Epic Rehab White Plains: Delayed UTI Care Cited - NY
The resident, identified in inspection records as Resident 182, was assessed as having moderate cognitive impairment and was incontinent of both bowel and bladder, requiring substantial to maximal assistance with toileting hygiene. The inspection report does not name the resident.
Signs of infection appeared on November 29 and November 30, 2024. The urine was not collected during either of those days. It was not collected the next day either.
A nurse practitioner's progress note, dated December 2 at 10:31 PM, documented a urinalysis with microscopy that came back positive. A physician order the same day prescribed Pyridium, a medication used to relieve urinary pain, twice daily for two days. The medication administration record shows Pyridium was given on December 2, December 3, and December 4.
Two days after the prescription was written, a physician progress note dated December 4 documented the presence of proteus mirabilis, a bacteria, at a count greater than 100,000. That is a level typically associated with active infection.
The gap between when symptoms appeared and when laboratory results confirmed infection stretched across the better part of a week. For a resident who could not independently manage her own toileting and whose cognitive impairment limited her ability to communicate distress, those days mattered.
When inspectors interviewed the medical director on May 26, 2026, the answers were direct. The medical director said that if a urine sample needed to be collected on a Friday, the standard approach would be to put in a stat order. If the resident was symptomatic, staff should follow up on the status of the urine. Four days, the medical director said, was not a reasonable amount of time to wait on collection of a urinalysis and urine culture. The medical director called the case an outlier.
The Director of Nursing, interviewed the same day at 1:25 PM, said simply that if the resident was symptomatic, the urine should have gone out quicker.
Neither the medical director nor the director of nursing offered an explanation for why it didn't.
The inspection, conducted May 26, 2026, was a complaint investigation. CMS cited the facility under New York Code Rules and Regulations 415.12, which covers the right of residents to receive adequate and appropriate care. The inspection report notes that Epic Rehabilitation and Nursing at White Plains is disputing the citation.
The facility's dispute puts it in the position of arguing against its own medical director's assessment. The person responsible for overseeing the medical care of every resident in that building told a federal inspector, on the record, that four days was not a reasonable wait. The Director of Nursing said the same thing in different words.
What the records show is a resident who was symptomatic on a Friday. The weekend passed. Monday came. A nurse practitioner documented a positive urinalysis Monday night. The culture confirming bacterial infection followed two days after that.
Resident 182 was incontinent, cognitively impaired, and dependent on staff for basic hygiene. She could not walk to a nurse's station. She could not call and demand her urine be sent to a lab. She was dependent, entirely, on the people around her to notice, to act, and to follow through.
The medication to ease her pain was given for three days, one more than prescribed. The inspection report does not explain why.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Epic Rehabilitation and Nursing At White Plains from 2026-05-26 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 13, 2026 · Our methodology
Epic Rehabilitation And Nursing At White Plains in White Plains, NY was cited for violations during a health inspection on May 26, 2026.
The inspection report does not name the resident.
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.