Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before 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 Swan Lake Nursing & Rehabilitation during CMS and state inspections, most recent first.
A resident's clothing was lost after being sent to the laundry, and the facility failed to maintain an inventory list of the resident's belongings, violating their policy. The resident, with diagnoses including Cerebral Palsy and Morbid Obesity, reported the loss, and staff confirmed the absence of an inventory sheet. The facility acknowledged the deficiency.
A resident with a history of anxiety and depression was verbally abused by a CNA, who threatened them with physical harm. Despite facility policies requiring immediate suspension of staff suspected of abuse, the CNA continued working their shift. The incident was witnessed by a Registered Nurse Supervisor and reported to authorities, leading to the CNA's termination.
A facility failed to provide a resident with an ongoing activities program based on their comprehensive assessment and care plan. The resident, with moderate cognitive impairment and specific activity preferences, was often found without meaningful engagement. Despite the care plan's interventions, the resident received limited one-to-one visits and group activities. Staff interviews revealed a lack of evening activities due to staffing shortages, contributing to the deficiency.
A resident with a history of aggressive behavior was not adequately supervised, leading to a physical altercation with another resident. Despite the care plan requiring close monitoring, staff failed to maintain supervision, resulting in the resident wandering into another's room and initiating a fight. The incident highlights a lapse in supervision protocols within the facility.
A resident with COPD, Schizophrenia, and Asthma was observed receiving oxygen therapy without a physician's order during a survey. Despite facility policy requiring such orders, none were documented in the resident's medical records. Interviews with staff confirmed the absence of a written order, highlighting a failure to maintain medical records according to professional standards.
Failure to Safeguard Resident's Personal Belongings
Penalty
Summary
The facility failed to exercise reasonable care for the protection of a resident's property, specifically clothing, from loss or theft. This deficiency was identified during a recertification survey when it was discovered that a resident's clothes were lost after being sent to the laundry. The facility did not maintain an inventory list of the resident's belongings, which made it impossible to determine the lost items. The facility's policy required that all resident property be inventoried and documented on a Resident's Personal Possessions Sheet, but this was not done for the resident in question. The resident, who had diagnoses including Cerebral Palsy and Morbid Obesity, reported the loss of clothing through a grievance form. The social worker noted the absence of an inventory list and indicated that the facility would reimburse the resident for the lost items. Interviews with facility staff, including the social worker, Director of Guest Services, and the Administrator, confirmed that no inventory sheet was found in the resident's record, despite the resident being admitted in 2018. The facility acknowledged the lack of an inventory list and the need to implement one to ensure accuracy.
Verbal Abuse Incident by CNA
Penalty
Summary
The facility failed to protect a resident from verbal abuse by a Certified Nurse Assistant (CNA). The incident involved a verbal altercation where the CNA threatened the resident with physical harm, causing the resident to feel scared and upset. The facility's policy on abuse prevention, which was last reviewed in March 2024, clearly states that residents have the right to be free from abuse, including verbal abuse. Despite this policy, the CNA engaged in behavior that was deemed verbally abusive, as witnessed by a Registered Nurse Supervisor. The resident involved in the incident had a history of morbid severe obesity, anxiety disorder, and major depressive disorder, with a documented intact cognition score. The resident's comprehensive care plan identified them as being at risk of abuse, neglect, and mistreatment. On the night of the incident, the CNA was reported to have used threatening language towards the resident, which was corroborated by the resident and a Registered Nurse Supervisor who witnessed the event. Despite the facility's policy requiring immediate suspension of staff suspected of abuse, the CNA continued to work their shift until the following morning. Interviews with staff revealed that the CNA was not immediately removed from the unit, and the resident was left feeling afraid throughout the night. The Director of Nursing Services confirmed that the CNA was eventually terminated due to the verbal abuse incident. The incident was reported to the New York State Department of Health and the local police department, indicating that the facility recognized the severity of the situation but failed to act promptly in accordance with their own policies.
Deficiency in Resident Activities Program
Penalty
Summary
The facility failed to provide an ongoing activities program tailored to the comprehensive assessment and care plan of each resident, specifically for one resident who was observed without meaningful activities. The resident, who has diagnoses of cancer, arthritis, and cataracts/glaucoma or macular degeneration, was found in their room on multiple occasions without engagement in activities that matched their preferences, such as conversation, crafts, or music. The resident expressed that recreation staff did not visit them due to enhanced barrier precautions, and there were no scheduled activities after 3:00 PM on weekdays or in the evenings. The facility's policy on recreation programming requires that activities be based on the comprehensive assessment and preferences of each resident, yet the resident's care plan was not followed. The resident's care plan included interventions like escorting to activities and offering one-to-one visits, but these were not consistently provided. The resident's attendance record showed limited participation in programs, with only a few one-to-one visits and group activities over several months, and there was no documented evidence of the resident being offered or refusing activities. Interviews with staff revealed that there were no evening activities due to staffing shortages, and the recreation aide could not provide attendance or refusal records for the resident. The Assistant Director of Recreation confirmed the lack of evening activities and limited weekend offerings, and the Administrator acknowledged the absence of evening recreation staff. Despite the resident's preference for group activities and going outside, the facility did not adequately support these interests, leading to the deficiency.
Inadequate Supervision Leads to Resident Altercation
Penalty
Summary
The facility failed to ensure adequate supervision to prevent accidents, specifically involving a resident with a history of physical altercations and behaviors that disturb others. This resident, diagnosed with Vascular Dementia and Anxiety Disorder, was supposed to be kept in a supervised area when out of bed, as per their Comprehensive Care Plan. However, on the day of the incident, the resident was not adequately supervised and wandered into another resident's room, leading to a physical altercation. The incident involved the resident entering another resident's room and throwing a water bottle at them, which escalated into a physical fight. The resident who was attacked had intact cognition but was at risk of being a victim of abuse due to their medical conditions, including lack of coordination and essential tremors. The altercation was witnessed by a Certified Nursing Assistant who intervened after hearing calls for help. Interviews with staff revealed a lack of consistent supervision for the resident with aggressive behavior. Staff members, including CNAs, LPNs, and a Resident Assistant, acknowledged the need for close monitoring of the resident but failed to maintain the required supervision. The Director of Nursing Services admitted that the facility should have prevented the altercation by ensuring the resident was kept within the line of sight at all times.
Resident Received Oxygen Therapy Without Physician's Order
Penalty
Summary
The facility failed to maintain medical records for each resident in accordance with accepted professional standards and practices, as evidenced by the case of a resident receiving oxygen therapy without a physician's order. This deficiency was identified during a recertification survey conducted from July 24 to July 31, 2024. The resident, who had diagnoses including Chronic Obstructive Pulmonary Disease, Schizophrenia, and Mild Intermittent Asthma, was observed receiving oxygen therapy on multiple occasions without a documented physician's order. The facility's policy required verification of a physician's order for oxygen administration, but no such order was found in the resident's medical records for July 2024. Interviews with facility staff, including a Licensed Practical Nurse Manager, a Nurse Practitioner, the Director of Nursing Services, and a physician, revealed that the resident was receiving oxygen therapy daily, yet there was no written order for this treatment. The physician indicated that a verbal order had been given, but it was not documented in the resident's records. This lack of documentation and adherence to the facility's policy resulted in the deficiency noted during the survey.
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What surveyors actually found near you
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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 Patchogue
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Brookhaven Health Care Facility L L C | 1.4 mi | — | 3 | 0 |
| Bellhaven Center For Rehab And Nursing Care | 3.2 mi | — | 0 | 0 |
| Luxor Nursing And Rehabilitation At Sayville | 3.7 mi | — | 0 | 0 |
| Medford Multicare Center For Living | 3.9 mi | — | 0 | 0 |
| Island Nursing And Rehab Center | 4 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.