Clove Lakes Health Care And Rehabilitation Center,
Staten Island, New York · CCN 335239
18 surveys since 2012, 5 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 56
- Surveys
- 18
- Harm or worse
- 5
- Immediate jeopardy
- 2
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 576
- Ownership
- For profit - Corporation
- Chain
- INFINITE CARE
- County
- Richmond
- Medicare-certified since
- 1969
CMS ratings
- Overall
- 2
- Health inspection
- 1
- Staffing
- 2
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 259 for-profit facilities with 128 or more beds in New York.
Last survey on record
Apr 27, 2026
196 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.36 | 3.37 |
| Registered-nurse hours per resident day | 0.85 | — |
| Annual nurse turnover | 27.5% | 33.3% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Abuse icon
- Flagged by CMS on Care Compare
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J12.9% | K12.9% | L— |
| Actual harm | G25.7% | H— | I— |
| No harm, potential for more than minimal | D2674.3% | E411.4% | F12.9% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6413×
Ensure each resident receives an accurate assessment.
- F6002×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6092×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6572×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
In the surveyor’s words
From the most serious findings on record at Clove Lakes Health Care And Rehabilitation Center,, in the surveyor’s own words.
- Immediate jeopardy, patternF689Apr 27, 2026
Based on observation, record reviews, and interviews conducted during survey, the facility failed to ensure that five (5) of seven (7) residents (Resident #7, Resident #9, Resident #10, Resident #11 and Resident #12) received adequate supervision and interventions to prevent accidents. Specifically, 1) On 04/16/2026 at 1:30 PM Resident #7 was observed entering the smoking room while using oxygen. Smoking Monitor #1 did not prevent Resident #7 from entering the smoking room nor did they attempt to remove Resident #7's oxygen. Resident #7 also had three (3) known incidents of smoking in their room while using oxygen.2) On 04/17/2026, the facility conducted room searches for all 35 identified smokers and 19 were found with smoking materials. […]
- Immediate jeopardy, isolatedF600Apr 27, 2026
Based on observation, record reviews, and interviews conducted during survey, the facility failed to ensure that resident was free from neglect. This was evident for one (1) of five (5) residents (Resident #1) sampled. Specifically, the facility failed to ensure Registered Nurse #1 or other direct care service providers (Certified Nursing Assistant #1) provided Resident #1 with goods, services and care that were necessary to prevent physical harm. On [DATE], Registered Nurse #1 neglected to ensure that Resident #1, who had an order for continuous oxygen, received significant medications and treatments that were scheduled for 4:00 PM, 8:00 PM and 9:00 PM. […]
- Actual harm, isolatedF658Apr 27, 2026
Based on record review, and interviews during survey, the facility failed to ensure that services provided or arranged by the facility met professional standards of quality. This was evident in one (1) of five (5) residents (Resident #1) sampled. Specifically, on [DATE], Registered Nurse #1 failed to administer Resident 1's significant medications and treatments that were ordered between the hours of 4:00PM and 9:00 PM including continuous oxygen as per Physician's orders. Registered Nurse #1 did not notify the physician and Registered Nurse Supervisor #1 when the medications were not administered. […]
- Actual harm, isolatedF760Apr 27, 2026
Based on record reviews and interviews conducted during survey, the facility failed to ensure that residents are free of significant medication errors. This was evident in one (1) out of five (5) residents sampled (Resident #1). Specifically, on [DATE], Registered Nurse #1 did not administer significant medications at 4:00 PM, 8:00 PM, and 9:00 PM to Resident #1 in accordance with Physician's orders. Additionally, Resident #1 did not receive ordered oxygen 3-Liters via nasal cannula continuously every shift for chronic obstructive pulmonary disease. From 4:15 PM to 9:49 PM on [DATE], Registered Nurse #1 and other direct care staff were unaware of Resident #1's whereabouts until Resident #1 was found unresponsive on the floor face down with no pulse and no breathing. […]
- No harm, potential for more than minimal, widespreadF835Apr 27, 2026
Based on observation, record review, and interviews, the facility failed to ensure the facility was administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, 1) The Administrator and the Director of Nursing failed to ensure that the residents were free from neglect. Immediate Jeopardy was determined on [DATE] when direct care and nursing staff failed to ensure that Resident #1 received medications, dinner meal, oxygen therapy and safety monitoring. This resulted in actual harm for Resident #1 who was found unresponsive and expired. […]
Read 21 findings in full →The most serious and the most recent: 21 of 56 on record.
Every survey on record
FindingsAt actual harm or above
- Aug 12, 2026Complaint3 findings
- Apr 27, 2026Complaint9 findings · 4 harm
- Nov 18, 2025Complaint1 finding
- Feb 13, 2025Complaint1 finding
- Oct 25, 2024Complaint2 findings
- Oct 16, 2024Standard and complaint9 findings
- Nov 10, 2022Standard and complaint10 findings
- Feb 24, 2021Infection control1 finding
Show the 10 earlier surveys
- Jan 23, 2020Standard5 findings
- Dec 12, 2016Standard2 findings
- Oct 29, 2015Complaint1 finding
- Sep 18, 2015Standard2 findings
- Jul 2, 2014Complaint1 finding
- Aug 9, 2013—4 findings
- Jul 17, 2013—1 finding
- Nov 16, 2012—1 finding · 1 harm
- Jul 19, 2012—1 finding
- Mar 12, 2012—2 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
- The Paramount At Somers Rehab And Nursing CenterSomers4 harm findings
- Sapphire Center for Rehabilitation & Nursing Of CeFlushing3 harm findings
- The Grand Rehabilitation and Nursing At RomeRome3 harm findings
- Susquehanna Nursing & Rehabilitation Center, L L CJohnson City4 harm findings
- Fulton Center for Rehabilitation and HealthcareGloversville1 harm finding
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