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 Meadow Park Rehabilitation And Health Center Llc during CMS and state inspections, most recent first.
Surveyors found that the facility repeatedly failed to provide enough nursing staff and RN coverage to meet residents’ assessed needs. The facility’s own assessment showed a high-acuity population requiring extensive assistance with ADLs and specified minimum numbers of licensed nurses and CNAs per shift, but actual schedules and Payroll Based Journal data revealed chronic weekend and shift shortages, including shifts with no RN on duty and significantly fewer CNAs than planned on units with over 40 residents. During a resident council meeting, several residents reported that staffing was short on every shift, that fully dependent residents were sometimes not changed until the next day, that there were times no staff were available to answer calls when the nurse was passing meds, and that showers were missed for several days. The staffing coordinator, DON, and administrator all acknowledged ongoing low staffing and difficulty covering shifts, confirming a sustained failure to meet the facility’s own staffing requirements.
A resident with impaired cognition and hemiplegia sustained a nasal fracture after falling from bed during morning care when a CNA provided care alone instead of the required two-person assist. The CNA did not review the electronic medical record for updated care instructions prior to providing care, resulting in inadequate supervision and a preventable accident.
A resident with severe cognitive impairment sustained a facial laceration and swelling after a physical altercation with a cognitively impaired roommate, who was found holding a detached wheelchair leg rest. Staff could not explain how the leg rest became accessible, and interviews revealed inconsistent storage practices for wheelchair parts. The facility did not investigate the source of the leg rest or implement measures to prevent recurrence.
The facility did not submit the results of an abuse investigation involving two cognitively impaired residents within the required five working days, as the final report was sent late despite policy and regulatory requirements. The incident involved a resident sustaining a laceration and swelling after a verbal disagreement, and the delay in reporting was acknowledged by the DON.
A deficiency occurred when a resident with severe cognitive impairment sustained a facial injury after an altercation with another resident, who was found holding a wheelchair leg rest. The facility's investigation did not determine how the leg rest became accessible or implement measures to prevent similar incidents, despite staff uncertainty about wheelchair component storage and handling.
A resident with dementia and a history of falls was found on the floor next to their bed. After evaluation, a physical therapist recommended a floor bed, but the care plan was not updated to reflect the fall or the new intervention. Documentation did not confirm whether the floor bed was provided, and the fall risk assessment did not accurately record the incident. Staff interviews confirmed the care plan was not revised as required.
The facility failed to develop and implement a comprehensive care plan for a resident's anticoagulant therapy, despite the resident being prescribed Eliquis and Aspirin for Atrial Fibrillation upon admission. Interviews with staff revealed that the care plan should have been initiated and reviewed but was not, leading to the identified deficiency.
The facility failed to ensure that drugs and biologicals were safe and secure, with antibiotic solutions and intravenous fluids found in unlocked cabinets and medications left unsecured on the medication cart. Staff acknowledged the lack of proper storage and ongoing issues with locks.
A CNA was observed assisting multiple residents with hand hygiene without performing hand hygiene in between residents and touching the inside of cups while preparing beverages. Despite the facility's policy on Infection Surveillance and recent hand hygiene training, these actions were not in accordance with professional standards for food service safety.
The facility failed to report suspected abuse involving two residents in a timely manner, resulting in a delay of more than 48 hours before notifying the Department of Health about an incident where one resident sustained a 4-centimeter hematoma on their forehead.
Ongoing Insufficient Nursing and RN Coverage Leading to Unmet Resident Care Needs
Penalty
Summary
The deficiency involves the facility’s failure to provide sufficient nursing staff on a consistent basis to meet residents’ needs and to have a licensed nurse in charge on each shift, as required by its own facility assessment and staffing plans. The facility assessment documented a bed capacity of 143 residents with an average daily census of 134, most of whom had reduced physical function, behavioral health needs, and required assistance of one to two staff for activities of daily living. Based on this acuity, the assessment identified a need for 17 licensed nurses providing direct care and 36 CNAs at any given time, and the general staffing plans called for specific CNA coverage on each shift for Units 1, 2, and 3. Despite these identified needs, review of Payroll Based Journal data and actual staffing schedules from July 2025 through early February 2026 showed repeatedly low weekend staffing and documented shortages of both licensed nurses and CNAs. On multiple dates, the number of CNAs who actually worked was significantly lower than the number scheduled, including instances where only one CNA worked a night shift on a unit with 44 residents, and where only two CNAs worked evening shifts on units with census counts in the low 40s despite higher scheduled numbers. On numerous weekend and day shifts across several months, there were no RNs working on Units 1, 2, and 3 even though two or three RNs had been scheduled, resulting in shifts without the RN coverage that the facility’s own plans required. Resident reports and staff interviews further substantiated the ongoing staffing deficiencies. During a Resident Council meeting, several residents stated that the facility was short staffed on every shift, reporting that totally dependent residents were often not changed until the next day, that at times there was no staff available to answer phone calls or questions when the nurse was busy passing medications, and that staffing had been so poor in recent months that some residents did not receive showers for several days. The Staffing Coordinator and the DON both acknowledged awareness of low nursing staffing since the previous year, attributing it in part to last-minute call-outs that were difficult to replace. The Administrator also acknowledged that having sufficient nursing staff was a challenge. These observations, records, and interviews collectively demonstrate that the facility did not consistently meet its assessed minimum staffing levels or ensure a licensed nurse in charge on each shift, resulting in unmet resident care needs.
Failure to Provide Required Supervision and Assistance During Resident Care
Penalty
Summary
A deficiency occurred when a resident with a history of stroke, hemiplegia, and moderately impaired cognition sustained a fall resulting in a nasal fracture during morning care. The resident's care plan required a two-person physical assist for bed mobility due to their condition, but Certified Nurse Aide (CNA) #1 provided care alone. CNA #1 did not log into the electronic medical record to review the resident's current care needs before providing care, as required by facility policy and orientation training. During the incident, the resident was turned and rolled out of bed, falling to the floor and sustaining injuries that required hospital transfer. Facility documentation and interviews confirmed that CNA #1 was not familiar with the updated care plan and did not follow the required protocol for checking care instructions prior to providing hands-on care. The charge nurse and Director of Nursing both stated that staff are expected to review electronic records for each resident's care requirements before beginning care. The failure to provide the required level of assistance and to follow established procedures directly led to the resident's fall and injury.
Failure to Prevent Resident-to-Resident Physical Altercation Resulting in Injury
Penalty
Summary
A deficiency occurred when the facility failed to protect a resident from abuse and neglect, as required by regulation. On the evening of the incident, a Licensed Practical Nurse responded to a loud noise coming from a shared room and found one resident holding a wheelchair leg rest and the other resident sitting on the floor with a laceration and swelling to the left side of the face. The injured resident was subsequently transferred to the hospital, where medical records confirmed facial and periorbital soft tissue swelling and a laceration that required repair. Both residents involved had severe cognitive impairment and a history of dementia, with one having a documented behavior care plan for aggressive and wandering behaviors. Facility staff, including nursing and certified nursing assistants, were unable to explain how the resident came into possession of the wheelchair leg rest used in the altercation. Interviews revealed inconsistent practices regarding the storage of wheelchair leg rests, with some staff stating that leg rests were left on the wheelchair seats, in the room, or in the hallway. The Director of Nursing and other staff members confirmed that there was no prior history of altercations between the two residents and that the incident was considered unpredictable and unforeseeable. However, the facility did not investigate how the leg rest became accessible to the resident or implement interventions to prevent similar incidents. The facility's abuse prevention policy required ongoing assessment and monitoring for signs of abuse, but the care plan interventions in place did not prevent the incident. Staff interviews indicated a lack of clarity and consistency in the handling and storage of wheelchair components, which contributed to the resident's ability to access the leg rest. The facility's investigation concluded that there was no evidence of abuse, neglect, or mistreatment, but the survey findings documented a failure to ensure the resident's right to be free from abuse and neglect.
Delayed Submission of Abuse Investigation Results
Penalty
Summary
The facility failed to ensure that the results of an investigation into an alleged incident involving two residents were reported to the State Survey Agency within the required five working days. The incident involved a loud verbal disagreement between two residents, both with severe cognitive impairment, resulting in one resident being found on the floor with swelling and a laceration to the left eye, and the other resident holding a wheelchair leg rest. The initial report of the incident was made to the Department of Health shortly after the event, but the final investigation results were not submitted until eight days after the incident, exceeding the five-day regulatory requirement. Facility policy required the Director of Nursing or designee to complete the investigation summary and ensure all alleged abuse was reported to the Department of Health and the Administrator. Despite this, the final investigation summary and findings were not submitted within the mandated timeframe. The Director of Nursing acknowledged that the final investigation should have been submitted one day earlier than it was, confirming the delay in reporting as a deficiency.
Failure to Investigate and Prevent Resident Injury Involving Wheelchair Leg Rest
Penalty
Summary
A deficiency was identified when the facility failed to thoroughly investigate an incident involving two residents with severe cognitive impairment who shared a room. On the evening of the incident, a Licensed Practical Nurse responded to a loud noise and found one resident sitting on the floor with a laceration and swelling to the left side of the face, while the other resident was standing nearby holding a wheelchair leg rest. The injured resident was assessed and subsequently transferred to the hospital, where soft tissue swelling and a hematoma were confirmed. The second resident was also evaluated at the hospital and found to have no physical injuries. The facility's investigation did not determine how the resident obtained the wheelchair leg rest or where it originated from. Interviews with staff, including the Director of Nursing and Registered Nurse Supervisors, revealed uncertainty about the source of the leg rest and the storage practices for wheelchair components. Staff reported that wheelchair leg rests were sometimes left attached to wheelchairs, placed on seats, or stored in various locations such as storage rooms, hallways, or resident rooms. Despite these findings, the investigation did not address the accessibility of the leg rest or implement any interventions to prevent recurrence. The facility's policy required immediate and thorough investigation of all alleged abuse, including examination of the environment for items involved in the incident. However, documentation showed that the investigation did not include a review of how the leg rest became accessible to the resident or any preventive measures. The Director of Nursing acknowledged that no interventions were put in place following the incident, and this was the first such occurrence involving a wheelchair leg rest at the facility.
Failure to Timely Update Care Plan After Resident Fall
Penalty
Summary
The facility failed to ensure the timely review and revision of a resident's comprehensive, person-centered care plan following a fall incident. A resident with a history of acute respiratory failure, dementia, and hypertension, and identified as having a low to moderate fall risk, was found on the floor next to their bed. The care plan in place prior to the incident included general fall prevention interventions, but there was no documented evidence that it was updated after the fall event. Following the fall, the resident was evaluated by a physical therapist who recommended the use of a floor bed as an intervention. Although this recommendation was communicated to nursing staff and discussed in a morning meeting, there was no documentation that the care plan was revised to include the floor bed intervention. Additionally, there was no evidence in the records to confirm whether the floor bed was provided to the resident. The facility's policies require that care plans be revised as resident conditions change and that interventions be updated after a fall. However, the fall risk assessment completed after the incident did not accurately reflect the resident's fall history, and the care plan was not updated to address the new risk or recommended interventions. Interviews with staff confirmed that the omission was due to oversight and that the care plan should have been updated following the fall.
Failure to Develop Comprehensive Care Plan for Anticoagulant Therapy
Penalty
Summary
The facility did not ensure that a person-centered comprehensive care plan (CCP) was developed and implemented to address a resident's medical, physical, mental, and psychosocial needs. Specifically, there was no comprehensive care plan developed and implemented for a resident's use of anticoagulant therapy. This deficiency was identified during a Recertification/Complaint Survey, where it was found that the resident, who had severe cognitive impairment and was prescribed anticoagulant medication, did not have a care plan addressing this therapy. The facility's policy required an individualized CCP to be developed for each resident, but this was not done for the resident's anticoagulant therapy, despite the resident being prescribed Eliquis and Aspirin for Atrial Fibrillation upon admission. Interviews with facility staff, including a Registered Nurse Supervisor and the Director of Nursing, revealed that the care plan for anticoagulant therapy should have been initiated upon the resident's admission. The Registered Nurse Supervisor acknowledged the absence of the care plan and indicated that it was the responsibility of the Admission Nurse to initiate it. The Director of Nursing confirmed that the care plan should have been reviewed for completion by the Registered Nurse Supervisor the day after admission. Despite these procedures, the care plan for anticoagulant therapy was not developed, leading to the identified deficiency.
Unsecured Medications and Intravenous Fluids
Penalty
Summary
The facility did not ensure that drugs and biologicals were safe and secure to protect from unauthorized access. Specifically, antibiotic solutions and intravenous fluids were located in unlocked cabinets in the nurse's station on the 3rd floor, where both authorized licensed staff and unauthorized staff were noted entering the area. Additionally, medications were observed to be left out on the medication cart unsecured. This was evident during the Medication Storage Task on Unit 2 and Unit 3. Registered Nurse #3 was observed taking intravenous solutions and antibiotics from an unlocked drawer and administering them to a resident. The nurse stated that the medications were stored in the nurse's station due to ongoing reconstruction and acknowledged that the medications needed to be secured. Maintenance workers were observed attempting to install and repair locks on the drawers, but issues with the locks persisted. On Unit 2, the medication cart was observed placed in the hallway, sometimes unattended, with multiple medications unsecured on top of the cart. Licensed Practical Nurse #2 and Registered Nurse #2 both acknowledged that there was not enough space in the medication cart to store the medications inside, and that the medications should not have been left unsecured. The facility's policy on the storage of drugs, revised in December 2023, requires all medications to be stored in locked cabinets or rooms, inaccessible to residents and visitors, and accessible only to designated personnel. However, the observations and interviews indicated that this policy was not being followed, leading to the deficiency noted in the report.
Failure to Adhere to Food Service Safety Standards
Penalty
Summary
The facility did not ensure food was prepared and served in accordance with professional standards for food service safety to prevent foodborne illness. Specifically, a Certified Nursing Assistant (CNA) was observed assisting multiple residents with hand hygiene using bare hands without performing hand hygiene in between residents. The CNA was also observed touching the inside of paper and plastic cups while preparing beverages for residents at the lunch meal on the 2nd floor. These actions were observed during the Dining Task in one of the three dining rooms. The facility's policy on Infection Surveillance, revised in October 2023, requires staff to perform hand hygiene and handle food and beverages in a manner that prevents contamination. Despite this policy, the CNA did not follow proper hand hygiene protocols, as confirmed by interviews with the CNA, a Registered Nurse, and the Infection Preventionist. The Infection Preventionist noted that hand hygiene in-service training was conducted in December 2023, and they perform daily rounds to monitor compliance. However, the observed deficiencies indicate a failure to adhere to these standards, potentially compromising resident safety.
Failure to Timely Report Suspected Abuse
Penalty
Summary
The facility did not ensure that all alleged violations involving abuse, neglect, exploitation, or mistreatment were reported to the State Survey Agency in a timely manner. Specifically, the facility failed to report suspected abuse that resulted in a resident sustaining a 4-centimeter hematoma on the right side of their forehead. This incident involved two residents, where one resident threw a plastic bottle that hit the other resident, causing the injury. The incident was reported to the New York State Department of Health more than 48 hours after it occurred, which is beyond the required reporting timeframe. Interviews and record reviews revealed that the incident occurred around 1 AM, but the Director of Nursing was not notified immediately. The Registered Nurse Supervisor and the former Director of Nursing both acknowledged the delay in reporting the incident. The facility's policy mandates that abuse should be reported immediately, and major injuries or abuse should be reported within 2 hours. However, the incident was not reported to the Department of Health until more than 48 hours later, indicating a failure to adhere to the required reporting protocols.
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 1,197 citations issued within 25 miles in the last 12 months — including the 18 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 Flushing
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Margaret Tietz Center For Nursing Care Inc | 1 mi | ★★★★★ | 1 | 0 |
| Highland Care Center | 1 mi | ★★★★★ | 0 | 0 |
| Hillside Manor Rehab & Extended Care Center | 1 mi | ★★★★★ | 0 | 0 |
| Chapin Home For The Aging | 1 mi | ★★★★★ | 0 | 0 |
| Hollis Park Manor Nursing Home | 1.8 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.