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Bushwick Center for Rehabilitation and Health Care

50 Sheffield Avenue, Brooklyn, NY 11207 · For profit - Corporation · 225 certified beds · (718) 345-2273 Medicare & Medicaid certified

Call the home — (718) 345-2273 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0609, F0610) — most recent Jun 2025
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • lower-than-typical staff turnover (30% 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 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
  • a high number of inspection citations overall (24) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • 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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
1/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
2581 Atlantic Ave · (718) 277-8303 · Call to confirm hours
Pharmacy
2610 Atlantic Ave · (718) 400-9144 · Call to confirm hours
Grocery
50 Pennsylvania Ave · (929) 699-2362 · Call to confirm hours
Park
Jackie Robinson Parkway · 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 increased16.5%14.1%15.4%typical
Long-stay residents who lose too much weight4.4%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 infection0.3%1.3%2.0%better
Long-stay residents with depressive symptoms47.6%19.5%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury0.7%3.1%3.3%better
Long-stay residents whose ability to walk worsened16.1%12.5%16.1%typical
Long-stay residents on antianxiety or hypnotic medication9.9%13.2%18.9%better
Long-stay residents given the seasonal flu vaccine98.2%95.3%95.3%typical
Long-stay residents with pressure ulcers4.8%6.5%4.7%typical
Long-stay residents with worsening bladder/bowel control12.8%19.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table5.2%13.7%17.1%better
Short-stay residents who newly got an antipsychotic medication1.6%1.2%1.4%worse
Short-stay residents given the seasonal flu vaccine76.6%78.8%79.4%typical
Short-stay residents rehospitalized after admission22.9%20.6%22.6%typical
Short-stay residents with an outpatient ER visit5.5%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days1.261.701.67better
Long-stay outpatient ER visits per 1,000 resident days0.901.361.80better

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.

30.6% 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 106 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

30.6%U.S. median 51.5%
Got home and stayed home
9.7%U.S. median 10.7%
Went back to hospital
52.3%U.S. median 56.6%
Met the expected recovery
0.39U.S. median 0.31
Therapy hours / resident / day
0.20hours / resident / day
Physical therapy
0.16hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 52.3% 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 0.39 therapist hours per resident per day in 2026Q1 — more than 68% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% 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 SNF30.6%CMS range 22.4–40.251.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.7%CMS range 7.1–13.910.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge52.3%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge64.1%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 discharge52.3%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified96.2%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting70.8%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 discharge81.4%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 stay0.9%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.8%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization8.3%CMS range 5.2–12.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.841.02Oct 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

0.33
RN hours/ resident / day
0.80
LPN hours/ resident / day
2.18
Aide hours/ resident / day
3.31
Total nurse hours/ resident / day
0.18
RN hoursweekends
30.1%
Total nursing turnover
29.4%
RN turnover

How full it usually is: this home is certified for 225 beds and averages 221.8 residents a day — about 99% occupied, or roughly 3 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 3.31 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.33 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.18 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 2.85 hrs/resident/day on weekends vs 3.50 on weekdays — 18% thinner on weekends. RN hours go from 0.39 to 0.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 30% 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

6
deficiencies at the latest standard inspection (2025-06-24)
10
at the previous standard inspection (2023-08-07)

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.

24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.

  • Potential for harm · D2025-06-24 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews conducted during the Recertification from 06/16/2025 to 06/24/2025, the facility did not ensure physician's order for code status matched the Medical Orders for Life-Sustaining Treatment form in the medical record. This was evident for 1 (Resident #230) of 1 resident reviewed for Death out of a sample of 38 residents. Specifically, the Physician Order in the electronic health record documented Resident #230's code status as full code and the Medical Orders for Life-Sustaining Treatment form documented Do Not Attempt Resuscitation and Do Not Intubate for Resident #230. The findings include: The policy and procedure titled Advance Directives revised 11/6/2023 and reviewed 5/2025 stated medical orders will be documented in the electronic health record to reflect the resident's code status and any restrictions to intubation and hospitalization, based on the resident's Medical Orders for Life-Sustaining Treatment. Medical Orders for Life-Sustaining Treatment forms should be reviewed and signed by the healthcare provider initially, quarterly, and 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-24 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    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 a Recertification survey from 06/16/2025 to 06/24/2025, the facility did not ensure that the baseline care plan was developed and implemented within 48 hours of admission. This was evident for 2 (Resident #155 and #202) of 6 residents reviewed for Care Plan out of 38 sampled residents. The findings are: The facility policy titled Care Plans - Baseline with creation 11/2027 and last reviewed date 1/2020 stated that a baseline plan of care to meet the resident's immediate needs shall be developed for each resident within forty- eight (48) hours of admission. 1) Resident #155 was admitted to the facility with diagnoses that included Anxiety disorder, Unspecified organism of sepsis, and Unspecified neuralgia. The admission Minimum Data Set, dated [DATE] documented Resident #155 was cognitively intact, and only Resident #155 participated in the assessment. The document titled Team: IDT (interdisciplinary team) Baseline Care Plan - V 3 for Resident #155 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-24 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and staff interviews conducted during the Recertification survey from 06/16/2025 to 06/24/2025, 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 1 (Resident #147) of 4 residents reviewed for Pressure Ulcer/Injury out of an investigative sample of 38 residents. Specifically, during a wound care observation for Resident #147, Licensed Practical Nurse #5 did not change gloves and sanitize hands after cleaning wound and before applying the treatment and clean dressing to the wound. The findings are: The facility policy titled Hand Hygiene revised 2/19/2025 stated the facility adheres to recommendations by the Centers for Disease Control for the practice of hand hygiene in accordance with standard, enhanced barrier, and transmission-based precautions. The policy further documented Hand…

    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 · D2025-06-06 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review conducted during an Abbreviated Survey (NY00377880), on the facility ), the facility did not ensure that an alleged violation involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but not later than two (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). This was evident for one (1) out of seven (7) residents (Resident #5) reviewed for falls. Specifically, Resident #5 was observed on the floor into their room on [DATE] at 10:30 AM unresponsive, without vital signs, and a hematoma on their forehead. 911 was called and Resident #5 was pronounced by the emergency…

    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 · D2025-06-06 · 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 an Abbreviated Survey (NY00377880), the facility failed to investigate a fall accident that had resulted in injuries. This was evident for one (1) out of seven (7) residents (Resident #5) reviewed for falls. Specifically, on [DATE] at 10:30 AM Licensed Practical Nurse #1 observed Resident #5 lying face down on the floor next to their bed unresponsive, and without vital signs. Resident #5 also had a hematoma to their forehead. cardiopulmonary resuscitation was initiated and 911 was called. Resident #5 was pronounced at 11:16 AM by the Emergency Medical Team. Registered Nurse Supervisor #1 did not investigate the unwitnessed fall and injury to rule out care plan violation. The findings include: The facility policy and procedure titled Accident- Incidents dated 06/2024 document an incident is any occurrence not consistent with the routine operation of the center. The occurrence may be a fall, skin tear, bruise, new pressure ulcer and may involve abuse, neglect,…

    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 · F2023-08-07 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review conducted during the recertification survey from 7/31/2023 to 8/7/2023, the facility did not ensure food was prepared in accordance with professional standards of food safety. This was evident during the Kitchen observation. Specifically, staff were observed not performing hand hygiene during food preparation. The findings are: A facility policy titled Personal Hygiene dated 6/2019 documented when to wash hands: immediately before engaging in food preparation, including working with exposed food, clean equipment, or service utensils, after handling soiled equipment, during food preparation, and as often as necessary to remove soil and contamination and to prevent cross contamination when changing tasks, after engaging any other activity that contaminates the hands and before putting on single-use durable non-absorbent gloves for working with food. Use of disposable gloves: gloves are to be worn whenever handling food directly; anytime a gloved hand touches a contaminated surface, the glove must be changed, and gloves are to be…

    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 · E2023-08-07 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record review conducted during the Recertification and Complaint (NY00317743) Survey from 07/31/2023 thru 08/07/2023, the facility did not ensure the resident's right to a safe, clean, comfortable, and homelike environment. This was evident for 4 Units (Units 2N, 3N, 4L, and 4N) of 6 Units. This was evident during environmental observation. Specifically, 1) Unit 3N was observed with missing closet doors, resident room furniture with broken paneling, a torn and stained mattress cover, dining room chair missing an armrest, mildew stains on the shower chair, missing ceiling tiles in the shower, loose shower room faucet, and stained blood pressure (BP) machines and feeding pump poles, and 2) Units 2N, 4L, and 4N were observed with walls with peeling paint and wheelchairs, recliners, and chairs at the nursing station and in the dining room with torn padding. The findings are: The policy titled Cleaning and Disinfecting Resident Care Items and Equipment dated 5/18/2023 documented…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-08-07 · tag F0657 — failed to keep the care plan current — pattern
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews conducted during the Recertification survey, the facility did not ensure that the comprehensive care plans (CCP) were reviewed and/or revised after each assessment and as needed. This was evident for 2 (Resident #13 and #47) of 38 total sampled residents. Specifically, 1) Resident #13's CCP related to risk for infection related to indwelling catheter, constipation related to bowel obstruction, alteration in physical function related to traumatic spinal cord injury, paraplegia, bladder spasm, ostomy appliance related to bowel obstruction, and impaired gastrointestinal function related to constipation were not reviewed upon assessment, and 2) Resident #47's CCP related to alteration in physical function, and bowel incontinence related to Cerebrovascular Accident (CVA) with hemiparesis were not reviewed upon assessment. The findings are: The facility policy titled Care Plans - Comprehensive dated 10/2019 documented CCPs are revised as information about the…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-08-07 · tag F0658 — failed to meet professional standards of care — pattern
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations interview and record review, during a recertification survey on 07/31/2023- 08/07/2023 the facility did not ensure that services provided met professional standards of practice. This was evident for 2 (Resident #190 and #89) of 2 residents reviewed for feeding tube. Specifically, 1) Gastrostomy Tube (GT) placement and residuals were not checked prior to the administration of GT medications for Resident #190, and 2) Gastrostomy Tube (GT) placement and residuals were not checked prior to the administration of GT medications for Resident #89. The findings are: 1) Resident # 190 had diagnoses of gastrostomy status and dysphagia. The Minimum Data set 3.0 (MDS) assessment dated [DATE] documented Resident #190 was severely cognitively impaired. During a Unit 3L medication pass observation on 08/02/2023 at 9:30 AM, Licensed Practical Nurse (LPN) #2 administered medication to Resident #190 via GT after flushing the GT with lukewarm water. The nurse was not observed checking the GT for placement 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-08-07 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    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 Recertification and Complaint survey from 07/31/2023 through 08/07/2023, the facility did not ensure residents were adequately supervised to prevent smoking accidents. This was evidenced for 3 of 3 residents reviewed for Smoking (Resident #s 61, 71 and 163). Specifically, 1) Resident #71 was observed smoking unsupervised, 2) Resident #163 was observed smoking unsupervised, and 3) Resident #61 was observed smoking unsupervised. The findings are: The facility policy titled Smoking Program dated 10/2022 documented all smoking in the facility will be supervised and permitted only in designated areas and at designated times. Residents are not permitted to hold their smoking materials (cigarettes, matches, lighters, disposable/non-rechargeable e-cigarettes, pipes and other tobacco products). 1) Resident #71 had diagnoses of Cerebral infarction and muscle weakness. The Minimum Data Set 3.0 (MDS) assessment dated [DATE] documented Resident #71 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 14 citations
  • Potential for harm · E2023-08-07 · tag F0925 — failed to control pests — pattern
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and staff interview conducted during the recertification survey, the facility did not maintain an effective pest control program so that the facility is free of pests and rodents. This was evident for the lobby and 4 (2N, 2L, 4N, and 4L) of 6 units. Specifically, flies were observed in the lobby and on the 2nd and 4th floors. The finding is: The following observations were made on the 2nd and 4th floor: On 07/31/2023 at 10:19 AM, a fly flying in room [ROOM NUMBER]. On 07/31/2023 at 02:28 PM, 1 fly noted flying in room [ROOM NUMBER] On 08/02/2023 at 09:51 AM, 1 fly flying by nurses' station on 4L unit. On 08/02/2023 at 10:35 AM, 1 flying nurses station landing on the shelf for the medical records on top edge. On 08/02/2023 at 10:43 AM, 1 dead insect on the floor in the middle by the lobby desk. On 08/01/2023 at 10:55 AM, 1 fly flying near room [ROOM NUMBER] on the 4 N unit. On 08/01/2023 at 10:13 AM, 1 fly landing on kiosk by room [ROOM NUMBER] on 4N unit. On 07/31/2023 at…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-07 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review conducted during the recertification survey from 07/31/2023 to 08/07/2023, the facility did not ensure privacy and confidentiality of the residents' medical information was maintained. This was evident on two (Unit 4L and Unit 3L) of 6 Units and for 2 (Resident # 24 and Resident # 190) of 38 total sampled residents. Specifically, 1.) Licensed Practical Nurse (LPN) #2 left a computer screen with Resident #24's medical information open to public view, and 2.) Resident #190's room door was left open, and the resident was in public view during a Gastrostomy Tube (GT) medication administration. The findings are: 1.) Resident #24 had diagnoses of Myocardial Infarction (MI) and Diabetes Mellitus (DM). The Minimum Data Set 3.0 (MDS) assessment dated [DATE] documented Resident @24 was moderately cognitively impaired. During Unit 4L medication pass observation on 08/02/2023 at 8:41 AM, LPN #2 was observed in Resident #24's room with their back facing the medication cart.…

    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 before2023-08-07 · 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 observation, record review, and interviews conducted during the Recertification survey from 7/31/2023 to 8/7/2023, the facility did not ensure person-centered care plans (CCP) with measurable goals, time frames and interventions were developed to address a resident's concerns. This was evident for 1 (Resident #61) of 5 residents reviewed for accidents. Specifically, a CCP related to smoking was not developed and implemented for Resident #61, a smoker. The findings are: The facility policy titled Care Plans - Comprehensive dated 10/2019 documented a CCP that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. Resident # 61 had diagnoses of coronary artery disease and diabetes mellitus. The Minimum Data Set 3.0 (MDS) assessment dated [DATE] documented Resident #61 was cognitively intact. A Nursing Smoking Evaluation dated 2/13/2023 documented Resident #61 was a smoker, and the plan of care was to…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-07 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during the Recertification from 7/31/2023 to 8/7/2023, the facility did not ensure a resident received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene. This was evident for 1 (Resident #202) of 8 residents reviewed for Activities of Daily Living (ADL), out of an investigative sample to 38 residents. Specifically, Resident #202 was observed with unkempt, disheveled, matted hair. The findings are: The facility policy titled ADL Personal Hygiene dated 10/2021 documented hair care should be provided to resident as needed or by appointment at hairdressers. The Certified Nursing Assistant (CNA) should report to the Licensed Nurse any concerns/observations during care. Resident # 202 had diagnoses of Anemia and Anorexia. The Minimum Data Set 3.0 (MDS) assessment dated [DATE] documented Resident #202 was moderately cognitively impaired and required the physical assistance of extensive assistance of two people for…

    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 · D2023-08-07 · 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

    2.) During observation of the Unit 4L medication pass on 08/02/2023 at 8:41 AM, Licensed Practical Nurse (LPN) #2 entered Resident #24's room and had their back to the medication cart while 3 blister packs of medication were left unattended on top of the cart: Lithium 300 milligram (mg) give 1 by mouth twice a day; Perphenazine 2 mg by mouth 3 times a day and Plavix 75 mg by mouth daily. LPN #2 was interviewed on 08/02/2023 at 8:47 AM and stated they should not leave medications unattended on the medication cart as to avoid someone picking them up. On 08/07/2023 at 08:25 AM, the Registered Nurse (RN) Unit Manager # 1 stated they make rounds and observe the medication carts, if the nurses are performing their duties, and if the medication carts are left unattended. The nurses know not to leave medications unattended on the medication carts to avoid any accidents and to protect residents from accidentally taking them. 10 NYCRR 415.18(e)(1-4) Based on observation, record review, and interviews conducted during the Recertification survey from 7/31/2023 to 08/07/2023, the facility did…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2021-05-28 · tag F0656 — failed to write and follow a full care plan — pattern
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and staff interviews conducted during the recertification and complaint (NY00269356) survey, the facility did not ensure that person-centered care plans with measurable goals, time frames and interventions were developed and implemented to address concerns identified in the comprehensive assessment. Specifically, there was no documented evidence that comprehensive care plans were developed and implemented to address risk for impaired skin integrity, a diagnosis of Urinary tract infection (UTI), psychotropic medication, and behaviors. This was evident for 3 of 38 sampled residents (Resident #s 413, 93, and 14). The finding is: The facility Policy on Care Planning last date reviewed 08/2019 documented that Interdisciplinary Team is responsible for the development of an individualized comprehensive care plan for each resident. A comprehensive Care Plan for each resident is developed within seven (7) days of completion of the resident assessment. 1) Resident #14 was admitted to 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-05-28 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility did not ensure that the Minimum Data Set (MDS) assessment accurately reflected the resident's status. Specifically, a resident's evaluation for Gradual Dose Reduction (GDR) of psychotropic drugs was not captured on the MDS. This was evident for 1 of 5 residents reviewed for Unnecessary Medications out of a total investigation sample of 41 residents (Resident #14). The finding is: Resident #14 was admitted to the facility 04/04/2017, with diagnoses which include Depression, Bipolar Disorder, and Schizophrenia. The Quarterly Minimum Data Set (MDS), Assessment Reference Date (ARD) 03/12/2021 documented the resident had intact cognition. The MDS documented the resident received Antipsychotic medication on 7 of 7 days. The MDS further documented Antipsychotics were received on a routine basis only, and a Gradual Dose Reduction (GDR) had not been attempted. A GDR was not documented by a physician as clinically contraindicated. A Physician Progress Note dated 1/11/2021, documented that resident was seen by Psychiatrist on…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-05-28 · 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 staff interview during the recertification survey and the abbreviated survey (NY00269356), the facility did not ensure care plans were reviewed and revised. Specifically, the comprehensive care plan (CCP) for catheter was not reviewed and revised when the catheter was in place and removed, and the CCP was not reviewed and revised after a fall. This was evident for 2 of 38 sampled residents (Resident #93 and Resident #413). The findings are: The facility Policy for Care Planning, last reviewed 08/2019, documented the Interdisciplinary Team is responsible for the development of an individualized comprehensive care plan for each resident. A comprehensive Care Plan for each resident is developed within seven (7) days of completion of the resident assessment. 1) Resident #93 was admitted to the facility 11/16/2019, with diagnoses which include Renal insufficiency, renal failure, End Stage Renal Disease (ESRD), and Septicemia. The Quarterly Minimum Data Set 3.0 (MDS), Assessment Reference…

    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 · D2021-05-28 · 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

    Based on observation, record review, and interview during the Recertification survey, the faility did not ensure that a resident received treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan. Specifically, the facility did not ensure that a resident with intravenous Midline catheter inserted for antibiotic administration was provided with care and services to prevent infection in the catheter site. This was evident for 1 of 3 residents reviewed for Infection/Transmission-Based Precautions out of a sample of 38 residents. (Resident #7). The finding is: The facility policy on Midline Dressing Changes updated 12/2019 documented Change midline catheter dressing 24 hours after catheter insertion, every 5-7 days, or if it is wet, dirty, not intact, or compromised in any way .Apply sterile transparent dressing or gauze with transparent dressing to area .Label with initials, date and time. Resident #7 was admitted with diagnoses which include Osteomyelitis (OM), Diabetes Mellitus, and Cerebrovascular accident (CVA). 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 · D2021-05-28 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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 (NY00269356) survey, the facility did not ensure that a resident received care, consistent with professional standards of practice, to prevent pressure ulcers and does not develop pressure ulcers unless the individual's cliical condition demonstrates that they were unavoidable. Specifically, (1) a resident assessed as high risk for pressure ulcers was not provided with preventive skin care to prevent skin breakdown and pressure ulcers upon admission. As a result, the resident developed two moisture associated wounds and a Deep Tissue Injury (DTI). This was evident for one (1) residents out of two residents reviewed for skin conditions (Resident #413). The finding is: 1) Resident # 413 was initially admitted [DATE] and re-admitted [DATE] with diagnoses which include of Cerebrovascular Accident (CVA), Left Side Hemiplegia, and End Stage Renal Disease. The Quarterly MDS dated [DATE] and 11/4/20 documented the that the resident…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-05-28 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and staff interviews during the recertification 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. Specifically, 1) Oxygen tubing, nebulizer tubing, and nebulizer masks were observed on multiple occasions touching the floor, uncovered, and improperly stored (Resident #100). 2) During medication pass the Licensed Practical Nurse (LPN) #2 did not clean and disinfect the Blood Pressure Cuff in between residents (Resident #145 and 169). This was evident for 2 of 26 residents observed for mediation pass (Resident #145 and #169) and 1 of 3 residents investigated for Respiratory care (Resident #100) out of an investigative sample of 37 residents. The findings are: 1) Resident #100 was admitted with diagnosis which include Respiratory Failure, Atrioventricular Block, second degree, Hypertension and Diabetes.…

    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
  • No harm found · C2025-06-24 · tag F0638 — widespread
    Assure that each resident’s assessment is updated at least once every 3 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews during the Recertification Survey conducted from 06/16/2025 to 06/24/2025, the facility did not ensure timely completion of each resident's quarterly review assessments. This was evident for 28 (Residents #105, #151, #6, #196, #123, #43, #134, #87, #201, #62, #199, #97, #158, #171, #197,#179, #60, #3, #94, #34, #184, #55, #93, #21, #4, #120, #27 and #181) of 28 residents reviewed during the Resident Assessment Facility Task. Specifically, the resident's Quarterly Minimum Data Set assessments were not completed within 14 days of the Assessment Reference Date. The findings include but are not limited to: The facility policy titled Minimum Data Set Assessment 3.0 dated effective 10/1/2019 no review or revised dated noted documented it is the policy of Centers Health to follow the guidelines of the most state specific Resident Assessment Instrument manual correctly and effectively according to Centers for Medicare & Medicaid. Resident assessments will be conducted and submitted iQIES in accordance with the state and federal timeframes. 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2025-06-24 · tag F0636 — pattern
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews conducted during the Recertification survey from 06/16/2025 to 06/24/2025, the facility did not ensure that a comprehensive assessment of a resident was conducted in accordance within the required timeframes. This was evident for 12 (Residents # 151, #134, #179, #4, #34, #62, #151, #120, #27, #97, #158, and #43) out of 28 residents reviewed during the Resident Assessment Facility Task. Specifically, the Admission, Annual and Significant Change assessments were not completed within 14 days of the Assessment Reference Date. The findings include but are not limited to: The facility policy titled Minimum Data Set Assessment 3.0 dated effective 10/1/2019 stated it is the facility policy to follow the guidelines of the state specific Resident Assessment Instrument manual correctly and effectively according to Centers for Medicare & Medicaid. Resident assessments will be conducted and submitted to iQIES in accordance with the state and federal timeframes. 1. The Significant Change Minimum Data Set 3.0 assessment for Resident #151 with an Assessment…

    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
  • No harm found · B2025-06-24 · tag F0640 — pattern
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews during the Recertification Survey conducted from 06/16/2025 to 06/23/2025, the facility did not ensure Minimum Data Set assessments were electronically transmitted to the Centers for Medicare and Medicaid Services Data System within 14 days after assessments were completed. This was evident for 7 (Residents #6, #134, #123, #97, #181, 105 and 34 ) out of 28 residents reviewed for the during the Resident Assessment Facility Task. Specifically, Residents #6, #134, #123, #97, #181, #105 and #34's Minimum Data Set assessments were not transmitted within 14 days after the assessments were completed. The findings include but are not limited to: The facility policy titled Minimum Data Set Assessment 3.0 dated effective 10/1/2019 no review or revised dated noted documented it is the policy of Centers Health to follow the guidelines of the most state specific Resident Assessment Instrument manual correctly and effectively according to Centers for Medicare & Medicaid. Resident assessments will be conducted and submitted iQIES in accordance with the state…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

No federal fines in the current CMS record.

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 3 of 52.2+0.8 vs chain
Health inspection 3 of 52.1+0.9 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 5Brooklyn Center for Rehabilitation and ResidentialBrooklyn, 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 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 INTEREST; MANAGING CONTROL - GOVERNING BODY98%since 01/01/2025
GOLDMAN, NATHANIndividualMANAGING CONTROL - GOVERNING BODYsince 01/01/2025
HENDRIX, HEIDIIndividualMANAGING CONTROL - GOVERNING BODYsince 01/01/2025
LANTZITSKY, AHARONIndividualMANAGING CONTROL - GOVERNING BODYsince 01/01/2025
HOROVITZ, MEIRIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/23/2019
YOUNESI, PEYMANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/01/2017
SICKLICK, JEFFREYIndividualGENERAL PARTNERSHIP INTERESTsince 12/21/2015
HAGLER, DARYLIndividualADP OF THE SNFsince 06/11/2008

CMS files one row per role, so the 11 rows in the source record cover these 8 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.

$41.4M
Net patient revenuemost recent cost report
+4.8%
Operating marginrevenue minus expenses
$5.3M
Related-party expense13% of expenses
Who pays — share of resident-days
Medicaid 65%Medicare 17%Other / private 18%

This home reported $5.3M paid to related parties — landlords or management companies under common ownership — equal to about 13% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

$497per resident / day
operating cost
$15,108per month
≈ monthly operating cost
$522per 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 335703. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-24, 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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