Inspection Reports for
Cliffside Rehabilitation & Residential Health Care Center

119-19 Graham Court, Flushing, NY, 11354

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 9 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

76% worse than New York average
New York average: 5.1 deficiencies/year

Deficiencies per year

20 15 10 5 0
2020
2023
2025

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 5 Date: Jul 23, 2025

Visit Reason
Inspection identified 4 standard health citations and 1 life safety code citation related to quality of care and safety issues including resident mobility, nurse staffing information, physical restraints, environment, and discharge from exits.

Findings
Inspection identified 4 standard health citations and 1 life safety code citation related to quality of care and safety issues including resident mobility, nurse staffing information, physical restraints, environment, and discharge from exits.

Deficiencies (5)
Increase/prevent decrease in rom/mobility
Posted nurse staffing information
Right to be free from physical restraints
Safe/clean/comfortable/homelike environment
Discharge from exits

Inspection Report

Annual Inspection
Deficiencies: 4 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.

Deficiencies (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
NameTitleContext
Certified Nursing Assistant #7Interviewed regarding Resident #29's care and side rail use
Registered Nurse #5Unit SupervisorInterviewed about Resident #29's family request for side rails
Nurse Practitioner #3Interviewed about Resident #29's side rail order and family communication
Registered Nurse #4Nursing SupervisorInterviewed about side rail assessments and Resident #142 and #206 care
Licensed Practical Nurse #6Interviewed about Resident #206's side rail use
Medical Doctor #2Interviewed about medical reasons for side rail use for multiple residents
Certified Nursing Assistant #6Interviewed about Resident #125's side rail use and behavior
Certified Nursing Assistant #4Interviewed about Resident #3's side rail use and mobility
Director of NursingInterviewed about side rail use policies and staffing posting
Director for Rehabilitative TherapyInterviewed about side rail referral and assessment process
Maintenance DirectorInterviewed about side rail installation and operation
Certified Nursing Assistant #1Interviewed about care for Resident #20 and hand roll application
Certified Nursing Assistant #2Interviewed about Resident #85's hand roll application
Licensed Practical Nurse #1Interviewed about Resident #20's hand roll application
Licensed Practical Nurse #2Interviewed about Resident #85's hand roll application
Registered Nurse Supervisor #1Interviewed about hand roll application monitoring
Rehabilitation DirectorInterviewed about adaptive device assessment and staff training
Assistant Director of NursingInterviewed about nurse staffing posting practices

Inspection Report

Complaint Investigation
Capacity: 60 Deficiencies: 14 Date: May 16, 2023

Visit Reason
Inspection identified 4 standard health citations and multiple life safety code citations related to assessments accuracy, care planning, electrical systems, fire alarm maintenance, building safety, and policies for sheltering in place. Most deficiencies were corrected after inspection.

Findings
Inspection identified 4 standard health citations and multiple life safety code citations related to assessments accuracy, care planning, electrical systems, fire alarm maintenance, building safety, and policies for sheltering in place. Most deficiencies were corrected after inspection.

Deficiencies (14)
Accuracy of assessments
Care plan timing and revision
Develop/implement comprehensive care plan
Encoding/transmitting resident assessments
Corridor - doors
Electrical systems - essential electric syste
Fire alarm system - testing and maintenance
Fundamentals - building system categories
Hazardous areas - enclosure
Maintenance, inspection & testing - doors
Policies/procedures for sheltering in place
Sprinkler system - maintenance and testing
Subdivision of building spaces - smoke barrie
Subsistence needs for staff and patients

Inspection Report

Annual Inspection
Deficiencies: 4 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.

Deficiencies (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

Deficiencies: 0 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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