Clove Lakes Health Care: Care Standards Violation - NY
The inspection of Clove Lakes Health Care and Rehab Center, Inc. was conducted on April 27, 2026, in response to a complaint. Inspectors cited the facility for nine separate deficiencies. One of them, tagged under the category of resident assessment and care planning, was serious enough that investigators documented actual harm to a resident as a direct result.
That distinction matters. Most nursing home deficiencies are cited at lower severity levels, meaning inspectors found a problem but no one was demonstrably hurt. A severity level G citation, which is what Clove Lakes received for this violation, means inspectors concluded that a real person suffered real harm. It is not a paperwork problem. It is not a technicality. It means something went wrong in someone's care, and that person was worse off because of it.
The facility has offered no plan of correction.
The deficiency falls under federal tag F0658, which addresses whether the services a nursing facility provides actually meet professional standards of quality. The underlying question is a basic one: are the people delivering care doing it the way it is supposed to be done? At Clove Lakes, on the day inspectors arrived, the answer was no. And someone was harmed.
Clove Lakes Health Care and Rehab Center sits in the Sunnyside neighborhood of Staten Island and operates as a combined long-term care and rehabilitation facility. Residents there include elderly men and women who can no longer live independently, people recovering from surgeries or strokes, and individuals with complex chronic conditions who depend entirely on the staff around them to manage their health. For those residents, the gap between care that meets professional standards and care that does not is not abstract. It is the difference between a wound that heals and one that does not, between a medication given correctly and one that is not, between someone noticing a change in condition and someone missing it until it becomes a crisis.
The inspection report does not identify the resident who was harmed, consistent with federal privacy rules. It does not describe the nature of the harm, the type of care that fell short, or which staff members were involved. What the record establishes is that a complaint was filed, investigators came, and they found that care at this facility failed professional standards in a way that hurt someone.
Nine deficiencies in a single complaint inspection is a significant number. Complaint investigations are not routine surveys. They are triggered by specific allegations, meaning someone, whether a resident, a family member, a visitor, or a staff member, contacted regulators because something concerned them enough to make a report. Inspectors then arrive, often without advance notice, and examine not just the specific complaint but the broader state of care in the facility. When they leave with nine citations, including one for actual harm, the picture that emerges is of a facility where problems are not isolated to a single bad day or a single oversight.
The absence of a correction plan compounds the concern. When a nursing home receives a deficiency citation, it is expected to submit a plan of correction describing what went wrong, what the facility will do to fix it, and by what date the fix will be in place. That process exists so that regulators, residents, and families have some assurance that identified problems are being addressed. Clove Lakes has not done that for this deficiency. The record shows the violation as deficient, with no plan of correction in place.
That is not a minor procedural gap. A plan of correction is the facility's first formal acknowledgment that something failed and its first commitment to making it right. Without one, there is no documented roadmap for change. There is no date by which the facility has promised to resolve the problem. There is no written acknowledgment that the harm that was documented has been taken seriously.
For the resident who was harmed, the absence of that plan means something specific. It means the facility has not, at least on the record, explained what happened to them or committed to making sure it does not happen to someone else.
Nursing home inspections in New York are conducted by state surveyors operating under federal oversight from the Centers for Medicare and Medicaid Services. Facilities that receive deficiency citations can face civil monetary penalties, enhanced monitoring, or in serious cases, termination from the Medicare and Medicaid programs. The consequences depend on the severity and scope of violations, whether they recur, and whether facilities demonstrate meaningful efforts to correct them.
A severity level G violation, the level assigned to the Clove Lakes deficiency, sits at the lower end of the actual harm range. Above it are levels H, I, J, K, and L, with J through L representing immediate jeopardy, meaning inspectors believed residents faced a risk of serious injury or death. The harm documented at Clove Lakes was not at that threshold. But it was real harm. Inspectors do not assign that designation lightly. It requires documented evidence that a resident suffered an adverse outcome connected to the deficient practice.
The regulatory tag at issue, F0658, is one that experienced inspectors treat as a marker of systemic concern. It does not cite a single missed medication or a single skipped entry in a chart. It addresses whether the facility's services, taken as a whole or in a specific instance, met the standard that a competent professional in that field would apply. When that standard is not met and someone is hurt, the tag reflects a failure that goes beyond individual error. It reflects a gap between what the facility is supposed to be doing and what it is actually doing.
Clove Lakes has operated for decades on Staten Island. The facility has appeared in previous inspection cycles with various citations, as most nursing homes do over time. A single complaint inspection with nine deficiencies and one actual harm finding does not define a facility's entire history. But it does describe what inspectors found on one specific day in April 2026, in response to a specific complaint, in a facility where real people live and depend on the staff around them.
What the inspection record does not contain is an explanation from Clove Lakes. The facility has not submitted a correction plan, which means there is no statement in the public record from administrators about what they believe happened, what they intend to do, or how they plan to protect residents going forward.
The resident who was harmed is identified in the inspection record only as a number. Their name is not public. The nature of what happened to them is not described in the citation summary. What is documented is that they received care that did not meet professional standards, and that they were hurt as a result, and that the facility where it happened has not yet said what it plans to do about it.
That resident is still there, or was at the time inspectors visited. They share a building with other residents who depend on the same staff, the same systems, the same standards of care. Whether those standards have improved since April 27 is not reflected in any document that has been made public.
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 violations during a health inspection on April 27, 2026.
The inspection of Clove Lakes Health Care and Rehab Center, Inc.
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.