Above 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 Cypress Garden Center For Nursing And Rehabilitati during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and hemiplegia was physically pulled into and out of an elevator by an LPN, despite staff knowledge that physical contact would provoke combative behavior. The incident was witnessed by multiple staff, confirmed by video footage, and occurred after other staff attempted non-physical redirection in accordance with the resident's care plan.
The facility failed to maintain a safe and clean environment for residents, with issues such as dirty and rusty equipment, worn furniture, and stained walls observed across multiple units. Housekeeping staff reported daily cleaning routines, but challenges in accessing certain areas were noted. The Director of Housekeeping and Maintenance acknowledged these issues and mentioned plans for repairs and upgrades.
A re-certification survey identified several environmental deficiencies in the facility, including broken floor tiles, offensive odors, and maintenance issues in the lobby restrooms. The 3rd, 4th, and 6th floors had accumulated dirt, dust, and exposed wires in nurse stations and restrooms. The Director of Housekeeping and Maintenance acknowledged these issues, citing challenges in cleaning and plans for repairs.
A resident's right to self-determination was violated when a CNA attempted to provide care despite the resident's nonverbal refusals. The resident, who is nonverbal and communicates via an iPad, was disturbed early in the morning by the CNA, who did not review the resident's chart beforehand. The CNA's actions were reported to an LPN, who confirmed the resident's refusal. The facility's policy requires staff to respect refusals and reapproach situations softly, involving family and doctors if necessary.
A resident with Depression and Anxiety Disorder was identified as having hearing difficulties, but the facility failed to update the Comprehensive Care Plan to reflect the need for a hearing aid. Despite audiology findings and staff awareness, the care plan was not revised, contrary to the facility's policy requiring updates for significant changes in condition.
A resident with hearing loss was observed without their prescribed hearing aid on multiple occasions, despite facility policy and physician orders. The CNA reported the resident's refusal and potential malfunction of the device to nursing staff a month prior, but no follow-up was conducted. The RN Unit Manager was unaware of the issue, highlighting a communication breakdown in ensuring the resident's hearing needs were met.
Resident Physically Pulled by LPN Despite Known Behavioral Risks
Penalty
Summary
A deficiency occurred when a licensed practical nurse (LPN) physically pulled a resident with severe cognitive impairment and hemiplegia into and out of an elevator, despite the resident being combative. The incident was witnessed by multiple staff members, including certified nursing assistants (CNAs), a security guard, and a registered nurse (RN) supervisor. Video surveillance confirmed that the LPN grabbed the resident, who then tumbled and was observed seated on the elevator floor, before being pulled along the floor and out of the elevator on their assigned unit. The resident involved had a history of hemiplegia post-cerebral infarction, anxiety disorder, and depression, and was documented as severely cognitively impaired. Care plans were in place for risk of abuse and behavioral issues, with interventions including non-pharmacological approaches and increased monitoring. On the day of the incident, staff attempted to redirect the resident verbally and with gestures, avoiding physical contact due to the resident's known combative behavior when touched. Despite these measures, the LPN intervened physically, resulting in the resident being forcibly moved. Staff interviews revealed that the standard practice was to avoid touching the resident when agitated, as this would likely provoke combative behavior. The RN supervisor present did not intervene during the incident, citing shock at the LPN's actions. The resident did not recall the incident and denied any pain or injury when later interviewed with a translator. The event was reported to facility administration and law enforcement, and immediate assessments were conducted.
Environmental Deficiencies in Resident Units
Penalty
Summary
The facility failed to maintain a safe, sanitary, and comfortable environment for its residents, as observed during a re-certification survey. Multiple observations across three of the seven units revealed significant cleanliness and maintenance issues. On the 3rd floor, the patient toilet room had a cracked and broken handle bar, and the bathroom wall tiles were stained and dirty. The ice machine in the Day Room was rusty, and various equipment such as blood pressure machines and thermometer stands were dirty and dusty. Dining room tables were heavily worn and rusty, with uneven and wobbly bases, and air conditioners were layered with dust and dirt. Similar issues were found on the 4th floor, where air conditioners had broken slats, floor corners were embedded with dirt, and room furniture was heavily worn and stained. Interviews with housekeeping staff revealed that there were daily routines for cleaning, but these were not effectively addressing the environmental issues. Housekeepers reported cleaning tasks such as sweeping, mopping, and wiping down walls and equipment, but acknowledged challenges in accessing certain areas like the nursing station due to staff presence. The Housekeeping Supervisor and Director of Housekeeping and Maintenance confirmed that they conducted daily rounds to ensure cleanliness and safety, but admitted difficulties in maintaining certain areas, particularly where nursing staff were frequently present. The Director also mentioned plans to address some of the maintenance issues, such as repairing lobby floor tiles and concealing TV wiring in resident rooms. The facility's policy on maintaining a homelike environment was not adhered to, as evidenced by the numerous deficiencies observed. The Administrator acknowledged ongoing efforts to replace or upgrade air conditioners and tray tables, and to repaint and repair areas of concern. However, the current state of the facility did not meet the standards set forth in their policy, resulting in an environment that was not safe, clean, or comfortable for the residents.
Environmental Deficiencies in Facility's Common Areas and Restrooms
Penalty
Summary
During a re-certification survey, the facility was found to have several deficiencies related to maintaining a safe and clean environment for residents and staff. Observations revealed broken floor tiles in the lobby area, offensive odors, and various maintenance issues in the lobby restrooms, such as a loose toilet seat, a broken toilet paper dispenser, and dirt accumulation. Additionally, the employee restroom on the 3rd floor had a hole underneath the sink, and the nurse station on the same floor was noted to have accumulated dirt, dust, and exposed cable wires. Similar issues were observed on the 4th and 6th floors, with missing faucet handles, stained tiles, and debris accumulation under nurse desks. The Director of Housekeeping and Maintenance acknowledged these issues during an interview, stating that their role is to ensure a clean and safe environment. They mentioned making daily rounds and using an electronic software system to track environmental concerns. However, challenges were noted, such as difficulty cleaning the nurse station due to staff activity and the need for extensive repairs, like the lobby floor tiles, which require nighttime work. Despite having plans to address some of these issues, the deficiencies were evident during the survey.
Failure to Honor Resident's Right to Self-Determination
Penalty
Summary
The facility failed to honor a resident's right to self-determination, as evidenced by an incident involving a Certified Nursing Assistant (CNA) and Resident #69. Resident #69, who is cognitively intact with a BIMS score of 15 and has a history of aphasia, cerebral vascular accident, and hemiplegia, was nonverbal and communicated through an iPad, eye movements, and hand gestures. During the early morning hours, CNA #9 entered Resident #69's room, turned on the lights, and attempted to provide care without introducing themselves. Despite Resident #69's clear nonverbal refusals, including hand gestures and holding onto the bedside table, CNA #9 continued to attempt to provide care, resulting in a violation of the resident's rights. CNA #9 admitted to not reviewing Resident #69's chart prior to entering the room and was unaware of the resident's nonverbal status. The CNA reported the incident to an LPN after Resident #69 persistently refused care. The LPN, upon being informed, accompanied the CNA back to the resident's room and confirmed the resident's refusal through communication via the iPad. The Director of Nursing Service stated that staff are educated to respect residents' refusals and should reapproach the situation softly, involving family and doctors if necessary. The incident highlights a failure in the facility's adherence to its policy on resident rights, particularly in ensuring staff are informed and respectful of residents' communication methods and care preferences.
Failure to Update Care Plan for Resident's Hearing Needs
Penalty
Summary
The facility failed to ensure that a Comprehensive Care Plan was reviewed and revised by the interdisciplinary team after each assessment, specifically for a resident's communication needs related to hearing. The resident, who was admitted with diagnoses including Depression and Anxiety Disorder, was identified as having hearing difficulties. Despite a physician's order for an audiology consult and subsequent findings of sensorineural hearing loss with recommendations for hearing aid use, the care plan was not updated to reflect these changes. The care plan, which was last reviewed in October 2023, did not include interventions for the resident's hearing impairment, and staff continued to communicate with the resident by speaking loudly and slowly. Interviews with facility staff, including a CNA, RN Supervisor, Assistant Director of Nursing, and Director of Nursing, confirmed that the resident's hearing impairment was known and that the care plan should have been updated to reflect this change. The facility's policy requires care plans to be reviewed and updated quarterly, annually, and when there is a significant change in the resident's condition. However, there was no documented evidence that the care plan had been revised to address the resident's need for a hearing aid, despite the audiology findings and staff awareness of the resident's hearing difficulties.
Failure to Ensure Proper Hearing Aid Use for Resident
Penalty
Summary
The facility failed to ensure that a resident received proper treatment and assistive devices to maintain hearing abilities, as observed during a recertification survey. The resident, who has a diagnosis of hearing loss among other conditions, was noted to have minimal hearing difficulty and was prescribed a hearing aid for the right ear. Despite this, the resident was observed on multiple occasions without the hearing aid in place, which was contrary to the physician's orders and the facility's policy. The resident expressed difficulty hearing and gestured to their ears, indicating a lack of effective communication support. The Certified Nurse Aide (CNA) assigned to the resident reported that the resident refused the hearing aid and was unsure if it was functioning, having informed the nursing staff about this issue a month prior. However, the resident did not refuse the hearing aid when it was applied during the survey. The Registered Nurse Unit Manager was unaware of any issues with the hearing aid and had not followed up on a reported need for batteries. This lack of communication and follow-up contributed to the deficiency in providing the necessary hearing support for the resident.
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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 Flushing
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sapphire Center For Rehab & Nursing | 0 mi | ★★★★★ | 0 | 0 |
| Waterview Nursing Care Center | 0 mi | ★★★★★ | 2 | 0 |
| Woodcrest Rehab & Residential H C Center, L L C | 0 mi | ★★★★★ | 0 | 0 |
| Cliffside Rehab & Residential Health Care Center | 0 mi | ★★★★★ | 0 | 0 |
| Union Plaza Care Center | 0 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.