01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-03-31 | 3 | 2025-03-31 | 5 |
| Cycle 2 | 2023-12-13 | 10 | 2023-12-13 | 3 |
| Cycle 3 | 2021-10-19 | 6 | 2021-10-19 | 2 |
CMS CCN 3355312026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Hillside Manor Rehab & Extended Care Center
182 15 Hillside Avenue · Jamaica Estates, NY 11432 · Queens County
Certified beds400CMS provider file
Recent citation rows29current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
29 rows in the current release
2 rows carry G–L scope/severity codes; 2 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-07-16 · HEALTHF0678Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Correction field: Past Non-Compliance · 2025-07-07 · complaint2025-03-31 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-05-29 · complaint2025-03-31 · HEALTHF0656Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-05-292025-03-31 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-05-292025-03-31 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2025-05-292025-03-31 · FIREK0351Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2025-05-202025-03-31 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-05-232025-03-31 · FIREK0911Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Correction field: Deficient, Provider has date of correction · 2025-05-202025-03-31 · FIREK0920Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2025-05-252025-03-31 · FIREK0923Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2025-04-292024-09-30 · HEALTHF0600Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-11-06 · complaint2024-09-30 · HEALTHF0610Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2024-11-06 · complaint2024-09-30 · HEALTHF0835Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Correction field: Deficient, Provider has date of correction · 2024-11-06 · complaint2023-12-13 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-02-092023-12-13 · HEALTHF0640Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction field: Deficient, Provider has date of correction · 2024-02-092023-12-13 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2024-02-092023-12-13 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2024-02-092023-12-13 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-02-092023-12-13 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2024-02-012023-12-13 · FIREK0347Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Correction field: Deficient, Provider has date of correction · 2024-02-012023-12-13 · FIREK0921Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Correction field: Deficient, Provider has date of correction · 2024-02-012021-10-19 · FIREE0015Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Correction field: Deficient, Provider has date of correction · 2021-12-162021-10-19 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2021-12-162021-10-19 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2021-12-1603 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-09-30 | Fine | $34,947 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- DICKER, MERYLIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST80% · since 09/27/2012
- WISSMANN, DOUGLASIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST13% · since 09/27/2012
- DICKER, MERYLIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/27/2012
- JACKSON, JEFFREYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/01/2019
- WISSMANN, DOUGLASIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/27/2012
- HARIHARAN, GAYATHRIIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/31/2024
- PANDYA, HIMANSHUIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/17/2011
- BOWNE ASSOCIATES, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/07/1972
- ESTATE OF MARCIA TRUPINOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/07/1972
- FLORAL PARK MEDICAL PCOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/01/2018
- HMM & CO., LLPOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2007
- S&J MANAGEMENT II, INC.Organization · ADP OF THE SNFNOT APPLICABLE · since 07/01/2022
- DICKER, MERYLIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/27/2012
- HARIHARAN, GAYATHRIIndividual · ADP OF THE SNFNOT APPLICABLE · since 12/31/2024
- JACKSON, JEFFREYIndividual · ADP OF THE SNFNOT APPLICABLE · since 10/01/2019
- PANDYA, HIMANSHUIndividual · ADP OF THE SNFNOT APPLICABLE · since 10/17/2011
- WISSMANN, DOUGLASIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/27/2012
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.37per resident day
RN hours0.75per resident day
Weekend nurse hours3.05per resident day
Staff turnover26.5%CMS reported field
06 / LOCAL RECORDS
Open the New York ledger →Other published facilities nearby
No second facility in the same city met the directory rule.