St Margarets Center
27 Hackett Blvd, Albany, NY 12208 · Non profit - Corporation · 92 certified beds · (518) 591-3300 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (4/5)
- it has an abuse, neglect, or exploitation citation (F0600), cited Feb 2025
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- a high number of inspection citations overall (15) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure score sits well above its independent inspection score
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 3 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 6.3% | 14.1% | 15.4% | better |
| Long-stay residents who lose too much weight | 5.4% | 5.8% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 0.6% | 0.5% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 1.3% | 1.3% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.0% | 19.5% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 20.4% | 0.2% | 0.1% | check this† — see note marked dagger below the table |
| Long-stay residents with falls causing major injury | 0.0% | 3.1% | 3.3% | check this* — see note marked star below the table |
| Long-stay residents whose ability to walk worsened | 0.0% | 12.5% | 16.1% | check this* — see note marked star below the table |
| Long-stay residents on antianxiety or hypnotic medication | 21.4% | 13.2% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 95.1% | 95.3% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 1.6% | 6.5% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 12.7% | 19.5% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 10.2% | 13.7% | 17.1% | better |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
† This value is several times the typical-state benchmark. It can be real, or it can be a coding artifact in what the facility submitted. Weigh it against the inspection record above.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
Therapy staffing: this home’s payroll records show 0.70 therapist hours per resident per day in 2026Q1 — more than 92% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not reported — The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure. | — | ||
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | not reported — The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure. | — | ||
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | not reported — The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | not reported — The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure. | — | ||
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | not reported — The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure. | — | ||
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | not reported — The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure. | — | ||
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | not reported — The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure. | — | ||
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 92 beds and averages 72.8 residents a day — about 79% occupied, or roughly 19 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 8.30 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.93 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 4.71 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 7.69 hrs/resident/day on weekends vs 8.54 on weekdays — 10% thinner on weekends. RN hours go from 2.14 to 1.42 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 38% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.
- Potential for harm · E2025-02-18 · tag F0758 — failed to limit and justify psychotropic drugs — patternImplement 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on records review and interviews during the recertification survey, the facility did not ensure each resident's drug/medication regimen was managed and monitored to promote or maintain the resident's highest practicable mental, physical, and psychosocial well-being for 10 (Resident #s 1, 6, 10, 45, 46,48, 54, 62, 68, and 79) of 19 residents reviewed for unnecessary medications. Specifically, for Resident #s 1, 6, 10, 45, 46, 48, 54, 62, 68, and 79, as-needed psychotropic medication orders did not include end dates. This is evidenced by: A facility policy titled, Medication Management dated 12/10/2024, documented that as needed orders for psychotropic drugs were limited to 14 days. The use of psychotropic medication to treat an emergency situation must be consistent with the requirements regarding as needed orders for psychotropic medications. Resident #1 Resident #1 was admitted to the facility with the diagnoses of spastic quadriplegic cerebral palsy (movement disorder which include poor coordination,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-02-18 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — the official record, unedited, may be distressing
Based on record review and interviews during a recertification survey, the facility did not establish and maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infection. Specifically, the facility water management and sampling plan did not include a simple schematic that visually described the building water system and the identification of areas where Legionella could grow and spread. This is evidenced by: There was no documented evidence that the facility water management and sampling plan included a simple schematic that visually described the building water system and the identification of areas where Legionella could grow and spread. During an interview on 02/11/2025 at 11:46 AM, Senior Regional Director of Facilities #1 stated that the facility Legionella Management Plan would be updated to include a flow chart that described the building water system and the identification of areas where Legionella could grow and spread. 10 New York Codes, Rules, and Regulations 483.80(a)(1)(2)(4)(e)(f)
- Potential for harm · D2025-02-18 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during a recertification and abbreviated survey (Case #s NY00311240, NY00320508, NY00321961, and NY00329555), the facility did not ensure residents were free from neglect for 4 (Resident #s 1, 5, 6, and #45) of 19 residents reviewed for abuse and neglect. Specifically, (a.) Resident #1, was provided personal care by Certified Nurse Aide #2 instead of two staff members as their care plan indicated, and Resident #1's bed was not set up as the care plan required, subsequently, the resident hit their head and sustained a small injury to their forehead; (b.) Resident #5 sustained a fall from a mechanical lift due to improper technique; (c.) Resident #6 sustained a fractured left great toe with evidence of improper transfer found; and (d.) Resident #45 was being readied to be transferred from their wheelchair, but the Certified Nurse Aide #3 did not buckle the resident's seatbelt causing the resident to fall from their wheelchair to the floor. This is evidenced by:…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-02-18 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews conducted during recertification and abbreviated survey (case #NY00329555), the facility did not ensure that the development and implementation of comprehensive person-centered care plans included measurable objectives and timeframes to meet residents' medical, nursing, mental and psychosocial needs for 3 (Resident #s 4, 59, and 62) of 19 residents reviewed for comprehensive care plans. Specifically, (a.) for Resident #s 4 and 59 , the Comprehensive Care Plan did not include the use of medications with specific indication for use; (b.) for Resident #62, intervention of floor mat on the floor was not implemented to ensure safety while at play. This is evidenced by: A facility policy titled, Care Plans, dated 4/01/2019, documented under Policy Interpretation and Implementation: 1. Each resident's care plan was designed to: a. Incorporate identified problem areas; f. Identify the professional services that are responsible for each element of care; i. Reflect currently…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-02-18 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interviews conducted during the recertification survey, the facility did not ensure drugs and biologicals were stored properly and labeled in accordance with professional standards of practice. Specifically, opened medications had no open and/or expiration dates for 2 out of 5 medication carts reviewed for medication storage. This is evidenced by: The Facility's Medication Storage Policy, revised on 1/10/2024, documented under Medication Storage section that the nursing staff was responsible for maintaining medication storage and preparation areas in a clean, safe, and sanitary manner; medications were stored in an orderly manner in cabinets, drawers, carts, or automatic dispensing systems; medications were stored separately from food and were labeled accordingly. Under Medication Labeling section, the policy documented that labeling of medication and biologicals dispensed by the pharmacy is consistent with applicable federal and state requirements and currently accepted pharmaceutical practices; multi-dose vials that have been opened would…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-10-05 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during an abbreviated survey (Case #NY00323346), the facility did not ensure that alleged violations involving abuse were reported immediately, but not later than 2 hours after the allegation was made to the administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established procedures for 1 resident (Resident #1) of 22 residents reviewed for abuse. Specifically, the facility did not ensure they reported the alleged sexual abuse of Resident #1 to the New York State Department of Health (DOH) within 2 hours of learning about it when the hospital Discharge summary dated [DATE] was reviewed that documented the allegation of sexual abuse or following the resident's representative call to the facility who voiced concerns regarding the alleged abuse. This was evidenced by: The Policy and Procedure titled,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-10-05 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during an abbreviated survey (Case #NY00323346), the facility did not ensure in response to allegations of abuse the facility must have evidence that all alleged violations were thoroughly investigated for 1 resident (Resident #1) of 22 residents reviewed for abuse. Specifically, the facility did not ensure it investigated the allegation of sexual abuse for Resident #1 when the hospital Discharge summary dated [DATE] that documented it was reviewed, or following the resident's representative call to the facility who voiced concerns regarding the alleged abuse. This was evidenced by: The Policy and Procedure titled, Incident Reporting Policy reviewed 4/6/2022, documented the licensed nurse or supervisor shall promptly initiate a thorough investigation regarding the alleged incident to determine whether it is reportable in accordance with this policy. The investigation must be thorough and complete. Resident #1 Resident #1 was admitted to the facility with diagnoses of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2022-06-29 · tag F0842 — failed to keep accurate, complete medical records — patternSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and interviews during the recertification survey and an abbreviated survey (Case #NY00288015), the facility did not ensure resident records were maintained in accordance with professional standards of practice for 5 (Resident #'s 32, 38, 76, 77, and #280) of 21 residents reviewed. Specifically, for Resident #32, the facility did not ensure staff documented whether the resident was provided with toileting per their assigned toilet training program between 12/1/2021 - 12/15/2021; for Resident #38, the facility did not ensure that the resident's care plan was updated with a new focus, goals, and interventions following a condition change on 6/16/22 when the resident was diagnosed with COVID-19; for Resident #76, the facility did not ensure documentation of administration and response to treatments and medications provided, change of condition, and test results; for Resident #77, the facility did not ensure facility staff documented whether the resident was toileted per their toileting program; for Resident #280, the facility did not ensure staff…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-06-29 · tag F0623 — isolatedProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews during the recertification survey dated 6/23/2022 through 6/29/2022, the facility did not ensure the resident, residents' representatives and the Office of the State Long-Term Care Ombudsman were notified in writing of the reason for the transfer/discharge to the hospital in a language and manner they understood for 1 (Resident #46) of 3 residents reviewed for hospitalizations. Specifically, for Resident #46, the facility did not provide a written transfer/discharge notice to the resident, residents representative or the Ombudsman when the resident was transferred to the hospital on 5/31/2022 and again on 6/3/2022. This is evidenced by: The facility Policy and Procedure titled Transfer and Discharges dated 3/28/2019, documented the facility will notify the resident and designated representative of the decision to transfer or discharge and reasons for the move in writing and in a language and manner they understand. The notice will be provided as soon as practicable when an…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-06-29 · tag F0625 — isolatedNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview during the recertification survey, the facility did not ensure written notice of the facility's bed hold policy was provided to the residents and the resident representatives for 1 (Resident #46) of 3 residents reviewed for hospitalization. Specifically, for Resident #46, the facility did not ensure the resident and the resident representative received written notice of the facility's bed hold policy when the resident was transferred to the hospital. This was evidenced by: The facility Policy and Procedure titled Bed Reservations dated 4/2/2019, documented at the time of admission and again at the time of transfer for any reason, the facility shall inform and provide written information to the resident and the designated representative regarding bed reservation. Resident #46: Resident #46 was admitted to the facility with diagnoses of malignant neoplasm of the cerebellum, chronic respiratory failure; dependence on respirator (ventilator), and presence of cerebrospinal fluid…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 5 citations
- Potential for harm · D2022-06-29 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews during a recertification survey the facility did not ensure that a resident who needs respiratory care, including tracheostomy care and tracheal suctioning, is provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 2 (Resident #'s 32 and #76) of 4 residents reviewed for respiratory care. Specifically, for Resident #76, the facility did not ensure that the resident's respiratory status including their response to therapy, and changes in their respiratory condition were consistently assessed, monitored and documented and for Resident #32 the facility did not ensure physician orders for the oxygen (O2) tubing changes were followed. Resident #76: Resident #76 was admitted to the facility with the diagnoses of cerebral palsy, epilepsy, and tracheostomy status. The Minimum Data Set (MDS - an assessment tool) dated 5/31/2022, documented the resident was severely cognitively impaired, and could rarely/never be understood or…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2020-02-11 · tag F0582 — isolatedGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review and staff interview during the recertification survey, the facility did not ensure that residents and/or their designated representative were fully informed of their right to an expedited review of a service termination. Specifically, for one (1) (Resident #55) out of one (1) sampled residents reviewed for Beneficiary Protection Notification the facility did not ensure residents received written notification upon termination of rehabilitative services. Residents who received Medicare Part A services did not receive timely notification (2-day notification) of the termination of services with the Notice to Medicare Provider Non-coverage (NOMNC), form CMS-10123. This is evidenced by: The findings are: 1) Review of the medical records for Resident #86 on 02/07/2020, revealed that the resident last received rehabilitative services on 12/28/2019. The NOMNC form, to inform the resident of their right to an expedited review of a service termination, was mailed to the resident representative on 12/28/2019, the same day the services were terminated. The Director…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2020-02-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and interviews during the recertification survey, the facility did not ensure each resident received adequate supervision for 1 (Resident #23) of 1 resident reviewed for prevention of accidents. Specifically, for Resident #23, the facility did not ensure the resident's siderails on the crib were properly positioned and latched to prevent a fall from the crib. This was evidenced by: Resident #23: This resident was admitted with diagnoses of disorders of the brain, accidental drowning and submersion while in natural water and spastic quadriplegia cerebral palsy. The Minimum Data Set (an assessment tool) dated 11/12/19, documented the resident was severely impaired for cognition. The resident rarely/never understood others and rarely/never was understood by others. Physician's Visit dated 11/03/19, documented the resident had history of diffuse cerebral edema, global brain dysfunction, sympathic storming, spastic quadriplegia, submersion event and cardiac arrest, tracheostomy decannulated on 10/31/19 with no issues. Physical Therapy Evaluation dated…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2020-02-11 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and staff interview during the recertification survey, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. Specifically, the automatic dishwashing machine was not operating within the manufacturer's specifications, sink faucets leaked, and equipment and floors required cleaning. This is evidenced as follows. The kitchen and unit nourishment rooms were inspected on 02/05/2020 at 8:16 AM. When checked, the automatic dishwashing machine final rinse was 125 F at 58 pounds per square inch (psi) water pressure. The automatic dishwashing machine information date plate states that the minimal final rinse water temperature is to be 180 F at 25 psi. The faucets leaked in the 3-bay sink, preparation sink, and warewashing area handwashing dish. The can opener and floors below the dishwashing machine, under the cooking line equipment, and South Nourishment Room were soiled and required cleaning. The General Manager of Food Service Contractor stated in an interview on 02/05/2020 at…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2020-02-11 · tag F0814 — failed to dispose of garbage properly — isolatedDispose of garbage and refuse properly.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation and staff interview during the recertification survey, the facility did not dispose of garbage and refuse properly. Specifically, dumpsters were not maintained to prevent the harborage and feeding of pests. This is evidenced as follows. The garbage dumpsters were inspected on 02/05/2020 at 9:20 AM. Garbage waste was found in the dumpsters and drain holes in each of the dumpsters did not have plugs to prevent pest entry. The Maintenance Supervisor stated in an interview on 05/05/2020 at 9:20 AM, that he will contact the dumpster vendor to get the required plugs. 10 NYCRR 415.14(h)
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| KOVACS, JULE | Individual | CONTRACTED MANAGING EMPLOYEE; CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL | since 06/07/2017 |
| BARBARA, JOSEPH | Individual | CORPORATE DIRECTOR | since 06/08/2017 |
| BODNER, FREDERIC | Individual | CORPORATE DIRECTOR | since 06/08/2017 |
| CLAFIN, KEN | Individual | CORPORATE DIRECTOR | since 06/08/2017 |
| CLORE, ROBERT | Individual | CORPORATE DIRECTOR | since 06/08/2017 |
| COLEMAN, JAMES | Individual | CORPORATE DIRECTOR | since 06/08/2017 |
| DOYLE, CATHRYN | Individual | CORPORATE DIRECTOR | since 06/08/2017 |
| FANCHER, MICHAEL | Individual | CORPORATE DIRECTOR | since 06/08/2017 |
| FORD, BRADLEY | Individual | CORPORATE DIRECTOR | since 06/08/2017 |
| GEE, STANLEY | Individual | CORPORATE DIRECTOR | since 06/08/2017 |
| HALL, MILTON | Individual | CORPORATE DIRECTOR | since 09/08/2017 |
| HARRIS, RICHARD | Individual | CORPORATE DIRECTOR | since 06/08/2017 |
| HEARST, GEORGE | Individual | CORPORATE DIRECTOR | since 06/08/2017 |
| KREUTER, CHARLES | Individual | CORPORATE DIRECTOR | since 06/08/2017 |
| MILLER, ROBERT | Individual | CORPORATE DIRECTOR | since 06/08/2017 |
| MORRIS, JAMES | Individual | CORPORATE DIRECTOR | since 06/08/2017 |
| O'CONNOR, TERENCE | Individual | CORPORATE DIRECTOR | since 06/08/2017 |
| PASS, KAREN | Individual | CORPORATE DIRECTOR | since 06/08/2017 |
| RICHMOND, WILLIAM | Individual | CORPORATE DIRECTOR | since 06/08/2017 |
| ROSEN, ROSEMARIE | Individual | CORPORATE DIRECTOR | since 06/08/2017 |
| SCHNEIDER, ANNE | Individual | CORPORATE DIRECTOR | since 06/08/2017 |
| SHERWOOD, ROBERT | Individual | CORPORATE DIRECTOR | since 06/08/2017 |
| TROMBLY, EDWARD | Individual | CORPORATE DIRECTOR | since 06/08/2017 |
| TUCCI, ROSEMARY | Individual | CORPORATE DIRECTOR | since 06/08/2017 |
| CREGIN, BRIAN | Individual | CORPORATE OFFICER | since 06/29/2018 |
| LORELLO, ROSEMARY | Individual | CORPORATE OFFICER | since 06/08/2017 |
| SORRENTINO, GREGORY | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | since 06/07/2017 |
CMS files one row per role, so the 30 rows in the source record cover these 27 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
What families pay in NY
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New York Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 335830. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-02-18, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.