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Ross Center For Nursing And Rehabilitation

839 Suffolk Avenue, Brentwood, NY 11717 · For profit - Limited Liability company · 135 certified beds · (631) 273-4700 Medicare & Medicaid certified

Call the home — (631) 273-4700 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Oct 2023
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • no federal fines or payment denials on record
  • lower-than-typical staff turnover (28% vs 45% nationally) — better care continuity
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Oct 2023
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (26) — 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 (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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 3 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

Urgent care / clinic
1869 BRENTWOOD ROAD · (844) 400-1975 · Call to confirm hours
Pharmacy
761 Suffolk Ave · (631) 273-3314 · Call to confirm hours
Grocery
1925 Brentwood Rd · (631) 951-9137 · Call to confirm hours
Park
200 Brentwood Rd · (631) 595-3500 · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 5 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 2 to 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
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 increased20.1%14.1%15.4%worse
Long-stay residents who lose too much weight5.8%5.8%5.4%typical
Long-stay residents with a catheter left in their bladder0.2%0.5%0.9%better
Long-stay residents with a urinary tract infection0.6%1.3%2.0%better
Long-stay residents with depressive symptoms84.9%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 injury3.0%3.1%3.3%better
Long-stay residents whose ability to walk worsened17.7%12.5%16.1%typical
Long-stay residents on antianxiety or hypnotic medication9.8%13.2%18.9%better
Long-stay residents given the seasonal flu vaccine87.9%95.3%95.3%typical
Long-stay residents with pressure ulcers3.0%6.5%4.7%better
Long-stay residents with worsening bladder/bowel control26.1%19.5%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table18.9%13.7%17.1%worse
Short-stay residents who newly got an antipsychotic medication0.0%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine77.3%78.8%79.4%typical
Short-stay residents rehospitalized after admission23.2%20.6%22.6%typical
Short-stay residents with an outpatient ER visit5.7%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days1.301.701.67better
Long-stay outpatient ER visits per 1,000 resident days0.561.361.80better

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.

50.7% 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 107 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

50.7%U.S. median 51.5%
Got home and stayed home
10.6%U.S. median 10.7%
Went back to hospital
75.3%U.S. median 56.6%
Met the expected recovery
0.40U.S. median 0.31
Therapy hours / resident / day
0.23hours / resident / day
Physical therapy
0.14hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 75.3% 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 93 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 0.40 therapist hours per resident per day in 2026Q1 — more than 69% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 32% 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 SNF50.7%CMS range 40.6–59.651.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.6%CMS range 7.2–14.410.7%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 discharge75.3%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 discharge65.6%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 discharge71.0%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 identified98.4%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 setting96.4%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 discharge97.6%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 stay2.4%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 worsened2.4%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 hospitalization6.8%CMS range 4.3–12.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.521.02Oct 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

0.59
RN hours/ resident / day
0.74
LPN hours/ resident / day
2.10
Aide hours/ resident / day
3.42
Total nurse hours/ resident / day
0.40
RN hoursweekends
27.9%
Total nursing turnover
15.4%
RN turnover

How full it usually is: this home is certified for 135 beds and averages 109.9 residents a day — about 81% occupied, or roughly 25 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.42 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.59 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.10 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 3.09 hrs/resident/day on weekends vs 3.56 on weekdays — 13% thinner on weekends. RN hours go from 0.66 to 0.40 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 28% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

9
deficiencies at the latest standard inspection (2026-01-20)
10
at the previous standard inspection (2024-11-01)

Deficiencies are fewer than at the previous inspection — improving. 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.

26 citations, most serious first. The 10 most serious are shown; the remaining 16 are one tap away and print in full.

  • Potential for harm · Fcited before2026-01-20 · tag F0908 — failed to keep essential equipment working — widespread
    Keep all essential equipment working safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review, the facility did not maintain all mechanical, electrical, and patient care equipment in safe operating condition. This was identified during the Kitchen Task. Specifically, during follow-up kitchen tours on 01/15/2026 and on 01/16/2026, the walk-in freezer temperatures were observed to be 26 degrees Fahrenheit (the food safety requirement should be at or below zero (0) degree Fahrenheit). Additionally, one (1) of the three (3) evaporator fans in the walk-in freezer were not operational. The finding is: The facility policy and procedure titled Food Storage dated 01/13 documented all perishable foods are stored in either refrigerators maintained at 41 degrees [Fahrenheit] or below, or freezers at zero (0) degree [Fahrenheit], or below respectively. A reliable thermometer shall be installed and maintained in all refrigeration and freezer units and monitored on a daily basis. The United States Food and Drug Administration Refrigerator and Freezer Storage Chart dated March 2018 documented freezing [temperature] of zero (0) degree…

    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 · Dcited before2026-01-20 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    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 staff interviews, the facility did not immediately inform the resident's Physician when there was a significant change in the resident's physical, mental, or psychological status (that is, a deterioration in health, mental, or psychological status in either life threatening conditions or clinical complications). This was identified for one (1) (Resident #84) of two (2) residents reviewed for Nutrition. Specifically, on 12/15/2025 Resident #84 was identified with an undesired significant weight loss of 5% in one month, and on 1/16/2026 an undesired significant weight loss of 10.2% in 3 months. There was no documented evidence that the resident's Physician was notified of the resident's significant weight loss.The finding is: The facility's policy titled, Resident Change in Condition last revised in 10/2025 documented should a resident experience a medical change in condition that indicates an emergency of acute illness, it is the expectation that the Registered Nurse on duty will…

    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 · Dcited before2026-01-20 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review (Incident # 2677700), the facility did not ensure each covered individual report immediately, but not later than two (2) hours, to the administration of the facility and to the New York State Department of Health after the allegation was made. This was identified for one (1) (Resident #116) of two (2) residents reviewed for Abuse. Specifically, on 11/23/2025 at 2:00 AM, Resident #116 reported a verbal abuse allegation to Licensed Practical Nurse #5. Registered Nurse #2 was made aware of the abuse allegation and did not report the incident to the facility administration until 11/24/2025, 24 hours after the allegation was made.The finding is:The facility's policy titled Abuse, Mistreatment, Neglect, Exploitation and Misappropriation of Resident's Property, last reviewed 06/22/2018, documented verbal abuse as any use of oral, gestured or written languages which uses degrading or derogatory terms towards residents. Mental abuse is defined as but not limited to harassment which…

    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 · D2026-01-20 · 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 observations, record review, and interviews, the facility did not ensure that a comprehensive person-centered care plan was implemented to meet each resident's medical and nursing needs. This was identified for one (1) (Resident #37) of two (2) residents reviewed for Position and Mobility. Specifically, Resident #37 required use of a pillow for the lower extremities to prevent direct contact of the boney prominences (knees) due to contractures as per the resident's plan of care. On multiple observations, the resident was observed without the use of the pillow in between the knees.The finding is:The facility policy titled Management and Treatment of Pressure Ulcers dated 12/2024 documented interventions to use devices, such as pillows and foam wedges to prevent direct contact between bony prominences and consult with the Physical Therapist for the positioning devices.The facility policy titled Assistive/Adaptive and Preventative/Positioning Devices dated 02/2025 documented a knee separator to be used 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-20 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    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 staff interviews, the facility did not ensure the resident maintained, to the extent possible, acceptable parameters of nutritional and hydration status. This was identified for one (1) (Resident #84) of two (2) residents reviewed for Nutrition. Specifically, on 12/11/2025, Registered Dietitian #1 documented Resident #84 as having a weight loss of 5.4 pounds in one-month (a 4.5% decrease in the resident's usual body weight) and recommended weekly weights for four (4) weeks to further assess the accuracy of the resident's weight trends. On 12/15/2025, Registered Dietitian #1 documented Resident #84 triggered for an undesired significant weight loss (5% in one month). The weekly weights were not completed as per the recommendations, and no new dietary interventions were put in place. On 1/16/2026, Resident #84's weight reflected an additional loss of 4 pounds (3.57%) in one month and an undesired significant weight loss of 10.2% in 3 months. The finding is: The facility's policy titled,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-20 · tag F0694 — isolated
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record review, and interviews the facility did not ensure that parenteral fluids were administered consistent with professional standards of practice and in accordance with physician orders, the comprehensive person-centered care plan, and the resident's goals and preferences. This was identified for one (1) (Resident #117) of one (1) resident reviewed for Antibiotics. Specifically, Resident #117 had a physician's order to infuse Ceftriaxone (antibiotic) medication; however, the route of infusion was not specified in the order. During multiple occasions, Resident #117 was observed with a Peripheral Intravenous Catheter in their left hand. There was no physician's order for the assessment and care of the intravenous catheter.The finding is: The facility policy titled initiation and management of intravenous therapy revised on 10/2025 documented a valid order from a licensed practitioner for Intravenous fluids authorizes nursing staff to initiate peripheral access as necessary to carry out the prescribed treatment. A separate order for peripheral intravenous…

    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 · D2026-01-20 · tag F0791 — failed to provide routine dental services — isolated
    Provide or obtain dental services for each resident.
    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 interviews and record review, the facility did not ensure that residents were assisted in obtaining routine Dental Care. This was identified for one (1) (Resident #5) of one (1) resident reviewed for dental care. Specifically, Resident #5 was not seen by a Dentist since their admission to the facility in June 2024. The finding is:The facility's policy titled, Dental Services, last reviewed 10/2025, documented residents will be seen and evaluated by the Dentist upon admission, annually, as requested by the resident and/or representative, and as needed with a significant change of condition. The policy did not state if a physician's order was required for a resident to be seen by a Dentist.Resident #5 had diagnoses which included hypertension (abnormally high blood pressure) and type 2 diabetes mellitus (a form of diabetes mellitus characterized by high blood sugar, insulin resistance, and lack of insulin). The 5-Day Minimum Data Set (MDS) assessment dated [DATE] documented the resident had a Brief…

    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 · D2026-01-20 · 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 interviews the facility did not ensure that it maintained an infection prevention and control program designed to help prevent the development and transmission of infectious diseases. This was identified for one (1) (Resident #88) of six (6) residents reviewed for Medication Administration Task. Specifically, during the medication administration task, Licensed Practical Nurse #1 removed a calcium /vitamin D3 tablet (vitamin supplement) from a blister pack with their bare hands. Licensed Practical Nurse #1 broke the tablet in half and put the two halves of the tablet in the souffle cup and proceeded to offer the medication to Resident #88.The finding is:The facility policy titled Medication Administration last reviewed/revised 12/2025, documented pills should not be handled with fingers. Pour directly from blister packs into souffle cup.Resident #88 was admitted with diagnoses that included Parkinson's disease (a progressive brain disorder that damages neurons leading 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-20 · tag F0919 — failed to provide a working call system — isolated
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    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 the facility did not ensure call systems were accessible to each resident while residents were in their rooms. This was identified for one (1) (Resident #57) of one (1) resident reviewed for call systems. Specifically, during multiple observations, Resident #57 was observed in bed, and the call bell was out of their reach.The finding is:The facility policy titled Call Bells last revised on 12/2025, documented to have a call bell at the bedside within reach. The purpose of the call bell is to provide the resident with a method of communication to assist in meeting needs in a timely manner.Resident #57 was admitted with diagnoses that included cerebral infarction (brain tissue dies due to lack of blood, oxygen, and nutrients), dementia (a decline in thinking skills due to damaged blood vessels in the brain), and epilepsy (a neurological disorder that causes seizures, loss of consciousness and unusual behavior). Minimum Data Set assessment dated [DATE],…

    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 · Ecited before2025-01-17 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    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

    Based on observations, record review, and staff interviews during the Abbreviated Survey case #NY00368340 and initiated on 1/15/2025, the facility did not ensure that residents have the right to a safe, clean comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely, including that the physical layout of the facility maximizes resident independence and does not create a safety risk. This was identified for 8 of 18 residents reviewed for Quality of Care. Specifically, a complaint was received reporting that the East unit of the facility was freezing cold affecting all the residents on that unit. The finding is: The facility's policy titled; 'Cold Weather Emergency' updated 1/16/2025 documented under Plan A Residents are to be checked and temperatures are to be taken immediately on all residents. All rooms are to have adequate supply of blankets. If temperatures are below 70 degrees Fahrenheit resident's temperatures will be taken every four hours. An observation tour was conducted on 1/15/2025 at 10:45 AM on the East…

    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
Show the remaining 16 citations
  • Potential for harm · Ecited before2025-01-17 · tag F0908 — failed to keep essential equipment working — pattern
    Keep all essential equipment working 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 §483.90 The facility must be designed, constructed, equipped, and maintained to protect the health and safety of residents, personnel and the public. (d) Space and equipment. The facility must (2) Maintain all mechanical, electrical, and patient care equipment in safe operating condition. 415.29 Physical environment. The nursing home shall be designed, constructed, equipped and maintained to provide a safe, healthy, functional, sanitary and comfortable environment for residents, personnel and the public. (b) Equipment. The nursing home shall maintain all essential mechanical, electrical, and resident care equipment in safe operating condition. (j) Housekeeping. (1) The entire nursing home, including but not limited to the floors, walls, windows, doors, ceilings, fixtures, equipment and furnishings, shall be clean. The facility shall be maintained in good repair including, but limited to buildings, utilities, fixed equipment, resident care equipment and furnishings. Based on observations, interviews, and record…

    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 · E2024-11-01 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review during the Recertification Survey initiated on 10/28/2024 and completed on 11/1/2024, the facility did not ensure each resident was served food and drink that was palatable, attractive, and at a safe and appetizing temperature. This was identified for ten (Resident #9, Resident #10, Resident # 14, Resident # 39, Resident #50, Resident #72, Resident #77, Resident #91, Resident #94, and Resident #103) of eleven residents during the Resident Council meeting; one (Resident #102) of four residents reviewed for food, and one (Resident #48) of sixteen residents reviewed during the dining task. Specifically, during the resident council meeting held on 10/28/2024 ten of eleven residents in attendance complained the hot meals were served cold. On 10/30/2024 during the lunch meal service observations, the lunch meal temperatures for the hot food items were observed to be below 135 degrees Fahrenheit. The finding is: The undated facility policy titled Food Temperatures…

    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 · E2024-11-01 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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

    Based on observations, record review, and interviews during the Recertification Survey initiated on 10/28/2024 and completed on 11/1/2024, the facility did not follow proper sanitation practices to prevent the outbreak of foodborne illness and did not distribute and serve food in accordance with professional standards for food service safety. This was identified during the kitchen facility task; for ten (Resident #9, Resident #10, Resident # 14, Resident # 39, Resident #50, Resident #72, Resident #77, Resident #91, Resident #94, and Resident #103) of eleven residents during the Resident Council meeting; for one (Resident #102) of four residents reviewed for food, and for one (Resident #48) of sixteen residents reviewed during the dining task. Specifically, 1) The cold water dishmachine used for dishwashing did not hold the proper temperature of 140 degrees Fahrenheit as recommended by the manufacturer. 2) during the resident council meeting held on 10/28/2024 ten of eleven residents in attendance complained about the meal temperature and were served cold food that should have been…

    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 · E2024-11-01 · tag F0835 — failed to run the facility competently — pattern
    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 record review and staff interviews, during the re-certification survey initiated on 10/29/2024 and completed on 11/1/2024, the facility did not ensure it was administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, the facility was not effectively administered to ensure food served to the residents was at acceptable temperature parameters for three of the three resident units. Cross Reference F 804 Food and Nutrition Services F 812 Food and Nutrition Services The finding is: The undated facility policy titled Food Temperatures documented temperatures of all food items will be taken and properly recorded prior to service each meal. All hot food items must be cooked to appropriate internal temperatures, held, and served at a temperature of at least 135 degrees Fahrenheit. Hot food items may not fall below 135 degrees Fahrenheit after cooking unless it is an item that is to be rapidly cooled to below 41 degrees Fahrenheit…

    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 · E2024-11-01 · tag F0865 — failed to run a quality-improvement (QAPI) program — pattern
    Have a plan that describes the process for conducting QAPI and QAA activities.
    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 initiated on 10/29/2024 and completed on 11/1/2024, the facility did not ensure the Quality Assurance Performance Improvement (QAPI) committee developed and implemented appropriate plans of action to correct identified issues with the facility's cold food concern identified on three of three units observed during the dining task. Specifically, multiple complaints were brought up during Resident Council meetings that hot meals were being served cold; however, the Quality Assurance Performance Improvement Committee did not address, review, analyze, and act on available data on the identified issue to make improvements and to ensure improvements are sustained. Cross Reference: F 804 Food and Nutrition Services F 812 Food and Nutrition Services The finding is: The facility's undated Quality Assurance Performance Improvement Plan documented that the purpose of the Quality Assurance Performance Improvement is to provide quality care and cost-effective services to meet the individual needs of 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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-01 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    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 the Recertification Survey initiated on [DATE] and completed on [DATE], the facility did not ensure that all residents had the right to request, refuse, and/or discontinue treatment, and to formulate an advance directive (medical interventions in the event of a life-threatening episode) that would be honored and the written description of the facility policy to implement advance directives were followed. This was identified for one (Resident #18) of two residents reviewed for advance directives. Specifically, Specifically, the facility did not ensure that Resident #18's advance directives (their preferred code status in the event of cardiac or pulmonary arrest) were accurately identified per their wishes. The finding is: The facility's policy titled Identification of Residents with Advanced Directive dated [DATE], documented the staff should identify the resident's advanced directives status by utilizing the electronic medical record and residents' hard…

    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 · Dcited before2024-11-01 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    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

    Based on observation, record review, and interviews during the Recertification Survey initiated on 10/29/2024 and completed on 11/1/2024, the facility did not ensure that each resident was provided with a comfortable and homelike environment. This was identified on one (East Unit) of three resident units during the environmental tour. Specifically, the hot water temperatures were not maintained within an acceptable range and were noted below the required range of 90 degrees-110 degrees Fahrenheit in the resident areas. The finding is: 42 CFR 483.470 (d)(3) PART 483-REQUIREMENTS FOR STATES AND LONG-TERM CARE FACILITIES 483.470 Condition of Participation: Physical environment. (d) Standard: Client bathrooms. The facility must ensure: (3) In areas of the facility where clients who have not been trained to regulate water temperature are exposed to hot water, ensure that the temperature of the water does not exceed 110 °Fahrenheit. New York State Rules and Regulations, Article 2 Medical Facility Construction, Part 713- Standards of Construction for Nursing home facilities, Section…

    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 · D2024-11-01 · 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 interviews during the Recertification Survey initiated on 10/28/2024 and completed on 11/1/2024, the facility did not ensure the Minimum Data Set assessment was completed to accurately reflect each resident's status. This was identified for one (Resident #27) of two residents reviewed for Advanced Directives. Specifically, the Quarterly Minimum Data Set assessment dated [DATE] did not reflect Resident #27 had an advanced directive of Do Not Hospitalize. The finding is: The facility's policy titled Comprehensive MDS Policy last revised on 9/2024 documented the Minimum Data Set provides an assessment that is comprehensive, accurate, standardized, and reproducible for each resident's functional capabilities. Therapeutic Recreation, Social Services, Nutrition, and Minimum Data Set assessment staff are responsible for their specific area on the Minimum Data Set assessment. Each discipline that completes a section of the Minimum Data Set assessment signs, and dates the Minimum Data Set…

    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 · D2024-11-01 · tag F0657 — failed to keep the care plan current — isolated
    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 2) Resident #27 was admitted with diagnoses including Metabolic Encephalopathy (a type of brain disorder), Moderate Protein-Calorie Malnutrition, and Type 2 Diabetes Mellitus. The Quarterly Minimum Data Set assessment dated [DATE] did not include a Brief Interview for Mental Status because the resident was rarely or never understood and had severely impaired skills for daily decision-making. The Minimum Data Set documented the resident had advanced directives including Do Not Resuscitate, Do Not Intubate, and feeding restrictions. A Comprehensive Care Plan titled Advanced Directives, effective [DATE] and last revised on [DATE] documented advanced directives including to send the resident to the hospital. A physician's order effective [DATE] and renewed on [DATE] documented an advanced directive of Do Not Hospitalize. A Medical Orders for Life-Sustaining Treatment (MOLST) form dated [DATE] included do not send the resident to the hospital unless pain or symptoms cannot be otherwise controlled. The comprehensive…

    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 · D2024-11-01 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    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 initiated on 10/28/2024 and completed on 11/01/2024, the facility did not ensure medications were properly stored in medication carts. This was identified for one (Unit North Medication Cart 1), of 2 units reviewed during the Medication Storage Task. Specifically, Unit North Medication Cart#1 was utilized for storing items other than the resident medications such as the hearing aids, dirty measuring tape, three rolls of surgical tape, seven hearing aid batteries, and a small box of loose rubber bands. The findings are: The Medication Storage policy dated 4/2019 documented that Medications will be stored in a manner that maintains product integrity; ensures residents' safety; and complies with the New York State Department of Health guidelines. The policy documented that with the exception of emergency drug kits, all medications will be stored in a locked cabinet, cart, or medication room that is accessible only to authorized personnel, as defined by facility policy. The Medication Carts policy…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-11-01 · tag F0919 — failed to provide a working call system — isolated
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    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 Survey initiated on 10/29/2024 and completed on 11/1/2024, the facility did not ensure all portions of the resident call system were functioning to allow each resident to call for staff assistance. This was identified for one (Unit East) of three resident units. Specifically on 10/22/2024, Resident # 102 was placed by staff on the toilet and was instructed to use the call bell to call for assistance when they were ready. The resident tried to use the call bell for staff assistance; however, the call bell was not functioning. Subsequently, the resident attempted to transfer from the toilet on their own, resulting in a fall with injury. The findings are: The facility's policy and procedure for Call Bells, revised in December 2022 documented the purpose is to provide residents with a method of communication to assist in meeting needs. The policy did not document a process to routinely ensure the residents' call bells were…

    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 · Dcited before2023-10-06 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    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 and the Abbreviated Survey ( Complaint # NY00324033) initiated on 10/2/2023 and completed on 10/6/2023, the facility did not ensure that the resident's Designated Representative was notified when the need to commence a new form of treatment was identified. This was identified for one (Resident #56) of one resident reviewed for Notification of Change. Specifically, Resident #56 was started on intravenous (IV) Ceftriaxone (An antibiotic used to treat infections) 1 gram (gm) daily for Bacterial Infection. There was no documented evidence that Resident #56's Designated Representative was notified of the Antibiotic therapy use. The finding is: The facility's Policy and Procedure titled, Resident's Right revised on 2/13/2023 documented the resident/resident representative has the right to be informed in advance by the Physician or other practitioner or professional of the risks and benefits of the proposed care of treatments and treatment…

    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 · D2023-10-06 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and staff interview during the Recertification Survey initiated on 10/2/23 and completed on 10/6/23, the facility did not ensure that each resident has the right to be free from abuse. This was identified for one (Resident #53) of four residents reviewed for abuse. Specifically, on 9/28/2023, Resident #53 who had a history of frequently wandering into other residents' rooms, wandered into Resident #69's room and took their (Resident #69) personal belongings (a large stuffed animal), in response, Resident #69 became verbally agitated and slapped Resident #53 on the left arm. There were no new interventions put in place for Resident #53 to prevent them from entering Resident #69's room again. On 10/6/2023, Resident #53 was observed entering Resident #69's room. Resident #69 was observed physically upset with their arms flailing, was walking towards Resident #53, and was shouting at Resident #53 to get out of the room. The findings are: The facility's policy and procedure…

    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 · Dcited before2023-10-06 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the Recertification Survey initiated on 10/2/2023 and completed on 10/6/2023, the facility did not ensure that an incident of a resident-to-resident altercation was reported immediately, but not later than 2 hours if there were serious bodily injuries or not later than 24 hours if there were no serious bodily injuries. This was identified for one (Resident #53) of four residents reviewed for Abuse. Specifically, on 9/28/2023 Housekeeper (HK) #1 witnessed Resident #69 slapping Resident #53 on the left arm when Resident #53 wandered into Resident #69's room and took a large stuffed animal. Resident #69 verbalized that they (Resident #69) pushed Resident #53 because they (Resident #69) did not want Resident #53 taking their stuffed animal. The facility did not report the resident-to-resident altercation incident to the New York State Department of Health (NYSDOH). The finding is: The facility's Abuse policy and procedure last reviewed in December 2020…

    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 · D2023-10-06 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    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 staff interviews during the Recertification Survey initiated on 10/2/2023 and completed on 10/6/2023, the facility did not ensure that services provided or arranged by the facility met professional standards of quality. This was identified for one (Resident #75) of five residents reviewed for Unnecessary Medications. Specifically, Resident #75, who had no prior history of Schizophrenia, was ordered Olanzapine (antipsychotic medication primarily used to treat Schizophrenia and Bipolar Disorder) 7.5 milligrams (mg) 1 tablet once daily since 8/18/2023 for a diagnosis of Schizophrenia. The finding is: The facility's Psychotropic Medication/Gradual Dose Reduction policy and procedure last reviewed on 12/22/2020 documented that residents who have not used psychotropic drugs are not given these drugs unless psychotropic drug therapy is necessary to treat a specific condition as diagnosed and documented in the medical record. An interdisciplinary team including the Medical Director 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-06 · tag F0710 — isolated
    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
    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 initiated on 10/2/2023 and completed on 10/6/2023, the facility did not ensure medical care of each resident was adequately supervised by a physician. This was identified for one (Resident #75) of five residents reviewed for Unnecessary Medications. Specifically, Resident #75's Primary Care Physician did not know and therefore did not monitor that Resident #75, who had no history of Schizophrenia, was diagnosed with a new Schizophrenia diagnosis after the resident was admitted to the facility. Additionally, the resident was prescribed and administered Olanzapine (an antipsychotic medication) for the newly diagnosed Schizophrenia. The finding is: The facility's policy titled, Role of the Attending Physician in Nursing Home dated November 2011, documented that the medical care of each resident is supervised by a physician who assumes the principal obligation and responsibility to manage the resident's medical condition. Each resident shall…

    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
SSNY HOLDCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF100%since 09/12/2022
STEIN, NOSSONIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; TRUSTEE OF THE SNF; ADP OF THE SNF25%since 01/17/2025
STEIN, PERETZIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; TRUSTEE OF THE SNF; ADP OF THE SNF25%since 01/17/2025
ARSHAD, SADIAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/12/2022
ROSS PROPCO LLCOrganizationADP OF THE SNFsince 09/12/2022
STEIN, SHALOMIndividualADP OF THE SNFsince 01/17/2025

CMS files one row per role, so the 14 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners 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.

$17.2M
Net patient revenuemost recent cost report
-12.5%
Operating marginrevenue minus expenses
$526K
Related-party expense3% of expenses
Who pays — share of resident-days
Medicaid 65%Medicare 17%Other / private 18%

This home reported $526K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

$479per resident / day
operating cost
$14,567per month
≈ monthly operating cost
$426per 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 335159. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-20, 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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