| Clove Lakes Health Care and Rehabilitation Center, | |
| 25 Fanning Street, Staten Island, New York 10314 | |
| (718) 289-7900 | |
| Name | Clove Lakes Health Care and Rehabilitation Center, |
|---|---|
| Location | 25 Fanning Street, Staten Island, New York |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 576 |
| Occupancy Rate | 94.36% |
| Medicare ID (CCN) | 335239 |
| Legal Business Name | Clove Lakes Health Care and Rehabilitation Center Inc. |
| Ownership Type | For Profit - Corporation |
| Chain | Infinite Care (8 nursing homes) |
| Chain Average Overall Rating | 2 out of 5 |
| NPI Number | 1417952417 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Clove Lakes Health Care and Rehabilitation Center, Inc. |
| Address | 25 Fanning St, Staten Island, NY 10314 |
| Phone Number | 718-289-7900 |
| NPI Number | 1023693926 |
| Match | Possible same name, address or phone number |
| Organization Name | Clove Lakes SNF Operations LLC |
| Doing Business As | Clove Lake Center for Rehabilitation and Nursing |
| Address | 25 Fanning St, Staten Island, NY 10314 |
| Phone Number | 718-289-7900 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.36 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.85 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.47 | 0.86 |
| Nurse aide hours per resident per day | 2.05 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.11 | 3.42 |
| RN hours per resident per day on the weekend | 0.67 | 0.48 |
| Physical therapist hours per resident per day | 0.01 | 0.07 |
| Total nursing staff turnover | 27.5% | 45.8% |
| Registered nurse turnover | 35.7% | 42.9% |
| Number of administrators who have left the nursing home | 2 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | Yes |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 27, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Immediate jeopardy, pattern | Corrected by Jun 24, 2026 |
| Apr 27, 2026 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Immediate jeopardy, isolated | Corrected by Jun 24, 2026 |
| Apr 27, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Actual harm, isolated | Corrected by Jun 24, 2026 |
| Apr 27, 2026 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Complaint inspection | Actual harm, isolated | Corrected by Jun 24, 2026 |
| Apr 27, 2026 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835, Administration, Complaint inspection | Potential for harm, widespread | Corrected by Jun 24, 2026 |
| Apr 27, 2026 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, pattern | Corrected by Jun 24, 2026 |
| Apr 27, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jun 24, 2026 |
| Apr 27, 2026 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jun 24, 2026 |
| Apr 27, 2026 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. F0838, Administration, Complaint inspection | Potential for harm, isolated | Corrected by Jun 24, 2026 |
| Nov 18, 2025 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806, Nutrition and Dietary, Complaint inspection | Potential for harm, isolated | Corrected by Jan 9, 2026 |
| Feb 13, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Apr 5, 2025 |
| Oct 25, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Dec 20, 2024 |
| Oct 25, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Dec 20, 2024 |
| Oct 16, 2024 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 8, 2024 |
| Oct 16, 2024 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Dec 8, 2024 |
| Oct 16, 2024 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Dec 8, 2024 |
| Oct 16, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 8, 2024 |
| Oct 16, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 8, 2024 |
| Oct 16, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Dec 8, 2024 |
| Oct 16, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 8, 2024 |
| Oct 16, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 8, 2024 |
| Oct 16, 2024 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Dec 8, 2024 |
| Nov 10, 2022 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jan 9, 2023 |
| Nov 10, 2022 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jan 9, 2023 |
| Nov 10, 2022 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Jan 9, 2023 |
| Nov 10, 2022 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 9, 2023 |
| Nov 10, 2022 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 9, 2023 |
| Nov 10, 2022 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. F0711, Nursing and Physician Services, Standard inspection | Potential for harm, isolated | Corrected by Jan 9, 2023 |
| Nov 10, 2022 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 9, 2023 |
| Nov 10, 2022 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jan 9, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.53 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.67 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.42 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.18 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 65.66 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0.4 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.94 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 60.88 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 25.12 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.97 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 7.47 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.82 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 81.84 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 37.87 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 10.35 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.87 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 8.81 | 15.38 |
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