Inspection Reports for
Meadow Park Rehabilitation and Health Care Center LLC
78-10 164th Street, Flushing, NY, 11366
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
9.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
82% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
20
15
10
5
0
Inspection Report
Abbreviated Survey
Deficiencies: 1
Date: Dec 2, 2025
Visit Reason
The abbreviated survey was conducted to evaluate the facility's compliance with accident prevention and supervision requirements following a reported resident fall.
Findings
The facility failed to ensure adequate supervision for one resident who required two-person assistance for bed mobility, resulting in a fall and nasal fracture. The Certified Nursing Aide did not follow the plan of care and failed to log into the electronic medical record to verify care needs.
Deficiencies (1)
F 0689: The facility did not ensure adequate supervision to prevent accidents for Resident #1 who required two-person assist for bed mobility. Certified Nursing Aide #1 provided care alone, resulting in the resident falling and sustaining a nasal fracture.
Report Facts
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nurse Aide #1 | Certified Nursing Aide | Named in finding for not following plan of care and failing to log into electronic medical record |
| Registered Nurse Supervisor #1 | Registered Nurse Supervisor | Documented resident fall and injury |
| Charge Nurse #1 | Charge Nurse | Interviewed regarding incident and staff responsibilities |
| Director of Nursing | Director of Nursing | Provided statements on facility expectations and staff training |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 4
Date: Jul 7, 2025
Visit Reason
Complaint Survey with 4 Standard Health citations related to care plan timing, abuse prevention, investigation and reporting of alleged violations, all corrected by July 25, 2025.
Findings
Complaint Survey with 4 Standard Health citations related to care plan timing, abuse prevention, investigation and reporting of alleged violations, all corrected by July 25, 2025.
Deficiencies (4)
Care plan timing and revision
Free from abuse and neglect
Investigate/prevent/correct alleged violation
Reporting of alleged violations
Inspection Report
Abbreviated Survey
Deficiencies: 4
Date: Jul 7, 2025
Visit Reason
The facility was surveyed due to an abbreviated survey focusing on allegations of abuse and neglect involving residents, as well as review of care planning and reporting compliance.
Findings
The facility failed to ensure residents were free from abuse and neglect, specifically involving a physical altercation between two residents resulting in injury. The facility also failed to timely report investigation results, thoroughly investigate the incident, and implement preventive measures. Additionally, the facility failed to timely update a resident's comprehensive care plan following a fall.
Deficiencies (4)
10NYCRR 415.4(b)(1)(ii) - The facility failed to protect residents from abuse and neglect, evidenced by a physical altercation between two residents resulting in injury to one resident.
10NYCRR 415.4(b)(1)(ii) - The facility failed to timely report the results of investigations involving alleged abuse to the appropriate authorities within five working days.
10NYCRR 415.4(b)(2) - The facility failed to ensure all incidents were thoroughly investigated and did not implement interventions to prevent recurrence of the abuse incident.
10NYCRR 415.11(c)(1) - The facility failed to develop and revise a resident's comprehensive care plan within seven days of a fall and did not document the recommended use of a floor bed.
Report Facts
Residents affected: 1
Investigation submission delay: 8
Fall risk assessment score: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Responded to abuse incident and removed wheelchair leg rest from Resident #2 | |
| Registered Nurse Supervisor #4 | Assessed Resident #1 after incident and called 911; no longer employed at facility | |
| Registered Nurse Supervisor #5 | Assessed Resident #1, observed injuries, and provided statements about incident | |
| Director of Nursing | Provided multiple interviews regarding incident investigation and care plan oversight | |
| Registered Nurse #3 | Assessed Resident #4 after fall and completed fall risk assessment | |
| Physical Therapist #1 | Evaluated Resident #4 after fall and recommended floor bed | |
| Licensed Practical Nurse #2 | Documented Resident #4's fall and nursing progress |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 11
Date: Apr 2, 2024
Visit Reason
Complaint Survey with 5 Standard Health citations and 6 Life Safety Code citations including deficiencies in care plan development, food sanitation, infection control, drug labeling, electrical equipment, fire alarm testing, physical environment, and sprinkler system maintenance, all corrected by May 2024.
Findings
Complaint Survey with 5 Standard Health citations and 6 Life Safety Code citations including deficiencies in care plan development, food sanitation, infection control, drug labeling, electrical equipment, fire alarm testing, physical environment, and sprinkler system maintenance, all corrected by May 2024.
Deficiencies (11)
Develop/implement comprehensive care plan
Food procurement,store/prepare/serve-sanitary
Infection control
Label/store drugs and biologicals
Reporting of alleged violations
Electrical equipment - power cords and extens
Electrical systems - essential electric syste
Ep training and testing
Fire alarm system - testing and maintenance
Physical environment
Sprinkler system - maintenance and testing
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 2, 2024
Visit Reason
The inspection was conducted based on recertification and complaint investigations regarding the facility's failure to timely report suspected abuse involving resident-to-resident injury.
Complaint Details
The complaint investigation found that the facility did not report suspected abuse involving two residents (Resident #12 and Resident #68) in a timely manner. The incident was reported more than 48 hours after occurrence, contrary to required protocols. Interviews with nursing supervisors, former and current Directors of Nursing, and the Administrator confirmed delays and protocol breaches in reporting.
Findings
The facility failed to promptly report suspected abuse resulting in a resident sustaining a 4-centimeter hematoma to the forehead. The incident was reported to the State Department of Health more than 48 hours after it occurred, violating reporting protocols.
Deficiencies (1)
F 0609: The facility did not timely report suspected abuse, neglect, or theft and failed to report the results of the investigation to proper authorities. A resident sustained a 4-centimeter hematoma from a roommate's action, and the incident was reported late to the Department of Health.
Report Facts
Residents reviewed for abuse: 2
Hematoma size: 4
Incident report delay: 48
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Apr 2, 2024
Visit Reason
The inspection was conducted as a Recertification and Complaint investigation to assess compliance with regulations related to abuse reporting, care planning, medication storage, and food service safety.
Complaint Details
The complaint investigation focused on alleged abuse, neglect, and mistreatment including injuries of unknown source and misappropriation of resident property. The facility failed to report suspected abuse timely as required by regulation.
Findings
The facility failed to timely report suspected abuse involving resident-to-resident injury, did not develop a comprehensive care plan for anticoagulant therapy for one resident, left medications unsecured in medication carts and nurse stations, and staff failed to follow proper hand hygiene and safe food handling practices during meal service.
Deficiencies (4)
F 0609: The facility did not timely report suspected abuse involving a resident who sustained a 4-centimeter hematoma from a roommate's action. Reporting to the State Survey Agency occurred more than 48 hours after the incident.
F 0656: The facility did not develop and implement a comprehensive care plan addressing anticoagulant therapy for a resident prescribed Eliquis, despite documented cardiovascular and psychotropic care plans.
F 0761: Drugs and biologicals were not stored securely; medications were left unsecured on medication carts and intravenous antibiotics and fluids were stored in unlocked nurse station drawers.
F 0812: Staff failed to follow proper hand hygiene and safe food handling during meal service; a Certified Nursing Assistant assisted residents with hand hygiene without sanitizing between residents and touched the inside of cups while preparing beverages.
Report Facts
Residents reviewed for abuse: 30
Residents affected by abuse deficiency: 2
Residents reviewed for unnecessary medications: 30
Residents affected by care plan deficiency: 1
Date of incident: Jan 28, 2024
Date of delayed report: Jan 30, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse Supervisor #1 | Registered Nurse Supervisor | Conducted abuse investigation and reported findings |
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Documented initial injury and care for Resident #12 |
| Registered Nurse #1 | Registered Nurse | Interviewed regarding care plan for Resident #59 |
| Registered Nurse #3 | Registered Nurse | Observed administering intravenous antibiotics and medication storage |
| Certified Nursing Assistant #1 | Certified Nursing Assistant | Observed assisting residents with hand hygiene and beverage preparation |
| Director of Nursing | Director of Nursing | Interviewed regarding reporting protocols and care plan responsibilities |
| Administrator | Administrator | Interviewed regarding incident reporting and oversight |
| Maintenance Worker #1 | Maintenance Worker | Observed repairing locks on nurse station drawers |
| Maintenance Worker #2 | Maintenance Worker | Interviewed about lock repairs on medication storage |
| Infection Preventionist | Infection Preventionist | Interviewed about hand hygiene and infection control rounds |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Jan 9, 2024
Visit Reason
Complaint Survey with 1 Standard Health citation related to requirements before submitting a request, corrected by February 5, 2024.
Findings
Complaint Survey with 1 Standard Health citation related to requirements before submitting a request, corrected by February 5, 2024.
Deficiencies (1)
Requirements before submitting a request for
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 6
Date: Apr 8, 2022
Visit Reason
Complaint Survey with 6 Life Safety Code citations including building construction, egress doors, electrical systems, hazardous areas enclosure, sprinkler system maintenance, and smoke barrier subdivision, all corrected by June 2022.
Findings
Complaint Survey with 6 Life Safety Code citations including building construction, egress doors, electrical systems, hazardous areas enclosure, sprinkler system maintenance, and smoke barrier subdivision, all corrected by June 2022.
Deficiencies (6)
Building construction type and height
Egress doors
Electrical systems - essential electric syste
Hazardous areas - enclosure
Sprinkler system - maintenance and testing
Subdivision of building spaces - smoke barrie
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Apr 8, 2022
Visit Reason
Annual survey inspection of Meadow Park Rehabilitation and Health Center L L C to assess compliance with health regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Annual Inspection
Census: 141
Deficiencies: 5
Date: Jun 7, 2019
Visit Reason
The inspection was a re-certification survey to assess compliance with regulatory requirements for Meadow Park Rehabilitation and Health Center.
Findings
The facility was found deficient in accommodating residents' dietary preferences related to Kosher food, posting required state agency complaint hotline information, providing appropriate care for residents with limited range of motion, maintaining clean garbage disposal areas, and implementing an effective infection prevention and control program.
Deficiencies (5)
F 0558: The facility did not reasonably accommodate residents' needs and preferences regarding non-Kosher food, requiring residents to eat such food in their rooms rather than in the dining area.
F 0575: The facility failed to post the New York State Department of Health Complaint Hotline number and information on resident units or lobby areas as required.
F 0688: A resident with limited range of motion was not provided prescribed devices (Right Ankle Foot Orthosis and right hand roll), resulting in inadequate treatment to maintain or improve mobility.
F 0814: Garbage and refuse containers by the loading dock were not kept clean or free of foul odors, with leaks and rust observed causing a foul smell.
F 0880: The facility did not maintain an infection prevention and control program adequately, as a resident on contact precautions lacked clear signage indicating transmission-based precautions and PPE instructions.
Report Facts
Resident census: 141
Residents following kosher diet: 21
Residents participating in resident council meeting: 12
Residents reviewed for quality of care/life: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Food Service Director | Interviewed regarding facility policy on non-Kosher food and garbage dumpster odor | |
| Administrator | Interviewed regarding Kosher food policies and resident instructions | |
| Registered Dietitian | Interviewed about residents ordering food from outside | |
| CNA #2 | Certified Nursing Assistant | Interviewed about resident care and splint device application |
| RN #3 | Registered Nurse | Interviewed about resident care and range of motion treatment |
| Director of Rehab | Interviewed about physical and occupational therapy recommendations | |
| Director of Building Services | Interviewed about garbage compactor leaks | |
| CNA #1 | Certified Nursing Assistant | Interviewed about infection control signage and contact precautions |
| LPN #1 | Licensed Practical Nurse | Interviewed about infection control signage and contact precautions |
| RN Supervisor #1 | Registered Nurse Supervisor | Interviewed about infection control signage and contact precautions |
| Infection Control RN #2 | Infection Control Registered Nurse | Interviewed about infection control signage and PPE kit |
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