Northern Manhattan Rehabilitation And Nursing Ctr
NORTHERN MANHATTAN REHABILITATION AND NURSING CTR in NEW YORK, NY — inspection on October 16, 2025.
Found 5 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
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)
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/16/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Northern Manhattan Rehabilitation and Nursing Ctr
116 East 125th St New York, NY 10035
SUMMARY STATEMENT OF DEFICIENCIES
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
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/16/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Northern Manhattan Rehabilitation and Nursing Ctr
116 East 125th St New York, NY 10035
SUMMARY STATEMENT OF DEFICIENCIES
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]. 10 NYCRR 415.12
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/16/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Northern Manhattan Rehabilitation and Nursing Ctr
116 East 125th St New York, NY 10035
SUMMARY STATEMENT OF DEFICIENCIES
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
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/16/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Northern Manhattan Rehabilitation and Nursing Ctr
116 East 125th St New York, NY 10035
SUMMARY STATEMENT OF DEFICIENCIES
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
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