New Paltz Center For Rehabilitation And Nursing
NEW PALTZ CENTER FOR REHABILITATION AND NURSING in NEW PALTZ, NY — inspection on November 20, 2025.
Found 2 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
During an interview on 10/29/2025 at 1:11 PM Licensed Practical Nurse #3 stated Resident #1 was alert, oriented, and demanded as-needed medications.
They stated the narcotic book was usually reviewed to determine the last administration time instead of checking the medication administration record.
They stated pain medication that was administered to Resident #1 as requested was not always documented as given on the medication administration record therefore, pain evaluation was not done prior to and after the administration of the oxycodone.
During a telephone interview on 10/30/2025 at 11:16 AM Licensed Practical Nurse #5 stated when they signed in the Medication Administration Record that they administered as needed pain medication, the pain evaluation tool automatically populated on the medication administration record for evaluation prior to and after administration.
During an interview on October 29, 2025, at 2:00 PM the Director of Nursing stated pain assessment would be documented in the Medication Administration Record when the medication was signed as administered.
They stated pain assessment would not be triggered if as needed pain medications were not documented as having been administered.
They further stated there was not documented evidence of consistent pain assessment done before and after Resident #1 and Resident #3 received pain medication.
During a follow-up interview on 11/05/2025 at 9:30 AM, Licensed Practical Nurse #3 stated Resident #1 consistently reported a pain level of ten.
They stated Resident #1's pain regimen was reviewed frequently with the physician, and the physician conducted in-person evaluations of Resident #1.
They stated there was no documentation that Resident #1's pain was consistently monitored or assessed before and after the administration of pain medication. 10 NYCRR 415.12
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/20/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
New Paltz Center for Rehabilitation and Nursing
1 Jansen Road New Paltz, NY 12561
SUMMARY STATEMENT OF DEFICIENCIES
During an interview on 10/29/2025 at 1:11 PM, Licensed Practical Nurse #3 stated Resident #1 was alert, oriented, and demanded as-needed medications.
They stated pain medication that was administered to Resident #1 as requested was not always documented as given on the Medication Administration Record.
They stated the narcotic control sheets were usually reviewed to determine the last administration time instead of checking the Medication Administration Record.During a telephone interview on 10/30/2025 at 11:16 AM Licensed Practical Nurse #5 stated when they administered a controlled medication, they usually signed it out in the narcotic book and then the Medication Administration Record.
During an interview on 10/29/2025, at 2:00 PM, the Pharmacy Consultant stated that they did offsite regimen reviews only as that was how the contract with the facility was set up.
They stated their review of medications including controlled substances was based solely on the documentation in the Medication Administration Record.
They stated they did not review the narcotic control sheets.
They stated the nurses assigned would be responsible for checking to ensure the controlled medications were logged accurately in the Medication Administration Record.
They stated they did not review pain assessments but if they reviewed the Medication Administration Record and identified pain medications were administered often, they may have a concern.
They stated if medication administration frequency was not accurate, they would not know to check into it unless it conflicted with the order.
During an interview on 10/29/2025, at 2:00 PM, the Director of Nursing stated when nurses administered narcotics, they should sign both the narcotics log and the Medication Administration Record.
They stated nurses had been educated to sign both.
During an interview on 10/30/2025 at 3:15 PM the Director of Nursing stated there was no formal process to check the narcotic control sheets against the Medication Administration Record.
They stated the pharmacist worked remotely and did not come to the facility. 10 NYCRR 415.18
Facility ID: