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

Hollis Park Manor Nursing Home

Hollis, NY · 80 certified beds · Last Life Safety survey May 16, 2025

CMS Certification Number 335333 · first certified September 1971

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

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

16
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within NY

16 citations — more than 61% 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

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

The latest survey found 14 citations; the earlier surveys in the window averaged 1. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2026 — about 1 month from now. This facility’s last Life Safety survey was May 2025. 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)

1 physical-environment citation 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 16 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.

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 facility16NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility16
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
12022-0212024-01142025-05
Citations at each Life Safety survey
Survey dateCitations
February 16, 20221
January 23, 20241
May 16, 202514

Most-cited tags

Most-cited tags at this facility
K-02112K-03512K-03451K-09211K-03531K-03111K-09181K-07611
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.22025-05-16
K-0351Install an approved automatic sprinkler system.22025-05-16
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12025-05-16
K-0921Ensure that testing and maintenance of electrical equipment is performed.12025-05-16
K-0353Inspect, test, and maintain automatic sprinkler systems.12025-05-16
K-0311Have an enclosure around a vertical opening shaft.12025-05-16
K-0918Have generator or other power source capable of supplying service within 10 seconds.12025-05-16
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12025-05-16

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Egress Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Services Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Egress Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies4
Services Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

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

May 16, 2025 — 14 citations

Citations issued on May 16, 2025
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (June 12, 2025)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (June 5, 2025)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (June 20, 2025)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (July 9, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (July 3, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 12, 2025)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (June 26, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 15, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (June 12, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (June 17, 2025)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (June 18, 2025)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (July 7, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 10, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (June 24, 2025)

January 23, 2024 — 1 citation

Citations issued on January 23, 2024
TagWhat the surveyor checksStatus
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (February 29, 2024)

February 16, 2022 — 1 citation

Citations issued on February 16, 2022
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (April 14, 2022)

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