A Holly Patterson Extended Care Facility
875 Jerusalem Avenue · Uniondale, NY · 11553 · 5165721400
589 certified beds Government - State Hospital-based
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $127,917 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
4 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$127,917 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.01 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.66 | 0.55–0.75 |
| Weekend hours / resident-day | 2.55 | ≈ weekday level |
| Nursing turnover / year | 15% | median 45% |
| Fines (3-yr window) | 3 · $141,265 |
Inspection citations (21 in the current record)
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Actual harm · G September 30, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 14, 2025 · Quality of Life and Care
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Potential for harm · D September 30, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected November 14, 2025 · Resident Rights
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Potential for harm · D September 30, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected November 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 30, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 30, 2025
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 14, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 30, 2025
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.
Corrected December 5, 2025 · Pharmacy Service
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Potential for harm · D September 30, 2025
Provide and implement an infection prevention and control program.
Corrected December 5, 2025 · Infection Control
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Potential for harm · D September 30, 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 November 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J May 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 July 2, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J May 23, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected July 2, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 22, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 9, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G April 2, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 25, 2024 · Quality of Life and Care
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Potential for harm · D April 2, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 22, 2024 · Resident Rights
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Potential for harm · D April 2, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected May 17, 2024 · Resident Rights
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Potential for harm · D April 2, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 2, 2024
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected April 22, 2024 · Quality of Life and Care
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Potential for harm · E April 2, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 24, 2024 · Pharmacy Service
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Potential for harm · D April 2, 2024
Provide and implement an infection prevention and control program.
Corrected June 14, 2024 · Infection Control
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Immediate jeopardy · K March 9, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 29, 2022 · Quality of Life and Care
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Immediate jeopardy · K March 9, 2022
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected April 29, 2022 · Quality of Life and Care
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Potential for harm · D March 9, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 29, 2022 · Pharmacy Service
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 30, 2025 | Fine | $14,777 |
| May 23, 2025 | Fine | $113,140 |
| April 2, 2024 | Fine | $13,348 |
| April 2, 2024 | Payment Denial | 92 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335023 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.