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 Highfield Gardens Care Center Of Great Neck during CMS and state inspections, most recent first.
A facility failed to serve food at safe temperatures, as ten residents reported cold hot meals during a Resident Council meeting. Temperature checks during a lunch service confirmed that hot food items were below the required 135 degrees Fahrenheit. The Food Service Director was aware of the issue but had not taken corrective actions, and the Administrator was unaware of the complaints.
The facility failed to maintain proper food safety and sanitation practices, as observed during a survey. The dishmachine's rinse cycle temperature was below the required 180°F, and the machine was not dispensing sanitizer. Additionally, hot and cold food items were not kept at safe temperatures during meal service. The Food Service Director and dietary staff did not monitor or report these issues, leading to repeated deficiencies.
The facility did not maintain an effective pest control program, as cockroaches were observed in two units, and residents confirmed sightings throughout the facility. Despite weekly treatments and a pest control policy, the Maintenance Director could not provide records of treatments after early January. The Administrator cited factors like unpackaged food and nearby littering as contributing to the issue.
A resident with mental disorders was admitted without a complete PASRR Level 1 screen, missing key responses and the screener ID. Facility staff, including the Admission Coordinator and Director of Admissions, failed to review the screening form for accuracy and completion, contrary to facility policy.
A resident with severe cognitive impairment and pressure ulcers did not receive care as per their comprehensive care plan, which required heel booties to be worn at all times. Observations showed the resident without the booties, and interviews revealed CNAs were unaware of the requirement or did not check care instructions. The facility's policy mandates CNAs to follow the care plan, which was not adhered to in this instance.
Two residents in an LTC facility received inadequate pressure ulcer care due to failures in providing and managing air mattresses as per physician orders. One resident was without an air mattress for several days, while another had an improperly calibrated air mattress. Staff confusion and miscommunication contributed to these deficiencies.
A resident was found with an unlabeled Albuterol Sulfate inhaler on their nightstand, which they self-administered without a physician's order or assessment for self-administration. The LPN was unaware of the inhaler's presence, and the DON confirmed that medications should not be stored in resident rooms or self-administered without proper assessment and orders.
The facility's Facility Assessment failed to document the use of contracted nursing staff, as identified during a survey. Despite contracting with five staffing agencies for CNAs and LPNs, the assessment did not specify these resources, leading to a deficiency. The Administrator and DON acknowledged the omission, noting that agency staff were used daily but not explicitly mentioned in the assessment.
Deficiency in Serving Food at Safe Temperatures
Penalty
Summary
The facility failed to ensure that food and drink were served at palatable, attractive, and safe temperatures, as identified during a Recertification Survey. Ten residents attending a Resident Council meeting complained about hot food being served cold. During a lunch meal service, food temperature testing on Unit 3 North revealed that hot food items were below the required 135 degrees Fahrenheit, with the protein entree and vegetables recorded at 100, 112, and 108 degrees Fahrenheit, respectively. The facility's policy mandates that hot foods be maintained above 135 degrees Fahrenheit, and previously cooked food must be reheated to 165 degrees Fahrenheit for at least 15 seconds. The Food Service Director acknowledged awareness of the issue through Food Committee meetings and resident conversations, particularly from Unit 3 North. The Director noted that the food trucks used were not heated or well-insulated, contributing to the problem, along with delays in food tray distribution. Despite these known issues, no actions were taken to improve food temperatures. The Administrator was unaware of the complaints and had not discussed the concerns with the Food Service Director. The Ombudsman confirmed that food temperature complaints were raised in meetings but were typically deferred to the Food Committee.
Deficiencies in Food Safety and Sanitation Practices
Penalty
Summary
The facility failed to adhere to proper sanitation practices and food service safety standards, as observed during a recertification survey. The high-temperature dishmachine used in the kitchen was found to have a rinse cycle temperature below the manufacturer's recommended 180 degrees Fahrenheit. Despite the dishmachine being newly installed, the rinse temperature gauge was broken, and the machine was not programmed to dispense sanitizer automatically. The Food Service Director and dietary staff did not monitor or report the low rinse temperatures, and the dishmachine logs showed consistent readings below the required temperature for effective sanitization. Additionally, during a lunch meal service, the facility did not maintain appropriate temperatures for hot and cold food items. On three units, hot food temperatures were recorded below 135 degrees Fahrenheit, and cold food items were above 41 degrees Fahrenheit. The Food Service Director acknowledged that sandwiches and other cold items were not kept at safe temperatures during meal delivery, which sometimes exceeded an hour. Interviews with dietary aides and the Food Service Director revealed a lack of awareness and action regarding the improper temperatures. The Administrator was unaware of any resident complaints about food temperatures but expected the dietary staff to maintain safe temperature ranges for food service. The facility's failure to monitor and maintain proper food temperatures and dishwashing practices led to repeated deficiencies in food safety standards.
Facility Fails to Maintain Effective Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program, as evidenced by the presence of cockroaches in two of the five units observed during the Environmental Task. A cockroach was specifically observed at the Unit 2 South nursing station, and all residents in a council meeting confirmed sightings of cockroaches throughout the facility, expressing concerns about pest control. The facility's pest control policy, dated July 2018, assigns the responsibility of coordinating pest control to the Maintenance Department, which is supposed to work with a pest control service provider. Pest control logs from November 2024 to January 2025 documented requests for treatment of roaches on Unit 3 North, and invoices showed cockroach gel treatments were provided in multiple units. Despite these efforts, the Maintenance Director admitted that the facility continues to experience pest control issues. The Director stated that the facility is treated weekly for pest control, but could not provide records of treatments after January 4, 2025. The Administrator acknowledged the ongoing pest problem, attributing it to factors such as families bringing in unpackaged food, residents not keeping food in sealed containers, and the proximity to a county-owned property that is often littered. There was no documented evidence of weekly pest control treatments after January 4, 2025, indicating a lapse in the pest control program.
Incomplete PASRR Screening for Resident with Mental Disorders
Penalty
Summary
The facility failed to ensure accurate preadmission screening for a resident with mental disorders and intellectual disabilities, as required by the Pre-Admission Screening and Resident Review (PASRR) process. Specifically, the deficiency was identified for a resident who was admitted with diagnoses including Schizoaffective Disorder, Major Depressive Disorder, and Paranoid Personality Disorder. The resident's PASRR Level 1 screen was incomplete, missing responses to key questions and lacking the screener identification number. This oversight occurred despite the facility's policy requiring the Admission department to obtain a complete Level 1 screen prior to admission. Interviews with facility staff revealed that the Admission Coordinator and the Director of Admissions did not adequately review the resident's screening form for accuracy and completion before admission. The Admission Coordinator admitted to not recalling if they reviewed the screen, while the Director of Admissions acknowledged the form was incomplete and should have been verified with the sending facility. The Administrator also confirmed that the screening form should have been reviewed to determine the level of services required by the resident, and any inaccuracies should have been addressed by contacting the sending facility.
Failure to Implement Comprehensive Care Plan for Resident with Pressure Ulcers
Penalty
Summary
The facility failed to implement a comprehensive person-centered care plan for a resident with severe cognitive impairment and multiple pressure ulcers. The resident had a physician's order to wear heel booties at all times to prevent further skin breakdown. However, during multiple observations, the resident was not wearing the heel booties as prescribed. The care plan and nursing instructions clearly documented the requirement for heel booties to be worn at all times, except during specific care activities. Interviews with staff revealed a lack of awareness and adherence to the care plan. Certified Nursing Assistants (CNAs) responsible for the resident's care did not consistently apply the heel booties, with one CNA stating they were unaware of the requirement for the booties to be worn at all times. Another CNA admitted to not checking the nursing care instructions at the start of their shift. The Director of Nursing Services and a Registered Nurse Supervisor confirmed that CNAs are expected to review and follow the resident's care plan, which was not done in this case.
Inadequate Pressure Ulcer Care and Equipment Management
Penalty
Summary
The facility failed to provide appropriate pressure ulcer care and prevention for two residents, leading to deficiencies in care. Resident #26, who was admitted with conditions including osteoporosis and muscle weakness, was at risk for developing pressure ulcers. Despite a physician's order for an air mattress to prevent pressure ulcers, the resident was observed without one for several days. Nursing staff incorrectly documented the presence and functionality of the air mattress, and it was only provided after multiple observations and interviews revealed the oversight. Resident #38, who had stage 3 pressure ulcers and was admitted with conditions such as type 2 diabetes and hypertension, also experienced inadequate care. The resident's air mattress was improperly calibrated at a weight setting of 290 pounds, despite the resident weighing 150 pounds. This incorrect setting was observed multiple times, and staff failed to adjust it appropriately or report the issue to maintenance. Interviews revealed confusion among staff regarding responsibilities for air mattress settings, leading to improper care. The facility's failure to adhere to physician orders and ensure proper equipment settings resulted in inadequate pressure ulcer prevention and care for these residents. Staff interviews highlighted a lack of communication and understanding of procedures related to air mattress management, contributing to the deficiencies observed during the survey.
Improper Medication Storage and Labeling
Penalty
Summary
The facility failed to ensure that all medications and biologicals were stored properly and labeled in accordance with currently accepted principles. This deficiency was identified during a recertification survey for one resident who was observed with an Albuterol Sulfate inhaler on their nightstand without a nurse present. The inhaler was not labeled with the resident's name, and there was no physician's order for the inhaler in the resident's records. The resident, who had intact cognition, stated that they self-administered the inhaler twice a day when experiencing difficulty breathing, and that it was prescribed by their community physician and brought to the facility by a family member. Interviews with facility staff revealed that residents are not allowed to self-medicate without an assessment and a physician's order for both the medication and self-administration. The LPN interviewed was unaware of the inhaler's presence in the resident's room. The Director of Nursing Services confirmed that medications should not be stored in resident rooms and that residents should not self-administer medications without proper assessment and orders. This incident highlights a failure in the facility's medication management and storage protocols.
Facility Assessment Lacks Documentation of Contracted Nursing Staff
Penalty
Summary
The facility failed to ensure its Facility Assessment included the resources of nursing staff provided under contract, as identified during the Sufficient Staffing Task of the Recertification Survey. The Facility Assessment, last reviewed in January 2025, did not specify the use of staffing agencies to meet the facility's staffing needs. This omission was noted despite the facility's policy, which mandates a comprehensive assessment to evaluate the resident population and identify necessary resources for day-to-day operations and emergencies. During an interview, the Administrator and the Director of Nursing Services acknowledged their involvement in developing the Facility Assessment. The Director of Nursing Services revealed that the facility contracted with five staffing agencies to fill positions for Certified Nursing Assistants and Licensed Practical Nurses, with agency staff being utilized daily. However, the Administrator admitted that the contracted nursing agencies were not explicitly mentioned in the Facility Assessment, although they were implied under the contract services section. This oversight led to the deficiency noted in the survey.
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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 Great Neck
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Northwell Health Stern Family Center For Rehabilit | 0.3 mi | ★★★★★ | 0 | 0 |
| Parker Jewish Institute For Health Care & Rehab | 1.3 mi | ★★★★★ | 1 | 0 |
| The Grand Rehabilitation And Nursing At Great Neck | 1.5 mi | ★★★★★ | 0 | 0 |
| Little Neck Care Center | 1.6 mi | ★★★★★ | 1 | 1 |
| New Glen Oaks Nursing Home, Inc | 1.7 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.