North Westchester Restorative Therapy & Nrsg Crt
NORTH WESTCHESTER RESTORATIVE THERAPY & NRSG CRT in MOHEGAN LAKE, NY — inspection on March 30, 2026.
Found 1 citation. 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
resident refused all evening meds due to stomach issues this evening.
Appetite was poor but fluid
provided and precautions maintained.
Call bell in reach. No acute distress.During interview on
a stool sample from Resident #124 and signed the Treatment Administration Record Documentation Record on 12/12/2024 on the 7A.M.-7 P.M. and 7 P.M.-7 A.M. shifts to include that the stool sample collection was ?not administered'.
They stated they did not write a note to document having informed the Nurse Practitioner or Physician that stool was not collected.
They stated a Nurse Practitioner was in the building every day and they were usually aware of the resident's status.During interview on 03/26/2026 at 12:16 P.M., Licensed Practical Nurse Unit Manager #1 stated the order to collect Resident #124's stool was placed on 12/11/14 at 6:30 AM and populated on the Treatment Administration Record for 12/11/2024, 12/12/2024, and 12/13/2024.
They stated it was a case-by-case situation whether the Nurse Practitioner or Physician should be notified if a stool sample was not collected.During interview on 03/26/2026 at 3:29 P.M., the Medical Director/Primary Physician stated it was their expectation that nurses should call them or inform the Nurse Practitioner on duty if a stool sample was not collected by the day after the order was placed.
They stated they did not know if Nurse Practitioner #1 who was on duty had been made aware and stated they did not remember if they were made aware that Resident #124's stool was not collected.During interview on 03/27/2026 at 8:14 A.M., Nurse Practitioner #1 stated when they ordered a lab test, they expected nurses to assure the lab test was performed and that the Nurse Practitioner on duty or the Physician were informed of the test results. At the time of test results, they would evaluate the test results and resident and make decisions about next steps in their plan of care based on the test results and the resident's condition.
Nurse Practitioner #1 stated if they had been aware that Resident #124's stool had not been collected, they might have added additional orders and would have reminded the nurses to collect the stool.
Nurse Practitioner #1 stated they expected the entire staff to be responsible and ensure specimens were collected for ordered tests.10 NYCRR 415.12
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 MOHEGAN LAKE, 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 NORTH WESTCHESTER RESTORATIVE THERAPY & NRSG CRT or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.