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CLOVE LAKES HEALTH CARE AND REHAB CENTER, INC

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CLOVE LAKES HEALTH CARE AND REHAB CENTER, INC is a for profit - corporation facility in STATEN ISLAND, NY with 576 certified beds and a 4-star overall CMS rating. The facility has 26 deficiency records on file.

25 FANNING STREET, STATEN ISLAND, NY 10314

Phone: 7182897900

Overall Rating

4/5

Health Inspection

3/5

Staffing

3/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
335239
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
576
Residents
472
In Hospital
No
County
Richmond
Last Inspection
Oct 16, 2024

Staffing Data

RN Hours
0.94 (nat'l avg: 0.68)
LPN Hours
0.51
CNA Hours
2.14
Total Nursing Hours
3.59 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
30.3%
RN Turnover
34.7%

What the CMS Record Reveals About CLOVE LAKES HEALTH CARE AND REHAB CENTER, INC

CLOVE LAKES HEALTH CARE AND REHAB CENTER, INC operates 576 certified beds in STATEN ISLAND, NY with approximately 472 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (3★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 26 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.59 total nursing hours per resident day (national average 3.89), with RN coverage at 0.94 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, CLOVE LAKES HEALTH CARE AND REHAB CENTER, INC falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 30.3%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (26 most recent)

D — Isolated - Minimal harm Nov 18, 2025 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 9, 2026

D — Isolated - Minimal harm Feb 13, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 5, 2025

D — Isolated - Minimal harm Oct 25, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 20, 2024

D — Isolated - Minimal harm Oct 25, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 20, 2024

D — Isolated - Minimal harm Oct 16, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Dec 8, 2024

D — Isolated - Minimal harm Oct 16, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 8, 2024

D — Isolated - Minimal harm Oct 16, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 8, 2024

D — Isolated - Minimal harm Oct 16, 2024 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 8, 2024

D — Isolated - Minimal harm Oct 16, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 8, 2024

D — Isolated - Minimal harm Oct 16, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Dec 8, 2024

D — Isolated - Minimal harm Oct 16, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 8, 2024

D — Isolated - Minimal harm Oct 16, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 8, 2024

D — Isolated - Minimal harm Oct 16, 2024 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Dec 8, 2024

D — Isolated - Minimal harm Nov 10, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 9, 2023

E — Pattern - Minimal harm Nov 10, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 9, 2023

D — Isolated - Minimal harm Nov 10, 2022 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Jan 9, 2023

D — Isolated - Minimal harm Nov 10, 2022 Tag: 0711

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 9, 2023

E — Pattern - Minimal harm Nov 10, 2022 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 9, 2023

D — Isolated - Minimal harm Nov 10, 2022 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 9, 2023

D — Isolated - Minimal harm Nov 10, 2022 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 9, 2023

D — Isolated - Minimal harm Nov 10, 2022 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 9, 2023

E — Pattern - Minimal harm Jan 23, 2020 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 22, 2020

D — Isolated - Minimal harm Jan 23, 2020 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Mar 22, 2020

D — Isolated - Minimal harm Jan 23, 2020 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 22, 2020

D — Isolated - Minimal harm Jan 23, 2020 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 22, 2020

D — Isolated - Minimal harm Jan 23, 2020 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Mar 22, 2020

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 9.2% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.7% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.9% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.1% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 57.6% No
Percentage of long-stay residents who were physically restrained Long Stay 0.6% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 68.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 28.7% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 7.0% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 14.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 81.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 37.9% No
Percentage of long-stay residents with pressure ulcers Long Stay 9.1% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.1% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 8.1% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for CLOVE LAKES HEALTH CARE AND REHAB CENTER, INC?
CLOVE LAKES HEALTH CARE AND REHAB CENTER, INC has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (3★), and quality measures (5★).
What are the staffing levels at CLOVE LAKES HEALTH CARE AND REHAB CENTER, INC?
CLOVE LAKES HEALTH CARE AND REHAB CENTER, INC reports 3.59 total nursing hours per resident day (national average: 3.89). RN hours are 0.94 per resident day (national average: 0.68). Nursing staff turnover is 30.3%.
How many beds does CLOVE LAKES HEALTH CARE AND REHAB CENTER, INC have?
CLOVE LAKES HEALTH CARE AND REHAB CENTER, INC has 576 certified beds with approximately 472 residents. The facility is located at 25 FANNING STREET, STATEN ISLAND, NY 10314.
Does CLOVE LAKES HEALTH CARE AND REHAB CENTER, INC have any deficiencies on record?
Yes, CLOVE LAKES HEALTH CARE AND REHAB CENTER, INC has 26 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has CLOVE LAKES HEALTH CARE AND REHAB CENTER, INC received any fines or penalties?
No, CLOVE LAKES HEALTH CARE AND REHAB CENTER, INC has no fines or penalties on record.
Who owns CLOVE LAKES HEALTH CARE AND REHAB CENTER, INC?
CLOVE LAKES HEALTH CARE AND REHAB CENTER, INC is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was CLOVE LAKES HEALTH CARE AND REHAB CENTER, INC last inspected?
The most recent health inspection for CLOVE LAKES HEALTH CARE AND REHAB CENTER, INC was on Oct 16, 2024. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for CLOVE LAKES HEALTH CARE AND REHAB CENTER, INC?
CLOVE LAKES HEALTH CARE AND REHAB CENTER, INC is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial