Surge Rehabilitation and Nursing received 30 citations for violations of public health code between 2016 and 2020, according to New York State Department of Health records accessed on April 15, 2020. The Middle Island 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 employ adequate accident-prevention measures. Section 483.25 of the Federal Code stipulates that nursing homes must ensure residents receive adequate supervision and assistance devices to prevent accidents. A July 2018 citation found that Surge Rehabilitation and Nursing did not ensure such for one resident. The citation states specifically that the facility did not follow the resident’s dentist’s recommendations regarding the safe use of a denture. In an inspection, according to the citation, the resident was talking to a nursing assistant, and as they spoke, “the upper denture appeared loose and moved with her lip and tongue movement.” The citation goes on to describe a nurse stating that although the resident’s dentures “are supposed to come out at night and [be] replaced in the morning,” the resident does not always allow staff to remove them; another staffer stated that “sometimes the resident has the denture in from the previous night and refuses to use adhesives for dentures.” In an interview, the resident’s dentist stated that “removing the denture at night is a standard precaution,” and that the resident’s smaller-than-conventional denture may pose a remote risk of aspiration.