Below average — CMS composite of the measures below.
A standard survey is most likely before around August 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 Sapphire Center For Rehab & Nursing during CMS and state inspections, most recent first.
The facility failed to properly complete and verify the background information of a prospective Assistant Director of Nursing, leading to their hiring and subsequent promotion to Director of Nursing. This individual, who had undisclosed prior convictions, was later accused of stealing over 1,500 medication pills meant for destruction and falsifying records. The deficiency was attributed to a lack of accountability and communication among the facility's administration and human resources personnel.
A resident with dementia was physically abused by a CNA, resulting in a wrist fracture. The incident was witnessed by an RN and another CNA, who did not intervene. The facility's abuse prevention policy was not followed, and the incident was inaccurately reported. The CNA involved had not received documented training on abuse procedures and continued to work with residents after the incident.
The facility failed to report several incidents of alleged abuse and injuries to the state health department within the required timeframe, resulting in a finding of substandard quality of care and immediate jeopardy. Incidents included a CNA striking a resident with dementia, leading to a wrist fracture, and other residents with injuries that were not reported. Staff failed to adhere to reporting policies, and the delay in reporting contributed to the finding of immediate jeopardy.
The facility failed to investigate and report incidents of abuse and neglect involving two residents. One resident with dementia was struck by a CNA, resulting in a wrist fracture, and the incident was not reported timely. Another resident with a seizure disorder had a fall and unexplained knuckle discoloration, which were not investigated. These failures led to a finding of Substandard Quality of Care and Immediate Jeopardy.
The facility failed to conduct annual performance reviews and provide required in-service training for CNAs, as revealed during a survey. Interviews with staff confirmed the absence of reviews, with the responsibility falling through due to personnel changes.
The facility failed to effectively administer resources, leading to deficiencies in abuse reporting, recreation, and interpretation services. An Immediate Jeopardy situation arose due to inadequate staff training on abuse reporting. Recreation staff were not managed to meet residents' activity needs, and interpretation services lapsed, affecting non-English speaking residents.
The facility failed to provide 12 certified nurse aides with the required 12 hours of annual in-service training, including dementia management and abuse prevention, as mandated by policy. During a survey, it was found that there was no documented evidence of such training for the year 2023. Interviews with the In-service Coordinator and the DON confirmed the absence of training records, indicating non-compliance with regulatory requirements.
The facility failed to maintain resident dignity and privacy, as evidenced by uncovered Foley catheter bags, lack of privacy during personal care, and point of care testing conducted in public areas. A resident's catheter bag was left uncovered despite a physician's order, and another resident received a bed bath without a privacy curtain. Additionally, blood glucose checks and insulin administration were performed in the dining room, contrary to facility policy.
The facility failed to provide adequate language interpretation services for three residents with limited English proficiency, resulting in communication barriers regarding their health status, care, and treatments. Despite having care plans that required translators, the residents, who spoke Korean, Cantonese, and Mandarin, were not provided with necessary interpretation services or communication aids. Staff were unaware of available resources, and the facility's language line service was inactive, leading to a significant deficiency in compliance with communication policies.
The facility failed to ensure resident privacy and dignity, as observed in several instances. A resident's foley catheter bag was left uncovered and visible from the hallway, despite a physician's order for it to be covered. Another resident received a bed bath without a privacy curtain, visible to roommates. Additionally, two residents underwent point-of-care testing in the dining room without privacy, contrary to facility policy.
The facility did not ensure comprehensive care plans were reviewed and revised for six residents after significant changes in their conditions. A resident's fall, tracheostomy removal, and a resident-to-resident altercation were not reflected in updated care plans. Staff interviews revealed a lack of awareness and supervision, contributing to the oversight.
The facility failed to provide an ongoing activities program that met the interests and supported the well-being of its residents. Several residents, including those with severe cognitive impairments and language barriers, were observed without engagement in meaningful activities. Despite having care plans and preferences documented, these residents were not involved in activities that met their needs, and staff were primarily focused on main floor activities, neglecting on-unit engagement.
During a survey, it was found that nurses in the facility failed to follow infection control protocols, including hand hygiene and equipment sanitization, during medication administration. A nurse did not sanitize hands or equipment between residents, and another did not use Enhanced Barrier Precautions. The Infection Preventionist admitted incomplete implementation of precautions, and the DON noted a recent COVID-19 outbreak, indicating lapses in infection control.
The facility failed to transmit MDS 3.0 assessments within the required 14 days due to staffing shortages. The assessments for three residents were completed between January and March 2024 but were transmitted late in April and May. The MDS Coordinator cited staffing issues as the cause, which had been communicated to the Administrator.
Failure in Hiring Process Leads to Medication Theft
Penalty
Summary
The facility failed to ensure that the hiring process for the Assistant Director of Nursing was conducted with due diligence, leading to a significant deficiency. The application for employment submitted by the prospective Assistant Director of Nursing on May 18, 2023, was incomplete, specifically lacking an answer to the question regarding prior criminal convictions. Despite this omission, the administration verified the incomplete application and proceeded to hire the individual for the management position. This oversight was compounded when the individual was later promoted to Director of Nursing without further clarification of their background information. The deficiency was further highlighted when the Director of Nursing was accused of stealing over 1,500 medication pills meant for destruction and falsifying records. The investigation revealed that the Director of Nursing had two prior convictions, which were not disclosed on the application forms submitted to both facilities where they were employed. Interviews conducted during the survey indicated a lack of accountability and communication among the facility's administration and human resources personnel regarding the hiring process and background checks. The current administrator and former human resources personnel both indicated that they were not responsible for the oversight, pointing to a systemic failure in the facility's hiring practices.
Plan Of Correction
Plan of Correction: Approved January 22, 2025 1 - What corrective action(s) will be accomplished for those residents found to have been affected by the deficient practice? The Assistant Director of Nursing was terminated. The Administrator that hired the Assistant Director of Nursing is no longer employed. The Former Human Resources personnel is no longer employed. 2 - How you will identify other residents having the potential to be affected by the same deficient practice and what corrective action will be taken. The administrative team has compiled a list of management staff from all departments to verify that each employee has completed all sections of the application, including the background information section regarding any prior criminal convictions. No further issues have been identified. 3 - What measures will be put in place or what systemic changes you will make to ensure that the deficient practice does not recur. The Administrator and medical director has reviewed the policies and procedures for new employee hiring and background verification, and found them to be compliant. All administrative staff involved in the hiring process will be re-trained by the Administrator or designee on these policies and procedures. 4 - How the corrective action(s) will be monitored to ensure the deficient practice. The Administrator has developed an audit tool to review all new hire applications. This tool will specifically ensure that each applicant has fully completed the application, including the section on background information and disclosure of any past criminal convictions. These audits will take place monthly for three months to ensure compliance. The findings of these audits will be presented to the Quality Assurance (QA) committee on a quarterly basis by the Administrator. 5 - The Administrator will be responsible to ensure correction of this deficiency.
Resident Abuse Incident Involving CNA and Inadequate Staff Response
Penalty
Summary
The facility failed to protect a resident from physical abuse, as evidenced by an incident involving a Certified Nursing Assistant (CNA) and a resident with dementia and osteoarthritis. Surveillance footage captured the CNA striking the resident, causing them to fall and sustain a left wrist fracture. The incident was witnessed by a Registered Nurse (RN) and another CNA, who did not intervene. The facility's policy on abuse prevention was not followed, and the incident was not accurately reported or documented by the RN involved. The resident, who was severely cognitively impaired and required assistance for ambulation, was at risk for abuse due to their dementia diagnosis. Despite this, the facility's comprehensive care plan for the resident did not prevent the abuse. The incident report inaccurately described the event as a fall after the resident slapped the CNA, omitting the abuse that occurred. The RN's nursing note also failed to accurately reflect the incident, contributing to a misleading investigation. The facility's investigation revealed that the CNA involved had not received documented training on abuse policy and procedures. Additionally, the CNA continued to work with residents after the incident, indicating a failure in the facility's response to the abuse. The Director of Nursing's investigation confirmed the abuse, leading to the termination of the CNA and the RN for their roles in the incident and subsequent documentation failures.
Removal Plan
- Termination Letter documents Certified Nursing Assistant #1 was terminated and letter was sent to Certified Nursing Assistant #1.
- Termination letter documents for Registered Nurse #1 for failing to accurately report and document instance of abuse, not intervening on behalf of the resident and improperly completing the Accident and Incident Report related to abuse, mistreatment, and neglect.
- Resident #77's care plan was updated, and resident was seen by a psychiatrist who documented resident does not appear to be suffering from emotional stress from the incident and will be followed up as necessary.
- The facility's investigation regarding abuse allegation was completed by the Director of Nursing.
- The policy on Behavior and Dementia Care and Abuse prevention were reviewed.
- The following documents were received and reviewed. Social worker care plan for abuse prevention was updated, Medical Doctor assessment and evaluation; Registered Nurse assessment.
- Lesson plans on Abuse, neglect and mistreatment, Behavioral Health, Alzheimer's Disease and Dementia and Incident reporting, with attendance and sign-in sheets were reviewed and documented that 76% of all staff in serviced, including Certified Nursing Assistants= 80%, Licensed Practical Nurses= 75%, Registered Nurses= 65%, Recreation = 81%, and Social Services= 100%.
- Multiple observations were conducted on Resident #77 and no concerns noted.
- Team observation on staff while performing resident care did not reveal any sign of abuse, neglect, or mistreatment.
Failure to Report Abuse and Injuries in a Timely Manner
Penalty
Summary
The facility failed to report several incidents of alleged abuse and injuries to the New York State Department of Health within the required timeframe, resulting in a finding of substandard quality of care and immediate jeopardy. Specifically, an incident involving a Certified Nursing Assistant (CNA) and a resident with dementia, where the resident was struck by the CNA and sustained a wrist fracture, was not reported until two days later. The incident was witnessed by other staff members who did not intervene or report it accurately, leading to a delay in the investigation and reporting process. Another resident with dementia was found on the floor with a wrist fracture, and this incident was also not reported to the state health department. Additionally, a resident with a seizure disorder and schizophrenia was observed with an injury of unknown origin, which was not investigated or reported. These failures to report were attributed to a lack of communication and understanding among staff about their responsibilities in reporting suspected abuse and injuries. The facility's policies required immediate reporting of suspected abuse or injuries, but staff members, including registered nurses and supervisors, failed to adhere to these policies. The Director of Nursing and the Administrator were not made aware of the incidents in a timely manner, contributing to the delay in reporting. The facility's failure to report these incidents promptly resulted in a finding of immediate jeopardy, indicating a serious risk to resident safety.
Removal Plan
- Termination Letter documents Certified Nursing Assistant #1 was terminated and letter was sent to Certified Nursing Assistant #1.
- Termination letter documents for Registered Nurse #1 for failing to accurately report and document instance of abuse, not intervening on behalf of the resident and improperly completing the Accident and Incident Report related to abuse, mistreatment, and neglect.
- Resident #77's care plan was updated, and resident was seen by a psychiatrist who documented resident does not appear to be suffering from emotional stress from the incident and will be followed up as necessary.
- The facility's investigation regarding abuse allegation was completed by the Director of Nursing.
- The policy on Behavior and Dementia Care and Abuse prevention were reviewed.
- The following documents were received and reviewed. Social worker care plan for abuse prevention was updated, Medical Doctor assessment and evaluation; Registered Nurse assessment.
- Lesson plans on Abuse, neglect and mistreatment, Behavioral Health, Alzheimer's Disease and Dementia and Incident reporting, with attendance and sign-in sheets were reviewed and documented that 76% of all staff in serviced, including Certified Nursing Assistants= 80%, Licensed Practical Nurses= 75%, Registered Nurses= 65%, Recreation = 81%, and Social Services= 100%.
- Multiple observations were conducted on Resident #77 and no concerns noted.
- Team observation on staff while performing resident care did not reveal any sign of abuse, neglect, or mistreatment.
Failure to Investigate and Report Abuse and Neglect
Penalty
Summary
The facility failed to ensure that all alleged violations involving abuse, neglect, and mistreatment were thoroughly investigated and reported in a timely manner. Specifically, an incident involving a Certified Nursing Assistant (CNA) and a resident with dementia and osteoarthritis occurred, where the resident was struck by the CNA, resulting in a fall and a left wrist fracture. The CNA was not removed from direct care immediately, and the incident was not reported to the New York State Department of Health within the required timeframe. Additionally, the facility did not conduct investigations for another resident who experienced a fall and later presented with discoloration of unknown origin on their knuckles. This resident had a history of seizure disorder and schizophrenia and was unable to explain the cause of the discoloration. There was no documentation of an investigation or communication with a Medical Doctor regarding these incidents. The Director of Nursing acknowledged the failure to report the incident involving the first resident promptly and did not realize the seriousness of the situation initially. The lack of immediate action and thorough investigation for both residents resulted in a finding of Substandard Quality of Care and Immediate Jeopardy, indicating a serious risk of harm to residents.
Removal Plan
- Termination Letter documents Certified Nursing Assistant #1 was terminated and letter was sent to Certified Nursing Assistant #1.
- Termination letter documents for Registered Nurse #1 for failing to accurately report and document instance of abuse, not intervening on behalf of the resident and improperly completing the Accident and Incident Report related to abuse, mistreatment, and Neglect.
- Resident #77's care plan was updated, and resident was seen by a psychiatrist who documented resident does not appear to be suffering from emotional stress from the incident and will be followed up as necessary.
- The facility's investigation regarding abuse allegation was completed by the Director of Nursing.
- The policy on Behavior and Dementia Care and Abuse prevention were reviewed.
- The following documents were received and reviewed. Social worker care plan for abuse prevention was updated, Medical Doctor assessment and evaluation; Registered Nurse assessment.
- Lesson plans on Abuse, neglect and mistreatment, Behavioral Health, Alzheimer's Disease and Dementia and Incident reporting, with attendance and sign-in sheets were reviewed and documented that 76% of all staff in serviced, including Certified Nursing Assistants= 80%, Licensed Practical Nurses= 75%, Registered Nurses= 65%, Recreation = 81%, and Social Services= 100%.
- Multiple observations were conducted on Resident #77 and no concerns noted.
- Team observation on staff while performing resident care did not reveal any sign of abuse, neglect, or mistreatment.
Deficiency in CNA Performance Reviews and Training
Penalty
Summary
The facility failed to ensure that performance reviews for Certified Nursing Assistants (CNAs) were conducted at least once every 12 months, as required by their policy. This deficiency was identified during a Recertification and Extended Survey conducted from April 29, 2024, to May 9, 2024. The survey revealed that 12 CNAs did not receive documented performance reviews or the required 12 hours of in-service training, including dementia and resident abuse prevention training, within the past year. The personnel files of these CNAs lacked evidence of such reviews, which is a violation of the facility's policy dated February 2024. Interviews with facility staff, including the In-service Coordinator and the Director of Nursing, confirmed the absence of performance reviews for the CNAs in question. The In-service Coordinator, who was hired in January 2024, was unaware of how performance reviews were conducted in 2023. The Director of Nursing also acknowledged the lack of performance reviews in the past 12 months. The facility's Administrator stated that the nursing department was responsible for conducting these evaluations annually, but due to numerous personnel changes, this responsibility was overlooked.
Deficiencies in Abuse Reporting, Recreation, and Interpretation Services
Penalty
Summary
The facility failed to administer its resources effectively and efficiently, leading to several deficiencies. An Immediate Jeopardy situation was identified concerning abuse, abuse reporting, and abuse investigation. The administration did not implement an effective training and performance review program for Certified Nursing Assistants and other staff, resulting in a lack of knowledge about regulatory requirements for reporting abuse. The facility's Inservice Coordinator resigned, and no replacement or plan was in place to address the need for inservice and training. Consequently, staff were inexperienced and unaware of how to report abuse to the New York State Department of Health or to the administration in a timely manner. Additionally, the facility did not ensure that recreation staff were adequately administered to meet the activity needs and preferences of all residents, despite having adequate staff in the Recreation Department. Furthermore, the administration allowed the language line telephone interpretation service payments to lapse, affecting non-English speaking residents who required interpretation services. The administrator acknowledged these issues, stating that staff training was ineffective and that there was no documented evidence of training and inservice on abuse.
Deficiency in Nurse Aide In-Service Training
Penalty
Summary
The facility failed to ensure that certified nurse aides received the required 12 hours of in-service training per year, including training in dementia management and resident abuse prevention. This deficiency was identified during a recertification and extended survey conducted from April 29, 2024, to May 9, 2024. The survey revealed that 12 certified nursing assistants did not have documented evidence of completing the necessary in-service training for the year 2023. The facility's policy mandates that all nurse aide personnel must participate in regular in-service education, with annual training being no less than 12 hours, including specific training in dementia management and resident abuse prevention. Interviews with facility staff, including the In-service Coordinator and the Director of Nursing, confirmed the lack of documentation for the required training. The In-service Coordinator, who was hired in January 2024, was unaware of how the facility conducted in-service training in 2023 and could not find any completed training records for that year. Similarly, the Director of Nursing, who was the Assistant Director of Nursing in 2023, acknowledged the absence of in-service records for the certified nursing assistants in question. This lack of documentation and training compliance constitutes a violation of the regulatory requirement under 10 NYCRR 415.26(c)(1)(iv).
Failure to Maintain Resident Dignity and Privacy
Penalty
Summary
The facility failed to ensure that residents were treated with respect and dignity, as evidenced by several observations during the recertification survey. Resident #24, who had a Foley catheter due to benign prostatic hyperplasia and obstructive and reflux uropathy, was observed with an uncovered drainage bag visible from the hallway on multiple occasions. Despite a physician's order for a cover, the staff failed to provide one, with a CNA stating that a cover was unavailable and no further attempts were made to obtain one. Additionally, the LPN and RN were unaware of the issue until it was brought to their attention, indicating a lapse in communication and oversight. Resident #125, who was moderately cognitively impaired and required assistance with activities of daily living, was observed receiving a bed bath without the privacy curtain drawn, exposing them to their three roommates. The CNA acknowledged the oversight during an immediate interview. Furthermore, Resident #87 and Resident #5 had their point of care testing conducted in the dining room without privacy, with the RN stating this was their usual practice. The DON later clarified that such procedures should not occur in the dining room unless in an emergency, highlighting a deviation from the facility's policy on maintaining resident privacy.
Failure to Provide Language Interpretation Services
Penalty
Summary
The facility failed to ensure that residents with limited English proficiency were fully informed and understood their health status, care, and treatments. This deficiency was identified during a recertification survey, where it was found that three residents, who spoke Korean, Cantonese, and Mandarin respectively, were not provided with adequate language interpretation services. The facility's policy on communication with persons with limited English proficiency was not effectively implemented, as evidenced by the lack of communication boards or interpretation devices in the residents' rooms. Resident #159, who was Korean-speaking and severely cognitively impaired, was not provided with language interpretation services. The resident expressed difficulty in understanding when activities were offered due to the language barrier. Similarly, Resident #191, who spoke Cantonese and was also severely cognitively impaired, was not aware of the activities offered because staff did not communicate with them using an interpreter or communication board. Both residents had comprehensive care plans that documented the need for a translator, yet there was no evidence of such services being utilized. Resident #195, who spoke Mandarin and had mild cognitive impairment, also faced communication challenges due to the absence of interpretation services. Staff members attempted to communicate using gestures, but there were no Mandarin-speaking staff or communication aids available. The facility's language line service was found to be inactive, and staff were unaware of any alternative interpretation resources. This lack of effective communication support for non-English speaking residents highlights a significant deficiency in the facility's compliance with its own policies and regulatory requirements.
Privacy and Dignity Breaches in Resident Care
Penalty
Summary
The facility failed to maintain the privacy and dignity of its residents, as evidenced by several observations during the recertification survey. Resident #24, who had a foley catheter due to benign prostatic hyperplasia and obstructive and reflux uropathy, was observed with an uncovered drainage bag visible from the hallway. Despite a physician's order for the bag to be covered every shift, the cover was not provided due to a lack of availability, and staff did not take further action to obtain one. Additionally, Resident #125, who was moderately cognitively impaired and required assistance with daily activities, was given a bed bath without the privacy curtain drawn, making them visible to their three roommates. Further deficiencies were noted with Resident #5 and Resident #87, who both underwent point-of-care testing in the unit dining room without privacy. Resident #87 received insulin administration in the dining room, and Resident #5 had their blood glucose checked in the same setting, with other residents and staff present. The Registered Nurse responsible for these actions stated that they routinely performed these procedures in the dining room, contrary to the facility's policy that such activities should not occur in communal areas unless in an emergency.
Failure to Update Comprehensive Care Plans
Penalty
Summary
The facility failed to ensure that comprehensive care plans were reviewed and revised by the interdisciplinary team after each assessment for six residents. Specifically, the care plan for a resident with schizophrenia and bipolar disorder was not updated after a fall, despite new interventions being identified. Another resident's care plan was not revised to reflect the removal of a tracheostomy tube, and a third resident's care plan was not updated following a resident-to-resident altercation. Additionally, care plans for activities of daily living, recreational activities, and communication were not reviewed or revised for three other residents. Interviews with facility staff revealed that the responsibility for reviewing and revising care plans was not consistently fulfilled. Registered nurses and supervisors were identified as responsible for these tasks, but there was a lack of awareness and action regarding the necessary updates. The Director of Nursing noted that some units lacked regular supervisors, contributing to the oversight, while the Administrator acknowledged inadequate supervision and training of nursing staff, which resulted in care plans not being updated as required.
Deficiency in Resident Activity Engagement
Penalty
Summary
The facility failed to provide an ongoing activities program that met the interests and supported the physical, mental, and psychosocial well-being of its residents. This deficiency was observed in four residents during the recertification survey. Resident #191, who was severely cognitively impaired and preferred to communicate in Cantonese, was not engaged in activities according to their preferences. Despite having a comprehensive care plan that included participation in programs of choice, Resident #191 was often observed sitting without interaction or engagement in activities, and the activity calendar was not accessible to them due to language barriers. Resident #260, with diagnoses of intellectual disabilities and Bell's Palsy, was also not engaged in meaningful activities. Observations showed that Resident #260 spent extended periods without interaction or participation in activities, despite having preferences for music therapy and animal interactions. The activity attendance log indicated minimal participation, and there was no evidence of ongoing engagement in activities that met their needs and preferences. Similarly, Resident #107, who had severe cognitive impairment due to anemia and dementia, was not engaged in activities. Despite a care plan that included one-to-one visits and music enjoyment, Resident #107 was observed without interaction or participation in activities. The activity attendance log lacked details on the interactions provided, and there was no evidence of engagement in music programs. Interviews with staff revealed that on-unit activities were not conducted as scheduled, and recreation leaders were primarily focused on main floor activities, neglecting on-unit engagement.
Infection Control Deficiencies in Medication Administration
Penalty
Summary
The facility failed to maintain proper infection control practices during a recertification and extended survey. Observations revealed that licensed nurses did not adhere to hand hygiene protocols, did not sanitize medical equipment between resident uses, and failed to implement Enhanced Barrier Precautions. Specifically, a registered nurse on the 4th floor did not perform hand hygiene before and after administering medication and treatment to a resident. Another nurse on the 2nd floor administered medications via tube feeding without wearing a gown and used a blood pressure cuff on multiple residents without sanitizing it in between uses. Additionally, a nurse on the 1st floor did not sanitize a glucometer after it fell on the floor and used it on another resident without proper hand hygiene. Interviews with staff revealed a lack of adherence to infection control protocols. A registered nurse admitted to forgetting to sanitize equipment and not knowing the requirements for Enhanced Barrier Precautions. The Infection Preventionist acknowledged that Enhanced Barrier Precautions were not fully implemented due to incomplete resident lists and signage. The Director of Nursing confirmed that equipment should be sanitized between uses and noted a recent COVID-19 outbreak, suggesting inadequate infection control practices. These deficiencies were observed across multiple units, indicating systemic issues in maintaining a safe and sanitary environment.
Delayed Transmission of MDS 3.0 Assessments Due to Staffing Shortages
Penalty
Summary
The facility failed to ensure that Minimum Data Set (MDS) 3.0 assessments were electronically transmitted within the required 14 days of completion. This deficiency was identified during a recertification survey, where it was found that the assessments for three residents were not transmitted in a timely manner. Specifically, the MDS 3.0 assessments for these residents had completion dates ranging from January to March 2024, but the transmission dates were significantly delayed, occurring in April and May 2024. The delay in transmission was attributed to staffing shortages within the department responsible for handling these assessments. The MDS 3.0 Coordinator, a registered nurse, acknowledged the issue and stated that the staffing concerns had been communicated to the facility's Administrator. Despite being aware of the staffing challenges, the facility had not managed to ensure timely transmission of the assessments, leading to the identified 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 1,308 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) |
|---|---|---|---|---|
| Waterview Nursing Care Center | 0 mi | ★★★★★ | 2 | 0 |
| Woodcrest Rehab & Residential H C Center, L L C | 0 mi | ★★★★★ | 0 | 0 |
| Cliffside Rehab & Residential Health Care Center | 0 mi | ★★★★★ | 0 | 0 |
| Cypress Garden Center For Nursing And Rehabilitati | 0 mi | ★★★★★ | 0 | 0 |
| Union Plaza Care Center | 0 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Sapphire Center For Rehab & Nursing.
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.