Clove Lakes Health Care and Rehabilitation Center experienced 15 deaths from Covid-19 as of June 8, 2020, per state records. The nursing home also received 24 citations for violations of public health code between 2016 and 2020, including one for infection prevention and control procedures, according to health records accessed on June 9, 2020. The Staten Island nursing home’s citations resulted from a total of three surveys by state inspectors. The violations they describe include the following:
1. The nursing home did not adequately maintain infection prevention and control policies. Section 483.80 of the Federal Code requires nursing homes to establish and maintain an infection control program “designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections.” A January 2020 citation found that Clove Lakes Health Care and Rehabilitation Center did not ensure such. The citation states specifically that oxygen tubing connected to residents’ nares was in several instances observed touching the facility’s floor. The citation goes on to state that “this was evident” for three residents. It notes that facility policy provided for the changing of oxygen tubing found on the floor. In an interview, a Certified Nursing Assistant said that “oxygen tubing should not be on the floor.” A plan of correction undertaken by the facility included the changing of two residents’ tubing two a shorter length.