Far Rockaway Center for Rehabilitation and Nursing
13 11 Virginia Street, Far Rockaway, NY 11691 · For profit - Limited Liability company · 100 certified beds · (718) 327-2909 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- a high number of inspection citations overall (25) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure score sits well above its independent inspection score
- its payroll-based staffing rating is low (2/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 2 to 1 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 4.1% | 14.1% | 15.4% | better |
| Long-stay residents who lose too much weight | 4.7% | 5.8% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.5% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.0% | 1.3% | 2.0% | better |
| Long-stay residents with depressive symptoms | 11.0% | 19.5% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better |
| Long-stay residents with falls causing major injury | 1.0% | 3.1% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 3.4% | 12.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 5.7% | 13.2% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 99.0% | 95.3% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 5.9% | 6.5% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 11.5% | 19.5% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 20.7% | 13.7% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 89.3% | 78.8% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 15.1% | 20.6% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 9.0% | 9.6% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.90 | 1.70 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 2.18 | 1.36 | 1.80 | worse |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
Therapy staffing: this home’s payroll records show 0.18 therapist hours per resident per day in 2026Q1 — more than 18% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 13% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.2%CMS range 6.8–16.8 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.47 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 100 beds and averages 96.9 residents a day — about 97% occupied, or roughly 3 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.84 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.36 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.77 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 2.58 hrs/resident/day on weekends vs 2.94 on weekdays — 12% thinner on weekends. RN hours go from 0.41 to 0.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 42% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
25 citations, most serious first. The 10 most serious are shown; the remaining 15 are one tap away and print in full.
- Potential for harm · D2026-04-03 · tag F0645 — isolatedPASARR screening for Mental disorders or Intellectual Disabilities
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review during survey, the facility failed to ensure that preadmission screening for individuals with a mental disorder and individuals with intellectual disability was conducted prior to their admission to the facility. This was identified for one (Resident #74) of 37 23 residents reviewed for Pre-admission Screening and Resident Review (a federal requirement to ensure that residents were not inappropriately placed in a skilled nursing facility). Specifically, Resident # 74 was initially admitted to the facility on [DATE], and had an inaccurate and incomplete Level I Pre-admission Screening and Resident Review screen dated 7/31/2024. Items 23 through 26 of the Preadmission Screening and Resident Review form were not completed prior to admission. Response to Items 23 through 26 would determine if a Level II evaluation was required.The findings include: The facility's policy and procedure titled Pre-admission Screening and Resident Review (PASARR) last reviewed in October 2025…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-04-03 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during survey, the facility failed to ensure that a comprehensive person-centered care plan was implemented for each resident that included measurable objectives and timeframes to meet each resident's medical and nursing needs. This was identified for one (1) (Resident #5) of three (3) residents reviewed for positioning/mobility. Specifically, the facility did not ensure implementation of care plan interventions for Resident #5 related to bilateral upper extremity contractures, which included the use of hand positioning devices. Resident #5 was observed on multiple occasions without the required intervention in place, and there was no documented evidence of refusal of care.The findings include: The facility policy and procedure titled Care Plans - Comprehensive, last reviewed 08/02/2024, indicated that a comprehensive, person-centered care plan, including measurable objectives and timetables to meet the resident's physical, psychosocial, and functional needs,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-04-03 · tag F0658 — failed to meet professional standards of care — isolatedEnsure services provided by the nursing facility meet professional standards of quality.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews, the facility failed to ensure services provided or arranged by the facility met the current professional standards of quality. This was identified for one (1) (Resident #20) of one resident reviewed for tube feeding. Specifically, Resident #20 was not administered the full amount of 1200 milliliters of feeding formula as per physician orders. Additionally, Licensed Practical Nurse #2, the 7:00 AM-3:00 PM nurse did not confirm and erroneously documented that Resident #20 received the total amount of their enteral feed. Cross Reference: F693-Tube feeding ManagementThe findings include:The facility policy titled, Enteral Feeding Administration last reviewed in February 2026 documented to verify healthcare provider order for the enteral tube feeding including type, method of administration, rate, volume and eneteral tube flushes. Upon completion, disconnect the feeding tube and clamp the enteral tube. Document date/time of procedure, type and amount of enteral…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-04-03 · tag F0693 — failed to provide proper feeding-tube care — isolatedEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during survey, the facility failed to ensure that a resident who is fed by enteral means receives the appropriate treatment, care, and services to prevent complications of enteral feeding. This was identified for one (1) (Resident #20) of one resident reviewed for tube feeding. Specifically, Resident #20 has a physician's order to receive 1200 milliliters of enteral feed (the delivery of nutrients through a feeding tube directly into the stomach or small intestine) daily in the evenings. On 03/31/2026, Resident #20 did not receive the required amount of the enteral feed as Licensed Practical Nurse # 4, the 11:00 PM - 7:00AM shift nurse, discontinued the tube feeding prior to completion of the required amount. The enteral feed was not resumed until concern was brought forward by the survey team. The findings include:The facility policy titled, Enteral Feeding Administration last reviewed in February 2026 documented to verify healthcare provider order for the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-04-03 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interviews, and record review the facility failed to ensure that drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles on one (Unit 1) of two nursing units. Specifically, during an observation of a medication cart on Unit 1 on 04/02/2026, there were two vials of insulin that did not have resident names on them; two vials of insulin for Resident #93 with no open date; and one insulin vial for Resident #62 that was first opened on 02/26/2026 and was not discarded after 28 days.The findings include:The facility policy titled Medication Storage and Labelling, dated 01/21/2026, documented this facility will store medications safely and securely and in a manner that maintains the integrity of the product in accordance with manufacturer's recommendations, current standards of practice and federal and state regulations. Medication injection pens including insulin pens and cartridges are single patient use only and will be labeled and stored for resident individual use. A multi-dose vial or injection pen…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-04-03 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interviews, and record review, the facility failed to ensure it maintained an infection prevention and control program designed to help prevent the development of communicable diseases and infections for 1) one (Resident #85) of four residents observed during medication administration; and 2) one of two nursing units observed during the medication storage task. Specifically, 1) during the medication pass observation for Resident #85, Licensed Practical Nurse #1 handled two tablets of Sennosides (a laxative for constipation) with their bare hands after popping the tablets out of the blister pack. The nurse proceeded to administer the tablets to the resident; and 2) during the review of a medication cart on Unit 2, Licensed Practical Nurse #4 stated and demonstrated they cleaned the blood glucose glucometer (a portable, handheld device used to measure current blood sugar levels) with an alcohol prep pad rather than a germicidal wipe that is effective against bloodborne pathogens. The nurse did not have germicidal wipes in their cart.The findings include:The…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-07-26 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews conducted during a Recertification survey from 07/21/24 to 07/25/24, the facility did not ensure that housekeeping and maintenance services were provided to maintain a safe, clean, comfortable, and homelike environment. Specifically multiple areas were observed to have broken blinds, mishung privacy curtains, furniture which was soiled and in disrepair, warped and loose floor tiles, resident equipment in disrepair, room sinks not firmly affixed to wall and torn, and frayed and stained clean linen cart covers. This was evident in 2 of 3 Units. (Units South and North) The findings include but are not limited to: 1.During observations made from 07/21/24 at 9:22 AM through 07/25/24 at 11:24 AM the following were observed on the South Unit. 1.) Room # 13 with multiple broken blinds 2.) Dining room with multiple broken and missing window slats 3.) Room # 16 with curtain off the hook 4.) room [ROOM NUMBER] with curtain off the hook On 07/25/24 at 12:18 PM, an interview was conducted…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-07-26 · tag F0582 — isolatedGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews and record review conducted during the Recertification survey from 07/21/2024 to 07/25/2024, the facility did not ensure a resident, or their designated representative was provided appropriate notification at the termination of Medicare Part A benefits. This was evident for 1 (Resident #73) of 3 residents reviewed for Beneficiary Notification out of 28 total sampled residents. Specifically, the Notice of Medicare Non-Coverage were not mailed out to Resident #73's designated representatives on the same day as telephone notification. The findings are: Resident #73 was discharged from skilled services on 1/24/24. The Notice of Medicare Non-coverage documented that on 1/22/24, Resident #73's Representative was made aware that their last coverage date would be 1/24/24 and that a message was left by the Minimum Data Set Director, regarding content of the letter. The Notice of Medicare Non-coverage form also documented that the facility was waiting for a return call from the Resident #73's Representative. On 07/24/24 at 1:30 PM, the Minimum Data Set Director provided a…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-07-26 · tag F0583 — failed to protect personal privacy — isolatedKeep residents' personal and medical records private and confidential.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interviews, and record review conducted during the Recertification Survey from 07/21/2024 through 07/25/2024, the facility did not ensure that residents' privacy was maintained. This was evident for 2 of 2 residents (#23 & #27) reviewed for Privacy out of 28 sampled residents. Specifically, Licensed Practical Nurses were observed performing blood glucose monitoring and insulin administration in the hallway. The findings are: The facility policy and procedure titled Quality of Life/Dignity revised 10/2023, documented that each resident shall be cared for in a manner that promotes and enhances quality of life, dignity, respect, and individuality. Staff shall promote, maintain and protect resident privacy, including bodily privacy during assistance with personal care and during treatment procedures. 1. On 07/22/2024 at 04:06 PM, Licensed Practical Nurse #1 was observed in the North Unit hallway with Resident #23. Resident #23 was standing beside the medication cart while Licensed Practical Nurse #1 conducted blood glucose testing and then administered insulin to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-07-26 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews conducted during the Recertification Survey from 07/21/2024 to 07/26/2024, the facility did not ensure a person-centered comprehensive care plan was developed and implemented to meet a resident's needs. This was evident for 1 (Resident #87) of 1 resident reviewed for Communication/Sensory out of 28 sampled residents. Specifically, there was no care plan created for Resident #87 who had concerns with vision. The findings include: The facility policy titled Care Plan-Comprehensive created 10/2015 and revised 10/2023 stated that a comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. The care planning process will facilitate resident and or representative involvement, include an assessment of the resident's strength and needs and incorporate the resident's personal and cultural preferences in developing the goals of care. The…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 15 citations
- Potential for harm · Dcited before2024-07-26 · tag F0658 — failed to meet professional standards of care — isolatedEnsure services provided by the nursing facility meet professional standards of quality.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews conducted during the Recertification and survey from 07/21/2024 to 07/25/2024, the facility did not ensure services provided met professional standards. This was evident for 1 (Resident #27) out of 29 total sampled residents. Specifically, Licensed Practical Nurse #4 was observed conducting blood glucose monitoring and then failing to administer insulin as per the doctor's order. The facility policy and procedure titled Blood Glucose Testing, Meter/Device Use revised 02/01/2024 states that the first step of blood glucose testing using the meter is to verify a healthcare provider's order for the procedure. After testing the blood glucose level, the procedure states to record the results of the blood glucose test on the resident's medication administration record and follow appropriate interventions regarding blood glucose testing results. Resident #27 was admitted to the facility with diagnoses that included Parkinson's Disease and Diabetes Mellitus. The Physician's Order for Resident #27 with start date 2/13/24 documented inject…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-07-26 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and interviews, conducted during the Recertification survey from 07/21/2024 to 07/25/2024, the facility did not ensure that a resident received care consistent with professional standards of practice to prevent infection and promote healing. This was evident for 1 of 2 residents (Resident #7) reviewed for Pressure Ulcer Injury out of a total of 28 sampled residents. Specifically, during wound care observation, Resident #7 did not receive the physician ordered pressure ulcer treatment and Licensed Practical Nurse #1 failed to maintain infection prevention standards. The findings are: The facility policy titled Skin and Pressure Injury Prevention revised 6/27/2024 documented that the facility will assess residents for risk in the development of pressure injuries and implement preventative measures in accordance with current standards of practice. Resident #7 was admitted with diagnoses that included Peripheral Vascular Disease, wound infection, and malnutrition. The Minimum…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-07-26 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interviews conducted during the Recertification survey from 07/21/2024 to 07/25/2024, the facility did not ensure timely identification and removal of expired medications. Specifically, a bag containing 8 syringes of Lorazepam gel with an expiration date of 12/29/2021 and 44 capsules of Dronabinol with an expiration date of 01/26/2024 were located in the refrigerator narcotics box in the South Unit medication room. Additionally, narcotics were not being stored in permanently affixed cabinets in the facility. The findings are: The facility policy titled Medication - Storage revised 1/2019 documented that the center will store medications in a manner that maintains the integrity of the product, ensures the safety of the residents, and is in accordance with Department of Health guidelines. Expired, discontinued and/or contaminated medications will be removed from the medication storage areas and disposed of in accordance with facility policy. The facility policy titled Controlled Substance Management created 8/2022 documented that the medication…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-07-26 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record reviews and interviews conducted during the Recertification survey from 07/21/2024 to 07/25/2024, the facility did not ensure that all residents were free of significant medication errors. Specifically, Resident #27 did not receive insulin in accordance with Physician's Orders. The findings are: The facility policy and procedure titled Blood Glucose Testing, Meter/Device Use revised 02/01/2024 states that the first step of blood glucose testing using the meter is to verify a healthcare provider's order for the procedure. After testing the blood glucose level, the procedure states to record the results of the blood glucose test on the resident's medication administration record and follow appropriate interventions regarding blood glucose testing results. On 07/22/2024 at 04:51 PM, Licensed Practical Nurse #4 was observed conducting blood glucose monitoring for Resident #27 in the South Unit hallway. Licensed Practical Nurse #4 stated that the resident's glucose was reading 114 mg/dL so Resident #27 did not need to receive 19 units of Novolog. Resident #27 was escorted…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-07-26 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interviews conducted during the Recertification survey from 07/21/2024 to 07/25/2024, the facility did not ensure medications and biologicals were stored in accordance with currently accepted professional principles. This was evident for 1 of 3 medication storage carts (South Unit medication cart) observed. Specifically, 3 open insulin vials did not contain the date opened on the vials, 1 opened vial of insulin did not contain a resident's name on the box or vial, and 3 inhalers did not contain the date opened or the resident's name on the inhaler devices. The findings are: The facility policy titled Medication-Storage revised 1/2019 documented the facility will store medications in a manner that maintains the integrity of the product, ensures the safety of the residents, and is in accordance Department of Health guidelines. Medications will be stored in the original, labeled containers received from the pharmacy. On 07/25/2024 at 11:13 AM, Licensed Practical Nurse #1 was observed at the medication cart on the South Unit. An open vial of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-07-26 · tag F0806 — failed to honor food preferences — isolatedEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and interviews during the Recertification survey from 07/21/2024 to 07/25/2024, the facility did not ensure each resident received food that accommodated their allergies, intolerances, and preferences. This was evident for 1 (Resident #80) of 2 residents reviewed for food out of a sampe of 28 residents. Specifically, Resident #80 received lunch trays that included foods that did not accommodate their documented preferences. The findings include: The facility policy and procedure titled Honoring Preferences, Making Substitutions reviewed 02/2023 documented that food preferences are obtained as part of the admission process by a member of the food and nutrition department. Preferences and dislikes obtained are then transferred to the electronic meal program. Meal tickets should be reviewed carefully at all meals and a substitute of equal nutritive value should be substituted. If resident has numerous dislikes, the registered dietician is to meet with resident and discuss proper…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-07-26 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations and interviews conducted during a Recertification survey from 07/21/24 to 07/25/24, the facility did not ensure that infection control practices were maintained during multiple lunch meal observations. Specifically, during two lunch meal observations in the Main Dining Room, Certified Nurse Assistants (Certified Nurse Assistant # 6 & Certified Nurse Assistant #1) were observed assisting multiple residents in the dining room with hand hygiene. The Certified Nurse Assistants did not wear gloves, provided residents with hand sanitizing wipes, collected used hand sanitizing wipes, and assisted other residents without performing hand hygiene between resident contact. The findings are: On 07/21/24 at 11:37 AM, during a lunch meal observation, Certified Nurse Assistant #6 was observed handed out sanitizing wipes to residents with bare hands. Certified Nurse Assistant #6 assisted residents in hand hygiene with bare hands. Certified Nurse Assistant #6 then collected the used hand wipes with their left hand and continued from resident to resident handing out wipes with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-07-26 · tag F0921 — failed to keep a safe, functional, sanitary building — isolatedMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews conducted during a Recertification survey from 07/21/24 to 07/25/24, the facility did not ensure that a safe, functional, sanitary, and comfortable environment was provided for staff and the public Specifically, furniture in the nursing station was soiled, dirty, and in disrepair, visitor and staff bathrooms were in disrepair. The findings are: During multiple observations conducted between 07/21/24 and 07/25/24, the following was observed: 1.) In the North Unit Nurses Station there were chairs that were soiled, dirty, and in disrepair. 2.) In the Visitor Bathrooms across from the Dietician Office, both bathrooms had rusted radiators and in one of the two bathrooms there was a broken toilet paper dispenser, missing wall light cover and a rusted wall light cover. 3.) in the Staff Bathroom across from room [ROOM NUMBER] there were missing and broken wall tiles behind the sink area. During a tour on 07/25/24 at 10:30 AM, the Director of Housekeeping stated that the building is…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-07-26 · tag F0925 — failed to control pests — isolatedMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews during the recertification survey, the facility did not ensure that an effective pest control program was in place. Specifically, multiple flies were observed during the initial and subsequent tours of the North/South/Hallway Units, Nurse Station. The finding is: The policy and procedure titled Pest Control revised 11/2023, documented that the facility would maintain an ongoing pest control program to ensure the building is kept free of pests and rodents. The policy also documented that Pest Control service visit documentation will be kept on file in the facility, and screens would be maintained for facility windows. During multiple observations conducted from 07/21/24 to 07/25/24 the following was observed: 1.) Multiple flies were observed during initial and subsequent tours of resident rooms, nurse station, dining room area. 2.) In the North Unit Nurse Station there were multiple flies. 3.) In room [ROOM NUMBER] there were multiple flies on the privacy…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2022-06-22 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review conducted during the Recertification Survey, the facility did not ensure a safe, clean, comfortable and homelike environment was maintained. This was evident in 17 (1, 4, 7, 8, 9, 12, 13, 15, 17, 18, 22, 23, 24, 35, 41, 42, 46) residnt rooms of the North Wing (NW) and South Wing (SW) and in facility common areas. Specifically, there were items in disrepair, cracked, and broken, and the facility floors and walls were stained, emitting a foul odor, and cracked and peeling. The findings are: On 06/14/22 at 10:16 AM, resident room [ROOM NUMBER] was observed with dark stains in the corners around the entire room and there was a strong unidentifiable foul odor emanating from the room. On 06/14/22 at 10:55 AM, resident room [ROOM NUMBER] was observed with dark crusted dirt buildup and brown stains at each corner of there room. There were large black and brown stains on the linoleum near the residents' bedside tables. From 06/13/22 to 06/22/22, the facility entrance…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-06-22 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview conducted during the recertification survey, the facility did not ensure reasonable accommodation of needs were provided to residents. This was evident for 2 (Resident #10 and #81) of 27 sampled residents. Specifically, Resident #10 and Resident #81 were observed to have their call bells out of reach. The findings are: 1) Resident #10 had diagnoses of dementia, schizophrenia, and Parkinson's disease. The Minimum Data Set 3.0 (MDS) assessment dated [DATE] documented Resident #10 was cognitively intact and required the extensive assistance of one person to perform Activities of Daily Living (ADL). On 06/14/22 at 10:16 AM, the resident #10 was observed laying in bed with their call bell hanging on the floor behind their bedside table out of reach. Certified Nursing Assistant (C.N.A # 2) was present at the time of this observation and was observed pulling the bedside table away from the wall to pick up the call bell. 2) Resident #81 had diagnoses of history of falls and fractures.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-06-22 · tag F0583 — failed to protect personal privacy — isolatedKeep residents' personal and medical records private and confidential.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews conducted during the Recertification Survey completed on 6/22/22, the facility did not ensure a resident's right to personal privacy was maintained. This was evident for 1 (Resident #5) of 27 sampled residents. Specifically, resident #5 was observed on multiple occasions without a privacy curtain around their bed. The findings are: The facility policy titled Resident Rights last revised on 2/2020 documented employees shall treat all residents with dignity and all residents have a right to a dignified existence. Resident #5 was had diagnoses of schizoaffective disorder, depression, and diabetes. The 3/1/22 Minimum Data Set 3.0 (MDS) assessment dated [DATE] documented Resident #5 had moderately impaired cognition some staff assistance with Activities of Daily Living (ADL). On 06/13/22 at 11:22 AM, 06/14/22 at 10:39 AM, 06/15/22 at 10:13 AM, 06/16/22 at 09:48 AM, 06/17/22 at 11:05, and 06/21/22 at12:43 PM, Resident #5's room was observed and Resident #5 did not…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-06-22 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interviews during the Recertification survey, the facility did not ensure the infection prevention and control program was designed to provide a safe, sanitary, and comfortable environment, and to help prevent the spread, development, and transmission of communicable diseases and infections, including the development and transmission of COVID-19 infection. This was evidenced for 1 (Resident #346) of 35 sampled residents. Specifically, (1) the facility tested visitors for COVID-19 without donning full Personal Protective Equipment (PPE) consisting of gloves, masks, shield and gown and without maintaining a 6 foot distance; (2) Staff were observed not donning full PPE when caring for Resident #346 who was on contact isolation; (3) did not have a comprehensive Legionella Water Management Plan (LWMP). The findings are: The facility policy and procedure titled Isolation - room placement, created 3/24/20, revised 2/2/22, documented that residents with confirmed or suspected…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-06-22 · tag F0919 — failed to provide a working call system — isolatedMake sure that a working call system is available in each resident's bathroom and bathing area.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interviews, conducted during the recertification survey, the facility did not ensure a resident was adequately equipped to call for assistance. This was evident for 1 (Resident #10) of 8 residents reviewed for Physical Environment out of a total of 35 sampled residents. Specifically, Resident #10 was observed without an operating call bell in place. The findings are: Resident #10 had diagnoses of dementia, schizophrenia, Parkinson's disease, asthma. The Minimum Data Set 3.0 (MDS) assessment dated [DATE] documented Resident #10 was cognitively intact and required extensive assistance of one person to perform activities of daily living (ADLs). On 06/14/22 at 10:16 AM, Resident #10 was observed lying in the bed in room [ROOM NUMBER]-09-A. The call bell button was hanging on the floor behind the resident's bedside table. Certified Nursing Assistant (C.N.A # 2) was present at the time of this observation and had to pull the bedside table aside to retrieve the call bell. C.N.A #2 pressed the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-06-22 · tag F0921 — failed to keep a safe, functional, sanitary building — isolatedMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews conducted during the recertification survey, the facility did not ensure a safe, functional, sanitary and comfortable environment was provided for residents, staff and the public. This was evident in 1 (North Wing) of 2 wings of the facility. Specifically, common areas accessible to staff, residents, and the visitors were observed in disrepair and soiled. The findings are: The facility policy titled Maintenance Service last revised 6/2021 documented the Maintenance Department is responsible for maintaining the buildings, grounds and equipment and keeping the building in good repair and free from hazards. From 6/13/2022 through 6/21/2022, multiple observations of the North Wing (NW) common areas were made and the following was observed: 1) Floor linoleum located by an exit stairwell was cracked and peeling; 2) Peeling paint observed throughout the hallway; 3) The hallway shared resident bathroom was soiled and had black stains on the wall and the sink. There was also brown stains around the faucet of the sink; 4) Floor linoleum was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to CENTERS HEALTH CARE — 36 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 2.2 | +1.8 vs chain |
| Health inspection | 3 of 5 | 2.1 | +0.9 vs chain |
| Staffing | 2 of 5 | 2.1 | -0.1 vs chain |
| Quality measures | 5 of 5 | 3.8 | +1.2 vs chain |
The other 35 homes this chain runs (chain average 2.2★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| ROCKAWAY KR HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 98% | since 04/05/2017 |
| ROZENBERG, KENNETH | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICER | 97% | since 04/01/2014 |
| GOLDMAN, NATHAN | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 01/01/2025 |
| HENDRIX, HEIDI | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 01/01/2025 |
| LANTZITSKY, AHARON | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 01/01/2025 |
| BLUMENFELD, SOL | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/25/2019 |
| LATI, ZEV | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/01/2026 |
| ROZENBERG, BETH | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 10/28/2025 |
| ABRAMCHIK, AMIR | Individual | ADP OF THE SNF | — | since 04/01/2014 |
CMS files one row per role, so the 12 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.
1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
About 74% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.7M paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in NY
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New York Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 335044. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-03, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
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