Hollis Park Manor Nursing Home received 39 citations for violations of public health laws between 2015 and 2019, according to New York State Department of Health records accessed on January 10, 2020. The Hollis nursing home’s citations resulted from a total of five surveys by state inspectors. The deficiencies they describe include the following:
1. The nursing home did not implement adequate (bedsore) pressure ulcer care. Section 483.25 of the Federal Code requires nursing homes to provide residents with a level of treatment and services that prevents the infection of pressure ulcers. An August 2018 citation found that a resident did not receive the necessary care and treatment to prevent the infection of a sacral pressure ulcer. An inspector specifically observed that “there was no dressing observed to the sacral area” on the resident’s ulcer” during care. In an interview, a Certified Nursing Assistant stated that he had removed the dressing while changing the resident; in another interview, a Licensed Practical Nurse stated that CNAs “are not to remove any dressings,” and to inform nurses if dressings become soiled or fall off the wound.