Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Affinity Skilled Living And Rehabilitation Center during CMS and state inspections, most recent first.
The facility failed to maintain an effective infection control program, with staff not adhering to contact precautions for residents with communicable diseases. A resident with MRSA was transported without proper PPE, and another resident with heel wounds lacked timely contact precaution orders. Staff did not follow hand hygiene protocols, leading to deficiencies in infection control practices.
The facility failed to provide appropriate care for residents with surgical wounds, vascular ulcers, and gastronomy tubes. A resident with an abdominal surgical incision did not receive recommended wound care, another with a vascular ulcer had unauthorized treatment, and a third with a gastronomy tube lacked orders for flushing to maintain patency. These deficiencies highlight lapses in obtaining and documenting physician orders and coordinating care among staff.
A resident with severe cognitive impairment and pressure ulcers did not receive proper care due to an inaccurately set air mattress. Despite the resident's weight being 156.2 pounds, the mattress was set at 265 pounds, contrary to the care plan and facility policy. Staff failed to identify and correct this discrepancy, potentially affecting the resident's comfort and wound healing.
A resident with impaired cognition and on oxygen therapy had a Lysol aerosol spray on their bedside table, contrary to facility policy prohibiting aerosols due to flammability. Staff were aware but did not remove it, assuming it was allowed.
A resident with hypoglycemia was not administered IV fluids at the correct rate as per physician orders, receiving 50 cc/hour instead of the prescribed 70 cc/hour. This discrepancy was observed during a survey, revealing that nursing staff did not follow the updated order, potentially affecting the resident's treatment. The attending physician noted that this could delay resolving the hypoglycemic episode.
A survey found that insulin pens on a medication cart were not labeled with the date of opening, as required. This was observed for two residents' insulin pens, which lacked documentation of when they were first used. Staff interviews confirmed the oversight, highlighting the importance of discarding insulin pens 28 days after opening to maintain effectiveness.
A resident with a documented allergy to artificial sweeteners was served sugar-free pudding and reduced-calorie syrup containing these sweeteners, despite clear physician orders and facility policies. The error was attributed to a lack of knowledge and oversight by dietary staff, as confirmed by interviews with the Food Service Director and a dietary aide.
A resident's comprehensive assessment was not completed within the required timeframe, resulting in a deficiency. The resident, with conditions including Parkinson's and Schizophrenia, had their Annual MDS assessment delayed by 31 days. The facility's policy lacked specific timeframes, and staffing changes contributed to the oversight.
The facility failed to transmit MDS assessments to CMS within the required 14-day period for several residents. The delay was due to staffing changes and the end of a consulting firm's contract, leading to tracking difficulties. The MDS Director acknowledged the issue, while the Administrator and DON were unaware until the survey. The facility's policy lacked a specified timeframe for transmissions.
Infection Control Deficiencies in LTC Facility
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by multiple instances of non-compliance with contact precautions for residents with communicable diseases. Resident #214, who had a physician's order for contact precautions due to Methicillin-Resistant Staphylococcus Aureus (MRSA) in the sputum, was involved in two separate incidents. On one occasion, a physical therapist entered the resident's room without wearing the appropriate Personal Protective Equipment (PPE) and transported the resident to the Rehabilitation Room without performing hand hygiene afterward. Additionally, during a medication pass, a Licensed Practical Nurse (LPN) failed to change gloves and perform hand hygiene after unclogging the resident's Gastrostomy Tube before administering eye drops. Resident #546, admitted with heel wounds requiring contact precautions, did not have a physician's order for such precautions until six days post-admission. An LPN was observed entering the resident's room without performing hand hygiene or wearing the required PPE, despite the presence of a sign indicating the need for contact precautions. The LPN later acknowledged the oversight and the necessity of following proper infection control protocols. The facility's policies on infection control and medication administration were not adhered to, as staff failed to follow the outlined procedures for PPE use and hand hygiene. The Infection Preventionist and Director of Nursing Services confirmed the expectations for staff compliance with these protocols, highlighting the lapses in infection control practices that contributed to the deficiencies observed during the survey.
Deficiencies in Wound and Tube Care Management
Penalty
Summary
The facility failed to provide appropriate treatment and care according to professional standards and the comprehensive person-centered care plan for several residents. Resident #544, who was admitted with an abdominal surgical incision, did not receive the recommended wound care treatment as per hospital discharge instructions and wound care consultant recommendations. There were no physician's orders obtained for the treatment, and the medical record lacked documentation of treatment administration, leading to the resident being sent to the hospital for evaluation of the open surgical incision site. Resident #10, with a history of a vascular ulcer on the left second toe, was observed with a gauze dressing between the toes without a physician's order. The resident complained of itching and pain, but the nursing staff did not alert the unit manager or wound care nurse for further assessment. The medical record did not contain any physician's orders for the treatment of the left second toe, and the wound care nurse was not notified of the resident's condition. Resident #193, who had a gastronomy tube that was no longer in use, did not have a physician's order to flush the tube to maintain patency. The nursing staff failed to contact the physician to obtain an order, and the dietician acknowledged the oversight in placing the order. The lack of a flushing order could lead to the tube becoming clogged, requiring removal and replacement.
Inaccurate Air Mattress Setting for Resident with Pressure Ulcers
Penalty
Summary
The facility failed to ensure that a resident with pressure ulcers received necessary treatment and services consistent with professional standards of practice. The resident, who had a traumatic brain injury, respiratory failure, and depression, was documented to have severely impaired cognition and two unstageable pressure ulcers. The care plan for the resident included the use of an air mattress to aid in pressure ulcer management. However, during observations, the air mattress's weight setting was inaccurately set at 265 pounds, despite the resident's actual weight being 156.2 pounds. The facility's policy required nurses to check the air mattress for proper placement, setting, and functioning every shift. Despite this, the Treatment Administration Record indicated that the air mattress was checked and signed off as accurate, even though it was not set correctly. Interviews with the wound care nurse, wound care consultant, and Director of Nursing Services confirmed that the weight setting should match the resident's weight to assist with wound healing. The discrepancy in the air mattress setting was not identified or corrected by the staff, potentially impacting the resident's comfort and wound healing process.
Aerosol Spray Hazard in Resident Room
Penalty
Summary
During a Recertification Survey, it was found that the facility did not maintain a resident environment free from accident hazards. Specifically, an aerosol container of Lysol spray was observed on the bedside table of a resident with moderately impaired cognition and receiving continuous oxygen therapy for Chronic Obstructive Pulmonary Disease. The facility's policy prohibits the use of aerosols within the facility due to their flammable nature. Despite this, the aerosol spray was present in the resident's room, and staff were aware of its presence but did not remove it immediately. The resident stated that their family brought the Lysol spray, and it had been used in the room for a couple of months. Staff members, including a Certified Nursing Assistant and a Registered Nurse, were aware of the aerosol spray but did not take action to remove it, assuming it was allowed. The Director of Nursing Services confirmed that aerosol sprays are not permitted due to their flammability and should have been removed when first noticed by the staff.
Failure to Administer IV Fluids as Ordered
Penalty
Summary
The facility failed to administer intravenous (IV) fluids to a resident in accordance with physician orders and professional standards of practice. Resident #58, who had a physician's order to receive Dextrose 5% solution at 70 cubic centimeters (cc) per hour for hypoglycemia, was observed receiving the solution at a reduced rate of 50 cc per hour on two separate occasions. This discrepancy was noted during a recertification survey, where it was found that the nursing staff did not adhere to the prescribed infusion rate, potentially impacting the resident's treatment for hypoglycemia. The resident, who had diagnoses including Parkinson's Disease, hypoglycemia, and pneumonia, was at risk for dehydration and complications from IV therapy. Despite the physician's order and the facility's policy requiring documentation of the IV solution type and rate per shift, the nursing staff failed to adjust the flow rate to the correct setting. Interviews with the nursing staff revealed a lack of awareness and adherence to the updated physician's order, leading to the administration of the IV fluids at an incorrect rate. The attending physician expressed concern that the incorrect infusion rate could delay the resolution of the resident's hypoglycemic episode.
Improper Labeling of Insulin Pens
Penalty
Summary
During a Recertification Survey, it was observed that the facility failed to ensure proper labeling of insulin pens in accordance with professional principles. Specifically, on the Unit 3 South medication cart, an opened Basaglar insulin pen for one resident and an opened Lantus insulin pen for another resident were found without a documented date of opening. This deficiency was identified during a Medication Storage Task, which reviewed six medication carts in total. The lack of labeling was confirmed through interviews with staff, including an LPN, the nurse manager, a pharmacist, and the Director of Nursing Services. The LPN acknowledged the absence of open dates on the insulin pens and stated that all nurses are responsible for proper labeling. The nurse manager and pharmacist both emphasized the importance of discarding insulin pens 28 days after opening due to potential loss of effectiveness. The Director of Nursing Services reiterated that an open date should have been documented to ensure timely disposal of the insulin pens.
Failure to Accommodate Resident's Food Allergies
Penalty
Summary
The facility failed to ensure that a resident received food that accommodated their allergies, specifically to artificial sweeteners. This deficiency was identified during a recertification survey for a resident with intact cognition and a physician's order prohibiting artificial sweeteners. Despite this order, the resident was served sugar-free snack puddings and reduced-calorie syrup containing artificial sweeteners, which were found on their overbed table. The resident confirmed that these items were included with their meal tray. The facility's policy required communication of resident allergies to the dietary department, but this was not effectively implemented. The Food Service Director acknowledged that the items came from the kitchen and were mistakenly placed on the resident's tray. A dietary aide admitted to not recognizing artificial sweeteners in certain products, indicating a lack of knowledge and oversight. The Director of Nursing Services and a Registered Dietitian both emphasized the responsibility of kitchen and unit staff to check meal trays for accuracy, especially for residents with food allergies.
Delayed Completion of Resident Assessment
Penalty
Summary
The facility failed to ensure that comprehensive assessments of residents were conducted within the required timeframe, specifically within 14 calendar days after admission and not less than once every 12 months. This deficiency was identified during a recertification survey for a resident who had been admitted with diagnoses including Parkinson's Disease, Schizophrenia, and Traumatic Subdural Hemorrhage. The resident's Annual Minimum Data Set (MDS) assessment was not completed until 31 days after the Assessment Reference Date, which was a significant delay beyond the required 14 days. The facility's policy required a Registered Nurse to conduct and coordinate each resident's assessment, but it did not specify the timeframe for completion. The MDS Director, who was responsible for ensuring timely completion of assessments, acknowledged the delay and stated that the assessment should have been completed earlier. The facility had hired a consulting firm to assist with MDS assessments due to staffing changes, but the Administrator and Director of Nursing were unaware of the delay until the survey. This oversight led to the deficiency being cited during the survey.
Delayed Transmission of MDS Assessments
Penalty
Summary
The facility failed to ensure that all completed Minimum Data Set (MDS) assessments were electronically transmitted to the Centers for Medicare and Medicaid Services (CMS) within the required 14-day period following the completion of the resident assessments. This deficiency was identified during a recertification survey for seven residents whose MDS assessments were transmitted late. The facility's policy, last revised in August 2023, did not specify the timeframe for transmitting these assessments. The MDS Director, who was responsible for timely transmissions, acknowledged the delay and attributed it to difficulties in tracking and transmitting the assessments due to recent changes in staffing and the termination of a consulting firm's contract. Interviews with facility staff revealed a lack of awareness and communication regarding the issue. The MDS Assessor maintained an Excel spreadsheet to track due dates manually, as they could not generate reports from the electronic medical record system. The Assessor had informed the Administrator about the lateness but could not recall the details of the conversation. The Administrator and the Director of Nursing Service were unaware of the transmittal issues until informed during the survey. The Director of Nursing Service stated that all MDS assessments should be transmitted within the 14-day timeframe, highlighting a gap in communication and oversight within the facility.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Oakdale
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Good Samaritan Nursing And Rehabilitation Care Ctr | 2.1 mi | — | 0 | 0 |
| Luxor Nursing And Rehabilitation At Sayville | 2.8 mi | — | 0 | 0 |
| Momentum At South Bay For Rehab And Nursing | 3.3 mi | — | 6 | 0 |
| Swan Lake Nursing & Rehabilitation | 6.4 mi | — | 5 | 1 |
| Sunrise Manor Ctr For Nursing And Rehabilitation | 6.7 mi | — | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.