Inspection Reports for
Cliffside Rehabilitation & Residential Health Care Center
119-19 Graham Court, Flushing, NY, 11354
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Inspection Report — Jul 23, 2025
Annual Inspection CMS
Date: Jul 23, 2025
Visit Reason
The inspection was a Recertification Survey conducted from 07/16/2025 to 07/23/2025 to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in ensuring a safe, comfortable environment, proper use of physical restraints, provision of care to maintain or improve residents' range of motion, and accurate nurse staffing information posting. Multiple residents were found with inappropriate use of side rails and lack of proper application of ordered adaptive devices such as hand rolls.
Citations (4)
F 0584: The facility failed to ensure residents are provided a comfortable and homelike environment, evidenced by Resident #93's cluttered room with items stored on the floor without effective resolution.
F 0604: The facility failed to ensure residents were free from physical restraints used for convenience or discipline, with 5 residents observed using side rails and lap trays without documented alternatives or informed consent.
F 0688: The facility failed to provide appropriate care to maintain or improve range of motion, with Residents #20 and #85 observed without ordered hand rolls to prevent contractures.
F 0732: The facility failed to post accurate and complete daily nurse staffing information, missing total number and actual hours worked by licensed and unlicensed nursing staff per shift.
Report Facts
Residents reviewed for physical restraints: 8
Residents reviewed for Position Mobility/Limited Range of Motion: 4
Total sampled residents: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #7 | Interviewed regarding Resident #29's care and side rail use | |
| Registered Nurse #5 | Unit Supervisor | Interviewed about Resident #29's family request for side rails |
| Nurse Practitioner #3 | Interviewed about Resident #29's side rail order and family communication | |
| Registered Nurse #4 | Nursing Supervisor | Interviewed about side rail assessments and Resident #142 and #206 care |
| Licensed Practical Nurse #6 | Interviewed about Resident #206's side rail use | |
| Medical Doctor #2 | Interviewed about medical reasons for side rail use for multiple residents | |
| Certified Nursing Assistant #6 | Interviewed about Resident #125's side rail use and behavior | |
| Certified Nursing Assistant #4 | Interviewed about Resident #3's side rail use and mobility | |
| Director of Nursing | Interviewed about side rail use policies and staffing posting | |
| Director for Rehabilitative Therapy | Interviewed about side rail referral and assessment process | |
| Maintenance Director | Interviewed about side rail installation and operation | |
| Certified Nursing Assistant #1 | Interviewed about care for Resident #20 and hand roll application | |
| Certified Nursing Assistant #2 | Interviewed about Resident #85's hand roll application | |
| Licensed Practical Nurse #1 | Interviewed about Resident #20's hand roll application | |
| Licensed Practical Nurse #2 | Interviewed about Resident #85's hand roll application | |
| Registered Nurse Supervisor #1 | Interviewed about hand roll application monitoring | |
| Rehabilitation Director | Interviewed about adaptive device assessment and staff training | |
| Assistant Director of Nursing | Interviewed about nurse staffing posting practices |
Inspection Report — Jul 23, 2025
Complaint Investigation State
Date: Jul 23, 2025
Visit Reason
State-compiled facility profile showing 2 inspections from 2023 to 2025 with deficiency history, complaint investigations, and enforcement actions.
Complaint Details
The state logged 43 complaints about this facility; 3 led to on-site inspections. No citations resulted from those complaints during the reporting period.
Findings
Across two inspections in the reporting window, 31 citations were issued including standard health and Life Safety Code violations. The facility had 43 complaints with 3 on-site inspections and 2 enforcement actions totaling $30,000 in fines.
Citations (20)
Standard Health Citation — quality of care: Increase/prevent Decrease In Rom/mobility was cited with pattern scope.
Standard Health Citation — quality of care: Posted Nurse Staffing Information was cited with pattern scope.
Standard Health Citation — quality of care: Right To Be Free From Physical Restraints was cited with pattern scope.
Standard Health Citation — quality of care: Safe/clean/comfortable/homelike Environment was cited with isolated scope.
Life Safety Code Citation — NFPA requirements: Discharge From Exits was cited with isolated scope and not yet corrected.
Standard Health Citation — quality of care: Accuracy Of Assessments was cited with isolated scope.
Standard Health Citation — quality of care: Care Plan Timing And Revision was cited with isolated scope.
Standard Health Citation — quality of care: Develop/implement Comprehensive Care Plan was cited with isolated scope.
Standard Health Citation — quality of care: Encoding/transmitting Resident Assessments was cited with isolated scope.
Life Safety Code Citation — NFPA requirements: Corridor - Doors was cited with isolated scope.
Life Safety Code Citation — NFPA requirements: Electrical Systems - Essential Electric Syste was cited with isolated scope.
Life Safety Code Citation — NFPA requirements: Electrical Systems - Essential Electric Syste was cited with widespread scope.
Life Safety Code Citation — NFPA requirements: Fire Alarm System - Testing And Maintenance was cited with widespread scope.
Life Safety Code Citation — NFPA requirements: Fundamentals - Building System Categories was cited with widespread scope.
Life Safety Code Citation — NFPA requirements: Hazardous Areas - Enclosure was cited with isolated scope.
Life Safety Code Citation — NFPA requirements: Maintenance, Inspection & Testing - Doors was cited with isolated scope.
Life Safety Code Citation — NFPA requirements: Policies/procedures For Sheltering In Place was cited with widespread scope.
Life Safety Code Citation — NFPA requirements: Sprinkler System - Maintenance And Testing was cited with isolated scope.
Life Safety Code Citation — NFPA requirements: Subdivision Of Building Spaces - Smoke Barrie was cited with isolated scope.
Life Safety Code Citation — NFPA requirements: Subsistence Needs For Staff And Patients was cited with widespread scope.
Report Facts
Inspections on page: 2
Total violations/deficiencies cited: 31
Complaints: 43
On-site complaint inspections: 3
Enforcement actions: 2
Total fines: 30000
Inspection Report — May 16, 2023
Annual Inspection CMS
Date: May 16, 2023
Visit Reason
The inspection was conducted as a recertification survey from May 9, 2023 to May 16, 2023 to assess compliance with regulatory requirements for the nursing home.
Findings
The facility failed to timely submit Minimum Data Set (MDS) assessments electronically, did not ensure MDS assessments accurately reflected residents' status, and did not develop or implement comprehensive care plans (CCP) that met residents' medical needs or involved residents in CCP reviews.
Citations (4)
F0640: The facility did not submit MDS assessments for two residents within 14 days of completion as required by CMS RAI Version 3.0 Manual.
F0641: The facility failed to ensure MDS assessments accurately reflected residents' dialysis treatment and Gradual Dose Reduction (GDR) status for two residents.
F0656: The facility did not develop and implement a comprehensive care plan addressing antibiotic therapy for a resident with a bacterial infection in their Arteriovenous graft.
F0657: The facility did not ensure residents participated in care plan meetings and failed to review and revise a resident's care plan related to mood upon each MDS assessment.
Report Facts
Residents reviewed: 35
Residents with MDS submission issues: 2
Residents with inaccurate MDS assessments: 2
Residents with care plan deficiencies: 3
Inspection Report — Oct 9, 2020
CMS
Date: Oct 9, 2020
Visit Reason
The document is a statement of deficiencies and plan of correction for Cliffside Rehab & Residential Health Care Center, summarizing the results of a regulatory survey completed on 2020-10-09.
Findings
No health deficiencies were found during the survey.
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