Clove Lakes Health Care: Immediate Jeopardy Violation - NY
The inspection, conducted April 27, 2026, was a complaint investigation, meaning someone, a resident, a family member, a staff member, triggered it by reporting a problem. What inspectors found when they arrived was categorized under Scope and Severity Level K, which the Centers for Medicare and Medicaid Services reserves for deficiencies that represent a pattern of harm and rise to the level of immediate jeopardy. Of the roughly two dozen severity levels the agency uses, immediate jeopardy sits at the top. It means the deficiency has caused, or is likely to cause, serious injury, harm, impairment, or death.
The specific deficiency cited, regulatory tag F0689, covers a nursing home's obligation to keep its environment free from accident hazards and to provide adequate supervision to prevent accidents from occurring. The finding was not an isolated lapse. Inspectors characterized it as a pattern, which under federal definitions means the problem was not confined to a single resident or a single moment but was observed across multiple instances or individuals.
Nine deficiencies total were cited during the April visit. The immediate jeopardy finding was among them.
As of the date of this report, Clove Lakes has filed no plan of correction with federal regulators.
That last fact matters more than it might appear. When a nursing home receives a deficiency citation, it is required to submit a plan of correction describing what it will do, by what date, and how it will ensure the problem does not recur. The plan of correction is not optional. It is the mechanism through which a facility demonstrates to regulators that it takes a finding seriously and intends to address it. The absence of one, particularly following an immediate jeopardy finding, means that whatever conditions inspectors documented on April 27 have no documented remediation on record.
Clove Lakes is a licensed skilled nursing facility on Staten Island, one of the five boroughs of New York City. It operates in a market where nursing home oversight falls under both federal CMS authority and New York State Department of Health jurisdiction. Complaint-driven inspections, as opposed to routine annual surveys, are initiated when someone reports a concern directly. The fact that this inspection began as a complaint suggests the conditions inspectors found were not a surprise to everyone inside the building.
The accident hazard and supervision deficiency at the heart of the immediate jeopardy finding is among the most commonly cited in American nursing homes, but a Level K designation separates it sharply from the routine. Most F0689 citations are lower-severity findings, a wet floor without a sign, a call light cord out of reach, a piece of equipment left where a resident could trip. A pattern finding at immediate jeopardy severity means inspectors saw something that went beyond a single oversight. It means they concluded that the facility's systems for identifying hazards and supervising vulnerable residents had broken down in a way that was ongoing and dangerous.
What specifically they found at Clove Lakes, which residents were affected, which areas of the building were implicated, and what the underlying complaint alleged, is not contained in the summary inspection record available at the time of publication. The full statement of deficiencies, the document inspectors produce that contains the narrative account of what they observed, what staff said, and what records showed, had not been made publicly available. That document, when released, will contain the specific details.
What the available record does establish is the severity of the regulatory judgment and the absence of any facility response.
Nursing homes that receive immediate jeopardy citations face significant consequences beyond the citation itself. CMS has authority to impose civil monetary penalties, deny payment for new Medicare and Medicaid admissions, and in the most serious cases, terminate a facility's participation in the federal programs entirely. The agency also has authority to appoint a temporary manager or close a facility if conditions warrant. Whether any of those enforcement actions have been initiated at Clove Lakes is not reflected in the current inspection record.
The nine-deficiency total from the April visit gives some additional shape to the picture. A complaint investigation that yields nine citations is not a visit where inspectors found one problem and left. It is a visit where, once inside, they found enough to keep writing. Whether the other eight deficiencies are minor in severity or whether they compound the immediate jeopardy finding is information the full statement of deficiencies will provide.
For residents currently living at Clove Lakes, and for the family members who placed them there, the April 27 findings land against a backdrop of trust that is inherently difficult to assess from the outside. Nursing home residents are, by definition, people who need more care than they can safely receive at home. Many have limited mobility, cognitive impairment, or medical complexity that makes them dependent on the facility not just for comfort but for basic safety. When inspectors determine that a facility has failed to keep its environment free from accident hazards and has failed to provide adequate supervision to prevent accidents, the people most exposed to that failure are the ones who cannot simply leave.
The complaint that triggered this inspection came from somewhere. Someone saw something and reported it. That person, whoever they are, set in motion a process that resulted in a federal finding of immediate jeopardy. The facility's response to that finding, so far, has been silence on paper.
Clove Lakes Health Care and Rehabilitation Center did not respond to a request for comment prior to publication.
The inspection record, including any plan of correction submitted after publication, is publicly available through the CMS Care Compare database at medicare.gov.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Clove Lakes Health Care and Rehab Center, Inc from 2026-04-27 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 27, 2026 · Our methodology
CLOVE LAKES HEALTH CARE AND REHAB CENTER, INC in STATEN ISLAND, NY was cited for immediate jeopardy violations during a health inspection on April 27, 2026.
Of the roughly two dozen severity levels the agency uses, immediate jeopardy sits at the top.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.