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Ellicott Center For Rehabilitation And Nursing

200 Seventh Street, Buffalo, NY 14201 · For profit - Limited Liability company · 160 certified beds · (716) 847-2500 Medicare & Medicaid certified

Call the home — (716) 847-2500 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0610) — cited Sep 2021Resident-funds citation (F0567)Behavioral-health or dementia-care citation — no harm found (F0758)1 actual-harm citation$10,868 in federal fines
Insights

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

Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (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 (F0567)
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (33) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $10,868 in federal fines (most recent 2025-02-07)
  • its independent health-inspection rating is low (1/5)
  • its payroll-based staffing rating is low (1/5)
  • its facility-reported quality-measure rating is low (2/5)
  • nursing-staff turnover (61%) runs well above the national median (45%)

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

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

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 1 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
206 S Elmwood Ave · (716) 847-2441 · Call to confirm hours
Pharmacy
Rite Aid<0.1 mi
350 Niagara St · (716) 853-3111 · Call to confirm hours
Grocery
278 Trenton Ave · (716) 852-2808 · Call to confirm hours
Park
55 Johnson Park · Typically dawn to dusk
Place of worship

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

Quality measures — how residents actually fare

Overall quality measures 2 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 1 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 1 stars. From monthly CMS archive snapshots.

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

Overall rating1★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased21.0%14.1%15.4%worse
Long-stay residents who lose too much weight4.3%5.8%5.4%better
Long-stay residents with a catheter left in their bladder0.3%0.5%0.9%better
Long-stay residents with a urinary tract infection0.6%1.3%2.0%better
Long-stay residents with depressive symptoms14.2%19.5%6.5%better 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 injury0.8%3.1%3.3%better
Long-stay residents whose ability to walk worsened25.3%12.5%16.1%worse
Long-stay residents on antianxiety or hypnotic medication15.9%13.2%18.9%better
Long-stay residents given the seasonal flu vaccine78.1%95.3%95.3%worse
Long-stay residents with pressure ulcers10.6%6.5%4.7%worse
Long-stay residents with worsening bladder/bowel control23.2%19.5%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table14.1%13.7%17.1%better
Short-stay residents who newly got an antipsychotic medication1.5%1.2%1.4%typical
Short-stay residents given the seasonal flu vaccine75.0%78.8%79.4%typical
Short-stay residents rehospitalized after admission26.6%20.6%22.6%worse
Short-stay residents with an outpatient ER visit19.9%9.6%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.081.701.67better
Long-stay outpatient ER visits per 1,000 resident days1.171.361.80better

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.

36.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 57 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

36.0%U.S. median 51.5%
Got home and stayed home
9.5%U.S. median 10.7%
Went back to hospital
52.3%U.S. median 56.6%
Met the expected recovery
0.32U.S. median 0.31
Therapy hours / resident / day
0.19hours / resident / day
Physical therapy
0.09hours / resident / day
Occupational therapy
0.05hours / 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 44 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 0.32 therapist hours per resident per day in 2026Q1 — more than 53% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 11% 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 SNF36.0%CMS range 23.5–50.951.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.5%CMS range 6.0–14.810.7%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 discharge38.6%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 discharge56.8%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 identified97.7%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 setting97.3%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%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 worsened4.6%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.7%CMS range 4.1–12.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.141.02Oct 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

0.44
RN hours/ resident / day
0.96
LPN hours/ resident / day
2.09
Aide hours/ resident / day
3.48
Total nurse hours/ resident / day
0.25
RN hoursweekends
61.3%
Total nursing turnover
50.0%
RN turnover

How full it usually is: this home is certified for 160 beds and averages 157.8 residents a day — about 99% occupied, or roughly 2 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 3.480 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.44 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.09 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 2.90 hrs/resident/day on weekends vs 3.71 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 0.51 to 0.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 61% is well above the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

12
deficiencies at the latest standard inspection (2025-02-13)
9
at the previous standard inspection (2023-10-04)

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.

33 citations, most serious first. The 11 most serious are shown; the remaining 22 are one tap away and print in full.

  • Actual harm · G2025-02-13 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review conducted during a Complaint investigation (Complaint #NY00356490) during a Standard survey completed on 2/13/2025, the facility did not ensure that each resident was free from significant medication errors for one (1) (Resident #202) of four (4) residents reviewed for insulin medications. Specifically, Resident #202 did not receive scheduled insulin doses or have their blood glucose (sugar) monitored per the provider orders. On 10/6/2024. the resident was found unresponsive, nonverbal with a blood glucose of 579 (normal 60 - 110) which resulted in hospitalization for diabetic ketoacidosis (a life-threatening complication of diabetes that occurs when the body does not have enough insulin). Additionally, a nurse inaccurately documented the resident was in the hospital on [DATE] at the time of their scheduled insulin dose and blood glucose monitoring. This resulted in actual harm to Resident #202 that was not Immediate Jeopardy. The finding is: The policy titled Insulin…

    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 · E2025-02-13 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, and record review conducted during Complaint investigations (Complaint #s NY00359253 and NY00368473) during the Standard survey completed on 2/13/25, the facility did not ensure that food and drink was palatable, attractive and at a safe and appetizing temperature for three (Cityview, Skyview, and Harborview units) of four test trays. Specifically, food was served during meals at suboptimal temperatures and was not palatable. Residents #3, #55, #63, #65, #96, #104, and #203 were involved. The findings are: The facility policy and procedure titled Food Temperature Policy last reviewed 3/23, documented food sent to remote kitchens for distribution (such as meals, snacks, nourishments, oral supplement) will be transported and delivered to maintain temperatures at or below 41 degrees Fahrenheit for cold foods and at or above 140 degrees Fahrenheit for hot foods. All employees are responsible to notify their supervisor of any food item that does not meet the regulated safe acceptable service ranges (at or below 41 degrees Fahrenheit or above 135 degrees…

    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 before2025-02-13 · 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 observation, interview, and record review conducted during the Standard survey completed on 2/13/2025, the facility did not provide housekeeping and maintenance services necessary to maintain a safe, clean, comfortable, and homelike environment; and did not maintain comfortable temperature levels between 71 degrees Fahrenheit to 81 degrees Fahrenheit for two (Harbor View and City View units) of four units. Specifically, air temperatures were below 71 degrees Fahrenheit in resident rooms and shared resident areas on the Harbor View unit. In addition, shower chairs and the shower floor were observed with dried brown debris on them on the City View and Harbor View units. The findings are: The policy titled Home Like Environment, created 9/19/2022, documented residents were provided with a safe, clean, comfortable, and homelike environment and encouraged to use their own personal belongings to the extent possible. The facility staff and management shall maximize, to the extent possible, the characteristics…

    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 before2025-02-13 · 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 observation, interview and record review conducted during Complaint investigations (Complaint #s NY00362643 and NY00369017) during the Standard survey completed on 2/13/25, the facility did not ensure that residents who were unable to carry out activities of daily living, received the necessary services to maintain good grooming and personal hygiene for two (Residents #39 and #96) of 9 residents reviewed. Specifically, Resident #39 was not gotten out of bed on multiple days and had an unkempt beard. Resident #96 had a moderate amount of long chin hair and jagged dirty fingernails. The findings are: The policy titled Activities of Daily Living Care and Support dated 3/13/24 documented care and support will be provided for residents who were unable to carry out activities of daily living independently in accordance with the resident's assessed needs, personal preferences, and individualized plan of care that includes assistance with hygiene (grooming) and mobility (transfers). Nail care should be provided…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-13 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    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 reviews conducted during a Compliant investigation (#NY00359451) during the Standard survey completed on 2/12/25, the facility did not ensure that residents who are fed by enteral means (by way of the intestine to deliver part or all of a person's caloric requirements) received the appropriate treatment and services to prevent possible complications for two (2) (Resident #147 and Resident #39) of two (2) residents reviewed for feeding tubes. Specifically, the facility did not provide the tube feed formula as ordered by the physician. In addition, the nursing staff inaccurately documented the formula was administered as ordered. The findings are: The facility policy and procedure titled Enteral Feedings last reviewed 2/23 documented it was the policy of the facility to provide enteral nutrition therapy to residents unable to obtain nutrition orally, when such therapy was ordered by the physician and not clinically contraindicated. The procedure included instructions…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-13 · tag F0694 — isolated
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    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 Standard survey, completed on 2/13/25, the facility did not ensure parenteral fluids were administered consistent with professional standards of practice and in accordance with the physician's orders, and the comprehensive person-centered care plan for one (Resident #16) of one resident reviewed for peripherally inserted central catheter (PICC- a long, thin tube that is inserted through a vein in an arm and passed through to the larger veins near the heart) use. Specifically, Resident #16 was readmitted to the facility with a peripherally inserted central catheter in their left upper arm (PICC). There was a lack of physician orders and assessments, for monitoring arm circumference, external length, dressing changes and flushes for the peripherally inserted central catheter. Additionally, the comprehensive care plan was not developed to include the peripherally inserted central catheter. The finding is: The policy titled PICC (peripherally…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-13 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review conducted during the Standard survey completed on 2/13/25, the facility did not ensure that residents who require dialysis, received services consistent with professional standards of practice for one (Resident #16) of one resident reviewed. Specifically, Resident #16 did not have ongoing monitoring upon leaving the facility and returning from hemodialysis (treatment that filters waste and excess fluid from the blood when the kidneys were unable to). There were no assessments of their access site and there was no communication between the dialysis center and the facility. Additionally, the wrong type of hemodialysis access device was listed on the resident's provider orders. The finding is: The policy titled Dialysis Management, last reviewed 5/2019, documented residents receiving hemodialysis treatments will be assessed and monitored to ensure quality of life and well-being. On admission the resident will be assessed for the type of access device and the site will be observed for function and signs of infection. The facility will…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-13 · 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, interview, and record review conducted during a Standard survey completed on 2/13/25, the facility did not ensure that all drugs and biologicals were securely stored in accordance with State and Federal Laws for one of one facility reviewed for medication storage. Specifically, there were two full boxes that contained discontinued prescription medications for 22 residents located in an unsecured first floor conference room. This involved Resident #'s 10, 21, 23, 31, 32, 34, 35, 51, 60, 69, 70, 79, 81, 85, 130, 133, 135, 502, 503, 504, 505, and 506. Additionally, there was one full box of discontinued prescription medications for 32 residents located on the second floor in a Nurse Manager's office that was open and unlocked. This involved Resident #'s 9, 10, 23, 29, 31, 41, 42, 55, 57, 79, 92, 97, 108, 111, 115, 128, 131, 139, 402, 403, 404, 405, 406, 407, 507, 508, 509, 510, 512, 513, 514, and 515. The findings are: The policy and procedure titled Medication Storage dated 1/2019, documented that medications will be stored in a manner that maintains the…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-02-13 · 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, interview and record review conducted during a Standard survey completed 2/13/25, the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary, and a comfortable environment, to help prevent the development and transmission of communicable diseases and infections for four (4) (Residents #39, #96, #119 and #139) of seven (7) residents observed for hands-on care. Specifically, Resident #39 was on Enhanced Barrier Precautions (interventions designed to reduce transmission of multi-drug-resistant organisms including gown and glove use during high contact resident care activities) and staff did not wear a gown during medication and parenteral feed administration through a percutaneous endoscopic gastrostomy tube (a method of delivering liquid nutrition fluids and medicine directly into the stomach), staff did not change gloves or wash their hands after providing fecal incontinence care, and prior to touching clean items; and soiled linens were…

    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 · Fcited before2025-02-07 · tag F0755 — failed to provide safe pharmacy services — widespread
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review conducted during an Abbreviated (#NY00351834) survey completed on 2/7/25, the facility did not provide pharmaceutical services to meet the needs of each resident and the facility did not ensure that drug records were in order and that an account of all controlled drugs are maintained and periodically reconciled for four (River View, Harbor View, City View, and Sky View) of four units. Specifically, on 8/19/24, 93 narcotic (medication used to treat moderate to severe pain) medications were unaccounted for on the River View unit. Additionally, on 2/5/25 one narcotic reconciliation book with the keys to a medication cart and narcotic cupboard were left unattended in the River View medication room, and two narcotic reconciliation books with the keys to 2 medication carts and 2 narcotic cupboards were left unattended in the Sky View medication room. Licensed Practical Nurse #1 was observed to have completed a narcotic reconciliation by themselves without the presence of the nurse going off duty on City View. Furthermore, the controlled…

    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 · D2024-11-13 · 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 interview and record review conducted during an Abbreviated survey (Complaint #NY00359366), the facility did not ensure that all residents had the right to formulate advanced directives that would be honored for one (Resident #1) of six residents reviewed. Specifically, Cardiopulmonary Resuscitation (CPR) was implemented for Resident #1 who had a MOLST (Medical Orders for Life Sustaining Treatment) identifying the resident's wishes as Do Not Resuscitate (DNR). The finding is: The policy and procedure titled Advance Directive and State Specific Medical Orders for Life Sustaining Treatment-New York dated [DATE] documented residents have the right to formulate an advance directive and to request, refuse and discontinue treatments. An advance directive is a written statement of a person's wishes regarding medical treatment made to ensue those wishes are carried out should the person be unable to communicate them to a physician. New York State uses the Medical Orders for Life-sustaining Treatment. A…

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

    Resident Rights Deficiencies · Past Non-Compliance
Show the remaining 22 citations
  • Potential for harm · F2023-10-04 · tag F0725 — failed to have enough nursing staff — widespread
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review conducted during Complaint investigations (#NY00296344, #NY00320402 and #NY00297199) during the Standard survey completed on 10/4/23, the facility did not ensure sufficient nursing staff to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident for four (River View, Sky View, Harbor View, and City View) of four resident care units. Specifically, the facility did not have adequate nursing staff based on the facility's established minimum numbers of staff for each shift. Additionally, there was a lack of sufficient nursing staff to get residents out of bed, pass medications timely and according to physician orders, and not meeting resident care needs (showers). Resident #'s 1, 3, 8, 9, 11, 13, 19, 21, 23, 29, 37, 45, 49, 51, 52, 62, 73, 79, 80, 85, 98, 104, 107, 116, 118, 126, 142 and 401 were involved. The findings are: Refer to F677- Activities of Daily Living, scope and severity (S/S) =D Refer to F755- Pharmacy Services/Procedures/Pharmacist/Records 1. Review of the Facility…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-10-04 · tag F0755 — failed to provide safe pharmacy services — pattern
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review conducted during the Standard survey completed on 10/4/23, the facility did not provide pharmaceutical services to meet the needs of each resident and the facility did not ensure that drug records were in order and that an account of all controlled drugs is maintained and periodically reconciled for four (River View, Harbor View, City View and Sky View) of four units. Specifically, on the Riverview Unit Licensed Practical Nurse (LPN) #4 was observed to have pre-poured resident medications and two narcotic reconciliation books with the keys to a medication cart and narcotic cupboard were left unattended in the medication room. Additionally, on the Sky View Unit LPN #7 was observed to have completed a narcotic reconciliation by themselves without the presence of the nurse going off duty. Furthermore, the controlled drug records for all the units shift to shift counts were not consistently signed off as completed. The findings are: The facility Policy and Procedure (P&P) titled Medication Administration dated 12/19 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-04 · tag F0561 — failed to honor residents' choices — isolated
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review conducted during a Complaint investigation (Complaint #NY00324268) during a Standard survey completed on 10/4/23 the facility did not ensure that it promoted and facilitated resident self-determination through the support of resident choice for two (Residents #93 and #398) of four residents reviewed for choices. Specifically, preferred number of showers were not provided in accordance with resident wishes per week. The findings are: The facility policy and procedure title ADL-Personal Hygiene with a revision date of 10/2019 documented the purpose is to direct the nursing staff to meet the residents needs per the plan of care and [NAME] on a daily basis. Resident bath or showers will be scheduled per resident preference but at least weekly per the unit shower schedule and a bed bath will be provided on non- shower days. If the resident refused assistance with care needs, the reason(s) why and the intervention taken will be documented by the Licensed Nurse. 1. Resident #398 had…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-04 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review during a Standard survey completed on 10/4/23, the facility did not ensure that they immediately informed the resident's representative when there was a significant change in the resident's health, mental, or psychosocial status for two (Resident #s 27 and #54) of two residents reviewed. Specifically, there was no evidence Resident #54's Health Care Proxy/Responsible Party (HCP/RP) was informed that the resident was transferred to the hospital on 7/20/23 and staff did not contact Resident #27's alternate representative when they could not reach their primary representative to notify of an acute hip fracture. The findings are: The policy titled Notification of a Change in a Resident's Condition or Status dated 12/2016 documented unless otherwise instructed by the resident, a nurse will notify the resident's representative when the resident was involved in an accident or incident that resulted in an injury including injuries of unknown source and when it was necessary 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-10-04 · 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

    Based on observation, interview, and record review conducted during the Standard survey completed on 10/4/23, the facility did not provide a safe, clean, comfortable, and homelike environment for one unit (Riverview) of four resident units. Specifically, there were strong odors of cigarette smoke, ashes on the floor, and cigarette butts in the toilet and on the floor of the Riverview shower room. The policy and procedure (P&P) Smoking Program, revised 6/2019, documented the facility shall establish and maintain safe resident smoking practices. While the facility does promote a smoke free environment, those residents who wish to smoke will be provided with appropriate accommodations to safely do so. The undated P&P Homelike Environment documented residents are provided with a safe, clean, comfortable, and homelike environment. The findings are: During an observation on 9/26/23 at 11:30 AM, a strong cigarette smoke odor was detected in the Riverview unit shower room and there was a cigarette butt inside the bathtub. During an interview on 9/27/23 at 8:36 AM, Resident #107 stated 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-04 · tag F0660 — isolated
    Plan the resident's discharge to meet the resident's goals and 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 record review and interviews conducted during a complaint investigation (Complaint #NY00317844) during the Standard survey completed on 10/4/23, the facility did not ensure the development and implementation of an effective discharge process that focused on resident's discharge goals, and effectively transitioned them to post-discharge care, including regular re-evaluation to identify changes that require modification of the discharge plan for two (Resident #3 and #400) of four residents reviewed for discharge planning. Specifically, there was no evidence that referrals were made, facilities contacted, family contact, and there was no follow up with the resident for the status of their discharge plan (Resident #3), also there were no referrals for post discharge care made prior to their discharge from the facility (Resident #400). The findings are: The policy titled Discharge-Planning dated 12/19, documented the Social Worker (SW) will be responsible for the duties of discharge coordinator which…

    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 before2023-10-04 · 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 observation, interview, and record review conducted during the Standard survey completed on 10/4/23, the facility did not ensure that a resident who was unable to carry out activities of daily living (ADLs) received the necessary services to maintain good nutrition, grooming, and personal hygiene for two (Resident #54 and 104) of eight residents reviewed. Specifically, a resident with a significant weight loss, that required extensive assistance with eating, was not provided extensive assistance (Resident #54); and a resident that was totally dependent on staff for care was not provided showers, nor was their hair washed (Resident #104). The findings are: 1. Resident #54 had diagnoses including traumatic brain injury, epilepsy, and cerebral infarction (a stroke). The Minimum Data Set (MDS, a resident assessment tool) dated 7/31/23 documented Resident #54 had moderately impaired cognition and required extensive assistance for eating. The undated policy and procedure (P&P) titled Nutrition…

    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 · D2023-10-04 · 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

    Based on observation, interview and record review conducted during the Standard survey completed on 10/4/23, the facility did not ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #126) of eight reviewed for quality of care related to skin conditions (non-pressure) and pressure ulcers. Specifically, the facility did not provide pressure ulcer care and venous ulcer care per the physician's orders, dressings were not changed daily and/or dressings were not in place. The finding is: The policy and procedure titled Skin and Pressure Injury Prevention revision dated 3/13/23 documented the facility will assess residents for risk in the development of pressure injuries and implement preventative measures in accordance with current standards of practice. 1. Resident #126 had diagnoses including malignant neoplasm cervix (cancer lower part of uterus), chronic peripheral venous insufficiency (condition affecting blood flow from legs), 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 · D2023-10-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review conducted during the Standard survey completed on 10/4/23, the facility did not ensure that each resident receives adequate supervision to prevent accidents for one (Resident #80) of one resident reviewed. Specifically, a resident with a diagnosis of dysphagia (difficulty swallowing) and a physician ordered pureed diet (consistency of smooth, thick paste) with soft sandwiches, received a deli meat sandwich. The finding is: The policy titled Modified Food Consistency dated 4/2020 documented the food and nutrition services department will be responsible for preparing and serving the diet texture as ordered, care will be taken to serve the foods as ordered on the consistency altered diet. Food consistency changes should not be made without a written order, upgrading or downgrading consistency may need to be evaluated by the Speech Language Pathologist (SLP). 1. Resident #80 had diagnoses including gastroesophageal reflux disease (GERD), hypothyroidism, and heart…

    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 · E2021-09-22 · tag F0711 — pattern
    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 interview and record review conducted during the Standard survey completed on 9/22/21, the facility did not ensure that the physician signed and dated all orders, with the exception of influenza and pneumococcal vaccines, for 23 (Resident #7, 8, 9, 19, 22, 23, 27, 36, 39, 48, 52, 56, 62, 72, 83, 89, 95, 100, 101, 112, 146, 148, and 452) of 29 residents reviewed for physician orders. Specifically, the facility did not ensure that the physician or non-physician provider evaluated the resident's current medication regimen and renewed orders in the electronic medical record (EMR) at least every 60 days. The findings are but not limited to: Review of facility policy and procedure (P&P) titled Physician Visits revised 5/2019 documented the Attending Physician must visit his/her patients at least once every 30 days for the first 90 days following the resident's admission, and then at least every 60 days thereafter. Non-physician practitioners (Physician Assistant, Nurse Practitioner) may perform required…

    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 · E2021-09-22 · tag F0758 — failed to limit and justify psychotropic drugs — pattern
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review conducted during a Standard survey completed on 9/22/21, the facility did not ensure that residents who receive a psychotropic medication have gradual dose reductions (GDR), unless clinically contraindicated, in an effort to discontinue these drugs for one (Resident #95) of five residents reviewed for antipsychotic medication use. Specifically, there was a lack of an attempt of a GDR for a resident receiving Seroquel (antipsychotic medication) since September 2019. The finding is: The facility P&P titled Psychotropic Medication Gradual Dose Reduction dated 8/2019 documented that all medications can be tapered and tapering of antipsychotics are referred as gradual dose reduction. Further review of the P&P documented that residents who use antipsychotics shall receive gradual dose reduction unless contraindicated. The facility policy & procedure (P&P) titled Psychotropic Medication revised on 7/2019 documented that physicians and mid-level providers will use psychotropic medication appropriately working with an interdisciplinary team…

    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 · E2021-09-22 · tag F0867 — failed to act on quality-improvement findings — pattern
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    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 the Standard survey completed on 9/22/21, the facility did not ensure that the Quality Assessment and Assurance (QAA) Committee developed and implemented appropriate plans of action to correct identified quality deficiencies and regularly reviewed, analyzed and acted on available data to make improvements. Specifically, the QAA Committee identified an issue involving the lack of timely Provider signatures of Physician Orders since November 2020. The facility identified corrective actions which were not effective, and the plan was not revised. The finding is: Refer to F 711 - Physician Services - Scope and Severity E. Review of a facility policy and procedure (P&P) entitled Quality Assurance and Performance Improvement Program (QAPI) Program dated 4/2014 revealed the facility shall develop, implement, and maintain an ongoing, facility wide Quality Assurance and Performance Improvement (QAPI) program that builds on the Quality Assessment and Assurance Program…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-09-22 · 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

    Based on interviews and record review conducted during a Complaint investigation (Complaint NY#00276496) during the Standard survey completed on 9/22/21 the facility did not ensure that all allegations of abuse, neglect, exploitation, or mistreatment were thoroughly investigated for one (Resident #1) of three residents reviewed for abuse. Specifically, there was a lack of an investigation completed by the facility to rule out abuse, neglect or mistreatment for a reported allegation that Resident #1 was pushed out of bed (OOB) by a staff member. The finding is: The facility policy and procedure (P&P) dated 2/2016 titled Abuse documented allegations/reports of suspected abuse, neglect shall be promptly and thoroughly investigated by the facility management. The Administrator and the Director of Nursing (DON) are responsible for investigating and reporting. The conclusion must include whether the allegation was substantiated or not and what information supported the decision. 1. Resident #1 was admitted with diagnoses including dementia, depression and seizure disorder. The Minimum…

    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 · D2021-09-22 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview conducted during the Standard survey completed 9/22/21, the facility did not ensure that a resident with limited range of motion receives appropriate treatment and equipment to prevent further decrease in range of motion. Specifically, one (Resident #39) of two residents observed for range of motion (ROM-normal range of motion of a joint) services had issues with not having a palm guard to the left hand as recommended by OT (Occupational Therapy) and per Physician's order. The facility policy and procedure (P&P) titled Appliances - Splints, Braces, Slings revised 4/2019 documented therapy would evaluate residents for a device and order, fabricate, adjust splints/devices. Nursing ensured the proper schedule for donning (applying) and doffing (removal) the appliance was known by certified nursing assistant (CNA) staff, provided appropriate sign off of task options, ensured staff was aware where the device was to be stored and cared for, released devices/appliance…

    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 · D2021-09-22 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    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 Standard survey completed on 9/22//21, the facility did not ensure that a resident who needs respiratory care was provided such care, consistent with professional standards of practice for three (Resident #56, #100, and #452) of four residents reviewed for respiratory care. Specifically, Residents (#56, #100 and #452) on continuous O2 (oxygen) and/or nebulizer treatments did not have routine tubing changes and/or external concentrator filters were soiled and covered with thick dusty grey debris. Additionally, there was lack of physician orders for the use of continuous O2 (#452). Review of facility policy and procedure (P&P) titled Oxygen Concentrators revised 1/2020 documented oxygen is administered is administered by licensed nurses with a physician's order to provide a resident with sufficient oxygen to their blood and tissues. Orders should specify the oxygen equipment and flow rate, or concentration required as routine or PRN (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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-09-22 · tag F0814 — failed to dispose of garbage properly — isolated
    Dispose of garbage and refuse properly.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review during the Standard survey completed on 9/22/21, the facility did not dispose of garbage and refuse properly. Specifically, waste was not properly contained outside of the facility in closed dumpsters, and torn bags of garbage and loose debris were observed on the ground around the dumpsters, which created potential feeding and harborage areas for pests. The finding is: According to the facility policy and procedure called, Food-Related Garbage and Refuse Disposal, revised October 2017, garbage and refuse containing food wastes will be stored in a manner that is inaccessible to pests and outside dumpsters provided by garbage pickup services will be kept closed and free of surrounding litter. Additionally, according to the facility policy and procedure called, Grounds, revised May 2008, maintenance shall be responsible for keeping the grounds free of litter Observation on 9/15/21 at 11:50 AM revealed two garbage dumpsters were located in a fenced-in area that measured twenty feet long by ten feet wide, near the employee entrance.…

    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 before2021-09-22 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation interview and record review conducted during the Standard survey completed on 9/22/21, the facility did not establish and maintain an Infection Control Program to ensure the health and safety of residents to help prevent the transmission of COVID-19. Specifically, certified nurse aide (CNA) Swab Technician (Tech) #2 did not utilized appropriate PPE (personal protective equipment) while collecting COVID-19 specimens for one of one employee observed (Physical Therapist #1). The finding is: The policy and procedure (P&P) titled Covid 19 Testing of Staff dated 7/5/21 documented all personal will be trained on infection control policies and practices upon hire and periodically thereafter, including where and how to find pertinent equipment related to infection control. The depth of employee training shall be appropriate to the degree of direct resident contact and job responsibilities. The Centers for Medicare and Medicaid Services (CMS) QSO-20-38-NH revised 4/27/21, Interim Final Rule (IFC), CMS-3401-IFC, Additional Policy and Regulatory Revisions in Response to the…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2025-02-13 · tag F0836 — widespread
    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review during the Standard survey completed on 2/13/25, the facility did not operate and provide services in compliance with all applicable Federal, State, and local laws, regulations, and codes. Specifically, the facility was not in compliance with Section 915 of the 2020 Fire Code of New York State, which requires carbon monoxide detection in buildings with fuel-burning appliances and on-going preventative maintenance of carbon monoxide detectors. This affected three (first, second, and third floors) of three resident use floors in the front building. The finding is: The policy and procedure titled Carbon Monoxide (CO) Detector Policy, created 4/25/24, documented the facility shall install carbon monoxide detectors in quantities and locations as necessary to comply with applicable life safety code and any other local ordinance. The carbon monoxide detectors shall be inspected periodically for function but no less than annually. Observations during the building tour on 2/6/25 from 8:30 AM until 1:40 PM revealed fuel-burning appliances…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2025-02-13 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview conducted during the Standard survey completed on 2/13/25, the facility did not complete and electronically submit encoded, accurate and complete Minimum Data Set (a resident assessment tool) assessments to the Centers for Medicare and Medicaid Services System within the required timeframe for 26 (Resident #4, #5 #6,#9, #14, #17, #18, #27, #28, #30, #47, #63, #66, #67, #78, #80, #82, #103, #109, #110, #118, #122, #125, #127, #132, #145) of 26 residents reviewed for resident assessments. Specifically, Resident #27, #80, #122, #127 and #145's Minimum Data Set assessments were not electronically submitted within 14 days after the assessment completion date. Additionally, Residents #4, #5, #6, #9, #14, #17, #18, #28, #30, #47, #63, #66, #67, #78, #82, #103, #109, #110, #118, #125, and #132 had Minimum Data Set assessments that were not completed within 14 days following their Assessment Reference Date (date of the Minimum Data Set) and had not been submitted. The findings include…

    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 · B2025-02-13 · tag F0842 — failed to keep accurate, complete medical records — pattern
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review conducted during an Onsite Post Survey Revisit #1 completed on 4/24/25, the facility did not ensure that in accordance with accepted professional standards and practices, they maintained medical records on each resident that were complete; accurately documented; readily accessible; and systematically organized for three (3) (Resident #2, #16 and #127) of eleven residents reviewed. Specifically, treatment orders for PICC line (peripherally inserted central catheter) dressing changes and measurements of their arm circumference were not documented as completed and the orders did not include external migration (displacement) measurements (#2). Additionally, Resident #16 and Resident #127 did not have physician orders to receive dialysis treatments and their dialysis binders (communication book) did not include updated orders. The findings are: The policy and procedure titled Documentation and Charting dated 1/20 documented all services provided to the resident, 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
  • No harm found · B2021-09-22 · tag F0567 — failed to protect residents' money held by the home — pattern
    Honor the resident's right to manage his or her financial affairs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review conducted during a Standard Survey completed on 9/22/21, the facility did not ensure action as a fiduciary (trustee) of the resident's funds and hold, safeguard, manage, and account for the residents' personal funds deposited with the facility for 3 (Resident A, B, C) of 3 resident reviewed for personal funds. Specifically, the facility did not ensure residents had access to personal funds after 4:00 PM Monday through Friday and on weekends. A review of the facility policy & procedure titled Resident Funds Account dated 8/2020 documented that residents who wanted access to their personal funds account after banking hours could do so during Business Office hours. Review of a facility notice posted and provided by the Administrator tilted New Banking/Finance Hours revealed that the banking hours were from 10:00 AM to 11:00 AM and 2:00 PM to 2:30 PM, Monday through Friday beginning April 1, 2021. 1. During the Resident Council Facility Task meeting on 9/16/21 at 10:30 AM, residents (A, B and C) stated that they could not withdraw money…

    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
  • No harm found · Bcited before2021-09-22 · 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 interviews, observations, and record review conducted during a Standard survey completed on 9/22/21, it was determined that the facility did not ensure that residents had a safe, clean, comfortable, and homelike environment. Specifically, one (Harborview) of four resident units had issues with resident rooms with missing window screens or window screens in disrepair; soiled floors with debris and multiple stained areas; and multiple dead insects and cobwebs in window wells. The findings are: A review of the facility policy and procedure (P&P) titled Disinfecting/Cleaning Environmental Surfaces dated 11/2018 revealed that environmental surfaces will be cleaned and disinfected. 1. Observations on 9/15/21 between 9:00 AM and 12:00 PM: Resident room [ROOM NUMBER] - various debris on the floor with black marks; floor sticky by the bathroom door. Resident room [ROOM NUMBER] - straw wrappers and medication cup on the floor; black marks of various sizes on the floor; clear liquid spilled between the residents'…

    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

“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

$10,868 in federal fines across 1 penalty.

  • $10,868 — penalty dated 2025-02-07

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to CENTERS HEALTH CARE — 36 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 1 of 52.2-1.2 vs chain
Health inspection 1 of 52.1-1.1 vs chain
Staffing 1 of 52.1-1.1 vs chain
Quality measures 2 of 53.8-1.8 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 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 5Bushwick Center for Rehabilitation and Health CareBrooklyn, NY 3 of 5Cooperstown Center For Rehabilitation And NursingCooperstown, NY 3 of 5Essex Center For Rehabilitation And HealthcareElizabethtown, NY 3 of 5Glens Falls Center For Rehabilitation And NursingGlens Falls, NY 3 of 5Steuben Center for Rehabilitation and HealthcareBath, NY 3 of 5Washington Center For Rehab And HealthcareArgyle, NY 4 of 5Corning Center for Rehabilitation and HealthcareCorning, NY 4 of 5Far Rockaway Center for Rehabilitation and NursingFar Rockaway, NY 4 of 5University Center for Rehabilitation and NursingBronx, NY 4 of 5Williamsbridge Center For Rehabilitation And NrsgBronx, NY 5 of 5Slate Valley Center For Rehabilitation And NursingGranville, NY

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

Who owns this facility

Owner / managerTypeRoleShareSince
ROZENBERG, KENNETHIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY81%since 01/01/2025
SICKLICK, JEFFREYIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST19%since 01/01/2013
GOLDMAN, NATHANIndividualMANAGING CONTROL - GOVERNING BODYsince 01/01/2025
HENDRIX, HEIDIIndividualMANAGING CONTROL - GOVERNING BODYsince 01/01/2025
LANTZITSKY, AHARONIndividualMANAGING CONTROL - GOVERNING BODYsince 01/01/2025
ARORA, NITINIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/15/2024
PATTERSON, ENIJAHIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/21/2023

CMS files one row per role, so the 10 rows in the source record cover these 7 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.

$17.1M
Net patient revenuemost recent cost report
-17.2%
Operating marginrevenue minus expenses
$2.4M
Related-party expense12% of expenses
Who pays — share of resident-days
Medicaid 57%Medicare 5%Other / private 38%

This home reported $2.4M paid to related parties — landlords or management companies under common ownership — equal to about 12% 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$376per resident / day
operating cost
$11,424per month
≈ monthly operating cost
$321per 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 335437. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-02-13, 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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