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 Union Plaza Care Center during CMS and state inspections, most recent first.
A resident with Diabetes Mellitus, Hyperlipidemia, and Non-Alzheimer's Dementia was not involved in quarterly care plan meetings, contrary to facility policy. Staff interviews revealed that the interdisciplinary team does not hold these meetings quarterly, and residents or their representatives are not invited to participate, as each department reviews and updates care plans independently.
A resident with severe cognitive impairments and hand contractures was not consistently provided with prescribed hand rolls, as observed during a survey. Despite being a documented intervention, staff failed to replace the hand rolls after care, leading to the resident being without them for extended periods. The necessity of the hand rolls was confirmed by the DON and Director of Rehabilitation.
The facility failed to report abuse allegations involving three residents within the required two-hour timeframe. Two residents reported being rough-handled by a CNA, and another resident reported inappropriate touching. Despite facility policies mandating immediate reporting, these incidents were not reported to the NY State Department of Health on time. Investigations found no visible injuries, and the allegations could not be substantiated due to insufficient evidence.
A resident with Alzheimer's and impaired cognition sustained a skin cut during a toileting incident when a CNA, unaware of the need for two-person assistance, helped the resident without checking the care plan. The resident fell forward, hitting their eyebrow on a wheelchair leg rest, resulting in a superficial cut.
A facility failed to submit a resident's MDS assessment within the required timeframe due to a scheduling oversight in their computer system. The assessment, completed in early June, was not submitted by late August. Interviews revealed that the system did not automatically schedule the assessment, leading to the delay.
Failure to Involve Resident in Quarterly Care Plan Meetings
Penalty
Summary
The facility failed to ensure that a resident or their designated representative participated in the development, review, and revision of the comprehensive care plan, as required. Specifically, a resident with diagnoses of Diabetes Mellitus, Hyperlipidemia, and Non-Alzheimer's Dementia was not afforded the opportunity to participate in quarterly care plan meetings. The facility's policy stated that residents and their representatives should be invited to participate in care plan meetings, but there was no documented evidence that the resident or their representative were invited to the quarterly care plan meeting held on March 8, 2024. Interviews with facility staff, including a Registered Nurse Supervisor, the Director of Social Service, and the Director of Nursing, revealed that the interdisciplinary team does not hold quarterly care plan meetings. Instead, each department is responsible for reviewing and updating care plans quarterly without involving the resident or their representative. This practice was confirmed by the Director of Social Service, who stated that quarterly care plan meetings are only held upon request, and it has not been the facility's practice to offer residents the opportunity to participate every quarter.
Failure to Provide Prescribed Hand Rolls for Resident with Contractures
Penalty
Summary
The facility failed to provide appropriate treatment and services to a resident with limited range of motion, specifically by not ensuring the use of hand rolls for bilateral hand contractures as per physician's orders. The resident, who has severe cognitive impairments and requires total assistance for activities of daily living, was observed multiple times without the prescribed hand rolls in place. This deficiency was noted during a recertification survey, where it was found that the resident's hand rolls were not consistently provided, despite being a documented intervention in the care plan. The resident's spouse reported that the facility had repeatedly failed to provide the hand rolls, and observations confirmed that the resident was without them on several occasions. Interviews with staff, including a Registered Nurse Supervisor and a Certified Nursing Assistant, revealed that the hand rolls were not replaced after the resident's shower, as required. The CNA admitted to delaying the replacement of the hand rolls due to attending to another resident, which resulted in the resident being without the necessary devices for an extended period. The Director of Nursing and the Director of Rehabilitation both confirmed the necessity of the hand rolls to prevent further contracture and potential skin breakdown. The Director of Rehabilitation emphasized that the hand rolls are crucial for maintaining the resident's current functional ability and preventing decline. Despite these acknowledgments, the facility's failure to consistently provide the hand rolls as ordered led to the deficiency noted in the survey.
Failure to Timely Report Abuse Allegations
Penalty
Summary
The facility failed to report allegations of abuse involving three residents within the required two-hour timeframe. Two residents, who were roommates, reported being rough-handled and hit by a Certified Nursing Assistant. Despite the facility's policy requiring immediate reporting of such allegations, the incidents were not reported to the New York State Department of Health within the mandated time. The facility's investigation found no visible injuries, and the allegations could not be verified due to insufficient information. Another resident reported being inappropriately touched by two different individuals on separate occasions. This allegation was also not reported within the required two-hour period. The facility's investigation found no visible injuries or emotional distress, and the allegations could not be substantiated due to a lack of evidence. The Director of Nursing acknowledged the delay in reporting and attributed it to the Administrator's involvement in the investigation. The facility's policies on abuse and incident reporting clearly state the requirement for immediate reporting of abuse allegations. However, there was a misunderstanding among staff regarding the reporting timeframe, particularly in cases without visible injuries. Interviews with facility staff revealed a lack of clarity and adherence to the reporting protocols, contributing to the delay in notifying the appropriate authorities.
Resident Injury Due to Inadequate Supervision During Toileting
Penalty
Summary
The facility failed to ensure a resident was free from accidents, as evidenced by an incident involving a resident with Alzheimer's Disease, Diabetes Mellitus, and Hypertension. The resident, who had severely impaired cognition and was dependent on assistance for toileting, sustained a 2 cm skin cut to the eyebrow during a toileting incident. The resident was being assisted by a Certified Nurse Aid (CNA) who was not the primary caregiver and did not check the resident's care plan, which required two staff members for toileting assistance. The incident occurred when the CNA noticed the resident attempting to self-propel their wheelchair and gesturing to use the bathroom. The CNA transferred the resident to the bathroom and onto the toilet seat. While the resident was attempting to wipe themselves, they lost balance and fell forward, resulting in their eyebrow making contact with the wheelchair's leg rest. This caused a superficial skin cut, although the CNA was able to prevent the resident from falling to the floor. The facility's investigation concluded that there was no reasonable cause to believe the resident was abused or neglected. However, it was noted that the CNA did not review the resident's care plan, which led to the incident. The CNA was provided with a written warning and education on the importance of reviewing care plans and nursing instructions prior to providing care.
Failure to Timely Submit MDS Assessment
Penalty
Summary
The facility failed to ensure that the Minimum Data Set 3.0 (MDS) assessments were submitted and transmitted into the Quality Improvement Evaluation System (QIES) Assessment Submission and Processing (ASAP) system in a timely manner. This deficiency was identified during a recertification survey, where it was found that the quarterly MDS assessment for a resident was not submitted within the required 14 calendar days from the assessment completion date. The assessment, which had an assessment reference date of June 2, 2024, and a completion date of June 9, 2024, was not submitted as of August 26, 2024. Interviews with the Minimum Data Set Coordinator and the Director of Nursing revealed that the facility relies on computer software to automatically schedule assessments for each resident. However, in this case, the assessment for the resident did not populate in the scheduler, leading to the oversight. The Minimum Data Set Coordinator acknowledged that the assessment should have been completed and submitted every three months, but it was overdue. The Director of Nursing confirmed that the system's failure to populate the assessment resulted in staff being unaware of the missed submission until it was identified by the surveyor.
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What surveyors actually found near you
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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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Nursing homes near Flushing
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Sapphire Center For Rehab & Nursing | 0 mi | ★★★★★ | 0 | 0 |
| 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 |
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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.