No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Park Terrace Care Center

59 20 Van Doren Street, Corona, NY 11368 · For profit - Corporation · 200 certified beds · (718) 592-9200 Medicare & Medicaid certified

Call the home — (718) 592-9200 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0604) — cited May 20221 actual-harm citation$45,617 in federal fines
Insights

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

In its favor
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (26) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $45,617 in federal fines (most recent 2023-10-30)
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)
  • its payroll-based staffing rating is low (1/5)
  • about 18% of its spending goes to commonly-owned related companies

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

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

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

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

Location & what’s nearby

Hospital
★★★★★ 5/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
102-11 Roosevelt Ave · (718) 898-5200 · Call to confirm hours
Pharmacy
107-18 37th Dr · (718) 639-4107 · Call to confirm hours
Grocery
(718) 565-2038 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship
111-36 Roosevelt Ave · (917) 858-1457

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

Quality measures — how residents actually fare

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

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 2 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 rating2★
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 increased3.2%14.1%15.4%better
Long-stay residents who lose too much weight2.5%5.8%5.4%better
Long-stay residents with a catheter left in their bladder0.2%0.5%0.9%better
Long-stay residents with a urinary tract infection0.1%1.3%2.0%better
Long-stay residents with depressive symptoms12.7%19.5%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained2.6%0.2%0.1%worse
Long-stay residents with falls causing major injury0.7%3.1%3.3%better
Long-stay residents whose ability to walk worsened3.8%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication16.8%13.2%18.9%better
Long-stay residents given the seasonal flu vaccine95.1%95.3%95.3%typical
Long-stay residents with pressure ulcers2.8%6.5%4.7%better
Long-stay residents with worsening bladder/bowel control22.7%19.5%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table7.4%13.7%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine80.0%78.8%79.4%typical
Short-stay residents rehospitalized after admission6.8%20.6%22.6%better
Short-stay residents with an outpatient ER visit6.8%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days1.431.701.67better
Long-stay outpatient ER visits per 1,000 resident days1.291.361.80better

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.

11.5%U.S. median 10.7%
Went back to hospital
11.5%U.S. median 56.6%
Met the expected recovery
0.55U.S. median 0.31
Therapy hours / resident / day
0.23hours / resident / day
Physical therapy
0.24hours / resident / day
Occupational therapy
0.08hours / resident / day
Speech therapy

Met the expected recovery: 11.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 26 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 0.55 therapist hours per resident per day in 2026Q1 — more than 85% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.5%CMS range 7.9–16.610.7%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 discharge11.5%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge7.7%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge26.9%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final 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 worsened6.4%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 hospitalization10.4%CMS range 6.1–14.97.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.521.02Oct 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

0.78
RN hours/ resident / day
0.52
LPN hours/ resident / day
2.58
Aide hours/ resident / day
3.88
Total nurse hours/ resident / day
0.63
RN hoursweekends
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 200 beds and averages 196.4 residents a day — about 98% occupied, or roughly 4 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 3.88 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.78 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.58 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.49 hrs/resident/day on weekends vs 4.04 on weekdays — 14% thinner on weekends. RN hours go from 0.84 to 0.63 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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

7
deficiencies at the latest standard inspection (2025-09-09)
13
at the previous standard inspection (2023-08-31)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

26 citations, most serious first. The 11 most serious are shown; the remaining 15 are one tap away and print in full.

  • Actual harm · G2023-08-31 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews during the Recertification survey conducted from 08/24/2023 to 08/31/2023, the facility did not ensure a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing. This was evident for Resident #144 reviewed out of a sample of 37 residents. Specifically, after admission to the facility, the resident developed a new left buttock pressure ulcer, which worsened and became infected requiring the resident to be admitted to the hospital. There was no evidence the wound was evaluated between identification as an excoriation on 03/06/23 and becoming an unstageable ulcer on 3/21/2023. The actual ulcer care plan had no goals or interventions, and a physician's order for an immediate surgical consult was not followed until 6 days later. Subsequently, Resident #144 was hospitalized from [DATE] to 04/27/2023, and they were diagnosed with…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-09-09 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews, during the Recertification and Abbreviated Survey (Intake #797338), the facility failed to provide a clean, comfortable and homelike environment for the residents. Specifically, housekeeping and maintenance services were not maintained in Unit 4. The findings include: The facility's General Maintenance Policy with a revised date of 10/2024 stated the purpose of the policy is to ensure that the facility's premises, equipment, and systems are maintained in a clean, safe, and functional condition, promoting a safe environment for residents, staff, and visitors. 1.During environmental rounds with the Housekeeping Director on 09/05/2025 and multiple observations in Unit 4 on 09/08/2025, the following were observed: room [ROOM NUMBER] - The wall baseboard had peeling paint. room [ROOM NUMBER]- The top of the air conditioning unit was very dirty, with peeling black and white paint. The baseboard had peeling paint. And the bathroom floor had dirt in between the tiles.…

    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 · E2025-09-09 · tag F0693 — failed to provide proper feeding-tube care — pattern
    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 observation, record review, and interviews, the facility failed to ensure that residents receiving enteral feeding received appropriate care and services to prevent complications of enteral feeding. This was evident for three (3) (Residents #137, #41, and #52) out of 25 residents reviewed for medication administration task. Specifically, licensed nurses did not appropriately verify placement of gastrostomy tube prior to administering medications and enteral feeding. The findings include: The facility policy titled Medication Administration with a last revised date of 05/2025 documented when administering medications via enteral route, placement must be checked by introducing air and listen to gurgling sound using a stethoscope. The facility policy titled Gastrostomy Tube Feeding with a last revised date of 01/2025 documented placement of tube must be checked prior to administration of tube feeding. 1. Resident # 137 had diagnoses of Gastrostomy status, Dysphagia, and Malnutrition. The Significant Change…

    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 · E2025-09-09 · 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

    Based on observation, record review, and interviews, the facility failed to ensure physicians reviewed the residents' total program of care. This was evident for two (2) (Residents #107 and #184) of three (3) residents reviewed out of 40 total sampled residents. Specifically, the physician's progress notes did not accurately reflect the residents' total care plan and current condition. The findings include:The facility's undated policy regarding Documentation stated that the facility staff were to document appropriately assessments, orders, goals and interventions for each resident. 1. Resident #107 had diagnoses that included Hemiplegia, Traumatic Brain Injury, and Anxiety Disorder. The physician's progress notes dated 09/03/2025 at 10:42 PM documented that Resident #107 had increased weakness, balance, and coordination deficits due to recent prolonged hospitalization. The progress notes documented that Physical and Occupational Therapy were ordered to improve the resident's mobility and self-care abilities; and the therapy goal was ultimately aimed in returning the patient 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-09-09 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interviews, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety. This was evident during the Kitchen task and during meal pass observation. Specifically, 1.) Expired food items were observed in the kitchen. 2.) Kitchen staff were observed without beard restraint while preparing food in the kitchen. 3.) Food was not in acceptable temperature range. 4.) Egg salad, ham, and tuna sandwiches were stored at room temperature in Unit 4 and Unit 6. 5.) Certified Nursing Assistant #3 failed to perform hand hygiene while assisting residents. The findings include:1. The following were observed during the kitchen observation:An open box of chicken pot pie with a best by date of 01/29/2025 was observed in the refrigerator. Fourteen (14) cartons of Jevity 1.2 with best by date of 08/01/2025, 23 cartons of Osmolite 1.2 with use by date of 09/01/2025, and 9 cartons of Glucerna with best by date of 07/01/2025 were found in the emergency food storage. During an interview on…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-09-09 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record review, and interviews, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff and the public. This was evident during kitchen observation and in five (5) (Units 2, 3, 4, 5 and 6) of five (5) units observed. Specifically, ripped chairs were observed in the dining rooms in all units, dust accumulations were observed in the kitchen, and dirty floors and walls were observed in Unit 4, along with corroded metal cabinet. The findings include: The facility's General Maintenance Policy with a revised date of 10/2024 stated the purpose of the policy is to ensure that the facility's premises, equipment, and systems are maintained in a clean, safe, and functional condition, promoting a safe environment for residents, staff, and visitors. 1. During environmental rounds on the 4th floor from 09/05/2025 at 3:26 PM, and 09/08/2025 at 11:22 AM, the following were observed: 1. The floor in the unit dining room were embedded with black colored substance, dirt, and debris. 2. The medication room had brown stains on…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-09-09 · tag F0925 — failed to control pests — pattern
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews, during the Recertification and Abbreviated Survey (Intake #797338), the facility failed to maintain an effective pest control program so that the facility is free of pests and rodents. This was evident for one (1) (Unit 4) of 5 floors and the kitchen. Specifically, multiple reports of roach and rodent sightings were made by staff and residents. Additionally, a roach was observed crawling on top of the dish machine during kitchen observation. The findings include: The facility's policy and procedure titled Pest Control with a last revised date of 12/2023 stated it is the policy of this facility to maintain an effective pest control program that eradicates and contains common household pests and rodents. 1. On 09/09/2025 at 10:04 AM, during kitchen observation, a roach was observed crawling on top of the dish machine. During an interview on 09/09/2025 at 10:10 AM, Dietary Aide #2 stated they see flies all the time in the kitchen, but this was the first time they…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-09-09 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during the Recertification and Abbreviated Survey (Intake #797338), the facility failed to ensure Resident #199's representative was informed about a bed bug infestation in the resident's room. This was evident for one (1) (Resident #199) of one (1) resident reviewed for Notification of Change out of 40 total sampled residents. The findings include:The facility policy titled Notification of Changes with a revised date of 05/2025 documented the intent of the policy was to provide appropriate and timely information about changes relevant to a resident's condition or changes in room to the parties who will make decisions about care, treatment, and preferences to address the changes.Resident #199 had diagnoses of Vascular Dementia, Type 2 Diabetes Mellitus, and Malignant Neoplasm of Colon.The Annual Minimum Data Set assessment dated [DATE] documented that Resident #199 had modified independence with their cognitive skills for daily decision making and a short/long-term memory…

    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 · F2023-08-31 · tag F0882 — widespread
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews conducted during the Recertification survey from 8/24/23 through 8/31/23, the facility did not ensure an Infection Preventionist (IP) with specialized training was designated to be responsible for the facility's Infection Prevention and Control Program (IPCP). This was evident during the review of the Infection Control Task. Specifically, the facility's designated IP did not have documented evidence of completing specialized infection prevention and control training. The findings are. The Centers for Medicare and Medicaid Services (CMS) memo titled Center for Clinical Standards and Quality/Quality, Safety & Oversight Group. Ref: QSO-19-10-NH dated 3/11/19 documented Specialized Infection Prevention and Control Training for Nursing Home Staff in the Long-Term Care Setting. Effective 11/28/19, the final requirement includes specialized infection prevention and control training for the individual(s) responsible for the facility's IPCP. The course is approximately 19 hours long and comprises 23 modules and submodules. The facility's policy 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-08-31 · tag F0577 — pattern
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record review and interview conducted during the recertification survey from 8/24/23 to 8/31/23, the facility did not ensure that the results of the most recent survey report and plan of correction of the facility was posted in a place readily accessible to residents, and family members and legal representatives of residents. Specifically, the survey report was posted at an elevated level, in a locked glass case on the wall opposite the main lobby elevators. This was evident for 12 of 12 attendees of the Resident Council meeting. The findings are: The facility policy titled Accessibility of Survey Results revised April 2022 documented that a copy of the most recent standard survey, including any subsequent extended surveys, follow-up revisit reports, etc. along with state approved plans of correction of noted deficiencies, is maintained in an area frequented and accessible to residents, such as in the main lobby. On 08/25/23 at 10:38 AM, during the Resident Council meeting, residents stated that they did not know where the results of the state inspection 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-08-31 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews conducted during a Recertification survey conducted from 08/24/23 to 8/31/2023, the facility did not ensure that proper sanitation and food handling practices were conducted to prevent potential foodborne illnesses. Specifically, 1) portions of the meat slicer were washed and sanitized but replaced on the machine with ungloved hands and 2) unlabeled, undated food and staff food was observed stored in a pantry refrigerator on a resident unit (Unit 4). The findings are: 1. The facility's slicer Cleaning and Sanitizing Directions state, Remove both the knife cover, cover knob, slice deflector by unscrewing the stainless-steel knob. Wash, rinse and sanitize the knife cover knob, knife deflector and both sides of the knife. On 08/30/2023 at 11:08 AM, the slicer was observed during cleaning. The Acting Director Food and Nutrition Services (ADFN) washed their hands, donned gloves and removed the knife cover, cover knob, slice deflector and blade. They placed them in the soapy water in the sink, then cleaned the rest of the slicer. Once the rest of the…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
Show the remaining 15 citations
  • Potential for harm · E2023-08-31 · tag F0814 — failed to dispose of garbage properly — pattern
    Dispose of garbage and refuse properly.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews during the recertification survey from 8/24/23 through 8/31/23, the facility did not ensure that garbage was disposed of properly. Specifically, the trash bin was not covered when being transported from the kitchen and the trash was placed in an uncovered and unlocked dumpster. The findings are: The facility's policy and procedure titled, Trash Disposal, last reviewed 04/2023, documents that that all trash is bagged and placed in the trash compactor located in the back parking lot and all cardboard boxes are placed in the cardboard container. On 08/30/2023 at 1:07 PM, trash removal was observed. Dietary Aide #2 washed hands, donned gloves and bagged all the kitchen scraps. However, the Dietary Aide placed the cardboard in the trash bin on top of the sealed trash bags, so that the bin was overfull and could not be covered. The Dietary Aide transported the open bin to the back parking lot, where both trash and cardboard were deposited in an uncovered, unlocked dumpster. On 08/31/2023 at 10:09 AM, the Acting Director Food and Nutrition Services…

    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 before2023-08-31 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews conducted during the recertification survey from 8/24/2023 to 8/31/2023, the facility did not ensure the resident's right to a dignified existence. This was evident for 3 (Resident #28, #45, and #135) out of 54 total sampled residents. Specifically, 1) Residents #28 and #135 were fed by staff standing over them, and 2) staff placed clothing protectors on Resident #45 without asking permission. The findings are: The facility policy titled Resident's Rights and Dignity, with the last effective date of April 2023, documented that the facility's goal is to deliver quality healthcare services to promote resident's comfort and well-being. All residents should be treated with consideration, courtesy, respect, and sensitivity to their background, culture, religion, and heritage. 1. Resident #28 was admitted with diagnoses that include Traumatic Brain Injury and Dementia. The quarterly Minimum Data Set (MDS) assessment dated [DATE] documented Resident #28 cognition as…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-08-31 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview conducted during the Recertification survey from 8/24/2023 to 8/31/2023 the facility did not ensure that a resident Comprehensive Care Plan was reviewed and revised as needed with interventions to reflect the resident's changing needs. This was evident for 1 (Resident #162) of 4 residents reviewed for Accidents out of a sample of 54 residents. Specifically, Resident #162's Fall CCP was not revised with new interventions after a fall while Resident #162 was trying to use the bathroom. The findings are: The facility's policy and procedure titled Comprehensive Care Plan, last revised on 7/2023, documented that it is the responsibility of each discipline to monitor effectiveness of the stated interventions and to revise the Plan of Care as necessary. Resident #162's diagnoses include: End stage renal disease (ESRD), Dependence on renal dialysis, and Type 2 diabetes mellitus. The Quarterly Minimum Date Set 3.0 (MDS) dated [DATE] documented Resident #162 had intact cognition…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-31 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation and interview conducted during the Recertification survey from 8/24/23 to 8/31/23, the facility did not ensure that services provided met professional standards of quality care. Specifically, blood pressure was not taken before a resident was administered blood pressure medication to ensure it was within the parameters to safely administer medication as ordered by the physician. This was observed during the Medication Administration Task. (Resident #145) The findings are: The facility Policy and Procedures titled Medication Administration last revised 8/28/2023 documented that it is the policy of the facility that all medications are administered by licensed nursing personnel as ordered by the physician. On 08/28/23 at 08:58 AM, during Medication Administration observation, Licensed Practical Nurse (LPN) #3 was observed administering medication which included medication for Hypertension (high blood pressure) to Resident #145. The Quarterly Minimum Data Set (MDS) dated [DATE]…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-31 · 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, record review, and interviews conducted during the Recertification survey conducted from 8/24/23 through 8/31/23, the facility did not ensure residents who could not carry out Activities of Daily Living (ADL) received the necessary services to maintain good nutrition. This was evident for 1 of 4 residents (Resident #153) out of a sample of 54 residents reviewed. Specifically, Resident #153, who requires assistance with meals, was not assisted with their meals. The findings include: The facility policy and procedure titled A.D.L.'s, with the last revised date of July 5. 2022 documented that the resident will receive A.D.L. care daily to ensure that the needs are met and that residents may function at their optimal level. A.D.L. care provides stimulation interaction and supports the resident's quality of life. The facility policy and procedure titled Mealtime, with the last revised date of April 2023, documented that Mealtime is an important event providing basic nutrition, relaxation, and an…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-31 · 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 interviews conducted during the Recertification survey from 8/24/23 to 8/31/23, the facility did not ensure that a resident with limited range of motion received appropriate treatment and services to prevent further decrease in range of motion. This was evident for 2 of 5 residents reviewed for Limited Range of Motion out of 37 sampled residents (Resident #77). Specifically, 1) Resident #77 had bilateral upper extremity contractures and was observed without resting hand splints or elbow splints when out of bed and without hand rolls and soft elbow splints when in bed as per Medical Doctor Order (MDO), and 2) Resident #12 with a right-hand contracture was not provided with a splint device as per Medical Doctor Orders. The findings are: The facility policy and procedure titled Assistive/Adaptive, and Positioning Devices dated 4/2020, last reviewed 4/2023 documented that it is the policy of this facility to ensure that assistive/adaptive and positioning devices are 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 · D2023-08-31 · 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, record review, and interviews conducted during the recertification survey from 8/24/23 through 8/31/23, the facility did not ensure a resident who needed respiratory care was provided such care, consistent with professional standards of practice. This was evident for 1 out of 2 residents reviewed for respiratory care out of 54 sampled residents (Resident #173). Specifically, Resident #173 was observed using oxygen via trach collar with no label on the tube. The findings are. The facility's policy and procedure, titled Oxygen Tubing Change, with the last revised date of 4/2023, documented that the oxygen tubing is changed by 11-7 Nurse or Respiratory Therapist every Sunday and as needed. Resident #173 was admitted with diagnoses that include Cerebral infarction, Persistent vegetative state, and Pneumonia. The admission Minimum Data Set (MDS) assessment dated [DATE] documented that Resident #173 is in a persistent vegetative state and received oxygen therapy. On 8/28/23 at 3:29 PM and 8/29/23…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-31 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews conducted during the Recertification survey from 8/24/23 to 8/31/23, the facility did not ensure that the resident records were accurately documented in accordance with professional standards of practice. This was evident for 2 residents (Resident #153 and # 145) Specifically, 1) the Resident CNA Documentation History Detail dated 8/28/23 documented that Resident #153 ate 100% and drank 100% liquids for breakfast and lunch while the tray was observed at the bedside untouched, and 2) the Licensed Practical Nurse (LPN) documented a blood pressure reading for Resident #145 without assessing the resident's blood pressure. The findings are: The facility's policy title, CNA Accountability Documentation, with the last revised date of April 2023, documented that CNA will sign the Accountability record after each ADL function. The charge nurse will review the accountability record to ensure the completion of CNA documentation. The CNA will report any changes in the…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-31 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record reviews and interviews conducted during the Recertification survey from 8/24/23-8/31/23, the facility did not ensure that infection control practices and procedures were maintained to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections. Specifically, while performing wound care for Resident #241 Registered Nurse (RN) #2 was observed not performing hand hygiene before and during wound care, failed to perform hand hygiene multiple times when changing gloves, and failed to set-up a sterile field and prepare supplies according to professional standards. The findings are: The facility policy and procedure titled Wound Management, Pressure Injury Care and Prevention that last revised May 2023 stated that it is the policy that residents with existing pressure injuries be evaluated and managed in accordance with the facility's established clinical practice guidelines. admission MDS dated [DATE]…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-31 · 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 a record review and interviews conducted during a recertification and complaint (NY00312405) survey from 8/24/23 to 8/31/23, the facility did not ensure a resident received adequate supervision and assistance to prevent accidents. This was evident for 1 (Resident #90) of 4 residents reviewed for accidents out of 54 sampled residents. Specifically, Resident #90 fell out of bed after the resident was transferred to bed with a Hoyer lift and sustained a laceration on the right facial cheek. The findings are: The facility policy and procedure titled Accidents-Residents, Visitors, Volunteers, last reviewed August 2023, documented that Accidents refer to any unexpected or unintentional occurrence or chain of events which may or may not result in injury or illness to a resident. The policy also documents that fall refers to unintentionally falling to rest on the ground, floor, or other lower level. Resident #90 was admitted to the facility with diagnoses that include Dementia, Traumatic Brain Injury (TBI), 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 · Dcited before2022-05-26 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews conducted during the Recertification Survey from 05/18/2022 to 05/26/2022, the facility did not ensure that a resident was cared for in a manner that maintained their dignity. This was evident for 1 (Resident #86) of 2 residents reviewed for Dignity. Specifically, Resident #86's Foley catheter (FC) bag and tubing were left uncovered and exposed to public view. The findings are: The facility's policy titled Catheter: Maintenance of Indwelling dated April 2022 documented a privacy bag will be utilized for all residents with urinary catheters. Resident # 86 had diagnoses urinary retention and cerebrovascular disease. The Minimum Data Set 3.0 (MDS) dated [DATE] documented Resident # 86 was cognitively intact, had an indwelling catheter, and required the assistance of 2 people for bed mobility. The Physician's Order documented Resident #86 was ordered to use a FC from 5/5/2020. The Comprehensive Care Plan (CCP) related to indwelling catheter initiated 05/05/2020 documented…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-05-26 · tag F0604 — failed to not use physical restraints improperly — isolated
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during the Recertification Survey from 5/18/22 to 5/26/22, the facility did not ensure a resident remained free from physical restraints. This was evident for 1 (Resident #48) of 4 residents reviewed for Restraints. Specifically, Resident #48 was observed on several occasions with a wheelchair seatbelt (SB) without a Medical Doctor Order (MDO). The findings are: The facility policy titled Restraints dated May 2022 documented a SB is a restraint and alternatives to restraints must be attempted prior to the use of restraints. Resident # 48 had diagnoses of hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting left non-dominant side and vascular dementia with behavioral disturbance. The Minimum Data Set 3.0 (MDS) dated [DATE] documented Resident # 48 was severely cognitively impaired, was totally dependent on two persons for bed mobility and transfers, and did not use physical restraints. On 05/18/22 at 11:26 AM, 05/19/22 at…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-05-26 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews conducted during the Recertification survey, the facility did not ensure assessments accurately reflected the resident's status for 2 (Resident #s 104 and 140) of 40 sampled residents. Specifically, the Minimum Data Set 3.0 (MDS) assessments did not document the use of a wander guard device for Resident #104 and Resident #140. The findings are: 1) Resident #104 had diagnoses which include, Cerebrovascular Accident (CVA), Dementia, Hemiplegia, Manic Depression. The quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] documented the resident had moderately impaired cognition and was independent in performing activities of daily living. The MDS further documented in the Section P0200-Alarm that Wander/Elopement Alarm was not used. On 05/19/22 at 11:00 AM, Resident #104 was observed with a wander-guard (WG) alarm to left ankle. The Elopement Risk assessment dated [DATE] documented that the resident was Potential Risk for elopement. The elopement assessment…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-05-26 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews conducted during the Recertification and Complaint survey from 5/18/2022 to 5/26/2022, the facility did not ensure, to the extent practicable, that residents were involved in developing the comprehensive care plan and making decisions about their care. Specifically, the facility did not ensure that residents were afforded the opportunity to participate in the Comprehensive Care Plan (CCP) meeting. This was evident for 2 of 2 residents reviewed for Participation in Care Planning out of a sample of 40 residents (Resident # 42 and Resident # 48). The findings are: The facility policy titled Comprehensive Care Plan (CCP) with date of distribution in April 1995/July 2009/January 2022 documented under Procedure section 3. Social Service will invite family members/designated representative to participate in the meeting; 4. Resident will also be included in the meeting if resident is mentally alert and chooses to so participate; 10. Resident (if possible) and Family…

    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 · D2022-05-26 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview conducted during the Recertification Survey from 5/18/2022 to 5/26/2022, the facility did not ensure all drugs and biologicals are used and labeled in accordance with professional standards. This was evident for 1 (Unit 5) of 12 units observed for Medication Storage. Specifically, five expired medications were observed in the medication room and medication cart. The findings are: The facility policy titled Medication Storage dated 10/2021 documented the following: The facility will store medications in a manner that maintains the integrity of the product, ensure the safety of the residents, and in accordance with Department of Health guidelines. On 05/18/22 at 11:21 AM, the following expired medications were observed on unit 5 medication room: 1) One bottle of Simethicone 80mg with the manufacturer expiration date of 04/2022; 2) one bottle of Melatonin 1mg with the manufacturer expiration date of 03/2022; and 3) three bottles of Oyster calcium 500mg with the manufacturer expiration date of 12/2021. The License Practical Nurse (LPN…

    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

“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

$45,617 in federal fines across 11 penalties.

  • $4,545 — penalty dated 2023-10-30
  • $4,545 — penalty dated 2023-10-23
  • $4,545 — penalty dated 2023-10-17
  • $4,545 — penalty dated 2023-10-10
  • $4,196 — penalty dated 2023-10-02
  • $3,846 — penalty dated 2023-09-25
  • $3,496 — penalty dated 2023-09-18
  • $3,147 — penalty dated 2023-09-11
  • $2,797 — penalty dated 2023-09-05
  • $7,508 — penalty dated 2023-08-31
  • $2,447 — penalty dated 2023-08-28

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.

Who owns this facility

Owner / managerTypeRoleShareSince
KLEIN, GOLDAIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL55%since 01/01/2018
RUBIN, ELIMEILECHIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF10%since 01/01/2025
RUBIN, RUCHIEIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST10%since 01/01/2025
WOLF, RACHELIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST10%since 01/01/2025
WOLF, TZVIIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF10%since 01/01/2025
LIEBER, ELIIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/14/2003
RAHMAN, MOHAMMEDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/07/2026
PARK TERRACE HOLDINGS, LLCOrganizationADP OF THE SNFsince 01/01/2018
KLEIN, MORDECHAIIndividualADP OF THE SNFsince 01/01/2018

CMS files one row per role, so the 16 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

$32.0M
Net patient revenuemost recent cost report
-7.0%
Operating marginrevenue minus expenses
$6.1M
Related-party expense18% of expenses
Who pays — share of resident-days
Medicaid 63%Medicare 3%Other / private 35%

This home reported $6.1M paid to related parties — landlords or management companies under common ownership — equal to about 18% 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

$484per resident / day
operating cost
$14,718per month
≈ monthly operating cost
$453per 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 335317. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-09-09, 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.

What to do next