Deficiency Index

Hillside Manor Rehab & Extended Care Center

Jamaica Estates, New York · CCN 335531

8 surveys since 2011. The first finding at harm level was recorded in 2024.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
26
Surveys
8
Harm or worse
2
Immediate jeopardy
2
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file3/8

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
400
Ownership
For profit - Limited Liability company
Chain
Independent
County
Queens
Medicare-certified since
1975

CMS ratings

Overall
2
Health inspection
2
Staffing
4
Quality measures
4

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

Jul 16, 2025

481 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.373.37
Registered-nurse hours per resident day0.75—
Annual nurse turnover26.5%33.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$34,947 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ210.5%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1368.4%E315.8%F15.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 19 of the 26 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F5841×

    Honor 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.

  • F6001×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

In the surveyor’s words

From the most serious findings on record at Hillside Manor Rehab & Extended Care Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF600Sep 30, 2024

    Based on observation, record review, and interviews conducted during an Abbreviated and Partial Extended Survey (NY00354577), the facility failed to protect the residents' right to be free from physical abuse. This was evident for one out of six residents reviewed (Resident #1) for abuse. Specifically, on 09/16/2024 at 7:20 PM, Licensed Practical Nurse #1 did not intervene or remove Certified Nursing Assistant #1 from providing care to Resident #1 or any other residents assigned to Certified Nursing Assistant #1 when on 1) 09/16/2024 at around 7:20 PM, Licensed Practical Nurse #1 witnessed Certified Nursing Assistant #1 physically force Resident #1 to sit in a chair in the hallway; 2) between 8:15 PM - 8:30 PM Licensed Practical Nurse #1 and Certified Nursing Assistant #2 both witnessed… […]

  • Immediate jeopardy, isolatedF610Sep 30, 2024

    Based on observation, record review, and interview during an Abbreviated and Partial Extended Survey (NY00354577), the facility failed to remove Certified Nursing Assistant #1 from resident care after witnessed abuse. This was evident for one out of six residents reviewed (Resident #1) for abuse. Specifically, 1) On 09/16/2024 at around 7:20 PM, Licensed Practical Nurse #1 witnessed Certified Nursing Assistant #1 physically force Resident #1 to sit in a chair in the hallway; 2) between 8:15 PM - 8:30 PM Licensed Practical Nurse #1 and Certified Nursing Assistant #2 both witnessed Certified Nursing Assistant #1 grab and push Resident #1 to sit in a wheelchair and then wheel Resident #1 into their room; and 3) shortly afterwards Licensed Practical Nurse #1 heard noises coming from Resident… […]

  • No harm, potential for more than minimal, widespreadF812Oct 19, 2021

    Based on observation and interview, during the recertification survey, the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety to prevent foodborne illness. Specifically, staff were observed not wearing hairnets appropriately while in the kitchen. This was evident during the Kitchen facility task. The findings are: On 10/14/21 at 10:54 AM, a Dietary Aide loading meal trays was observed with a hair restraint covering hair down to eye level and loose hair approximately 4 inches in length to the back of the head which was not covered by a hair restraint. […]

  • No harm, potential for more than minimal, patternF656Mar 31, 2025

    Based on observation, record review, and interview during the Recertification Survey conducted from 03/24/2025 to 03/31/2025, the facility did not develop and implement a comprehensive person-centered care plan for each resident that includes measurable objectives and time frames to meet each resident's medical, nursing, mental, and psychosocial needs. This was evident in 2 of 2 residents reviewed out of 35 total sampled residents. Specifically, 1.) Resident #27, who was on palliative care and had been receiving pain medications, had no care plan developed to address pain management and palliative care. 2.) Resident #123, who had a diagnosis of Diabetes Mellitus and had been receiving medications to help control their blood sugar level, had no care plan developed for diabetes. […]

  • No harm, potential for more than minimal, patternF584Oct 19, 2021

    Based on observations and interviews conducted during the Recertification survey, the facility did not ensure that housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior were provided. Specifically, torn privacy curtain, peeling wall paper, and a soiled feeding tube pole was observed. This was evident on 2 of 8 units during Environmental rounds. (Unit 2 and Unit 3) The findings are: 1.The following observations were made on Unit 2: On 10/13/2021 at 08:46 AM, 10/14/2021 at 12:57 PM and 10/18/2021 at 10:11 AM, Room #209 was observed. […]

Read 20 findings in full →The most serious and the most recent: 20 of 26 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 16, 2025Complaint1 finding
  • Mar 31, 2025Standard and complaint4 findings
  • Sep 30, 2024Complaint3 findings · 2 harm
  • Dec 13, 2023Standard5 findings
  • Oct 19, 2021Standard and complaint7 findings
  • May 15, 2013—4 findings
  • Apr 20, 2012—1 finding
  • Mar 15, 2011—1 finding

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.

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