Inspection Reports for
Central Queens Rehabilitation and Nursing Center
69-95 Queens Midtown Expressway, Maspeth, NY, 11378
Back to Facility ProfileCitations (last 4 years)
Citations (over 4 years)
15.8 citations/year
Citations are regulatory findings recorded during state inspections.
210% worse than New York average
New York average: 5.1 citations/yearCitations per year
36
27
18
9
0
Inspection Report
Complaint Investigation
Capacity: 60
Citations: 10
Date: Aug 4, 2025
Visit Reason
Inspection revealed multiple Level 2 deficiencies in standard health and life safety code citations related to care planning, quality of care, resident rights, environment, and safety features. No actual harm or immediate jeopardy noted.
Findings
Inspection revealed multiple Level 2 deficiencies in standard health and life safety code citations related to care planning, quality of care, resident rights, environment, and safety features. No actual harm or immediate jeopardy noted.
Citations (10)
Care plan timing and revision
Develop/implement comprehensive care plan
Physician visits - review care/notes/order
Quality of care
Resident rights/exercise of rights
Safe/clean/comfortable/homelike environment
Services provided meet professional standards
Doors with self-closing devices
Electrical equipment - power cords and extens
Maintenance, inspection & testing - doors
Inspection Report
Annual Inspection
Citations: 7
Date: Aug 4, 2025
Visit Reason
The inspection was conducted as a Recertification Survey from 07/28/2025 to 08/04/2025 to assess compliance with regulatory requirements for nursing home operation and resident care.
Findings
The facility was found deficient in multiple areas including resident dignity and respect, maintenance of a safe and homelike environment, development and updating of comprehensive care plans, professional standards of nursing care, proper use of assistive devices, and physician oversight of resident care.
Citations (7)
F 0550: The facility failed to ensure residents were treated with respect and dignity, evidenced by an Infection Control Preventionist using profane language toward Resident #38.
F 0584: The facility did not maintain a safe, clean, comfortable, and homelike environment on the fifth floor, with observations of dirty, rusty air conditioner grills, holes in walls, mismatched paint, and unclean bathroom heaters.
F 0656: The facility failed to develop and implement a complete care plan with measurable objectives and timetables for Resident #82's hospice and comfort care needs.
F 0657: The facility did not review and revise Resident #38's comprehensive care plans for mood state, cognitive loss, wandering, and behavioral symptoms following quarterly assessments.
F 0658: Licensed nurses failed to notify the physician or supervisor of Resident #14's elevated blood glucose readings and inconsistent monitoring as ordered.
F 0684: Resident #6 was observed without a cervical brace as ordered by the physician, and staff were unaware of the order and proper application requirements.
F 0711: The physician did not adequately review or address Resident #14's poorly controlled diabetes and elevated blood glucose levels during required visits.
Report Facts
Residents sampled: 37
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Blood glucose readings: 499
Blood glucose readings: 309
Hemoglobin A1C: 12.8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Housekeeper #1 | Interviewed regarding Incident involving Infection Control Preventionist and Resident #38 | |
| Infection Control Preventionist | Observed using profane language toward Resident #38 and interviewed about the incident | |
| Registered Nurse #4 | Interviewed about Resident #38's behaviors and care plan updates | |
| Director of Nursing | Director of Nursing | Supervised Infection Control Preventionist and interviewed about staff education and incident |
| Administrator | Administrator | Interviewed regarding incident with Infection Control Preventionist and facility environment |
| Director of Maintenance | Director of Maintenance | Interviewed about maintenance deficiencies on fifth floor |
| Registered Nurse Supervisor #5 | Registered Nurse Supervisor | Interviewed about care plan responsibilities for Resident #82 |
| Director of Social Work | Director of Social Work | Interviewed about care plan responsibilities for hospice and comfort care |
| Registered Nurse #1 | Interviewed about Resident #6's cervical brace usage | |
| Licensed Practical Nurse #1 | Interviewed about Resident #6's cervical brace usage | |
| Assistant Director of Nursing | Assistant Director of Nursing | Interviewed about Resident #6's cervical brace order and staff responsibilities |
| Director of Rehab | Director of Rehab | Interviewed about training staff on assistive device application |
| Nursing Supervisor #4 | Nursing Supervisor | Interviewed about notification of elevated blood glucose readings for Resident #14 |
| Physician Assistant #1 | Physician Assistant | Interviewed about Resident #14's diabetes management and medication adjustments |
| Attending Physician #1 | Attending Physician | Interviewed about Resident #14's noncompliance and diabetes management |
| Medical Director | Medical Director | Interviewed about Resident #14's diabetes management and medication adjustments |
Inspection Report
Complaint Investigation
Capacity: 60
Citations: 1
Date: Feb 12, 2025
Visit Reason
Inspection identified a Level 2 deficiency for reporting of alleged violations, corrected as of March 14, 2025.
Findings
Inspection identified a Level 2 deficiency for reporting of alleged violations, corrected as of March 14, 2025.
Citations (1)
Reporting of alleged violations
Inspection Report
Abbreviated Survey
Citations: 1
Date: Feb 12, 2025
Visit Reason
The abbreviated survey was conducted to evaluate the facility's compliance with timely reporting requirements for suspected abuse, neglect, exploitation, and mistreatment incidents involving residents.
Findings
The facility failed to report alleged abuse incidents within the required two-hour timeframe to the New York State Department of Health. Three residents were involved in incidents that were reported late, with investigations concluding no credible evidence of abuse in one case and unavoidable resident altercations in another.
Citations (1)
F 0609: The facility did not ensure that all alleged violations involving abuse, neglect, exploitation, and mistreatment were reported immediately, but not later than 2 hours after the allegation was made to the administrator and other officials.
Report Facts
Residents sampled: 5
Residents involved in incidents: 3
Days late reporting Resident #1 incident: 5
Days late reporting Resident #2 incident: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing | Stated allegations of abuse should be reported within two hours and explained delay in reporting Resident #1 incident | |
| Administrator | Discussed investigation and reporting delays for Resident #1 and Resident #3 incidents | |
| Director of Nursing | Responsible for reporting incidents and stated abuse allegations must be reported within two hours |
Inspection Report
Complaint Investigation
Capacity: 60
Citations: 21
Date: Jul 26, 2023
Visit Reason
Inspection found multiple Level 2 deficiencies related to quality of care and life safety code issues, all corrected as of September 22, 2023.
Findings
Inspection found multiple Level 2 deficiencies related to quality of care and life safety code issues, all corrected as of September 22, 2023.
Citations (21)
Activities meet interest/needs each resident
Baseline care plan
Comprehensive assessments & timing
Discharge planning process
Dispose garbage and refuse properly
Food procurement,store/prepare/serve-sanitary
Investigate/prevent/correct alleged violation
Label/store drugs and biologicals
Notify of changes (injury/decline/room, etc. )
Personal privacy/confidentiality of records
Reporting of alleged violations
Respect, dignity/right to have prsnl property
Respiratory/tracheostomy care and suctioning
Safe/clean/comfortable/homelike environment
Self-determination
Electrical systems - essential electric syste
Sprinkler system - installation
Sprinkler system - maintenance and testing
Stairways and smokeproof enclosures
Subdivision of building spaces - smoke barrie
Subsistence needs for staff and patients
Inspection Report
Annual Inspection
Citations: 12
Date: Jul 26, 2023
Visit Reason
The survey was conducted as a Recertification and Abbreviated Survey to assess compliance with federal regulations for nursing home care.
Findings
The facility was found deficient in multiple areas including resident dignity and respect, resident choice in activities of daily living, privacy, environment maintenance, timely completion of assessments, baseline care plan distribution, discharge planning, activity programming, respiratory care, medication labeling and storage, food safety, and garbage disposal.
Citations (12)
F 0557: The facility did not ensure a resident was cared for in a manner that maintained dignity; a resident was observed unclothed on multiple occasions due to delayed return of personal clothing after hospitalization.
F 0561: The facility did not ensure residents' right to make choices; one resident was not asked about bathing preferences when shower schedule was created and was not informed about the schedule.
F 0583: The facility did not maintain residents' privacy and confidentiality; a resident's privacy curtain was missing, leaving them exposed to others entering the room.
F 0584: The facility did not maintain a safe, clean, comfortable, and homelike environment; multiple rooms on the 2nd floor had mismatched paint, drywall patches, clutter, damaged furniture, and ripped privacy curtains.
F 0636: The facility did not complete a Minimum Data Set (MDS) assessment within 14 days of admission for one resident.
F 0655: The facility did not provide a written summary of the baseline care plan to residents or their representatives within 48 hours of admission for two residents.
F 0660: The facility did not ensure effective discharge planning; requested discharge documents were not submitted to the resident's chosen facility.
F 0679: The facility did not provide an ongoing activity program meeting residents' needs; one resident was not provided TV stations in their preferred language.
F 0695: The facility did not follow physician orders for respiratory care; oxygen tubing was not changed weekly as ordered.
F 0761: The facility did not ensure all drugs and biologicals were labeled and stored properly; expired flu vaccines and an expired COVID-19 vaccine vial were found in medication rooms.
F 0812: The facility did not ensure food was stored and served at proper temperatures; cold sandwiches and milk were above 41°F.
F 0814: The facility did not properly dispose of garbage; the garbage compactor door was left ajar with flies observed inside.
Report Facts
Residents reviewed: 38
Residents reviewed for dignity: 35
Residents affected: 1
Expired flu vaccine doses: 20
Expired COVID-19 vaccine doses: 1
Milk temperature: 69
Milk temperature: 58.7
Milk temperature: 44
Sandwich temperature: 46.6
Sandwich temperature: 44.8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #2 | Registered Nurse | Interviewed about oxygen tubing not changed as ordered for Resident #14 |
| LPN #1 | Licensed Practical Nurse | Interviewed about expired flu vaccines found in medication refrigerator |
| RN #1 | Registered Nurse | Interviewed about medication expiration checks and expired flu vaccines |
| LPN #5 | Licensed Practical Nurse | Interviewed about expired COVID-19 vaccine found in medication room |
| RN #4 | Registered Nurse | Interviewed about medication room checks and expired COVID-19 vaccine |
| Director of Nursing | Director of Nursing | Interviewed about medication room checks and expired COVID-19 vaccine |
| FSD | Food Service Director | Interviewed about improper food temperatures in kitchen |
| DW #1 | Dietary Worker | Interviewed about garbage compactor door left open |
| DM | Maintenance Director | Interviewed about garbage compactor door and staff education |
| Administrator | Administrator | Interviewed about garbage compactor door issue |
Inspection Report
Capacity: 60
Citations: 1
Date: Jan 17, 2023
Visit Reason
Covid-19 Survey identified a Level 2 deficiency for reporting to the national health safety network with widespread scope.
Findings
Covid-19 Survey identified a Level 2 deficiency for reporting to the national health safety network with widespread scope.
Citations (1)
Reporting - national health safety network
Inspection Report
Capacity: 60
Citations: 1
Date: Jan 24, 2022
Visit Reason
Covid-19 Survey identified a Level 2 deficiency for reporting to the national health safety network with widespread scope.
Findings
Covid-19 Survey identified a Level 2 deficiency for reporting to the national health safety network with widespread scope.
Citations (1)
Reporting - national health safety network
Inspection Report
Recertification
Citations: 9
Date: May 20, 2021
Visit Reason
The inspection was conducted as a Recertification and Abbreviated survey to assess compliance with federal regulations for nursing home care.
Findings
The facility was found deficient in multiple areas including insufficient surety bond coverage for resident funds, inaccurate Minimum Data Set (MDS) assessments, incomplete and unimplemented care plans, failure to follow physician orders for medications and fluid restrictions, lack of medical follow-up for HIV diagnosis, expired medications in storage, improper medication labeling and storage, failure to provide special eating equipment as ordered, and inaccurate resident medical records documentation.
Citations (9)
F 0570: The facility did not ensure the surety bond covered the total amount of resident personal funds deposited, insufficient to cover $327,083 for 100 of 134 residents.
F 0641: The Minimum Data Set (MDS) did not accurately reflect residents' status, missing HIV diagnosis for 2 residents out of 27 reviewed.
F 0656: The facility failed to develop and implement comprehensive person-centered care plans with measurable objectives for residents, including those with HIV and fluid restrictions.
F 0684: Physician orders for oral chemotherapy and blood pressure monitoring were not properly implemented; fluid restrictions for a resident with edema were not followed.
F 0711: The facility did not ensure medical follow-up for a resident with HIV; no viral load testing was documented from 2018 to 2021.
F 0755: An opened bottle of aspirin was found expired in the medication cart on Unit 3, indicating failure to timely remove expired medications.
F 0761: Multidose medications were not properly labeled with opening date and resident name; insulin pens were stored improperly allowing potential cross-contamination.
F 0810: A resident was not provided an ordered insulated mug with lid during meals, contrary to the occupational therapy recommendation.
F 0842: Physician progress notes repeatedly documented incorrect gender and age for a resident, indicating inaccurate clinical record documentation.
Report Facts
Resident personal funds balance: 327083
Surety bond amount: 140000
Residents with personal funds accounts: 134
Residents affected by surety bond deficiency: 100
Sample size: 27
Residents with inaccurate MDS HIV diagnosis: 2
Residents with incomplete care plans: 2
Medication administration days: 28
Medication withheld days: 3
Fluid restriction: 1200
Blood pressure readings: 3
Expired medication observed: 1
Insulin pens improperly stored: 3
Artificial tears bottles unlabeled: 6
Residents affected by special eating equipment deficiency: 1
Residents with incorrect gender/age documented: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #4 | Licensed Practical Nurse | Noted medication administration errors for Ibrance |
| RNS #3 | Registered Nurse Supervisor | Interviewed regarding care plan responsibilities and fluid restrictions |
| ADNS | Assistant Director of Nursing | Interviewed about care plan responsibilities and medication monitoring |
| PA | Physician Assistant | Interviewed about HIV follow-up and resident status |
| LPN #1 | Licensed Practical Nurse | Observed expired medication in cart |
| RN #1 | Registered Nurse | Described medication cart checks |
| DON | Director of Nursing | Discussed medication cart monitoring and expired medication removal |
| CNA #1 | Certified Nursing Assistant | Described medication restocking and expiration date review |
| LPN #5 | Licensed Practical Nurse | Interviewed about medication labeling and insulin pen storage |
| RNS #6 | Registered Nurse Supervisor | Interviewed about medication labeling and storage |
| ADN | Assistant Director of Nursing | Interviewed about medication labeling and storage |
| RD | Registered Dietician | Interviewed about special eating equipment orders and meal tickets |
| OT | Occupational Therapist | Ordered special eating equipment for resident |
| FSD | Food Services Director | Interviewed about transcription of special eating equipment orders |
| RN #5 | Registered Nurse | Interviewed about inaccurate resident age and gender documentation |
| PCP #2 | Primary Care Physician | Interviewed about resident care and documentation errors |
| MD | Medical Director | Interviewed about documentation irregularities |
Viewing
Loading inspection reports...
