Above average — CMS composite of the measures below.
The next survey window likely opens 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 Fairview Nursing Care Center Inc. during CMS and state inspections, most recent first.
A facility failed to maintain a safe, clean, comfortable, and homelike environment in multiple resident areas. Surveyors observed torn chair cushions, ceiling tiles not firmly affixed, torn window screens, chipped and patched walls, stained and frayed shower curtains, a wall opening, dirty sink and toilet areas, cracked ceiling material, and grab bars not firmly affixed. The DON-equivalent leader stated daily rounds were done, but some issues were missed and there were communication problems with staff.
Incomplete and inaccurate medical record documentation was found for a resident whose orders required mechanical-lift transfers out of bed each shift. The resident was observed remaining in bed during multiple survey observations, while CNA documentation showed the transfer as completed and staff interviews conflicted on whether the resident had actually been transferred or had refused care. Surveyors also experienced delayed access to requested records, including MAR/TAR, MDS, care plan notes, and other documents, due to limited staffing and poor follow-through with the EHR vendor.
Unsafe and Unclean Common Areas and Nurse Station: Surveyors observed multiple environmental deficiencies in the lobby, elevators, a 4th floor staff bathroom, and the 4th floor nurse station. Findings included dusty and damaged lobby fixtures, broken and missing panels near the kitchen area, an ice machine held with tape, broken elevator wall panels, dirt and debris on elevator floors, a loose sink faucet and ground-in dirt in the staff bathroom, and torn chair cushions plus dirty, damaged surfaces at the nurse station.
A resident with dementia, TBI, and severely impaired cognition was started on Buspirone for reported agitation without documented evidence that nonpharmacologic measures were tried or that underlying medical causes were ruled out. The dose was later increased to help the resident comply with a hospital transfer, then continued after the resident was treated for a UTI and was no longer showing the behaviors that prompted the change. Records also showed no documented psychiatry re-evaluation after the last follow-up and no clear reassessment of the ongoing need for the antianxiety medication.
Improper G-tube Medication Administration: A resident with ALS, dysphagia, and a G-tube received multiple crushed meds mixed together and administered through the tube without verifying tube function first. An RN crushed folic acid, ferrous sulfate, baclofen, and glycopyrrolate together, then gave the mixture with large water flushes instead of administering each med separately with flushing between doses, contrary to the MD’s stated expectations and the facility’s tube-med administration policy.
A resident with CAD, HTN, opioid dependence, intact cognition, and dependence for transfers was ordered to be moved out of bed by mechanical lift, but was repeatedly left in bed despite the active care plan and physician order. Observations and CNA records showed the transfer was not completed on multiple shifts, while staff gave conflicting accounts about refusals, pain, therapy involvement, and whether the resident had instructions to get out of bed. The resident stated they were rarely taken out of bed after therapy ended.
Improper Administration of Tube-Delivered Medications: A resident with ALS, dysphagia, and a gastrostomy tube received multiple crushed meds mixed together and administered via GT without first verifying tube placement or patency. The nurse did not give the meds individually as required by policy and orders, and the record lacked documented water-flush interventions for the medication pass.
Failure to use EBP for an open surgical wound: A resident with a history of MRSA and a healing but still open right shoulder surgical wound with drainage was not placed on EBP, and no EBP signage was posted outside the room. Staff interviews showed inconsistent understanding of when EBP was indicated, and a CNA stated staff were not wearing gowns or other PPE during care because the resident was not on precautions.
Unsafe and Poorly Maintained Resident Areas
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment in multiple areas of the building, including Unit 1, Unit 4, and Unit 3. Observations identified torn window screens, ceiling tiles that were not firmly affixed, paint patches and chipped wallpaper on resident room walls, and blue chairs in a day room with ripped seat cushions. The maintenance log for one unit showed no work requests related to the observed concerns, and the Director of Environmental and Maintenance Services stated the issues in the resident room should have been addressed during daily maintenance rounds but were missed. On Unit 4, the dining room and shower room had multiple environmental and maintenance deficiencies. The dining room contained torn vinyl chair cushions, a ceiling tile not firmly affixed with stained ceiling tiles, a torn and disrepair cork board, and dining tables with sharp, broken, chipped edges around the bases. The shower room had stained, frayed curtains with a black substance, a wall opening, a heavily scratched toilet bowl with yellowish stains, a sink area with accumulated dirt and debris, a cracked ceiling in a shower stall, and toilet grab bars that were not firmly affixed to the wall. The Director of Environmental and Maintenance Services stated the facility conducts multiple daily rounds, cleans high-touch areas, and checks the logbook daily, but also noted communication problems with staff due to a language barrier and that some items, such as shower room vent work and chair replacement, were in progress.
Incomplete and Inaccurate Medical Record Documentation
Penalty
Summary
Medical records were not complete and were not accurately documented in accordance with accepted professional standards. For one resident with diagnoses including Coronary Artery Disease, Hypertension, and Opioid Dependence, the quarterly MDS documented intact cognition, no refusal of care, dependence for transfers, and wheelchair use. The physician order and resident nursing instruction required transfer out of bed to a standard wheelchair with a mechanical lift every shift, but the resident stated they were only out of bed a few times for appointments and that staff told them there were no instructions to get them out of bed. The resident was observed in bed during multiple survey observations and was not taken out of bed during those times. The CNA Accountability Record documented that transfer out of bed was performed on shifts when the resident was observed in bed and not out of bed, and staff interviews did not support the documentation. One CNA stated they had not assisted the resident out of bed but documented the transfer as performed because therapy had moved the resident to the main floor, while another CNA stated the resident was not taken out of bed during the shifts in question and they did not recall why they documented the task as performed. An RN stated the resident had refused attempts to transfer using the mechanical lift, while another RN stated the resident had never refused care and had only seen the resident lying in bed. In addition, requested records for other residents were not provided in a timely manner, including face sheets, orders, MARs, MDS assessments, nurse notes, fall investigation records, policies, staff in-service records, and care plans. The survey team also had delayed access to the facility electronic medical record, including the MAR, TAR, and care plan notes, despite repeated notifications to the Acting Administrator and QA staff. The Acting Administrator stated the DON was unavailable, the facility had only one person printing and scanning documents, and QA staff had not followed up effectively to ensure surveyor access to the electronic record.
Unsafe and Unclean Common Areas and Nurse Station
Penalty
Summary
The facility did not ensure a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. Surveyors observed multiple environmental issues across the lobby area, elevators, a 4th floor staff bathroom, and the 4th floor nurse station, including dusty wall light fixtures with missing crystal ornaments, broken and missing corner panels near the kitchen area, an ice machine outside the kitchen area secured with black and silver tape, and a broken ice tray rack. The elevators had broken wall panels and floors with accumulated dirt, dust, and debris. Additional observations on the 4th floor included a staff bathroom with a loose sink faucet and floor corners embedded with ground-in dirt, and a nurse station with torn vinyl seat cushions, floors with layered dirt, dust, and debris, and a desk with Formica panels in disrepair. The Director of Environmental and Maintenance Services stated that the facility’s role was to ensure the facility was clean, orderly, and functioning safely, and noted that staff could log maintenance issues in unit logbooks, including loose sinks, broken ice machines, and loose faucets.
Unnecessary Psychotropic Medication Use Without Reassessment
Penalty
Summary
The facility failed to ensure one resident remained free from chemical restraint use when Buspirone was initiated and later increased without documented evidence that underlying medical conditions were ruled out or that nonpharmacological interventions were attempted first. The resident had diagnoses including non-Alzheimer’s dementia, hyperlipidemia, and traumatic brain injury, and the quarterly MDS documented severely impaired cognition with antianxiety medication use 7 days a week. The care plan identified Buspirone for anxiety disorder with interventions to monitor behavior and medication effectiveness. Psychiatry documentation before the medication change noted the resident had no complaints and denied anxiety or depression symptoms, and the last psychiatry follow-up was on 05/13/2025. On 08/09/2025, a physician evaluated the resident for reported agitation and ordered Buspirone 5 mg daily, but the record did not show nonpharmacological interventions or evaluation for underlying causes before starting the medication. Later notes documented anxiety, agitation, pacing, verbal outbursts, restlessness, and noncompliance with care, but there was no documented evidence that psychiatry was reconsulted or that underlying medical conditions were ruled out when behaviors increased. The resident was transferred to the hospital on 10/03/2025 after increased agitation and refusal of evaluation, and Buspirone was increased to 5 mg twice daily to help the resident comply with transfer for further evaluation. The resident was then diagnosed with an acute urinary tract infection and treated with ceftriaxone, but there was no documented evidence that the need for the increased Buspirone dose was reassessed after the infection was treated and the resident was no longer displaying the behaviors that had prompted the medication change. Later behavior notes described the resident as calm and quiet, and the record also showed the resident expressed concern about needing certain medications and feeling fine without them, yet the continued necessity of Buspirone was not documented as being evaluated.
Improper G-tube Medication Administration
Penalty
Summary
The facility failed to ensure that care and services for a resident with a gastrostomy tube were provided in accordance with professional standards of practice. Resident #79 had diagnoses including amyotrophic lateral sclerosis, gastrostomy status, and dysphagia, and the quarterly MDS documented severe cognitive impairment. The physician orders included crushing medications for administration through the gastrostomy tube and checking tube placement prior to starting feeds. During observed medication administration, the RN placed folic acid, ferrous sulfate, baclofen, and glycopyrrolate together in a plastic pouch and crushed all four medications at the same time. The RN then entered the resident’s room, placed the powdered medications into a cup with water, and administered them through the gastrostomy tube. The RN also gave a 60 cc water flush before administering the medication mixture, then pushed 60 cc of the medication mixture into the tube followed by another 40 cc of the remaining mixture, and finished with a 35 cc water flush. The RN did not verify tube function before giving the medications and did not administer each medication separately with flushing between medications. The attending physician stated the medications were to be given separately and slowly, and that checking for patency before administration was necessary. The RN later stated they were nervous and did not normally administer medications to residents with gastric tubing in that manner, and the RN supervisor stated the nurse did not follow standards of practice.
Failure to Assist Resident With Ordered Out-of-Bed Transfers
Penalty
Summary
The facility failed to ensure that a resident who was unable to carry out activities of daily living received the necessary assistance to maintain grooming and personal hygiene. Resident #86 had diagnoses including coronary artery disease, hypertension, and opioid dependence, was cognitively intact, used a wheelchair for mobility, and was dependent on staff for bed mobility and transfers. The resident’s care plan and physician order directed transfer out of bed to a standard wheelchair with a gel-foam cushion and bilateral leg rests via mechanical lift, and the resident nursing instruction specified this transfer every day across all shifts. Despite those orders, the resident was observed in bed and not taken out of bed during multiple observation periods on three consecutive days. The certified nursing assistant accountability record showed that the transfer out of bed was not performed on the day shift on two of the three days reviewed and was not performed on the overnight shift on any of the three days reviewed. The resident stated therapy had ended months earlier and that they had only been out of bed a few times for appointments, and also stated that when they asked nursing assistants for help getting out of bed, they were told there were no instructions for them to get out of bed. Staff interviews reflected inconsistent understanding and documentation of the resident’s transfer status. One CNA stated the resident had not been assisted out of bed but documentation showed the task as performed because therapy had transferred the resident. Another CNA stated they had stopped transferring the resident after a prior attempt with the Hoyer lift caused pain in the resident’s leg. An RN stated the resident had been refusing to get out of bed and reported pain during transfer attempts, while another RN stated the resident was pleasant and had never refused care. The director of rehabilitation confirmed the transfer order remained active and had not changed after therapy discharge, and the unit supervisor stated CNAs were responsible for providing care as ordered and informing nurses of refusals or concerns.
Improper Administration of Tube-Delivered Medications
Penalty
Summary
The facility failed to ensure appropriate care for a resident with a gastrostomy tube when medications were administered via enteral route. The resident had diagnoses including amyotrophic lateral sclerosis, gastrostomy status, and dysphagia, and was documented as severely cognitively impaired. The care plan and physician orders directed that tube placement be checked prior to feeds and medications, and that medications be crushed for gastric tube administration. During observation, a registered nurse administered medications to the resident without first verifying tube functioning or placement. The nurse placed folic acid, ferrous sulfate, baclofen, and glycopyrrolate tablets into a plastic pouch and crushed all four medications together. The powdered medications were then mixed with water and administered through the gastric tube in two portions, rather than being given separately. The nurse also flushed the tube with water before and after the medication administration. The facility policy for medication administration via gastrostomy tube stated that medications should be crushed individually, kept separate, and that tube placement should be checked before administration. The attending physician and nursing supervisor both stated that medications for a resident with a gastric tube should be administered separately and that checking for stomach contents or patency is necessary before giving medications. The record also noted there were no documented interventions regarding water flushes to be administered during the medication administration process.
Failure to Use Enhanced Barrier Precautions for Open Surgical Wound
Penalty
Summary
The facility failed to ensure infection control prevention practices and procedures were maintained to provide a safe and sanitary environment and help prevent the development and transmission of communicable diseases and infections. During the Infection Control Task, Resident #3 was observed with an open right shoulder surgical wound, yet the resident was not maintained on Enhanced Barrier Precautions and no Enhanced Barrier Precautions signage was posted in front of the room on multiple observations between 12/01/2025 and 12/08/2025. Resident #3 was admitted with diagnoses including cirrhosis, a left patella fracture, and an upper right humerus fracture, and was status post repair of a shoulder fracture. The admission MDS documented a major surgical procedure during the prior inpatient hospital stay and a surgical wound with wound care in place. Wound documentation showed the right shoulder surgical site had dehiscence with slough, granulation tissue, epithelial tissue, and moderate serous or serosanguineous drainage, with ongoing wound care orders for cleansing, skin prep, Medi-honey, silver alginate, and dry protective dressing twice daily and as needed. Staff interviews reflected differing views about whether Enhanced Barrier Precautions were indicated. The Wound Care Specialist stated the resident was not on the list for Enhanced Barrier Precautions because the wound was improving and the open portion was less than 1 centimeter, while the Infection Control Preventionist stated they were not sure whether the resident should be on Enhanced Barrier Precautions. The Medical Director stated that if a resident has an open wound, it may warrant placement on Enhanced Barrier Precautions, and the Wound Care Doctor stated an open surgical wound may need Enhanced Barrier Precautions. A CNA stated staff were not wearing gowns or other precautions during care because the resident was not on precautions at that time.
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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 Forest Hills
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Forest Hills Care Center | 0 mi | ★★★★★ | 0 | 0 |
| Forest View Center For Rehabilitation & Nursing | 0 mi | ★★★★★ | 0 | 0 |
| Dry Harbor Nursing Home | 1.8 mi | ★★★★★ | 0 | 0 |
| Park Terrace Care Center | 2.2 mi | ★★★★★ | 12 | 0 |
| Rego Park Nursing Home | 2.2 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.