Below average — CMS composite of the measures below.
A standard survey is most likely before 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 Park Nursing Home during CMS and state inspections, most recent first.
A resident with COPD, DM2, and HF had a signed MOLST and physician order for DNR/DNI, but after returning from the hospital the order was deactivated in the EMR and staff could not locate the active code status when the resident became unresponsive. An LPN and RN supervisor checked the chart, found no DNR, activated a full code, and CPR was started until EMS pronounced the resident deceased.
A resident with a MOLST and physician orders for DNR/DNI was found unresponsive, but the RN supervisor and LPN could not locate the code status in the EMR or find the MOLST at the nurses’ station. Because the DNR order had been de-activated after a hospital stay and not re-entered, staff treated the resident as full code, activated Code Stat, and CPR and intubation were performed until the resident was pronounced deceased.
Unsafe and Unclean Resident Environment: Surveyors found multiple housekeeping and maintenance deficiencies on units 3N and 3S, including broken dispensers, stained mirrors, broken wall tiles, torn linen cart covers, damaged dining chairs, loose sinks, torn screens, rusted bed frames, sticky floors, dusty vents, and damaged furniture and wall surfaces. The unit logbooks were blank or lacked requests for the observed issues, while staff stated concerns were supposed to be reported through logbooks, phone calls, or work orders and that maintenance made daily rounds.
Elevators Not Maintained in Safe Operating Condition: Both Elevator A and Elevator B were observed bouncing, shaking, and rattling during use, and 9 of 9 residents reported frequent elevator breakdowns during the Resident Council meeting. The Maintenance Director and Administrator stated the facility relies on an outside elevator vendor for repairs, and the Administrator reported one incident in which a resident was stuck in an elevator and the Fire Department was called to get the resident out safely.
Pest control was not effectively implemented on Unit 3N and in the 1st Floor Conference Room. Surveyors observed multiple flies, gnats, and roaches in the pantry, corridors, resident bathrooms, and at the nurse station, including live and dead roaches in the pantry area. Although the facility had a pest sighting logbook and staff said the exterminator visited weekly, the logbook had no documented pest sightings and no record of specific treatment areas.
A resident on 1:1 monitoring due to fall risk was left unattended in a bathroom stall by a CNA, resulting in a laceration above the eye and a Left Proximal Humerus Fracture. The facility's policies on resident monitoring and fall prevention were not followed, leading to a conclusion of abuse, neglect, and mistreatment.
The facility failed to protect residents from physical and verbal abuse by staff. A CNA was reported to have hit a resident and used profanity, and roughly washed another resident's testicles, hitting their hand with a lotion bottle. Despite having care plans, the facility did not update them to reflect new abuse allegations, and no physician's assessments were documented.
The facility failed to report an alleged abuse incident involving two residents within the required timeframe. A CNA reported witnessing another CNA hitting a resident and using profanity, as well as roughly washing another resident's testicle and hitting them on the hand. The facility did not notify the NYSDOH within the mandated two-hour window, nor did they inform local law enforcement in a timely manner.
The facility failed to update care plans for two residents following allegations of abuse by a CNA. One resident was hit on the cheek and subjected to profanity, while another was roughly washed and hit with a lotion bottle. Despite these incidents, the care plans were not revised to reflect the abuse.
The facility failed to maintain complete and accurate clinical records for two residents who were allegedly abused by a CNA. Despite assessments being conducted by the Assistant Director of Nursing and the Attending Physician, these were not documented in the residents' medical records, leading to a deficiency.
Failure to Verify Active DNR/MOLST Before CPR
Penalty
Summary
The facility failed to update the electronic medical record with a resident’s MOLST after the resident returned from hospitalization, and staff could not locate an active code status in the chart when the resident became unresponsive. The resident had diagnoses including COPD, type 2 diabetes mellitus, and heart failure, and the MDS identified intact cognition. The resident’s MOLST, signed by the resident and physician, documented DNR and DNI, and an advance directive care plan also identified the resident as DNR. After the resident returned from the hospital, the physician order for DNR/DNI had been de-activated in the electronic record, and there was no documented evidence that the resident or representative rescinded the DNR/DNI directives. When the resident was found unresponsive and without a palpable pulse, the LPN and RN supervisor reviewed the electronic medical record and could not find an active/current DNR order. The RN supervisor stated there was no DNR noted in the EMR and no purple binder with the MOLST form, so a full code was activated. CPR was initiated on the resident based on the absence of a visible active DNR order in the EMR, and EMS continued resuscitative efforts until the resident was pronounced deceased. Interviews with staff confirmed that the resident was unresponsive, pulseless, and that chest compressions were started because staff believed the resident was a full code. The medical director later stated staff should not have performed chest compressions because the resident had a MOLST indicating DNR and a physician order for DNR/DNI.
Missing DNR/DNI Documentation Led to CPR Being Initiated
Penalty
Summary
The facility failed to maintain resident medical records that were complete, accurately documented, and readily accessible for a resident with an active DNR/DNI order. Resident #1 had diagnoses including chronic obstructive pulmonary edema, type 2 diabetes mellitus, and heart failure, and the MDS indicated the resident had intact cognition and was able to make medical decisions. The resident had a MOLST signed by the resident and physician documenting DNR and DNI, and an advance directive care plan identified the resident as DNR. After the resident returned from hospitalization, the physician order for DNR/DNI had been de-activated in the EMR and was not re-entered. When the resident was found unresponsive and without a palpable pulse, the LPN and RN supervisor could not locate the resident’s advanced directive or code status in the EMR. The RN supervisor stated there was no DNR noted in the EMR and no purple binder with the MOLST form, so a full code response was initiated and Code Stat was called. CPR was started and EMS continued resuscitative efforts, including intubation, until the resident was pronounced deceased. The facility’s investigation documented that CPR was initiated against the resident’s wishes for DNR/DNI. The Medical Director later stated staff should not have performed chest compressions because the resident had a MOLST indicating DNR and a physician order for DNR/DNI.
Unsafe and Unclean Resident Environment
Penalty
Summary
The facility did not ensure that maintenance and housekeeping services maintained a sanitary, orderly, and comfortable interior on units 3S and 3N. Surveyors observed soiled, stained, torn, broken, dusty, and disrepair conditions in resident areas and common spaces, including broken soap dispensers, dusty paper towel dispensers, stained and streaked mirrors, broken wall tiles, torn and tattered clean linen cart covers, torn window screens, a sink not firmly affixed to the wall, broken ceramic tiles, a missing closet doorknob, and a rusty and soiled bed frame. The facility policy stated that resident rooms are to be cleaned and sanitized to maintain a safe, sanitary, and comfortable homelike environment. On unit 3N, surveyors also observed eight wooden framed vinyl dining chairs with torn seat cushions and worn frames, along with two fabric chairs that were heavily soiled and discolored. In room [ROOM NUMBER], the sink was loose and the surrounding tiles were broken. In another room, the window screens were torn, and in another room there was a missing closet doorknob and a rusty, soiled bed frame. The housekeeping and maintenance logbook for Unit 3 contained blank forms and no written requests for repairs for the observed conditions. On 3 South, surveyors observed a wall panel with a white patch and scratched surfaces, dried substance on the floor near a tube feeding pump and pole, a sticky overbed table, misaligned closet drawers, a privacy curtain missing hooks and partially unhung, rusted and peeled bed frames and legs, torn window screens, windows taped shut with blue tape, dusty windowsills and heating vents, a partially detached baseboard heater, and sticky brown stains on the floor. Several resident rooms and common areas also had damaged wall surfaces, chipped furniture, soiled wheelchair cushions, and dust and dirt buildup. The maintenance logbook for 3 South did not contain requests to address these observations, and staff interviews stated that unit staff were responsible for reporting issues and that maintenance staff made daily rounds and addressed submitted requests.
Elevators Not Maintained in Safe Operating Condition
Penalty
Summary
The facility did not maintain all mechanical, electrical, and patient care equipment in safe operating condition, as evidenced by problems with both Elevator A and Elevator B. During the Resident Council meeting, nine of nine residents reported frequent elevator breakdowns. During multiple survey observations, both elevators were seen bouncing while in motion and shaking and rattling before coming to a stop. The facility policy titled Elevator Policy, dated 12/10/2024, stated it was intended to ensure safe and proper elevator operation and to conform to inspection and maintenance requirements for resident, staff, and guest safety. The Maintenance Director stated the facility uses an outside elevator company for maintenance, that issues are reported to the company, and that repairs may require shutting down an elevator until the company assesses it. The Maintenance Director also stated both elevators had been down a few months earlier and were restored the same day, and that a freight elevator was available for use. The Administrator stated the facility changed elevator vendors in January 2025, that the vendor responds within a few hours or the next morning depending on the time of the issue, and that on one occasion a resident was stuck in an elevator and the Fire Department was called to get the resident out safely.
Pest Control Program Not Effectively Implemented
Penalty
Summary
An effective pest control program was not in place on Unit 3N and in the 1st Floor Conference Room. During multiple survey observations, multiple flies, gnats, and roaches were seen in the Pantry Room, corridors, resident bathrooms, and at the Nurse Station on Unit 3N, as well as gnats in the 1st Floor Conference Room. In the Pantry Room, multiple live and approximately eight dead roaches were observed throughout the refrigerator, on the floor, and underneath the pantry sink. Additional observations included multiple flying gnats/flies in the corridor and Nurse Station, and multiple live roaches and flying gnats in resident corridor bathrooms. The facility policy titled Procedure in the event of Pest Sightings or Complaints stated that the resident environment is to be clean, safe, and pest free, and that staff are to document pest sightings in the pest book. However, the Pest Control Logbook for Unit 3N from 02/06/2025 to 08/21/2025 contained no documented evidence of pest sightings and no documentation of specific areas treated by the pest control technician. Staff interviews indicated the pest control technician visited weekly, the logbook was located on each unit for staff to document sightings, and the exterminator was not accompanied by facility staff during rounds. The Maintenance Director and Administrator stated the outside vendor made weekly visits or more often if needed and reviewed the logbook to treat affected areas.
Failure to Provide Adequate Supervision
Penalty
Summary
The facility failed to provide adequate supervision to a resident, resulting in an accident. On 03/11/24, Resident #3, who was on 1:1 monitoring due to impulsive behaviors and fall risk, was assisted into a bathroom toilet stall by a Certified Nursing Assistant (CNA). The CNA left the resident unattended in the stall, only observing through the door crack. At 10:35 am, Resident #3 exited the stall with a laceration above their left eye and was later diagnosed with a Left Proximal Humerus Fracture at the hospital. The facility's policies on resident monitoring and fall prevention were not followed. The care plan for Resident #3 required 1:1 monitoring, meaning the CNA should have been at arm's length from the resident at all times. However, the CNA admitted to standing behind the door and not being in close proximity. The CNA's actions were inconsistent with the facility's lesson plan on 1:1 monitoring, which mandates that the monitor must always be in the room and at arm's length from the resident. Interviews with staff revealed that the CNA did not adhere to the monitoring requirements, and the facility's investigation concluded that abuse, neglect, and mistreatment had occurred. The CNA was suspended, and the Director of Nursing and other staff confirmed that the CNA's failure to properly monitor Resident #3 led to the resident's injuries. The facility's policies and procedures were not effectively implemented, resulting in harm to the resident.
Failure to Protect Residents from Abuse
Penalty
Summary
The facility failed to protect residents' rights to be free from physical and verbal abuse by nursing home staff. This was evident in two residents who were subjected to abuse by a Certified Nursing Assistant (CNA). Specifically, CNA #2 was reported to have hit Resident #1 on the left cheek with a closed fist and used profanity during care. Additionally, CNA #2 was observed roughly washing Resident #2's testicles and hitting Resident #2's hand with a lotion bottle during peri-care. These incidents were reported by CNA #1, who witnessed the abuse and reported it to the appropriate authorities within the facility. Resident #1, who had diagnoses including Alcoholic Cirrhosis of the Liver, Alzheimer's disease, and Paraplegia, was found to have short-term and long-term memory impairments and required full assistance for daily activities. Despite having an abuse care plan in place, the care plan was not updated to reflect the new allegations of abuse. An investigation confirmed that abuse, neglect, and mistreatment had occurred, but there was no documented physician's assessment for the allegation of abuse made on 03/25/24. Resident #2, diagnosed with Dementia, Bipolar Disorder, and Depressive Disorder, also required substantial assistance for daily activities. Similar to Resident #1, Resident #2's care plan did not adequately address the new allegations of abuse. The facility's investigation concluded that abuse had occurred, but again, there was no documented physician's assessment for the allegation of abuse. Interviews with staff members corroborated the incidents of abuse, and the Director of Nursing confirmed that the abuse had taken place, although the police were not notified.
Failure to Timely Report Abuse Allegations
Penalty
Summary
The facility failed to report an alleged abuse incident involving two residents within the required timeframe. Certified Nurse Assistant #1 reported witnessing Certified Nurse Assistant #2 hitting Resident #1 on the left cheek with a closed fist and using profanity during care. Additionally, Certified Nurse Assistant #1 reported that Certified Nurse Assistant #2 roughly washed Resident #2's testicle and hit Resident #2 on the hand with a lotion bottle. These incidents were reported to the Director of Nursing on 03/25/24, but the facility did not notify the New York State Department of Health within the mandated two-hour window, nor did they inform local law enforcement in a timely manner. The abuse allegations were only reported to the New York State Department of Health on 03/25/24 at 1:32 pm and to local law enforcement on 04/02/24 while the New York State Department of Health Surveyor was onsite. Resident #1, who has diagnoses including Alcoholic Cirrhosis of the Liver, Alzheimer's disease, and Paraplegia, and Resident #2, who has diagnoses including Dementia, Bipolar Disorder, and Depressive Disorder, both have short-term and long-term memory impairments and moderately impaired cognitive skills for daily decision-making. The facility's policy requires immediate reporting of abuse allegations to the Administrator and/or Director of Nursing, who must then report to the New York State Department of Health within two hours if the event involves abuse or results in serious bodily harm. The Director of Nursing admitted to not reporting the allegations within the required timeframe, citing a misunderstanding of the reporting requirements. The Administrator acknowledged that the abuse should have been reported within two hours to the New York State Department of Health.
Failure to Update Care Plans Following Allegations of Abuse
Penalty
Summary
The facility failed to ensure that care plans were reviewed and revised by the interdisciplinary team after each assessment. This deficiency was evident in two residents. Certified Nurse Assistant #1 reported witnessing Certified Nursing Assistant #2 hitting Resident #1 on the left cheek with a closed fist and using profanity during care. Additionally, Certified Nursing Assistant #2 was observed roughly washing Resident #2's testicle and hitting Resident #2 on the hand with a lotion bottle. Despite these allegations of abuse, the care plans for both residents were not updated to reflect these incidents. Resident #1, who has diagnoses including Alcoholic Cirrhosis of the Liver, Alzheimer's disease, and Paraplegia, had a care plan that was last updated on 01/09/24. Resident #2, diagnosed with Dementia, Bipolar Disorder, and Depressive Disorder, also had a care plan last reviewed on 01/09/24. The Assistant Director of Nursing confirmed that the care plans should have been updated with new interventions to prevent a recurrence of abuse but were not. The facility's policy requires care plans to be revised to reflect current needs based on evaluations and episodic changes, including incidents of abuse.
Failure to Document Abuse Assessments
Penalty
Summary
The facility failed to maintain clinical records that are complete and accurately documented in accordance with accepted professional standards and practices. This deficiency was identified during an Abbreviated Survey, where it was found that the facility did not document assessments for two residents who were allegedly abused by a Certified Nurse Assistant. Specifically, on 03/25/24, a Certified Nurse Assistant reported witnessing another Certified Nurse Assistant being verbally and physically abusive to two residents. However, there were no assessments documented in the medical records of these residents prior to the New York State Department of Health Surveyor's onsite visit on 04/02/24. Additionally, there were no physician's assessments documented in the residents' medical records. The facility's policy required that licensed professionals document changes in resident condition, accidents, incidents, and other significant events. Despite this, the Assistant Director of Nursing admitted that they assessed the residents on 03/25/24 and found no visible signs of injuries, but failed to document these findings in the residents' medical records. The Attending Physician also confirmed that they were notified of the abuse allegations and examined the residents during their monthly reviews, finding no visible injuries or complaints of pain. However, these assessments were not documented in the residents' medical records, leading to the deficiency.
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 910 citations issued within 25 miles in the last 12 months — including the 14 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 Rockaway Park
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Promenade Rehabilitation And Health Care Center | 0 mi | ★★★★★ | 1 | 0 |
| Beacon Rehabilitation And Nursing Center | 0.1 mi | ★★★★★ | 4 | 0 |
| Ocean Gardens Care Center | 2.2 mi | ★★★★★ | 6 | 0 |
| Resort Nursing Home | 2.3 mi | ★★★★★ | 0 | 0 |
| Lawrence Nursing Care Center, Inc | 2.9 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Park Nursing Home.
100% money-back within 48 hours.
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.