wetting the bed contributed to their reluctance to drink fluids, a concern that was not communicated to the dietician or addressed by the nursing staff. Interviews with facility staff revealed a lack of communication and follow-up regarding the resident's fluid intake and hydration status. The part-time dietician was unaware of the resident's intravenous hydration, and the full-time dietician had not been informed of the resident's fluid intake issues. The Director of Nursing Services was also unaware of the resident's fear of incontinence, indicating a breakdown in the facility's processes for monitoring and addressing residents' hydration needs.
Deficiency in Respiratory Care Due to Lack of Physician's Order
Penalty
Summary
The facility failed to provide proper respiratory care consistent with professional standards of practice for a resident utilizing oxygen therapy for Chronic Obstructive Pulmonary Disease (COPD). Resident #38, who was cognitively intact and admitted with diagnoses of COPD and Sleep Apnea, was observed using an oxygen concentrator without a physician's order. The facility's policy requires oxygen to be prescribed, except in emergencies, yet the resident's care plan indicated the use of oxygen as per physician's orders. However, a review of the resident's current physician orders revealed no such order for oxygen therapy. Interviews conducted during the survey revealed a lack of awareness among staff regarding the absence of a physician's order for the resident's oxygen therapy. A registered nurse acknowledged that all residents on oxygen therapy should have physician orders, while the Director of Nursing Services confirmed that supplemental oxygen should not be administered without such orders. Contradictory statements were made by Physician #1, who claimed nurses do not need a physician's order to administer oxygen therapy, while the Medical Director stated that all supplemental oxygen therapy should be prescribed by a physician, except in emergencies.
Inadequate Infection Control Practices for Resident with Pressure Ulcers
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the mishandling of Enhanced Barrier Precautions for a resident with pressure ulcers. Resident #64, who had severe cognitive impairment and was admitted with unstageable pressure ulcers, was supposed to be under Enhanced Barrier Precautions. However, during a wound care observation, two nurses did not know which resident in the shared room required these precautions and began the procedure without wearing the necessary isolation gown, as indicated by the signage outside the room. The facility's policy required the use of disposable gloves and an isolation gown for high-contact activities, such as wound care. Despite this, the nurses proceeded without verifying the resident's status on the Enhanced Barrier Precautions list. The confusion arose because the Infection Control Nurse provided a list for personal use, which was not intended for staff reference. This led to the nurses relying on an incorrect list, resulting in a breach of protocol when they initially failed to don the appropriate protective equipment. Interviews with the staff revealed a lack of clarity and communication regarding the Enhanced Barrier Precautions. The Infection Prevention Nurse and the Director of Nursing Services indicated that the staff should have checked the resident's care plan or consulted with them if there was any uncertainty. The incident highlighted a breakdown in communication and adherence to infection control protocols, as the staff did not follow the correct procedures for verifying which residents required Enhanced Barrier Precautions.
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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 Sayville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Good Samaritan Nursing And Rehabilitation Care Ctr | 2.8 mi | ★★★★★ | 5 | 0 |
| Affinity Skilled Living And Rehabilitation Center | 2.8 mi | ★★★★★ | 15 | 1 |
| Swan Lake Nursing & Rehabilitation | 3.7 mi | ★★★★★ | 5 | 1 |
| Island Nursing And Rehab Center | 4.6 mi | ★★★★★ | 0 | 0 |
| Brookhaven Health Care Facility, Llc | 5 mi | ★★★★★ | 3 | 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.