The Grand Rehabilitation and Nursing at Great Neck received 45 citations for violations of public health code between 2016 and 2020, according to New York State Department of Health records accessed on March 20, 2020. The Great Neck nursing home’s citations resulted from a total of four surveys by state inspectors. The deficiencies they describe include the following:
1. The nursing home did not ensure residents were free from abuse. Section 483.12 of the Federal Code requires nursing homes to ensure residents’ right to freedom from abuse. A July 2018 citation found that The Grand Rehabilitation and Nursing at Great Neck did not ensure such for one resident. The citation states specifically that a Certified Nursing Aide “spit on a severely cognitively impaired resident… when the resident was exhibiting verbal and physically abusive behavior.” In an interview, the CNA in question said her action was a “reflex action to spit back when the resident had spit had her.” In another interview, the facility’s Director of Nursing said that “the resident’s dignity was violated and the CNA’s behavior was unacceptable.” A plan of correction undertaken by the facility included disciplinary action for several CNAs.
2. The nursing home did not provide adequate treatment and care for pressure ulcers. Section 483.25 of the Federal Code stipulates that nursing homes must ensure residents receive necessary treatment and services to promote the healing of existing pressure ulcers. A June 2018 citation found that The Grand Rehabilitation and Nursing at Great Neck did not provide such for one resident.
The citation states specifically that there was “no documented evidence of timely ongoing monitoring and assessment of the resident’s bilateral heel Deep Tissue Injuries.” A plan of correction undertaken by the facility included the resident’s receipt of protective dressing to their left heel, and their re-evaluation by a wound care nurse and a nurse practitioner.
3. The nursing home did not take adequate measures to ensure the prevention and control of infection. Section 483.80 of the Federal Code requires nursing homes to “establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections.” An October 2019 citation found that The Grand Rehabilitation and Nursing at Great Neck did not ensure such. The citation states specifically that an inspector observed a nurse, during a resident’s tracheotomy care, remove the resident’s dressing and begin the cleaning process without changing her gloves or washing her hands, applying clean dressing “with the same gloved hands that were used to remove the old dressing.” In an interview, a Registered Nurse unit supervisor stated that “the gloves should have been removed and the LPN’s hands should have been washed after removing the old dressing.” A plan of correction undertaken by the facility included the in-servicing of the nurse in question.
The attorneys at the Law Offices of Thomas L. Gallivan, PLLC work diligently to protect the rights of nursing home residents. Please contact us to discuss in the event you have a potential case involving neglect or abuse.