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Brooklyn Center for Rehabilitation and Residential

170 Buffalo Avenue, Brooklyn, NY 11213 · For profit - Limited Liability company · 281 certified beds · (718) 252-9800 Medicare & Medicaid certified

Call the home — (718) 252-9800 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0602) — cited Dec 20251 actual-harm citation$9,110 in federal fines
Insights

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

In its favor
  • lower-than-typical staff turnover (26% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0602), cited Dec 2025
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (29) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $9,110 in federal fines (most recent 2025-11-04)
  • 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 (2/5)

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

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

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 4 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Urgent care / clinic
1110 Eastern Pkwy · (718) 735-1900 · Call to confirm hours
Pharmacy
Stm Rx Inc<0.1 mi
170 Buffalo Ave · (718) 778-8315 · Call to confirm hours
Grocery
1468 Prospect Pl · (718) 467-2323 · Call to confirm hours
Park
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 5 of 5
Short-stay residentsrehab / post-hospital 3 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.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased11.1%14.1%15.4%better
Long-stay residents who lose too much weight4.6%5.8%5.4%better
Long-stay residents with a catheter left in their bladder0.1%0.5%0.9%better
Long-stay residents with a urinary tract infection0.2%1.3%2.0%better
Long-stay residents with depressive symptoms83.4%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 injury1.0%3.1%3.3%better
Long-stay residents whose ability to walk worsened8.2%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication0.6%13.2%18.9%better
Long-stay residents given the seasonal flu vaccine90.7%95.3%95.3%typical
Long-stay residents with pressure ulcers8.1%6.5%4.7%worse
Long-stay residents with worsening bladder/bowel control15.8%19.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table10.0%13.7%17.1%better
Short-stay residents who newly got an antipsychotic medication1.0%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine86.8%78.8%79.4%typical
Short-stay residents rehospitalized after admission17.6%20.6%22.6%better
Short-stay residents with an outpatient ER visit10.1%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days1.931.701.67worse
Long-stay outpatient ER visits per 1,000 resident days1.131.361.80better

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.

37.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 205 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

37.8%U.S. median 51.5%
Got home and stayed home
8.0%U.S. median 10.7%
Went back to hospital
57.5%U.S. median 56.6%
Met the expected recovery
0.35U.S. median 0.31
Therapy hours / resident / day
0.18hours / resident / day
Physical therapy
0.15hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Met the expected recovery: 57.5% 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 282 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 0.35 therapist hours per resident per day in 2026Q1 — more than 60% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF37.8%CMS range 31.1–44.851.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF8.0%CMS range 6.3–10.410.7%Oct 2022–Sep 2024better than U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge57.5%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 discharge56.7%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 discharge46.5%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care 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 discharge97.9%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.5%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 hospitalization7.5%CMS range 4.5–11.17.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.421.02Oct 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
0.92
LPN hours/ resident / day
2.38
Aide hours/ resident / day
3.71
Total nurse hours/ resident / day
0.25
RN hoursweekends
26.3%
Total nursing turnover
48.3%
RN turnover

How full it usually is: this home is certified for 281 beds and averages 273.6 residents a day — about 97% occupied, or roughly 7 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 3.71 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.41 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.38 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.20 hrs/resident/day on weekends vs 3.92 on weekdays — 18% thinner on weekends. RN hours go from 0.48 to 0.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 26% is below the national median of 45%.

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

Inspection trend

1
deficiencies at the latest standard inspection (2025-12-08)
7
at the previous standard inspection (2023-11-02)

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.

29 citations, most serious first. The 11 most serious are shown; the remaining 18 are one tap away and print in full.

  • Actual harm · Gcited before2025-11-04 · 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 the abbreviated surveys (#2652750, and #2610252) the facility failed to ensure that each resident received adequate supervision to prevent accidents. This was evident for two (2) of five (5) residents (Resident #1 and Resident #2) sampled. Specifically, 1). On 10/23/2025, Resident #1 who required a two (2) person mechanical lift transfer out of bed was transferred with one (1) staff only and sustained a fracture of the left hand, and 2). On 09/05/2025, Resident #2 who required a two (2) person mechanical lift transfer out of bed was transferred with one (1) staff only and sustained a fracture of the hip. This resulted in actual harm to Resident #1 and Resident #2 that was not Immediate Jeopardy. The findings are: The facility policy titled 'Accident Incidents' last reviewed 01/01/2024, documents it is the policy of the facility to monitor and evaluate all occurrences of accidents and incidents or adverse events occurring on the facility premises…

    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 · D2025-12-08 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews conducted during the Recertification and Complaint (2604985), the facility failed to ensure a resident was free from misappropriation of property. This was evident for one (1) of five (5) residents (Resident #207) reviewed for Abuse out of 38 total sampled residents. Specifically, Certified Nursing Assistant #2 removed Resident #207's dresser key from their arm, opened their dresser, removed $250 from Resident #207's wallet and left the room. The findings are: The facility policy titled 'Abuse' revised 7/18/2025 documented the facility prohibits the misappropriation of resident property by anyone including but not limited to staff, family, friends and residents of the facility. The facility has designed and implemented processed which strive to ensure the prevention and reporting of suspected or alleged resident abuse, neglect, mistreatment and or misappropriation of property. Misappropriation-deliberate misplacement, exploitation or wrongfully temporary or…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-12-08 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews, the facility did not ensure that drugs and biologicals were stored appropriately. This was evident for the Medication Storage Task on Unit 2 and Unit 1 (out of 7 units). Specifically, 1). Medications were left unattended in the Unit 2 nurses station, and 2). Expired medical supplies, enteral feeds, and protein supplement were located in the medication room on Unit 1. The findings are: The facility policy titled 'Medication- Storage' revised 05/02/2024 documented the facility will store medications safely and securely in a manner that maintains the integrity of that product in accordance with the manufacturer recommendation, current standards 0fpractice and federal and state regulation. Expired, discontinued and/or contaminated medication will be removed from the medication storage areas and disposed of in accordance with state federal regulations. With the exception of Emergency Drug Kits, medication include house stock medication will be stored in a locked cabinet, cart or medication room that is accessible only to licensed nursing staff 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-11-04 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews conducted during an Abbreviated Survey (#2652750 and #2610252), the facility failed to ensure that all alleged violations involving abuse, exploitation, or mistreatment, including injuries of unknown source are reported immediately but not later than two 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 for two (2) out of five (5) residents (Resident #1, Resident #2) reviewed. Specifically, 1). On 10/23/2025, Resident #1 fell to the floor during a transfer with a mechanical lift 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-11-04 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview during the abbreviated survey (#2265750), the facility did not ensure a comprehensive person-centered care plan for each resident was reviewed and revised based on changing goals, preferences and needs of the resident and in response to current interventions. This was evident for one (1) out of five (5) residents (Resident #1) reviewed. Specifically, the comprehensive care plan for Resident #1 was not reviewed or revised after Resident #1 fell from a mechanical lift during transfer and sustained injury. The finding is: The facility policy titled 'Care Plan Comprehensive' reviewed 8/2/2024 documented assessments of residents are ongoing, and care plans are revised as information about the residents and the resident's conditions change. Resident #1 had diagnoses which included Heart failure and Anxiety. A review of the Minimum Data Set (a resident assessment tool) dated 10/08/2025 documented Resident #1 had intact cognition, and they required dependent assistance for toileting,…

    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 · Dcited before2025-11-04 · 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 interviews conducted during the abbreviated survey (#2610252) the facility did ensure residents were provided with treatment and care in accordance with professional standards of practice. This was evident for one (1) of five (5) residents (Resident #2) sampled. Specifically, Resident #2, who fell and sustained a fracture of the hip during a mechanical lift transfer from bed, was not assessed and evaluated by a registered nurse before being transferred from the floor back to bed.The findings are: The facility policy titled 'Accident Incidents' last reviewed 01/01/2024, documents it is the policy of the facility to monitor and evaluate all occurrences of accidents and incidents or adverse events occurring on the facility premises which is not consistent with the routine operation of the facility or care of a particular resident. The policy also documented if assistance is needed, summon help and if the employee cannot leave the victim, ask someone to report to the nurse's…

    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 · Dcited before2025-11-04 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview conducted during the abbreviated survey (2610252), the facility did not ensure residents with limited range of motion receives appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion. This was evident for one (1) of five (5) residents (Resident #2) reviewed. Specifically, Resident #2 was observed not wearing a right knee or elbow brace as per the plan of care. The findings are:The facility policy titled 'Appliances/Devices - Splints, braces, slings' last updated 09/08/2025 documented the facility will maintain the safe application, monitoring, and maintenance of resident appliances (such as splints, braces, and slings) in accordance with current standards of practice, manufacturer's instruction for use and state and federal regulations.Resident #2 was admitted to the facility with diagnoses that included Coronary artery disease, Cerebrovascular accident, Hemiplegia (weakness on one side of the body).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 · Fcited before2023-11-02 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record review, and interviews conducted during the Recertification and Complaint survey from 10/26/23 to 11/2/23, the facility did not ensure safe food storage was practiced to prevent food-borne illness. This was evident during the initial tour of the Kitchen. Specifically, milk past their use by date were located in the kitchen refrigerator. The findings are: The facility policy titled Receiving reviewed 01/2023 documented all items will be checked for appropriate quality and quantity upon receipt. Refrigerated foods date sensitive foods are within sell by or use by date (at a minimum, this date must be after the next delivery date for the product). The facility policy titled Food Storage reviewed 07/19/2023 documented all stock must be rotated with each new order received. Rotating stock is essential to assure the freshness and high quality of all foods. Old stock is always used first (first in-first out method). Supervise the person designated to put stock away to make sure it is rotated properly. Refrigerated food storage: all foods should be labeled 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-02 · tag F0553 — failed to let residents help plan their care — isolated
    Allow resident to participate in the development and implementation of his or her person-centered plan of care.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews conducted during the Recertification survey completed from 10/26/23 through 11/2/23, the facility did not ensure that each resident was offered the opportunity to participate in the review of their Comprehensive Care Plans (CCP). This was evident for 2 out of 3 residents reviewed for Care Planning out of a sample of 40 residents. Specifically, Resident #89 and Resident #269 were not invited to participate in their care plan meeting. The findings are: The facility policy and procedure titled Care Plan last revised 10/2019, documented as follows: The Interdisciplinary Team (IDT:), in conjunction with the resident and his/her family or legal representative, develops and implements a comprehensive, person-centered care plan for each resident. 1.Resident #89 was admitted with diagnoses that included Dementia, Hypertension, and Coronary Artery Disease. The admission Minimum Data Set (MDS) dated [DATE] documented that Resident #89 was moderately cognitively impaired with a Brief…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-02 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review during the recertification and abbreviated survey conducted from 10/26/23 to 11/2/2023, the facility did not ensure that a resident with limited mobility received appropriate services and assistance to prevent further contractures. This was evident for 1 of 3 resident reviewed for Position/Mobility out of a sample of 40 residents. (Resident #66). Specifically, Resident #66, who had bilateral hand contractures, was observed without bilateral hand rolls in place as ordered. The findings are: Resident #66 was admitted with diagnoses that included Non-Alzheimer's Dementia, Cerebrovascular Accident, and Muscle Weakness. The Quarterly Minimum Data Set (MDS) assessment dated [DATE] documented that Resident #66 had severely impaired cognition, required dependent assistance of staff with most Activities of Daily Living (ADL) and . The MDS further documented the resident required total assistance of two plus persons for bed mobility, transfers, and toilet use, total…

    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 · Dcited before2023-11-02 · 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 interview during the Recertification and complaint (NY00317301) survey conducted from 10/26/23 to 11/2/23, the facility did not ensure that the physician reviewed the resident's total plan of care including medications and treatments. This was evident for 1 of 1 resident reviewed for Dialysis (Resident #44) and 1 out of 2 residents investigated for Insulin (Resident #236) out of sample of 40 residents. Specifically, 1) there were no orders in place for a resident who received Dialysis and 2). a resident admitted with a diagnosis of Diabetes Mellitus received no medications for diabetes management after 5/18/2023, there was no documented evidence finger sticks were monitored after 8/3/2023, and no documented evidence medication coverage was provided for fingerstick over 200mg/dL on multiple occasions, despite multiple medical progress notes consistently documenting resident was on insulin and currently receiving oral hypoglycemics for diabetes. The finding is: 1.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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
Show the remaining 18 citations
  • Potential for harm · Dcited before2023-11-02 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and staff interview during the Recertification survey completed 10/26/23 - 11/02/23, the facility did not ensure that medications and biologicals drugs were stored, labeled, and discarded in accordance with currently accepted professional principles. Specifically, 8 insulin pens were not labeled with open or discard dates. This was evident for 1 out of 5 units observed for the Medication Storage and Labeling facility task. (Unit 2) The findings are: The facility policy titled Medication Storage last revised 1/2023 documented the center will have medications stored in a manner that maintains the integrity of the product, ensures the safety of the residents, and is in accordance with Department of Health guidelines. On 10/30/23 at 03:21 PM, 2 insulin pens in use were observed to be stored in the medication cart without open and discard dates. (Unit 2, South, Cart A) On 10/30/23 at 03:21 PM, 2 insulin pens in use were observed to be stored in the medication cart without open and discard dates. (Unit 2, South, Cart B) On 10/30/23 at 03:29 PM, 4 insulin pens in use…

    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 · D2023-11-02 · tag F0791 — failed to provide routine dental services — isolated
    Provide or obtain dental services for each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews conducted during the Recertification survey completed 10/26/23 -11/02/23, the facility did not ensure that a resident requiring oral/dental care was promptly referred for dental evaluation and care. This was evident for 1 of 5 residents reviewed for Dental out of a sample of 40 residents. Specifically, Resident #99 was observed to have a severe buildup of debris at the base of lower gums and had not been scheduled to be evaluated by the dentist. The findings are: The facility policy titled Dental Services last revised 2/2023 documented that both routine and emergency dental services are available to meet the resident's oral health care needs based upon resident assessment and plan of care. Resident #99 was admitted with diagnoses that included Depression, Dementia, and Hemiplegia. On 10/30/23 at 2:51 PM and on 11/02/23 at 9:46 AM, Resident #99 was observed sitting in wheelchair in the common/dining area watching television. The surveyor observed the resident to…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-02 · 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 observations, record review, and interviews conducted during the Recertification survey from 10/26/23 to 11/2/23, the facility did not ensure that infection control practices were maintained. This was evident for 1 of 7 units (Unit - 5 ) observed for Infection Control. Specifically, a Home Health Aide (HHA) was observed using a blood pressure cuff (BPC) and pulse oximetry on multiple residents without sanitizing the BPC and pulse oximetry between residents and did not perform hand hygiene between residents. The findings are: The facility policy titled Cleaning/Disinfecting Resident Care Items and Equipment reviewed 05/18/2023, documented reusable resident care items and equipment will be cleaned and disinfected according to current CDC recommendations for disinfection of health care facilities and the OSHA Blood borne Pathogens standards. Shared resident care items/equipment refers to items and equipment that can be used in the care of multiple residents. These reusable items are cleaned and disinfected between residents and uses (for example blood pressure cuff). Shared…

    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 · D2023-11-02 · 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 record review and interviews conducted during the Recertification & Complaint (NY00321990) survey from 10/26/2023 to 11/2/2023, the facility did not ensure the resident's right to a dignified existence. This was evident for 1 (Resident #59) out of 40 total sampled residents. Specifically, Resident # 59 was not provided their own personal clothes to wear for an entire weekend after their re-admission to the facility. The findings are: There was no facility policy that documented when the facility provides the personal items including the personal clothes back to a resident upon their re-admission to the facility to ensure the resident shall be cared for in a manner promoting and enhancing quality of life, dignity, respect, and individuality. Resident #59 had diagnoses which included Cerebral Infarction, Depression, and Unspecified Dementia. The Quarterly Minimum Data Set 3.0 (MDS) assessment dated [DATE] documented Resident #59 had severely impaired cognition, did not reject care, and required extensive…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-02 · 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 during the Recertification and abbreviated survey (NY00310538 from 10/26/23 to 11/2/23, the facility did not ensure that a resident's representative was immediately notified of the presence of a Stage 3 sacrum ulcer. In addition, the resident's representative was not notified when a Stage 3 sacrum pressure ulcer reopened on June 29, 2023. This was evident for 1 of 1 resident reviewed for Notification of Change (Resident #105). The findings are: The facility's policy titled Change in Resident's Condition last revised 05/2019 documented the nurse will notify the resident's representative when there is a significant change in the resident's physical, mental, or psychosocial status. Notifications will be made within twenty-four (24) hours of a change occurring in the resident's medical/mental condition or status. Resident #105 was initially admitted to the facility with diagnoses that included Alzheimer's disease, Diabetes Mellitus, and Malnutrition. The Quarterly Minimum Data…

    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 before2023-11-02 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review conducted during a Recertification and Complaint (NY00318699) survey from 10/26/2023 to 11/2/2023, the facility did not ensure an incident involving a confused resident being unsupervised for about 2 hours in the community was reported to the State Survey Agency. This was evident for 1 (Resident # 18) out of 5 residents reviewed for Accidents out of a sample of 40 residents. Specifically, the facility did not report to the New York State Department of Health (NYSDOH) that Resident #18 was picked up by transportation, left the facility without staff escort, and was dropped off by the transportation on the hospital campus without any staff supervision. The findings include: The facility policy titled Accident - Incident with creation date 11/2013 and last date revised 7/2023 documented an incident is any occurrence not consistent with the routine operation of the center, normal care of the resident a happening involving visitors, malfunctioning equipment, or observation of a…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-02 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond 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 interview and record review conducted during a Recertification and Complaint (NY00318699) survey from 10/26/2023 to 11/2/2023, the facility did not ensure an incident involving a confused resident being unsupervised for about 2 hours in the community was thoroughly investigated. This was evident for 1 (Resident #18) out of 5 residents reviewed for Accidents. Specifically, the facility did not obtain the statement from the LPN #1 who took Resident #18 down to the transportation and left the resident unattended by facility staff and complete an incident report thoroughly. The findings include: The facility policy titled Accident - Incident with creation date 11/2013 and last date revised 7/2023 documented an incident is any occurrence not consistent with the routine operation of the center, normal care of the resident a happening involving visitors, malfunctioning equipment, or observation of a condition which might be a safety hazard. It also documented these occurrences must be evaluated 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-02 · 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 and complaints survey (# NY00317301), the facility did not ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices. This was evident for 1 of 2 residents reviewed for Insulin out of 40 sampled 40 residents. Specifically, Resident #236 admitted with a diagnosis of Diabetes Mellitus had no documented evidence of receiving medication management after 5/18/2023. There was no documented evidence fingerstick were monitored after 8/3/2023, or that insulin coverage was administered for finger sticks over 200mg/dL on multiple occasions, while multiple medical progress notes documented the resident was prescribed insulin and was receiving medication for diabetes. The finding is: The facility Policy titled Diabetes Mellitus Guidelines dated last reviewed 1/2023 documented to assist the resident establish a balance…

    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 · Dcited before2023-11-02 · 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 interview and record review conducted during a Recertification and Complaint (NY00318699) survey from 10/26/2023 to 11/2/2023, the facility did not ensure a resident received adequate supervision and assistance to prevent accidents. This was evident for 1 out of 5 residents reviewed for Accidents out of a sample of 40 residents. Specifically, Resident #18 who was moderately cognitively impaired was picked up unaccompanied at the facility by a transportation company for a clinic appointment at a hospital and was dropped off at the hospital campus unsupervised by the facility staff for approximately 2 hours. The findings include: The facility policy titled Accident - Incident with creation date 11/2013 and last date revised 7/2023 documented an incident is any occurrence not consistent with the routine operation of the center, normal care of the resident a happening involving visitors, malfunctioning equipment, or observation of a condition which might be a safety hazard. It also documented these…

    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 · F2021-09-29 · tag F0574 — widespread
    The resident has the right to receive notices in a format and a language he or she understands.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews conducted during the recertification survey, the facility did not ensure that residents were informed on how to contact the local Ombudsman's office and the New York State Nursing Home Complaint Hotline. The findings are: During the Resident Council meeting held on 9/27/21 at 2:36PM with 8 residents (Resident # 19, 21, 36, 63, 69, 77, 176, 196) of the facility in attendance. The residents stated that they did not know where the Ombudsman's contact information was posted and how to formally complain to the State about the care they are receiving. The residents stated that they were not provided with the number of the local Ombudsman and the New York State Nursing Home Complaint Hotline. Observations were made on 9/29/21 at 1:49 PM on each of the 7 floors of the facility. Notices were observed on resident units that documented the information related to contacting both the Ombudsman's office and the New York State Nursing Home Complaint Hotline however, this information was included within another notice in a font size difficult to read from a…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2021-09-29 · tag F0577 — widespread
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interview conducted during the Recertification survey, the facility did not ensure that the most recent survey results and plan of correction were posted in a place readily accessible for review by residents, family members, and legal representatives of residents. Specifically, the survey team did not observe survey results posted anywhere in the facility. In addition, members of the Resident Council were interviewed and reported that they did not know where survey results were posted or accessible for residents to review. The findings are: During the Resident Council meeting held on 9/27/21 at 2:36PM with 8 residents (Resident # 19, 21, 36, 63, 69,77, 176, 196) of the facility in attendance, the residents were asked if they had knowledge of where the most recent survey results were posted or located. The residents stated that they did not know where to locate the survey results and stated that they were not provided this information verbally or in written communication. Observations were made on 9/29/21 at 1:49 PM on each of the 7 floors of the facility.…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2021-09-29 · 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 upon observation, record review and staff interview, the facility did not ensure that food was prepared, distributed, and served in accordance with professional standards for food service safety. Specifically, 1) staff were observed not to be wearing a face mask that covered mouth and nostrils; 2). Two dietary aides were observed not wearing beard restraints to prevent hair from contacting food; and 3) a dietary aide was observed exiting the refrigerator and returning to the tray line without performing proper hand hygiene. This was observed during the Kitchen facility task of the Recertification survey. The findings are: On 9/23/21 at 09:48 AM, during the initial kitchen tour, the Supervising Rabbi (SR) was observed to be wearing a face mask that was positioned under the chin and not covering the mouth and nose. The [NAME] was also observed wearing a face mask positioned under the chin which did not cover the nose or mouth. On 09/27/21 at 11:12 AM, an observation was conducted of the trayline. Two dietary aides were observed with a significant amount of facial hair 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-09-29 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews conducted during the Recertification survey, the facility did not ensure that person-centered care plans with measurable goals, time frames and interventions were developed to address a resident's concerns. Specifically, a care plan was not developed to address the care needs of a resident with bilateral hand contractures. This was evident for 1 of 5 residents reviewed for Position/Mobility out of a sample of 38 residents. (Resident #39) The findings are: The facility policy and procedure titled Care Planning-Interdisciplinary team date revised 8/2021, documented that the facility's Care Planning/Interdisciplinary Team is responsible for the development of an individualized comprehensive care plan for each resident. The policy also documented that the care plan is based on the resident's comprehensive assessment and is developed by a Care Planning/Interdisciplinary Team. Resident #39 was admitted to the facility with diagnoses that included Parkinson's Disease,…

    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 · Dcited before2021-09-29 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews conducted during the Recertification survey, the facility did not ensure that the comprehensive care plans were reviewed and/or revised after each assessment and as needed. Specifically, 1). nutrition care plan was not revised to reflect change in resident's status and 2). anticoagulant, Diabetes mellitus and Hypertension care plans were not revised timely. This was evident for 1 of 5 residents reviewed for Position/Mobility and 1 of 5 residents reviewed for Unnecessary Medication out of a sample of 38 residents. (Resident # 211 & Resident #43) The findings are: The facility policy and procedure titled Care Planning-Interdisciplinary team date revised 8/2021, did not document the process for care plan revision. 1. Resident # 211 was admitted to the facility with diagnoses that included Cerebrovascular Accident, Dementia, and Malnutrition. The Quarterly Minimum Data Set (MDS) assessment dated [DATE] documented resident had severely impaired cognition. The Physician's order…

    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 · Dcited before2021-09-29 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and staff interviews conducted during the Recertification survey, the facility did not ensure that a resident with limited Range of Motion (ROM) were provided services and treatment to increase ROM and to prevent further decrease in ROM, including the provision of equipment. Specifically, a resident observed with bilateral hand contractures was not being provided with interventions to help maintain and prevent a worsening contracture. This was evident in 1 of 5 reviewed for Limited ROM out of a sample of 38 residents. (Resident #39) The finding is: The facility policy and procedure titled Assistive Devices, created 10/2015 and revised 8/2021, documented that the facility provides, maintains, trains and supervises the use of assistive devices and equipment for residents. The policy also documented that recommendations for the use of devices and equipment are based on the comprehensive assessment and documented in the resident's plan of care. Requests or the need for special…

    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 · Dcited before2021-09-29 · 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 Intakes: NY00259235, NY00257504, NY00266680, NY00269559, NY00270774, NY00272515, NY00275893, NY00276408, NY00278916, NY00280691, NY00280817 Based on observation, record review and interviews conducted during the Recertification and abbreviated survey (NY 00270774), the facility did not ensure the physician reviewed and followed up on the resident's entire plan of care. Specifically, the Nurse Practitioner (NP) notes did not reflect the resident's current medical status. Specifically, medications and vital signs were not updated on each visit. This was evident for 1 of 5 residents investigated for Pressure Ulcer/Injury out of a sample of 38 residents. (Resident # 166. ) The finding is: The facility policy and procedure, titled Physician Services dated 04/2021 documented that it is the policy of the facility to ensure the medical supervision of residents care during their stay. The policy also documented that the NP is also part of the medical team to assist in management of the resident's care. The policy further…

    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 · D2021-09-29 · tag F0814 — failed to dispose of garbage properly — isolated
    Dispose of garbage and refuse properly.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based upon observation, record review and interviews, during the Recertification survey, the facility did not ensure that garbage was properly disposed. Specifically, garbage was not covered while being removed from the kitchen to the disposal area and was not maintained in a closed receptacle. This was evident during the Kitchen facility task. The finding is: The facility policy and procedure titled Food-related Garbage and Refuse Disposal created 6/2015 and revised 12/2020 documented that all garbage and refuse containers are provided with tight fitting lids or covers and must be covered when stored or not in continuous use. The policy also documented that garbage and refuse containing food wastes will be stored in a manner that is inaccessible to pests. In addition, the policy documented that offsite dumpsters provided by garbage pick-up services will be kept closed. On 09/29/21 at 01:08 PM, Dietary Aide (DA) #2 was observed disposing of kitchen garbage. DA #2 was observed pushing a large, grey, rectangular wheeled container which held clear, plastic bags of garbage from the…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2021-09-29 · tag F0732 — widespread
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and staff interview conducted during the Recertification survey, the facility did not ensure that the daily staffing was posted in a prominent place readily accessible to residents and visitors. Specifically, daily staffing was not observed posted in a prominent place in the building. The findings are: The facility policy and procedure titled Staffing Posting of Hours effective 10/2014 and revised on 10/2019 documented direct care should be posted daily and updated as necessary and should also include the total number of hours worked by licensed and unlicensed staff that are directly responsible for resident's care. During observation made in the lobby and elevator areas in the Building on 9/23/2021, 9/24/2021 and 9/27/2021, the staffing posting was not observed posted in a prominent place. On 9/28/2021 at 2:35 PM, a staffing posting was observed taped to a board located on top of the staff time clock, almost across the Administrative offices entrance door. No numbers of staff or actual hours worked were documented on the staffing posting. On 9/29/2021 at 3:13…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$9,110 in federal fines across 1 penalty.

  • $9,110 — penalty dated 2025-11-04

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 CENTERS HEALTH CARE — 36 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 →

RatingThis homeChain avg
Overall 2 of 52.2-0.2 vs chain
Health inspection 2 of 52.1-0.1 vs chain
Staffing 2 of 52.1-0.1 vs chain
Quality measures 4 of 53.8+0.2 vs chain
The other 35 homes this chain runs (chain average 2.2★, per CMS)
1 of 5Buffalo Center For Rehabilitation And NursingBuffalo, NY 1 of 5Carthage Center For Rehabilitation And NursingCarthage, NY 1 of 5Delmar Center For Rehabilitation And NursingDelmar, NY 1 of 5Ellicott Center For Rehabilitation And NursingBuffalo, NY 1 of 5Granville Center For Rehabilitation And NursingGranville, NY 1 of 5Hammonton Center for Rehabilitation and HealthcareHammonton, NJ 1 of 5Hope Center for HIV and Nursing CareBronx, NY 1 of 5Oneida Center For Rehabilitation And NursingUtica, NY 1 of 5Onondaga Center for Rehabilitation and NursingMinoa, NY 1 of 5Ontario Center for Rehabilitation and HealthcareCanandaigua, NY 1 of 5Rochester Center for Rehabilitation and NursingRochester, NY 2 of 5Boro Park Center for Rehabilitation and HealthcareBrooklyn, NY 2 of 5Deptford Center for Rehabilitation and HealthcareDeptford, NJ 2 of 5Fulton Center For Rehabilitation And HealthcareGloversville, NY 2 of 5Holliswood Center for Rehabilitation and HealthcarHollis, NY 2 of 5Martine Center For Rehabilitation And NursingWhite Plains, NY 2 of 5New Paltz Center For Rehabilitation And NursingNew Paltz, NY 2 of 5Richmond Center for Rehabilitation and Specialty HStaten Island, NY 2 of 5Schenectady Center For Rehabilitation And NursingSchenectady, NY 2 of 5Triboro Center for Rehabilitation and NursingBronx, NY 2 of 5Troy Center For Rehabilitation And NursingTroy, NY 2 of 5Warren Center For Rehabilitation And NursingQueensbury, NY 3 of 5Beth Abraham Center for Rehabilitation and NursingBronx, NY 3 of 5Bronx Center For Rehabilitation & Health CareBronx, NY 3 of 5Bushwick Center for Rehabilitation and Health CareBrooklyn, NY 3 of 5Cooperstown Center For Rehabilitation And NursingCooperstown, NY 3 of 5Essex Center For Rehabilitation And HealthcareElizabethtown, NY 3 of 5Glens Falls Center For Rehabilitation And NursingGlens Falls, NY 3 of 5Steuben Center for Rehabilitation and HealthcareBath, NY 3 of 5Washington Center For Rehab And HealthcareArgyle, NY 4 of 5Corning Center for Rehabilitation and HealthcareCorning, NY 4 of 5Far Rockaway Center for Rehabilitation and NursingFar Rockaway, NY 4 of 5University Center for Rehabilitation and NursingBronx, NY 4 of 5Williamsbridge Center For Rehabilitation And NrsgBronx, NY 5 of 5Slate Valley Center For Rehabilitation And NursingGranville, NY

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 / managerTypeRoleShareSince
ROZENBERG, KENNETHIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST95%since 12/18/2015
GOLDMAN, NATHANIndividualMANAGING CONTROL - GOVERNING BODYsince 01/01/2025
HENDRIX, HEIDIIndividualMANAGING CONTROL - GOVERNING BODYsince 01/01/2025
LANTZITSKY, AHARONIndividualMANAGING CONTROL - GOVERNING BODYsince 01/01/2025
BALIN, YONATANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/03/2025
LATI, ZEVIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2024
BLUMENFELD, SOLIndividualGENERAL PARTNERSHIP INTERESTsince 01/01/2021
LERNER, LEOIndividualGENERAL PARTNERSHIP INTERESTsince 02/01/2007
ABRAMCHIK, AMIRIndividualADP OF THE SNFsince 01/01/2000

CMS files one row per role, so the 11 rows in the source record cover these 9 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.

$50.5M
Net patient revenuemost recent cost report
+6.2%
Operating marginrevenue minus expenses
$4.3M
Related-party expense9% of expenses
Who pays — share of resident-days
Medicaid 54%Medicare 22%Other / private 24%

This home reported $4.3M paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

$482per resident / day
operating cost
$14,642per month
≈ monthly operating cost
$513per 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 335178. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-08, 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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