Mount Sinai South Nassau TCU: Quality Committee Lapses - NY
When this committee fails to operate as mandated, facilities lose their most important internal safeguard against declining care standards....
Latest reports, citations, and penalties from CMS data
When this committee fails to operate as mandated, facilities lose their most important internal safeguard against declining care standards....
The November 4, 2025 inspection revealed failures in maintaining a hazard-free environment and providing adequate supervision to prevent accidents....
While no actual harm occurred, the deficiency represented one of 16 citations issued during the comprehensive inspection....
Federal regulations require nursing homes to prominently display current staffing levels where residents and visitors can easily access this information....
Resident #1, who has chronic pain syndrome, morbid obesity, lymphedema and osteoarthritis, was brought to their room after bingo and asked to go to bed....
Inspectors classified the deficiency as isolated but carrying potential for more than minimal harm to residents....
Inspectors classified the violation as isolated but noted it carried potential for more than minimal harm to residents....
Inspectors classified the violation as isolated but carrying potential for more than minimal harm to residents....
Inspectors assigned a scope and severity rating of "E," indicating a pattern of deficiencies with potential for more than minimal harm to residents....
The incident occurred December 5 at approximately 11:00 a.m....
Controlled substances include opioid pain medications, sedatives, and other drugs with high potential for misuse....
## Understanding Mandatory Reporting Requirements Federal law establishes clear timelines and procedures for nursing home reporting obligations....
The facility's own policy requires staff to wear gowns and gloves during all "high-contact care activities" for residents with feeding tubes....
These policies must be comprehensive, clearly documented, and actively implemented throughout daily operations....
Without proper designation and functioning of this role, critical breakdowns in communication, care coordination, and policy implementation can occur rapidly....
The facility's Director of Nursing told inspectors she was unaware that Resident 1 had missed her scheduled Lyrica for 48 hours....
When questioned about the violation, he defended his practice, insisting the handwritten room number was sufficient identification....
The facility reported implementing corrections as of December 2, 2025....
This violation falls under federal regulatory requirements that mandate strict protocols for handling residents' financial assets....
During the inspection, surveyors found the refrigerator properly plugged in and set to 40 degrees Fahrenheit, with no odors and organized contents....