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Crown Heights Center for Nursing and Rehabilitatio

810 20 St. Marks Avenue, Brooklyn, NY 11213 · For profit - Limited Liability company · 295 certified beds · (718) 467-7300 Medicare & Medicaid certified

Call the home — (718) 467-7300 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 Dec 2024Resident-funds citation (F0568)
Insights

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

In its favor
  • no federal fines or payment denials on record
  • lower-than-typical staff turnover (29% vs 45% nationally) — better care continuity
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
  • it has a citation for mishandling residents’ money or property (F0568)
  • 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
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)
  • about 21% of its spending goes to commonly-owned related companies

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

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

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

Worth a closer look. This home's quality-measure rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Urgent care / clinic
1110 Eastern Pkwy · (718) 735-1900 · Call to confirm hours
Pharmacy
Rap Drugs0.1 mi
226 Schenectady Ave · (718) 484-7735 · Call to confirm hours
Grocery
187 Troy Ave · (718) 758-4991 · Call to confirm hours
Park
119 Troy Ave · (212) 639-9675 · Typically dawn to dusk
Place of worship
1278 St Johns Pl · (718) 287-9988

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 4 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 4 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 increased12.3%14.1%15.4%better
Long-stay residents who lose too much weight6.0%5.8%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.5%0.9%better
Long-stay residents with a urinary tract infection0.8%1.3%2.0%better
Long-stay residents with depressive symptoms6.1%19.5%6.5%typical
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury1.9%3.1%3.3%better
Long-stay residents whose ability to walk worsened7.2%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication5.1%13.2%18.9%better
Long-stay residents given the seasonal flu vaccine98.2%95.3%95.3%typical
Long-stay residents with pressure ulcers7.1%6.5%4.7%worse
Long-stay residents with worsening bladder/bowel control12.7%19.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table13.8%13.7%17.1%better
Short-stay residents who newly got an antipsychotic medication0.7%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine71.7%78.8%79.4%typical
Short-stay residents rehospitalized after admission25.9%20.6%22.6%worse
Short-stay residents with an outpatient ER visit6.1%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days1.201.701.67better
Long-stay outpatient ER visits per 1,000 resident days0.821.361.80better

§ 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.

38.1% 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 149 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

38.1%U.S. median 51.5%
Got home and stayed home
8.5%U.S. median 10.7%
Went back to hospital
78.9%U.S. median 56.6%
Met the expected recovery
0.36U.S. median 0.31
Therapy hours / resident / day
0.22hours / resident / day
Physical therapy
0.13hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Met the expected recovery: 78.9% 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 185 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.36 therapist hours per resident per day in 2026Q1 — more than 62% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 35% 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 SNF38.1%CMS range 29.9–45.651.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF8.5%CMS range 6.1–11.410.7%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 discharge78.9%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 discharge70.8%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 discharge69.7%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 setting99.0%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 discharge100.0%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 stay1.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened2.3%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 hospitalization6.2%CMS range 3.9–10.37.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.821.02Oct 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

0.87
RN hours/ resident / day
0.37
LPN hours/ resident / day
2.29
Aide hours/ resident / day
3.53
Total nurse hours/ resident / day
0.43
RN hoursweekends
29.4%
Total nursing turnover
49.1%
RN turnover

How full it usually is: this home is certified for 295 beds and averages 289.3 residents a day — about 98% occupied, or roughly 6 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.53 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.87 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.29 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 2.92 hrs/resident/day on weekends vs 3.78 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 1.05 to 0.43 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 29% 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

12
deficiencies at the latest standard inspection (2024-12-19)
8
at the previous standard inspection (2022-11-01)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

29 citations, most serious first. The 10 most serious are shown; the remaining 19 are one tap away and print in full.

  • Potential for harm · D2026-02-04 · 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

    Based on record review and interviews conducted during an abbreviated survey (2699587), the facility failed to ensure the designated resident's representative was notified of changes in the resident's condition. This was evident for one (1) of six (6) residents sampled (Resident #1). Specifically, on 12/06/2025 at 5:00 PM Occupational Therapist Assistant #1 documented they saw Resident #1 sliding from the wheelchair to the floor. There is no documented evidence that the facility notified Resident 1's representative that Resident #1 was seen sliding out of the wheelchair to the floor.The findings are:The Facility's Policy on Notification of Changes dated on 12/2024, documented it is the policy of this facility that changes in a resident's condition or treatment are immediately shared with the resident and/or the resident representative, according to their authority, and reported to the attending physician or delegate (hereafter designated as the physician). The resident and/or their representatives will be educated about treatment options and supported to make an informed choice…

    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 · D2026-02-04 · 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

    Based on observation, record review and interview during an Abbreviated Complaint Survey (Complaint # 2699587), the facility failed to ensure resident's care plan was reviewed and revised by the interdisciplinary team after each assessment. This was evident for one (1) out of six (6) residents sampled (Resident #1). Specifically, on 12/06/2025 at 5:00 PM Occupational Therapist Assistant #1 documented they saw Resident #1 sliding from the wheelchair to the floor. Registered Nurse Supervisor #2 was notified on 12/06/2025. There was no documented evidence that Resident #1's care plan was reviewed and revised with new interventions after Resident #1 slide from the wheelchair to the floor on 12/06/2025. The findings include:The facility policy titled Care Plan Comprehensive dated 12/2024, documented an Individualized Comprehensive Care Plan that includes measurable objectives and timetables to meet the resident's medical, nursing, mental and psychological needs is developed for each resident. Also care plans are revised as changes in the resident's condition dictate. Care plans are…

    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 before2026-02-04 · 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 interview during an Abbreviated Complaint Survey (Complaint # 2699587), the facility failed to ensure Resident #1 received treatment and care in accordance with professional standards of practice. This was evident for one (1) of six (6) residents sampled (Resident #1). Specifically, on 12/19/2025 License Practical Nurse #2 administered a stool softener to Resident #1 without a physician's order for the stool softener. License Practical Nurse #2 did not document the administration of the stool softener to Resident #1. The findings include:The facility policy titled Administering Oral Medication dated 12/2024, documented the purpose of this procedure is to provide guidelines for the safe administration of oral medications. Verify, that there is a physician's medication order for this procedure.Resident #1 admitted to the facility with diagnoses included constipation, chronic pain syndrome, and history of falling.Minimum Data Set (a resident assessment tool) dated 11/22/2025…

    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 before2026-02-04 · 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

    Based on observation, record review and interview during Abbreviated Complaint Survey (Complaint #2699587), the facility did not ensure that each resident receives adequate supervision and assistance devices to prevent accidents. This was evident for one (1) out of six (6) residents sampled (Resident #1). Specifically, Resident #1 was a high risk for falls, the physician's order dated 11/11/2025 documented Resident #1 may be out of bed to standard wheelchair with bilateral elevating leg rests and with manual transfer of one (1) person. On 12/06/2025 at 5:00 PM, Occupational Therapist Assistant #1 documented Resident #1 was seen sliding from the wheelchair to the floor. There is no documented evidence on the Documentation Survey Report or on the Resident Nursing Instruction form instructing staff members on how to supervise Resident #1 to prevent fall.The findings include:The facility policy titled Fall Risk assessment dated 12/2024, documented the nursing staff, in conjunction with the attending physician, consultant pharmacist, therapy staff, and others, will seek to identify 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-04 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview during Abbreviated Complaint Survey (Complaint #2699587), the facility failed to ensure that medical records were maintained in accordance with accepted professional standards and practices and were accurately documented. This was evident for one (1) out of six (6) residents sampled (Resident #1). Specifically, on 12/06/2025 at 5:00 PM Occupational Therapist Assistant #1 documented they saw Resident #1 sliding from the wheelchair to the floor. There was no nursing or medical doctor's documentation in Resident #1's medical record indicating that Resident #1 was assessed after Resident #1 slide out of the wheelchair to the floor on 12/6/2025.The findings are:The facility policy titled Charting and Documentation dated 01/2026 documented all services provided to the resident, or any changes in the resident's medical or mental condition, shall be documented in the resident's medical record. Also documented all incidents, accidents, or changes in the resident's condition must be recorded.Resident #1 admitted to the facility with diagnoses…

    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 · Ecited before2024-12-19 · 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 observation, record review, and interview conducted during the Recertification Survey from 12/12/2024 to 12/19/2024, the facility did not ensure the residents' right to a safe, clean, comfortable, and homelike environment was maintained. Specifically multiple observations were made of resident rooms were observed with wood furniture scratched veneer, missing key holes, missing handles to dressers or wall cabinets, bedside tables were observed with missing paint on the lower leg areas. 2.) resident rooms were observed with mismatched paint, holes in dry wall and duct tape on the floor, missing tile and/or grimy tile. 3.) resident's wheelchair was observed with torn cushion and enteral feeding pumps and poles on 2 East and 2 [NAME] unit was observed with cream-colored stains on the pump and pole bottoms. 4). the whirlpool tub was noted to be dirty with discarded items inside and unit shared bathrooms were observed with discolored damaged or missing tiles. 4.) the step leading to the trash dumpster 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-12-19 · tag F0609 — failed to report abuse allegations — pattern
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and staff interview during the Recertification /Complaint survey (NY00334742) conducted between 12/12/2024 and 12/19/2024, the facility did not ensure that all alleged violations involving abuse and injury of unknown origin were reported immediately to the New York State Department of Health, but not later than 2 hours after the alleged abuse and injury were observed. Specifically, (1) an injury of unknown origin found on resident #251's forehead was not reported; (2) Resident-Resident physical abuse resulting to injury involving 3 residents was not reported (Residents #214, #268, and #589); and (3) Injury of unkown origin found on Resident #24's toes was not reported. This was evident for one of three residents investigated for complaints and 4 out of 4 residents reviewed for Accidents out of 38 sampled residents. The findings are: The facility's policy and procedure titled Accident and Incident Report dated 07/2024, documented that As soon as possible, but no later than 24…

    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 · E2024-12-19 · tag F0610 — failed to investigate and act on abuse reports — pattern
    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 observation, record review and staff interview during the Recertification/Complaint survey (NY00334742) conducted between 12/12/2024 and 12/19/2024, the facility did not ensure that all allegations of abuse and injury of unknown origin were thoroughly investigated. Specifically, (1) Injury of unknown origin observed on Resident #251 was not thoroughly investigated and (2). Resident-to-resident altercation involving Residents #214, #268 and #589 was not thoroughly investigated. This was evident for 1 of 3 complaint investigations and for 3 of 3 residents reviewed for Accidents out of 38 total sampled residents. The findings are: The facility policy and procedure titled Abuse Prevention and Reporting with revision date December 2024 documented Physical Abuse includes, but not limited to hitting, slapping, punching, biting, and kicking. The policy documented facility will report alleged violations related to mistreatment, exploitation, neglect, or abuse including injuries of unknown origin source 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 · Ecited before2024-12-19 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and staff interviews conducted during the Recertification Survey from 12/12/2024 to 12/19/2024, the facility did not ensure that food was stored, prepared, distributed and served in accordance with professional standards of food service safety. Specifically, 1) staff was observed not wearing beard guard on multiple occasions or hair restraints appropriately in the kitchen. 2) the dry storage room was observed with an open box of beverage and food thickener was observed opened on two occasions and was noted with a paper cup in the open box while on the shelf. This was observed during the Kitchen facility task. The findings are: The facility's dietary policy and procedure titled Food Preparation and Handling revised 12/16/2024 documented all food will be prepared and handled using safe and sanitary methods. All staff will avoid bare hand contact with ready to eat food, as well as wear single use gloves and use serving utensils. This policy does not mention any uniform requirements in relation to food handling. The facility's dietary policy and procedure titled…

    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 · D2024-12-19 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview conducted during the Recertification Survey from 12/12/2024 to 12/19/2024, the facility did not ensure that the Minimum Data Set 3.0 (MDS) assessment accurately reflected a resident's status. This was evident for 2 (Resident #237 and #436) of 38 total sampled residents. Specifically, the Minimum Data Set 3.0 assessment for Resident #237 did not accurately reflect the resident's preferred activities and the Minimum Data Set 3.0 assessment for Resident #436 did not accurately reflect the resident use of wander guard as alarm. The findings are: The facility policy titled MDS (Minimum Data Set) Guidelines for Completion with undated effective or revised date documented it is the policy of all Allure Facilities to ensure accurate and timely completion of Minimum Data Set for all residents in accordance with Federal and State Operation [NAME]. 1) Resident #237 had diagnoses which included Unspecified dementia, Anxiety disorder, and Depression. The Annual 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 19 citations
  • Potential for harm · D2024-12-19 · tag F0679 — failed to provide activities — isolated
    Provide activities to meet all resident's needs.
    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 12/12/2024 to 12/19/2024, the facility did not provide an ongoing program to support residents in their choice of activities, designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident. This was evident for 3 (Residents #219, #237, and #436) of 4 residents reviewed for Activities out of 38 sampled residents. Specifically, Residents #219, #237, and #436 were not provided with activities that met their preferences and interests. The findings are: The facility policy titled Activity Planning with undated effective or revised date documented the Activity Leader records the recreational interests and needs of each resident on the form for that purpose upon admission. It also documented Activity Director plans a varied program of activities to meet the needs and stated preferences of each individual residents. The facility policy titled Activities with undated…

    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 before2024-12-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews conducted during the Recertification Survey from 12/13/2024 to 12/19/2024, the facility did not ensure residents received adequate supervision to prevent accidents. This was evident for 1 (Resident #24) of 4 residents reviewed for accidents out of 38 total sampled residents. Specifically, Resident #24, who is cognitively impaired with agitated behaviors, sustained a laceration on right 3rd, 4th and 5th metatarsal resulting in a minimally displaced extra articular fracture of the right third and 4th proximal phalanges. The findings are: The facility's policy and procedure titled Accident and Incident Report dated 07/2024, documented that As soon as possible, but no later than 24 hours post occurrence, complete the Accident/Incident Report. Fill in all spaces on the form, giving an exact description of the circumstances surrounding the accident or incident; Interview staff assigned to the care of the resident, and/or all staff assigned to the nursing unit on which 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 · D2024-12-19 · 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, interview and record review conducted during the Recertification Survey from 12/12/2024 to 12/19/2024, the facility did not ensure that the physician reviewed the resident's total program of care. This was evident for 1 resident (Resident #71) of 2 residents reviewed for Dialysis, out of 38 sampled residents. Specifically, there were no physician's order for Dialysis and the care and treatment for the monitoring of the Perma Cath on Resident #71, who was on Dialysis. The findings are: The facility's policy titled Medication Order Reconciliation updated 07/24, documented that reconciliation will occur during admissions, discharge, transfers, order changes and routine reviews. The responsibilities include that the nursing staff will verify and update records, the pharmacist will conduct regular reviews and identify potential issues and the Physician will provide clear orders and address discrepancies. The facility's policy titled Hemodialysis, updated 07/24 documented that the purpose of this…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-12-19 · 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, record review, and interviews conducted during the Recertification Survey from 12/12/2024 to 12/19/2024, the facility did not ensure medications and biologicals were stored in accordance with professional standards of practice. Specifically, 1) Eighteen individual expired Heparin lock flush syringes were stored on medication room on 2 [NAME] and 2 East Units. This was evident for 2 of 6 units (2 [NAME] and 2 East) during the Medication Storage Task. The findings are: 1. The facility policy and procedure titled Medication Storage updated 07/2024 documented the facility safety of resident by proper storage of medications. The facility following state and federal regulations as well as recommendations made by a medications manufacturer or supplier. Medications must be removed and disposed of immediately if they are expired. The Medication room inspections for the facility from July to December 2024 were reviewed and it documented that expired medications were found in subsequent inspections. On 12/16/20204 at 10:05 AM to 11:22 AM, Licensed Practical Nurse # 4…

    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 · D2024-12-19 · tag F0803 — failed to meet residents' dietary needs — isolated
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews conducted during the Recertification Survey from 12/12/2024 to 12/19/2024, the facility did not ensure menus were followed. This was evident for 5 residents (Resident # 97, Resident # 156, Resident # 212, Resident # 252 and Resident # 271) observed during the Dining Observation task. Specifically, food items were omitted or substituted, and residents were not informed of the changes. The findings include: The policy and procedure titled, Menu Item Substitutions reviewed 1/12/2024 documented menus will be followed as written unless a substitution is warranted in the event of unavailability of an item, unforeseen event, temporary inability to prepare the item or a special meal. A menu substitution item substitution list shall be maintained on file. Food service staff will consult with the director of food and nutrition services or designee on any needed menu substitutions. All changes to the menu (including the date, menu items substitution, reason for the…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-12-19 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews conducted during the Recertification Survey from 12/12/2024 to 12/19/2024, the facility did not ensure that infection control prevention 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) Certified Nursing Assistant (CNA) #8 was assisting multiple residents to perform hand hygiene in the dining room and did not clean their hands in between residents (2) Licensed Practical Nurse #3 who was observed performing wound care did not ensure infection control practices were maintained during a dressing change. This was evident during Dining Observation and Infection Control tasks. The findings are: The facility policy and procedure titled Hand washing reviewed December 2024 documented hand hygiene the primary means to prevent the spread of infections. All personnel shall follow the handwashing/hand hygiene procedures to prevent…

    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 · Dcited before2024-12-19 · tag F0925 — failed to control pests — isolated
    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 from 12/12/2024 to 12/19/2024, the facility did not maintain an effective pest control program so that the facility is free of pests and rodents. This was evident during the environmental observation. Specifically, 1) A live rodent was observe caught in a box trap in the dining room while residents were present. 2) Flies were observed flying on the units during the survey (2 [NAME] and 4 West). This was evident for the Environmental task. The findings include: The facility policy titled Pest Control with a revision date of 05/2024 documented that the facility will maintain an effective pest control program that eradicates and controls common household pests and rodents. The facility maintains a written agreement with a qualified outside pest service to provide comprehensive pest control services on a weekly basis and scheduled basis. Ensure use of appropriate chemicals to control pests, use of a variety of methods…

    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 · Ecited before2022-11-01 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observations, interviews, and record review conducted during the Recertification survey from 10/25/2022 to 11/07/2022, the facility did not store food in accordance with professional standards for food service safety. This was evident during kitchen observation. Specifically, expired chocolate cake mix was observed in the kitchen's Dry Storage Room (DSR). The findings are: On 10/25/2022 at 09:29 AM, a tour of kitchen was conducted and the DSR was observed with 2 boxes containing six 5lb boxes of chocolate cake mix on the shelf. The boxes had expiration dates of 12/01/2021 and 10/07/2022. On 10/25/2022 at 10:30 AM, an interview was conducted with Dietary Aide (DA) who stated they are responsible for the DSR and last rotated items in September 2022. The DA did not check the chocolate cake mix and the last time they checked it was August 2022. On 10/25/2022 at 10:34 AM, the Food Service Director (FSD) was interviewed and stated they are responsible for checking dry storage expiration dates. The FSD did not notice the expired cake mix on the DSR shelf. 415.14 (h)

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-11-01 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews conducted during a Recertification survey from 10/25/22 to 11/01/22, the facility did not ensure residents' environment was safe, clean, comfortable, and homelike. This was evident for 2 (2 [NAME] and 4 West) out of 6 units. Specifically, 1) Multiple rooms on the 2 [NAME] were observed with air conditioning (AC)/heater units that were dusty, dirty, and in disrepair; and 2) 4 [NAME] resident rooms were observed with dirty toilet bowls that had brown stains, a resident's bathroom without a functioning light above the toilet bowl, a dusty and broken radiator, a stained divider curtain, and a resident's closet door was not completely painted. The findings are: The facility policy titled Preventative Maintenance Program revised 07/2022 documented to ensure the provision of a safe, functional, sanitary, and comfortable environment for resident's staff and the public. 1) From 10/25/2022 at 11:03 AM to 10/31/2022 at 10:30AM, observations of 2 [NAME] resident rooms,…

    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 before2022-11-01 · 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, interviews and record review conducted during an Abbreviated Recertification Survey, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice for 2 (Resident #250 and Resident #201) of 35 sampled residents. Specifically, (1) Resident #250 had a wander guard in place without a current assessment or physician's order. (2) Resident #201 had a diabetic foot ulcer, and there were no wound measurement and description notes for 3 weeks. In addition, the treament record showed omissions for wound care for multiple days. The findings are: 1) The undated facility policy and procedure titled Use of Wander Guard Device documented the Physician's order shall be obtained and documented in medical record. Resident #250 was admitted to the facility with diagnoses that included Unspecified Dementia, Alzheimer's Disease, Unspecified, and Altered Mental Status, Unspecified. The Quarterly Minimum Data Set 3.0 (MDS) dated [DATE] 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-11-01 · tag F0745 — failed to provide medically-related social services — isolated
    Provide medically-related social services to help each resident achieve the highest possible quality of life.
    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 Recertification Survey and Complaint Survey (NY00303638), the facility failed to ensure medically-related social services to attain or maintain the highest practicable physical well-being of each resident were provided. This was evident for 1 out of 1 closed record reviewed for Death (Resident #468). Specifically, Resident #468 expired in the facility on [DATE], and plans coordinated with the designated representative to send Resident #468's body to the city morgue due to delays in funeral arrangements were not executed. As a result, Resident #468's body remained in the facility morgue holding refrigerator until [DATE] when their body was picked up by the funeral home. The findings are: The facility Policy and Procedure titled Death of a Resident revised on 08/2022 documented The Nurse Supervisor/Charge Nurse or designee will follow the instructions from the family for the disposition of the remains. The deceased resident will 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-11-01 · 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, record review, and interviews conducted during the Recertification survey, the facility did not ensure that all medications and biologicals were stored in accordance with professional standards of practice. This was evident for 1 of 6 units (2 [NAME] Unit). Specifically, (1) a urine culture and sensitivity kit with expiration date of 06/2022 in the medication room draw, a bottle of prescribed antibiotic liquid with use by date of 10/29/2022 in the medication refrigerator, a box containing 76 suppositories with expiration date of 01/2022, and two bottles of expired iron liquid found in the medication room cabinet. (2) multiple prescribed narcotic medication was not stored under double lock in the medication cart for the lower side of the 2 [NAME] Unit. This was evident for 1 out of 6 medication rooms and 1 out of 10 medication carts. (Unit 2 West) The findings are: The facility policy titled Medication Storage dated August 2022 documented it is the policy of our facility to safely of the residents by proper storage of medications. Our facility is following 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-11-01 · tag F0919 — failed to provide a working call system — isolated
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    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 10/25/2022 to 11/1/2022, the facility did not ensure a resident was adequately equipped to call for assistance through a communication system. This was evident for 1 (Resident #254) of 35 sampled residents. Specifically, Resident #254 was observed with a non-functioning call bell in place. The findings are: The facility's policy titled Answering the call light, implemented 3/2016, and revised 4/2022, documented the purpose of the call light is to respond to resident's requests and needs. Staff is to ensure call light is always plugged in and report all defective call lights as soon as possible. Resident #254 was admitted to the facility with diagnoses of legal blindness and schizophrenia. The Minimum Data Set 3.0 (MDS) assessment dated [DATE] documented Resident #254 was moderately cognitively impaired, was visually impaired, and required limited assistance of 1 person for most Activities of Daily Living (ADL).…

    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 · D2022-11-01 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review conducted during the recertification survey from 10/25/22 to 11/1/22, the facility did not ensure a safe functional environment for residents, staff, and public. This was evident for 1 (2 West) of 6 units observed. Specifically, a soiled utility room door was observed with a broken lock preventing the door from closing. The findings are: Between 10/25/2022 at 12:57 PM and 10/31/2022 at 5:05PM, there were multiple observations of the soiled utility room on 2 [NAME] with a broken lock preventing it from closing. The door was unlabeled and accessible to residents in a public area of the unit. The soiled utility room was observed with boxes on the floor, garbage bags containing diapers and chux pads, and bags filled with soiled linen on the floor on multiple occasions. On 10/25/2022 at 03:19 PM, the Housekeeper was interviewed and stated the soiled utility room closet has been broken for three weeks. The garbage and soiled linen are picked up at 8:30AM and 12PM daily. On 10/28/2022 at 10:50AM, the Laundry Aide (LA) was interviewed 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-11-01 · tag F0925 — failed to control pests — isolated
    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, interview, and record review conducted during the Recertification survey from 10/25/22 to 11/1/22, the facility did not ensure it maintained an effective pest control program so that the facility is free of pests. This was evident on 1 (4 West) of 6 units. Specifically, 1) several roaches approximately 1/2 inch in length were observed in room [ROOM NUMBER] and 426, and 2) several fruit flies were noted in room [ROOM NUMBER]. The findings are: The facility policy titled Pest Control Program dated January/2021 and revised in July/ 2022 documents that it is the facility policy to maintain an effective pest control program that eradicates and contains common household pests and rodents. The facility meets with the pest control technician before and after the service. Issues are reviewed at morning report with the entire team. On 10/25/22 at 11:27 AM, a tour of 4 [NAME] was conducted, and room [ROOM NUMBER] was observed with a roach crawling on the floor. room [ROOM NUMBER] was then observed…

    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 · D2020-10-28 · tag F0568 — isolated
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews conducted during the Recertification Survey, the facility did not ensure that individual financial records were available to the resident through quarterly statements. Specifically, there was no documentation that a resident consistently received quarterly statements from 01/01/2020 to 10/13/2020. This was evident for 1 out of 1 resident reviewed for Personal Funds out of a sample of 40 residents (Resident #154). The finding is: The facility policy Accessing Resident Funds/Banking Hours/Quarterly Statements revised 01/02/2019 documented that quarterly statements will be delivered to the alert and oriented residents on their respective units by the Social Worker and the resident without capacity or whom family has requested for the statement to be mailed will be mailed to their address on file. Resident #154 was admitted to the facility with diagnosis that included Dementia and Depression. The Quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] documented that…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-10-28 · 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

    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 advanced directives were initiated and reviewed periodically with resident and or resident's representative. Specifically, there was no documented evidence advance directives had been discussed with the resident's representative. This was evident for 1 of 2 residents reviewed for Advance Directives out of a sample of 40 residents. (Resident # 144) The finding is : The facility policy and procedure tiled Advance Directives revised 4/2018 documented it is the policy of Crown Heights Center that its health care staff educates residents with capacity to make informed decisions about their right to: refuse or consent to current or future healthcare interventions including but not limited to forgoing or withdrawing life sustaining treatment /appoint a Health care proxy to act on their behalf in the event they are unable to make health care decisions, medical orders for life sustaining treatment…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-10-28 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview conducted during the Recertification Survey, the facility did not ensure that resident received appropriate care and services to prevent urinary tract infections. Specifically, a resident's nephrostomy urinary collection bag was improperly positioned compromising the devices' ability to maintain gravity drainage and prevent reflux of urine. This was evident for 1 of 2 reviewed for Catheter care out of a sample of 40 resident, (Resident #217) The findings are: The facility's Policy and Procedure on Catheter Care, Urinary revision date 12/2019, documented that the urinary drainage bag must be held or positioned lower than the bladder at all times to prevent the urine in the tubing and the drainage bag from flowing back to the urinary bladder. Resident #217 was admitted to the facility 08/19/2019 with diagnoses that included Cancer, Renal Insufficiency and Obstructive Uropathy. The Quarterly Minimum Data Set (MDS), dated [DATE] documented that the resident has…

    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 before2020-10-28 · 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 observation, record review, and staff interviews during the recertification survey, the facility did not ensure infection prevention control practices were followed to help prevent the spread, development, and transmission of communicable diseases and infections. Specifically, the residents on oxygen/nebulizer treatment were observed with the tubing not properly labeled and dated to indicate the time the tubing was replaced. This was evident in 2 of 2 residents reviewed for Respiratory Care area/Oxygen use out of a sample of 40. (Residents #372 & #376). The findings are: The facility policy and procedure titled Oxygen Administration and Administering Medication through a Nebulizer dated 12/2019, documented the following: When the equipment is completely dry, store in a plastic bag with resident's name and the date on it. Change equipment and tubing every seven days or according to facility protocol. 1. Resident #372 was admitted to the facility 10/13/2020 with diagnosis that included Atrial…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to ALLURE GROUP — 6 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 54.0-1.0 vs chain
Health inspection 2 of 53.2-1.2 vs chain
Staffing 3 of 53.2-0.2 vs chain
Quality measures 5 of 55.0≈ chain avg
The other 5 homes this chain runs (chain average 4.0★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
BASCH, JACKIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF20%since 01/24/2014
LANDAU, JOELIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF40%since 01/24/2014
RUBIN, MARVINIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF20%since 01/24/2014
RUBIN, SOLOMONIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; ADP OF THE SNF20%since 01/24/2014
ALLURE CARE MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 01/24/2014
ALPHA REHABILITATION SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 01/24/2014
ST MARKS AVENUE PROPERTY LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/24/2014
HAK, VIRENDERIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/01/2019
RICE, SUSANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/12/2021

CMS files one row per role, so the 20 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$48.0M
Net patient revenuemost recent cost report
+0.4%
Operating marginrevenue minus expenses
$10.0M
Related-party expense21% of expenses
Who pays — share of resident-days
Medicaid 66%Medicare 17%Other / private 17%

This home reported $10.0M paid to related parties — landlords or management companies under common ownership — equal to about 21% 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

$459per resident / day
operating cost
$13,964per month
≈ monthly operating cost
$461per 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 335609. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-12-19, 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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