The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Silver Lake Specialized Care Center
Registered name: Silver Lake Specialized Rehabilitation and Care Ce
Staten Island, NY · Medicare-certified · 278 beds
Needs attention
For-profit
Data as of September 1, 2026
1 of 5 overall
Silver Lake Specialized Care Center in Staten Island has a 1-star overall rating, with 1 star for health inspections, 3 stars for staffing, and 2 stars for quality measures. It has the lowest overall rating, no fines in the last 24 months, and reported nurse staffing of 4.09 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
4.0914 hrs/resident/day
Quality measures
Last inspection: April 16, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0914.
Staffing detail
- Registered nurses
- 1.19
- Licensed practical nurses
- 0.31
- Nurse aides
- 2.59
- Weekend nursing
- 3.75
Hours per resident per day.
Total staff turnover: 26%
Registered nurse turnover: 31%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
21.2%26%Worsening
Residents with a fall causing major injury
1.1%1.7%Worsening
Residents with pressure ulcers (bedsores)
16.5%17.9%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
6.4%8.1%Worsening
Residents who were physically restrained
0%3.4%Worsening
Residents needing more help with daily activities
15.8%11.4%Improving
Residents whose ability to walk got worse
12.8%7.7%Improving
Long-stay residents on antianxiety or sleep medication
25.8%28.8%Worsening
Short-stay residents newly given an antipsychotic
3.5%8.8%Worsening
Residents with a long-term catheter
2%4.4%Worsening
Residents with new or worsening incontinence
6.4%1.8%Improving
Residents with depressive symptoms
38.6%45.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95.5%—
Long-stay residents given the pneumonia vaccine
92.7%100%Improving
Short-stay residents given the seasonal flu vaccine
—67.6%—
Short-stay residents given the pneumonia vaccine
47.9%91%Improving
What the inspectors found
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The home failed to educate residents and staff about COVID-19 vaccination, offer the vaccine to eligible people, and properly record vaccination status. Cited April 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 887 — 42 CFR §483.80 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 188.1 residents on an average day (68% of 278 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 55 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.