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Lawrence Nursing Care Center, Inc

350 Beach 54th Street, Arverne, NY 11692 · For profit - Corporation · 200 certified beds · (718) 945-0400 Medicare & Medicaid certified

Call the home — (718) 945-0400 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0604) — cited Dec 2019Resident-funds citations (F0567, F0570)Behavioral-health or dementia-care citation — no harm found (F0744)
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • no federal fines or payment denials on record
  • lower-than-typical staff turnover (30% vs 45% nationally) — better care continuity
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has citations for mishandling residents’ money or property (F0567, F0570)
  • a high number of inspection citations overall (25) — 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
  • its independent health-inspection rating is low (1/5)
  • its payroll-based staffing rating is low (1/5)

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.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 1 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 3 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

Hospital
1/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
238 Beach 20th St · (718) 327-2555 · Call to confirm hours
Pharmacy
342 Beach 54th St · (718) 634-5890 · Call to confirm hours
Grocery
5814 Beach Channel Dr
Park
53-98 Almeda Ave · (718) 318-4000 · Typically dawn to dusk
Place of worship
57-07 Shore Front Pkwy · (347) 829-7894

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 3 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 2 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 fell from 2 to 1 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.

Overall rating1★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased17.6%14.1%15.4%worse
Long-stay residents who lose too much weight5.1%5.8%5.4%typical
Long-stay residents with a catheter left in their bladder0.4%0.5%0.9%better
Long-stay residents with a urinary tract infection0.0%1.3%2.0%better
Long-stay residents with depressive symptoms82.8%19.5%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury1.0%3.1%3.3%better
Long-stay residents whose ability to walk worsened11.2%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication9.2%13.2%18.9%better
Long-stay residents given the seasonal flu vaccine87.4%95.3%95.3%typical
Long-stay residents with pressure ulcers4.7%6.5%4.7%typical
Long-stay residents with worsening bladder/bowel control17.2%19.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table23.2%13.7%17.1%worse
Short-stay residents who newly got an antipsychotic medication2.3%1.2%1.4%worse
Short-stay residents given the seasonal flu vaccine37.9%78.8%79.4%worse
Short-stay residents rehospitalized after admission20.0%20.6%22.6%better
Short-stay residents with an outpatient ER visit10.8%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days1.791.701.67typical
Long-stay outpatient ER visits per 1,000 resident days1.011.361.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ 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.

40.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 53 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

40.4%U.S. median 51.5%
Got home and stayed home
12.7%U.S. median 10.7%
Went back to hospital
52.2%U.S. median 56.6%
Met the expected recovery
0.25U.S. median 0.31
Therapy hours / resident / day
0.13hours / resident / day
Physical therapy
0.10hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Met the expected recovery: 52.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 90 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.25 therapist hours per resident per day in 2026Q1 — more than 35% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF40.4%CMS range 31.0–54.051.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.7%CMS range 9.7–17.210.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge52.2%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge48.9%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge62.2%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified80.8%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting70.7%100.0%Oct 2024–Sep 2025CMS makes no comparison for this 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 discharge68.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened2.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.4%CMS range 4.2–13.77.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.341.02Oct 2022–Sep 2024CMS makes no comparison for this 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

0.35
RN hours/ resident / day
0.55
LPN hours/ resident / day
1.69
Aide hours/ resident / day
2.59
Total nurse hours/ resident / day
0.18
RN hoursweekends
30.4%
Total nursing turnover
33.3%
RN turnover

How full it usually is: this home is certified for 200 beds and averages 197.1 residents a day — about 99% occupied, or roughly 3 beds typically open. It runs essentially full — expect a waiting list. 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 2.59 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.35 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.69 is below 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 2.28 hrs/resident/day on weekends vs 2.72 on weekdays — 16% thinner on weekends. RN hours go from 0.42 to 0.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 30% is below the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

14
deficiencies at the latest standard inspection (2025-01-22)
8
at the previous standard inspection (2023-01-05)

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.

ABCDEFGHIJKL

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.

25 citations, most serious first. The 10 most serious are shown; the remaining 15 are one tap away and print in full.

  • Potential for harm · F2025-01-22 · tag F0584 — failed to keep a safe, clean, comfortable home — widespread
    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.
    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 observations and interviews conducted during the Recertification and Extended survey from 01/14/2025 to 01/22/2025, the facility did not ensure that a safe, clean, comfortable homelike environment was provided. This was evident on all resident units (Unit 6, 4, 3, 2 and 5). Specifically, rooms were not cleaned, walls were discolored and in disrepair, bathrooms were not cleaned, wheelchairs were soiled, window treatments were soiled, window ledges were damaged, and resident's dining areas were in disrepair. This resulted in a finding of Substandard Quality of Care and an Extended Survey was conducted. The findings include but are not limited to: The facility policy titled Environmental Services dated 03/2024 stated that Housekeeping staff are responsible to keep the environment safe, sanitary, and comfortable, and attractive for our residents, staff, and visitors. The policy also stated that the entire facility, inside and outside of its buildings, as well as surrounding premises including, but not…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2025-01-22 · tag F0725 — failed to have enough nursing staff — widespread
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    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 and Abbreviated Survey (Complaint #NY00363144) conducted from 01/14/2025 to 01/22/2025, the facility did not ensure that the sufficient nursing staff was consistently provided to meet the residents' needs in a manner that promotes each resident's rights, physical, mental, and psychosocial well-being, as determined by resident assessments and individual plans of care. Specifically, 1). review of the actual staffing schedules dated from 10/01/2024 to 12/31/2024 revealed that staffing assignments were consistently less than the projected staffing needs specified in the Facility Assessment for Certified Nursing Assistants, 2). the facility Payroll Based Journal (Quarter 1 2024 (October 1 - December 31) also revealed an excessively low weekend staffing, 3). residents, family and staff reported that the facility was short staffed with Certified Nursing Assistants, especially on weekends both days and nights, which resulted in a lack of timely staff response to call bells and delays in performing…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2025-01-22 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review conducted during the Recertification survey from 01/14/2025 to 01/22/2025, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, several perishable food items were stored on a food rack in the refrigerator and were not dated, a tray of seasoned chicken with no date was placed on top of thawing chicken, freezer temperatures were outside of acceptable range and food was not stored appropriately, standing water was observed on the floor of the dry storage room, broken floor tiles observed in different areas, and staff were observed not wearing hair restraints while assembling food trays. This was observed during the Kitchen task. The findings are: The facility policy titled Food and Nutrition Services dated 01/08/2025 documented that the facility shall follow proper sanitation and food handling practices to prevent outbreak of foodborne illness, safe food handling to prevent…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2025-01-22 · tag F0835 — failed to run the facility competently — widespread
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews and record reviews conducted during the Recertification, Complaint and Extended survey from 01/14/2025 to 01/22/2025 and Extended Survey on 01/22/2025, the facility did not ensure effective and efficient administration of its resources to attain or maintain highest practicable well-being of each resident. Specifically, the facility administration 1) did not provide a safe, clean, comfortable, and homelike environment to the residents; 2) did not sufficiently staff the facility; 3) did not have activities that met the interest or needs for each resident; 4) did not monitor and enhance the quality of care and service by repeating the same deficiencies including F695 Respiratory/Tracheostomy Care, F725 Sufficient Nursing Staff, and F880 Infection Prevention & Control. The environmental concerns in F584 were widespread, indicating Substandard Quality of Care. The findings are: 1) The facility did not ensure a clean, comfortable, and homelike environment was maintained. It was observed but not limited to all 5 resident units that multiple rooms were not…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2025-01-22 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    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 observations, record review, and staff interviews during the Recertification and Extended Survey from 01/14/2025 to 01/22/2025, the facility did not ensure that it provided a safe, functional, sanitary, and comfortable environment for residents, staff and the public. This was evidenced by multiple observations of the outside front entrance, staff bathrooms, elevators and nursing stations. The findings are: The facility policy titled Environmental Services dated 03/2024 stated that Housekeeping staff are responsible to keep the environment safe, sanitary, and comfortable, and attractive for our residents, staff, and visitors. The policy also stated that the entire facility, inside and outside of its buildings, as well as surrounding premises including, but not limited to the floors, walls, windows, doors, ceilings, fixtures, equipment, furnishings, walkways, and driveways, shall be maintained in good repair, clean and free of insects, rodents, and trash. On multiple occasions from 01/14/2025 to…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-01-22 · tag F0570 — pattern
    Assure the security of all personal funds of residents deposited with the facility.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and staff interviews during the Recertification survey from 01/14/2025 to 01/22/2025, the facility did not ensure that a surety bond or similar protection with the amount equal to at least the current total amount of resident's funds. Specifically, the surety bond held by the facility did not cover the total amount of resident personal funds deposited with the facility. This was evident for 185 resident accounts maintained at the facility. The findings are: The facility policy and procedure titled Resident Funds approved 6/10/2024 did not contain any reference to the requirement that the facility purchase a surety bond. The facility document titled Resident Funds Trial Balance 12/01/2024-12/31/2024 documented a Closing Balance of $518,157.31. On 01/22/2025 at 10:02 AM, the Administrator provided 2 surety bonds in the amount of $250,000, one was effective on 02/01/2024 and terminated on midnight 02/01/2025, and the second would be effective on 02/01/2025 and would terminate on midnight 02/01/2026. The facility did not ensure that the value of the surety bond…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-01-22 · tag F0941 — pattern
    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review during a Recertification and Extended survey from 01/14/2025 through 01/22/2025, the facility did not ensure an effective training program for all new and existing staff was developed, implemented, and maintained based on the facility assessment. Specifically, for 6 of 6 employee files reviewed, the facility did not include effective communications as a mandatory training for direct care staff. The findings are: The facility policy titled Staff training/Development dated 11/16/2024 stated that the facility's staff development process would be directed towards personal and professional growth of its personnel. The policy also stated that Certified Nursing Assistants will receive at least twelve (12) hours of education on an annual basis. Training will include dementia management, effective communications, and abuse prevention training. On 01/22/25 at 02:45 PM, training plans were reviewed for 6 randomly selected Certified Nurse Assistants as follows: 1.The Orientation In-service Exam and Attestation Booklet for Certified Nurse Assistant #1 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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-01-22 · tag F0944 — pattern
    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review during a Recertification and Extended survey from 01/14/2025 through 01/22/2025, the facility did not ensure an effective training program for all new and existing staff was developed, implemented, and maintained based on the facility assessment. Specifically, for 6 of 6 employee files reviewed, the facility did not provide mandatory training that outlines and informs staff of the elements and goals of the facility's Quality Assurance Performance Improvement program as part of its Quality Assurance Performance Improvement program. The findings are: The facility policy titled Staff training/Development dated 11/16/2024 stated that the facility's staff development process would be directed towards personal and professional growth of its personnel. The policy also stated that Certified Nursing Assistants will receive at least twelve (12) hours of education on an annual basis. Training will include dementia management, effective communications, and abuse prevention training. The policy did not state that training on the Quality Assurance Performance…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-22 · tag F0567 — failed to protect residents' money held by the home — isolated
    Honor the resident's right to manage his or her financial affairs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and staff interview conducted during the Recertification survey from 01/14/2025 to 01/22/2025, the facility did not ensure that residents' personal funds in excess of $50, for residents whose care was funded by Medicaid, and in general resident funds in excess of $100 were placed in an interest-bearing account. This was evident for 2 (Resident #59 and Resident #56) of 2 resident reviewed for Personal Funds out of 39 sampled residents. Specifically, the Resident Funds Ledgers for Resident #59 and Resident #56 did not reflect that interest was earned and deposited into the accounts. The finding includes but is not limited to: The facility policy and procedure titled Policy and Procedure Residents Funds with revision date of 06/10/2024 states that interest will be posted monthly to all residents receiving it. 1. The Resident Funds Ledgers dated 01/01/2024 to 09/30/2024 for Resident #59 documented an opening balance of $376.19 and closing balance of $539.12. The statements did not reflect interest earned or deposited. 2. The Resident Funds Ledgers dated 01/01/2024…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-22 · tag F0679 — failed to provide activities — isolated
    Provide activities to meet all resident's needs.
    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 conducted during the Recertification survey from 01/14/2025 to 1/22/2025, the facility did not ensure an ongoing activities program was provided to meet the interests of and support the physical, mental, and psychosocial well-being of the resident. This was evident for 1 (Resident #42) of 1 resident reviewed for Activities out of 37 total sampled residents. Specifically, Resident #42 who had severely impaired cognition, was observed for extended periods of time without meaningful activities, and there was no activity plan to provide activities to the resident while in the dining room. The findings are: The facility policy and procedure titled Therapeutic Recreation Dementia Program reviewed 10/2024 stated it is the policy of the Recreation department to provide group and individual programs that will meet the psychosocial needs of residents with dementia and allow residents to achieve standard quality of life. The policy also stated that the Recreation…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 15 citations
  • Potential for harm · Dcited before2025-01-22 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    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 observations, record review and interview conducted during the Recertification survey, from 01/14/2025 to 01/22/2025, the facility did not ensure that a resident that needs respiratory care is provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the residents' goals and preferences. This was evident for 1 (Resident #138) of 3 residents reviewed for Respiratory Care out of a sample of 37 residents. Specifically, Resident #138 did not receive continuous oxygen as per physician orders. The finding is: The facility Policy and procedure titled Oxygen Therapy dated 06/17/24 stated that all residents shall receive oxygen therapy when necessary and in accordance with physician's orders. The policy also stated that nursing staff will set up check and supervise all treatments. Resident #138 was initially admitted to the facility with diagnoses that included Chronic Respiratory Failure, Tracheostomy Status and Chronic Obstructive Pulmonary Disease.…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-22 · tag F0814 — failed to dispose of garbage properly — isolated
    Dispose of garbage and refuse properly.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews conducted during the Recertification survey from 01/14/2025 to 01/22/2025, the facility did not ensure that garbage and refuse were disposed of properly. Specifically, the garbage was not properly contained outside of the facility and various types of garbage were observed overflowing around the dumpster. The finding is: The facility policy and procedure titled Waste and Garbage Removal dated 12//05/2024 documented that all garbage is placed in a 35-yard compactor, door closed, and power button pressed. The policy also documented that all cardboard is broken down flat and placed in 7.5 yards dumpster. On 01/16/2025 at 11:50 AM, Dietary Aide #1 was observed taking garbage from the kitchen to the garbage disposal area. The compactor was observed with the door open and two clear garbage bags blocking the opening of the compactor. In addition, there were 14 to 16 large garbage bags on the ground in front of the dumpster. There was litter strewn behind the dumpster including discarded gloves, cardboard and cans behind the dumpster. There was another…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-22 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    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 interview conducted during the Recertification Survey from 01/14/2025 to 01/22/2025, the facility did not ensure that infection control prevention practices and procedures were maintained to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections. This was evident for 1 (Residents #169) of 2 residents reviewed for Tube Feeding out of 37 sampled residents. Specifically, appropriate handwashing was not practiced and Enhanced Barrier Precautions were not maintained during tube feeding administration. The findings are: The Centers for Medicare and Medicaid Services, Center for Clinical Standards and Quality/Quality, Safety & Oversight Group memorandum titled Enhanced Barrier Precautions in Nursing Homes, Ref: QSO-24-08-NH dated 03/20/2024 documented that effective 04/01/2024, Centers for Medicare and Medicaid Services is issuing a new guidance for long term care facilities on the use of enhanced barrier…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-05 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure 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 conducted during an Abbreviated Survey (NY00332082), the facility did not ensure that Resident #1 received adequate supervision. This was evident in one of the seven residents sampled (Resident #1). Specifically, on 01/23/24 at 06:24 PM, Resident #1, whose cognition was moderately impaired, left the building for four hours and 21 minutes before staff realized that Resident #1 was missing from the unit. A review of the facility's camera footage showed that Resident #1 exited through the facility's main entrance door on 01/23/24 at 6:24 PM. Security Guard #1 was sitting at the front desk, buzzed the door open, and Resident #1 exited the door. The findings are: The facility's Policy and Procedure, entitled Resident Elopement Policy and Procedure, last reviewed on 10/22, documented that it is the policy of the facility that residents will be maintained in a safe and secure manner and protected from actual harm while encouraging a restrain-free environment. This document also documented that all visitors and vendors must sign in and out…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2023-01-05 · tag F0725 — failed to have enough nursing staff — widespread
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    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 observations, record review, and interviews conducted during the Recertification and Complaint (NY00293868 and NY00297460) survey from 12/22/22 to 01/05/23, the facility did not ensure there was sufficient nursing staff available to meet the residents' needs considering the number, acuity and diagnoses of the facility's resident population as determined by the Facility Assessment (FA). This was evident during review of Sufficient Staffing. Specifically, 1.) Resident #120's wound care was not administered daily according to Medical Doctor Order (MDO), 2.) during the Resident Council Meeting, Resident #82, #100, and #165 reported there are times when there is no nurse on the unit , and 3.) the actual staffing for Licensed Practical Nurses (LPN) was less than the necessary LPNs as determined by the FA. The findings are: 1) Resident #120 had diagnoses of chronic non-pressure right lower leg ulcer with necrosis and chronic pain. The Minimum Data Set 3.0 (MDS) dated [DATE] documented Resident #120 was…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-01-05 · tag F0657 — failed to keep the care plan current — pattern
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    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, interviews, and record review conducted during the Recertification survey from 12/22/22 to 1/5/23 the facility did not ensure resident Comprehensive Care Plans (CCP) were reviewed and revised with each assessment and as needed with interventions to reflect the resident's changing needs. This was evident for 2 (Resident #98 and #62) of 39 total sampled residents. Specifically, 1.) multiple CCPs for Resident #98 that were not reviewed and revised upon quarterly Minimum Data Set 3.0 (MDS), and 2.) the CCP related to nutrition and activities of daily living (ADL) were not reviewed and revised for Resident #62. The findings are: The facility policy titled Care Planning dated 12/14/2021 documented CCPs for each resident are individualized and based on assessments done at the time of admission, quarterly, annually, and when there is a change in condition. 1.) Resident #98 had diagnoses of dementia and schizophrenia. The MDS dated [DATE] documented Resident #98 was moderately cognitively impaired…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-01-05 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    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 conducted during the recertification survey from 12/11/22/ to 12/16/22, the facility did not ensure Minimum Data Set 3.0 (MDS) assessments accurately reflected a resident's status. This was evident for 1 (Resident #16) of 39 total sampled residents. Specifically, the MDS for Resident #16 Preadmission Screening and Resident Review (PASRR) was coded incorrectly. The findings are: The facility's policy titled Minimum Data Set (MDS 3.0) last reviewed 04/01/22, documented that it is the policy of [NAME] Nursing Care Center to follow the (MDS 3.0), which is a Federal mandated specific instrument to be used for conducting a comprehensive assessment of all nursing home residents, initially and periodically. Resident #16 had diagnoses of Schizophrenia unspecified, Extrapyramidal Syndrome. The Annual MDS dated [DATE] documented that the resident was cognitively intact, section A1500, (PASRR): the resident currently was not considered by the state level II PASRR process to have serious…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-01-05 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    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 observations, interviews, and record review conducted during the Recertification and Abbreviated survey (ACTS # NY00297460) from 12/22/22 to 01/05/23, the facility did not ensure a resident received treatment and care in accordance with professional standards of practice. This was evident for 1 (Resident #120) of 39 total sampled residents. Specifically, wound care treatments were not performed on Resident #120 in accordance with Medical Doctor Order (MDO). The findings are: The facility policy titled Comprehensive Skin Care and Pressure Injury Prevention Policy dated 9/23/2021 documented comprehensive skin care must be implemented and maintained, and the nurse is responsible for following the treatment plan. Resident #120 had diagnoses of chronic non-pressure right lower leg ulcer with necrosis and chronic pain. The Minimum Data Set 3.0 (MDS) dated [DATE] documented Resident #120 was cognitively intact, did not reject care, and had surgical wounds. On 12/30/22 at 10:19 AM, wound care observation 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-01-05 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    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 conducted during the Recertification survey from 12/22/22 to 01/05/22, the facility did not ensure a resident with respiratory care, including tracheotomy care and tracheal suctioning, was provided such care consistent with professional standards of practice. This was evident for 1 (Resident #168) of 1 resident(s) reviewed for respiratory care out of 39 total sampled residents. Specifically, Licensed Practical Nurse (LPN) #7 provided tracheostomy care (TC) to Resident #168 without changing the Velcro straps according to Medical Doctor (MD) order, suctioning the resident, or performing hand hygiene. The findings are: The facility policy titled Tracheotomy Care last reviewed 09/2022 documented position resident for comfort and accessibility to the site and suction tracheostomy tube. Then remove the tracheostomy dressing, doff gloves, perform hand hygiene, and open disposable inner cannula package. Resident #168 had diagnoses of tracheostomy status and dysphagia.…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-01-05 · tag F0727 — failed to provide required RN coverage — isolated
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, and record review conducted during the Recertification and Complaint survey from 12/22/2022 to 01/05/2023, the facility did not ensure the Director of Nursing (DNS) served as a charge nurse, only when the facility has an average daily occupancy of 60 or fewer residents. Specifically, there was documented evidence the DNS worked as a charge nurse and administered medication to residents when the facility was short of nursing staff. The findings are: The facility policy titled Administration dated 5/21/21 documented the DNS develops a master staffing plan and delegates responsibilities. Actual Daily Staffing Schedules documented insufficient Licensed Practical Nurses (LPN) with the DNS assigned as LPN on various shifts on the following dates: 10/2/22, 10/3/22, 10/5/22, 10/6/22 , 10/7/22, 10/10/22, 10/11/22, 10/12/22, 10/15/22, 10/25/22, 10/26/22, 10/27/22, 10/29/22, 10/31/22, 11/1/22, 11/10/22, 12/1/22, and 12/30/22. On 12/28/22 at 04:39 PM, the DNS was interviewed and stated staffing is a big challenge. The DNS acts as Nursing Supervisor on various…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-01-05 · tag F0744 — failed to care for residents with dementia — isolated
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    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 observations, interviews, and record review conducted during a Recertification Survey from 12/22/22 to 1/5/23, the facility did not ensure that a resident who is diagnosed with Dementia, receives the appropriate treatment and services to attain or maintain his or her highest practicable physical, mental, and psychosocial well-being. This was evident for 1 (Resident #145) of 1 resident(s) reviewed for Dementia Care of 39 total sampled residents. Specifically, the facility did not develop and implement a person-centered comprehensive care plan (CCP) that included and supported the dementia care needs of Resident #145. The findings are: The facility policy titled Care of Residents with Dementia last reviewed 11/2022, documented the facility provides interdisciplinary, person centered care for residents with dementia that assists the resident with dementia to reduce potentially distressing or harmful behaviors. Resident #145 had diagnoses of dementia and psychotic disorder. The Minimum Data Set 3.0 (MDS)…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-01-05 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    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 observations, record review, and staff interviews conducted during the Recertification survey from 12/22/22 to 01/05/22, the facility did not ensure infection control practices were maintained. This was evident for 1 (Resident #168) of 1 resident(s) reviewed for respiratory care out of 39 total sampled residents. Specifically, Licensed Practical Nurse (LPN) #7 placed sterile gauze and saline solution on the resident's bed and did not perform hand hygiene during Resident #168's tracheostomy care (TC). The findings are: The facility policy titled Tracheotomy Care last reviewed 09/2022 documented position resident for comfort and accessibility to the site and suction tracheostomy tube. Then remove the tracheostomy dressing, doff gloves, perform hand hygiene, and open disposable inner cannula package. Resident #168 had diagnoses of tracheostomy status and dysphagia. The Minimum Data Set 3.0 (MDS) dated [DATE] documented Resident #168 had mild cognitive impairment and received suctioning and TC. On 12/29/22…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-12-03 · tag F0604 — failed to not use physical restraints improperly — isolated
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    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 Survey the facility did not ensure that each resident remained free from physical restraints not required to treat the resident's medical symptoms for 2 of 2 residents (Resident #157 and Resident #7) reviewed for Physical Restraints. Specifically, 1) Resident #157, with severely impaired cognition, had a physician's order to use a wheelchair for mobility. The resident was issued a reclining Geri-chair without an evaluation by a qualified health care professional and a physician's order. 2) Resident #7 continued to utilize two half side rails without evaluation and assessment by a qualified healthcare professional to determine the need for the side rails. The findings are: 1) The facility Restraints policy dated 1/2008 documented, any device that restricts freedom of movement, including any chair that prevents rising, is considered a restraint. The undated facility policy on Orthotics and Positioning Devices documented that all residents…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-12-03 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop 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 during the Recertification Survey, the facility did not ensure that care was implemented according to each residents' person-centered plan of care for one (Resident #6) of one resident reviewed for Rehabilitation and one (Resident #143) of one resident reviewed for Dialysis. Specifically, 1) Resident #6 had a Physician's order for a floor ambulation program (FAP) with a quad cane. The FAP was not done on [DATE] and [DATE] because the quad cane was not available, and 2) Resident #143 had a Physician's order for the Arterio-Venous (AV) shunt to be monitored every shift for bruit and thrill; however, there was no documented evidence that the bruit and thrill were checked every shift. The findings are: 1) The facility's undated policy titled Nursing Restorative documented that nursing restorative services recommended by therapy staff include floor ambulation plan. Nursing restorative services are performed by Certified Nursing Assistants (CNA) as ordered. Documentation 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2025-01-22 · tag F0732 — widespread
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record review, and interviews conducted during the Recertification Survey from 01/14/2025 to 01/22/2025 the facility did not ensure the daily nurse staffing information included all the required information. Specifically, the daily posting of nurse staffing information did not include the actual number of hours worked by the licensed and unlicensed nursing staff directly responsible for resident care. This was evident during the review of the Staffing Task. The finding is: During multiple observations from 01/14/2025 through 01/22/2025, the nurse staffing information was posted in the lobby near to the security desk. The information that was documented on the form included the facility name, current date, resident census and number of Certified Nursing Assistants, License Practical Nurse, and Registered Nurses on each shift. There was no documentation of the actual total number of hours worked by the licensed and unlicensed nursing staff directly responsible for resident care. On 01/22/2025 at 02:10 PM, the Assistant Director of Nursing was interviewed and…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleShareSince
FRIED, RACHAELIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST25%since 08/25/2022
MARCOVICI, ELIASIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST25%since 08/25/2022
MARCOVICI, ETHANIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST25%since 08/25/2022
ZEIDMAN, ESTHERIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST25%since 08/25/2022
ALADE, OLURANTIIndividualW-2 MANAGING EMPLOYEEsince 04/16/2016
FRUCHTER, RAHELIndividualW-2 MANAGING EMPLOYEEsince 08/13/2015
KRAUS, MICHAELIndividualW-2 MANAGING EMPLOYEEsince 08/13/2015

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$22.6M
Net patient revenuemost recent cost report
-0.4%
Operating marginrevenue minus expenses
$2.0M
Related-party expense9% of expenses
Who pays — share of resident-days
Medicaid 68%Medicare 7%Other / private 26%

This home reported $2.0M paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$356per resident / day
operating cost
$10,808per month
≈ monthly operating cost
$354per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NY

Paying with Medicaid

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.

Typical monthly cost in New York
$15,528/mo
Nursing home (semi-private)
$16,729/mo
Nursing home (private)
$7,110/mo
Assisted living

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 335415. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-01-22, 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.

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