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 Townhouse Center For Rehabilitation & Nursing during CMS and state inspections, most recent first.
The facility failed to report an allegation of staff-to-resident abuse to the state as required by its abuse prohibition policy and regulations. A resident with Type II DM, bipolar disorder, COPD, and moderate cognitive impairment alleged that a CNA was physically rough, grabbing and pulling the resident’s arms during an argument about bathroom use, and the resident stated they felt they needed to call 911. The allegation was documented on a grievance form, but not in the resident’s progress notes, and there was no evidence it was reported to the NYSDOH within 24 hours. The Administrator acknowledged the event was an allegation of abuse that should have been reported but stated it was not reported due to the resident’s history of making false allegations.
The facility did not maintain an effective infection control program, failing to test the potable water system for Legionnaires' and other pathogens. The Legionella Water Management Plan required a Flow Diagram and testing, but these were not provided. The Director of Environmental Services, new to the role, was still learning about the systems, and the necessary records were not available by the survey's end.
The facility failed to transmit MDS assessments to CMS within the required 14-day period for two residents. Delays were due to discrepancies in daily living documentation, requiring review by the interdisciplinary team. The facility's policy mandates timely completion and transmission of assessments, which was not followed.
A resident with Hyperkeratosis did not have their care plan renewed for nearly a year, despite ongoing treatment recommendations. The care plan was archived and not updated after the resident's hospital readmission. Staff interviews revealed a lack of awareness and oversight in renewing the care plan, which was acknowledged by the DON.
A resident with limited range of motion was recommended to use an orthotic carrot device by the Occupational Therapy Department, but a physician's order was never obtained, and the device was not provided. The resident's left hand appeared contracted, and staff were unaware of the recommendation. The Rehabilitation Department later determined the device was no longer appropriate, but the initial failure to act on the recommendation led to a deficiency.
An LPN failed to reconcile controlled medication records after administering Methadone and Lorazepam to two residents, leading to discrepancies in drug counts. The facility's policy requires immediate documentation of administered doses, which was not followed, as confirmed by interviews with the Unit Manager and DON.
The facility failed to ensure proper labeling and storage of medications. An LPN stored pre-poured medications in a cart after two residents refused them, contrary to policy requiring immediate disposal. Additionally, a resident had multiple unlabeled medications in their room without physician orders. Interviews confirmed non-compliance with medication handling protocols.
A resident with a history of diabetes and kidney issues experienced hallucinations and low blood pressure, prompting a STAT urinalysis to rule out a UTI. The urine sample was collected, but the results were delayed, with no follow-up until three days later. The facility's policy for timely STAT lab services was not followed, leading to a delay in diagnosing and treating the resident's condition.
The facility failed to include a 30-day rescission period in its Binding Arbitration Agreements, affecting two residents. Despite verbal assurances that agreements could be rescinded at any time, the written agreements lacked this information, leading to a regulatory deficiency.
Failure to Report Alleged Staff-to-Resident Abuse to State Authorities
Penalty
Summary
The deficiency involves the facility’s failure to report an allegation of staff-to-resident abuse to the New York State Department of Health (NYSDOH) within the required timeframe. Facility policy dated 10/2025 required that all alleged or suspected incidents of abuse, neglect, mistreatment, exploitation, or misappropriation of resident property be reported to NYSDOH, thoroughly investigated, and documented. On 08/27/2025, a family member reported that a resident alleged a CNA was rough with them, grabbing, pushing, and pulling their arms during an argument about using the bathroom, and the resident stated they felt like they needed to call 911. The resident had diagnoses including Type II diabetes, bipolar disorder, and COPD, and a recent MDS Brief Interview of Mental Status score of 09 indicating moderate cognitive impairment. The resident’s care plan documented behavioral issues related to bipolar disorder, including accusatory behavior and screaming at others. A grievance reporting form dated 08/27/2025 documented the family member’s and resident’s account of the incident. However, review of the resident’s progress notes from 08/01/2025 through 10/01/2025 showed no documentation of the reported allegation in the progress notes. The facility conducted an internal investigation and concluded no abuse had occurred, but there was no documentation that the allegation was reported to NYSDOH within the required 24-hour timeframe. During an interview, the Administrator, who is responsible for reporting abuse allegations, acknowledged that this incident met the definition of an allegation of abuse and that all such allegations must be reported, but stated it was not reported because of the resident’s history of making false allegations.
Inadequate Infection Control Program Due to Lack of Water Testing
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by the lack of documented testing of the potable water system for Legionnaires' and other waterborne pathogens. The facility's Legionella Water Management Plan (WMP) policy, last reviewed in October 2024, required a Flow Diagram and tables for each water system, but these were not provided. Although a water sample from the Cooling Tower was tested in June 2024 with no Legionella isolates found, there was no evidence of testing in other areas of the building where there was a high probability of opportunistic pathogens. During the survey, the Director of Environmental Services, who had recently assumed responsibility for the Maintenance Department, acknowledged being in the process of learning about the building systems. The Administrator confirmed that it was the Director's responsibility to maintain an updated Water Management Plan. Despite requests, the necessary records and design descriptions of the potable water system were not provided by the conclusion of the survey, indicating a deficiency in the facility's infection control measures.
Delayed Transmission of MDS Assessments
Penalty
Summary
The facility failed to ensure that all completed Minimum Data Set (MDS) assessments were transmitted to the Centers for Medicare and Medicaid Services within the required 14-day period following the completion of the resident assessment. This deficiency was identified during a Recertification Survey for two residents. Specifically, one resident's Discharge MDS assessment was completed on October 7, 2024, but was not transmitted until October 25, 2024, which was four days late. Another resident's quarterly MDS assessment was completed on December 29, 2024, but was transmitted on January 13, 2025, one day late. The delay in the transmission of the MDS assessments was attributed to discrepancies in the documentation of activities of daily living, which required the records to be sent back to the interdisciplinary team for review to ensure accuracy. The Minimum Data Set Director and the Administrator both confirmed that the need for corrections in the documentation caused the delay in submission. The facility's policy requires that all assessments be completed and transmitted within the guidelines outlined in the Resident Assessment Instrument Manual, but this was not adhered to in these instances.
Failure to Renew Care Plan for Resident with Hyperkeratosis
Penalty
Summary
The facility failed to ensure that a comprehensive person-centered care plan was reviewed and revised for a resident with a diagnosis of Hyperkeratosis. The deficiency was identified during a Recertification and Abbreviated Survey, where it was found that the care plan for Hyperkeratosis was archived and not renewed for a significant period. Specifically, the care plan for Hyperkeratosis of the resident's bilateral feet was archived on 3/5/2024 and not renewed until 1/21/2025, despite ongoing treatment recommendations from a Dermatology Nurse Practitioner. The resident, who had intact cognition and was admitted with diagnoses including Pressure Ulcers, Type 2 Diabetes, and Schizophrenia, continued to receive treatment for Hyperkeratosis as per physician's orders. However, the care plan was not updated to reflect this ongoing need. Interviews with facility staff, including the Wound Care Nurse and the Unit Manager, revealed a lack of awareness and oversight in renewing the care plan, particularly after the resident's readmission from the hospital. The Director of Nursing Services acknowledged that the care plan should have been initiated and expected the Registered Nurses to update and initiate the required care plans.
Failure to Provide Recommended Orthotic Device for Resident
Penalty
Summary
The facility failed to ensure that a resident with limited range of motion received appropriate treatment and services to prevent further decline. Resident #115, who had a history of diabetes mellitus, hemiplegia affecting the left side, and depression, was recommended by the Occupational Therapy Department to use an orthotic carrot device for their left hand. This recommendation was made on April 7, 2023, but a physician's order for the device was never obtained, resulting in the resident not receiving the device. During the recertification survey, it was observed that Resident #115's left hand appeared contracted, and the resident confirmed they had not been offered any device for their hand. The facility's policy required that recommendations from the Therapy Department be followed by obtaining a physician's order, which did not occur in this case. Interviews with staff revealed a lack of awareness and follow-up regarding the orthotic device recommendation. The Rehabilitation Department Director acknowledged that the orthotic device was never ordered and that the Occupational Therapist did not obtain the necessary physician's order. A subsequent assessment on January 21, 2025, determined that the orthotic device was no longer appropriate, and new recommendations for range of motion exercises were provided. However, the initial failure to act on the recommendation led to the deficiency identified during the survey.
Failure to Reconcile Controlled Medication Records
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 on Unit 3 North, where a Licensed Practical Nurse (LPN) administered Methadone and Lorazepam to two residents but did not reconcile the Individual Controlled Medication Records to reflect the actual number of remaining tablets in the blister packs. Specifically, the LPN administered 3 tablets of Methadone to a resident with chronic pain, diabetes, and hypertension, and 1 tablet of Lorazepam to another resident with chronic pain, anxiety disorder, and major depressive disorder. However, the LPN did not update the medication records to account for the administered doses, leading to discrepancies in the controlled substance counts. The facility's policy requires that when a controlled substance is administered, the nurse must document the administration on both the Medication Administration Record (MAR) and the Individual Controlled Medication Record. If a medication is not administered, it must be properly disposed of and documented by two nurses. During interviews, the Unit Manager and the Director of Nursing Services confirmed that the LPN should have updated the medication records immediately after administration. The LPN acknowledged the oversight but could not explain why the records were not updated. This failure to maintain accurate medication records was observed during the Medication Storage task, revealing discrepancies in the narcotics cabinet counts for both residents involved.
Medication Storage and Labeling Deficiencies
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were labeled and stored according to professional standards of practice. During the survey, it was observed that a medication cart on Unit 3 North contained two unlabeled medication cups with tablets. An LPN admitted to storing pre-poured medications in the cart after two residents refused their medications during administration. The LPN initially documented that the medications were administered, which was incorrect, and later corrected the records to reflect the refusals. The facility's policy requires that refused medications be discarded immediately, which was not followed in this instance. Additionally, a resident was found with multiple medications in their room that were not ordered by a physician. These included Flonase nasal spray, Deep Sea Premium Saline spray, Icy Hot, and eye drops, some of which were unlabeled. The medications were left in the resident's room inadvertently by the family, and there were no physician's orders for these medications. The facility's policy dictates that medications should not be stored in a resident's room and should be handled only by nurses. Interviews with nursing staff, including the Director of Nursing Services, confirmed that the facility's procedures for medication storage and administration were not followed. The Director of Nursing Services emphasized that medications refused by residents should be discarded and not stored in the medication cart, and that medications should not be left in residents' rooms. These lapses in following established protocols led to the deficiencies identified during the survey.
Delay in STAT Urinalysis Results for Resident
Penalty
Summary
The facility failed to provide timely laboratory services for a resident, leading to a delay in diagnosing a potential urinary tract infection. The resident, who had a history of diabetes, chronic kidney infection, and a stroke, was experiencing hallucinations and low blood pressure, prompting the physician to suspect sepsis or over-diuresis. A STAT urinalysis was ordered to rule out a urinary tract infection, but the results were not reported to the facility in a timely manner. The urine sample was collected and picked up by the laboratory on the same day the order was made, but there was no follow-up on the urinalysis results until three days later. During this period, the resident's condition was monitored, and other laboratory results were reviewed with the physician. However, the urinalysis results were not available, and the laboratory had no record of the order or sample collection, indicating a lapse in communication and procedure. Interviews with facility staff and laboratory representatives revealed that the STAT order for the urinalysis was not fulfilled as expected, and the results were delayed. The facility's policy required STAT laboratory services to be completed and reported on the same day, but this was not adhered to, resulting in a delay in treatment for the resident's suspected infection.
Failure to Include Rescission Period in Arbitration Agreement
Penalty
Summary
The facility failed to ensure that the Binding Arbitration Agreement explicitly granted residents and their representatives the right to rescind the agreement within 30 calendar days of signing. This deficiency was identified during a recertification survey for two residents. The facility's policy on the Optional Arbitration Agreement did not specify a timeframe for rescinding the agreement, and the agreements signed by the residents and their representatives lacked this critical information. Resident #139, who had intact cognition, signed the agreement without being informed of the 30-day rescission period. Similarly, Resident #238's representative signed the agreement without this information, despite being verbally informed that they could opt out at any time. Interviews with the residents, their representatives, and facility staff revealed a lack of written documentation regarding the 30-day rescission period. The Director of Admissions and the Administrator acknowledged that the agreements did not include the required information, although they believed the agreements were compliant with regulations. The Administrator stated that the facility's legal team was responsible for drafting the agreements and that residents and their representatives were verbally informed of their right to rescind the agreement at any time, even beyond the 30-day period. However, the absence of this information in the written agreements constituted a regulatory deficiency.
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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 Uniondale
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hempstead Park Nursing Home | 0.3 mi | ★★★★★ | 0 | 0 |
| Nassau Rehabilitation & Nursing Center | 1 mi | ★★★★★ | 0 | 0 |
| Mayfair Care Center | 1.2 mi | ★★★★★ | 0 | 0 |
| A Holly Patterson Extended Care Facility | 1.6 mi | ★★★★★ | 18 | 0 |
| Fulton Commons Care Center Inc | 1.7 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.