Northern Manhattan Rehabilitation And Nursing Ctr
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Minimal harm or potential for actual harm
Administrator further stated Certified Nursing Assistant #9 was removed from the schedule pending investigation and they did not return to the facility. The Administrator stated the investigation concluded abuse did not occur. 10 NYCRR 415.4(b)(1)(i)
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/16/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Northern Manhattan Rehabilitation and Nursing Ctr
116 East 125th St New York, NY 10035
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0657
F 0657 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
milligrams times one dose was ordered and physician to be called with the results and change in condition.
The primary floor attending to be informed. There was no documented evidence the relevant care plans were reviewed and revised to reflect on Resident #4's changes in condition. During a telephone interview
on 08/08/2025 at 3:28 PM, the Assistant Director of Nursing stated the care plans are updated when there's a change in condition. They stated that the Registered Nurses are responsible for updating the care plans. The Assistant Director of Nursing stated that if a resident is complaining of pain, the physician should be informed, pain medication should be ordered, and the relevant care plans should be updated with monitoring. During a telephone interview on 08/08/2025 at 3:11 PM, Registered Nurse Supervisor #2 stated that the Registered Nurses and Registered Nurse Supervisors are responsible for updating the care plans if there is a change in condition. They stated they were not aware of Resident #4's complaint of pain. 10 NYCRR 415.12
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/16/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Northern Manhattan Rehabilitation and Nursing Ctr
116 East 125th St New York, NY 10035
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0684
F 0684 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Resident #5's complaint of pain but was unsure when Registered Nurse Supervisor #2 arrived on the unit to assess Resident #5During a telephone interview on 07/14/2025 at 10:01 AM, Licensed Practical Nurse #1 stated that on 09/17/2024 between 4:00 PM and midnight (unsure of time) Certified Nursing Assistant #1 informed them Resident #5 complained of pain to their left leg. Licensed Practical Nurse #1 stated that when they went to the resident's room (unsure of time), the resident was already in bed. Licensed Practical Nurse #1 stated that they reported the pain to Registered Nurse Supervisor #2 who instructed them to administered Tylenol (650 milligrams) to the resident. Licensed Practical Nurse #1 stated that the resident went to sleep after receiving the pain medication. Licensed Practical Nurse #1 stated they do not recall when Registered Nurse Supervisor #2 arrived on the unit. During an interview on 07/08/2025 at 2:14 PM, Registered Nurse Supervisor #1 stated on 09/18/2024, they could not recall the time, they were informed by Licensed Practical Nurse #6 that Resident #5 was complaining of left hip pain. They stated they conducted an assessment and on palpation the resident complained of pain to their left hip. There was no swelling or bruising, only limitation. They stated Physician #3 was notified and a STAT x-ray was ordered at approximately 8:37 AM on 09/18/2024. They stated since the STAT x-ray was not completed as of 09/19/2024, they notified Physician #3 who ordered to transfer the resident to the hospital. Registered Nurse Supervisor #1 stated that STAT orders should be done within four (4) to eight (8) hours. Registered Nurse Supervisor #1 stated that Physician #1 ordered a STAT x-ray on 09/18/2024, but when they returned to work on 09/19/2024, the x-ray was not done, and they informed Physician #3 who ordered for the resident to be transferred to the hospital. During a telephone interview on 07/14/2025 at 10:13 AM, the Director of Nursing stated that they investigated the injury and concluded that abuse and neglect did not occur. The Director of Nursing stated Resident #5 complained of pain on 09/17/2024, and on 09/18/2024 a STAT x-ray was ordered. The Director of Nursing stated the STAT x-ray should have been done within six (6) hours but there could have been a delay due to insurance verification needed. The Director of Nursing stated that when the technician did not arrive on 09/19/2024, Resident #5 was sent to the hospital. The Director of Nursing stated Registered Nurse Supervisor #2 assessed Resident #5 but did not document their assessment in the resident's chart.During a telephone interview on 07/14/2025 at 11:44 AM, Physician #3 stated they are unsure of when they were notified of Resident #5's complaints of pain to their left leg.
Physician #3 stated they examined Resident #5 (unsure of date), and the resident did not display any signs of distress or pain. Physician #3 stated based on their examination they felt an x-ray should have been done STAT. Physician #3 stated they were informed by a facility staff (unsure of name) that the technician did not perform the STAT x-ray, so they ordered Resident #5 to be transferred to the hospital. They stated
the x-ray done at the hospital revealed the resident had a fracture. During a follow up interview on 09/15/2025 at 10:00 AM, Physician #3 stated on 09/18/2024 they suspected Resident #5 had a fracture
after their examination revealed shortening to the left leg, therefore, they gave a verbal order to the nurse
on duty (unsure of name) to order a STAT x-ray. Physician #3 stated they were not aware that the x-ray had been entered into the electronic order system on 09/19/2024, after Resident #5 was transferred to the hospital on [DATE REDACTED]. 10 NYCRR 415.12
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/16/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Northern Manhattan Rehabilitation and Nursing Ctr
116 East 125th St New York, NY 10035
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0697
F 0697 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
09/11/2025 at 10:16 AM, Physician #2 stated they received a call from Registered Nurse Supervisor #1 on 03/31/2025 (unsure of time) stating Resident #4 had swelling to their left arm. They stated Resident #4 cannot move independently so they asked Registered Nurse Supervisor #1 if there were any trauma or falls. Physician #2 stated since there was no trauma, they determined it could be deep vein thrombosis, so
they immediately ordered the resident transferred to the hospital. Physician #2 stated they were not aware
the resident complained of pain on 03/27/2025. They were not aware there was an order for STAT x-rays and Acetaminophen on 03/28/2025 and that the order was not carried out. During a telephone interview with on-call Physician #1 on 09/11/2025 at 3:44 PM, they stated usually, when a verbal or telephone order is given to the nurse, the nurse puts the order in the computer. They stated they did not visit any residents
in the facility during the weekend of 03/28/2025 - 03/30/2025 and there were no calls regarding a resident's change in condition that warranted a visit. 10 NYCRR 415.12
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/16/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Northern Manhattan Rehabilitation and Nursing Ctr
116 East 125th St New York, NY 10035
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0726
F 0726 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
swollen especially around the left shoulder extending to the resident's neck and left face. There was no bruising noted, and no falls were reported by staff. A Transfer Summary Note by Registered Nurse #1 dated 03/31/2025 documented Resident #4 was being transferred to hospital to rule out Deep Vein Thrombosis to their left upper extremity and Altered Mental Status. Resident #4's blood pressure was 184/110 and pulse 110.A Nursing Note by Licensed Practical Nurse #6 dated 03/31/2025 documented Resident #4 left for the hospital at 1:55 PM.During a telephone interview on 07/10/2025 at 11:52 AM Registered Nurse #4 (former employee/Complainant) stated that on 03/28/2025 at about 3:40 PM Certified Nursing Assistant #3 informed them Resident #4 was complaining of pain, and they both went to the resident's bedside. They stated they assessed the resident and observed that their left arm was slightly swollen (larger than the right arm), and they notified the Physician #1, who gave a telephone order for x-ray of the left arm and Tylenol 1000 milligrams times one dose. Registered Nurse #4 stated they did not have any training on the Electronic Medical Record (Sigma), so they notified the oncoming (evening shift) Licensed Practical Nurse #3 to have the evening shift supervisor put the order in Sigma.During a follow-up telephone interview with Registered Nurse #4 on 09/11/2025 at 2:14 PM, they stated they had an Electronic Medical Record class with two (2) other Registered Nurses in the educator's office during orientation (unsure of date). They stated they were told by the educator there was no money for training Registered Nurses on the Electronic Medical Record. They stated they were taught how to sign on to the Electronic Medical Record and that
they informed the educator of the deficiency in training. They stated that they have never signed any checklist for Sigma training and whatever they learnt was on their own on the resident floor. They stated
they were never made aware of the 24-hour Report and has never documented on it. During an interview
on 09/12/2025 at 10:58 AM, the facility educator stated that Registered Nurse #4 never reported that they were not comfortable with the Electronic Medical Record. The facility educator stated that they asked the orientees individually about their computer experience and if they had no experience, they would verbally go over the basics for entering orders, progress notes templates, and the medication administration record.
The facility educator stated that each orientee is assigned a preceptor on the unit. The educator stated that
they used the checklist as a guide go over with orientee. The educator stated if an orientee is not comfortable with the electronic medical record, the orientee would remain on orientation. The educator stated they sign off on the computer checklist after interviewing the orientee. During a telephone interview
on 10/10/2025 at 3:09 PM, Director of Nursing stated on the first day of orientation, the new staff would be oriented on the policies and given mandatory in services, such as abuse, elopement, etc. in a classroom.
They stated on the second day, the orientee will shadow another staff based on their credentials. They stated the experienced nurse will orient the orientee on rounding, 24-hour report, treatments, Physician's orders, and entering orders into the electronic medical record. They stated the nurse educator will check on
the orientee daily to ensure that they understood what was being taught and would discuss with the orientee if they need further orientation. They stated that the nurse educator does an evaluation/competency on medication pass, transcribing and picking up orders and then sign off that the orientee is competent. They stated Registered Nurse #4 received in service on transcribing and picking up Physician's orders. They stated they became aware that Registered Nurse #4 did not transcribe the orders received by Physician #1 during their investigation and cannot provide information as to why Registered Nurse #4 did not transcribe the order into the electronic medical record. They stated they were aware that there were no documented evidence that the medication was given since the order was not transcribed. 10NYCRR 415.13
Event ID:
Facility ID:
If continuation sheet
NORTHERN MANHATTAN REHABILITATION AND NURSING CTR in NEW YORK, 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 NEW YORK, 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 NORTHERN MANHATTAN REHABILITATION AND NURSING CTR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.