Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at West Lawrence Care Center, L L C during CMS and state inspections, most recent first.
The facility failed to protect residents from all forms of abuse and neglect, including physical, mental, and sexual abuse, as well as physical punishment, by any individual.
Two residents with cognitive impairments were involved in an altercation where one struck the other with a wheelchair leg rest after an accusation of theft. Although both were evaluated and found to have no injuries, the incident was not reported to the State Survey Agency within the required 2-hour window, as facility policy and regulations mandate.
A resident was not adequately prepared for a safe transfer or discharge, and the facility did not ensure that the process met the resident's needs and preferences.
A resident with a history of hypertension and severe contractures was found with their arm tied to a bed siderail using a sock, violating their right to be free from restraints. The incident was discovered by a CNA and reported to an LPN. The facility's investigation revealed that the resident received no care during the night shift, and the CNA responsible was terminated. The facility's policies on abuse and restraints were not followed.
A resident with impaired cognition and incontinence was neglected by a CNA who failed to provide necessary care during a night shift, leaving the resident saturated with urine. The CNA admitted to forgetting the care and falsely documented that it was provided, leading to their termination.
A resident's arm was improperly restrained with a sock tied to the bedrail, causing them pain overnight. The incident was discovered by an LPN and a CNA, and the facility's investigation revealed that a CNA from the previous shift was responsible. The resident was found with no injuries, but the facility's policies on restraints were violated, leading to the CNA's termination.
Failure to Protect Residents from Abuse and Neglect
Penalty
Summary
A deficiency was identified regarding the facility's failure to protect each resident from all types of abuse, including physical, mental, sexual abuse, physical punishment, and neglect by any individual. The report notes that residents were not adequately safeguarded from these forms of mistreatment, indicating lapses in the facility's responsibility to ensure resident safety and well-being. No specific details about the actions, inactions, or events leading to the deficiency, nor information about the residents involved or their medical conditions at the time, are provided in the report.
Failure to Timely Report Alleged Resident-to-Resident Abuse
Penalty
Summary
The facility failed to ensure that all alleged violations involving abuse were reported to the State Survey Agency immediately, but not later than 2 hours after the allegation was made, as required by policy and regulation. Specifically, an incident occurred in which one resident, who had diagnoses including non-Alzheimer's dementia, anxiety disorder, and schizophrenia, accused another resident of theft and struck them with a wheelchair leg rest. Both residents were evaluated and denied injuries, and the police were notified. The incident was documented at 10:00 AM, and the Administrator was informed at 10:45 AM. However, the report to the New York State Department of Health was not made until 2:52 PM, exceeding the required 2-hour reporting window. Both residents involved had cognitive impairments and no prior behavioral symptoms directed towards others, according to their most recent assessments. The facility's policy, last reviewed in January 2025, clearly states that the Administration or Director of Nursing is responsible for reporting such allegations immediately, but not later than 2 hours after the event. During an interview, the Administrator acknowledged awareness of the incident but was uncertain about the specific regulatory requirements for reporting resident-to-resident interactions within the mandated timeframe.
Failure to Ensure Resident-Centered and Safe Transfer/Discharge
Penalty
Summary
The facility failed to ensure that the transfer or discharge process met the resident's needs and preferences, and did not adequately prepare the resident for a safe transfer or discharge. The report identifies that the necessary steps to assess and address the resident's individual requirements and preferences during the transfer or discharge process were not followed, resulting in a deficiency related to resident-centered care and safe transition planning.
Resident Restrained with Sock in Violation of Rights
Penalty
Summary
The facility failed to ensure a resident's right to be free from physical restraints, as evidenced by an incident involving a resident whose left arm was tied to the siderail of their bed with a sock. This incident was discovered on the morning of October 4, 2023, when a Certified Nursing Assistant (CNA) observed the restraint and reported it to a Licensed Practical Nurse (LPN). The resident, who had a history of hypertension, hyperlipidemia, and severe contractures, reported being tied up all night and experiencing pain, although no bruises or injuries were noted upon physical assessment. The facility's investigation revealed that the resident was not provided with any care during the night shift by the assigned CNA, who admitted to not performing any activities of daily living for the resident. Surveillance footage confirmed the lack of care, and the facility concluded that another CNA, who was the last known staff member to care for the resident, was responsible for the restraint. This CNA was reported to have called the facility the following morning, expressing urgency about the situation. Interviews with various staff members, including the Director of Nursing and the Social Worker, corroborated the findings of the investigation. The Director of Nursing concluded that the CNA who last cared for the resident was responsible for the restraint, leading to their immediate removal from the schedule and subsequent termination. The facility's policies on resident abuse and physical restraints were not adhered to, resulting in this deficiency.
Neglect in Providing Incontinent Care
Penalty
Summary
During an abbreviated survey, it was found that a resident did not receive necessary assistance with activities of daily living, specifically personal hygiene care, during the 11:00 PM-7:00 AM shift. A Certified Nursing Assistant (CNA) failed to provide incontinent care to the resident, who was later observed saturated with urine. The CNA admitted to forgetting to provide care and falsely documented that care was given. Surveillance video confirmed that no care was provided during the shift. The resident involved had a history of hypertension, hyperlipidemia, and age-related muscle weakness, with moderately impaired cognition. The resident required dependent assistance for incontinent care every shift, as documented in their care plan. Despite this, the CNA did not perform the necessary care, leading to the resident being found in a state of neglect. The facility's policies on resident care and neglect were not adhered to, resulting in the termination of the CNA for neglect and falsification of documentation.
Plan Of Correction
Plan of Correction: Approved February 28, 2025 I. The following actions were accomplished for the residents identified in the sample: Resident #1 On 10/4/23, the resident was immediately provided with ADL care by the assigned CNA for the day shift after it was determined that the resident had not received ADL care on the 11-7 shift. On 02/25/2025 the resident’s ADL self-care deficit care plan and CNA nursing care instructions were reviewed by the Interdisciplinary Team (IDT) to ensure that necessary services to maintain good nutrition, grooming, and personal and oral hygiene were properly addressed. No revisions were needed to the plan of care. The Nurse Manager reviewed the plan of care with the unit staff and the staff’s responsibility to provide ADL care for this resident who requires total assistance with ADL care. CNA #3 was terminated on 10/4/23. II. The following corrective actions will be implemented to identify other residents who may be affected by the same practice: All residents have been identified as potentially affected by the same practice. Between 02/25/2025 and 03/25/2025 a full facility audit will be conducted by the IDT members to identify and assess all residents who require assistance with ADLs. This assessment will involve reviewing care plans to ensure that the necessary ADL assistance is clearly identified and outlined for each resident. Any immediate needs will be addressed promptly with staff providing the required care and support. Any revisions to a resident’s ADL plan of care will be reviewed with the responsible unit staff. III. The following system changes will be implemented to ensure continuing compliance with regulations: The Administrator, DNS, and RN/MDS Coordinator will review and revise, as needed, the policy and procedure for Activities of Daily Living (ADL) including staff responsibility to provide ADL care as outlined in the individual plan of care for dependent residents. The DNS/designee will provide additional education to all CNAs regarding their responsibilities in providing ADL care for dependent residents. The education will focus on the importance of providing timely and appropriate assistance with ADLs, understanding and adhering to individual care plans and CNA nursing instructions, and recognizing signs of unmet ADL needs. This training will be incorporated into the orientation of new Nursing staff members and will be reviewed annually and as needed. RN Supervisors will monitor compliance through routine observational rounds to ensure that ADL care is provided consistently and in accordance with each resident’s care plan. Immediate corrective actions, including staff re-education and, if necessary, disciplinary action, will be implemented for any deviations or failure to provide required ADL care. The IDT will be responsible for reviewing and updating each resident’s care plan to ensure it accurately reflects their ADL needs and preferences. Care plans will include specific details regarding the frequency and type of assistance required, as well as any special considerations (e.g., preferred timing or specific requests for assistance). IV. The facility’s compliance will be monitored utilizing the following quality assurance system: The facility will develop an audit tool to monitor compliance with the provision of ADL care per the plan of care. The RN/designee will audit 20% of residents requiring different levels of ADL assistance monthly for the next three months, then quarterly for the following three quarters. Each audit sample will include ADL dependent residents. All audit findings will be reported to the Administrator and DNS monthly. Corrective actions, such as staff reeducation or revision to the plan of care, will be implemented as needed. The DNS/designee will report ADL audit findings to the QA Committee on a quarterly basis for evaluation, discussion, and follow-up corrective action. At the end of the fourth quarter, the QAPI Committee will assess the need for ongoing monitoring and determine the appropriate frequency.
Resident's Arm Improperly Restrained with Sock
Penalty
Summary
The facility failed to ensure a resident's right to be free from physical restraints not required to treat medical symptoms, as evidenced by an incident involving a resident whose left arm was tied to the siderail of their bed with a sock. This incident was discovered on the morning of October 4, 2023, when a Licensed Practical Nurse (LPN) and a Certified Nursing Assistant (CNA) found the resident in this condition. The resident reported being tied up all night and experiencing pain, although no bruises or injuries were observed, and an x-ray showed no fractures or dislocations. The facility's investigation revealed that the resident was under the care of a CNA during the night shift, who was later found not to have provided any care to the resident during their shift. Surveillance footage confirmed the lack of care provided. Another CNA, who was on the previous shift, was implicated in the incident after reportedly calling the facility the following morning and asking another CNA to check on the resident. This CNA was later identified as the last known staff member to have cared for the resident before the incident. The facility's policies on resident abuse and physical restraints, which emphasize the residents' right to be free from such restraints unless medically necessary, were not adhered to in this case. The Director of Nursing concluded that the CNA from the previous shift was responsible for restraining the resident, leading to their immediate removal from the schedule and subsequent termination. The incident highlights a significant breach of the resident's rights and the facility's failure to protect them from unauthorized restraints.
Plan Of Correction
Plan of Correction: Approved February 28, 2025 **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** I. The following actions were accomplished for the residents identified in the sample: Resident #1 On 10/4/23, the resident was seen and examined by the Assistant Director of Nursing Services (ADNS), with no visible signs of injury. The attending physician was notified, and an order for [REDACTED]. The resident does not exhibit any medical symptoms that would necessitate the use of a restraining device. On 10/4/23, the Social Work (SW) Director contacted the local police department to report the incident for further investigation. The case was subsequently referred to the district attorney's office for review. The resident was re-examined by the attending physician on 10/6/23, who reviewed the left-hand x-ray results. CNA #2 was terminated on 10/4/23. The Potential for Abuse Care Plan was reviewed on 12/16/24 and again on 2/25/25, the interdisciplinary team (IDT) determined that there was no need to revise the plan of care. The IDT continues to monitor for any signs or symptoms of abuse or unnecessary use of physical restraint devices. There have been no restraint concerns since this event in 2023. II. The following corrective actions will be implemented to identify other residents who may be affected by the same practice: All residents in the facility have been identified as potentially affected by the same practice. A comprehensive audit was conducted by the Nurse Supervisors and the Interdisciplinary Care Plan Team (IDCPT) on 02/25/2025 for all residents to identify any use of physical restraint devices. No residents were found to be using any physical restraint devices. III. The following system changes will be implemented to ensure continuing compliance with regulations: The Administrator, Director of Nursing (DNS), and Medical Director will review and revise, as necessary, the facility’s policies and procedures related to physical restraints. This review will include protocols for assessing the use of restraints, obtaining physician orders, securing resident representative consent, and ensuring proper care planning for restraints. The DNS/designee will continue to provide additional education to all staff regarding their responsibilities related to the policies and procedures for physical restraint. This education will be included in the orientation for new clinical team members and reviewed annually or as needed. RN Supervisors will monitor compliance through routine observational rounds and review physician orders [REDACTED]. Immediate corrective actions, including staff re-education and reassessment of restraints will be taken as needed. IV. The facility’s compliance will be monitored utilizing the following quality assurance system: The facility will develop an audit tool to monitor compliance with protocols related to the use of restraints. The DNS/designee will audit all residents identified with restraint devices monthly for the next 3 months, and then quarterly for the following 3 quarters. The DNS will report all restraint audit findings to the Administrator monthly for the first 3 months, and then at the end of each subsequent quarter for the next 3 quarters. Corrective actions, including education and obtaining physician orders [REDACTED]. The DNS will report all physical restraint audit findings to the QA Committee monthly for the first 3 months, and then at the end of each subsequent quarter for the next 3 quarters. At the end of this period, the Committee will evaluate the need for continued monitoring, determine the appropriate frequency, and decide on any additional corrective actions to implement.
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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 Far Rockaway
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Oceanview Nursing & Rehabilitation Care Center | 0.1 mi | — | 0 | 0 |
| Brookhaven Rehab & Health Care Center L L C | 0.3 mi | — | 0 | 0 |
| Haven Manor Health Care Center, L L C | 0.4 mi | — | 1 | 0 |
| Queens Nassau Rehabilitation And Nursing Center | 0.5 mi | — | 0 | 0 |
| Premier Nsg & Rehab Center Of Far Rockaway | 0.7 mi | — | 0 | 0 |
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