King Street Home: Infection Tracking Failures - NY
Federal inspectors who visited the facility on March 30, 2026 found that the Infection Preventionist Registered Nurse could not say who had completed the infection control tracking sheet dated April 11, 2025, the day the outbreak began. The nurse said daily surveillance sheets should have been filled out throughout the outbreak. They were not sure why they weren't.
The infection preventionist told inspectors their job during the outbreak was to collect data on affected residents, increase surveillance on the units, and provide staff education right away. Staff training did happen, on April 14, three days after the outbreak started. But the nurse said they may have also given verbal training to unit staff and weren't sure.
Nobody had a clear answer about what had been done, or by whom.
That uncertainty ran through the inspection findings at every level. The infection preventionist, reviewing three months of their own records during the interview, confirmed that the antibiotic line lists for January, February, and March 2026 were missing the core information those lists are supposed to contain. No signs and symptoms. No diagnostic tests ordered. No lab results. No documentation of what precautions were in place or whether any outbreak risk had been assessed.
The line lists did show that residents were on antibiotics for wound infections, respiratory infections, urinary tract infections, bacteremia, and Clostridium difficile. C. diff is a bacterial infection that spreads easily in healthcare settings, causes severe diarrhea, and can be fatal in elderly patients. The line list noted that residents had it. It said nothing about how it was being managed or contained.
The Director of Nursing, interviewed the same afternoon, confirmed the infection preventionist was responsible for keeping that documentation complete. The director said the facility was "working with" the infection preventionist on improving the surveillance list. That conversation was happening in late March 2026, nearly a year after the norovirus outbreak the tracking sheets had failed to document.
What inspectors found at King Street Home was not a single missed form. It was a surveillance system that had been running for months without the information that makes surveillance useful. An infection control line list that tracks which residents are on antibiotics but doesn't record their symptoms or test results can't tell staff whether an infection is spreading, whether the right antibiotic was chosen, or whether a new cluster is forming on a unit. It records that something is happening. It cannot say what.
The infection preventionist told inspectors they monitored residents with infections, made rounds, initiated diagnostic testing when residents showed symptoms, and conducted staff education on infection control. The records from the three months before the inspection did not reflect that work. The nurse confirmed this themselves, sitting across from inspectors, going through January, February, and March line by line.
The norovirus outbreak in April 2025 had been identified in the facility's own records as a significant event, one the infection preventionist said they had been tracking for 18 months. But when inspectors asked about the documentation from the day it started, the nurse couldn't say who had filled out the form. When inspectors asked whether verbal training had been given to unit staff in those first days, the nurse said they may have done it, but weren't sure.
King Street Home is a nursing facility in Port Chester, in Westchester County. The inspection was conducted as a complaint investigation. CMS rated the findings as causing minimal harm or potential for actual harm, affecting some residents.
The residents on those line lists, the ones with C. diff, with bacteremia, with wound infections, were being monitored by a system that didn't record what their symptoms were or what tests had been run. Whether any of them were harmed by that gap, the inspection report does not say.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for King Street Home Inc from 2026-03-30 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 17, 2026 · Our methodology
KING STREET HOME INC in PORT CHESTER, NY was cited for violations during a health inspection on March 30, 2026.
The nurse said daily surveillance sheets should have been filled out throughout the outbreak.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.
Frequently Asked Questions
- What happened at KING STREET HOME INC?
- The nurse said daily surveillance sheets should have been filled out throughout the outbreak.
- How serious are these violations?
- Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
- What should families do?
- Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in PORT CHESTER, NY, (5) Report any new concerns directly to state authorities.
- Where can I see the full inspection report?
- The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from KING STREET HOME INC or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 335447.
- Has this facility had violations before?
- To check KING STREET HOME INC's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.