Below average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Beach Gardens Rehabilitation And Nursing Center during CMS and state inspections, most recent first.
Two residents with psychiatric and behavioral histories were waiting by an elevator in a lobby when one, known to have prior aggressive behavior and a care plan noting risk for physical aggression, removed a wheelchair armrest and struck the other in the forehead, causing a bump and laceration that required ED evaluation. Video, staff, and security accounts confirmed that the aggressor resident was able to access and weaponize the removable armrest in a common area despite prior documented altercations and behavioral concerns, and was only on 30‑minute checks at the time, resulting in a failure to protect another resident from physical abuse.
Unsafe and Unclean Resident Environment: Surveyors observed dirty and damaged conditions throughout resident rooms and common areas, including stained floors, dusty ceiling tiles, chipped and missing paint, ripped curtains, torn screens, damaged closets, broken bedside tables, and dirty wheelchairs and feeding equipment. Staff interviews confirmed awareness of several of these issues, including closets in disrepair, torn screens, ripped curtains, and areas needing cleaning or repainting, while the Administrator stated routine rounds had not identified the cleanliness problems.
Failure to report alleged abuse, neglect, and injuries of unknown source. A resident with severe cognitive impairment was found with unexplained bruising around the eye and forehead, but the injury was not reported to DOH because staff did not suspect abuse. Another resident with dementia and multiple medical conditions fell during care with a CNA and sustained a forehead and nose laceration requiring ER evaluation and sutures, yet the incident was also not reported because staff considered it minor and left reporting decisions to the team.
Improper food handling and storage were observed in the dietary area. Dietary staff, a maintenance staff member, and an outside vendor were seen in the kitchen without proper hair restraints or beard nets while handling dishes, food carts, relish, and thawed raw fish. Expired enteral feedings were also found stored on a unit and near the security area, and cold sandwiches in the kitchen refrigerator were measured above safe temperatures after being prepared without ice.
Unsafe and Unclean Facility Environment: The facility failed to maintain a safe, functional, sanitary, and comfortable environment. Observations found cobwebs, a hole in a baseboard, debris on an AC unit, dirty and corroded staff bathroom areas, holes in a wall, a difficult-to-flush toilet handle, and a resident bathroom marked out of order with stained ceiling tiles and brown and black floor stains. A PT stated the bathroom had been in this condition for 3 years, while the Maintenance Director said issues were listed for the Administrator and the Administrator said rounds did not include checking door structure.
Meal trays did not consistently match a resident’s documented diet and preference ticket. A resident with DM and GERD, on a regular diet with thin liquids and double portions, received trays missing listed items such as a double entree, chef salad, gravy, and cottage cheese, and stated wrong or missing items happened daily. Staff confirmed tray tickets were used for assembly and that residents should receive what is listed, but missing items sometimes occurred and substitutes were only offered after the tray reached the unit.
The facility did not adequately protect resident-identifiable information or maintain medical records according to professional standards, as observed by surveyors.
A resident with mental health diagnoses was involved in an incident where a dietary worker allegedly pushed their wheelchair out of an elevator using their foot, causing the resident to fall. The facility's investigation, supported by a CNA's statement, found credible evidence of abuse, despite the dietary worker's denial. The lack of video footage from the incident floor complicated the investigation, but lobby footage confirmed the worker's footwear. The facility's failure to protect the resident from abuse highlights a deficiency in their care standards.
Failure to Prevent Resident-to-Resident Physical Abuse in Lobby Elevator Area
Penalty
Summary
The deficiency involves the facility’s failure to protect a resident from physical abuse by another resident, despite a known history of aggressive behavior. One resident with paraplegia, mood disorder, major depressive disorder, and anxiety disorder had an established care plan noting potential for physical aggression and risk of being abused. Prior documentation showed that this resident had been involved in a physical altercation with another resident in June of the previous year, during which they reported being punched and stated they hit the other resident back. The care plan was updated at that time to reflect that the resident was abused by peers, with interventions including relocation as needed and a psychiatry referral, but later updates reflecting another resident-to-resident altercation did not include new interventions. On the day of the incident, video surveillance and witness statements documented that the aggressive resident and another resident were waiting at the elevator in the lobby, along with other residents. The second resident, who had diagnoses including schizophrenia and bipolar disorder, approached and stood next to the first resident’s wheelchair. The first resident was seen making hand gestures, then removed the left wheelchair armrest and used both hands to swing it toward the second resident. When the second resident reached toward the armrest, the first resident struck them on the forehead with the armrest, causing bleeding and resulting in a bump and small laceration. Staff arrived immediately after the assault and separated the residents, and the injured resident was later assessed and transferred to the hospital for evaluation. Interviews conducted after the event revealed differing accounts of the interaction leading up to the assault. The first resident reported that the second resident had previously used a racial epithet toward them and, on the day of the incident, again stood close, touched their shoulder, and repeated the racial epithet, prompting them to remove the armrest and strike the other resident. The second resident stated they were standing at the elevator, heard the first resident saying something, ignored it, and were then struck without warning. A security guard reported hearing the first resident tell the second resident not to stand close and to stop touching them, then observed the first resident swinging the armrest and hitting the second resident. Facility staff, including the RN Supervisor and DON, acknowledged that the incident occurred off the unit, that the aggressive resident had a history of verbal and physical abusive behavior toward staff, and that this was the first documented physical altercation between these two specific residents. Despite prior behavioral incidents and care plan documentation of aggression risk, the resident was on 30‑minute checks and was able to access and weaponize a removable wheelchair armrest in a common area, resulting in physical abuse of another resident.
Unsafe and Unclean Resident Environment
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and homelike environment for residents, as observed across multiple units and common areas. Surveyors found dirty and damaged conditions on the 2nd, 3rd, and 4th floors, including stained floors, dusty ceiling tiles, chipped and missing paint, damaged drywall, ripped or stained curtains, torn window screens and blinds, and closets in disrepair. Resident equipment and furnishings were also observed in poor condition, including dirty wheelchairs, feeding pumps and poles with feeding stains, broken bedside tables, and a full garbage container in one room. On the 3rd floor, the dining room had dusty ceiling tiles, debris on the window blinds, a ripped chair cushion, stained tables, chipped table edges, and chipped drywall. The communal shower room had cracked tiles, a missing metal frame at the bottom of the door, and brown stains on the wall ledge. Multiple resident rooms had damaged closet veneers, stained or ripped curtains, torn screens, missing or damaged tile, stained ceiling tiles, scraped drywall, and feeding stains on pumps, poles, floors, and bedding. Resident wheelchairs were also observed with ripped armrests, dust, debris, and white stains on the wheels. On the 2nd floor, surveyors observed stained walls, chipped paint, a falling baseboard, dirt stains in a room corner, a wet towel under an air conditioner, broken bedside tables, dirty floors around furniture, an unpainted wall area, and dirt and dust under the ice machine and suction machine. On the 4th floor, surveyors observed unpainted walls, scraped paint, a full garbage container, a rusty and chipped bathroom door, and whitish sticky dry stains on the shower room floor. Staff interviews confirmed awareness of some of the damaged and dirty conditions, including closets in disrepair, torn screens, ripped curtains, and areas needing cleaning or repainting, while the Administrator stated daily and weekly rounds had not identified issues with room cleanliness.
Failure to Report Alleged Abuse, Neglect, and Injuries of Unknown Source
Penalty
Summary
The facility failed to report alleged violations involving neglect, abuse, and injuries of unknown source to the State Survey Agency for two residents. One resident with diagnoses including non-traumatic brain dysfunction and non-Alzheimer's dementia was observed on 07/09/2025 with a black and blue discoloration around the right eye and right forehead. The resident was cognitively impaired, could not explain how the injury occurred, and had no witness to the event. The facility documented the injury as unknown origin, but the Assistant DON stated it did not need to be reported to the Department of Health, and the DON stated it was not reported because the team did not feel there was any suspicion of abuse by the time the information was relayed. A second resident with diagnoses including coronary artery disease, diabetes mellitus, and non-Alzheimer's dementia had a fall while receiving care from a CNA and sustained a laceration to the forehead and a cut on the bridge of the nose. The resident was found face down on the floor, later returned from the ER with sutures and swelling to the forehead and nose bridge, and the DON summary described the event as an accidental fall during care when the CNA turned the resident to their side and the resident fell out of bed. The DON stated the incident was not reported to the New York State Department of Health because it was considered a minor laceration and not major, and that the team decided whether to report incidents.
Improper food handling and storage in dietary areas
Penalty
Summary
Food was not stored, prepared, distributed, and served in accordance with professional standards during kitchen and food service observations. Dietary staff were observed in the kitchen without proper hair restraints or beard nets while washing carts, taking clean dishes from the dish machine, rinsing dishes, putting relish into plastic cups, and preparing thawed raw fish. A maintenance staff member and an outside vendor doing water sampling in the kitchen were also observed without hair restraints or beard nets. During interviews, dietary staff stated they knew facial hair should be covered, but sometimes forgot to grab a beard net or used a mask instead. The Assistant Food Service Director stated that all facial hair must be covered when in the kitchen. Expired enteral feedings were found stored on the 5th floor pantry and in the visitor room by the security area, including Jevity 1.5 Cal and Jevity 1.2 with use-by dates from July and August 2025. The Central Supply Aide stated the expired enteral feeding on the 5th floor belonged to a resident who had been in the hospital and that the feeding was removed from the unit the day before. In addition, cold sandwiches in the kitchen refrigerator were not maintained at safe temperatures: a tuna sandwich labeled with a discard date of 08/14/2025 measured 68.8 F and an egg salad sandwich measured 51.2 F while the refrigerator itself was 34 F. Dietary staff stated the sandwiches were made at 11:30 AM and that the ingredients were not placed on ice during preparation, and the Assistant Food Service Director stated the sandwiches should be between 35 and 40 F.
Unsafe and Unclean Facility Environment
Penalty
Summary
The facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. During environmental observation, the visitor's waiting area by the security desk had cobwebs in the right lower edge of the window, a hole in the baseboard to the right of the air conditioning unit, and clear tape on top of the air-conditioning unit with black debris under the tape. The 3rd Floor staff bathroom had dirty corners and a corroded metal door frame. The staff bathroom in the Rehabilitation Department had holes in the wall under the soap dispenser, black colored debris on the floor, and a toilet handle that was difficult to flush. The resident's bathroom in the Rehabilitation Department had an out of order sign, stained tile ceiling, and brown and black stains on the floor. The Physical Therapist stated that the bathroom had been in this condition for the last three years. The Maintenance Director stated that a list of issues needing attention had been provided to the Administrator, and the Administrator stated that daily and weekly rounds did not include looking at door structure and that no issues with cleanliness of the resident units had been noted.
Meal trays did not match resident diet and preference tickets
Penalty
Summary
The facility failed to ensure that a resident received food that accommodated documented preferences and diet orders. Resident #115 had diagnoses of Diabetes Mellitus and gastroesophageal reflux disease without esophagitis, was cognitively intact, required supervision for eating, had no swallowing disorder, and had no weight changes. The resident’s physician order specified a regular diet with regular texture and thin liquids, and the dietary assessment documented a regular diet with thin/regular fluid consistency and double portion size. Meal tickets for Resident #115 documented specific lunch items, including double entree portions and other listed foods. On one occasion, the resident’s tray was observed with only a grilled cheese sandwich, mashed potatoes, and an ice cream sandwich, with no double portion of meat, chef salad, or gravy. On another occasion, the resident’s tray was observed missing cottage cheese. The resident stated that wrong items were received on the tray and that items were often missing, describing this as a daily occurrence. Interviews with nursing and dietary staff confirmed that meal tickets were used to assemble trays and that residents should receive what is listed on their tickets. Staff also stated that missing items sometimes occurred and that substitutes were offered only after the tray reached the unit. The Food Service Director stated that tray tickets list allergies, preferences, and diets, and that missing items were sometimes due to trays or food being switched on the units or items being removed and given to other residents.
Failure to Safeguard Resident Information and Maintain Medical Records
Penalty
Summary
The facility failed to safeguard resident-identifiable information and/or did not maintain medical records for each resident in accordance with accepted professional standards. This deficiency was identified through surveyor observation or review, indicating that the required protocols for protecting confidential information and proper record-keeping were not consistently followed. No additional details regarding specific residents, their medical history, or the exact circumstances of the deficiency are provided in the report.
Resident Abuse by Staff Member in LTC Facility
Penalty
Summary
The facility failed to protect a resident from physical abuse by a staff member, as observed during an abbreviated survey. The incident involved a resident with diagnoses including Major Depressive Disorder and Psychotic Disorder with Borderline Personality Disorder, who had intact cognition. The resident was attempting to enter an elevator when a dietary worker allegedly used their foot to push the resident's wheelchair out of the elevator, causing the resident to slip out of the wheelchair and onto the floor. The resident was assessed by a registered nurse supervisor and found to have no visible injuries. The facility's policy on abuse prevention, reviewed in December 2023, mandates a safe environment free from abuse, including staff-to-resident abuse. Despite this policy, the incident occurred, and the facility's investigation concluded that there was credible evidence of abuse. The dietary worker involved claimed they did not touch the resident's wheelchair and that the resident backed out of the elevator on their own. However, a certified nursing assistant reported seeing a foot push the wheelchair, and the dietary worker was identified as wearing black sneakers, which matched the description given by the nursing assistant. The facility's administrator and corporate nurse conducted an investigation, during which the dietary worker was suspended. The investigation was hampered by the lack of video footage from the 5th floor due to a non-functioning camera, but footage from the lobby confirmed the dietary worker's footwear. Law enforcement was notified, but no arrest was made. The facility's failure to prevent this incident and protect the resident from abuse constitutes a deficiency in their care standards.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Far Rockaway
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Far Rockaway Center For Rehabilitation And Nursing | 0 mi | ★★★★★ | 12 | 0 |
| Peninsula Nursing And Rehabilitation Center | 0 mi | ★★★★★ | 3 | 1 |
| Bezalel Rehabilitation And Nursing Center | 0 mi | ★★★★★ | 5 | 0 |
| Premier Nsg & Rehab Center Of Far Rockaway | 0.2 mi | ★★★★★ | 0 | 0 |
| Queens Nassau Rehabilitation And Nursing Center | 0.4 mi | ★★★★★ | 0 | 0 |
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