Below average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Haven Manor Health Care Center, Llc during CMS and state inspections, most recent first.
Unsafe and Unclean 6th Floor Environment: Observations found brown-stained ceiling tiles, cracked tiles, rusted radiators, dirty bedside tables, stained blinds, a hole in a bathroom, and disrepair around air/heating units and shower areas. Staff interviews confirmed repairs were logged or reported, while the Maintenance Director attributed some issues to age, weather, and bleach use, and the Administrator stated they were not sure what repairs were needed.
The facility did not support resident choice regarding smoking for two cognitively intact residents who were known smokers. Staff reported residents could only smoke when weather permitted and were not allowed outside in cold weather, and no smoking cessation aids such as nicotine gum or a patch were offered. One resident said it had been more than a month since being allowed to smoke, while another said they were told they could not smoke because of the cold despite being willing to go outside dressed for the weather.
Failure to timely mail Medicare non-coverage notice: A resident’s representative was contacted by phone about the end of skilled coverage, but the NOMNC was not mailed the same day and the certified mail receipt showed it was postmarked later. The resident had been discharged from skilled services but remained in the facility, and the RN/MDS Coordinator stated mailing was usually done the next day and follow-up was not completed in this case.
Failure to protect resident medical record privacy: An LPN left the med cart with the laptop open during med pass, displaying a resident's medical record while two housekeeping staff were nearby. The LPN stated the screen should have been closed before leaving the cart, and the DON confirmed the monitor must be closed or locked when unattended.
Two residents were observed with wheelchair seat belts in place without physician orders, documented restraint evaluations, or care plans. One resident with paranoid schizophrenia was seen wearing a seat belt during activities and stated they could not remove it, while staff said it had been used for a long time and would be considered a restraint if the resident could not remove it independently. Another resident with dementia and schizophrenia was repeatedly observed with a seat belt across the thighs or upper limbs, could not remove it when directed, and staff said it was used to keep the resident from sliding or getting up.
A resident with kidney failure, DM, metabolic encephalopathy, and borderline personality disorder was discharged to the community with family, but the facility did not document sending the discharge notice to the LTC Ombudsman as required by policy. The SW and DON both stated a copy should have been sent, but no proof could be found in the resident record.
A facility failed to develop comprehensive, person-centered care plans with measurable goals and timeframes for two residents observed wearing wheelchair seatbelts. One resident with cancer, anemia, and schizophrenia was seen multiple times with a seatbelt, including one instance locked across the upper limbs, and staff said the use had not been reported. Another resident with paranoid schizophrenia, muscle spasms, and constipation was repeatedly observed wearing a seatbelt, while an RN stated the resident had always worn it on the unit and that a care plan should have been created.
Two residents receiving continuous tube feedings had feeding bags/bottles observed without the required labels showing the resident’s name, date, rate, and start time. Both residents had severe cognitive impairment and were dependent for ADLs, and staff interviews confirmed that the nurse who initiates the feeding is expected to label the container per facility protocol.
Two residents’ latanoprost eye drop vials on the 4th floor med cart were found without resident names on the bottles, even though labels were present on the outside bags. The LPN noted the bottles were opened and dated, while the DON and pharmacist stated resident-specific meds should be labeled by the pharmacy and that missing bottle labels should be reported; staff interviews showed the issue had not been resolved through pharmacy contact.
Failure to sanitize a BP cuff between residents: an LPN was observed taking one resident's BP and then using the same cuff on another resident without cleaning it before, after, or in between uses. The facility policy required reusable medical equipment, including BP machines and cuffs, to be cleaned with sanitizing wipes, and the LPN acknowledged forgetting to do so.
Unsafe and Poorly Maintained Physical Environment: The facility failed to maintain a safe and comfortable environment for staff in the basement laundry room and at the 6th Floor nurses' station. Surveyors observed rusted washing machines with loose, disconnected panels, mismatched floor tiles, a brown substance on the wall under the desk, and a chipped desk. The Maintenance Director said the tiles were old and needed replacement, while the Administrator said they were not sure what repairs were needed.
MDS assessments did not accurately reflect resident status for three residents. One resident’s clopidogrel was incorrectly coded as an anticoagulant, and two residents were observed wearing wheelchair seat belts that were not accurately documented as restraints in the MDS. Staff stated one resident had worn the seat belt routinely, no order or evaluation for the belt could be found, and the RN/MDS Coordinator said a seat belt that cannot be removed independently is considered a restraint.
A resident with severe cognitive impairment was photographed by a physician during an emergency medical situation to show the family the extent of the resident's condition and obtain consent for treatment. The photo was taken and shared with the health care proxy without written consent, contrary to facility policy and regulatory requirements for privacy and confidentiality.
The facility failed to report an alleged abuse incident within the required two-hour timeframe. A resident reported that another resident climbed into their bed and took advantage of them, but the incident was reported to the Department of Health two days later. Both residents involved had severe cognitive impairments. The delay was due to the Risk Manager being unavailable to report the incident promptly.
Unsafe and Unclean 6th Floor Environment
Penalty
Summary
The facility failed to maintain the residents' right to a safe, clean, and comfortable environment on the 6th Floor. Observations identified multiple environmental concerns, including brown stains on hallway and room ceiling tiles, cracked and disrepair areas around air/heating units, cracked floor tiles below sinks, a hole in a bathroom, dirty bedside tables, stained window blinds, and a top portion of an air-conditioning unit coming off. The male shower room had black-colored substance around the perimeter and brown-colored substance around the window perimeter, and the residents' dining room had a radiator with brownish discoloration and exposed sharp metal, along with a dusty ceiling ventilation area with brown stains. Additional observations included rusted radiators, discolored blinds, rusted metal around a light above a sink, and wall disrepair with black-colored substance in a resident room. One room had ceiling tiles in disrepair hanging off the ceiling, and another room had a cracked base around the heating unit exposing the wall with brown and grey substance. During interviews, the Nursing Supervisor stated repairs are written in the maintenance logbook when something is unsafe or may cause immediate jeopardy, the Housekeeper stated they notify the Maintenance Director for needed repairs, the Maintenance Director stated some tiles are old and need replacement and attributed radiator stains to weather and outside water, and the Administrator stated they were not sure what repairs were needed.
Smoking Choice and Cessation Options Not Supported
Penalty
Summary
The facility did not ensure resident self-determination and choice regarding smoking for two residents who were known smokers. The survey found that the facility did not allow residents to go outside to smoke when the weather was cold and did not offer a smoking cessation program, including nicotine replacement, when smoking was prohibited due to weather. The facility policy titled "Safe Smoking Program" stated that smoking would be permitted in a designated area at a designated time for residents who choose to smoke, and that residents requesting smoking cessation assistance would be supported by Activities, Nursing, and Social Service. Resident #103 had diagnoses including Anxiety Disorder, Depression, and Schizophrenia, and the annual MDS documented the resident as cognitively intact. The care plan identified the resident as a known smoker and stated the resident should be allowed to smoke in the designated area with supervision as needed. During interview, the resident stated it had been more than a month since being permitted to smoke and did not know why smoking had not been allowed. Review of progress notes from 12/03/2025 through 12/09/2025 showed no documented unsafe smoking behaviors, and there was no documented evidence the resident was given a choice to smoke during cold weather or offered a smoking cessation program when smoking was restricted. Resident #21 had diagnoses including Non-Alzheimer's Dementia and Schizophrenia, and the quarterly MDS documented the resident as cognitively intact. The care plan stated the resident would smoke safely in the designated smoking area. The resident reported not being allowed to smoke for more than three weeks and stated they had no issue going outside in cold weather if dressed appropriately, but were told they could not smoke because of the cold. Review of progress notes from 12/01/2025 through 12/31/2025 showed no documented unsafe smoking behaviors, and there was no documented evidence the resident was offered a choice to smoke in cold weather or offered smoking cessation aids. Staff interviews confirmed smoking was limited to weather-permitting times, residents were not allowed to go outside when it was cold, and nicotine gum or patches were not allowed for known smokers.
Failure to Timely Mail Medicare Non-Coverage Notice
Penalty
Summary
The facility did not ensure that a resident or the resident’s designated representative received appropriate notification at the termination of Medicare Part A benefits. This was identified for Resident #216, who was discharged from skilled services on 01/14/2026 with 93 Medicare Part A benefit days remaining and continued to stay in the facility. The Notice of Medicare Non-Coverage and Skilled Nursing Facility Advanced Beneficiary Notice were completed, and the Notice of Medicare Non-Coverage documented that the resident’s representative was contacted by telephone on 01/12/2026 at 12:20 PM. However, there was no documented evidence that the Notice of Medicare Non-Coverage form was mailed to the representative on the same day the telephone notification was made. A Certified Mail Receipt showed postage was not postmarked until 01/15/2026. Registered Nurse #1, who was also the MDS Coordinator, stated that when skilled services are discontinued, the letter is prepared and given to the Social Worker for the family, then the envelope is prepared and given to the secretary to mail, usually the next day because the post office is visited once daily; she also stated that follow-up with the secretary was usually done but was not done in this case.
Failure to Protect Resident Medical Record Privacy
Penalty
Summary
The facility failed to maintain residents' rights to privacy and confidentiality when an LPN left the medication cart without locking the laptop computer, leaving Resident #136's medical record visible on the screen. During medication pass observation on the 2nd Floor unit, the LPN walked away from the cart toward a room while the laptop remained open, and two housekeeping staff were in the hallway directly across from the cart. The facility policy stated that resident records must be protected and kept confidential, and the LPN later stated they were supposed to close the laptop screen before leaving the medication cart. The DON also stated that the laptop monitor must be closed or locked when leaving the cart so others do not gain access to the resident's medical record.
Unordered wheelchair seat belts used as restraints
Penalty
Summary
The facility failed to ensure that residents were free from physical restraints that were not required to treat medical symptoms. The deficiency involved two residents who were observed using seat belts in wheelchairs without documented physician orders, without documented restraint evaluations, and without care plans addressing the restraint use. Facility policy stated residents have the right to be free from physical restraints imposed for discipline or convenience and not required to treat medical symptoms, and that seatbelts are an example of trunk restraints. Resident #143 had diagnoses including paranoid schizophrenia, muscle spasms, and constipation. The resident was observed seated in a wheelchair wearing a blue seat belt on multiple occasions, including while playing dominoes in the day room. The resident stated they did not know how to remove the seat belt and staff had to remove it. Review of the record found no physician order for the seat belt, no directions for its use or monitoring, no documented evaluation of the need for restraint, and no care plan addressing restraint use. Staff interviews confirmed the seat belt had been used for a long time, that it was not listed in tasks, and that if the resident could not remove it independently it would be considered a restraint. Resident #141 had diagnoses including non-Alzheimer's dementia, depression, and schizophrenia. The resident was repeatedly observed in a wheelchair with a seat belt fastened across the upper thighs or upper limbs in the dining area, and the resident was unable to remove the seat belt when directed or follow instructions to do so. Staff stated the seat belt was used to keep the resident from sliding from the wheelchair and to prevent the resident from getting up, and that it had been in place for a long time. The record contained no physician order, no documented restraint evaluation, and no care plan for the seat belt. Interviews with nursing staff and the DON confirmed the seat belt was treated as a restraint, but documentation supporting its use was not present in the record.
Failure to Notify LTC Ombudsman of Discharge
Penalty
Summary
The facility failed to ensure that a copy of a discharge notice was sent to a representative of the Office of the State Long-Term Care Ombudsman for Resident #214. The facility’s discharge planning policy stated that when a resident’s discharge plan is determined, a Notice of Discharge is prepared, a copy is sent to the LTC Ombudsman, and a copy is retained in the resident record. Resident #214 was admitted with diagnoses including kidney failure, DM, metabolic encephalopathy, and borderline personality disorder. The resident’s discharge MDS documented that the resident was cognitively intact, and the discharge instruction summary and discharge care plan documented discharge to the community with family members. However, there was no documentation in the medical record that the LTC Ombudsman office was notified in writing of the discharge. The SW stated they were not present at the time of discharge but said a copy should have been sent to the Ombudsman, and the DON stated that the discharge notice should have been emailed but could not provide evidence that it had been sent.
Missing Care Plans for Wheelchair Seatbelt Use
Penalty
Summary
The facility failed to ensure that comprehensive person-centered care plans were developed and implemented with measurable objectives and timeframes for residents' medical, nursing, mental, and psychosocial needs. This was identified for two residents observed using seatbelts in wheelchairs. The facility policy stated that comprehensive care plans should include individualized, goal-directed care with measurable objectives and timetables based on the comprehensive assessment, and that alternative interventions should be documented as needed. Resident #141 was admitted with diagnoses including cancer, anemia, and schizophrenia. The resident was observed on multiple occasions in the dining area and in a wheelchair wearing a seatbelt, including one observation where the seatbelt was locked across the upper limbs. The report stated there was no care plan developed for this resident because staff did not report using a seatbelt. Resident #143 had diagnoses including paranoid schizophrenia, muscle spasms, and constipation, and the quarterly MDS documented that the resident was cognitively intact, used a wheelchair, and did not use physical restraints or alarms. The resident was observed wearing a blue seatbelt in the wheelchair and later while playing dominoes in the day room. There was no documented evidence of a comprehensive care plan addressing the seatbelt use. An RN stated the resident had always worn a seatbelt on the unit, that some residents lean forward in their wheelchairs and the seatbelt helps maintain safety, and that if the resident could not remove the seatbelt it would be considered a restraint; the RN also stated a care plan should have been created and may have been missed.
Unlabeled Enteral Feeding Containers
Penalty
Summary
The facility failed to ensure that enteral tube feeding formula and water bags were labeled with the resident’s name, date, rate, and the time the feeding was started for two residents receiving tube feedings. The facility policy titled Enteral Feedings required formula containers to be labeled with the resident’s name, date, rate, and time the container was started, but observations showed that the feeding bags were not labeled as required for either resident. Resident #10 had diagnoses including anemia, Parkinson’s disease, malnutrition, and gastrostomy status, and was assessed as having severe cognitive impairment and total dependence for all activities of daily living. Resident #10 had a physician’s order for continuous tube feeding with Peptamen 1.5 at 50 cc/hour, and on two observations the enteral feeding bag was running without the required label. Resident #12 had diagnoses including hypertension, malnutrition, and adult failure to thrive, and was also assessed as having severe cognitive impairment and total dependence for most activities of daily living. Resident #12 had a physician’s order for continuous tube feeding with TwoCal-HN at 50 cc/hour, and on two observations the feeding bottle was not labeled with the resident’s name, date, rate, and time started. Staff interviews confirmed that the nurse who starts the tube feeding is expected to label and date the feeding container, and the DON stated that the feeding bottle must be labeled per facility protocol.
Unlabeled Eye Drop Vials on Medication Cart
Penalty
Summary
Medication and biologicals were not labeled in accordance with currently accepted professional principles on the 4th floor medication cart. During observation of medication storage, Latanoprost 0.0005% eye drops for two residents were found in a dark plastic bag with labels on the outside of the bags, but the vials themselves did not have the residents’ names on them. Both bottles were dated opened on 1/8/2026, and the LPN stated the eye drops would expire 42 days after opening. This was identified on one of five units reviewed for medication storage. Record review showed the facility policy required medications and biologicals to remain in original pharmacy-labeled packaging unless administered per authorized dispensing practice, with required labeling elements including the resident name when resident-specific. During interviews, the LPN stated the bottles had no label and that staff would identify the correct resident by checking other eye drops. The DON stated medications must be labeled with the resident’s name, dosage, and instructions, and that nurses do not affix labels themselves but should report missing labels to supervision. The pharmacist stated the pharmacy labels medications with the patient’s name, room number, date of birth, and labels on the bag, box, and bottle, and said the facility had not contacted the pharmacy about the missing bottle labels.
Failure to Sanitize Blood Pressure Cuff Between Residents
Penalty
Summary
The facility failed to maintain infection control practices and procedures to provide a safe and sanitary environment and help prevent the development and transmission of communicable diseases and infections. During medication administration observation on the 2nd Floor, an LPN was observed taking Resident #102's blood pressure without sanitizing the blood pressure cuff before and after use. The same blood pressure cuff was then used on Resident #136 at 9:30 AM, and the LPN again failed to sanitize the cuff before and after use between residents. The facility policy titled Reprocessing of Reusable Resident Medical Equipment stated that reusable equipment likely to have been contaminated with infectious fluids or other potentially infectious matter must be handled to prevent transmission of infectious agents, and that blood pressure machines and cuffs used by nursing, medical, and rehabilitation staff must be cleaned before and after use with a sanitizing cloth wipe. During interview, the LPN stated they were supposed to clean and sanitize the blood pressure cuff with sanitizing wipes before and after use and between each resident but forgot. The RN supervisor stated they were responsible for supervising the LPN to ensure reusable equipment was properly sanitized and that the blood pressure cuff must be cleaned in between residents using purple top sanitizing wipes. The Infection Preventionist and DON both stated the blood pressure machine and cuff must be sanitized between residents and allowed to dry before use on the next resident.
Unsafe and Poorly Maintained Physical Environment
Penalty
Summary
The facility failed to provide a safe and comfortable environment for staff in the laundry room on the basement level and at the 6th Floor nurses' station. During observation, the back of washing machines #3 and #4 in the laundry room was rusted, and the gray colored panels were loose and disconnected from the machines. At the 6th Floor nurses' station, mismatched floor tiles were observed, a brown colored substance was present on the wall under the desk, and the desk was chipped. The facility policy titled Maintenance Services states that the Environmental Services Department is responsible for managing maintenance in a cost-effective manner while maximizing the useful life of equipment, rooms, and properties. The Maintenance Director stated the tiles are old and need to be replaced, and the Administrator stated they were not sure what repairs were needed, while also noting that Maintenance makes daily rounds and a consultant also rounds in the unit. The facility stated there is a maintenance logbook in each unit where needed repairs are logged.
MDS Assessments Did Not Accurately Reflect Medication and Restraint Use
Penalty
Summary
The facility failed to ensure that Minimum Data Set (MDS) assessments accurately reflected resident status for three residents reviewed for assessment accuracy. Resident #141 and Resident #143 were both observed using seat belts in wheelchairs, but their MDS assessments did not accurately document restraint use. Resident #141 was observed multiple times in the dining area and in a wheelchair with a seat belt positioned across the upper thigh area and later across the upper limbs. Resident #143, who had diagnoses including paranoid schizophrenia, muscle spasms, and constipation, was observed seated in a wheelchair wearing a blue seat belt and later in the day room with the seat belt on while playing dominoes. Resident #100 had a physician’s order for clopidogrel 75 mg daily for cerebrovascular disease, but there was no physician order for any anticoagulant, even though the MDS coded the resident as receiving an anticoagulant. The MDS Coordinator stated that clopidogrel is not an anticoagulant and that coding it as such was an error. For Resident #143, staff stated the resident had worn a seat belt on the unit since transfer, that the belt helped some residents maintain safety, and that no order or evaluation for seat belt use could be located. The RN/MDS Coordinator stated they were unaware of the resident’s daily seat belt use and that if a resident cannot remove the seat belt independently, it is considered a restraint and should be coded on the MDS.
Resident Privacy Breach Due to Photograph Taken Without Written Consent
Penalty
Summary
The facility failed to ensure a resident's right to privacy and confidentiality when a photograph of the resident's body and private space was taken without written consent from the resident or their designated representative. According to facility policy, photographs may only be taken by authorized healthcare providers during emergency situations to support accurate assessment and timely clinical decision-making, and only with appropriate consent. In this case, a resident with severely impaired cognition and multiple diagnoses, including Non-Alzheimer's Dementia and acute kidney failure, was photographed by a physician during an episode involving a large volume of blood-tinged vomit. The photograph was taken to show the resident's family the severity of the situation in order to obtain consent for intravenous fluids and hospital transfer, as the family had initially declined these interventions. Interviews with facility staff, including the DON, Medical Doctor, Medical Director, and Administrator, confirmed that the photograph was taken and shared only with the resident's health care proxy during a phone conversation to facilitate emergency care decisions. However, there was no documentation in the resident's medical record indicating that a photograph had been taken without consent, and no written consent was obtained prior to taking the photograph. The facility's actions did not align with their own policy or regulatory requirements regarding resident privacy and consent for photography.
Failure to Timely Report Alleged Abuse Incident
Penalty
Summary
The facility failed to report an alleged abuse incident within the required timeframe, as mandated by their Abuse Prevention and Reporting Policy. The policy requires that all alleged violations involving abuse be reported immediately, but no later than two hours after the allegation is made. In this case, the incident occurred when a resident informed the front desk receptionist that another resident had climbed into their bed and took advantage of them. This allegation was reported to the New York State Department of Health two days later, which is a violation of the policy. The delay in reporting was attributed to the Risk Manager being away and not available to report the incident promptly. The residents involved in the incident both had severe cognitive impairments, as indicated by their scores on the Brief Interview of Mental Status. The resident who reported the incident had a history of Bipolar Disorder and Schizophrenia, while the other resident involved had Schizophrenia and Hypertension. Despite the inconsistencies in the details provided by the reporting resident and the denial of any interaction by the other resident, the facility concluded that abuse did not occur. However, the failure to report the allegation within the required timeframe constitutes a deficiency in the facility's adherence to their reporting policy.
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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) |
|---|---|---|---|---|
| Queens Nassau Rehabilitation And Nursing Center | 0.1 mi | ★★★★★ | 0 | 0 |
| Brookhaven Rehab & Health Care Center L L C | 0.2 mi | ★★★★★ | 0 | 0 |
| Premier Nursing And Rehab Center Of Far Rockaway | 0.3 mi | ★★★★★ | 0 | 0 |
| Oceanview Nursing & Rehabilitation Care Center | 0.4 mi | ★★★★★ | 0 | 0 |
| West Lawrence Care Center, L L C | 0.4 mi | ★★★★★ | 0 | 0 |
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