South Shore Rehabilitation And Nursing Center
Inspection Findings
F-Tag F0656
Federal health inspectors cited SOUTH SHORE REHABILITATION AND NURSING CENTER in FREEPORT, NY for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-08-15.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of SOUTH SHORE REHABILITATION AND NURSING CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-30.
F-Tag F0658
Federal health inspectors cited SOUTH SHORE REHABILITATION AND NURSING CENTER in FREEPORT, NY for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2025-08-15.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of SOUTH SHORE REHABILITATION AND NURSING CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-30.
F-Tag F0677
F 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
received a shower on 7/26/2025 (Saturday); all other documentation reveals the resident received bed baths during that period.During an interview on 08/12/2025 at 1:43 PM, Certified Nursing Assistant #2 stated today was the first time they were working with Resident #24. Certified Nursing Assistant #2 stated
the Kardex documented that the resident was due for a shower today (Tuesday), but they gave a bed bath because the resident was physically aggressive. Certified Nursing Assistant #2 stated that the bathing schedule on the Kardex meant showers. Certified Nursing Assistant #2 stated they notified the nurse (Registered Nurse Supervisor #5) and documented on the accountability record that they provided a bed bath to the resident.During an interview on 08/12/2025 at 2:40 PM, Registered Nurse Supervisor #5 stated
the Certified Nursing Assistant told them that the resident (#24) did not get a shower today because the resident was agitated. Registered Nurse Supervisor #5 stated the resident should be getting showers twice
a week and had no explanation as to why the resident was not getting showers. A nursing progress note, written by Registered Nurse Supervisor #5, dated 08/12/2025 at 3:18 PM, documented resident (#24) was alert and confused. The resident was combative this morning and, as a result, was not shaved or showered; however, the resident was given a bed bath. As needed Xanax (anti-anxiety medication) 0.5 milligram was administered with much relief.Review of progress notes from 07/26/2025 to 08/12/2025 revealed no documentation that the resident did not receive a shower due to behavioral issues.Review of the electronic medical record revealed that there was no comprehensive care plan for the Activities of Daily Living initiated until 08/13/2025.During an interview on 08/13/2025 at 2:25 PM, the Assistant Director of Nursing/Nurse Educator stated they reviewed Resident #24's electronic medical record and determined there was no documentation that the resident received showers as per their plan of care. The Assistant Director of Nursing/Nurse Educator stated that the resident has unpredictable, erratic behaviors, including grabbing and reaching for things, and that is probably why they did not get showers.A Comprehensive Care Plan, effective 06/10/2025, titled Behaviors, had an addition on 08/13/2025 by the Director of Nursing Services, documenting the resident has a behavior problem related to agitation and attempting to stand, combative and impulsive behavior during care, causing potential for a safety issue during shower.A Comprehensive Care Plan initiated 8/13/2025 initiated by the Director of Nursing Services titled Resident assessed for Activities of Daily Living status upon admission documented Certified Nursing Assistants will document support provided and self-performance for all Activities of Daily Living, Encourage resident to participate in Activities of Daily Living as per ability and personal preferences; Provide shower/bed bath, based upon resident's preference/ability, twice per week and as needed.During an interview on 08/14/2025 at 9:34 AM, Physical Therapist Rehabilitation Department Director #1 stated that due to behaviors, Resident #24 was dependent on two staff members for showers and requires two staff members to transfer to and from the shower chair.On 08/14/2025 at 10:48 AM, Resident #24 was observed being brought back to their bedside in a shower chair by Certified Nursing Assistant #2 and Concierge #1 after receiving a shower.On 08/14/2025 at 11:30 AM, Resident #24 was observed in the day room. The resident was groomed, showered, and shaved.During an interview on 08/15/2025 at 8:15 AM, the Director of Nursing Services stated the resident should have received showers twice a week. If the resident was combative
during care, then it should have been documented, and the staff should have reviewed the current interventions and put new interventions in place to provide needed care to the resident.10 NYCRR 415.12(a)(3)
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F-Tag F0684
Federal health inspectors cited SOUTH SHORE REHABILITATION AND NURSING CENTER in FREEPORT, NY for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-08-15.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of SOUTH SHORE REHABILITATION AND NURSING CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-30.
F-Tag F0686
Federal health inspectors cited SOUTH SHORE REHABILITATION AND NURSING CENTER in FREEPORT, NY for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2025-08-15.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of SOUTH SHORE REHABILITATION AND NURSING CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0755
Federal health inspectors cited SOUTH SHORE REHABILITATION AND NURSING CENTER in FREEPORT, NY for a deficiency under regulatory tag F-F0755 during a standard health inspection conducted on 2025-08-15.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of SOUTH SHORE REHABILITATION AND NURSING CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-30.
F-Tag F0756
Federal health inspectors cited SOUTH SHORE REHABILITATION AND NURSING CENTER in FREEPORT, NY for a deficiency under regulatory tag F-F0756 during a standard health inspection conducted on 2025-08-15.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of SOUTH SHORE REHABILITATION AND NURSING CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-30.
F-Tag F0838
Federal health inspectors cited SOUTH SHORE REHABILITATION AND NURSING CENTER in FREEPORT, NY for a deficiency under regulatory tag F-F0838 during a standard health inspection conducted on 2025-08-15.
Category: Administration Deficiencies
The facility was found deficient in the following area: Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Scope/Severity Level C: pattern, no actual harm with potential for minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of SOUTH SHORE REHABILITATION AND NURSING CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-30.
F-Tag F0880
Federal health inspectors cited SOUTH SHORE REHABILITATION AND NURSING CENTER in FREEPORT, NY for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-15.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of SOUTH SHORE REHABILITATION AND NURSING CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-04.
F-Tag F0925
Federal health inspectors cited SOUTH SHORE REHABILITATION AND NURSING CENTER in FREEPORT, NY for a deficiency under regulatory tag F-F0925 during a standard health inspection conducted on 2025-08-15.
Category: Environmental Deficiencies
The facility was found deficient in the following area: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of SOUTH SHORE REHABILITATION AND NURSING CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-09-30.
SOUTH SHORE REHABILITATION AND NURSING CENTER in FREEPORT, NY inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in FREEPORT, NY, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SOUTH SHORE REHABILITATION AND NURSING CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.