Auburn Rehabilitation & Nursing Center
85 Thornton Avenue, Auburn, NY 13021 · For profit - Limited Liability company · 92 certified beds · (315) 253-7351 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- it has 1 actual-harm citation
- a high number of inspection citations overall (24) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $10,901 in federal fines (most recent 2025-01-07)
- its independent health-inspection rating is low (2/5)
- its payroll-based staffing rating is low (2/5)
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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
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 | 3 of 5 |
| Long-stay residentspeople who live here | 4 of 5 |
| Short-stay residentsrehab / post-hospital | 1 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 2 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 | 15.5% | 14.1% | 15.4% | typical |
| Long-stay residents who lose too much weight | 6.1% | 5.8% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.5% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 1.4% | 1.3% | 2.0% | better |
| Long-stay residents with depressive symptoms | 1.1% | 19.5% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better |
| Long-stay residents with falls causing major injury | 4.6% | 3.1% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 13.9% | 12.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 10.5% | 13.2% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 97.4% | 95.3% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 0.6% | 6.5% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 14.8% | 19.5% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 5.7% | 13.7% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.9% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 91.7% | 78.8% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 20.9% | 20.6% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 13.6% | 9.6% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 2.51 | 1.70 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 3.30 | 1.36 | 1.80 | worse |
‡ 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.
38.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 87 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 36.8% 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 38 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 0.28 therapist hours per resident per day in 2026Q1 — more than 42% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 5% 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 | 38.8%CMS range 28.2–49.4 | 51.5% | Oct 2022–Sep 2024 | worse than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.7%CMS range 7.3–14.6 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | 36.8% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 31.6% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 39.5% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 98.2% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | not reported — The number of residents or resident stays is too small to report. 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 number of residents or resident stays is too small to report. 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 | 1.9% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 3.7% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 9.8%CMS range 6.2–14.9 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.81 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 92 beds and averages 81.8 residents a day — about 89% occupied, or roughly 10 beds typically open. It runs fairly full. 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 3.22 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.58 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.98 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 2.50 hrs/resident/day on weekends vs 3.51 on weekdays — 29% thinner on weekends — a notable drop. RN hours go from 0.71 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 52% is about the same as the national median of 45%. 1 administrator has left in the past year.
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.
24 citations, most serious first. The 11 most serious are shown; the remaining 13 are one tap away and print in full.
- Actual harm · Gcited before2025-01-07 · 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 observations, record review, and interviews during the recertification and abbreviated surveys (NY00364436) conducted 1/2/2025 -1/7/2025, the facility did not ensure residents received adequate supervision to prevent accidents for 1 of 4 residents (Resident #276) reviewed. Specifically, Resident #276 did not have their hydrocollator pack (a device that heats cloth pads filled with a soft clay to provide moist heat therapy) monitored during therapy, causing a blister to their shoulder. This resulted in harm to Resident #276 that was not Immediate Jeopardy. Findings include: The updated facility policy, Applying a hydrocollator Pack, documented the hydrocollator was placed in the pocket of the terry cloth covering, then three (3) double-layer terry cloth towels were applied. The resident was checked for redness after five (5) minutes and if redness found, another layer of protective terry cloth towels was placed to prevent a burn. The hydrocollator was removed after 20 minutes. Hydrocollator temperatures were taken daily to ensure they were between 160 and 166 degrees…
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 · Ecited before2025-01-07 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor 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, record review, and interviews during the recertification and abbreviated surveys (NY00356805) conducted 1/2/2025-1/7/2025, the facility did not ensure residents had the right to a safe, clean, comfortable, and homelike environment for 4 of 4 resident halls (North, West, East, and South). Specifically, there was a strong urine smell on North, West, East, and South halls; there was food and debris on the floor in the Northwest common area; Resident room [ROOM NUMBER] was unclean with food debris and spots on the floor and floor mats; and Resident #16 wanted a chair in their room and did not have one. Findings include: The facility policy, Damp Mopping, dated 3/12/2020, documented all areas were maintained in a clean and pleasant manner. Mop heads were placed in a prepared detergent solution. After wringing out the mop, it would be used along the baseboard and then in a figure 8 stroke across the area. Detergent solution was changed after each room. The facility policy, Resident Rights,…
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 · Ecited before2025-01-07 · tag F0677 — failed to help fully-dependent residents with daily care — patternProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews during the recertification and abbreviated (NY000325307, NY00035605, and NY000359258) surveys conducted 1/2/2025-1/7/2025, the facility did not ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 4 of 5 residents (Residents #4, #24, #27, and #178) reviewed. Specifically, Resident #4 was not provided oral care; Resident #24 was not shaved as planned; Resident #27 was not provided toenail care as planned; and Resident #178 was not showered, shaved, or groomed as planned. Findings include: The facility policy, Activity of Daily Living, Range of Motion and Mobility Policy, dated 10/2024, documented care and services for the activity of daily living included: - Hygiene- bathing, dressing, grooming, and oral care - Mobility- transfer and ambulation including walking. - Elimination- toileting - Dining- eating, including meals and snacks. On admission a resident's activity of daily living status was assessed and as…
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 · Ecited before2025-01-07 · tag F0761 — failed to label and store drugs safely — patternEnsure 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews during the recertification survey conducted 1/2/2025-1/7/2025, the facility did not ensure drugs and biologicals were labeled and stored in accordance with currently accepted professional principles and includes the expiration date when applicable for 1 of 2 medication carts and 1 of 1 treatment cart on the East Hall. Specifically, the East Hall medication cart was left unsecured; contained an expired insulin pen and an insulin pen without an opened or expired/discard date for Resident #27; and an insulin pen without any resident identifiers or opened/discharge date . Additionally, the East Hall treatment cart was left unsecured and contained medications and scissors. Findings include: The facility policy, Storage-Labeling-Maintenance of Medications, revised 11/8/2023, documented medications were stored safety, securely, and properly, following manufacturer's recommendations. The medication supply was accessible only to licensed nursing personal, pharmacy personnel, and 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 · Ecited before2025-01-07 · tag F0804 — failed to serve food at safe, palatable temperature — patternEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations and interviews during the recertification survey conducted 1/2/2025-1/7/2025, the facility did not ensure each resident received and the facility provided food and drink that was palatable, flavorful, and at an appetizing temperature for 2 of 2 meals reviewed (1/3/2025 and 1/6/2025 lunch meals on the East Hall). Specifically, food was not flavorful and was not served at palatable and appetizing temperatures during the lunch meals on 1/3/2025 and 1/6/2025. Additionally, two residents (Resident #24 and #53) interviewed stated the food did not taste good and was cold. Findings include: The facility policy, Food and Nutrition Services, dated 10/2023, documented each resident was provided with a nourishing, palatable, well-balanced diet that met their daily nutritional needs. Food and nutrition services staff would inspect food trays to ensure the food appeared palatable and attractive and was served at safe and appetizing temperatures. Food palatability was evaluated by data collection from resident surveys, focus group sessions, meal observations, staff feedback,…
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 · Ecited before2025-01-07 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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 observations, record review, and interviews during the recertification survey conducted 1/2/2025-1/7/2025, the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety for 1 of 1 main kitchen, and 1 of 2 (Northwest Unit) kitchenette nourishment areas. Specifically, the main kitchen had soiled and poorly maintained equipment, improper food and food product storage, and the lack of access to proper hand washing facilities; and the nourishment area on the Northwest Unit had unclean equipment. Findings include: The facility policy, Food Preparation Service, dated 9/2022, documented Food and Nutrition Services employees prepare and serve food in a manner that complied with safe food handling practices. The food preparation area was large enough to meet the needs of the facility. The department had a rotating cleaning list created by the Director to ensure the department was kept in proper sanitary compliance with all…
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 · E2025-01-07 · tag F0814 — failed to dispose of garbage properly — patternDispose of garbage and refuse properly.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations and interviews during the recertification survey conducted 1/2/2025-1/7/2025, the facility did not ensure that garbage and refuse was disposed of properly. Specifically, garbage was not properly contained outside on facility grounds. Findings include: The facility policy, Garbage and Refuse Disposal, dated 3/7/2022, documented garbage would be stored in a manner that was inaccessible to pests. Storage areas would be kept clean at all times and shall not constitute a nuisance. Outside dumpsters provided by the garbage service would be kept closed and free of surrounding litter. During an observation on 1/2/2025 at 9:51 AM, two dumpsters located outside the facility were open with plastic bags at the top blowing in the breeze. Wet cardboard boxes, broken equipment, and debris were piled outside of the Southwest exit by the activity room. Mattresses were piled between the dumpsters. Wooden pallets with debris were located behind a shed by the dumpsters, and more equipment and debris were collected outside of a garage at the end of the parking lot. Boxes, garbage,…
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 · D2025-01-07 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews during the recertification and abbreviated (NY00356805 and NY00362194) surveys conducted 1/2/2025-1/7/2025, the facility did not ensure residents had the right to a dignified existence in a manner and an environment that promoted the maintenance or enhancement of quality of life for 2 of 2 residents (Resident #29 and Resident #282) reviewed. Specifically, Resident #29 was visible from the hallway in bed with their incontinence brief exposed; and Resident #282, who was continent of urine, urinated in bed when their call light was not answered timely. Findings include: The facility policy, Resident Rights, revised 3/22/2022, documented all residents had the right to a dignified existence, to be treated with dignity and respect, and had the right to privacy, and confidentiality. The facility policy, Maintaining Resident Dignity, revised 3/2024, documented residents were provided loving care in a timely manner that bespeaks dignity, respect, compassion, sensitivity, and concern. They respected the resident's choice of having their…
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 · Dcited before2025-01-07 · tag F0554 — isolatedAllow residents to self-administer drugs if determined clinically appropriate.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews during the recertification survey conducted 1/2/2025-1/7/2025, the facility did not ensure residents received adequate supervision to prevent accidents for 2 of 4 residents (Residents #50 and #57) reviewed. Specifically, Residents #50 and #57 had medications at their bedsides and did not have orders for self- medication administration. Findings include: The facility policy, Administration of Medications, revised 9/2022, documented medications were administered to residents in a timely and accurate manner by a licensed nurse or physician. Medications were never to be left at a resident's bedside and if a situation occurred that necessitated the nurse had to step away from the resident prior to administration of all medications, medications were removed from the room and secured in the locked medication cart until they were administered to the resident. 1) Resident #57 had diagnoses including hepatic encephalopathy (loss of brain function), depression, and diabetes. The 10/4/2024 Minimum Data Set admission assessment documented the…
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 · D2025-01-07 · tag F0676 — failed to keep up residents' daily-living abilities — isolatedEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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 conducted 1/2/2025-1/8/2025, the facility did not ensure residents were provided the appropriate treatment and services to maintain or improve their ability to carry out the activities of daily living including functional communication systems for 1 of 1 resident (Resident #13) reviewed. Specifically, Resident #13 was deaf and was not consistently provided a communication board as planned. Findings included: The facility policy, Resident Rights, effective 3/22/2022, documented employees should treat all residents with kindness, respect, and dignity. Federal and state laws guarantee certain basic rights to all resident of the facility. These rights include the resident right to a dignified existence and the right to communication with and access to people and services, both inside and outside the facility. Resident #13 had diagnoses including moderate intellectual disabilities and deaf non-speaking. The 10/31/2024 Minimum Data Set assessment documented the resident had severely 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.
- Potential for harm · D2025-01-07 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
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 and abbreviated (NY00359258) surveys conducted 1/2/2025-1/7/2025, the facility did not ensure a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice to promote healing, prevent infection and prevent new ulcers from developing for 1 of 2 residents (Resident #15) reviewed. Specifically, Resident #15 had a new skin impairment that was not assessed and treated timely by a qualified individual. Findings include: The facility policy, Pressure Injury Prevention and Management, dated 3/2021, documented a registered nurse would conduct a comprehensive skin assessment when a significant change was identified. The nurse was responsible to document a comprehensive nursing note when a pressure ulcer was identified. All wounds should be noted on 24-hour report. Resident #15 had diagnoses including hypertension and diabetes. The 9/24/2024 Minimum Data Set assessment (health screening tool)…
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 13 citations
- Potential for harm · D2025-01-07 · tag F0925 — failed to control pests — isolatedMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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 during the recertification and abbreviated (NY00356805) surveys conducted 1/2/2025-1/7/2025, the facility did not ensure there was an effective pest control program for 1 of 4 hallways (East Hall) and 1 of 2 kitchenettes (South kitchenette). Specifically, fruit flies and an unknown insect were observed in the East Hall and South kitchenette. Findings include: The facility policy, Pest Control, revised 10/2023 documented to report any signs of infestation to the supervisor immediately. The purpose of the policy was to prevent entry of insects and rodents into the facility and reduce the threat of infection and disease, and to provide a safe and sanitary environment. The Pest Control Vendor Service Reports from 6/28/2024 through 11/27/2024 documented no signs of pest activity were found at the time of service. The following observations were made: - on 1/2/2025 at 9:30 AM, in the South kitchenette there was a flying black fruit fly. - on 1/2/2025 at 10:20 AM, in…
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 · Dcited before2023-02-14 · tag F0554 — isolatedAllow residents to self-administer drugs if determined clinically appropriate.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and interview during the recertification survey conducted 2/8/23 - 2/14/23 the facility failed to determine a resident's ability to safely self-administer medication when clinically appropriate for 1 of 1 residents (Resident #62) reviewed. Specifically, Resident #62 had a prescribed inhaler (hand-held, portable device that delivers medication to the lungs), and five pills in a medication cup at the bedside during multiple observations and there was no physician order for self-administration of medication or a resident assessment to determine the ability to safely self-administer medications. The facility policy, Administration of Medication-General, effective 8/2018, documented during medication administration nursing would observe the resident to ensure medication consumption. The facility policy, Self-Medication by Resident, effective 10/2018, documented: - All residents wishing to self-medicate must be assessed. - The self-medication consent form must be fully completed, signed, and placed in the resident's history. - Residents may only…
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 · D2023-02-14 · tag F0644 — isolatedCoordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 interview and record review during the recertification survey conducted 2/8/23-2/14/23, the facility did not incorporate the recommendations from the DOH-695 Pre-admission Screening and Resident Review (PASRR) program level II determination (referral process for individuals who were known or suspected of having serious mental illness) into a resident's assessment, care planning, and transition of care for 1 of 1 resident (Resident #78) reviewed. Specifically, there was no documentation Resident #78 was provided a level II screening as required. Findings include: The New York State Department of Health (NYSDOH) Instruction Manual for DOH-695 (2/2009) documented a Level II evaluation by the Office of Mental Retardation and Developmental Disabilities (OMRDD, now the Office of People with Developmental Disabilities) should be completed if: - A no response to items 23 (if the person had a serious mental illness) and 32 (has the person been deemed a danger to themselves or others based on a psychiatric…
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 · Dcited before2023-02-14 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview during the recertification and abbreviated (NY00308466, NY00300100, NY00294008, NY00293414) surveys conducted 2/8/23-2/14/23, the facility failed to ensure residents who were unable to carry out activities of daily living (ADLs) received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 1 of 9 residents (Resident #59) reviewed. Specifically, Resident #59, was not toileted and did not receive perineal (private areas) care as care planned. Findings include: The facility policy Activities of Daily Living (ADLs) revised 8/2019 documented residents would receive appropriate care, services, equipment, and assistance with ADLs. Care and services for hygiene included: bathing, grooming, dressing and oral care. Elimination care and services included toileting. Certified nursing assistants (CNA) should document accurately the level of assistance the resident required. The facility policy Peri Care revised 3/2017 documented all individuals would receive routine ADL/AM/PM care to meet their hygienic…
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 · D2023-02-14 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review during the recertification survey conducted 2/8/23-2/14/23, the facility failed to ensure that residents maintained acceptable parameters of nutritional status, such as usual body weight or desirable body weight range and electrolyte balance, unless the resident's clinical condition demonstrated that this was not possible for 2 of 5 residents (Residents #57 and 59) reviewed. Specifically, - Resident #57 was not weighed for 2 months, had a significant weight loss and there was no documented evidence the medical provider was made aware of the weight loss. - Resident #59's weights were not obtained as ordered. Findings include: The facility policy Nutrition and Hydration dated 10/2017 documented residents would be monitored for issues related to hydration and nutrition to ensure that all risk factors were identified, addressed, and appropriate care interventions were in place to prevent negative clinical outcomes. Residents were considered at risk with conditions including weight loss and dysphagia (difficulty swallowing). The facility…
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 · Dcited before2023-02-14 · 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, interview, and record review during the recertification survey conducted 2/8/23-2/14/23, the facility failed to ensure drugs and biologicals were labeled in accordance with currently accepted professional principles and included the expiration date when applicable for 1 of 2 medication carts (Unit 2 North-West) and 1 of 2 medication storage rooms (North-West Unit) observed. Specifically, Unit 2 North [NAME] had expired stock medications in the medication cart and in the medication room. The facility policy Administration of Medication-General dated 8/2018 documented each nurse was to check expiration dates on packaged containers. The facility policy Storage and Maintenance of Medications dated 10/2018 documented medication had to be checked regularly for expiration dates and deterioration. Expired medications were to be removed from use and returned to the pharmacy. The facility policy House Supplied (Floor Stock) Medications dated 2/1/2023 documented floor stock medications were to be kept in the original containers and labeled with an expiration date. During…
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 · Dcited before2023-02-14 · 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, interview and record review during the recertification survey conducted 2/8/23-2/14/23, the facility failed to ensure food was stored, prepared, and served in accordance with professional standards for food service safety for two isolated areas (the basement storeroom and the main kitchen) reviewed. Specifically, in the basement storeroom there was a pallet containing more than 150 gallons of the facility's onsite emergency water stored directly under the sewage/drain lines. Additionally, the floors and exhaust hood within the main kitchen were unclean. Findings include: The facility policy Proper Food and Drink Storage and Labeling dated 9/12/2010, documented the facility would ensure properly stored and labeled food and drink items thereby maintaining sanitary and safe conditions to prevent foodborne illness. A quarterly sanitation check, dated 12/10/22, documented the kitchen floors needed better nightly cleaning. Floors should be swept and mopped under the coolers, freezers, stoves, 3-bay sink and under the entire dish area. Food storage: During 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 · E2020-02-04 · tag F0582 — patternGive 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 record review and interview during the recertification survey, the facility did not ensure 2 of 3 residents (Residents #66 and #69) and/or their designated representative were fully informed of potential financial liability for rehabilitative services during a non-covered stay. Specifically, Residents #66 and #69 who remained in the facility and had benefit days remaining were not provided a Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF ABN), form CMS 10055, when services were no longer covered under Medicare Part A benefits. Findings include: The 10/2018 Notification of Medicare A non-Coverage policy documented the notification of Medicare non-coverage will be given to each resident who is ending his/her course of Medicare coverage in the facility. The notice of Medicare non-coverage will be given to the beneficiary or the authorized representative no less than two days prior to termination of Medicare services. A dated copy of the notice should be placed in the beneficiary's file with documentation about the telephone call, the contact's name,…
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 · Ecited before2020-02-04 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor 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
Based on observation, record review and interview during the recertification survey the facility did not ensure 3 of 3 residents (Residents #41, 49 and 55) had the right to a homelike environment. Specifically, the bedrooms of Residents #41, 49 and 55 were stark and impersonal. Findings include: The 10/2018 Maintain Resident Dignity-Homelike Environment facility policy documented the facility promotes care for residents in a manner that reflects a homelike environment that maintains or enhances each resident's dignity and respect in full recognition of his or her individuality. In their interactions with residents, staff carry out activities that assist the resident to maintain and enhance his or her self-esteem and self-worth, while simultaneously maintaining a home-like environment and atmosphere at all times. 1) Resident #41 had diagnoses including dementia and major depressive disorder. The 1/7/20 Minimum Data Set (MDS) assessment documented the resident was moderately cognitively impaired. The 10/11/19 comprehensive care plan (CCP) documented the resident had little to no…
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 · D2020-02-04 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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, observation, and interview during the recertification survey, the facility did not ensure a resident with limited range of motion (ROM) received the appropriate treatment and services to improve and/or to prevent a decrease in ROM for 2 of 2 residents (Residents #10 and 63) reviewed for positioning/mobility. Specifically, Residents #10 and 63 did not have contracture devices implemented as care planned. Findings include: The undated Therapy Device Assessment/Initiation Personal Healthcare policy documented it is the policy of the Rehabilitation Departments to issue and monitor devices for functional use, positioning and for those that are potential restraints. The therapist or designee will note the presence of the device on the resident's care plan and care card and will ensure the responsible nursing staff have been properly educated on the device use. 1) Resident #10 had diagnoses including stroke, hemiplegia (muscle weakness) and hemiparesis (partial paralysis) affecting non-dominant…
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 · Dcited before2020-02-04 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview during the recertification survey, the facility did not ensure the resident environment remained as free of accident hazards as possible for 1of 2 residents (Resident #16) reviewed for accidents. Specifically, there was no evacuation plan for Resident #16 in the event of an emergency. In addition, 4 staff did not have education related to evacuation procedures. Findings include: The [NAME] Nursing and Rehabilitation Facility Fire Procedures Manual did not document evacuation procedures specific to residents with bariatric (obesity) considerations. Accident Hazard Resident #16 was admitted with diagnoses including severe morbid obesity, psychotic disorder, and major depressive disorder. The 10/31/19 Minimum Data Set (MDS) assessment documented the resident was cognitively intact, had verbal behaviors directed towards others, required extensive assistance of two plus staff for activities of daily living (ADLs), did not transfer from the bed to other surfaces, walk…
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 · D2020-02-04 · tag F0740 — failed to provide behavioral / mental-health care — isolatedEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and interview during the recertification survey, the facility did not provide the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being in accordance with the comprehensive assessment and plan of care for 1 of 4 residents (Resident #59) reviewed for behavioral-emotional care. Specifically, Resident #59 displayed new depressive symptoms that were not addressed by staff. Findings include: The 9/2019 Psychological Services facility policy documented it was the policy to provide psychological services to all residents in need to ensure that all residents receive the services they require. Resident #59 had diagnoses including hemiplegia and hemiparesis following a stroke and major depressive disorder, recurrent, in partial remission. The 10/12/19 Minimum Data Set (MDS) assessment documented a staff assessment for mood symptoms was complete and the resident scored a 6 (mild depressive symptoms). The 12/27/19 MDS assessment documented the resident was severely cognitively…
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 · Dcited before2020-02-04 · tag F0804 — failed to serve food at safe, palatable temperature — isolatedEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview during the recertification survey the facility did not provide food and drink that was palatable, attractive, and at a safe and appetizing temperature for 1 of 3 meal trays (lunch tray for Resident #169) tested. Specifically, food was not served at palatable and safe temperatures. Findings include: On 1/30/20 at 9:10 AM, Resident #169 stated in an interview that many requested dietary changes had not been implemented, hot food was cold, bland, and tasted bad. The resident had mentioned this to multiple staff, had asked to see the head nurse and had not seen her yet. When observed on 1/31/20 at 12:13 PM, the following cooked food temperatures were taken in the main kitchen: - The breaded fish patty was the alternate menu item and was measured to be 184 Fahrenheit (F). - The stewed tomatoes were measured to be 184 F. When observed on 1/31/20 at 12:26 PM, Resident #169's lunch meal tray was delivered to the resident's room and was tested. A replacement tray was ordered for the resident. The following temperatures were measured: - The fish patty 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.
“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.
- 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
$10,901 in federal fines across 1 penalty.
- $10,901 — penalty dated 2025-01-07
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to PERSONAL HEALTHCARE MANAGEMENT — 21 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 2 of 5 | 2.9 | -0.9 vs chain |
| Health inspection | 2 of 5 | 2.9 | -0.9 vs chain |
| Staffing | 2 of 5 | 3.3 | -1.3 vs chain |
| Quality measures | 3 of 5 | 3.0 | ≈ chain avg |
The other 20 homes this chain runs (chain average 2.9★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| BARTH, ALEXANDER | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; ADP OF THE SNF | 35% | since 01/30/2015 |
| WALDEN, YEHUDAH | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | since 01/30/2015 |
| ZAGELBAUM, EPHRAIM | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | since 01/30/2015 |
| DEJOHN, JEFFREY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 12/02/2024 |
| YAVOREK, VINCENT | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/01/2022 |
| AURNC REALTY LLC | Organization | ADP OF THE SNF | — | since 03/12/2025 |
CMS files one row per role, so the 10 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.
1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
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.
About 74% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.2M paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
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
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
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 335004. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-01-07, 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.