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Nursing HomeMedicaid

Silver Lake Specialized Rehab and Care Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

275 Castleton Avenue, Mid Island · Staten Island, NY 10301278 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 34 Google reviews

5
4
3
2
1
Silver Lake Specialized Rehab and Care Center Nursing Home in Staten Island, NY — Street View
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What this means for your family

While this facility has a dedicated rehab team and active recreation program, the recent reports of rodent issues and unprofessional administrative responses are critical red flags. We strongly recommend visiting in person to check for cleanliness and observing staff interactions before committing, as the quality of care appears highly inconsistent.

Google Reviews

Google Reviews

34 reviews on Google
Silver Lake Specialized Rehab and Care Center receives highly polarized feedback, with some families praising the staff as warm and life-saving, while others report severe concerns regarding cleanliness and management responsiveness. While several reviewers highlight the facility as a 'hidden gem' with attentive care, others describe a distressing environment plagued by rodent issues and unprofessional administrative conduct. Families should be aware that experiences appear to vary significantly depending on the specific staff members involved and the timing of the stay.

Quality Themes

Tap a score for details
FoodN/AStaff5.0Clean2.0Activities8.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Attentive and compassionate nursing staff
  • Effective short-term rehab outcomes
  • Small, community-oriented environment
  • Engaging recreation and seasonal events

Concerns

  • Facility cleanliness and hygiene (smells, filth) (mentioned by 3 reviewers)
  • Unprofessional or rude administrative/nursing management (mentioned by 5 reviewers)
  • Rodent infestation (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'17(5)'19(2)'22(2)'24(3)'26(3)

Distribution · 35 analyzed

5
17
4
3
3
3
2
0
1
12

How They Respond to Reviews

50%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1We've heard wonderful things about the compassionate nursing staff and the seasonal events here; could you tell us more about the types of recreational activities planned for the upcoming months?
  • 2What specific protocols are in place to ensure the facility remains clean, hygienic, and well-maintained for all residents?
  • 3How does the management team ensure clear and consistent communication with families regarding a resident's daily care and any changes in their condition?
  • 4Can you walk us through your process for medication management to ensure everything is administered accurately and on schedule?
  • 5In the event of a medical emergency during the night or over the weekend, what is the immediate procedure for contacting doctors and notifying the family?
  • 6It's great to see that the ownership actively engages with community feedback; how has the facility addressed recent suggestions regarding facility upkeep and maintenance?

Personalized based on this facility's data


Key Review Excerpts

The amount of mice they have in this facility is unbelievable. I came to watch someone overnight who lives in a group home and counted seven different ones running through his room.

Visitor · 2025☆☆☆☆

The staff is kind to her, friendly and attentive. The facility is pretty nice too, especially compared to others. If you have a ventilator patient you'll want to send them here

Family member · 2024★★★★★

They have a very nice community, special events for each season (with live music!) and is overall a nice and clean environment. The administrative staff always keep me informed of her care

Family member · 2023★★★★★
Source: 34 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.14hrs
OK
Registered nurses for medical care
Total Nursing
4.03hrs
98%
All nurses + aides combined
Staff Turnover
27%
Lower is better (< 30% = good)
RN Turnover
39%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

8

measures

Worse Than Avg

9

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility41.8%
Worse than Avg
Here
41.8%
US
12.1%
NY
18.9%
Richmond
17.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility4.1%
Better than Avg
Here
4.1%
US
19.4%
NY
20.2%
Richmond
15.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility26.8%
Worse than Avg
Here
26.8%
US
19.5%
NY
13.3%
Richmond
18.7%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility16.3%
Worse than Avg
Here
16.3%
US
4.9%
NY
6.8%
Richmond
6.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility23.9%
Worse than Avg
Here
23.9%
US
15.4%
NY
13.8%
Richmond
15.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.3%
Better than Avg
Here
7.3%
US
15.3%
NY
13.8%
Richmond
13.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility60.4%
Worse than Avg
Here
60.4%
US
81.8%
NY
77.0%
Richmond
81.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility67.6%
Worse than Avg
Here
67.6%
US
79.7%
NY
78.8%
Richmond
75.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.1%
Worse than Avg
Here
4.1%
US
1.6%
NY
1.2%
Richmond
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
Above state avg (7.6)
3 complaint-triggered

This facility shows a concerning pattern of recurring fire safety and electrical system issues across multiple years, with the same problems reappearing in 2019, 2021, and 2023. The most problematic areas are fire safety systems (sprinklers, smoke barriers, exit lighting), electrical systems, and emergency exits. Three complaints from families triggered investigations, including serious issues with abuse reporting and resident rights. While the facility reports correcting deficiencies, the persistent recurrence of identical safety violations suggests ongoing maintenance and management challenges that families should carefully consider.

Dec 23, 2025Complaint
2
0600Potential for harm · IsolatedCorrected

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.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Dec 13, 2023Routine
30
0241Potential for harm · WidespreadCorrected

Egress Deficiencies

Have correct number of accessible exits for each story.

0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0362Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

0915Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper power supply for life support equipment.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0225Potential for harm · PatternCorrected

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0281Potential for harm · PatternCorrected

Egress Deficiencies

Install proper backup exit lighting.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0311Potential for harm · PatternCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0911Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0584Potential for harm · PatternCorrected

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0553Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0291Minimal · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0531Minimal · WidespreadCorrected

Services Deficiencies

Have elevators that firefighters can control in the event of a fire.

0901Minimal · WidespreadCorrected

Electrical Deficiencies

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

0914Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Apr 27, 2023Complaint
1
0626Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Sep 20, 2021Routine
6
0311Potential for harm · PatternCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

Sep 13, 2019Routine
21
0225Potential for harm · PatternCorrected

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0521Potential for harm · PatternCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0915Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper power supply for life support equipment.

0921Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0281Potential for harm · IsolatedCorrected

Egress Deficiencies

Install proper backup exit lighting.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0911Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0712Minimal · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Silver Lake Specialized Rehab and Care Center

Organization Type

for profit

Ownership & Management

Owners

Kraus, Simone

Owner

50%

Weingarten, Hershie

Owner

41%

Weingarten, Rosemarie

Owner

9%

Key personnel

Kraus, MichaelW-2 Managing EmployeeKraus, MichaelOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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