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 October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Ditmas Park Care Center during CMS and state inspections, most recent first.
A resident who was a premature infant with pulmonary HTN, feeding difficulties, interstitial pulmonary disease, and congenital hypotonia did not have a comprehensive, person-centered care plan with measurable interventions for the ordered diuretic or for the resident’s diagnoses. Staff stated the care plan for the medication should have been started when the order was written, while the ADON said diagnosis-related care planning was delayed until after a family meeting.
A resident infant with pulmonary hypertension, feeding difficulties, interstitial pulmonary disease, and congenital hypotonia received Hydrochlorothiazide twice in close succession instead of the ordered 7 mg q12h dose. The MAR listed scheduled doses, but an RN administered an extra dose after a missed verification step, and the parent questioned the second administration.
A physician telephone order for Tylenol suppository 240 mg was given for an infant resident but was not written, signed, or dated by the MD. The dose was administered after the parent requested medication for irritability, and the next morning the resident had vomiting and increased sleepiness; the NP noted the dose exceeded the loading dose for age and weight, Poison Control was contacted, and the resident was sent to the ER for evaluation.
The facility failed to comply with food safety standards, as a CNA was observed handling a resident's food with bare hands, against policy. Additionally, the kitchen's walk-in refrigerator contained expired and undated food items, violating storage guidelines. The Food Service Director admitted to oversight in labeling and discarding expired items.
A facility failed to maintain Enhanced Barrier Precautions during wound care for a resident with a chronic wound. An LPN performed wound care without wearing a gown, and there was no signage indicating the need for precautions. The lapse occurred because the Assistant Director of Nursing/Educator mistakenly removed the signage, believing the wound was healed. Interviews confirmed the facility's policy required gowns and gloves for residents with wounds.
Incomplete Care Plan for Diuretic Use and Diagnoses
Penalty
Summary
A comprehensive person-centered care plan was not developed and implemented to address the medical, physical, mental, and psychosocial needs of one resident. The resident was a 7-month-old infant born prematurely at 27 weeks and admitted with diagnoses including pulmonary hypertension of the newborn, newborn affected by premature rupture of membranes, feeding difficulties, interstitial pulmonary disease, and congenital hypotonia. The facility policy stated that a comprehensive care plan should reflect the resident’s current status and include goals, interventions, measurable objectives, and timetables, with interdisciplinary care planning within 21 days of admission and updates when the resident’s status changes. Review of the physician’s order showed Hydrochlorothiazide oral suspension ordered every 12 hours for diuresis, but there was no documented evidence that a care plan with interventions for the diuretic was developed at the time the medication was ordered. There was also no documented evidence that a care plan with interventions for the resident’s diagnoses was initiated. The RN Unit Manager stated that a care plan should have been initiated for Hydrochlorothiazide when it was ordered, and the ADON stated that care plans for diagnoses were not immediately initiated on admission and that the Hydrochlorothiazide care plan was initiated later.
Medication Administration Error for Infant Resident
Penalty
Summary
The facility failed to ensure a 7-month-old infant resident received Hydrochlorothiazide in accordance with the physician’s order and the resident’s comprehensive person-centered care plan. The resident, born prematurely at 27 weeks and admitted with diagnoses including pulmonary hypertension of newborn, feeding difficulties, interstitial pulmonary disease, and congenital hypotonia, had an order for Hydrochlorothiazide oral suspension 10 mg/mL, 7 mg every 12 hours. The medication administration record listed the medication for 11:00 AM and 11:00 PM administration. On 06/04/2026, the resident was given Hydrochlorothiazide twice in close succession instead of receiving the ordered single dose at the scheduled time. The record states that a second dose was accidentally administered, and the resident’s parent questioned the administration after the second dose was given. The attending physician was notified, the resident was assessed and remained at baseline, and the 11:00 PM dose was placed on hold. The report also states the error occurred after a failure to complete final electronic medication record verification before administration.
Unsigned Telephone Order for Tylenol Given to Infant Resident
Penalty
Summary
The facility failed to ensure that the physician wrote, signed, and dated a telephone order for Tylenol suppository 240 mg that was given to an infant resident. The resident was a 7-month-old premature infant admitted with diagnoses including pulmonary hypertension of newborn, feeding difficulties, interstitial pulmonary disease, congenital hypotonia, and other neonatal conditions. A nursing note documented that the resident’s parent requested Tylenol for irritability after a vaccine, and the attending physician was called and gave a telephone order for Tylenol suppository 240 mg rectally, which was administered at 9:30 PM. The record showed no evidence that the attending physician wrote, signed, or dated the telephone order. The facility policy required telephone orders to be documented, read back for verification, and authenticated by the ordering practitioner. The physician later stated they gave the order by telephone, were thinking of another resident’s dosage, did not recall the nurse reading back the dosage, and did not enter or sign the order because they did not have access to a computer. The next morning, the resident’s parent reported vomiting and increased sleepiness, and the nurse practitioner was notified that the resident had received 240 mg rectally. The nurse practitioner documented that the dose exceeded the Tylenol loading dose for the resident’s age and weight, contacted Poison Control, and the resident was transferred to the emergency room for evaluation. The hospital discharge summary documented no abnormal findings, and the emergency department noted low concern for acute Tylenol toxicity given the amount and route administered.
Food Safety and Storage Deficiencies
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed during a recertification survey. A Certified Nursing Assistant was seen handling a resident's food with bare hands, contrary to the facility's policy that mandates the use of disposable gloves when touching ready-to-eat food. Despite being aware of the policy through in-service training, the staff member did not comply. Interviews with other staff members, including a Licensed Practical Nurse and a Registered Nurse, confirmed that the policy prohibits bare hand contact with residents' food. However, the Infection Preventionist provided conflicting information, suggesting that if hands are clean, bare hand contact might be permissible. Additionally, the facility's kitchen walk-in refrigerator contained expired and undated food items, violating the facility's food storage and labeling policy. The policy requires all food to be labeled and dated, with specific guidelines for the storage duration of ready-to-eat foods. During an inspection, several items, including tuna cups, cream of rice puree, potato knishes, and salads, were found to be either expired or undated. The Food Service Director acknowledged the oversight, attributing it to mislabeling and missed checks by the dietary staff. Despite daily checks by the food service aides, supervisor, and director, these items were not discarded as required.
Failure to Maintain Enhanced Barrier Precautions During Wound Care
Penalty
Summary
The facility failed to maintain infection control prevention practices, specifically Enhanced Barrier Precautions, during wound care for a resident with a chronic wound. The Centers for Medicare and Medicaid Services issued new guidance effective April 1, 2024, requiring enhanced barrier precautions for residents with chronic wounds or indwelling medical devices during high-contact care activities. The facility's policy, updated on April 2, 2024, aligned with this guidance, mandating the use of gowns and gloves for such residents. However, during an observation on August 23, 2024, an LPN performed wound care for a resident with a Stage 4 sacral pressure ulcer without wearing a gown, and there was no signage indicating the need for Enhanced Barrier Precautions. The lapse occurred because the Assistant Director of Nursing/Educator had removed the Enhanced Barrier Precaution signage, mistakenly believing the resident's wound was healed. Interviews with the LPN, the Assistant Director of Nursing/Educator, the Infection Control Preventionist, and the Director of Nursing confirmed that the facility's policy required gowns and gloves for residents with wounds. The resident involved had moderately impaired cognitive skills and was admitted with diagnoses including Cerebral Palsy and Metabolic Encephalopathy, highlighting the need for strict adherence to infection control protocols.
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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 Brooklyn
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Palm Gardens Center For Nursing And Rehabilitation | 0.8 mi | ★★★★★ | 12 | 0 |
| Caton Park Rehabilitation And Nursing Center, Llc | 0.9 mi | ★★★★★ | 13 | 0 |
| The Monarch At Brooklyn Rehabilitation And Nursing | 0.9 mi | ★★★★★ | 0 | 0 |
| Dr Susan Smith Mckinney Nursing And Rehabilitation | 1.7 mi | ★★★★★ | 0 | 0 |
| Rutland Nursing Home, Inc | 1.8 mi | ★★★★★ | 1 | 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 October 2026) and official state health department websites.