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Morris Park Rehabilitation and Nursing Center

1235 Pelham Parkway North, Bronx, NY 10469 · For profit - Limited Liability company · 191 certified beds · (718) 231-4300 Medicare & Medicaid certified

Call the home — (718) 231-4300 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
1 actual-harm citation1 immediate-jeopardy citation CMS recorded as corrected before the inspection ended (past non-compliance)
Insights

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

In its favor
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has 1 actual-harm citation
  • inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (1/5)
  • its payroll-based staffing rating is low (1/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 1 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 4 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
2114 Williamsbridge Rd · (347) 281-8900 · Call to confirm hours
Pharmacy
2111 Williamsbridge Rd · (347) 691-3701 · Call to confirm hours
Grocery
2137 Williamsbridge Rd · (347) 810-7190 · Call to confirm hours
Park
Williamsbridge Rd/Pelham Py N · 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 4 of 5
Long-stay residentspeople who live here 4 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 held steady at 1 stars. From monthly CMS archive snapshots.

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

Overall rating1★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased12.0%14.1%15.4%better
Long-stay residents who lose too much weight4.2%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 infection0.9%1.3%2.0%better
Long-stay residents with depressive symptoms64.3%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 injury0.9%3.1%3.3%better
Long-stay residents whose ability to walk worsened20.9%12.5%16.1%worse
Long-stay residents on antianxiety or hypnotic medication5.7%13.2%18.9%better
Long-stay residents given the seasonal flu vaccine98.9%95.3%95.3%typical
Long-stay residents with pressure ulcers6.7%6.5%4.7%worse
Long-stay residents with worsening bladder/bowel control14.9%19.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table14.2%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 vaccine78.0%78.8%79.4%typical
Short-stay residents rehospitalized after admission23.8%20.6%22.6%typical
Short-stay residents with an outpatient ER visit5.5%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days1.941.701.67worse
Long-stay outpatient ER visits per 1,000 resident days0.711.361.80better

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.

41.8% 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 61 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

41.8%U.S. median 51.5%
Got home and stayed home
10.6%U.S. median 10.7%
Went back to hospital
72.6%U.S. median 56.6%
Met the expected recovery
not reportedno hours filed
Therapy hours / resident / day

Met the expected recovery: 72.6% 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 62 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: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.

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 SNF41.8%CMS range 30.0–53.651.5%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 7.6–15.210.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge72.6%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 discharge69.3%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 discharge61.3%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 identified71.2%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 setting100.0%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 stay1.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened6.7%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.3%CMS range 4.0–11.37.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.081.02Oct 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

0.41
RN hours/ resident / day
0.48
LPN hours/ resident / day
1.85
Aide hours/ resident / day
2.74
Total nurse hours/ resident / day
0.24
RN hoursweekends
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 191 beds and averages 187.2 residents a day — about 98% occupied, or roughly 4 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 2.74 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.41 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.85 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 2.47 hrs/resident/day on weekends vs 2.85 on weekdays — 13% thinner on weekends. RN hours go from 0.48 to 0.24 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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

3
deficiencies at the latest standard inspection (2025-01-31)
7
at the previous standard inspection (2023-07-03)

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.

21 citations, most serious first. The 12 most serious are shown; the remaining 9 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2026-05-14 · 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 observation, record review, and interviews during survey, the facility failed to ensure residents received adequate supervision to prevent elopement. This was evident in one out of six residents (Resident #1) sampled for elopement. Specifically, Resident #1, who was severely cognitively impaired, with a history of wandering behavior and identified as an elopement risk exited the facility grounds unsupervised on 05/08/2026 at 12:30:40 AM per video surveillance footage and has not been found. Resident #1 exited through the New Wing Hall lobby (1st floor); the alarm on the exit door did not activate due to alarm system malfunction. Resident #1 was last seen on 05/08/2026 at 12:15 AM by Certified Nursing Assistant #1 in a hallway on the first-floor unit. Resident #1 was not identified as missing until 8:20 AM. This resulted in Immediate Jeopardy Past Noncompliance.The findings include:The facility's policy and procedure titled Care of Residents with Wandering Behavior dated 12/05/2025 states that policy is…

    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 · Past Non-Compliance
  • Actual harm · Gcited before2023-07-03 · 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 observation, record review, and interview conducted during a Recertification and Abbreviated (NY00312961) survey, the facility failed to ensure a resident received adequate supervision to prevent accidents. This was evident for 1 (Resident #284) of 4 residents reviewed for Accidents of 38 total sample residents. Specifically, on 3/19/2023 Resident #284 fell in their room when left unsupervised by a Certified Home Health Aide (HHA) #1 assigned to provide the resident one-to-one (1:1) observation. Subsequently, Resident #284 sustained a left scalp hematoma (bruising and swelling) and left hip fracture. This resulted in actual harm to Resident #284 that was not immediate jeopardy. The findings are: The facility policy titled Constant Observation for Safety of Resident dated reviewed 3/20/2023 documented constant observation is for a resident who is always kept within visual contact (eyesight), with no visual barriers between staff and resident, enabling rapid intervention to transfer the resident 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 · F2026-05-14 · tag F0851 — widespread
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and record reviews, the facility failed to ensure that the direct care staffing information based on payroll data was submitted based on the schedule specified by the Centers for Medicare and Medicaid Services. Specifically, the facility failed to submit the direct care staffing data for fiscal year Quarter 1/2026 (10/01/2025 - 12/31/2025) timely.The findings include:The Centers for Medicare & Medicaid Services Electronic Staffing Data Submission Payroll-Based Journal, Long Term Care Facility Policy Manual version 2.7 dated 06/2025 documented Section 6106 of the Affordable Care Act requires facilities to electronically submit direct care staffing information (including agency and contract staff) based on payroll and other auditable data. Direct care staffing and census data will be collected quarterly and is required to be timely and accurate. Staffing and census data will be collected for each fiscal quarter. The deadline for submissions must be received by the end of the 45th calendar day (11:59 PM Eastern Time) after the last day in each fiscal quarter in…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-05-14 · 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 interviews during survey the facility failed to ensure that services provided or arranged by the facility met professional standards of quality. This was evident in one (1) out of six (6) residents (Resident #1) sampled. Specifically, on 05/08/2026, Licensed Practical Nurse #1 documented in the Medication Administration Record that they administrated medications to Resident #1 and took the resident's vital signs at 7:00 AM. Additionally, Licensed Practical Nurse #1 documented in the Treatment Record that they monitored Resident #1 at 7:30 AM. According to the facility video surveillance footage, Resident #1, who was severely cognitively impaired, with a history of wandering behavior and identified as an elopement risk exited the facility grounds unsupervised on 05/08/2026 at 12:30:40 AM and has not been found. Resident #1 was last seen on 05/08/2026 at 12:15 AM by Certified Nursing Assistant #1 in a hallway on the first-floor unit. Resident #1 was not identified as missing until 8:20…

    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 · Past Non-Compliance
  • Potential for harm · D2026-05-14 · tag F0835 — failed to run the facility competently — isolated
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews, the facility failed to ensure the facility 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 Administrator and the Director of Nursing failed to identify hazards and risks to ensure residents were adequately supervised to avoid elopement. Immediate Jeopardy was determined on 05/13/2026 when direct care and nursing staff failed to ensure Resident #1 received adequate supervision with safety monitoring to prevent an elopement. Resident #1 was able to exit the facility unsupervised on 05/08/2026 at 12:30:40 AM due to alarm system malfunction. Resident #1 who was severely cognitively impaired, with a history of wandering behavior and identified at risk for elopement has not been found. These circumstances subjected to likelihood of serious adverse outcome that was immediate jeopardy for Resident…

    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 · Past Non-Compliance
  • Potential for harm · D2026-05-14 · 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 record review, and interviews during survey conducted the facility failed to ensure medical records were complete and accurately documented in accordance with accepted professional standards and practices. Licensed Practical Nurse #1 failed to accurately document in Resident #1's medical record. This was evident for one (1) of six (6) residents (Resident #1) sampled. Specifically, on 05/08/2026, Licensed Practical Nurse #1 documented in the Medication Administration Record that they administrated medications to Resident #1 and took the resident's vital signs at 7:00 AM. Additionally, Licensed Practical Nurse #1 also documented that they monitored Resident #1 at 11:30 AM and 7:30 AM in the Treatment Record that they monitored Resident #1 at 7:30 AM. According to the facility video surveillance footage, Resident #1, who was severely cognitively impaired, with a history of wandering behavior and identified as an elopement risk exited the facility grounds unsupervised on 05/08/2026 at 12:30:40 AM and has not been found. Resident #1 was last seen on 05/08/2026 at 12:15 AM by…

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

    Resident Assessment and Care Planning Deficiencies · Past Non-Compliance
  • Potential for harm · F2025-01-31 · tag F0725 — failed to have enough nursing staff — widespread
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the Recertification and Abbreviated Survey (NY00365258) conducted from 01/26/2025 to 01/31/2025, the facility did not ensure that sufficient nursing staff was consistently provided to meet residents' needs in a manner that promotes each resident's rights, physical, mental, and psychosocial well-being, as determined by resident assessments and individual plans of care. Specifically, 1.) Several residents reported the facility was short staffed of Certified Nursing Assistants which resulted in lack of timely staff response to residents who needed assistance, 2.) Multiple nursing staff members reported lack of sufficient staffing, 3.) Facility's staffing levels were repeatedly below facility assessed levels, and 4.) Excessively low weekend staffing was triggered in the Payroll Based Journal Staffing Data Report. The findings include but are not limited to: 1.) The facility's policy titled Staffing Coverage with a last reviewed date of 12/01/2024 documented…

    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 · E2025-01-31 · tag F0761 — failed to label and store drugs safely — pattern
    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 observation, record review, and interviews during the Recertification Survey conducted from 01/26/2025 to 01/31/2025, the facility did not ensure drugs and biologicals were stored in accordance with professional standards of practice. This was evident in 2 of 5 units observed. Specifically, 1.) Unit 4 emergency drug box contained expired medications, and 2.) Unit 5 medication cart was observed with insulin pens that were not properly and sanitarily stored and were not marked with the dates they were opened. The findings are: The facility's policy titled Storage of Medications with a revised date of 10/20/2023 documented that the facility shall store all drugs and biologicals in a safe, secure and orderly manner. All medications will be stored, distributed, and administered, in compliance with all applicable laws and regulations. The nursing staff shall be responsible for maintaining medication storage. The facility shall not use discontinued, outdated or deteriorated drugs or biologicals. All such drugs shall be returned to the dispensing pharmacy for destruction. 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-01-31 · 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 observation, record review, and interviews during the Recertification Survey conducted from 01/26/2025 to 01/31/2025, the facility did not ensure food were stored in accordance with professional standards for food service safety. This was evident during kitchen and dining observation. Specifically, 1.) The kitchen walk-in refrigerator and freezer contained opened and undated food items. 2.) The 5th floor unit refrigerator contained unlabeled and undated food items. The findings are: 1.) The facility's policy titled Stock Rotation/Dated Items and Safe Defrosting of Nutritional Items with a revised date of 01/28/2025 documented that items received from the meat and chicken company will be placed in a plastic bin with a cover. The bins will be labeled with date arrived, date pulled for defrosting, and the date to be used. On 01/26/2025 at 11:33 AM, kitchen observation revealed the following: the freezer was observed with 6 plastic bins containing frozen meats that were not labeled/dated. The walk-in refrigerator was observed with 4 plastic bins containing thawed meat and an…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-08 · 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 observation, record review, and interviews conducted during an Abbreviated Survey (NY00340915), the facility failed to ensure that a resident received adequate supervision to prevent an elopement. This was evident in one out of six residents sampled (Resident #1). Specifically, Resident #1 exited the facility on 05/01/24 at 4:22 pm undetected by staff. Facility staff became aware at 7:10 pm that Resident #1 was missing. According to staff, dinner was served between 5:00 pm and 6:00 pm and they were unaware that Resident #1 was missing. Resident #1 was found by a facility staff member on 05/05/24 at around 4:55 pm at a bus stop and was brought back to the facility. Resident #1 had no visible injuries but was sent to the hospital for a wellness check. The findings are: The facility's Policy titled Wandering and Elopement, last reviewed date 11/20/23, documented that the policy of this facility is to ensure that residents will be maintained in a safe and secure manner and protected from any harm. 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 · Past Non-Compliance
  • Potential for harm · Fcited before2023-07-03 · 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 observation, record review, and staff interview conducted during the recertification survey from 6/26/23 to 7/3/23, the facility did not ensure that food was stored, prepared, distributed and served in accordance with professional standards for food service safety. This was observed during review of the Kitchen. Specifically, cold sandwiches and milk were not maintained at the proper temperature of 41 degrees Fahrenheit (F) or below. The findings are: The facility's policy titled Refrigerators and Freezers dated 11/1/21 documented that the facility will ensure safe refrigerator/freezer maintenance, temperatures, sanitation and will observe food expiration guidelines. During an observation of the kitchen on 6/28/23 at 11:30 AM, the Food Service Director (FSD) and the Dietary [NAME] (DC) #2 were observed calibrating a thermometer in the kitchen to test food items on the tray line. DC #2 removed two turkey sandwiches and FSD removed 4-ounce milk from the walk-in fridge. Temperature checks of the cold food items revealed that 1) turkey sandwich measured 52 degrees F, 2) second…

    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 · F2023-07-03 · 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

    Based on observation, interviews, and record review conducted during the recertification survey from 6/26/23 to 7/3/23, the facility did not implement an effective pest control program so the facility is free of pests. This was evident during environmental observations. Specifically, fruit flies were observed during the initial tour of the kitchen, in food service director's (FSD) office and in the conference room of the facility. The findings are: The facility policy titled Pest Control dated 11/2/21 documented the facility shall establish and maintain an integrated pest control program to ensure a healthy, clean, and safe environment for our residents, families, and staff and to comply with infection control practices. On 6/26/23 at 9:31 AM, an initial tour of the Kitchen was conducted with the Dietary [NAME] (DC). Multiple fruit flies were observed flying around the ice machine and a puddle of water dripping from the ice machine. Behind the ice maker was observed with open drainage exposed and standing water. On 6/26/23 at 11:40 AM, fruit flies were observed in the FSD office. On…

    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
Show the remaining 9 citations
  • Potential for harm · E2023-07-03 · tag F0638 — pattern
    Assure that each resident’s assessment is updated at least once every 3 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and record review conducted during the recertification survey conducted from 6/26/23 to 7/3/23, the facility did not ensure residents received a Minimum Data Set 3.0 (MDS) assessment not less frequently than once every 3 months. This is evident for 16 (Resident #s 4, 20, 28, 41, 47, 61, 72, 103, 117, 131, 139, 144, 151, 156, 165 and 170) of 17 residents reviewed for Resident Assessment. Specifically, MDS assessments for Resident #4, Resident #20, Resident #28, et al. were not completed within 14 days of the Assessment Reference Date (ARD). The findings are but not limited to: The facility's policy titled MDS Completion and Submission dated 9/15/21 documented the facility shall ensure that MDS assessments are completed and submitted within federal and state guidelines. 1) Resident #4's MDS with ARD of 5/31/23 documented a completion date of 6/26/23, more than 14 days after the ARD. had a quarterly assessment with assessment reference date of 5/31/23 and completion date of 6/26/23. The assessment was submitted late on 6/26/23. 2) Resident #20's MDS with ARD of…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-07-03 · tag F0924 — pattern
    Put firmly secured handrails on each side of hallways.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, record review, and interviews conducted during a Recertification Survey from 06/26/23 to 07/03/23, the facility did not ensure handrails remain firmly affixed to the wall. Specifically, loose hands were observed on 2 (Unit 1 and 4) of 5 units. Specifically, there were observations of handrails in the hallways on Unit 1 and Unit 4 that were not firmly affixed to the wall. The findings are: On 06/26/23 between 10:50 AM and 11:50 AM, Unit 1 was observed with handrails near the elevators and near the staff bathroom that were not firmly affixed to the wall and Unit 4 was observed with handrails near the corridor and elevators that were not firmly affixed to the wall. On 07/03/23 at 09:30 AM, The Maintenance Director was interviewed and stated they make rounds and check the Maintenance logbook on each of the units. The Maintenance Director checks for loose handrails when they walk through the units and check with the nurses to ask if there is anything that needs to be addressed. 415.29

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-07-03 · 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 observation, record review, and interviews conducted during the Recertification survey from 6/26/23 to 7/3/23, the facility did not ensure a resident was treated with respect and dignity and cared for in a manner that promoted maintenance or enhancement of their quality of life. This was evident for 1 (Resident #123) of 2 residents reviewed for Dignity out of 38 total sampled residents. Specifically, Resident #123 was observed wearing the same blood-stained shirt on 3 consecutive days. The findings are: The facility policy titled Activities of Daily Living (ADL) dated 3/3/21 documented residents are provided the necessary support in dressing and personal hygiene. The facility policy titled Resident Rights and Responsibilities dated 12/20/22 documented the facility would ensure that all residents are afforded the right to a dignified existence and courtesy in treatment and care for personal needs. Resident #123 had diagnoses of bipolar disorder and anxiety disorder. The Minimum Data Set 3.0 (MDS)…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-07-03 · 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

    Based on observation, interviews, and record review conducted during the Recertification survey from 6/26/23 to 7/3/23, the facility did not ensure that infection control practices were maintained. This was evident for 1 (Unit 1) of 5 Units observed for Dining. Specifically, a Certified Nursing Assistant (CNA) was observed with their fingers inside cups being served to residents during lunch. The finding is: The facility policy titled Handling Food, Cups & Feeding Utensils dated 05/20/22 documented cups must be picked up touching from the base/bottom. No fingers must touch the rim or inside of the cup. On 06/26/23 at 12:15 PM, CNA #3 was observed during lunch service on Unit 1 with their fingers inside plastic water cups being filled with water and served to residents. The CNA #3 was interviewed at 2:20PM on 06/26/23 and stated they did not realize their fingers were inside the water cups. CNA #3 thought they were grabbing the cups from the bottom to prevent contamination and promote infection control. On 06/29/23 at 09:42 AM, Registered Nurse (RN) #2 was interviewed and stated they…

    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 · D2021-06-10 · 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 reviews and interviews conducted during the Recertification survey, the facility failed to notify a resident's medical provider when there was a need to alter treatment significantly. Specifically, a resident's medical provider was not informed when the resident's blood sugar increased to 409 on two occasions. This was evident for 1 of 5 residents reviewed for Unnecessary Medications out of a sample of 35. (Resident # 95) The finding is: The Facility's policy titled, Notification of Change In Resident Condition dated 8/23/20 documents it is the policy of the facility that changes in resident's condition are immediately shared with the resident/representative and reported to the attending physician. The nurse should immediately notify the resident's physician and the resident when there is a significant change in the health of the resident. Resident #95 was admitted with diagnoses which include diabetes, heart failure, hyperlipidemia, hypertension, and heart disease. The Minimum Data Set 3.0 (MDS)…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-06-10 · 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 observations, interview, and record review conducted during the recertification survey the facility did not ensure that a sanitary environment was maintained. Specifically, a resident's hand splint was worn and caked with dirt on multiple occasions. This was evident for 1 of 2 resident's reviewed for Environment (Resident #43). The finding is: A facility Policy and Procedure titled Braces was dated 3/20/2017 documented Safekeeping - Keep clean/dry; CNA checks for cleanliness and maintenance and sends it to in-house laundry. Resident # 43 diagnosed with contracture of unspecified wrist. Minimum Data Set, dated [DATE] documented Resident # 43 was cognitively intact and had no splints/braces for contracture of wrist. On 06/03/21 at 11:32 AM, Resident #43 was observed with a left hand splint in place on the left hand and lower arm. The splint had pilling (rolled balls of faded fabric) throughout and brown caked areas near the wrist strap and hand rest. The resident was interviewed and stated the splint on…

    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 · D2021-06-10 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and staff interview conducted during the Recertification survey, the facility did not ensure that a resident received treatment and care in accordance with professional standards of practice. Specifically, there was no evidence that medical follow-up was done to address consistently elevated blood sugars for a resident with Diabetes Mellitus. This was evident for 1 of 35 sampled residents (Resident #59). The finding is: Review of the facility policy dated 8/23/2020, titled Residents with Diabetes documents, Residents with Diabetes will have a plan in place to promote that individuals highest level of wellness. The Interdisciplinary Team (IDT) will evaluate and revise the plan of care on an ongoing basis. Residents response to medication and diet will be monitored in accordance with the best standards of practice. Residents will have blood sugar monitoring done as ordered by the Primary Medical Doctor (PMD), residents finger stick results will be reviewed by the Medical Doctor…

    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 · D2021-06-10 · tag F0711 — isolated
    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
    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 conducted during the Recertification survey, the facility did not ensure that the facility reviewed the resident's total program of care, including medications, and treatments, at each visit. Specifically, there was no documented evidence of medical follow-up for a resident admitted with a diagnosis of Diabetes Mellitus on sliding scale three times a day with Insulin coverage. This was evident for 1 out of a sample of 35 residents (Resident #59). The finding is: Review of the facility policy dated 8/23/2020, titled Residents with Diabetes documents, Residents with Diabetes will have a plan in place to promote that individuals highest level of wellness. The Interdisciplinary Team (IDT) will evaluate and revise the plan of care on an ongoing basis. Residents response to medication and diet will be monitored in accordance with the best standards of practice. Residents will have blood sugar monitoring done as ordered by the Primary Medical Doctor (PMD),…

    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 · Dcited before2021-06-10 · 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 staff interviews, during the recertification survey, the facility did not ensure that infection control practices were followed to prevent the transmission of diseases. Specifically, staff did not change gloves during a wound care observation. This was evident for 1 of 2 residents reviewed for Pressure Ulcers in a sample of 35 (Resident #107). The finding is: The Facility policy on wound care titled, Dressing Change of Pressure Sore and Chronic Wound dated 8/20/2020 documents, All residents with ulceration, sore/chronic wound will be provided treatment as ordered by the Physician. The purpose is to promote healing and or prevent complication of pressure sores and other chronic wounds . The steps for the wound care documented, washes hands, adheres to standard precautions, dons clean gloves, removes old dressing and discards in a plastic bag, washes hands , dons new pair of clean gloves ,cleanses wound or PU with prescribed solution , pats dry surrounding tissue with gauze…

    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

“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
BERKOWITZ, LEOPOLDIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER99%since 09/05/2019
BERKOWITZ, DORIIndividualDIRECT OWNERSHIP INTERESTsince 10/08/2018
GROSS, RONALDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/12/2021
SALAMON, MARKIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/18/2025

CMS files one row per role, so the 7 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

$24.4M
Net patient revenuemost recent cost report
-10.4%
Operating marginrevenue minus expenses
$1.5M
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 88%Medicare 6%Other / private 6%

About 88% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.5M 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

$409per resident / day
operating cost
$12,436per month
≈ monthly operating cost
$371per 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 335347. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-01-31, 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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