St Patrick's Home
66 Van Cortlandt, Park South, Bronx, NY 10463 · Non profit - Church related · 264 certified beds · (718) 519-2800 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- it has an abuse, neglect, or exploitation citation (F0600), cited Jun 2026
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604, F0609, F0610) — 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)
- 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
- the CMS record shows $51,500 in federal fines (most recent 2024-05-09)
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (2/5)
- its payroll-based staffing rating is low (1/5)
- nursing-staff turnover (60%) runs well above the national median (45%)
- its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 1 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
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 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 1 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 13.2% | 14.1% | 15.4% | better |
| Long-stay residents who lose too much weight | 5.7% | 5.8% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.5% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.0% | 1.3% | 2.0% | better |
| Long-stay residents with depressive symptoms | 88.2% | 19.5% | 6.5% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better |
| Long-stay residents with falls causing major injury | 1.2% | 3.1% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 11.5% | 12.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 4.9% | 13.2% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 95.3% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 6.0% | 6.5% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 13.9% | 19.5% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 5.2% | 13.7% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.7% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 91.6% | 78.8% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 24.5% | 20.6% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 4.8% | 9.6% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.85 | 1.70 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 0.31 | 1.36 | 1.80 | better |
‡ 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.
37.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 110 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 77.3% 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 128 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 15% 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
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 37.9%CMS range 29.8–45.5 | 51.5% | Oct 2022–Sep 2024 | worse than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.8%CMS range 6.6–13.3 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 77.3% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 63.3% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 64.1% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 88.8% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS 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 discharge | 93.9% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.6% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 1.8% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 8.8%CMS range 5.5–13.2 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.33 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 264 beds and averages 255.7 residents a day — about 97% occupied, or roughly 8 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 3.38 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.35 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.13 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 2.75 hrs/resident/day on weekends vs 3.64 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 0.40 to 0.21 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 60% is well above the national median of 45%. 1 administrator has left in the past year.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are unchanged from the previous inspection. 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.
This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
21 citations, most serious first. The 12 most serious are shown; the remaining 9 are one tap away and print in full.
- Actual harm · Gcited beforedisputed · IDR2026-06-24 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record reviews, and interviews during survey, the facility failed to ensure that a resident was free from physical abuse. This was evident for one (Resident #1) of four residents reviewed for abuse. Specifically, on 05/27/2025 at 10:10 PM, Resident #1 reported that Certified Nursing Assistant #1 hit them on their nose and grabbed their hand. Registered Nurse Supervisor #1 assessed Resident #1 and noted Resident #1 had a 2-centimeter skin tear on the left arm and a swollen nose bridge. Resident #1 received Tylenol 650 milligrams for pain and was transferred to the hospital on [DATE] at 12:00 AM for evaluation. Resident #1 did not return to the facility. This resulted in actual harm to Resident #1 that was not Immediate Jeopardy.The findings are: The facility policy and procedure titled Abuse Policy with a review date 06/01/2024 documented the facility prohibits the mistreatment, neglect, and abuse of residents/patients and misappropriation of resident/patient property by anyone including 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.
- Actual harm · Gcited before2024-05-09 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews conducted during an abbreviated survey (NY 00338277), the facility failed to protect residents from sexual abuse by nursing home staff. This was evident in two out of ten residents (Resident #1 and Resident #2) sampled for sexual abuse. Specifically, 1. On 04/06/24 at approximately 1:00 pm Resident #1 reported to Certified Nursing Assistant #1 that an Asian man (alleged perpetrator) entered their room and asked Resident #1 to see their hernia; the alleged perpetrator grabbed and fondled Resident #1's penis. Resident #1 reported the sexual abuse occurred on 04/06/24 at 10:00 am. Subsequently during an interview with Resident #1 on 04/16/24 at 12:19 pm, they stated at the time of the incident they were scared. 2. On 04/06/24 at 8:00 pm Resident #2 reported to Licensed Practical Nurse #1 that an Asian man (alleged perpetrator) entered their room and sexually assaulted them on 04/06/24 between 10:30am and 11:00am. Resident #2 was transferred to the emergency room…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2026-06-29 · tag F0725 — failed to have enough nursing staff — widespreadProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interviews, the facility failed to ensure sufficient nursing staff were available to provide nursing and related services to assure resident safety to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing of each resident. Specifically, interviews with residents, resident representatives, and staff members indicated that there were staffing concerns in the facility. Additionally, a review of staffing from 11/02/2024 -12/08/2024, from 01/01/2026-03/31/2026, and from 06/22/2026 -06/29/2026 indicated multiple dates where the facility did not ensure sufficient nursing staffing based on their facility assessment's staffing levels. The Payroll Based Journal Staffing Data Report for 01/01/2026-03/31/2026 triggered for One Star Staffing Rating and excessively low weekend staffing.The findings are:The policy titled Staffing Hours-Clinical last revised on 08/27/2025 documented that the facility provides sufficient staffing to provide care and services for the facility resident population in accordance with State and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-06-29 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to ensure that the resident and the resident representative were promptly notified when there was a need to alter treatment significantly (that is, a need to adjust an existing medication, and to commence a new form of treatment). This was evident for one of one resident (Resident #33) reviewed for Notification of Change out of a sample of 36 residents. Specifically, the facility failed to notify Resident #33's representative when medication was discontinued. Number of residents sampled: 1Number of residents cited: 1.The findings include:The facility policy titled Notification dated 04/2019, last revised 02/2026 stated the facility must consult with the resident immediately if the resident is competent and notify the resident's physician and designated representative when there is a need to alter treatment significantly (that is, a need to discontinue an existing form of treatment due to adverse consequences, or to commence a new form of 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.
- Potential for harm · Ecited before2024-05-09 · tag F0609 — failed to report abuse allegations — patternTimely 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 F609 S/S=E Based on observation, record review, and interviews conducted during an abbreviated survey (NY00338277), the facility did not ensure that all alleged violations involving abuse, neglect, exploitation, and mistreatment, are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides for jurisdiction in long-term care facilities) in accordance with State law through established procedures. This was evident in two out of four residents sampled (Residents #1 and #2). Specifically, 1. On 04/06/24 at approximately 1:00 pm Resident #1 reported to Certified Nursing Assistant #1 that an Asian man (alleged perpetrator)…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-05-09 · tag F0610 — failed to investigate and act on abuse reports — patternRespond appropriately to all alleged violations.
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 (NY00338277) the facility did not report the results of all investigations to the administrator or his or her designated representative and to other officials in accordance with State law, including to the State Survey Agency, within 5 working days of the incident, and if the alleged violation is verified appropriate corrective action must be taken. This was evident in two out of four residents sampled (Residents #1 and #2). Specifically, 1. On 04/06/24 at approximately 1:00 pm Resident #1 reported to Certified Nursing Assistant #1 that an Asian man (alleged perpetrator) entered their room and asked Resident #1 to see their hernia and then the alleged perpetrator grabbed and fondled Resident #1's penis. Resident #1 reported that the sexual abuse occurred on 04/06/24 at 10:00 am. During an interview with Resident #1 on 04/16/24 at 12:19 pm, Resident #1 stated that at the time of the incident they were scared. The facility…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-02-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure 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 record review and interviews conducted during the recertification and complaint (NY00310433 and NY00316167) survey from 2/8/2024 to 2/15/2024, the facility did not ensure residents received adequate supervision to prevent accidents. This was evident for 2 (Resident #11 and #149) of 6 residents reviewed for accidents out of 39 total sampled residents. Specifically, 1) Resident #11, who is cognitively impaired with agitated behaviors, sustained a laceration on the left lower and upper leg when being transferred from chair to bed; 2) Resident #149, a cognitively impaired resident, did not receive adequate supervision and interventions to prevent seven falls in eight months. The findings are: The facility policy titled Accident-Incident dated 7/2023 documented all accidents, incidents, and adverse events occurring on the facility premises which is not consistent with the routine operation of the facility or care of a particular resident are monitored and evaluated. The occurrence may be a fall, skin tear,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-02-15 · tag F0880 — failed to prevent and control infections — patternProvide 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, record review, and staff interviews conducted during the recertification/complaint survey, the facility did not ensure infection control practices and procedures were maintained to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections. This was evident for 2 (8th and 5th Floors) of 6 resident units. Specifically, 1) Licensed Practical Nurse #2 did not sanitize a blood pressure cuff in between resident use, and 2) Licensed Practical Nurse #6 did not sanitize a glucometer in between resident use. The findings are: The facility policy titled Equipment - Cleaning and Disinfecting dated 01/2023 documented resident care equipment, including reusable items, will be cleaned and disinfected. The glucometer should be disinfected after use on each patient. On 02/09/2024 at 8:34 AM, Licensed Practical Nurse #2 was observed on the 8th Floor using a blood pressure cuff on Resident #29's arm, then placing the cuff on a chair next to the resident while gathering medication. After administering…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-02-15 · tag F0609 — failed to report abuse allegations — isolatedTimely 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 record review and interviews conducted during the recertification and abbreviated (NY00316167) survey from 2/8/2024 to 2/15/2024, the facility did not ensure all alleged violations involving an injury of unknown origin were reported immediately, but not later than 2 hours after the allegation was made, to the New York State Department of Health. This was evident for 2 (Resident #34 and #149) of 39 total sampled residents. Specifically, 1) Resident #34 was found to have a left upper arm fracture of unknown origin that was not reported to the New York State Department of Health, and 2) the facility did not report an unwitnessed incident resulting in a hematoma to Resident #149's head to the New York State Department of Health. The findings are: The facility policy titled Prevention, Identification, and Reporting of Abuse, Neglect, Mistreatment or Exploitation of a Resident dated 8/2023 documented the facility will report alleged violations immediately but not later than 2 hours if the alleged violation…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-02-15 · tag F0657 — failed to keep the care plan current — isolatedDevelop 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 record review and interview conducted during the Recertification survey from 2/8/2024 to 2/15/2024, the facility did not ensure that resident comprehensive care plans were reviewed and revised after each assessment. This was evident for 2 (Resident #106 and #160) of 39 total sampled residents. Specifically, 1) the care plan related to Resident #106's pain management was not reviewed and revised upon assessment, and 2) the care plan related to Resident #160's anticoagulant use was not reviewed and revised upon assessment. The findings are: The facility policy titled Care Plans - Comprehensive dated 10/2019 documented assessments of residents are ongoing and care plans are revised as information about the residents and their condition changes. 1) Resident #106 had diagnoses of heart failure and renal failure. The Minimum Data Set 3.0 assessment dated [DATE] documented Resident #106 was cognitively intact, received pain medication, and should have a pain assessment conducted. The Comprehensive Care Plan…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-11-17 · tag F0568 — isolatedProperly 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 record review and staff interviews conducted during the Recertification survey, the facility did not ensure that individual financial records were available to the resident through quarterly statements. Specifically, a resident did not receive quarterly statements in July 2021 and October 2021. This was evident for 1 out of 1 residents reviewed for Personal Funds out of a sample of 31 residents. (Resident # 32). The finding is: The facility policy Patient Trust Funds, revised January 2019, documented quarterly statements of resident's funds will be distributed to the resident's responsible party. The policy documented it is the responsibility of the administrator and executive director to ensure the resident trust accounts are in compliance with corporate and regulatory policy. Resident # 32 was admitted to the facility with diagnoses that included Parkinson's Disease, Malnutrition, and Unspecified Dementia without behavioral disturbance. The Quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE]…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2021-11-17 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 observation, interviews and record reviews conducted during a recertification survey the facility did not ensure that a person-centered, comprehensive care plan was developed and implemented to meet a resident's concerns and address the resident's medical, physical, mental and psychosocial needs. Specifically, a resident had a physician order for a Wander Guard but no current care plan in place to address wandering or elopement. This was evident for 1 out of 1 residents reviewed for wandering/elopement out of a sample of 34 residents. (Resident # 66). The findings are: The facility's policy and procedure entitled Comprehensive Care Plan states that whenever a problem or concern is identified that is not self-limiting (a condition that would normally resolve without further intervention), it is the responsibility of the discipline involved to develop a care plan and alert other disciplines of the interventions affecting them. Resident #66 was admitted to the facility on [DATE] with diagnoses including…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 9 citations
- Potential for harm · Dcited before2021-11-17 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews and record reviews conducted during a recertification survey the facility did not ensure that a resident received adequate supervision to prevent accidents. Specifically, a Certified Nursing Assistant (CNA) did not follow the plan of care for a resident to provide necessary supervision during toileting. The CNA left the resident, who was confused and had a known history of falls, alone on the toilet, and the resident subsequently fell. This was evident in 1 of 4 residents reviewed for Accidents out of a sample of 34 residents. (Resident #66). The findings are: The facility's policy and procedure titled, Fall Prevention, last reviewed 08/2019, documented that the facility will identify those at risk for falls, monitor their safety, provide a safe environment and employ the least restrictive interventions to allow maximum mobility, dignity and independence for all residents. Residents will be reminded to use call bells if they need assistance. The facility's policy and procedure…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-11-17 · tag F0726 — failed to have competent, trained nursing staff — isolatedEnsure 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and staff interviews conducted during a recertification survey the facility did not ensure that a nurse's aide was able to demonstrate competency in skills and techniques necessary to care for a resident's needs as identified through resident assessment and described in the plan of care. Specifically, a Certified Nursing Assistant (CNA #2) who had received training in falls prevention was assisting a resident with toileting and left the resident alone on the toilet without ensuring the resident's safety. The resident fell and sustained a minor injury. This was evident in 1 of 1 residents reviewed for Staff Competency out of a total sample of 34 residents. (Resident #66). The findings are: The facility's policy and procedure titled, Fall Prevention, last reviewed 08/2019, documents that the facility will identify those at risk for falls, monitor their safety, provide a safe environment and employ the least restrictive interventions to allow maximum mobility, dignity and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2019-09-23 · tag F0578 — failed to honor advance directives / code status — patternHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews conducted during the recertification survey, the facility did not ensure that advance directives were provided to residents and their families. Specifically, Advance Directives were not reviewed periodically with residents or family representatives. This was evident for 4 of 4 residents reviewed for Advanced Directives (Resident #69, #225, #97 and #188) The findings are: The facility policy and procedure titled Advance Directives revised 11/2015 documented the facility shall review the Advance Directive instructions periodically as part of the comprehensive care planning process on whether the resident wishes to change or continue the instructions. Included is a periodic assessment of the residents for decision-making capacity in order to determine if the health care agent or legal representative if the resident should be activated if it is determined that the resident does not have decision-making capacity. 1. Resident #69 was admitted to the facility on [DATE] 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.
- Potential for harm · D2019-09-23 · tag F0582 — isolatedGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview conducted during the Recertification Survey, the facility did not ensure that residents received proper notification prior to being discharged from skilled services. Specifically, a Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) {Form CMS-10055} was not provided to the resident prior to termination of services. This was evident for 1 of 3 residents reviewed for the Skilled Nursing Facility (SNF) Beneficiary Protection Notification Review out of a sample of 38 residents. (Resident #203). The findings are: The facility's policy titled Notification of Medicare Resident No Longer Requiring Skilled Care-NOMNC dated 9/19/19 documented the facility should utilize the CMS 10123-NOMNC and CMS 10055-SNF ABN (attached); and the SNF ABN (CMS 10055) can be given at the same time as the NOMNC or 24 hours before the covered service ends. Resident #203 was admitted to the facility on [DATE]. Skilled Nursing Facility (SNF) Beneficiary Protection Notification Review form…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-09-23 · tag F0604 — failed to not use physical restraints improperly — isolatedEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview conducted during the recertification survey, the facility did not ensure a resident was free from physical restraints. Specifically, a resident was observed multiple times, sitting on a wheel chair with a long table in front of her, close to a wall that prevented the resident from rising out of the chair. This was evident for 1 of 1 resident reviewed for Physical Restraints out of a sample of 38 residents. (Resident # 94) The finding is: The facility policy titled Restrictive Devices/Equipment (Formerly known as Physical Restraint) dated 06/18/1998 documented a restrictive device/equipment shall be used without disregard for the resident's dignity, comfort, the capacity to perform a useful physical function, the ability to participate in a recreational or psychosocial stimulation, and the need to be safeguarded from injury. It shall not be used for staff convenience or a substitute for direct care. It shall be utilized only as an ultimate recourse when other less…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-09-23 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview conducted during the recertification survey, the facility did not ensure that the assessment accurately reflected the resident's status. Specifically, a Level 2 Preadmission Screening and Resident Review (PASRR) for serious mental illness was not documented in the Minimum Data Set (MDS) assessment. This was evident of 1 out of 1 residents reviewed for PASRR out of a sample of 38 residents. (Resident #57). The findings are: The facility policy entitled MDS RAI Process last reviewed 8/1/2019 documented under the heading procedure: accurate MDS coding is based on documentation in the medical record including but not limited to disciplines notes and assessments; clinical assessments and flow sheets, including C.N.A. flow sheets; therapy assessment progress notes, physician notes and orders; laboratory and other tests results, observation of the resident ; communication with the resident/patient and family members, CNAs' and staff and resident. Resident #57 was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2019-09-23 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 observation, interviews and record review conducted during the recertification survey, the facility did not ensure that comprehensive person-centered care plans, that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs were developed. Specifically, comprehensive care plans were not developed for residents receiving comfort care. This was evident for 2 of 2 residents reviewed for Hospice and End of Life out of 38 sampled residents. (Resident #158 & 124). The facility's policy and procedure titled Comprehensive Care Plans documented whenever a problem or a concern is identified that is not self-limiting (a condition that will normally resolve without further intervention), it is the responsibility of the discipline involved to develop or revise a care plan and alert other disciplines of the interventions affecting them. The findings are: 1. Resident #158 was admitted to the facility on [DATE] with diagnoses that included Unspecified…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-09-23 · tag F0711 — isolatedEnsure 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 record review and staff interviews, the facility did not ensure that the attending physicians reviewed the residents total program of care on each visit that is required by this regulation. Specifically, the attending physician, did not identify the practice of positioning the resident at a table in a way that restricted movement as a physical restraint and did not provide evaluations of ongoing restraint use for a resident. This was evident for 1 of 1 resident reviewed for Physical Restraints out of a sample of 38 residents. (Resident # 94) The finding is: The facility policy titled Restrictive Devices/Equipment (Formerly known as Physical Restraint) dated 06/18/1998 documented a restrictive device/equipment shall be used without disregard for the resident's dignity, comfort, the capacity to perform a useful physical function, the ability to participate in a recreational or psychosocial stimulation, and the need to be safeguarded from injury. It shall not be used for staff convenience or a substitute…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-09-23 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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 reviews, and staff interviews conducted during the recertification survey, the facility did not ensure a resident was free from unnecessary psychotropic medications. Specifically, a resident with diagnoses of Dementia and no history of psychiatric diagnoses, was prescribed psychotropic drugs without an appropriate indication. This was evident for 1 of 5 residents reviewed for Unnecessary Medications out of a sample of 38 residents. (Resident #94) The findings are: The undated facility policy and procedure related to Psychotropic Medications documented that psychotropic medications, including anxiolytics and sedative/hypnotics will be used in accordance with the standard set forth in F 329 of the State Operations Manual. The policy further documented that the psychotropic drugs to be used for specific condition, the prescriber shall monitor and assess for efficacy, tolerability and side effects and adjust dose as necessary. The prescriber shall order and obtain a psychiatry consult as…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“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.
“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$51,500 in federal fines across 1 penalty.
- $51,500 — penalty dated 2024-05-09
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to CARMELITE SISTERS FOR THE AGED & INFIRM — 9 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 2 of 5 | 2.8 | -0.8 vs chain |
| Health inspection | 2 of 5 | 2.1 | -0.1 vs chain |
| Staffing | 1 of 5 | 3.8 | -2.8 vs chain |
| Quality measures | 5 of 5 | 3.9 | +1.1 vs chain |
The other 8 homes this chain runs (chain average 2.8★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| KLUMP, KRISTEN | Individual | W-2 MANAGING EMPLOYEE | since 07/15/2020 |
| LEHMANN, RAPHAEL | Individual | W-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR | since 11/01/2022 |
| LYNCH, PATRICIA | Individual | W-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR; CORPORATE OFFICER | since 01/01/2009 |
| NADERHOFF, JUDITH | Individual | W-2 MANAGING EMPLOYEE | since 07/15/2020 |
| RUIZ, JUAN | Individual | W-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR | since 11/01/1997 |
| DUNLEAVY, ELIZABETH | Individual | CORPORATE DIRECTOR | since 01/01/2009 |
| BOWDEN, MARY | Individual | CORPORATE OFFICER | since 09/01/1987 |
| DEVLIN, MARY | Individual | CORPORATE OFFICER | since 06/01/2015 |
| GALLOTTA, STEVEN | Individual | CORPORATE OFFICER | since 06/06/2016 |
| HEERY, MARY | Individual | CORPORATE OFFICER | since 12/15/2014 |
| KASPER, ROSE | Individual | CORPORATE OFFICER | since 09/16/2014 |
| KENNEY, EDWARD | Individual | CORPORATE OFFICER | since 06/01/2015 |
| MACK, DIANE | Individual | CORPORATE OFFICER | since 01/08/2018 |
| MORIARTY, MICHAEL | Individual | CORPORATE OFFICER | since 06/01/1997 |
| RANDALL, DIANE | Individual | CORPORATE OFFICER | since 09/01/2008 |
| RAWDON, PATRICIA | Individual | CORPORATE OFFICER | since 01/01/2009 |
| WALSH, MAUREEN | Individual | CORPORATE OFFICER | since 06/01/2005 |
CMS files one row per role, so the 21 rows in the source record cover these 17 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
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.
This home reported $609K 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
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in NY
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New York Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 335011. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-02-15, 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.