East Neck Nursing & Rehabilitation Center

F 0561 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

at 09:03 AM, Resident #78 was in bed eating breakfast, and stated that Certified Nursing Assistant #6 came into their room on shower day on 07/22/2025 during the day shift and said they would give them a bed bath and not a shower. Resident #78 stated they refused the bed bath and told Certified Nursing Assistant #6 that they wanted a shower. Certified Nursing Assistant continued to give them a bed bath by themselves, even though they said no and it was not their wish. They stated Certified Nursing Assistant #6 instructed them to turn to their side, and they informed Certified Nursing Assistant #6 that they could not turn on their side. Certified Nursing Assistant #6 roughly turned the resident on their side to wash their back. Resident #7 stated they reported the incident to the Activities Aide #1 later that day, and told the Assistant Director of Nursing Services, they did not want Certified Nursing Assistant #6 to take care of them.During an interview on 09/17/2025 at 08:37 AM, Certified Nursing Assistant #6 stated they were assigned once to Resident #78's unit on 07/22/2025, and only took care of Resident #78 once. Certified Nursing Assistant #6 stated they were not familiar with Resident #78's care. Certified Nursing Assistant #6 stated they asked the unit staff to help them with the resident's shower, but everyone was busy. Certified Nursing Assistant #6 stated Resident #78 refused the bed bath, but they gave the resident a bed bath anyway, because they did not want to get written up. The resident was not happy and said no, as they did not want a bed bath. Certified Nursing Assistant #6 stated they gave Resident #78 a bed bath by themselves; however, they were not rough during care. During an interview on 09/18/2025 at 09:59 AM, Social Worker #1 stated they met with Resident #78 in the presence of the Assistant Director of Nursing Services on 07/22/2025. Resident #78 stated Certified Nursing Assistant #6 was rough during care, and when they requested a shower, Certified Nursing Assistant #6 gave them a bed bath instead of the shower.

The resident complained that, despite their refusal, Certified Nursing Assistant #6 did not listen to them and continued to give a bed bath. Social Worker #1 stated they offered emotional support to the resident and referred the resident for a psychiatric evaluation.During an interview on 09/18/2025 at 11:33 AM, the Assistant Director of Nursing Services stated Resident #78 told them they were provided a bed bath against their wishes by Certified Nursing Assistant #6 instead of a shower. Resident #78 did not want Certified Nursing Assistant #6 to care for them anymore. The resident was very upset and complained that Certified Nursing Assistant #6 did what they wanted to do and not what the resident wanted. The Assistant Director of Nursing Services stated physical assessment was conducted for Resident #78, and there were no injuries. Local law enforcement was notified, and Certified Nursing Assistant #6 was removed from the resident's assignment. The Assistant Director of Nursing Services stated that Resident #78 required the assistance of two staff members for bed mobility, bed bath, and showers. The Assistant Director of Nursing Services stated Certified Nursing Assistant #6 should have asked for assistance from other staff to provide resident care and should have provided a shower instead of the bed bath as per the resident's preferences.

During an interview on 09/18/2025 at 01:29 PM, the Director of Nursing Services stated Certified Nursing Assistant #6 did not follow the resident's plan of care and also disregarded the resident's preferences.

Resident #78 required two-person assistance with showers, bed baths, and bed mobility.10 NYCRR 415.5(b)(1-3)

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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

11/19/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

East Neck Nursing & Rehabilitation Center

134 Great East Neck Road West Babylon, NY 11704

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 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

#78, and there were no injuries. Local law enforcement was notified, and Certified Nursing Assistant #6 was removed from the resident's assignment. The Assistant Director of Nursing Services stated that Resident #78 required the assistance of two staff members for bed mobility, bed bath, and showers. The Assistant Director of Nursing Services stated Certified Nursing Assistant #6 should have asked for assistance from other staff to provide resident care and should have provided a shower instead of the bed bath as per the resident's preferences. During an interview on 09/18/2025 at 01:29 PM, the Director of Nursing Services stated Certified Nursing Assistant #6 did not follow the resident's plan of care and also disregarded the resident's preferences. Resident #78 required two-person assistance with showers, bed baths, and bed mobility.10NYCRR 415.12(h)(2)

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