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

Clove Lakes Health Care And Rehabilitation Center,

Staten Island, NY · 576 certified beds · Last Life Safety survey October 16, 2024

CMS Certification Number 335239 · first certified June 1969

Ownership

Operated by INFINITE CARE · For profit - Corporation

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

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within NY

17 citations — more than 65% 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 1 citation; the earlier surveys in the window averaged 8. 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: April 2026 to December 2026. This facility’s last Life Safety survey was October 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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2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

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 17 Life Safety citations above. The Physical Environment Index

F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.

Citations on file over three years, compared
Measure	Citations
This facility	17
Median facility in NY	13
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
January 23, 2020	5
November 10, 2022	11
October 16, 2024	1

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0351	Install an approved automatic sprinkler system.	2	2024-10-16
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2022-11-10
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2022-11-10
K-0371	Have properly sized and located compartments to protect residents from smoke.	2	2022-11-10
K-0132	Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.	1	2022-11-10
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	1	2022-11-10
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	1	2022-11-10
K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel.	1	2022-11-10

What the citations cover

Citations by CMS category

Smoke Deficiencies 8
Gas, Vacuum, and Electrical Systems Deficiencies 4
Egress Deficiencies 3
Miscellaneous Deficiencies 1
Other 1

Citations by CMS category
Category	Citations
Smoke Deficiencies	8
Gas, Vacuum, and Electrical Systems Deficiencies	4
Egress Deficiencies	3
Miscellaneous Deficiencies	1
Construction Deficiencies	1

Every citation on file

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

October 16, 2024 — 1 citation

Citations issued on October 16, 2024
Tag	What the surveyor checks	Status
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (December 15, 2024)

November 10, 2022 — 11 citations

Citations issued on November 10, 2022
Tag	What the surveyor checks	Status
K-0132	Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.	Deficient, Provider has date of correction (January 9, 2023)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (January 9, 2023)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (January 9, 2023)
K-0311	Have an enclosure around a vertical opening shaft.	Deficient, Provider has date of correction (January 9, 2023)
K-0321	Ensure 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 (January 9, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (January 9, 2023)
K-0371	Have properly sized and located compartments to protect residents from smoke.	Deficient, Provider has date of correction (January 9, 2023)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (January 9, 2023)
K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel.	Deficient, Provider has date of correction (January 9, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (January 9, 2023)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (January 9, 2023)

January 23, 2020 — 5 citations

Citations issued on January 23, 2020
Tag	What the surveyor checks	Status
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	Deficient, Provider has date of correction (March 22, 2020)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (March 22, 2020)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 22, 2020)
K-0371	Have properly sized and located compartments to protect residents from smoke.	Deficient, Provider has date of correction (March 22, 2020)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (March 22, 2020)

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