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Complaint Investigation

The Eleanor Nursing Care Center

April 28, 2026 · Hyde Park, NY · 419 North Quaker Lane
Citations 10
CMS Rating 1/5
Beds 120
Provider ID 335323
Healthcare Facility
The Eleanor Nursing Care Center
Hyde Park, NY  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

THE ELEANOR NURSING CARE CENTER in HYDE PARK, NY — inspection on April 28, 2026.

Found 10 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0573
Resident Rights Deficiencies

Review of a letter from the facility Administrator to the resident representative dated 4/11/25 documented the cost of copies of the resident's record would be $315.00.

The payment would need to be received prior to release of the records, and the check would need to be payable to the nursing facility.

The package was sent on 4/22/25 by mail to the residents' representative who was the requestor after the check for payment was received by the facility.

During an interview with the Finance Officer on 4/27/26 at 12:12PM they stated they were responsible for reviewing record requests and obtaining fees before releasing records.

They stated they reviewed all the forms, requested payment and when that was received, they released the records.

They stated they made sure the forms were properly dated. In this case the former Administrator received the request from the resident representative, provided a fee amount for the copies and sent a letter requesting payment for the records to the resident representative.

Once payment was received the records were mailed to the resident representative.

They stated the former Administrator took the task upon themselves and did not date the records and did not send them timely.

They stated this was not their process.

They reviewed the timeline of the documents requested and stated they were not aware of the two-day deadline and thought it was a 30-day window. 10 NYCRR 415.3(d)(1)(iv) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

335323 04/28/2026

The Eleanor Nursing Care Center 419 North Quaker Lane Hyde Park, NY 12538

During observations of Unit 3 on 04/21/2026 between 10:39 AM and 2:24 PM, room [ROOM NUMBER] had no curtains or blinds on the window. room [ROOM NUMBER] had curtains falling, the rod was falling on left side of window and the hem was coming out on both sides. room [ROOM NUMBER] had a broken privacy curtain with 6 clips missing, and the window curtain was falling apart. room [ROOM NUMBER] had broken dresser drawers.

During an interview on 04/22/2026 at 11:38 AM, Maintenance Supervisor #2 stated that housekeeping would fix the curtains, and maintenance would hang closet doors.

Extra pieces of furniture needed approval prior to assembly.

They rounded on the units daily, but they did not go to individual rooms on a regular basis.

They stated they received work orders for specific repairs or requests, and rooms should have closet doors, but they did not have the doors for room [ROOM NUMBER], and they would need to be ordered.

They stated the Director of Maintenance would need to approve and order the doors, but they were currently out on leave.

The Administrator would cover approvals in their absence.

During an interview on 04/22/2026 at 11:47 AM, the Administrator stated they were aware of the shelf that the resident in room [ROOM NUMBER] purchased and was not sure of the status.

They stated all rooms should have closet doors and they would be ordered for room [ROOM NUMBER].

They stated the drapes were an ongoing project as they were replacing them instead of repairing them.

They stated they ordered some of the replacements and have not put them up in all the rooms. 10NYCRR 415.15 (h)(1)

335323 04/28/2026

The Eleanor Nursing Care Center 419 North Quaker Lane Hyde Park, NY 12538

335323 04/28/2026

The Eleanor Nursing Care Center 419 North Quaker Lane Hyde Park, NY 12538

documented under the Certified Nurse Aide task as personal hygiene.

The lack of documentation for

record.

10 NYCRR 415.12 (a)(3)

335323 04/28/2026

The Eleanor Nursing Care Center 419 North Quaker Lane Hyde Park, NY 12538

residents received treatment and care in accordance with professional standards of practice and the

the resident was to receive 18 doses of Amoxicillin for a urinary tract infection, but three doses were omitted, resulting in receiving 15 of 18 doses.The findings include: The policy titled Administering Medications dated 5/2025 documented a licensed nurse will be responsible for passing medications to residents in accordance with techniques approved for use in the Facility, in compliance with New York State Codes, rules and regulations and with other applicable Federal and State LawsResident #117 was admitted to the facility on [DATE] with diagnoses Acute Urinary Tract Infection, Parkinson's Disease, Lewy Body Dementia.The admission Minimum Data Set, dated [DATE] documented the resident had severe cognitive impairment, required supervision for eating, moderate assistance for bathing, walked 10 feet with supervision and was frequently incontinent of bladder and bowel.The Comprehensive Care Plan titled Urinary Tract Infection dated 2/14/25 documented the resident had diagnosis of urinary tract infection requiring treatment with antibiotics.

Interventions included to administer medications as ordered.The Physician Order dated 2/14/25 documented Amoxicillin 500 milligram capsule, give 1 capsule every eight hours for six days (6AM 2PM and 10 PM), for urinary tract infection.The February 2025 Medication Administration Record had omissions for Amoxicillin on 2/16/25 at 2PM and 2/17/25 at 2 PM and 10 PM.

There was no documentation that explained the reason for omissions.

The nurse's notes for the month of February 2025 had no documentation as to why the doses were not given.

During an interview on 4/24/26 at 1:45 PM the Licensed Practical Nurse Unit Manager #1 stated if there was no documentation on the Medication Administration Record then the medication was not given.

They stated the facility provided many in-service education sessions about signing off for medications and stated it was preventable.

They stated nurses needed to check at the end of their shift to make sure medications were signed or put in a note if the medication was refused.

They stated the resident really needed their antibiotics and should have received all doses.

During an interview on 02/14/25 at 10:52 AM, the Director of Nursing stated the expectation was no omissions on the medication or treatment administration records.

The Director of Nursing stated if a medication was not administered, the medication nurse should have documented the reason why the medication was not administered in a progress note or on the medication or treatment administration record. 10NYCRR 415.12

335323 04/28/2026

The Eleanor Nursing Care Center 419 North Quaker Lane Hyde Park, NY 12538

upon initial admission in April 2025 and this was an oversight.

They stated nursing staff should have

wound consult upon readmission [DATE].

The Medical Director stated they were not aware wound

documenting and completing treatments as prescribed. 10 NYCRR 415.12(c)(1)

335323 04/28/2026

The Eleanor Nursing Care Center 419 North Quaker Lane Hyde Park, NY 12538

During an interview on 04/24/2026 at 2:40 PM, the Director of Nursing reviewed the Accident/Incident Report dated 06/04/2025 and stated it was not complete.

They stated injuries sustained by Resident #114 should have been documented, signatures and notifications sections completed, statement obtained from unit nurse, and neurological checks should have been completed as per facility policy.

During an interview on 04/27/2026 at 10:53 AM, the Medical Director stated Accident/Incident Reports were reviewed and signed when provided by the Director of Nursing. 10NYCRR 415.12(h)(2)

335323 04/28/2026

The Eleanor Nursing Care Center 419 North Quaker Lane Hyde Park, NY 12538

During an interview on 04/28/2026 at 1:43 PM, the

missed in the past because the elevator was down. 10NYCRR 415.12

335323 04/28/2026

The Eleanor Nursing Care Center 419 North Quaker Lane Hyde Park, NY 12538

During an interview on 04/24/2026 at 6:42 AM, Licensed Practical Nurse #18 stated that there were two (2) certified nurse aides overnight last night, and they have had only one (1) at times.

They stated it was very challenging overnight when they only had one certified nurse aide because they could only so much could get done.

During an interview on 04/27/2026 at 1:41 PM, the Human Resources and Staffing Manager stated that the nursing staff minimums were one (1) nurse on each unit for every shift, two (2) certified nurse aides on each unit on the day and evening shifts, one (1) nurse on each unit on the night shift, and one (1) certified nurse aide on each unit on the night shift.

The nursing supervisor may act as the direct care nurse for one of the units.

They stated that they tried to stay above the minimum, but it was not always possible.

They stated they did not have all the nurses on 03/24/2026 because there was a nurse that did not call or show up for work. On 04/01/2026 and 04/05/2026 they were short one nurse on the night shift. On 04/07/2026, they were short one nurse on the night shift, but another nurse came in early to assist with the morning medication pass. On 04/13/2026, they were short a nurse on the day and night shifts.

They stated that staffing was a challenge.

They offered incentives and bonuses.

They also tried to adjust the schedules to meet their needs for other appointments and things.

There stated there were open positions for nurses and certified nurse aides.

They did not think that the facility offered sign-on bonuses, and no agency staff was used.

They stated they would be participating in a job fair on 05/28/2026 and that they advertised.

They stated they were actively looking for more nurses and certified nurse aides but not certain of how many open positions there were.

They were not certain if it was the location or wages that made it difficult to find more staff.

During an interview on 04/27/2026 at 4:23 PM, the Administrator stated that they needed more and were hiring more nursing staff.

They stated that the two (2) certified nurse aides on a unit were the minimal numbers, but four (4) would be ideal.

They were trying to adjust times for activities, so they were not missed due to minimal numbers of staff and delays in getting out of bed.

Other disciplines try to assist as they can as well.

During an interview on 04/28/2026 at 11:55 AM, the Director of Nursing stated that the minimum staffing numbers were as the Human Resources Staffing Manager provided.

They did not think there was enough nursing staff and stated that the minimum numbers had to be reviewed again.

They started at the facility in February and planned to review the staffing.

They were aware of the shortage of nurses on the units, and they did not want only two certified nurse aides on the units for days and evening or one at night.

They did not believe the current staffing numbers were adequate or safe, or that cares could not be completed as they should be either.

They stated showers were affected as well with minimal staffing numbers.

They stated they were realistic about what was possible when there was minimal staff.

They stated they started a conversation with Corporate Human Resources to discuss the numbers and current openings.

During an interview on 04/28/2026 at 12:26 PM Certified Nurse Aide #7, who was working on Unit 200, stated that it was not possible to give all showers as scheduled on days when there were only two certified nurse aides on the floor, especially for dependent residents. 10NYCRR 415.13(a)(1)(i-iii)

335323 04/28/2026

The Eleanor Nursing Care Center 419 North Quaker Lane Hyde Park, NY 12538

During an interview on 04/23/2026 at 11:46 AM, the Registered Dietitian stated the Food Service

During an interview on 04/27/2026 at 1:33 PM, the facility Administrator stated the facility had no problem obtaining food items that were needed for residents' meals. 10NYCRR 415.14 (d)(1)(2)

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 HYDE PARK, 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 THE ELEANOR NURSING CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.