Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Cypress Garden Center for Nursing and Rehabilitati

Flushing, NY · 278 certified beds · Last Life Safety survey September 23, 2024

CMS Certification Number 335446 · first certified July 1975

Ownership

Operated by EXCELSIOR CARE GROUP · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

9
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within NY

9 citations — more than 25% of the 593 certified nursing homes in NY. Compared within NY rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: March 2026 to November 2026. This facility’s last Life Safety survey was September 2024. Facilities in NY are typically surveyed 18–25 months after the last one (median 22), measured over 523 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 9 Life Safety citations above. The Physical Environment Index

  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in NY, and nationally. Surveyors differ markedly between states, so the NY figure is the meaningful one.

This facility9NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility9
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
02019-0962022-0732024-09
Citations at each Life Safety survey
Survey dateCitations
September 23, 20190
July 5, 20226
September 23, 20243

Most-cited tags

Most-cited tags at this facility
K-01612K-09161K-02931K-07121K-03721K-03551K-03531K-03111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0161Use approved construction type or materials.22024-09-23
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.12022-07-05
K-0293Have properly located and lighted "Exit" signs.12022-07-05
K-0712Have simulated fire drills held at unexpected times.12024-09-23
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12022-07-05
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12022-07-05
K-0353Inspect, test, and maintain automatic sprinkler systems.12022-07-05
K-0311Have an enclosure around a vertical opening shaft.12024-09-23

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Construction Deficiencies 2
  • Miscellaneous Deficiencies 1
  • Egress Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Construction Deficiencies2
Miscellaneous Deficiencies1
Egress Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

September 23, 2024 — 3 citations

Citations issued on September 23, 2024
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (November 22, 2024)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (November 22, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (November 22, 2024)

July 5, 2022 — 6 citations

Citations issued on July 5, 2022
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Waiver has been granted (September 29, 2022)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (July 11, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 12, 2022)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (August 2, 2022)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (July 12, 2022)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (July 20, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.