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 Terence Cardinal Cooke Health Care Center during CMS and state inspections, most recent first.
The facility failed to maintain infection control practices for two residents. An LPN did not perform hand hygiene or change gloves during wound care for a resident with a sacral pressure ulcer. Another LPN did not follow Enhanced Barrier Precautions while flushing a urinary catheter and failed to clean the bedside table afterward. These lapses were observed during a recertification survey.
A resident with limited clothing options was observed wearing the same outfit for two days, highlighting a deficiency in the facility's respect for resident dignity. The resident, with conditions such as hypertension and hemiparesis, required assistance with dressing and reported discomfort with the available clothing. Staff interviews revealed a breakdown in communication regarding the resident's clothing needs, as the social worker and Director of Social Services were unaware of the situation until informed by a surveyor.
Two cognitively impaired residents were found in bed together, with one resident's hand observed touching the other's private area. The facility's internal investigation concluded there was no abuse, citing the residents' cognitive impairments. Staff interviews revealed discrepancies in accounts, and the psychiatrist did not assess the residents' capacity to consent to sexual activity.
A resident with glaucoma and impaired vision did not have a comprehensive care plan addressing their visual impairment, despite having intact cognition and a physician's order for Latanoprost. The facility's policy mandates such plans, but the Director of Nursing could not confirm which nurse was responsible for the oversight.
A resident with a documented fish allergy was served a meal containing fish due to a failure in transferring allergy information to the meal ticket system. The CNA identified the error when the resident refused the meal, and the issue was traced back to the diet clerk's oversight in updating the GeriMenu system.
Infection Control Deficiencies in Wound Care and Catheter Management
Penalty
Summary
The facility failed to maintain proper infection control practices during wound treatment for Resident #208, who was admitted with multiple diagnoses including Multiple Sclerosis, Functional Quadriplegia, and Diabetes Mellitus. The resident had a physician's order for wound care treatment of a Stage 4 sacral pressure ulcer. During an observation, an LPN did not perform hand hygiene or change gloves after removing the old dressing and before applying a new dressing. Additionally, the LPN's gown was not properly secured, with part of it touching the resident's lower leg. In another incident, the facility did not adhere to Enhanced Barrier Precautions while flushing the indwelling urinary catheter of Resident #269, who was diagnosed with Neurogenic Bladder and Quadriplegia. The LPN involved did not wear a gown during the procedure and failed to clean the resident's bedside table after using it for the procedure. The resident's physician's orders included Enhanced Barrier Precautions, which were not followed. These deficiencies were identified during a recertification survey, where it was observed that the facility's infection control policies were not properly implemented by the nursing staff. The lapses in infection control practices were acknowledged by the staff involved during interviews conducted as part of the survey.
Resident Dignity and Clothing Deficiency
Penalty
Summary
The facility failed to ensure that residents are treated with respect and dignity, as evidenced by the case of a resident who was observed wearing the same outfit for two consecutive days. The resident, who had diagnoses including hypertension, hemiparesis, and diabetes mellitus, required assistance with dressing due to impaired vision and limited mobility. The resident reported having insufficient clothing and no shoes, and was observed wearing a men's shirt, jeans, and socks without shoes. The resident's property list indicated a limited supply of clothing, and the resident expressed discomfort with the available clothing. Interviews with facility staff revealed a lack of awareness and communication regarding the resident's clothing needs. A Certified Nursing Assistant acknowledged the resident's limited clothing and attempted to find suitable items from the facility's donation closet, but found only one pair of pants that fit. The social worker and Director of Social Services were unaware of the resident's clothing situation until it was brought to their attention by the surveyor. The facility's policy required staff to notify social workers if a resident lacked adequate clothing, but this procedure was not followed, leading to the resident wearing the same clothes without washing them.
Failure to Protect Residents from Sexual Abuse
Penalty
Summary
The facility failed to ensure that residents were free from sexual abuse, as evidenced by an incident involving two residents with severe cognitive impairments. On the evening of the incident, a Certified Nursing Assistant (CNA) discovered the two residents in bed together, with one resident's hand observed touching the other's private area. Both residents were found half-naked, and the CNA reported the situation to a Licensed Practical Nurse (LPN), who then assessed the residents. The LPN observed one resident fixing their clothes and washing their hands, while the other resident remained calm and showed no signs of discomfort. The facility conducted an internal investigation and concluded that the incident was an interaction between two cognitively impaired residents with no negative outcome. The interdisciplinary team determined that the incident was unpredictable and unprovoked, and both residents were assessed by social work with no negative findings. The residents' medical records indicated severe cognitive impairments, with one resident having a history of wandering behaviors that intruded on others' privacy. Despite the facility's conclusion, the incident raised concerns about the residents' ability to consent to sexual activity, which was not assessed by the psychiatrist. Interviews with staff revealed discrepancies in the accounts of the incident. The CNA initially reported seeing the residents touching each other, but later stated they did not remember if any touching occurred. The Director of Nursing acknowledged the inappropriate nature of the behavior but did not classify it as abuse due to the residents' cognitive impairments. The facility's administrator confirmed that the psychiatrist determined neither resident had decision-making capacity, and there was no evidence of sexual activity based on the nursing supervisor's assessment.
Failure to Develop Comprehensive Care Plan for Resident with Glaucoma
Penalty
Summary
The facility failed to develop and implement a person-centered comprehensive care plan for a resident with impaired vision due to glaucoma. Despite the resident having intact cognition and a physician's order for Latanoprost to treat bilateral absolute glaucoma, the care plan did not address the resident's visual impairment. This oversight was identified during a recertification survey, which reviewed the care planning for two residents out of a total of 37 sampled residents. The facility's policy requires that comprehensive care plans include measurable objectives and timetables to meet the resident's needs, initiated by the interdisciplinary team upon admission and updated as necessary. However, the Director of Nursing acknowledged that a care plan for impaired vision should have been completed but was not, and could not confirm which nurse was responsible for this omission. This deficiency was noted under the regulation 10 NYCRR 415.11(c)(1).
Failure to Accommodate Resident's Food Allergy
Penalty
Summary
The facility failed to ensure that a resident with a documented allergy to fish received meals that accommodated their dietary restrictions. During the recertification survey, it was observed that a resident, who was alert and oriented, was served a lunch tray containing fish, despite having a known allergy to fish and fish-containing products. The resident refused the meal and informed the Certified Nursing Assistant (CNA) of the error. The CNA, who was responsible for verifying the meal ticket against the resident's allergies, acknowledged the mistake and removed the tray, subsequently notifying the kitchen to correct the meal. The deficiency was traced back to a failure in the facility's process for managing dietary information. The Registered Dietician confirmed the resident's allergy during the admission nutrition assessment, and the Clinical Nutrition Manager identified that the diet clerk did not transfer the allergy information from the electronic medical record to the GeriMenu system, which is used to print meal tickets. This oversight resulted in the resident receiving a meal that did not accommodate their allergy. The Director of Nursing noted that the resident's allergies should have been listed on the meal ticket and posted at the nursing station, but this did not occur, 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 1,584 citations issued within 25 miles in the last 12 months — including the 21 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 New York
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The New Jewish Home, Manhattan | 0.7 mi | ★★★★★ | 0 | 0 |
| Henry J. Carter Skilled Nursing Facility | 0.8 mi | ★★★★★ | 2 | 1 |
| Amsterdam Nursing Home Corp (1992) | 0.9 mi | ★★★★★ | 0 | 0 |
| Northern Manhattan Rehabilitation And Nursing Ctr | 1 mi | ★★★★★ | 12 | 0 |
| Upper East Side Rehabilitation And Nursing Center | 1.4 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.