Deficiency Index

The Pavilion at Queens for Rehabilitation & Nursin

Flushing, New York · CCN 335804

11 surveys since 2011, and no finding has been recorded at harm level.

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

Citations on record
33
Surveys
11
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file7/11

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

The facility

Certified beds
302
Ownership
For profit - Partnership
Chain
Independent
County
Queens
Medicare-certified since
1997

CMS ratings

Overall
3
Health inspection
2
Staffing
3
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=19, floor 20).

Last survey on record

Jul 31, 2026

101 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 day3.683.37
Registered-nurse hours per resident day0.81—
Annual nurse turnover26.3%33.3%

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

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1260.0%E210.0%F420.0%
No harm, potential for minimalA—B—C210.0%
CMS’s current file: 20 of the 33 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8123×

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

  • F5802×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F5842×

    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.

  • F5821×

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  • F6411×

    Ensure each resident receives an accurate assessment.

In the surveyor’s words

From the most serious findings on record at The Pavilion at Queens for Rehabilitation & Nursin, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF725Nov 20, 2024

    Based on record review and interviews conducted during the Recertification Survey from 11/13/2024 to 11/20/2024 , the facility did not ensure sufficient nursing staff were available to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, the facility reported short staffing on weekends confirmed by a review of the Daily Staffing and the Payroll Based Journal Staffing Data Report. The findings include but are not limited to: The facility was not able to provide a policy related to facility staffing. […]

  • No harm, potential for more than minimal, widespreadF812Nov 20, 2024

    Based on observations, interviews, and record review conducted during the Recertification survey from 11/13/2024 to 11/20/2024, the facility did not ensure food was served and dishware was handled in accordance with professional standards for food service safety. Specifically, 1). numerous kitchen staff were observed not wearing beard restraints while preparing and assembling food, and 2). the Food Service Director did not wash their hands after contact with a garbage can while checking food temperatures on the tray line. […]

  • No harm, potential for more than minimal, widespreadF812Nov 15, 2022

    Based on observations, record review, and interviews conducted during the Recertification survey [DATE] to [DATE], the facility did not ensure that food was stored, prepared, distribute and served in accordance with professional standards for food service safety. Specifically, an unopened container of expired cottage cheese was noted in the refrigerator. This was evident during the initial tour and follow up tour conducted during the Kitchen facility task. The findings are: The facility policy and procedure titled General Food Preparation and Handling reviewed ,d+[DATE] documented under Food Storage item (a). Foods will be received, checked, and stored properly as soon as they are delivered. […]

  • No harm, potential for more than minimal, patternF584Nov 20, 2024

    Based on observations, interviews, and record review conducted during the recertification survey from on 11/13/24 to 11/20/24, the facility did not ensure the resident's right to a safe, clean, comfortable, and homelike environment. This was evident for 3 (Unit 8, Unit 5, and Unit 4) of 9 resident units. Specifically, Unit 8 and Unit 5 were observed with multiple wheelchairs embedded and heavily layered with dirt and debris and Unit 4 was observed with dirty, dusty heating system. The facility policy and procedure titled Resident Environment dated 01/02/2023 documented that it is the policy of the facility to provide a safe clean comfortable homelike environment in such a manner to acknowledge and respect residents rights to the extent possible. The findings are: 1. […]

  • No harm, potential for more than minimal, patternF880Nov 20, 2024

    Based on observation, record review, and interviews conducted during the Recertification survey from 11/13/2024 to 11/20/2024, the facility did not ensure that infection control prevention practices and procedures were maintained to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections. Specifically, (1) a housekeeper did not don the required personal protective equipment when cleaning the room of a resident on contact and droplet precautions, (2) Certified Nursing Assistant (Certified Nursing Assistant #8) was assisting multiple residents to perform hand hygiene in the dining room and did not clean their hands in between residents, and 3) nurses (Licensed Practcal Nurse #3, Registered Nurse #4 and Licensed… […]

Read 20 findings in full →The most serious and the most recent: 20 of 33 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 31, 2026Complaint3 findings
  • Nov 20, 2024Standard and complaint12 findings
  • Nov 15, 2022Standard4 findings
  • Jan 22, 2020Standard1 finding
  • May 11, 2018Standard1 finding
  • Jun 9, 2016Standard4 findings
  • Jan 14, 2016Complaint1 finding
  • Apr 30, 2015Standard2 findings
Show the 3 earlier surveys
  • Jun 7, 2013—2 findings
  • Jun 19, 2012—1 finding
  • Mar 22, 2011—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.

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