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

Staten Island Care Center

Staten Island, NY · 300 certified beds · Last Life Safety survey March 21, 2024

CMS Certification Number 335561 · first certified November 1976

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.

6
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within NY

6 citations — more than 14% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 2. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (September 2025 to May 2026). Most NY facilities have been surveyed by October 2026. This facility’s last Life Safety survey was March 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)

2 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 6 Life Safety citations above. The Physical Environment Index

  • 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 facility6NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility6
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
22019-0622022-0222024-03
Citations at each Life Safety survey
Survey dateCitations
June 27, 20192
February 4, 20222
March 21, 20242

Most-cited tags

Most-cited tags at this facility
K-07411K-07121K-03531K-02711K-09181K-02251
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12022-02-04
K-0712Have simulated fire drills held at unexpected times.12022-02-04
K-0353Inspect, test, and maintain automatic sprinkler systems.12019-06-27
K-0271Have exits that are accessible at all times.12019-06-27
K-0918Have generator or other power source capable of supplying service within 10 seconds.12024-03-21
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.12024-03-21

What the citations cover

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

Every citation on file

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

March 21, 2024 — 2 citations

Citations issued on March 21, 2024
TagWhat the surveyor checksStatus
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (April 25, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 25, 2024)

February 4, 2022 — 2 citations

Citations issued on February 4, 2022
TagWhat the surveyor checksStatus
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 28, 2022)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (March 28, 2022)

June 27, 2019 — 2 citations

Citations issued on June 27, 2019
TagWhat the surveyor checksStatus
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (August 20, 2019)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 20, 2019)

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