Silver Lake Specialized Rehab and Care Center
275 Castleton Avenue · Staten Island, NY · 10301 · 7184477800
278 certified beds For profit - Limited Liability company
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 77 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.03 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.14 | 0.55–0.75 |
| Weekend hours / resident-day | 3.74 | ≈ weekday level |
| Nursing turnover / year | 27% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (17 in the current record)
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Actual harm · G April 16, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 15, 2026 · Quality of Life and Care
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Potential for harm · D April 16, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 16, 2026 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 15, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 16, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 15, 2026 · Quality of Life and Care
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Potential for harm · D April 16, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 15, 2026 · Pharmacy Service
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Potential for harm · D December 23, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 29, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 23, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 29, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 13, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 20, 2024 · Resident Rights
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Potential for harm · D December 13, 2023
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected January 20, 2024 · Resident Rights
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Potential for harm · E December 13, 2023
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected January 20, 2024 · Resident Rights
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Potential for harm · D December 13, 2023
Ensure each resident receives an accurate assessment.
Corrected January 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · E December 13, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 20, 2024 · Nutrition and Dietary
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Potential for harm · E December 13, 2023
Provide and implement an infection prevention and control program.
Corrected January 20, 2024 · Infection Control
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Potential for harm · E September 13, 2019
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 1, 2019 · Resident Assessment and Care Planning
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Potential for harm · D September 13, 2019
Provide activities to meet all resident's needs.
Corrected October 7, 2019 · Quality of Life and Care
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Potential for harm · D September 13, 2019
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected October 7, 2019 · Pharmacy Service
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Potential for harm · D September 13, 2019
Provide and implement an infection prevention and control program.
Corrected October 7, 2019 · Infection Control
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335196 · certified since January 1, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.