Inspection Reports for Clove Lakes Healthcare and Rehabilitation Center
25 Fanning St, Staten Island, NY 10314, United States, NY, 10314
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Inspection Report
Complaint Investigation
Deficiencies: 31
Feb 13, 2025
Visit Reason
State-compiled facility profile showing multiple complaint surveys and inspections from 2022 to 2025 with deficiency and enforcement history.
Findings
Across multiple complaint surveys from 2022 to 2025, the facility received numerous standard health and life safety citations primarily at Level 2 severity, indicating deficiencies causing minor discomfort with potential for more than minimal harm. All cited deficiencies were corrected by the dates noted.
Complaint Details
31 complaints received from November 1, 2021 to October 31, 2025 with 17 complaint-related on-site inspections and 49 complaint-related citations during this period.
Severity Breakdown
Level 0: 1
Level 1: 3
Level 2: 29
Deficiencies (31)
| Description | Severity |
|---|---|
| Develop/implement comprehensive care plan: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Free from abuse and neglect: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Reporting of alleged violations: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Accuracy of assessments: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Care plan timing and revision: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Coordination of pasarr and assessments: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Pharmacy srvcs/procedures/pharmacist/records: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Quality of care: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Residents are free of significant med errors: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Responsibilities of providers; required notif: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 0 |
| Right to be informed/make treatment decisions: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Services provided meet professional standards: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Sprinkler system - installation: Standard Life Safety Code Citation pertaining to life safety code requirements including fire, smoke, and panic safety. | Level 2 |
| Drug regimen review, report irregular, act on: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Food procurement,store/prepare/serve-sanitary: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Free of accident hazards/supervision/devices: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Infection prevention & control: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Physician visits - review care/notes/order: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Respiratory/tracheostomy care and suctioning: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Right to be free from physical restraints: Standard Health Inspection Citation pertaining to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Electrical systems - essential electric syste: Standard Life Safety Code Citation pertaining to life safety code requirements including fire, smoke, and panic safety. | Level 1 |
| Electrical systems - essential electric syste: Standard Life Safety Code Citation pertaining to life safety code requirements including fire, smoke, and panic safety. | Level 2 |
| Emergency lighting: Standard Life Safety Code Citation pertaining to life safety code requirements including fire, smoke, and panic safety. | Level 2 |
| Gas equipment - cylinder and container storag: Standard Life Safety Code Citation pertaining to life safety code requirements including fire, smoke, and panic safety. | Level 2 |
| Hazardous areas - enclosure: Standard Life Safety Code Citation pertaining to life safety code requirements including fire, smoke, and panic safety. | Level 2 |
| Means of egress - general: Standard Life Safety Code Citation pertaining to life safety code requirements including fire, smoke, and panic safety. | Level 1 |
| Multiple occupancies - contiguous non-health: Standard Life Safety Code Citation pertaining to life safety code requirements including fire, smoke, and panic safety. | Level 2 |
| Smoking regulations: Standard Life Safety Code Citation pertaining to life safety code requirements including fire, smoke, and panic safety. | Level 2 |
| Sprinkler system - maintenance and testing: Standard Life Safety Code Citation pertaining to life safety code requirements including fire, smoke, and panic safety. | Level 1 |
| Subdivision of building spaces - smoke compar: Standard Life Safety Code Citation pertaining to life safety code requirements including fire, smoke, and panic safety. | Level 2 |
| Vertical openings - enclosure: Standard Life Safety Code Citation pertaining to life safety code requirements including fire, smoke, and panic safety. | Level 2 |
Report Facts
Inspections on page: 9
Date range of inspections: From November 10, 2022 to February 13, 2025
Total citations: 23
Total complaints: 31
Complaint-related citations: 49
Complaint-related inspections: 17
Fines: 6000
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