Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 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 Berkshire Nursing & Rehabilitation Center during CMS and state inspections, most recent first.
Three residents experienced prolonged constipation without timely physician notification or intervention, despite facility policy and physician orders requiring monitoring and reporting. One resident was hospitalized for bowel impaction. Staff interviews revealed LPNs were not consistently checking or reporting bowel movement patterns, and the DON and Administrator were unaware of the lapses.
A resident with severe cognitive impairment and mobility dependence fell and fractured their leg due to inadequate supervision and failure to update their care plan. Despite recommendations for two-person assistance, the care plan inaccurately required only one staff member, leading to the incident. The lack of communication and documentation among the Interdisciplinary Team contributed to this oversight.
A resident with impaired cognition was found on the floor, and the facility failed to thoroughly investigate the incident. The resident's roommate initially reported the fall, but no statement was obtained from them. An LPN's involvement was inconsistent, as they claimed to be attending to another resident at the time. The facility's policy requires obtaining statements from witnesses, but this was not followed. Interviews with staff revealed a lack of clarity and responsibility in the investigation process.
A resident with a history of a Stage 4 pressure ulcer had an air mattress set incorrectly at 300 pounds, despite weighing 176 pounds. Facility policy required the mattress to be adjusted according to the resident's weight, but staff interviews revealed confusion over who was responsible for monitoring the settings. The Wound Care Nurse initially set the mattress and conducted monthly audits, but there was no documentation of ongoing monitoring, leading to inadequate pressure ulcer care.
Failure to Monitor and Report Bowel Movements Resulting in Harm
Penalty
Summary
The facility failed to provide treatment and care according to physician orders, resident preferences, and professional standards for three out of five residents reviewed. Specifically, multiple residents experienced prolonged periods without bowel movements, ranging from six to eleven consecutive days, without documented evidence that the physician was notified or that staff were aware of the need for interventions. Facility policy required nurses to check bowel movement patterns every shift and notify the physician if a resident had no bowel movement in 48 hours, but this protocol was not followed. One resident, admitted with spinal stenosis, spondylosis, and constipation, had no bowel movements for eight and then nine consecutive days. There was no documentation that the physician was notified as required by the resident's orders. The resident was later hospitalized for bowel impaction, with a CT scan confirming fecal impaction and stercoral proctitis. Interviews with staff revealed that certified nursing aides and LPNs were either unaware of how to check bowel reports in the electronic medical record or did not run the reports as required. The primary care physician confirmed they were not notified of the resident's condition. Two additional residents with diagnoses including hemiplegia, dysarthria, multiple sclerosis, ulcerative colitis, and chronic obstructive pulmonary disease also experienced extended periods without bowel movements. Documentation showed no evidence of physician notification or staff awareness of the issue. Staff interviews further revealed a lack of knowledge or adherence to the bowel management protocol. The DON and Administrator were unaware that the bowel reports were not being run and that the issue had not been discussed in Quality Assurance and Performance Improvement meetings.
Failure to Update Care Plan Leads to Resident Fall and Injury
Penalty
Summary
The facility failed to ensure adequate supervision and assistance devices to prevent accidents for Resident #71, who required the assistance of two staff members for bed mobility. Despite the Rehabilitation Department's recommendations documented in quarterly screens on 1/4/2024 and 4/4/2024, the resident's comprehensive care plan and nursing care instructions were not updated to reflect the need for two-person assistance. As a result, on 6/24/2024, Certified Nursing Assistant #5 provided care alone, leading to the resident falling out of bed while reaching for a stuffed animal, resulting in a fracture of the right leg. Resident #71, who had severe cognitive impairment and was dependent on staff for bed mobility, was admitted with diagnoses including Dementia, Anxiety Disorder, and Hypertension. The resident's care plan inaccurately documented the need for only one staff member for bed mobility, contrary to the Rehabilitation Department's assessment. Interviews with staff revealed that the care plan was not updated due to a lack of communication and documentation regarding the Interdisciplinary Team's decision to not implement the Rehabilitation Department's recommendations. The incident investigation concluded that all care plan interventions were in place, but the lack of documentation and communication among the Interdisciplinary Team led to the failure to update the care plan. Interviews with various staff members, including the Rehabilitation Director and Physical Therapist #1, highlighted discrepancies in the understanding and implementation of the resident's care needs. The Director of Nursing Services confirmed that the Rehabilitation Department was responsible for updating the care plan, and any decision to deviate from the assessment findings should have been documented.
Failure to Investigate Resident Fall Incident
Penalty
Summary
The facility failed to thoroughly investigate an alleged incident involving a resident with impaired cognition, identified as Resident #360, who was found on the floor. The incident was initially reported by the resident's roommate, but the facility did not obtain a statement from the roommate to determine the root cause of the fall. Additionally, there was an inconsistency in the investigation summary regarding the involvement of a Licensed Practical Nurse (LPN), who was reported to have observed the resident on the floor, but their written statement indicated they were attending to another resident at the time. The facility's policy on Accident/Incident Investigation Management requires obtaining statements from witnesses and others with knowledge of the event. However, the investigation into Resident #360's fall did not include a statement from the roommate, who had since passed away, nor did it address the inconsistency in the LPN's statement. The LPN stated they were in the dining room during the incident and did not receive any report from the roommate or observe the resident on the floor. Interviews with the facility's staff, including the Registered Nurse (RN) and Risk Managers involved, revealed a lack of clarity and responsibility in the investigation process. The RN, who completed the Accident and Incident report, did not obtain statements as it was the Risk Manager's responsibility. The Risk Manager acknowledged the missing statement from the roommate and the inconsistency in the LPN's statement but did not recall obtaining the necessary documentation. The Director of Nursing Services admitted to trusting the Risk Manager and did not see the importance of obtaining a statement from the first person who saw the resident on the floor.
Inadequate Monitoring of Air Mattress Settings for Pressure Ulcer Care
Penalty
Summary
The facility failed to ensure that a resident with pressure ulcers received necessary treatment and services consistent with professional standards of practice. Specifically, the deficiency was identified for a resident with a history of a Stage 4 pressure ulcer in the sacral region, who had a physician's order for an alternating-pressure air mattress. During multiple observations, the air mattress's adjustable weight setting was inaccurately set at 300 pounds, despite the resident's recorded weight being 176 pounds. The facility's policy required that the air mattress be adjusted according to the resident's weight to maintain adequate circulation and prevent skin ulcers. However, interviews with staff revealed a lack of clarity and responsibility regarding who was accountable for monitoring and adjusting the air mattress settings. Certified Nursing Assistants were only responsible for checking if the mattress was deflated, while Licensed Practical Nurses did not check the weight settings, assuming it was the responsibility of the Wound Care Nurse. The Wound Care Nurse stated they set the mattress initially and conducted monthly audits but did not document ongoing monitoring. The Wound Care Nurse Practitioner confirmed that the air mattress should correspond to the resident's weight, and the facility was responsible for its monitoring. Despite the Director of Nursing Services stating that the nurses should have been aware of their responsibility to monitor the air mattress, there was no documentation indicating that any specific discipline was tasked with this duty. This lack of oversight and communication led to the deficiency in providing appropriate pressure ulcer care for the resident.
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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 West Babylon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| East Neck Nursing & Rehabilitation Center | 1.1 mi | — | 10 | 0 |
| Our Lady Of Consolation Nursing And Rehab Care Ctr | 2.9 mi | — | 3 | 1 |
| Massapequa Center Rehabilitation & Nursing | 4.5 mi | — | 0 | 0 |
| Parkview Care And Rehabilitation Center, Inc | 5.6 mi | — | 0 | 0 |
| Daleview Care Center | 5.7 mi | — | 0 | 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.