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 Silvercrest during CMS and state inspections, most recent first.
A resident with a DNR order was found unresponsive and received CPR, contrary to their advance directives, due to staff failing to verify the resident's code status before initiating resuscitation efforts. The incident involved a ventilator-dependent resident with severe cognitive impairment, and the facility's protocol requiring verification of code status by two clinicians was not followed.
The facility experienced significant staffing shortages, particularly on weekends and holidays, leading to unmet resident needs. Residents reported missed showers and delays in care, while staff confirmed being overburdened. Despite efforts to use agency and per-diem staff, the facility struggled to cover shifts, impacting care for residents with complex needs.
The facility did not secure resident funds with a surety bond, affecting 138 residents. The Administrator presented a commercial crime policy, but it did not meet the regulatory requirement for a surety bond, leaving resident funds unprotected.
The facility failed to deliver mail to residents on Saturdays, violating their rights to send and receive mail. Although the policy required mail to be sorted and delivered by the Recreation department, staff interviews revealed that mail was left at the Security desk over the weekend due to the absence of Administration staff. This resulted in residents not receiving their mail until Monday.
The facility failed to maintain an adequate supply of clean linen, leading to complaints from residents and staff about shortages, particularly on weekends. CNAs reported difficulties in providing timely care due to insufficient towels, often resorting to using residents' clothing to dry them. The Director of Environmental Services and the Director of Nursing acknowledged the issue, with the latter noting that staff hoarding of towels was a problem. Despite audits by the Administrator, the linen shortage persisted, affecting resident care.
A resident with quadriplegia and other conditions reported being roughly handled and yelled at by a CNA during care, despite expressing discomfort. The facility's policy requiring a two-person assist was not followed, leading to emotional distress for the resident. The incident was reported by the resident's spouse, and although no physical injuries were found, the resident was emotionally upset. The CNA was suspended and received training, but the facility's failure to protect the resident from abuse resulted in a deficiency.
A facility failed to provide a resident with quarterly financial statements, as required by policy. The Patient Account Coordinator, new to the role, was unaware of the documentation location, and the Administrator noted missing documentation due to a change in Medicaid Coordinator. Despite efforts to mail statements, there was no signed acknowledgment from the resident, indicating a lapse in financial management procedures.
The facility did not post daily nurse staffing information in a prominent and accessible area, as required. Observations showed the postings were placed in a less visible location, and there was no signage on resident units to guide residents, families, or visitors. Interviews with staff confirmed the issue and acknowledged the need for correction.
A resident with intact cognition and specific bathing preferences was not provided showers as requested, receiving only bed baths due to the lack of appropriate equipment and documentation of preferences. Despite staff awareness of the issue, the facility did not take timely action to address the resident's needs, resulting in a failure to promote resident self-determination.
A resident with diabetes and other conditions reported receiving inconsistent meal portions and missing protein, despite documented dietary preferences for double protein. Observations confirmed the resident's meal ticket indicated double protein, but this was not provided. The facility's Clinical Nutritional Director and Food Service Director acknowledged the oversight, with the latter stating that the practice was for nurses to call for double protein during meal service.
A resident reported consistently receiving cold food, revealing a deficiency in the facility's meal service. The facility's policy required food to be served at proper temperatures, but observations showed that food temperatures were below optimal levels. The Food Service Director acknowledged the inconsistency, and the Administrator was unaware of the issue prior to the survey.
A resident was not informed about being an elopement risk or the placement of a wander-guard on their wheelchair, as required by facility policy. Despite having intact cognition, the resident was not notified or educated about the device, which was discovered only when an alarm was triggered. Staff cited erratic behavior and safety concerns for not obtaining consent, but failed to adhere to the policy of informing residents about changes to their care plan.
Failure to Adhere to DNR Order in Emergency Situation
Penalty
Summary
The facility failed to adhere to a resident's Advance Directives, specifically a Do Not Resuscitate (DNR) order, during an emergency situation. Resident #1, who was ventilator-dependent and had severe cognitive impairment, was found unresponsive without a pulse. Despite having a Medical Order for Life-Sustaining Treatment indicating DNR, staff performed cardiopulmonary resuscitation (CPR) on the resident, resulting in the return of spontaneous circulation. The resident was subsequently transferred to the hospital. The incident occurred when Respiratory Therapist #2 responded to a ventilator alarm and found Resident #1 unresponsive. Without verifying the resident's code status, chest compressions were initiated by the staff, including Respiratory Therapist #1 and Registered Nurse #1. It was only after the CPR efforts were underway that staff members realized the resident had a DNR order. The facility's policy required verification of the resident's code status by two clinicians before initiating any resuscitation efforts, which was not followed in this case. Interviews with the involved staff revealed a lack of communication and adherence to protocol, as the staff did not verify the resident's DNR status before commencing CPR. The Assistant Director of Nursing and the Medical Director confirmed that the facility's protocol was not followed, and chest compressions should not have been performed on Resident #1. The incident was attributed to human error by two contracted employees who failed to check the resident's advance directives before initiating life-saving measures.
Staffing Shortages Impact Resident Care
Penalty
Summary
The facility was found to have insufficient nursing staff to meet the needs of its residents, particularly on weekends and holidays. The documented staffing levels in the Facility Assessment did not match the actual staffing levels observed during the survey period. Specifically, there were multiple instances of staff shortages, including Certified Nursing Assistants (CNAs), Licensed Practical Nurses (LPNs), and Registered Nurses (RNs), across various shifts and units. These shortages were not addressed with replacements, leading to a significant gap in care provision. Residents and staff expressed ongoing concerns about the staffing levels. During a Resident Council meeting, several residents reported that the facility often operated with fewer CNAs than promised, resulting in missed showers and delays in getting out of bed. Residents also noted that staff were frequently pulled from their units to cover other areas, exacerbating the staffing issues. Interviews with CNAs and RNs confirmed these concerns, with staff indicating that they were often overburdened and unable to provide timely care to all residents. Specific cases highlighted the impact of these staffing deficiencies. One resident, who was cognitively intact and had significant care needs due to quadriplegia, reported that the reduction in CNA numbers made it impossible to receive timely assistance with daily activities. Another resident's representative noted that the lack of staff prevented necessary ambulation exercises. The facility's staffing coordinator acknowledged the challenges in covering shifts, despite contracts with nursing agencies and efforts to use per-diem and overtime staff. The administrator maintained that staffing levels were sufficient according to the par level, but acknowledged difficulties in finding replacements for callouts, particularly on weekends.
Failure to Secure Resident Funds with Surety Bond
Penalty
Summary
The facility failed to ensure the security of personal funds deposited by residents, as evidenced by the absence of a surety bond. During the recertification survey, it was found that the facility did not have a surety bond in place to protect the personal funds of 138 residents who maintained accounts with the facility. The facility's policy on Resident Personal Accounts did not mention the requirement or existence of a surety bond, and the financial document reviewed showed a significant amount of resident funds without the necessary protection. The Administrator presented a document titled Standard Commercial Crime Binder, which was intended to cover the resident funds under a Master Crime Policy. However, this policy did not provide the specific surety bond required to assure the security of the residents' personal funds. The Administrator stated that they were informed by the Risk Management of New York Presbyterian that the insurance policy provided greater coverage than a traditional surety bond, but there was no documented evidence to support this claim. This oversight was a violation of the regulatory requirement to secure resident funds with a surety bond.
Failure to Deliver Resident Mail on Weekends
Penalty
Summary
The facility failed to ensure residents' rights to send and receive mail were upheld, as mail was not delivered to residents on Saturdays. The facility's policy, last revised in October 2023, stated that mail delivered on Saturdays would be sorted by the Recreation department and then delivered to residents. However, during a Resident Council meeting, all ten residents present confirmed that mail was not delivered on Saturdays. A resident explained that mail sorting required Administration staff, who do not work on Saturdays, resulting in no mail delivery on that day. Interviews with various staff members, including the Director of Therapeutic Recreation, Security Officer, Medical Services Coordinator, Health Information Supervisor, and the Administrator, revealed inconsistencies and misunderstandings about the mail delivery process on weekends. The Director of Therapeutic Recreation stated that mail and packages are delivered to the Security desk, but only packages are delivered to residents on weekends. The Security Officer confirmed that mail stays at the Security desk until Monday. The Medical Services Coordinator and Health Information Supervisor were unaware of the weekend mail procedure, and the Administrator was not aware that the process was not being followed, leading to the deficiency.
Linen Shortage Affects Resident Care
Penalty
Summary
The facility failed to ensure an adequate supply of clean linen, which led to multiple complaints from residents and staff about insufficient linen availability. The facility's policy on Laundry and Linen Management, revised in September 2024, mandates maintaining an adequate supply of clean linen through safe and sanitary procedures. However, during the survey, it was found that the facility did not adhere to this policy, as evidenced by complaints from residents during a Resident Council meeting and interviews with several Certified Nursing Assistants (CNAs) who reported frequent shortages of towels and other linens, particularly on weekends. Interviews with CNAs revealed that the shortage of towels often hindered their ability to provide timely care, such as giving showers and bed baths. CNAs reported having to use residents' clothing to dry them off due to the lack of towels. The shortage was particularly problematic for residents requiring multiple towels for showers and hair washing. The CNAs also mentioned that linen deliveries were sometimes late, and they had to wait for additional supplies to be brought up from the laundry department, which delayed resident care. The Director of Environmental Services and the Director of Nursing were both interviewed and acknowledged the issue. The Director of Environmental Services stated that par levels were determined with the interdisciplinary team and that linen was delivered according to need. However, they were unaware of any issues with late deliveries or shortages. The Director of Nursing noted that since the facility began doing laundry in-house, they believed there was more control over the linen supply, although staff hoarding of towels was identified as a problem. The Administrator also conducted audits to monitor linen usage but did not include checks on whether additional linen was sent to the unit and remained unused at the end of shifts.
Failure to Protect Resident from Physical Abuse
Penalty
Summary
The facility failed to protect a resident from physical abuse, as evidenced by an incident involving a Certified Nurse Aide (CNA) and a resident with quadriplegia, chronic respiratory failure, depression, and tracheostomy dependency. The resident, who was cognitively intact and required a two-person assist for activities of daily living, reported that the CNA was rough during care and yelled at them, causing emotional distress. The incident occurred in the early morning hours, and the resident communicated their discomfort during the care, but the CNA did not stop their actions. The facility's policy on abuse prevention and prohibition was not followed, as the CNA did not adhere to the resident's care plan, which required a two-person assist. The resident's spouse reported the incident later that morning, and the facility's social worker and nurse manager confirmed the resident's account through interviews. Although no physical injuries were observed, the resident was emotionally upset and cried during the assessment. The facility's Director of Nursing acknowledged that the CNA did not follow the care plan but did not initially view the incident as abuse. Interviews with the CNA and other staff revealed that the CNA had provided care to the resident alone, using a bed sheet and pillow to turn the resident, and did not make eye contact or notice any signs of discomfort. The CNA was suspended for eight days and received in-service training. The facility's failure to ensure the resident was free from abuse and to follow the care plan led to the deficiency, as documented in the survey report.
Failure to Provide Quarterly Financial Statements to Resident
Penalty
Summary
The facility failed to ensure that individual resident financial records were made available to residents or their representatives through quarterly statements. This deficiency was identified during a recertification survey, where it was found that one resident, out of a sample of 38, did not receive documented quarterly financial statements. The facility's policy required the Finance Department to distribute these statements timely, but there was no evidence that the resident or their representative received the statements within 30 days after the end of the quarter. Interviews with the Patient Account Coordinator and the Administrator revealed gaps in the process of delivering and documenting the receipt of these statements. The Patient Account Coordinator, who was new to the facility, was in the process of implementing a system to document statement delivery but was unaware of the location of documentation for the resident in question. The Administrator acknowledged that statements should be delivered to residents regardless of family involvement and that a change in Medicaid Coordinator had resulted in missing documentation. Despite efforts to mail statements to all residents, there was no signed acknowledgment from the resident in question, indicating a lapse in the facility's financial management procedures.
Inadequate Posting of Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that the Nurse Staffing Information was posted in a prominent and accessible area for residents, families, and visitors during the Recertification Survey conducted from December 12, 2024, to December 19, 2024. Observations on multiple dates revealed that the daily nurse staffing levels were posted at the side of the vestibule in the Information Lobby, which was not readily visible or accessible. Additionally, there was no signage on any of the eight resident units indicating where this information could be found. Interviews with the Staffing Coordinator and the Associate Director of Nursing confirmed the inappropriate placement of the postings and acknowledged the need for correction.
Failure to Honor Resident's Bathing Preferences
Penalty
Summary
The facility failed to promote and facilitate resident self-determination by not honoring a resident's bathing preferences. Resident #103, who has been in the facility for about four years, expressed a preference for showers but was only provided bed baths. The resident's care plan did not document their bathing preferences, and there was no evidence that the facility addressed the resident's request for showers. The resident's medical record showed no documentation of refusal for scheduled bathing days, indicating a lack of adherence to the resident's expressed wishes. The facility's staff, including CNAs and the Social Worker, acknowledged the lack of appropriate equipment, such as a bariatric shower chair, which prevented the resident from receiving showers. The resident's wheelchair was too wide to fit through the shower room entryway, further complicating the situation. Despite being aware of the issue, the facility did not take timely action to resolve it, as evidenced by the Administrator's statement that a shower chair was only ordered after the problem was brought to their attention. This inaction resulted in the resident not receiving their preferred method of bathing, contrary to their rights and the facility's policy.
Inconsistent Adherence to Resident Dietary Preferences
Penalty
Summary
The facility failed to ensure that resident menus and dietary preferences were consistently followed, as evidenced by the case of a resident with Diabetes Mellitus, Hyperlipidemia, and Hypertension. This resident, who had intact cognition and was independent with eating, reported being served small portions and missing protein on their meal tray. The resident's comprehensive care plan for nutrition included monitoring weight, labs, and providing a diet per physician order, yet dietary notes indicated complaints about not receiving protein at meals. The resident expressed dissatisfaction with the inconsistency of meal trays and resorted to ordering food from outside the facility. Observations and interviews revealed that the resident's lunch meal ticket documented a preference for double protein, which was not reflected in the serving size provided. The Clinical Nutritional Director acknowledged ongoing communication with the resident due to non-compliance with their therapeutic diet but was unable to locate the resident's menu preferences in the medical record or meal care system. The Food Service Director confirmed that the resident's dietary preference for double protein was not reflected in the serving size, and the practice was for the nurse to call for the double protein during meal service. Despite audits conducted by the Food Service Director, the Director of Nursing was unaware of any issues related to the resident's meals.
Deficiency in Serving Food at Appetizing Temperatures
Penalty
Summary
The facility failed to ensure that food was served at an appetizing temperature during meal service, as evidenced by the experience of a resident who reported consistently receiving cold food. The facility's policy required that each resident be provided with a nourishing, palatable diet at the proper temperature. However, during the survey, it was observed that the food served to residents was not maintained at the appropriate temperatures. Specifically, the food temperatures measured during a test tray on Unit 2 South were inconsistent and below the optimal temperature for hot foods, with items such as diced carrots and ground chicken being served at temperatures lower than the desirable 135 degrees Fahrenheit. The resident involved, who had intact cognition and was independent with eating, expressed dissatisfaction with the meal service, stating that food was not served immediately and was consistently cold. The Food Service Director acknowledged the inconsistency in food temperatures and stated that hot foods should be held at a desirable temperature to ensure they are served hot. The Administrator mentioned that the meal delivery process had been changed to provide communal dining service, but was unaware of any issues prior to the survey. Despite the presence of a microwave in the staff dining cafeteria, it was noted that staff were not allowed to heat up foods due to a safety issue.
Failure to Inform Resident of Elopement Risk and Wander-Guard Placement
Penalty
Summary
The facility failed to inform a resident in advance about changes to their plan of care, specifically regarding the placement of a wander-guard device on their motorized wheelchair. This deficiency was identified during an abbreviated survey, where it was found that the resident was not notified of their elopement risk status or the implementation of the wander-guard device. The resident only became aware of the device when they attempted to exit the facility, triggering an alarm. The facility's policy requires residents to be informed and educated about their rights and any changes to their care plan, which was not adhered to in this case. The resident involved had a history of spinal cord injury, quadriplegia, anxiety, and pressure ulcers, with intact cognition as per a recent assessment. Despite this, a psychiatry progress note indicated that the resident did not have full capacity to make complex medical decisions. The facility's elopement and wandering policy was reviewed, which includes placing a wander-guard on residents deemed at risk. However, there was no documented evidence that the resident or their family was informed or educated about the elopement risk or the wander-guard device. Interviews with facility staff, including a registered nurse supervisor and the director of nursing, revealed that the resident was assessed as an elopement risk after leaving the facility unsupervised. The staff followed protocol by placing a wander-guard on the resident's wheelchair without their consent, citing erratic behavior and safety concerns. The director of nursing stated that the resident had instructed the facility not to inform their family about any matters related to them, further complicating the communication process.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Jamaica
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Jamaica Hospital Medical Center T C U | 0.3 mi | ★★★★★ | 0 | 0 |
| Jamaica Hospital Nursing Home Co Inc | 0.4 mi | ★★★★★ | 0 | 0 |
| Margaret Tietz Center For Nursing Care Inc | 1.4 mi | ★★★★★ | 1 | 0 |
| Highland Care Center | 1.4 mi | ★★★★★ | 0 | 0 |
| Hillside Manor Rehab & Extended Care Center | 1.4 mi | ★★★★★ | 0 | 0 |
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