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 King David Center For Nursing And Rehabilitation during CMS and state inspections, most recent first.
Surveyors found widespread deficiencies in environmental maintenance and cleanliness, including rusted fixtures, stained and damaged surfaces, and poor housekeeping across multiple units. Staff interviews confirmed awareness of these issues, citing ongoing renovations and staffing shortages as contributing factors. Despite facility policies requiring regular maintenance and cleaning, these standards were not met, resulting in an environment that did not support resident comfort or safety.
The facility failed to report multiple incidents involving unwitnessed falls and injuries of unknown origin to the state health department within the required timeframes. Several residents with cognitive impairments sustained serious injuries, including fractures and lacerations, without clear explanations for the events, and these incidents were not reported as mandated by facility policy and state regulations.
Two residents with significant cognitive and behavioral issues did not have their comprehensive care plans reviewed or updated as required, despite ongoing incidents of behavioral outbursts and wandering. Staff confirmed that care plans were not revised to reflect these changes, contrary to facility policy and regulatory expectations.
Surveyors observed multiple failures in food safety and hygiene, including staff not fully covering facial hair during food preparation, expired and moldy food items stored in the kitchen, and a CNA handling residents' food with bare hands without performing hand hygiene between residents. Facility policies required proper hair restraints, food rotation, and safe food handling, but staff were unaware or did not adhere to these standards.
Unexplained Head Laceration Not Thoroughly Investigated: A resident with severe cognitive impairment, dementia, and a history of falls was found with a head laceration that was unwitnessed and could not be explained by the resident. The facility initiated an incident review, but the investigation was not completed to rule out abuse and/or neglect, and there was no documentation of the room environment or a facility investigation summary.
The facility failed to develop comprehensive, person-centered care plans with measurable goals for two residents. One resident with dementia and other psychiatric diagnoses had ongoing verbal aggression, yelling, profanity, and threatening statements, but no care plan addressed the behaviors. Another resident with dementia, AFib, and DVT was receiving Eliquis, but staff could not find a care plan for anticoagulant therapy despite the need to monitor for bleeding.
Enhanced Barrier Precautions were not maintained during tracheostomy suctioning for a resident with MS, epilepsy, and a tracheostomy. A RT was observed suctioning the resident while wearing only gloves and a surgical mask, even though the RT stated they normally use a gown and face shield for suctioning and the DON of Respiratory Services stated that gown, face shield, mask, and gloves are required during respiratory suctioning.
Failure to Maintain Safe, Clean, and Homelike Environment
Penalty
Summary
Surveyors identified multiple failures by the facility to maintain a safe, clean, and comfortable homelike environment for residents across several units. Observations revealed numerous instances of disrepair and poor housekeeping, including rusty metal legs on closets, chipped paint, holes in wallpaper, ripped chairs, cracked tables, dusty and stained air conditioning units, and gaps between walls and AC units. Dining rooms and resident bathrooms were found with sticky substances, tarnished fixtures, ripped or missing window screens, stained window shades, mismatched and cracked tiles, and non-functioning bathroom lights. In several rooms, radiators and heating/cooling systems were rusted or stained, and vents were clogged or dirty. Floors were observed with debris, and some walls and ceilings had stains, peeling paint, or bubbles. Interviews with facility staff, including the Maintenance Director, Director of Nursing, Housekeeping Director, and Administrator, confirmed awareness of many of these issues. Staff cited ongoing renovations, staffing shortages, and challenges with resident cooperation as reasons for delays in repairs and maintenance. The Maintenance Director acknowledged that some repairs, such as replacing rusted radiators or fixing window screens, were pending due to contractor delays or difficulty accessing resident rooms. Housekeeping staff were responsible for cleaning, but persistent issues with cleanliness and maintenance remained unaddressed in several areas. Documentation reviewed included the facility's Maintenance Policy and Procedure Manual and Cleaning Resident and Non-Resident Area policy, both of which outlined expectations for maintaining the building in good repair and ensuring cleanliness. Despite these policies, the facility failed to uphold the standards, as evidenced by the ongoing environmental deficiencies observed throughout the survey period. No specific resident medical histories or conditions were detailed in relation to the deficiencies.
Failure to Timely Report Injuries of Unknown Origin
Penalty
Summary
During a recertification and complaint survey, it was found that the facility failed to report alleged violations involving abuse, neglect, or injuries of unknown source to the New York State Department of Health within the required timeframes. The facility's policy mandates reporting such incidents within 2 hours if serious bodily injury is involved, or within 24 hours if not, but this was not followed for several residents who experienced unwitnessed falls or injuries of unknown origin. One resident with rheumatoid arthritis and dementia was found on the floor with altered mental status and pain to the left hip, later diagnosed with a left intertrochanteric fracture. Despite the unwitnessed nature of the incident and the resident's inability to explain what happened, the event was not reported to the state. Another resident with vascular dementia and a history of traumatic brain injury was found with a head laceration, also unwitnessed and unexplained, and this incident was similarly not reported. In both cases, facility leadership acknowledged that such injuries of unknown origin are reportable but failed to ensure timely notification. A third resident with unspecified dementia experienced two separate unwitnessed falls, both resulting in injuries including facial fractures, lacerations requiring stitches, and a subdural hematoma. The resident was unable to explain the circumstances of the falls, and both incidents were not reported to the Department of Health as required. Interviews with facility administrators and the DON confirmed a lack of awareness or misunderstanding of reporting requirements for injuries of unknown origin, contributing to the deficiency.
Failure to Review and Revise Care Plans for Behavioral and Elopement Risks
Penalty
Summary
The facility failed to ensure that comprehensive, person-centered care plans were reviewed and revised to address the changing needs of two residents. For one resident with diagnoses including unspecified dementia, schizoaffective disorder, and anxiety disorder, the care plan addressing behavior problems such as screaming, yelling, and cursing was last reviewed in May 2022. Despite multiple documented behavioral incidents between May and June 2025, there was no evidence that the care plan was updated to reflect these ongoing behaviors. Interviews with staff confirmed that the resident continued to display these behaviors and that the care plan had not been reviewed as required. Another resident, admitted with multiple diagnoses including non-Alzheimer's dementia and psychotic disorder, was identified as having severe cognitive impairment and was at risk for elopement, with a wander guard in place. The care plan for elopement risk and wandering was last reviewed in October 2024, despite ongoing documentation of wandering behaviors and quarterly assessments. Staff interviews revealed that while general notes were made in the resident's progress notes, the care plan itself was not updated to reflect the resident's current status or behaviors. Facility policy requires that care plans be reviewed at least quarterly and revised as changes in the resident's condition dictate. However, in both cases, there was no documented evidence that the care plans were reviewed or revised in accordance with policy or regulatory requirements, despite clear indications of changes in the residents' behaviors and needs.
Food Safety and Hygiene Deficiencies in Dietary Services
Penalty
Summary
The facility failed to store, prepare, and serve food in accordance with professional standards for food safety, as observed during kitchen and dining tasks. Multiple staff members, including kitchen staff and an assistant administrator, were observed with facial hair not fully covered by beard nets or hairnets while preparing and inspecting food. The facility's own policies required proper hair restraints, but staff were unaware or did not notice when these were not properly used. Additionally, expired food items, such as shredded lettuce and moldy cucumbers, were found in the refrigerator, and enteral feedings past their use-by date were stored in the dietary emergency food storage area. Staff responsible for inspecting and rotating food did not identify or remove these expired items as required by facility policy. During meal service, a certified nursing assistant was observed handling residents' food with bare hands, including peeling a banana and unwrapping bread, without performing hand hygiene between residents. Facility policy required food to be served in a manner that prevents foodborne illness, and staff interviews confirmed that hand hygiene and avoiding bare-hand contact with food were expected practices. The infection preventionist emphasized the importance of hand hygiene for all staff. These failures were observed on one of seven units reviewed during the survey.
Unexplained Head Laceration Not Thoroughly Investigated
Penalty
Summary
The facility failed to ensure that all injuries of unknown origin were thoroughly investigated for a resident with Vascular Dementia, Muscle Weakness, and a personal history of traumatic brain injury. The resident had severely impaired cognition, no behavior symptoms, and a history of one major injury from falls since admission or prior assessment. On 04/06/2025, the resident was found sitting on the bed with a cut to the head, confusion, and restlessness. The nurse documented that there were no spills or hazards by the bedside, no change in range of motion, and no loss of consciousness. The facility incident report documented that the head laceration was unwitnessed and that the resident could not explain what happened because of confusion. Although the facility initiated an investigation, the review found that it was not completed to rule out abuse and/or neglect. The Administrator stated the incident was not known until the State Surveyor requested the report, and after reviewing it, found there was no documentation about the resident’s room environment and no facility investigation summary. The Administrator also stated they could not explain why the incident was not investigated thoroughly.
Failure to Develop Comprehensive Care Plans for Behavioral Needs and Anticoagulant Therapy
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. One resident with diagnoses including hypertension, non-Alzheimer's dementia, anxiety, psychotic disorder, syphilis, white matter disease, HIV disease, and mood disorder had severe cognitive impairment, required supervision or touch assistance for activities of daily living, and had a wander alert device in place. During observation, the resident was seen yelling and screaming in the hallway, using profanity, and stating they would get a gun and shoot, while continuously walking back and forth on the unit. Nursing documentation also noted screaming and yelling, and interviews with nursing staff confirmed the resident had ongoing verbal aggression, cursing, and threatening statements that required constant redirection. Review of the comprehensive care plan showed no documented care plan addressing these behaviors. A second resident with diagnoses including unspecified dementia, atrial fibrillation, and acute embolism and thrombosis of unspecified deep veins had severe cognitive impairment and was receiving Eliquis 5 mg twice daily for DVT. The medication administration record showed the anticoagulant was administered twice daily throughout September 2025, and the resident's significant change MDS identified anticoagulant use. Although the comprehensive care plan included DVT and anticoagulant therapy, nursing staff reviewed the plan and could not find any care plan related to anticoagulant therapy, and the DON also could not explain why such a care plan had not been developed. The facility policy stated that comprehensive care plans must include measurable objectives and timetables to meet each resident's needs, but this was not reflected in the care plans for these residents.
Enhanced Barrier Precautions Not Maintained During Tracheostomy Suctioning
Penalty
Summary
The facility failed to maintain infection control prevention practices and procedures to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections. This was identified for one resident observed for respiratory care, where Enhanced Barrier Precautions were not maintained during tracheostomy suctioning. Resident #1 was admitted with diagnoses including Multiple Sclerosis and Epilepsy, and a medical progress note documented that the resident had a tracheostomy. On 09/25/2025 at 12:27 PM, a Respiratory Therapist was observed in the resident’s room performing tracheal suctioning while wearing only gloves and a surgical mask. During interview, the therapist stated they went to check on the resident, who was pointing to their throat and needed suctioning, and said they normally would put on a face shield and gown when suctioning a resident. The Director of Respiratory Services later stated that respiratory therapists must wear a gown, face shield, mask, and gloves during respiratory suctioning, and that Enhanced Barrier Precaution signs are posted in residents’ rooms if they are on precautions.
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What surveyors actually found near you
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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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Brooklyn
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Haym Solomon Home For The Aged | 0.1 mi | ★★★★★ | 0 | 0 |
| Bensonhurst Center For Rehabilitation & Healthcare | 1 mi | ★★★★★ | 0 | 0 |
| Seagate Rehabilitation And Nursing Center | 1.3 mi | ★★★★★ | 3 | 1 |
| Saints Joachim & Anne Nursing And Rehab Center | 1.6 mi | ★★★★★ | 0 | 0 |
| Sea Crest Nursing And Rehabilitation Center | 1.6 mi | ★★★★★ | 5 | 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.