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Clove Lakes Health Care and Rehabilitation Center,

25 Fanning Street, Staten Island, NY 10314 · Richmond County · (718) 289-7900

576 certified beds, about 544 residents a day · For profit - Corporation · Medicare and Medicaid since 1969

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 335239 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on October 16, 2024, inspectors cited 4 health deficiencies (the New York average is 8.1, the national average 9.2).

Of 35 health citations since January 2020, 4 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.36 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.85 of those hours.

27.5% of nursing staff left within the year CMS measured (New York average 40.3%).

CMS links it to Infinite Care, an affiliated group of 8 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 35 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
1K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
26D
4E
1F
Potential for minimal harm
0A
0B
0C
April 27, 2026Complaint inspection · 9 citations
  1. K
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 24, 2026
    Inspectors wroteBased 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. [...]
  2. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 24, 2026
    Inspectors wroteBased 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. In addition, Certified Nursing Assistant #1 neglected to provide hourly monitoring of Resident #1 who was assessed as at risk for falls and to ensure the resident had received and ate dinner. [...]
  3. G
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 24, 2026
    Inspectors wroteBased 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. Additionally, 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. [...]
  4. G
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 24, 2026
    Inspectors wroteBased 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. Cardiopulmonary resuscitation was initiated until Emergency Medical Services arrived at 10:07 PM and assumed care. [...]
  5. F
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) June 24, 2026
    Inspectors wroteBased 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. 2) The Administrator and the Medical Director failed to ensure enforcement of smoking safety policies for residents with known unsafe smoking behavior and oxygen use. [...]
  6. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 24, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility did not ensure that the Minimum Data Set assessment accurately reflected a resident's status. This was evident for five residents (Resident #6, # 7, #8, #10, and #11) out of seven total sampled residents. Specifically, the Minimum Data Set assessments for Residents #6, #7, #8, #10, and #11 did not reflect that the residents were active smokers.
  7. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 24, 2026
    Inspectors wroteBased on observation, record reviews, and interviews, conducted during survey, the facility failed to ensure that all alleged violations involving abuse, exploitation, or mistreatment, including injuries of unknown source are reported immediately but not later than two hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established procedures. This was evident for one (1) of five (5) residents (Resident #1) sampled. [...]
  8. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 24, 2026
    Inspectors wroteBased on observation, record review, and interviews, the facility failed to ensure that alleged violations involving abuse were thoroughly investigated. This was evident for one (1) of five (5) residents (Resident #1) sampled. Specifically, on [DATE] Registered Nurse #1 arrived in the unit at 4:15 PM and was informed by staff (unsure of staff) that Resident #1 had a visitor. Registered Nurse #1 did not check for Resident #1 until 9:40 PM to give their medications and did not locate Resident #1. At 9:49 PM, Resident #1 was found unresponsive on the floor face down with no pulse and no breathing. Resident #1 was pronounced deceased by Emergency Medical Services. The facility did not conduct a thorough investigation to ascertain how Resident #1 was found to be unresponsive.
  9. D
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    F838 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 24, 2026
    Inspectors wroteBased on observation, interview, and record review conducted during the abbreviated survey the facility's assessment failed to address/include an evaluation of staff competencies that are necessary to provide the level and types of care needed for the resident population. This was evident for one (1) out of four (4) smoking monitors. Specifically, the facility designated the Activities staff to provide assessments of residents who smoke to identify residents who exhibit unsafe smoking practices. The Activities staff were also designated to conduct monitoring during residents smoking activity. A review of the Facility assessment dated 09/2025 revealed the position for Activity Aide did not identify the knowledge, training and /or skills required in safe smoking monitoring and oxygen safety.
November 18, 2025Complaint inspection · 1 citation
  1. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 9, 2026
    Inspectors wroteBased on observations, record review, and interviews, conducted during an abbreviated survey (659849), the facility did not ensure each resident received food that accommodated resident allergies, intolerances, and preferences. This was evident for one (1) out of six (6) residents (Resident #6) sampled. Specifically, Resident #6, who was allergic to mushroom, ate mushrooms that was served to them on their meal tray on 06/05/2025 at 1:20 PM. Resident #6 had an allergic reaction and was immediately administered Solumedrol (used to treat allergic reaction) Intramuscular and Benadryl (used to relieve symptoms of allergies) 25 milligram every six (6) hours.
February 13, 2025Complaint inspection · 1 citation
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 5, 2025
    Inspectors wroteBased on observation, record review, and interviews conducted during the abbreviated survey (NY00361247), the facility failed to develop and implement a comprehensive person-centered care plan for the resident, consistent with the resident's rights. This was evident for one (1) out of ten (10) residents sampled. (Resident #1). Specifically, there was no documented evidence that a care plan was developed when Resident #1 was noted with macerated skin around the stoma on 11/21/2024. The Nurse Practitioner evaluated Resident #1 and ordered Maalox suspension to be applied to the affected area for 10 days.
October 25, 2024Complaint inspection · 2 citations
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2024
    Inspectors wroteBased on observation, record review, and interviews conducted during an Abbreviated Survey (NY00330767), the facility failed to protect the resident's right to be free from physical abuse by a nursing home staff. This was evident for one out of seven residents (Resident #4) sampled for abuse. Specifically, on 12/30/2023 at 2:44 AM, the facility's surveillance video recording showed Certified Nursing Assistant #2 roughly pulling some incontinent briefs away from Resident #4 who was sitting in their wheelchair in the hallway. Nurse Supervisor #2 assessed Resident #4 who did not sustain any visible injuries nor complained of pain.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2024
    Inspectors wroteBased on observation, interviews, and record review during an abbreviated survey (NY00333881), the facility failed to develop and/or implement policies and procedures for ensuring the reporting of a reasonable suspicion of a crime in accordance with section 1150B of the Act. [...]
October 16, 2024Standard inspection, Complaint inspection · 9 citations
  1. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 8, 2024
    Inspectors wroteBased on observation, interview, and record review during the recertification survey from 10/8/2024 to 10/16/2024, the facility did not ensure each resident had the right to be fully informed in a language that they can understand. This was evident for 1 (Resident #548) out of 41 total sampled residents. Specifically, Resident #548 was not fully informed of their health care status in a language the resident understood, and communication tools were not used by direct care staff to determine the resident's needs.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 8, 2024
    Inspectors wroteBased on observation, record review and interviews conducted during the Recertification Survey from 10/08/24 to 10/16/24 the facility did not ensure residents' person-centered comprehensive care plans were developed and implemented to meet residents' needs. This was evident for 2 out of 40 sampled residents investigated for area of potential concerns. (Resident #147 and #391). Specifically,1) Comprehensive care plans were not developed and implemented for resident #147 who was on Hemodialysis, Antipsychotic and Anticoagulant medications. 2.) Comprehensive Care plans were not developed and implemented for resident #391 who was assessed as a smoker.
  3. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 8, 2024
    Inspectors wroteBased on record review and staff interviews conducted during the Recertification survey and Complaint survey (NY00342693) from 10/08/2024 to 10/16/2024, the facility did not ensure that residents comprehensive care plans were reviewed and revised to reflect the resident's status. This was evident for 1 (Resident #748) of 1 resident reviewed for Advance Directives, 1 (Resident #58) of 1 resident reviewed for Physical Restraints, and 1 (Resident #58) of 2 residents reviewed for Respiratory Care out of 40 sampled residents. Specifically, 1). Resident #748's comprehensive care plan related to Advance Directives was not revised to reflect the change in Advance Directive orders, and 2). Resident #58's comprehensive care plan related to physical restraints and tracheostomy were not reviewed and revised after the Minimum Data Set Assessment was completed.
  4. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 8, 2024
    Inspectors wroteBased on observation, record review, and interviews conducted during the Recertification survey from 10/08/2024 to 10/16/2024, the facility did not ensure that medications provided by the pharmacy were not expired. Specifically, a Serevent Diskus inhalation device with an expiration date of 09/2024 was delivered to the facility on [DATE] and opened for administration on 10/15/2024 (Resident #314).
  5. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 8, 2024
    Inspectors wroteBased on observations, record review, and staff interviews conducted during the Recertification survey between 10/08/2024 and 10/16/2024, the facility did not ensure that Minimum Data Set (MDS) 3.0 assessments accurately reflected the residents' status. Specifically, the most recent Minimum Data Set (MDS) 3.0 assessments did not reflect that a resident had psychiatric behaviors. This was evident for 1 of 1 residents reviewed for Assessment Accuracy out of a sample of 39 residents (Resident #228).
  6. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 8, 2024
    Inspectors wroteBased on observations, record review, and staff interviews conducted during the recertification survey from 10/08/2024 to 10/16/2024, the facility did not ensure assessments were coordinated with the Pre-admission Screening and Resident Review (PASARR) program under Medicaid. Specifically, a resident with a new diagnosis of a serious mental disorder was not referred for a PASARR Level II Evaluation. This was evident for 1 of 1 residents reviewed for PASARR services (Resident #228).
  7. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 8, 2024
    Inspectors wroteBased on record review, and interview conducted during the Recertification Survey and Abbreviated survey (NY00356497) from 10/08/2024 to 10/16/2024, the facility did not ensure services provided met professional standards of quality. This was evident for 1 (Resident #369) out of 40 total sampled residents. Specifically, Resident #369 did not receive Brivaracetam (medication for seizure) in accordance with Physician's Orders due to the medication not being available. Additionally, there was no documented evidence indicating the physician was notified that the medication was not available.
  8. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 8, 2024
    Inspectors wroteBased on record review and interviews conducted during a Recertification Survey initiated on 10/8/2024 and completed on 10/16/2024, the facility did not ensure that a resident received treatment and care in accordance with professional standards of practice. This was identified for one (Resident #275) of two residents reviewed for quality of care related to drugs and medication. Specifically, Resident #275 with a diagnosis that includes Hyperlipidemia and Thyroid disorder had a physician's order to administer Levothyroxine Sodium tablet 112 mcg one tablet by mouth one time a day for low thyroxin hormone. The facility policy is to administer Levothyroxine Sodium at six in the morning. Resident #275 was given this medication on multiple days after seven in the morning. The finding is: [...]
  9. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 8, 2024
    Inspectors wroteBased on record review, and interview conducted during the Recertification and Abbreviated Survey ( NY00356497) from 10/08/2024 to 10/16/2024, the facility did not ensure residents were free of significant medication errors for 1 of 1 residents (Resident #369) reviewed for medications. Specifically, Resident #369 did not receive Brivaracetam (medication for seizure) in accordance with Physician's Orders due to the medication not being available. Additionally, there was no documented evidence indicating the physician was notified that the medication was not available.
November 10, 2022Standard inspection · 8 citations
  1. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 9, 2023
    Inspectors wroteBased on observation, record review, and interviews conducted during the Recertification survey from 11/03/2022 to 11/10/2022, the facility did not ensure residents with respiratory care were provided such care consistent with professional standards of practice. This was evident for 3 (Residents #81, #84, #117) of 3 residents reviewed for respiratory care out of 35 sample residents. Specifically, residents were observed several times receiving oxygen via Nasal Cannula (NC) without a Medical Doctor's Order (MDO).
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 9, 2023
    Inspectors wroteBased on observation, record review, and staff interview conducted during the Recertification and Complaint survey 11/3/22 - 11/10/22, the facility did ensure food was stored in accordance with professional standards for food service safety. This was evident for the Kitchen Observation Task. Specifically, expired food was observed in the meat walk-in refrigerator.
  3. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 9, 2023
    Inspectors wroteBased on observation, record review, and interviews conducted during the Recertification survey from 11/03/22 to 11/10/22, the facility did not ensure each resident remained free from physical restraints for purposes of discipline or convenience, and not required to treat the resident's medical symptoms. This was evident for 1 resident (Resident #207) reviewed for Physical restraints out of a sample of 35 residents. Specifically, Resident #207 was observed with a Stay Seat Reminder (a velcro belt fastened to the wheelchair armrests that prevents rising) in use without an assessment, care plan, documented evidence of the symptoms it was being used to treat, medical justification, and on-going re-evaluation.
  4. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 9, 2023
    Inspectors wrote2) The facility policy and procedure titled Comprehensive Resident-Centered Care Planning revised 1/22 documented that comprehensive resident-centered care planning is done to develop an individualized interdisciplinary care plan for each resident based on Care Area Assessment to ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive resident-centered care plan and the resident's choices. Resident #311 was admitted to the facility with diagnoses of Non-Alzheimer's Dementia, Chronic Obstructive Pulmonary Disease, and Heart failure. The Minimum Data Set (MDS) dated [DATE] documented that Resident #311 had moderately impaired cognition. Required limited assistance with one person assist for bed mobility, transfer, toilet use and total dependence with one person for locomotion on and off the unit. [...]
  5. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 9, 2023
    Inspectors wroteBased on record review and interviews conducted during the Recertification survey from 11/03/2022 to 11/10/2022, the facility did not ensure that each resident received adequate supervision to prevent accidents. This was evident for 2 (Resident #290 and # 311) of 5 residents reviewed for Accidents out of a sample of 35 residents. Specifically, 1) Resident #290, a cognitively impaired resident, did not receive adequate supervision and interventions to prevent eleven falls in six months. 2) Resident #311, a resident identified as risk for fall/injury, with moderately impaired cognition, had multiple falls while trying to use the bathroom. The facility did not determine the causes of the falls, nor reviewed the effectiveness of interventions implemented for falls nor developed new individualized interventions to reduce the risk of further falls.
  6. D
    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
    F711 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 9, 2023
    Inspectors wroteBased on record reviews and staff interviews conducted during the Recertification and Complaint survey from 11/3/22 to 11/10/22, the facility did not ensure that the attending physician reviewed the resident's total program of care, including medications and treatments, at each visit. This was evident for 1 (Resident #292) of 5 residents reviewed for Unnecessary Medications Review out of 35 sample residents. Specifically, there was no documented evidence that the attending physician followed-up on ordered a Hemoglobin A1C (HbA1C) ordered upon admission for Resident #292. In addition, the physician agreed to order the HbA1C after the pharmacist recommended the lab be completed, but the physician never re-ordered the lab.
  7. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 9, 2023
    Inspectors wroteBased on record review and staff interviews conducted during the Recertification survey from 11/3/22 to 11/10/22, the facility did not ensure that a medication regimen review (MRR) performed by the consultant pharmacist was reviewed and acted upon by the attending physician or medical director in a timely manner. This was evident for 1 (Resident #292) of 5 residents reviewed for Unnecessary Medications Review out of a total of 35 sampled residents. Specifically, a pharmacy recommendation to perform a Hemoglobin A1C (HbA1C) test for Resident #292 was agreed to by the Attending Physician (AP), but the test was not completed in a timely manner.
  8. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 9, 2023
    Inspectors wroteBased on observation, record review, and interviews conducted during the recertification survey, the facility did not consistently maintain an infection control program designed to prevent the development and transmission of disease and infection. This was evident for 2 of 8 units observed for infection control. Specifically, a staff member caring for a COVID-19 positive resident did not wash hands after interacting with the resident's environment, and a staff member caring for a COVID-19 positive resident did not wear full personal protective equipment (PPE) when providing direct care.
January 23, 2020Standard inspection · 5 citations
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 22, 2020
    Inspectors wroteBased on observations, record review, and staff interviews during the recertification survey, the facility did not ensure that infection control practices and procedures were maintained. Specifically, oxygen tubing going to residents' nares were observed touching the floor on several occasions. This was evident for 3 of 35 residents (Resident # 70 and 253 and #44) reviewed in the investigation sample.
  2. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2020
    Inspectors wroteBased on interviews and record review during the recertification survey, the facility did not provide the appropriate liability notice to Medicare beneficiaries. Specifically, the facility did not provide residents/representatives with Notice of Medicare Non-Coverage (NOMNC) at the termination of Medicare Part A benefits. This was evident for 2 of 3 residents reviewed for Skilled Nursing Facility Beneficiary Protection Notification out of a total sample of 42 residents (Resident #570 and #177).
  3. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2020
  4. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2020
    Inspectors wroteBased on observation, record review and interview conducted during the recertification survey, the facility did not ensure that pain management, consistent with professional standards of practice and the comprehensive person-centered care plan was provided. Specifically, staff did not conduct a pain assessment when a resident showed signs of pain during wound care. This was evident for 1 of 1 resident reviewed for Pain (Resident #394). The finding is: The Policy and Procedure for Pain Management, revised 10/2019, documented the experience of pain is subjective, and individual based upon many factors, i.e. culture, role, self-image, fear of pain, etc. Pain can be assessed using a Numeric or Verbal Descriptor scale as described in the EMR scale (Numeric scale (0-10 or 99 if unable to respond), (Verbal descriptor (e.g. mild, moderate, severe, very severe-horrible, unable to answer). [...]
  5. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2020
    Inspectors wroteFACILITY Medication Storage and Labeling Based on observations and staff interviews conducted during a recertification survey, the facility did not ensure that all medications and biologicals were stored and appropriately labeled or discarded. Specifically, 1) A 5% Dextrose Injection 1000ml(milliters) bag and safety needle was not discarded after the manufacturer's expiration date. 2) One Artificial Tears (polyvinyl Alcohol) 1.4.% eye drops Visine tears drops was not dated when opened, This was evident during the observation conducted for the medication cart and room storage cabinet (5A unit Cart #2 and 6th floor storage cabinet). 1) During an observation on 01/22/20 at 12:51 PM with Registered Nurse (RN #4) present the following expired medication and biologicals were observed in the medication storage cabinet on 6th Floor Building B: [...]

Fire safety inspections

17 fire safety citations on file: 1 on October 16, 2024, 11 on November 10, 2022, 5 on January 23, 2020.

Every fire safety citation17 citations
  1. D
    Install an approved automatic sprinkler system.
    K 351 · October 16, 2024 · Corrected (the home has a date of correction)
  2. E
    Have proper medical gas storage and administration areas.
    K 923 · November 10, 2022 · Corrected (the home has a date of correction)
  3. D
    Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
    K 132 · November 10, 2022 · Corrected (the home has a date of correction)
  4. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · November 10, 2022 · Corrected (the home has a date of correction)
  5. D
    Have an enclosure around a vertical opening shaft.
    K 311 · November 10, 2022 · Corrected (the home has a date of correction)
  6. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · November 10, 2022 · Corrected (the home has a date of correction)
  7. D
    Have properly sized and located compartments to protect residents from smoke.
    K 371 · November 10, 2022 · Corrected (the home has a date of correction)
  8. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · November 10, 2022 · Corrected (the home has a date of correction)
  9. D
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · November 10, 2022 · Corrected (the home has a date of correction)
  10. C
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · November 10, 2022 · Corrected (the home has a date of correction)
  11. C
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 10, 2022 · Corrected (the home has a date of correction)
  12. C
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · November 10, 2022 · Corrected (the home has a date of correction)
  13. E
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · January 23, 2020 · Corrected (the home has a date of correction)
  14. E
    Have properly sized and located compartments to protect residents from smoke.
    K 371 · January 23, 2020 · Corrected (the home has a date of correction)
  15. D
    Install an approved automatic sprinkler system.
    K 351 · January 23, 2020 · Corrected (the home has a date of correction)
  16. C
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 23, 2020 · Corrected (the home has a date of correction)
  17. C
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 23, 2020 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeNew YorkUnited States
All nursing staff (RN, LPN and aides)3.363.633.86
Registered nurses0.850.710.69
All nursing staff on weekends3.113.183.42
Nurse aides2.05
Licensed practical nurses0.47
Nursing staff turnover (share who left in a year)27.5%40.3%45.8%
Registered nurse turnover35.7%39.8%42.9%
Administrators who left2

CMS expects 4.75 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.47 on weekdays and 3.11 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.49 in April to June 2025 to 3.36 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.360.853.473.11 1.7%0 of 90544
Oct to Dec 20253.520.903.653.19 2.0%0 of 92488
Jul to Sep 20253.590.943.743.20 2.3%0 of 92472
Apr to Jun 20253.490.923.633.14 2.4%0 of 91483
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
New York, Jan to Mar 20263.550.683.723.139.8%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for New York

JobMedianMiddle halfEmployed
New York, all employers
CNAs (nursing assistants)$23.36$21.04 to $24.9987,990
LPNs and LVNs$32.30$29.52 to $37.0039,400
Registered nurses$52.62$45.60 to $62.34205,810
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Clove Lakes Health Care and Rehabilitation Center,. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
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Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNew YorkUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
10.514.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.40.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.21.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.93.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
7.512.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
10.36.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
8.813.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
19.220.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.49.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.41.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Clove Lakes Health Care and Rehabilitation Center,'s Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

52.6% this home

No different from the national rate

US median of homes 51.5% · New York: 101 better, 157 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 565 eligible stays.

Potentially preventable readmissions

12.0% this home

No different from the national rate

US median of homes 10.7% · New York: 12 better, 5 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 479 eligible stays.

Infections that led to a hospital stay

7.3% this home

No different from the national rate

US median of homes 7.1% · New York: 7 better, 21 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 372 eligible stays.

Self-care and mobility at discharge

63.7% this home

Median of homes: New York60.6% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 441 residents counted.

Falls with major injury

0.3% this home

Median of homes: New York0.6% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 615 residents counted.

New or worsened pressure ulcers

1.6% this home

Median of homes: New York2.0% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 615 residents counted.

Medication list given at discharge

94.9% this home

Median of homes: New York98.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 293 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: CLOVE LAKES HEALTH CARE AND REHABILITATION CENTER INC.. CMS links this home to Infinite Care, a group of 8 nursing homes averaging 2 stars overall.

NameRoleTypeShareSince
Demisay, Bernadette5% or greater direct ownership interestIndividual10%02/15/2017
Demisay, Helene5% or greater direct ownership interestIndividual70%02/15/2017
Demisay, Michael5% or greater direct ownership interestIndividual10%02/15/2017
Klein, Solomon5% or greater direct ownership interestIndividual10%02/01/2021
Senk, LorriW-2 managing employeeIndividual06/15/2012
Demisay, MichaelCorporate directorIndividual06/20/1997

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 10 problems in this area, most recently on April 27, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
  2. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 6 problems in this area, most recently on April 27, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on April 27, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on April 27, 2026: "Ensure that residents are free from significant medication errors."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.11 hours per resident per day, below the New York average of 3.18.
  6. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

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Licensed assisted living homes in the same town or within 5 miles, each with its New York inspection record.

Assisted living in New York

New York contacts for a concern about a nursing home

These are the official offices in New York. NursingHomeClear cannot take or act on complaints.

Common questions

What is Clove Lakes Health Care and Rehabilitation Center,'s Medicare star rating?
CMS rates Clove Lakes Health Care and Rehabilitation Center, 2 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Clove Lakes Health Care and Rehabilitation Center, get at its last inspection?
4 health deficiencies at the standard inspection on October 16, 2024. The New York average is 8.1.
Has Clove Lakes Health Care and Rehabilitation Center, been fined?
CMS lists no fines in the last three years.
Does Clove Lakes Health Care and Rehabilitation Center, accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Clove Lakes Health Care and Rehabilitation Center,?
CMS lists 6 owners and managers, and links the home to Infinite Care. Legal business name: CLOVE LAKES HEALTH CARE AND REHABILITATION CENTER INC..

Sources

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