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East Haven Nursing & Rehabilitation Center

2323 Eastchester Road, Bronx, NY 10469 · For profit - Limited Liability company · 200 certified beds · (718) 655-2848 Medicare & Medicaid certified

Call the home — (718) 655-2848 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0609) — cited Mar 2023Resident-funds citation (F0568)Behavioral-health or dementia-care citation — no harm found (F0744)$14,819 in federal fines
Insights

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

In its favor
  • lower-than-typical staff turnover (32% vs 45% nationally) — better care continuity
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has a citation for mishandling residents’ money or property (F0568)
  • a high number of inspection citations overall (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $14,819 in federal fines (most recent 2023-11-20)
  • 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

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
2304 Eastchester Rd · (347) 913-4333 · Call to confirm hours
Pharmacy
2330 Eastchester Rd · (347) 533-6000 · Call to confirm hours
Grocery
C-Town0.1 mi
2426 Eastchester Road
Park
Givan Square · (212) 639-9675 · Typically dawn to dusk
Place of worship
2407 Eastchester Rd · (718) 652-6719

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 4 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 increased17.9%14.1%15.4%worse
Long-stay residents who lose too much weight3.1%5.8%5.4%better
Long-stay residents with a catheter left in their bladder0.2%0.5%0.9%better
Long-stay residents with a urinary tract infection1.1%1.3%2.0%better
Long-stay residents with depressive symptoms2.8%19.5%6.5%better 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 injury0.3%3.1%3.3%better
Long-stay residents whose ability to walk worsened9.6%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication5.7%13.2%18.9%better
Long-stay residents given the seasonal flu vaccine99.5%95.3%95.3%typical
Long-stay residents with pressure ulcers4.6%6.5%4.7%typical
Long-stay residents with worsening bladder/bowel control23.9%19.5%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table12.2%13.7%17.1%better
Short-stay residents who newly got an antipsychotic medication1.5%1.2%1.4%typical
Short-stay residents given the seasonal flu vaccine43.3%78.8%79.4%worse
Short-stay residents rehospitalized after admission21.3%20.6%22.6%typical
Short-stay residents with an outpatient ER visit4.7%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days1.891.701.67worse
Long-stay outpatient ER visits per 1,000 resident days0.681.361.80better

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.

43.0% 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 28 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

43.0%U.S. median 51.5%
Got home and stayed home
10.6%U.S. median 10.7%
Went back to hospital
58.3%U.S. median 56.6%
Met the expected recovery
0.36U.S. median 0.31
Therapy hours / resident / day
0.19hours / resident / day
Physical therapy
0.14hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 58.3% 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 72 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 0.36 therapist hours per resident per day in 2026Q1 — more than 61% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 22% 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 SNF43.0%CMS range 29.2–57.351.5%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 7.5–14.710.7%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 discharge58.3%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 discharge62.5%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 discharge50.0%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 identified100.0%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 setting94.3%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 dischargenot 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 stay0.9%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 worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization8.9%CMS range 5.0–14.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.301.02Oct 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

0.67
RN hours/ resident / day
0.23
LPN hours/ resident / day
1.93
Aide hours/ resident / day
2.83
Total nurse hours/ resident / day
0.43
RN hoursweekends
32.2%
Total nursing turnover
34.2%
RN turnover

How full it usually is: this home is certified for 200 beds and averages 193.8 residents a day — about 97% occupied, or roughly 6 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.83 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.67 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.93 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 2.45 hrs/resident/day on weekends vs 2.99 on weekdays — 18% thinner on weekends. RN hours go from 0.77 to 0.43 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 32% is below 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

10
deficiencies at the latest standard inspection (2025-02-25)
4
at the previous standard inspection (2023-03-06)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

  • Potential for harm · F2025-02-25 · tag F0925 — failed to control pests — widespread
    Make 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 observation, record review, and interview during the Recertification Survey conducted from 02/18/2025 to 02/25/2025, the facility did not maintain an effective pest control program so that the facility is free of pests and rodents. This was evident in 4 of 4 resident units. Specifically, multiple residents reported cockroach and rodent sightings. In addition, the facility's pest control service record documented pest sightings in 4 resident units. The findings include but are not limited to: The facility policy titled Pest Control with a last reviewed date 08/14/2024 documented it is the policy of the facility to maintain a pest free environment as best as possible. A review of Service Tickets documented that the pest management company provided pest management services to the facility on [DATE], 01/07/2025, 01/14/2025-01/15/2025, 01/28/2025-01/29/2025, 02/04/2025-02/05/2025, 02/11/2025, and 02/20/2025. The Service Tickets documented services provided included installing rodent bait stations and gel…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-02-25 · tag F0576 — pattern
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    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 from 02/18/2025 to 02/25/2025, the facility did not ensure that residents had the right to send and promptly receive mail. This was evident in 9 (Residents: #12, #13, #17, #80, #103, #105, #112, #151, #154) out of 39 total sampled residents. Specifically, the facility did not have a procedure in place for residents to send and receive mail on Saturday. The findings are: The facility policy titled Mail/Package Delivery with a last reviewed date of 06/10/2024 documented that it is the policy of the facility to ensure that each resident's rights to personal privacy is respected, including the right to send and promptly receive unopened mail and other letters, packages, and other materials delivered to the facility for the resident. Promptly means delivery of mail or other materials to the resident within 24 hours of delivery by the postal service. On 02/19/2025 at 10:30 AM during the Resident Council Meeting, Residents #12, #13, #17, #80, #103, #105, #112, #151, and #154 stated 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-02-25 · tag F0803 — failed to meet residents' dietary needs — pattern
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of 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 observation, record review, and interviews during the Recertification Survey conducted from 02/18/2025 to 02/25/2025, the facility did not ensure that posted menu items were served, that notification was provided when menu items were substituted and that individual food preferences were honored. This was evident in 3 Residents (Resident #96, #129 and #79) of 6 residents observed during dining, out of 35 total sampled residents. Specifically, residents were not served posted menu items, food preferences, or food items that were listed on the meal tray tickets. Additionally, residents were not notified of menu substitutions. The findings are: The undated facility policy titled Menu Planning documented that menus are planned to meet the guidelines as established by current federal and state regulations. Menus are written at least 2 weeks in advance and are distributed to residents and posted in the resident's dining rooms at least three days before service. The individual preferences are considered in meal…

    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 · E2025-02-25 · tag F0847 — pattern
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview during the Recertification Survey from 02/18/2025 to 02/25/2025, the facility did not ensure the Binding Arbitration Agreement granted the residents and/or their designated representatives the right to rescind the agreement within 30 calendar days of signing it. This was evident in 3 (Resident #77, #109, #163) of 38 total sampled residents. Specifically, the Binding Arbitration Agreement signed by Residents #77, #109, and #163 did not grant the residents and/or their designated representatives 30 calendar days to rescind the agreement. The findings are: The facility policy titled Arbitration Agreements with effective date of 10/17/2024 and a last reviewed date of 10/18/2024 documented the arbitration agreement shall explicitly grant resident or his/her representative the right to rescind the agreement within 30 calendar days of signing it. The Schedule 22 of Binding Arbitration Agreement in the admission package was reviewed. The Binding Arbitration Agreement did not document residents and/or their designated representatives had the right 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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-02-25 · tag F0848 — pattern
    Provide a neutral and fair arbitration process and agree to arbitrator and venue.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview during the Recertification Survey conducted from 02/18/2025 to 02/25/2025, the facility did not ensure the Binding Arbitration Agreement provides for the selection of a neutral arbitrator agreed upon by both parties and the agreement provides for the selection of a venue that is convenient to both parties. This was evident in 3 (Resident #77, #109, #163) of 38 total sampled residents. Specifically, the Binding Arbitration Agreement signed by Residents #77, #109, and #163 had no documented evidence the agreement addresses the selection of a neutral arbitrator agreed upon by both parties and the selection of a venue that is convenient to both parties. The findings are: The facility policy titled Arbitration Agreements with effective date 10/17/2024 and last review date 10/18/2024 documented the agreement shall specifically provide for the selection of a neutral arbitrator agreed upon by both parties. It also documented the agreement shall specifically provide for the selection of a venue that is agreed upon and convenient to both parties. 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 · D2025-02-25 · tag F0568 — isolated
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    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 conducted from 02/18/2025 to 02/25/2025, the facility did not ensure that resident or resident representatives receive their personal funds account statements on a quarterly basis. This was evident in 2 (Resident #79 and Resident #37) of 3 residents reviewed for Personal Funds out of 38 total sampled residents. The findings are: The undated facility policy titled Resident Accounts documented that the facility will assure proper handling of residents' funds and enable each resident to benefit from their funds in a manner which is in their best interest. Upon written authorization from the resident, the facility will hold, safeguard, manage, and account for personal funds of the residents. Residents will be provided with itemized quarterly financial statements by Social Service. 1. Resident #79 was admitted to the facility with diagnoses including Diabetes Mellitus, Hyperlipidemia, Hypertension. The Minimum Data Set, 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-25 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview during the Recertification and Complaint (NY00354174) Survey conducted from 02/18/2025 to 02/25/2025, the facility did not ensure the residents' right to a safe, clean and comfortable environment was maintained. This was evident in 1 (Unit 1) of 4 units. Specifically, room [ROOM NUMBER]P was observed with chipped wall surfaces, partially detached top dresser, stained ceiling, and peeling non-slip tape on the bathtub. The findings are: The facility's policy titled Homelike Environment with a reviewed date of 06/10/2024 documented residents are provided with a safe, clean, comfortable, and homelike environment. The facility's policy titled Maintenance with a reviewed date of 04/12/2024 documented Maintenance Department shall ensure that the facility is functional, comfortable, and hazard free. Resident #164 was admitted to the facility with diagnoses of Diabetes Mellitus, Hypertension, Hyperlipidemia. The Minimum Data Set, dated [DATE] documented Resident #164 had…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-25 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
    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

    Based on observation, record review, and interviews during the Recertification and Complaint (NY00354174) Survey conducted from 02/18/2025 to 02/25/2025, the facility did not provide food and drink that were palatable and at a safe and appetizing temperature. This was evident in 1 (Unit 4) of 1 unit observed during dining. Specifically, food served during lunch had suboptimal temperatures and were not appetizing or palatable. The findings include but are not limited to: The undated facility policy titled Food Temperatures documented the facility maintains system to ensure that food served to the residents is held at safe holding temperatures. Hot foods should be maintained at 140 degrees Fahrenheit or above and cold foods should be at 41 degrees Fahrenheit or below. On 02/18/2025 at 12:24 PM, during dining observation, Resident #96's next of kin was observed waiting by the meal truck for Resident #96's meal tray. They stated they visit daily to get the Resident's meal tray and deliver it to the Resident because the food becomes cold if they wait for the staff to deliver it. 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-02-25 · tag F0812 — failed to store, cook, and serve food safely — isolated
    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 observation, record review, and interview during the Recertification Survey conducted from 02/18/2025 to 02/25/2025, the facility did not ensure food service equipment are properly cleaned and sanitized. This was evident during the Kitchen Task. The findings are: The undated facility policy titled General Food Preparation and Handling documented that all food service equipment should be cleaned, sanitized, dried and reassembled after each use. The undated facility policy titled Cleaning and Sanitizing of Meat Slicer documented that all removeable parts of the slicer should be put into the pot wash sink and washed, and all stationary parts should be scrubbed with a cellulose pad moistened with detergent, rinsed with water and sanitized. The instruction manual for the Globe Model 3600N Slicer documented that the entire slicer must be both cleaned and sanitized after use to prevent the spread of foodborne illness. The removeable parts should be placed in a dishwasher or a three-compartment sink with warm water and mild detergent, soaked and thoroughly scrubbed, then rinsed…

    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 · D2025-02-25 · tag F0868 — isolated
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview during the Recertification Survey conducted from 02/18/2025 to 02/25/2025, the facility did not ensure that the Infection Preventionist was a member of the facility's Quality Assessment and Assurance committee and reported to the committee on the Infection Prevention and Control Program on a regular basis. Specifically, the Infection Preventionist had not participated in any of the Quality Assurance & Performance Improvement meetings held between 02/20/2024 and 01/28/2025. The findings are: The 2024 Quality Assurance and Performance Improvement Plan effective December 2024 documented that the Quality Assurance and Performance Improvement Committee reports to the executive leadership and Governing Body and shall meet, minimally, four times per year to identify, screen, evaluate and key facility functions. It documents that the Quality Assurance and Performance Improvement Committee's members included the Infection Prevention and Control Officer. The document titled Quality Assurance and Performance Improvement dated 02/18/2025 did not list 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
Show the remaining 13 citations
  • Potential for harm · E2023-03-06 · tag F0657 — failed to keep the care plan current — pattern
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews conducted during the Recertification and Complaints survey (NY#00311731) from 02/27/2323 through 03/06/2023, the facility did not ensure that (1) residents' Comprehensive Care Plans (CCP) were reviewed and revised after each assessment, and (2) each resident or resident representative was offered the opportunity to participate in the review of their CCP. This was evident for 5 of 8 residents reviewed for Abuse, 1 of 5 residents reviewed for unnecessary Medication, and 1 of 2 resident review for care planning out 41 residents. (Resident #12, #40, # 173, #181, and #390) Specifically: (1) Care plans for Abuse were not revised quarterly and as needed for Residents # 40, and # 173. (2) Care plan for behavior and abuse was not revised to reflect Resident #181 aggressive behavior. (3) Care plan for behavior and psychotropic drug use was not revised quarterly for Resident # 390. (3) Residents # 12 was not invited to their care plan meetings. The findings include but…

    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 · D2023-03-06 · 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 staff interview during the recertification survey, the facility did not ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source, are reported immediately, but not later than 2 hours after the allegation, if the allegation involves abuse or results in serious bodily injury, to the state agency. This was evident for 1 (Resident #63) of 2 residents reviewed for accident. Specifically, an incident where Resident #62 was found on the floor, near the exit door, with a hematoma was not reported to New York State Departement of Health (NYS DOH). The finding is: The facility policy on Accident and Incident Reporting, revised 7/13/22 documented: Our facility strives to make the environment as free from accident hazards as possible. Resident safety and supervision and assistance to prevent accidents are facility-wide priorities. Resident #62 was admitted to the facility with diagnoses that included Depression,…

    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 · D2023-03-06 · tag F0744 — failed to care for residents with dementia — isolated
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during a Recertification Survey, the facility did not ensure a resident who is diagnosed with dementia, receives the appropriate treatment and services to attain or maintain his or her highest practicable physical, mental, and psychosocial well-being. This was evident for 1 (Resident #114) out of 5 residents reviewed for Unnecessary Medications. Specifically, a Comprehensive Care Plans (CCP) related to Dementia was not developed for Resident #114. The findings are: The facility policy titled Dementia- Clinical Protocol last dated 02/15/23 documented the following: For individual with confirmed dementia, the interdisciplinary Team (IDT) will identify a resident-centered care plan to maximize remaining function and quality of life. Resident #114 had diagnoses which include Dementia, Depression, and Bipolar Disorder. The most recent Minimum Data Set 3.0 (MDS) assessment dated [DATE] documented Resident #114's cognition was severely impaired. The MDS…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-06 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record reviews and interviews conducted during the Recertification survey from 2/27/23 to 3/6/23, the facility did not ensure that medication error rates were not 5 percent or greater. This was evident for 2 of 26 medication observations conducted during the Medication Administration task. Specifically, medications were not administered as ordered by the physician: 1). Fluoxetine 20 mg 1 capsule was administered to resident #43 instead of 3 capsules (60 mg). and 2). Brimonidine/Alphagan P 0.15 % eye drops were omitted for Resident #87, leading to a medication error rate of 7.69%. The findings are: 1.) Resident #43 was admitted to the facility with diagnoses that included Generalized Osteoarthritis and Pressure Ulcers. The Physician order dated 5/31/22, last renewed on 3/1/23 documented the following: Fluoxetine 20 mg capsule give 3 capsules (60 mg) by oral route once daily. The medication was scheduled for 09:00 AM On 03/02/23 at 10:12 AM during a medication administration observation conducted on Unit 2, the Licensed Practical Nurse (LPN) #3 administered…

    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 · Fcited before2020-02-19 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interview, and record review conducted during the recertification survey, the facility did not ensure that food was prepared and served in a sanitary manner. Specifically, 1) cold sandwiches were not maintained at the proper temperature of 41 degrees Fahrenheit (F) or below; and 2) kitchen staff were observed not following proper handwashing guidelines. The findings are: 1) The facility policy and procedure related to Recording-Food Temperatures Prior to Meal Services dated 10/20/19 documented that all food temperatures will be recorded immediately before serving all meals. Cold items should be between 38 and 40 F. On 02/13/20 at 11:14 AM, the Food Service Director (FSD) was observed calibrating a thermometer in the kitchen to test food items that were being served on for the lunch meal. An egg salad sandwich that was sitting on the food prep station, waiting to be transported to the floor for a snack later was tested with the thermometer. The reading was 52 F. A second egg salad sandwich was obtained from inside the kitchen refrigerator and tested with 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2020-02-19 · tag F0656 — failed to write and follow a full care plan — pattern
    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 conducted during the recertification survey, the facility did not ensure that a comprehensive person-centered care plan to meet a resident's medical and nursing needs as identified in the comprehensive assessment was developed for each resident. Specifically, (1) a resident with a tracheostomy (trach) did not have a comprehensive care plan (CCP) related to tracheostomy care; (2) a resident's Dialysis CCP had interventions for an av shunt when the resident had a permacath; and (3) a resident's Urinary Incontinence/Indwelling Catheter CCP did not include interventions to address the care needs for a capped Suprapubic catheter and Foley catheter. This was evident for 3 out of 38 sampled residents (Resident #s 82, 434, and 9). The findings are: 1) Resident #82 had a diagnosis of pneumonia, lower respiratory infection, and acute respiratory failure with hypoxia. The Quarterly Minimum Data Set 3.0 (MDS) assessment dated [DATE] documented the resident had severely…

    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 · E2020-02-19 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews conducted during the recertification survey, the facility did not ensure that infection control practices were maintained. Specifically, proper hand washing technique between glove changes during tracheostomy (trach) care, maintaining a sanitized barrier for supplies during catheter care, and creating a sanitary barrier for a resident's wound during wound care were not observed. This was evident for 3 of 38 sampled residents observed for Infection Control (Resident #82, #9, and #334), The findings are: 1. ) A facility policy and procedure related to Tracheostomy was dated 3/20/19 and documented that the nursing staff are to clean and dry the overbed table prior to providing trach care and should remove gloves and wash hands prior to donning new gloves. A policy and procedure related to Infection Control - Hand Washing was dated 6/21/18 and documented that hands should be decontaminated after removing gloves and between glove changes. Resident #82 had a…

    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 · D2020-02-19 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews conducted during the recertification survey, the facility did not ensure that each resident was treated with respect and dignity and cared for in a manner that promotes his or her quality of life. Specifically, a nurse did not knock on the resident's door prior to entering, verbally address the resident, or explain the procedure being done when they provided tracheostomy (trach) care. This was evident for 1 of 1 residents reviewed for Dignity (Resident #82). The findings are: Resident #82 had a diagnosis of pneumonia, lower respiratory infection, and acute respiratory failure with hypoxia. The Quarterly Minimum Data Set 3.0 (MDS) assessment dated [DATE] documented the resident had severely impaired cognition, and the resident required oxygen therapy, suctioning, and tracheostomy care while a resident. On 02/18/20 at 03:26 PM, Registered Nurse (RN #3) was observed wheeling a treatment cart to the room of Resident #82. RN #3 began to prepare to change 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-02-19 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    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, the facility did not ensure that a resident's personal privacy was respected during care. Specifically, a resident received tracheostomy (trach) care with the door open and within view of visitors, staff, and residents. This was evident for 1 of 1 residents reviewed for Privacy (Resident #82). The findings are: The policy and procedure related to Tracheostomy was dated 3/20/19 and documented that nursing staff should identify the resident and provide privacy prior to providing tracheostomy (trach) care. Resident #82 had a diagnosis of pneumonia, lower respiratory infection, and acute respiratory failure with hypoxia. The Quarterly Minimum Data Set 3.0 (MDS) assessment dated [DATE] documented the resident had severely impaired cognition, and the resident required oxygen therapy, suctioning, and tracheostomy care while a resident. On 02/18/20 at 03:26 PM, the Registered Nurse (RN #3) was observed wheeling a 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 · D2020-02-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during the recertification survey, the facility did not ensure that a resident received adequate supervision to prevent accidents. Specifically, a resident receiving 1:1 supervision fell in her room, and an investigation was not initiated. This was evident for 1 of 4 residents reviewed for Accidents (Resident #114). The findings are: The policy and procedure related to 1:1 Companion, last updated 2/10/18, documented that the private aide/companion should assist the resident in and out of bed, provide personal care, and observe residents when giving care and report changes to the Charge Nurse. The policy and procedure related to Accidents/Incidents dated 4/3/19 documented that when an accident/incident occurs, the Charge Nurse will complete the accident/incident report form. The form will be reviewed and signed by the Registered Nurse Supervisor. The completed Accident/Incident (A/I) report form and all pertinent statements will be given to 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-02-19 · tag F0726 — failed to have competent, trained nursing staff — isolated
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview conducted during a recertification survey, the facility did not ensure that licensed nurses have the specific competencies and skill sets necessary to care for residents' needs, as identified through resident assessments, and described in the plan of care. Specifically, the facility did not provide documentation to verify that a newly hired registered nurse observed making breaches in infection control and using improper technique during wound care completed a wound care competency. This was evident for one nurse providing wound care to 1 of 3 residents reviewed for Pressure Ulcer (#334) . The finding is: Resident #334 was admitted with diagnoses which include Parkinson, Bipolar Disorder, and left arm fracture. The 2/8/20 admission Minimum data Set 3.0 (MDS) assessment documented the resident had severely impaired cognition. The resident had two Stage 1, one Stage 2, and three unstageable pressure ulcers present upon admission. The 2/20/20 physician's orders included treament orders to cleanse the left heel, left proximal lateral foot, left distal…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-02-19 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and staff interview during the recertification survey, the facility did not ensure that narcotics administered to residents were recorded and reconciled on the narcotics record. Specifically, the Licensed Practical Nurse (LPN #1) administered Narcotic medications to Resident # 1(Tramadol), Resident #2 ((Hydrocodone), and Resident #3 (Alprazolam) without an accurate reconciliation on the narcotic record. This was evident for 3 resident narcotic records on 1 of 4 floors reviewed for the Medication Storage task (1st floor). The findings are: The Facility's Policy and Procedure titled Administration of Medications dated 03/27/2019 documented that a Narcotic record is kept for each narcotic administered. During a medication storage observation conducted on 02/19/2020 at 3:00 PM, three resident narcotics reconciliation records did not reflect the number of tablets remaining in the blister pack. The following narcotic reconciliation records and blister packs were reviewed: 1) A Tramadol blister pack for Resident #1 contained 25 tablets. The Controlled…

    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 · D2020-02-19 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review conducted during recertification survey, the facility did not ensure medical records that are accurately documented were maintained. This was evident for 1 of 7 residents (#75) reviewed for unnecessary medications and 1 of 3 residents (#334) reviewed for pressure ulcers out of a total sample of 38 residents. The findings are: 1.) Resident #75 was admitted to the facility with diagnoses including Depression, Neuralgia and Neoplasm of the ovary. The 9/18/19 admission Minimum data Set (MDS: an assessment tool) revealed resident #75 was cognitively intact and received 7 days of antidepressant therapy. The current physician's orders documented medication orders for Clonazepam 0.5 mg (milligrams) twice daily (initiated 10/16/19) and Gabapentin 400mg 3 times daily (initiated 1/27/20). Review of the 2/2020 Medication Administration Record (MAR) documented that on 2/15/20 and 2/16/20 the Gabapentin and Clonazepam with an administration time of 6PM was signed off as being administered on 2/15/20 and 2/16/20 at 6AM. 2) Resident #334 was admitted with…

    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

“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

$14,819 in federal fines across 5 penalties.

  • $3,176 — penalty dated 2023-11-20
  • $2,823 — penalty dated 2023-11-13
  • $2,470 — penalty dated 2023-11-06
  • $2,117 — penalty dated 2023-10-30
  • $4,233 — penalty dated 2023-10-10

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.

Who owns this facility

Owner / managerTypeRoleShareSince
ISAAC E GOLDBRENNER ESTATEOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF33%since 02/19/2024
BRACHFELD, JOSEPHIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF33%since 10/01/2021
HARTMAN, ISRAELIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF33%since 10/01/2021
FELDMAN, BENJAMINIndividualOPERATIONAL/MANAGERIAL CONTROLsince 05/01/2006
SAXENA, AMITIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/21/2019
SMYTH, STEVENIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/09/2025
2323 EASTCHESTER LLCOrganizationADP OF THE SNFsince 12/12/2000
MEDCO ENTERPRISES, INC.OrganizationADP OF THE SNFsince 04/09/2025

CMS files one row per role, so the 15 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

3 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.

$22.6M
Net patient revenuemost recent cost report
+1.0%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 70%Medicare 6%Other / private 24%

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

$314per resident / day
operating cost
$9,541per month
≈ monthly operating cost
$317per 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 335723. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-02-25, 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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