Below 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 Little Neck Care Center during CMS and state inspections, most recent first.
Failure to Protect Resident After Alleged Abuse and Incomplete Investigation: A severely cognitively impaired resident who needed extensive ADL assistance was involved in an alleged abuse incident during care when staff reported the resident was aggressive and one CNA allegedly retaliated by slapping the resident and throwing a trash can. The LPN left the unit to report the event, but the resident was left unsupervised with the involved CNAs, the RN supervisor did not assess the resident, and the facility’s response was limited to written statements without a thorough investigation or verified staff interviews.
A resident's allegation of abuse and an injury of unknown origin were not reported to the NY State Department of Health within the required timeframe. The facility's policy mandates immediate reporting of such incidents, but the reports were delayed due to a misunderstanding of the reporting timeframe, as confirmed by interviews with the RN Supervisor and DON.
A resident with multiple medical conditions was observed with their Foley catheter bag uncovered, visible from the hallway, violating their dignity. Staff interviews confirmed the requirement for a privacy bag, but it was missing due to oversight. The DON acknowledged the need for privacy bags and stated that training is provided.
A resident with severe cognitive impairment and multiple diagnoses was not provided with a summary of their baseline care plan upon admission. Despite attending care plan meetings, the resident's spouse did not receive the necessary documentation. Facility staff interviews revealed inconsistencies in the protocol for obtaining signatures, and no signed copy of the baseline care plan was found in the resident's records.
A resident receiving continuous oxygen therapy did not have a comprehensive care plan developed and implemented, despite physician orders and documentation of oxygen use. Interviews with staff revealed a failure in the process of initiating and updating care plans, as confirmed by the Director of Nursing.
A resident with left hand weakness and wrist drop was not provided with a left-hand splint as ordered, despite multiple observations confirming its absence. The resident, diagnosed with Multiple Sclerosis and muscle contracture, was dependent on staff for daily activities. Interviews with staff revealed that the splint was missing, and there was a lack of compliance with the physician's order, despite regular assessments and staff training.
The facility did not post Nurse Staffing Information in a prominent place accessible to residents and visitors, nor did it include required details such as actual hours worked and resident census. The information was placed by the employee time clock, and key staff were unaware of the proper posting requirements.
The facility failed to adhere to infection control protocols for changing and dating oxygen tubing for two residents receiving respiratory therapy. Observations revealed that the tubing was not changed weekly as required, leading to discolored and undated tubing. Interviews with nursing staff indicated a lack of awareness and monitoring, resulting in a breach of infection prevention protocols.
Failure to Protect Resident After Alleged Abuse and Incomplete Investigation
Penalty
Summary
The facility failed to ensure resident safety after an allegation of abuse was reported and failed to complete a thorough investigation of the alleged abuse involving one resident who was severely cognitively impaired and required moderate to total assistance with activities of daily living. The resident had diagnoses including coronary artery disease, peripheral vascular disease, and non-Alzheimer’s dementia with cognitive communication deficit. During the early morning care episode, a CNA reported that the resident assaulted staff, and the LPN later documented that the resident was alert, responsive, combative, resistive to care, and physically abusive. According to staff statements, the resident told the LPN they had been beaten up. The LPN reported that another CNA stated the resident hit one CNA and that the CNA retaliated by slapping the resident and throwing a trash can toward the resident. The LPN left the unit to report the incident to the RN supervisor, but the two CNAs remained in the room with the resident unsupervised. The RN supervisor was informed of the allegation but did not go to the resident’s room to assess the resident, and there was no documented evidence that the resident was protected or assessed at that time. The facility’s investigation consisted only of written statements from the LPN and the two CNAs. There was no documented evidence of a thorough investigation, no evidence that staff interviews were conducted to verify the statements, and no evidence that the allegation was fully assessed or reported as required. Later nursing notes documented slight redness and swelling of the face and then pain and mild swelling of the right upper lip, and the nurse practitioner later diagnosed cellulitis. The administrator, DON, and ADON stated they were not aware of the alleged abuse incident at the time it occurred.
Failure to Timely Report Abuse and Injury
Penalty
Summary
The facility failed to report allegations of abuse and an injury of unknown origin involving a resident to the New York State Department of Health within the required timeframe. Specifically, the facility did not report an allegation of abuse where a resident claimed to have been punched at night, and this report was submitted seven days after the incident occurred. Additionally, an injury of unknown origin was observed on the resident's shoulder, but the report was submitted more than 24 hours after the injury was noted. The facility's policy requires that all alleged violations involving abuse or serious bodily injury be reported immediately, but not later than two hours after the allegation is made. However, interviews with the Registered Nurse Supervisor and the Director of Nursing revealed a misunderstanding of the reporting timeframe, with the Director of Nursing acknowledging that the late reporting was discovered during an audit. The Administrator confirmed that the reporting responsibility lies with the Director of Nursing and that the delay was identified through an audit report.
Failure to Maintain Resident Dignity Due to Uncovered Catheter Bag
Penalty
Summary
The facility failed to maintain the dignity of a resident by not ensuring that the resident's Foley catheter bag and tubing were covered with a privacy bag. This deficiency was observed during a recertification survey for a resident with multiple medical conditions, including Multiple Sclerosis, Neuromuscular Dysfunction of Bladder, and Type 2 Diabetes Mellitus with Chronic Kidney Disease. The resident, who had moderate cognitive impairment and required extensive assistance for daily activities, was observed on multiple occasions with their catheter drainage bag visible from the hallway, as it was not contained in a privacy bag. Interviews with facility staff, including a Licensed Practical Nurse and a Certified Nursing Assistant, confirmed that the catheter bag should have been covered with a privacy bag. The Certified Nursing Assistant admitted that the privacy bag was missing and that they had intended to replace it but got distracted and forgot. The Director of Nursing also acknowledged the requirement for a privacy bag to ensure the resident's privacy, noting that in-service training on catheter care and privacy is provided by the nursing staff.
Failure to Provide Baseline Care Plan Summary
Penalty
Summary
The facility failed to ensure that a resident and their representative were provided with a summary of the baseline care plan upon admission. This deficiency was identified during a recertification survey, where it was found that a resident with diagnoses including Coronary Artery Disease, Arthritis, and Malnutrition did not receive a written summary of their baseline care plan. Despite attending care plan meetings, the resident's spouse confirmed that they did not receive a copy of the baseline care plan. The facility's policy requires that the resident or their representative be provided with this summary, but in this case, the necessary documentation was not completed. Interviews with facility staff, including the Director of Social Work, Registered Nurse Supervisor, and Director of Nursing Services, revealed inconsistencies in the protocol for obtaining signatures on the baseline care plan. Although the baseline care plan was created and signed by interdisciplinary team members, the lines for the resident and representative signatures were left blank. Staff members were unable to locate a signed copy of the baseline care plan in the resident's chart or electronic medical record, indicating a lapse in the facility's process to ensure that the resident's family received the necessary documentation.
Failure to Implement Comprehensive Care Plan for Oxygen Therapy
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident who was receiving oxygen therapy. The resident, who was admitted with diagnoses including Coronary Artery Disease and Benign Prostate Hypertrophy, was dependent on staff for mobility and was on continuous oxygen therapy via nasal cannula. Despite the physician's order for continuous oxygen and documentation in the Treatment Administration Record, there was no evidence of a comprehensive care plan addressing the resident's oxygen use in the Electronic Medical Record. Interviews with facility staff revealed a breakdown in the process of initiating and updating care plans. The Registered Nurse responsible for interim care plans and the Registered Nurse Supervisor both acknowledged the absence of a care plan for the resident's oxygen therapy. The Director of Nursing confirmed that care plans should be initiated upon admission by the night shift Registered Nurse Supervisor and subsequently updated by the interdisciplinary team. However, this process was not followed, resulting in the deficiency.
Failure to Provide Ordered Splint for Resident with Limited ROM
Penalty
Summary
The facility failed to ensure that a resident with limited range of motion received appropriate treatment and services to prevent further decrease in range of motion. This deficiency was identified during a recertification survey, where it was observed that a resident with left hand weakness and left wrist drop was not wearing a left-hand splint as ordered by the physician. The resident, who has diagnoses including Multiple Sclerosis and Contracture of Muscle, was observed multiple times without the splint, despite a physician's order for the splint to be worn during the daytime. Interviews with facility staff revealed a lack of compliance with the physician's order. A registered nurse acknowledged the absence of the splint and stated that it should have been in place. A certified nursing assistant, who was covering for the resident's regular aide, also confirmed the absence of the splint. The Director of Physical Therapy noted that the splint could not be located, despite regular assessments and checks by the occupational therapy team. The registered nurse supervisor confirmed that staff are trained to apply such devices and that the charge nurse and nurse supervisors are responsible for ensuring compliance, yet the splint was missing and unaccounted for.
Deficiency in Nurse Staffing Information Posting
Penalty
Summary
The facility failed to ensure that Nurse Staffing Information was posted in a prominent place readily accessible to residents and visitors during the Recertification survey conducted between 08/21/2024 and 08/28/2024. The staffing information was posted by the employee time clock, located in a corner at the entrance to the kitchen, which was not easily accessible to all residents and visitors. Additionally, the posted information did not include the actual hours worked by staff or the resident census, which are required details. Interviews with the Staff Development Coordinator, Director of Nursing, and Administrator revealed a lack of awareness regarding the proper location and content requirements for the staffing information posting. The Staff Development Coordinator indicated that the information had been posted in the same location since their hiring on June 11, 2024. Both the Director of Nursing and the Administrator acknowledged that they were unaware of the need to include actual hours worked and the resident census in the posting, and they believed the current location was appropriate for staff visibility.
Infection Control Deficiency in Oxygen Tubing Management
Penalty
Summary
The facility failed to maintain proper infection control practices, specifically regarding the changing and dating of oxygen tubing for residents receiving respiratory therapy. This deficiency was identified during a recertification survey, where it was observed that the oxygen tubing for two residents was not changed according to the facility's protocol. The facility's policy required that oxygen cannulas, facemasks, and tubing be changed weekly and as needed, but this was not adhered to for the residents in question. Resident #9, who had diagnoses including congestive heart failure, asthma, and chronic obstructive pulmonary disease, was observed with oxygen tubing that had not been changed since 8/12/24, despite the physician's order to change it weekly. The resident was unable to recall when the tubing was last changed, and the tubing was noted to have a brownish discoloration. Similarly, Resident #29, with diagnoses including congestive heart failure and pneumonia, was observed with undated and discolored oxygen tubing. The resident also could not remember when the tubing was last changed. Interviews with nursing staff revealed a lack of adherence to the protocol for changing and dating oxygen tubing. Licensed Practical Nurses and Registered Nurses admitted to not being aware of the tubing's condition or the failure to change it as required. The Infection Preventionist and Director of Nursing acknowledged the breach in protocol, indicating that the unit nurses and supervisors were responsible for ensuring compliance but had not been effectively monitoring the situation.
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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 Little Neck
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Parker Jewish Institute For Health Care & Rehab | 1.4 mi | ★★★★★ | 1 | 0 |
| New Glen Oaks Nursing Home, Inc | 1.4 mi | ★★★★★ | 0 | 0 |
| Highfield Gardens Care Center Of Great Neck | 1.6 mi | ★★★★★ | 0 | 0 |
| Northwell Health Stern Family Center For Rehabilit | 1.7 mi | ★★★★★ | 0 | 0 |
| The Grand Rehabilitation And Nursing At Great Neck | 1.9 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.