Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Boro Park Center For Rehabilitation And Healthcare during CMS and state inspections, most recent first.
The facility did not ensure that survey results were posted in a place readily accessible to residents, visitors, or legal representatives. The survey results were kept in a binder behind the Security desk, and notices about their availability were not in conspicuous locations. The Administrator was unaware that the results should be available without being asked for, contrary to the facility's policy.
The facility failed to ensure medications and biologicals were stored according to professional principles, with 13 bags of expired intravenous fluids found in the medication room on unit 2 East and 12 bags in the medical supply closet on 2 West. Nurses and unit managers responsible for checking these areas overlooked the expired fluids.
The facility failed to store food in accordance with professional standards, leading to the presence of expired enteral feeding and spoiled food items in the kitchen and 5th floor unit refrigerator. Staff interviews revealed lapses in monitoring and rotation of food items, contributing to the deficiencies.
A resident with severe cognitive impairment was found with their right hand wrapped in a towel to prevent movement, without a current physician's order or restraint assessment. Multiple staff members confirmed the lack of an active order, and the facility's policy on restraint use was not followed.
A resident with severe cognitive impairment and reduced mobility did not receive timely bladder/bowel care, as required by their care plan. The covering CNA was unable to check the resident's continence needs due to other tasks and did not report this issue. The facility's documentation system only allowed for recording continence care once per shift, leading to a lack of evidence that the resident received necessary care every 2-4 hours.
The facility failed to ensure proper care for two residents at high risk for pressure ulcers. One resident was repeatedly observed without prescribed heel booties, and another had a Stage 3 sacral pressure ulcer exposed to loose stool due to inadequate wound care. Staff did not communicate or document treatment refusals, leading to insufficient care.
Survey Results Not Readily Accessible
Penalty
Summary
The facility did not ensure that the survey results were posted in a place readily accessible to residents, visitors, or legal representatives. The survey results were located inside a binder placed behind the Security desk, and there were only two notices posted about the availability of the survey results, which were not in conspicuous locations. During multiple observations, survey results could not be located throughout the facility. Residents at a Resident Council meeting stated they did not know where to locate the survey results, and it was observed that the notices were not prominently displayed. The survey results were not visible at the security desk, and residents or family members would have to ask the security officers for the survey results, which were kept in a black binder without a label on the spine indicating its contents. The Administrator stated that the survey results signage was located in the lobby after the elevators and considered this a conspicuous place. However, the Administrator was not aware that signage should be posted in more than one location and that survey results should be available without being asked for. The facility policy and procedure titled Survey Results, revised in October 2015, stated that copies of all survey reports along with approved plans of correction are on file in the administrative office and must be readily accessible for viewing. The policy also documented that residents, visitors, etc., should not be required to ask to see the results.
Expired Intravenous Fluids Found in Medication Storage Areas
Penalty
Summary
The facility did not ensure medications and biologicals were stored in accordance with currently accepted professional principles and expiration dates. Specifically, 13 bags of expired intravenous fluids were found in the medication room on unit 2 East, and 12 bags of expired intravenous fluids were found in the medical supply closet on 2 West. The facility's policy on medication storage requires that expired, discontinued, or contaminated medications be removed and disposed of according to the policy, but this was not adhered to in these instances. Licensed Practical Nurse #8 and Registered Nurse #5, who were responsible for checking the medication room, admitted that the expired intravenous fluids were overlooked. The Director of Nursing stated that the pharmacist is remote, and the responsibility for checking the medication rooms falls on the nurses and unit managers. Despite these checks, the expired intravenous fluids were not removed, indicating a lapse in the facility's adherence to its own medication storage policy.
Food Storage and Safety Deficiencies
Penalty
Summary
The facility did not ensure food was stored in accordance with professional standards for food service safety, leading to the risk of foodborne illness. During a kitchen tour, expired enteral feeding was found in the nourishment/supplement room, and unlabeled, degraded, and expired food items were discovered in the 5th floor unit refrigerator. Specifically, 21 cartons of Osmolite 1.0 with a use-by date of January were found in the nourishment room, and various expired and spoiled food items were found in the 5th floor refrigerator, including expired yogurt and ice cream, and rotted fruit. Interviews with staff revealed lapses in the monitoring and rotation of food items. The Storeroom Dietary Aide stated that they manage the storeroom and rotate items upon delivery but did not notice any expired items. The Dietary Supervisor indicated that expired items should be tagged and stored separately to avoid being given to residents by mistake. The Assistant Food Service Director mentioned that they conduct random checks but did not notice any expired items during their last inspection. Further interviews highlighted issues with the monitoring of food brought in by family or visitors. The Registered Nurse on the 5th floor stated that staff are asked to clean the refrigerators, but many staff members have access to them, leading to inconsistent monitoring. The Housekeeping Supervisor noted that items were not discarded because they lacked expiration dates or were assumed to be staff lunches, which should be stored in a different refrigerator. These lapses in food safety protocols contributed to the observed deficiencies.
Failure to Ensure Resident is Free from Physical Restraints
Penalty
Summary
The facility did not ensure that Resident #151 remained free from physical restraints, as observed during the Recertification Survey. Resident #151, who had diagnoses including cerebral infarction, Alzheimer's disease, and dysphagia, was found with their right hand wrapped in a towel to prevent free movement. There was no documented evidence of an evaluation or physician's order for the use of this restraint. The facility's policy on restraint use, last revised in December 2022, states that restraints should only be used to treat a resident's medical symptoms and not for discipline, staff convenience, or to unnecessarily inhibit a resident's freedom of movement or activity. However, the medical record review revealed no current physician order, care plan, or restraint assessment for applying any physical restraint to Resident #151. Multiple staff members, including a CNA, RN, Certified Occupational Therapy Assistant, and the Attending Physician, confirmed that there was no active order for the use of a mitten or towel as a restraint for Resident #151. The CNA stated that they applied the mitten or towel to prevent the resident from scratching their body and pulling out the gastrostomy tube, following the task in the Kardex. The RN and Director of Nursing were unaware of the use of the towel as a restraint and acknowledged that it would be considered a physical restraint if the resident could not remove it themselves. The Director of Nursing also stated that the interdisciplinary team should discuss the use of physical restraints, obtain family consent and a physician's order, conduct a restraint assessment, and remove the restraint for 20 minutes every 2 hours, none of which were documented for Resident #151.
Failure to Provide Timely Bladder/Bowel Care
Penalty
Summary
The facility did not ensure that a resident unable to carry out activities of daily living received timely bladder/bowel care. Specifically, Resident #263, who had diagnoses including Non-Hodgkin's Lymphoma, Dysphagia, and reduced mobility, was found with a very wet and sometimes feces-soiled incontinent brief during visits by their representative. This issue was particularly noted when the regular Certified Nursing Assistant (CNA) was off duty. The resident's care plan indicated a need for substantial assistance with toileting hygiene, but there was no documented evidence that this care was provided in a timely manner. Interviews with staff revealed that the covering CNA, who was new to the facility, had not checked on Resident #263's continence needs since the beginning of their shift. The CNA stated they were busy with other tasks and had not reported their inability to provide timely care. The Registered Nurse (RN) and Director of Nursing (DON) confirmed that CNAs are required to check residents' continence needs every 2-4 hours, but the facility's documentation system only allowed for recording this care once per shift. There was no documented evidence to show that Resident #263 received the necessary continence care every 2-4 hours as required by the facility's policy.
Failure to Prevent and Manage Pressure Ulcers
Penalty
Summary
The facility did not ensure that a resident received care consistent with professional standards of practice to prevent pressure ulcers and to promote healing. Resident #523, who was admitted with diagnoses including Diabetes, Malnutrition, Morbid Obesity, and a sacral pressure ulcer, was observed multiple times without the prescribed heel booties in place. Despite the physician's order for heel boots to be applied and removed daily for skin monitoring, the resident was found without them on several occasions. Staff interviews revealed that the resident and their family did not like the heel boots, but this refusal was not communicated to the charge nurse or documented in the medical record as required by the facility's policy. Resident #380, admitted with severe cognitive impairment, generalized muscle weakness, and osteoarthritis, was observed with a Stage 3 sacral pressure ulcer exposed to loose stool during a wound assessment. The resident's care plan included daily wound treatment and covering the wound with a moisture-proof silicone border gauze to prevent contamination. However, the wound was found uncovered and exposed to fecal matter, indicating a failure to follow the prescribed wound care protocol. The Certified Nursing Assistant responsible for the resident's morning care did not notify the Licensed Practical Nurse about the missing dressing, leading to the wound being left unprotected. These deficiencies highlight a failure in communication and adherence to care protocols for residents at high risk of pressure ulcers. The facility's staff did not consistently implement the necessary preventive measures and failed to document and address residents' refusals of prescribed treatments, resulting in inadequate care for residents with pressure ulcers.
What surveyors are citing around you — mapped
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What surveyors actually found near you
We read the 1,416 citations issued within 25 miles in the last 12 months — including the 20 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Brooklyn
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Heritage Rehabilitation And Health Care Center | 0.8 mi | ★★★★★ | 0 | 0 |
| Norwegian Christian Home And Health Center | 1 mi | ★★★★★ | 0 | 0 |
| Palm Gardens Center For Nursing And Rehabilitation | 1.4 mi | ★★★★★ | 12 | 0 |
| Caton Park Rehabilitation And Nursing Center, Llc | 1.8 mi | ★★★★★ | 1 | 0 |
| Bensonhurst Center For Rehabilitation & Healthcare | 2 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.