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 Mayfair Care Center during CMS and state inspections, most recent first.
A resident with a history of falls was left unsupervised, resulting in serious injuries, while another resident with suicidal ideation had access to a razor. The facility failed to follow care plans and safety protocols, leading to actual and potential harm.
A long-term care facility was found deficient in its infection control program during a survey. An LPN used alcohol prep pads instead of EPA-approved wipes to clean a glucometer, risking cross-contamination among diabetic residents. Additionally, a case manager failed to wear PPE in a resident's room under contact precautions for a VRE infection, despite clear signage. These actions violated the facility's infection control policies, highlighting lapses in staff training and protocol adherence.
A resident was using Biofreeze gel without a physician's order or assessment for self-administration, contrary to facility policy. The resident, with intact cognition and a history of pain management, had been applying the gel independently, and staff were aware but did not report it. The facility failed to conduct the required assessment and obtain a physician's order.
A facility failed to accurately document a resident's Hospice care status in the Quarterly MDS assessment. The resident, with diagnoses including Palliative Care and Dementia, was receiving Hospice care as per their Comprehensive Care Plan and physician's orders. However, the MDS assessment nurse did not record this in the Special Treatments section, an error confirmed by the MDS Assessment Coordinator and the DON.
A facility employed a part-time registered dietitian whose state license had expired, allowing them to work directly with residents without supervision. The Director of Human Resources overlooked the expired license, and the Administrator confirmed it was their responsibility to ensure the license was current.
A resident with a physician's order for a gluten-free diet was served meals containing white bread, contrary to their dietary needs. Despite meal tickets highlighting gluten-free requirements, the facility did not have gluten-free bread, leading to inappropriate meal substitutions. Interviews with dietary staff and the DON confirmed the oversight.
The facility failed to complete MDS assessments for three residents within the required timeframes due to delays by the Dietary Department. The MDS Coordinator and Administrator acknowledged the issue, attributing it to a dietary contractor's failure to complete assessments on time.
The facility failed to complete Quarterly MDS assessments for several residents within the required timeframe, with delays ranging from 18 to 34 days. The MDS Coordinator and Administrator attributed the delays to the Dietary Department's failure to complete their sections on time.
Inadequate Supervision and Hazardous Environment Lead to Resident Harm
Penalty
Summary
The facility failed to ensure adequate supervision and a safe environment for residents, leading to accidents and potential harm. Resident #51, who had a history of falls and wandering behavior, was left unsupervised in a hallway despite care plan directives to keep them in a supervised area. This lapse in supervision resulted in the resident falling and sustaining serious injuries, including a traumatic subdural hemorrhage and a cervical fracture. Interviews with staff revealed that the resident was left alone when a Certified Nursing Assistant (CNA) went to assist with another situation, contrary to the care plan requirements. Additionally, Resident #165, who had a history of suicidal ideation, was found with an unattended disposable shaving razor in their room. This posed a significant risk given the resident's past expressions of self-harm. The facility's policy on hazardous areas and devices was not adhered to, as sharp objects should not have been accessible to residents with such vulnerabilities. Interviews with staff confirmed that the razor belonged to the resident's roommate and should not have been left in the room. The facility's failure to follow established care plans and policies resulted in actual harm to Resident #51 and potential harm to Resident #165. The incidents highlight a breakdown in communication and adherence to safety protocols, as staff did not maintain the necessary supervision or environmental controls to prevent these hazards.
Infection Control Deficiencies in LTC Facility
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, as evidenced by two main deficiencies observed during the recertification survey. The first deficiency involved the improper cleaning and disinfection of a glucometer machine used for blood sugar monitoring. Licensed Practical Nurse #6 was observed using 70% isopropyl alcohol prep pads instead of Environmental Protection Agency (EPA) approved germicidal wipes to clean the glucometer between resident uses. This practice was contrary to the facility's policy and the manufacturer's guidelines, which require the use of EPA-registered disinfecting wipes to prevent the transmission of bloodborne pathogens. Despite the facility having an adequate supply of the appropriate wipes, the nurse did not request them, leading to potential cross-contamination among residents with diabetes, including those with varying levels of cognitive impairment and other health conditions such as Chronic Obstructive Pulmonary Disease and Chronic Kidney Disease. The second deficiency was related to the failure to adhere to contact precautions for a resident with a Vancomycin-Resistant Enterococcus (VRE) infection. During an initial tour, Case Manager #1 was observed in the resident's room without wearing the required Personal Protective Equipment (PPE), such as gloves and a gown, despite clear signage indicating the need for contact precautions. The resident was on contact precautions due to a positive VRE infection in a right lower extremity wound, and the facility's policy mandates the use of PPE to prevent the spread of infections. The case manager admitted to not noticing the signage and being unaware of the resident's precautionary status, which highlights a lapse in communication and adherence to infection control protocols. These deficiencies indicate a significant oversight in the facility's infection control practices, particularly in ensuring that staff are adequately trained and compliant with established protocols. The improper disinfection of medical equipment and failure to observe contact precautions pose a risk of spreading infections among residents, compromising their health and safety. The facility's policies and procedures were not effectively implemented, as evidenced by the staff's actions and the subsequent findings during the survey.
Failure to Assess Self-Administration of Medication
Penalty
Summary
The facility failed to ensure that the interdisciplinary team determined the clinical appropriateness of self-administration of medications for a resident. Specifically, a resident was observed using Biofreeze Professional Pain-Relieving Gel on their knees without a documented assessment or a physician's order for self-administration. The facility's policy requires an evaluation of a resident's mental and physical abilities to self-administer medications, which was not conducted in this case. The resident, who had intact cognition and was receiving pain management, had been using the gel independently, and the staff was aware of this practice. The resident had a history of a periprosthetic fracture, atrial fibrillation, and malignant neoplasm, and was at risk for contractures and functional impairment. Despite these conditions, there was no documented evidence of an assessment for self-administration or a physician's order for the Biofreeze gel. Interviews with staff revealed that a Certified Nursing Assistant had seen the gel in the resident's room but did not report it, and a Licensed Practical Nurse was unaware of the resident's possession of the gel. The Director of Nursing Services acknowledged that a competency assessment and physician's order were necessary for self-administration, which had not been completed.
Failure to Accurately Document Hospice Care in MDS Assessment
Penalty
Summary
The facility failed to ensure an accurate assessment of a resident's status during a recertification survey. Specifically, the Quarterly Minimum Data Set (MDS) assessment for a resident receiving Hospice care did not reflect this status. The resident, who was admitted with diagnoses including Palliative Care, Cerebrovascular Disease, and Dementia, had a Comprehensive Care Plan indicating they were at the end of life and receiving Hospice care. However, the MDS assessment did not document the Hospice care under the Special Treatments section, which was an oversight by the Registered Nurse responsible for completing that section. Interviews with facility staff, including the MDS assessment nurse, the MDS Assessment Coordinator, and the Director of Nursing Services, confirmed the error. The MDS assessment nurse acknowledged the mistake, stating that they failed to document the resident's Hospice care status. The MDS Assessment Coordinator and the Director of Nursing Services also recognized the oversight, agreeing that the resident's Hospice care should have been documented in the MDS assessment. This deficiency was identified as a violation of the regulation 10 NYCRR 415.11(b).
Unlicensed Dietitian Employed Without Supervision
Penalty
Summary
The facility failed to ensure that a qualified dietitian was licensed or certified as a nutrition professional by the state in which services were performed. This deficiency was identified during a recertification survey, where it was found that a part-time registered dietitian did not have an active license or certification from New York State since a specified date. Despite this, the dietitian continued to work directly with residents without documented supervision by a qualified professional. The Director of Human Resources admitted to overlooking the expiration of the dietitian's license, and the Administrator acknowledged that it was the responsibility of the Director of Human Resources to ensure the license was current.
Failure to Provide Gluten-Free Meals
Penalty
Summary
The facility failed to provide food that accommodated the dietary needs of a resident with a physician's order for a gluten-free diet. This deficiency was identified during a recertification survey when a resident, who was cognitively intact and had a documented non-celiac gluten sensitivity, was served meals containing white bread on two separate occasions. The resident's comprehensive care plan and physician's order clearly indicated the need for a gluten-free diet, yet the resident was observed receiving and leaving aside the white bread from their meals. Interviews with the Director of Food Services and Dietary Supervisors revealed that the inclusion of white bread in the resident's meals was an oversight. The meal tickets for the resident had highlighted gluten-free requirements, but the facility did not have gluten-free bread available, leading to inappropriate meal substitutions. The Director of Nursing Services acknowledged that the resident's meal ticket should have only included gluten-free foods and that nurses were responsible for checking meal trays for accuracy.
Delayed Completion of Minimum Data Set Assessments
Penalty
Summary
The facility failed to ensure that comprehensive assessments of residents were conducted within the required timeframes, as identified during a Recertification Survey. Specifically, the facility did not complete the Minimum Data Set (MDS) assessments for three residents within 14 calendar days after admission or within 12 months for annual assessments. Resident #168's Significant Change MDS was completed 32 days past the due date, Resident #126's Annual MDS was completed 18 days late, and Resident #181's Discharge MDS was completed 14 days late. These delays were attributed to the Dietary Department not completing their respective sections on time. Interviews with the Minimum Data Set Coordinator and the Administrator revealed awareness of the late completion of the MDS assessments. The Minimum Data Set Coordinator acknowledged responsibility for ensuring timely completion and cited the Dietary Department's delays as the cause. The Administrator confirmed that a dietary contractor's failure to complete assessments on time contributed to the delays. The facility's policy, last revised in August 2023, did not specify the timeframe for completing assessments, which may have contributed to the oversight.
Failure to Complete Timely Resident Assessments
Penalty
Summary
The facility failed to ensure that residents were assessed using the quarterly review instrument as required by state and federal regulations. This deficiency was identified during a recertification survey conducted from September 17 to September 25, 2024. Specifically, the Quarterly Minimum Data Set (MDS) assessments for eight residents were not completed within the required 14 days of the assessment reference date. The residents affected were not assessed in a timely manner, with delays ranging from 18 to 34 days past the due dates. The facility's policy on MDS completion and submission timeframes, dated January 2024, was not adhered to, resulting in these late assessments. Interviews conducted during the survey revealed that the Minimum Data Set Coordinator was aware of the delays and attributed them to the Dietary Department's failure to complete their sections of the assessments on time. The Administrator also acknowledged the issue, citing a dietary contractor's failure to complete assessments promptly as the cause of the delays. This lack of timely completion of the MDS assessments for the residents was a violation of the regulatory requirement under 10 NYCRR 415.11(a)(4).
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 873 citations issued within 25 miles in the last 12 months — including the 16 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Hempstead
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Nassau Rehabilitation & Nursing Center | 0.9 mi | ★★★★★ | 0 | 0 |
| Hempstead Park Nursing Home | 1 mi | ★★★★★ | 0 | 0 |
| Townhouse Center For Rehabilitation & Nursing | 1.2 mi | ★★★★★ | 1 | 0 |
| A Holly Patterson Extended Care Facility | 1.7 mi | ★★★★★ | 18 | 0 |
| Fulton Commons Care Center Inc | 2.7 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.