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Public Record

Clove Lakes Health Care and Rehab Center, Inc

Nursing HomeStaten Island, NYCMS 335239
43 citations on record

From CMS

Facility profile

CMS overall rating
4 / 5

*CMS Five-Star

Certified beds
576

*CMS

Avg. residents per day
488.3

*CMS

Inspection record

On record from CMS

Citations on record
43

*CMS

Inspections on file
9

*CMS

Last inspection
2025-11-18

*CMS

Citations

43 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0806Generalpotential for harm

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0600Generalpotential for harm

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

  • 0609Generalpotential for harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • 0641Generalpotential for harm

    Ensure each resident receives an accurate assessment.

  • 0351Generalpotential for harm

    Install an approved automatic sprinkler system.

  • 0684Generalpotential for harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • 0760Generalpotential for harm

    Ensure that residents are free from significant medication errors.

  • 0552Generalpotential for harm

    Ensure that residents are fully informed and understand their health status, care and treatments.

  • 0657Generalpotential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • 0656Generalpotential for harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • 0755Generalpotential for harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • 0644Generalpotential for harm

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

  • 0658Generalpotential for harm

    Ensure services provided by the nursing facility meet professional standards of quality.

  • 0371Generalpotential for harm

    Have properly sized and located compartments to protect residents from smoke.

  • 0604Generalpotential for harm

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

  • 0657Generalpotential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • 0689Generalpotential for harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • 0695Generalpotential for harm

    Provide safe and appropriate respiratory care for a resident when needed.

  • 0711Generalpotential for harm

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

  • 0756Generalpotential for harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • 0812Generalpotential for harm

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

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0291Generalpotential for harm

    Install emergency lighting that can last at least 1 1/2 hours.

  • 0132Generalpotential for harm

    Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

  • 0311Generalpotential for harm

    Have an enclosure around a vertical opening shaft.

  • 0321Generalpotential for harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  • 0353Generalno actual harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0741Generalpotential for harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

  • 0916Generalpotential for harm

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

  • 0918Generalno actual harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0923Generalpotential for harm

    Have proper medical gas storage and administration areas.

  • 0211Generalno actual harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0761Generalpotential for harm

    Ensure 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.

  • 0351Generalpotential for harm

    Install an approved automatic sprinkler system.

  • 0697Generalpotential for harm

    Provide safe, appropriate pain management for a resident who requires such services.

  • 0641Generalpotential for harm

    Ensure each resident receives an accurate assessment.

  • 0353Generalno actual harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0371Generalpotential for harm

    Have properly sized and located compartments to protect residents from smoke.

  • 0918Generalno actual harm

    Have generator or other power source capable of supplying service within 10 seconds.

  • 0225Generalpotential for harm

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

  • 0582Generalpotential for harm

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

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

FAQ

Questions and answers

What is Clove Lakes Health Care and Rehab Center, Inc?
Clove Lakes Health Care and Rehab Center, Inc is a Medicare- and Medicaid-certified nursing home in Staten Island, NY, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 335239.
What is the CMS rating for Clove Lakes Health Care and Rehab Center, Inc?
Clove Lakes Health Care and Rehab Center, Inc has a CMS overall rating of 4 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Clove Lakes Health Care and Rehab Center, Inc have?
Clove Lakes Health Care and Rehab Center, Inc is certified for 576 beds. It serves an average of 488.3 residents per day.
How many citations does Clove Lakes Health Care and Rehab Center, Inc have?
Clove Lakes Health Care and Rehab Center, Inc has 43 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Clove Lakes Health Care and Rehab Center, Inc last inspected?
Clove Lakes Health Care and Rehab Center, Inc was last inspected on November 18, 2025. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

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