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

St Cabrini Nursing Home

115 Broadway, Dobbs Ferry, NY 10522 · Non profit - Corporation · 304 certified beds · (914) 693-6800 Medicare & Medicaid certified

Call the home — (914) 693-6800 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0607) — cited Apr 2019
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • lower-than-typical staff turnover (21% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its last standard health inspection was over 3 years ago — the star rating may not reflect current conditions

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

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

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

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
Pharmacy
105 Main St · (914) 693-0008 · Call to confirm hours
Grocery
3 Cedar St · (914) 231-6106 · Call to confirm hours
Park
(914) 693-5349 · 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 3 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 3 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 3 stars. From monthly CMS archive snapshots.

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

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased9.8%14.1%15.4%better
Long-stay residents who lose too much weight4.9%5.8%5.4%typical
Long-stay residents with a catheter left in their bladder1.4%0.5%0.9%worse
Long-stay residents with a urinary tract infection3.5%1.3%2.0%worse
Long-stay residents with depressive symptoms2.3%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 injury4.7%3.1%3.3%worse
Long-stay residents whose ability to walk worsened7.5%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication7.1%13.2%18.9%better
Long-stay residents given the seasonal flu vaccine97.9%95.3%95.3%typical
Long-stay residents with pressure ulcers5.2%6.5%4.7%worse
Long-stay residents with worsening bladder/bowel control13.0%19.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table17.8%13.7%17.1%typical
Short-stay residents who newly got an antipsychotic medication2.5%1.2%1.4%worse
Short-stay residents given the seasonal flu vaccine57.3%78.8%79.4%worse
Short-stay residents rehospitalized after admission25.6%20.6%22.6%worse
Short-stay residents with an outpatient ER visit7.4%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days1.671.701.67typical
Long-stay outpatient ER visits per 1,000 resident days1.231.361.80better

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.

49.9% 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 378 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

49.9%U.S. median 51.5%
Got home and stayed home
9.4%U.S. median 10.7%
Went back to hospital
61.1%U.S. median 56.6%
Met the expected recovery
0.29U.S. median 0.31
Therapy hours / resident / day
0.15hours / resident / day
Physical therapy
0.13hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Met the expected recovery: 61.1% 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 221 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 0.29 therapist hours per resident per day in 2026Q1 — more than 46% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% 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 SNF49.9%CMS range 44.5–53.951.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.4%CMS range 7.2–12.210.7%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 discharge61.1%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 discharge60.6%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 discharge62.9%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 identified99.0%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 setting98.0%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 discharge98.2%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.3%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 worsened4.3%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization8.7%CMS range 6.1–11.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.191.02Oct 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

0.71
RN hours/ resident / day
0.67
LPN hours/ resident / day
2.33
Aide hours/ resident / day
3.71
Total nurse hours/ resident / day
0.55
RN hoursweekends
20.8%
Total nursing turnover
24.1%
RN turnover

How full it usually is: this home is certified for 304 beds and averages 287.4 residents a day — about 95% occupied, or roughly 17 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.71 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.71 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.33 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.37 hrs/resident/day on weekends vs 3.85 on weekdays — 12% thinner on weekends. RN hours go from 0.78 to 0.55 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 21% is below the national median of 45%.

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

Inspection trend

5
deficiencies at the latest standard inspection (2023-05-18)
9
at the previous standard inspection (2019-04-18)

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.

This trend is not current. The most recent of these two inspections was over 3 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

  • Potential for harm · D2026-01-29 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews during the abbreviated survey (2674027) the facility did not ensure that care was taken to protect the privacy of personal information to safeguard the content of the medical records from the unauthorized users. Specifically, on 1/29/2026 a surveyor observed on multiple units (unit 3 North and 2 South) medication carts unlocked and unattended with no privacy screen applied. on the computer. 1) at 10: 42am and 10:46am the surveyor observed on 3 north medication carts left unlocked and with no privacy screens applied. 2) On unit 2 south at 11:00 am and 11:03 am the surveyor observed medication carts on the unit left unattended with no privacy screen on the computer.Review of a Resident Rights to Privacy Policy dated 8/2004 documented it is the policy of the facility to treat each resident with consideration, respect, and full recognition of their dignity and individuality, including privacy in treatment and in the care for their personal needs.During an observation on 1/29/2026…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-29 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews during the abbreviated survey (2674027) the facility failed to assure that medications were secure and inaccessible to unauthorized staff and residents. Specifically, on 1/29/2026 surveyor observed on unit 3 North 10: 42am and 10:46 am medication carts on the unit left unlocked, unattended with no privacy screen on the computer. On unit 2 south at 11:00 am and 11:03 am observed medication carts on the unit left unlocked, unattended with no privacy screen on the computer.Review of the facility's Medication Storage policy dated 12/2020 documented medications and biologicals are stored safely, securely, and properly, following manufacturer's recommendations or those of the supplier. The medication supply is accessible only to licensed nursing personnel, pharmacy personnel, or staff members lawfully authorized to administer medication.During an observation on 1/29/2026 at 10:42 am observed the medication cart left in the hallway unlocked and unattended. At 10:45 am Unit Manager #…

    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 · D2025-05-20 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview conducted during the recertification and abbreviated survey (NY00365065) from May 13, 2025, to May 20, 2025, the facility did not ensure residents received treatment and care in accordance with professional standards of practice for Resident #489 reviewed for quality of care. Specifically, the physician was not notified timely of an 8/9/24 consultant cardiologist recommendation to reduce Carvedilol (used to treat heart failure and high blood pressure) from 25 mg to 6.25 mg. Subsequently Resident #489 continued to receive Carvedilol 25 mg until 8/13/24. The findings included: The policy and procedure titled Outside Facility Medical Consultation, dated January 2019, required nursing staff to complete a consult form and notify the attending physician of the consult report. A completed consultation form should be left for the physician's review. Resident #489 had diagnoses including chronic diastolic congestive heart failure, and chronic obstructive pulmonary disease. The 6/13/2024 admission Minimum Data Set Assessment documented…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-10-20 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews during an abbreviated Survey (NY00325770), the facility did not ensure a resident who was incontinent of bowel received appropriate treatment and services to assure normal bowel function as possible for 1 of 3 residents reviewed for bowel care. Specifically, Resident #1's constipation care plan and the facility policy 'Bowel Protocol' were not followed. There was no documented evidence that the Physician was notified that the resident had no documented bowel movements from 08/01/2023 to 08/05/2023. The Findings are: The facility policy on Bowel Protocol last revised on 12/2017 documented that resident's bowel movements will be monitored and documented on the certified nurse aide (CNA) accountability each shift, and if a resident does not have a bowel movement in 72 hours (or 3 days), the Certified Nursing Assistant (CNA) will report to the nurse, the nurse will report to the Physician, and the Physician may order a bowel protocol. The nurse will update the care plan and document in a progress note, the events of the bowel protocol. Resident #1…

    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 · D2023-05-18 · 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, interview, and record review during the 5/10/23 to 5/18/23 recertification survey, the facility did not ensure all residents had the right to a dignified existence for 2 of 2 residents (Residents #153 and #43) reviewed for dignity. Specifically, (1) A Nurse was observed removing an Intravenous Therapy (IV) from the arm of Resident #153 in the dining room and (2) Resident #43 had a urinary drainage bag that was not covered and was visible from the hallway. Findings include: The policy and procedure titled Quality of Life-Dignity last revised 5/2022 documented staff shall promote, maintain, and protect resident privacy, including bodily privacy, during assistance with personal care and treatment procedures. 1) Resident #153 was admitted to the facility on [DATE] with diagnoses including Benign Prostatic Hyperplasia, history of Malignant Thyroid Neoplasm and Secondary Malignant Neoplasm of Unspecified Lung. The 3/1/23 Quarterly Minimum Data Set (MDS, a resident assessment tool) 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-05-18 · 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 record review, and interview conducted during the 5/10/23 to 5/18/23 Recertification Survey, the facility did not ensure that the Minimum Data Set Assessments (MDS, a resident assessment tool) accurately reflected the resident's status. Specifically, Resident #224's diagnosis of Psychosis was not documented on MDS Assessments dated 5/07/21, 8/03/21, 11/01/21, 1/28/22, 4/18/22, 7/01/22, 9/29/22, and 1/30/23. This was evident for 1 of 5 residents reviewed for Unnecessary Medications. The finding is: The facility policy and procedure titled Minimum Data Set effective date: 1/11, last revised 5/2019, documented the facility will use the MDS 3.0 RAI User's Manual for completing the Minimum Data Set to establish and maintain an ongoing process of assessment, care planning, evaluating and revising resident's care in order to attain or maintain the highest practical physical, mental and psycho-social functioning as possible the assessment process will include reviewing the resident medical record Resident # 224…

    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 before2023-05-18 · 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

    Based on observation, record review and interview conducted during the 5/10/23 to 5/18/23 recertification survey it was determined for 1 of 1 resident (Resident #127) reviewed for range of motion/position mobility, the facility did not ensure all residents with limited range of motion received appropriate treatment and services to increase range of motion and/or to prevent a further decrease in range of motion. Specifically, Resident #127 required left hand resting splint as per therapy evaluations and recommendations and was observed without the resting splint in place. The findings are: The Policy and Procedure titled Range of Motion last revised 5/2019 documented the nurse manager, or nursing supervisor in collaboration with the Rehabilitation Department determined the type and frequency of Range of Motion (ROM) to be done on selected joints. This determination and approach were to be documented on the care plan. Resident # 127 was admitted to the facility 3/23/22 and had diagnoses that included Non-Alzheimer's Dementia, Muscle Weakness and Abnormalities of Gait and Mobility. The…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-05-18 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation, and interviews during the 5/10/23 to 5/18/23 recertification survey, the facility did not ensure residents were provided nutritional supplementation consistent with the resident's plan of care for one of two residents (Resident #135) reviewed for Nutrition. Specifically, Resident #135 did not receive their nutritional supplement as ordered by the physician. The findings are: The Policy and Procedure titled Nutrition Supplement Monitoring dated 2/2020, documented residents with weight loss or at risk for weight loss were provided with nutritional supplements as ordered by physician. Resident #135 was admitted to facility on 4/26/19 with diagnoses including Unspecified Dementia, Hypo-Osmolality and Hyponatremia. The physician orders documented on: - 10/21/22, 120 milliliter (ml) Milkshakes 3 times a day with meals; - 12/19/22, Magic cup 4 oz. at lunch meals; - 2/17/23, Liquid Protein Supplement (LPS) Sugar Free (SF) 30 ml 3 times a day; - 3/17/23, HI Cal 4 oz. 3 times a day; and - 5/11/23, Magic cup 4 oz. at supper. The 11/4/22 weight report…

    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 · D2023-05-18 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews and record review during a recertification survey from 5/10/23 to 5/18/23, the facility did not ensure that an infection surveillance plan based on the facility assessment was implemented for identifying, tracking, and monitoring infections, communicable diseases, and outbreaks. Specifically, infections were not being documented on the infection line list at onset of signs and symptoms of infection. The findings are: The facility Policy and Procedure Infection Surveillance effective 9/2002, and last updated 6/2022, documented an infection control program is developed and implemented to identify and investigate infections, to control the spread of infections The Infection line listing is to collect data on each potential or actual infection and to evaluate the infection control methods and to identify and clarify problems with policies or techniques, and bring to the attention of the Safety Committee and QAPI Committee. A review of the Infection Preventionist's Infections logs documented: Skin & Wound Infections Methycillin Resistant Staff Aureus…

    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 · E2019-04-18 · tag F0657 — failed to keep the care plan current — pattern
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview conducted during the recertification survey the facility did not ensure that care plan interventions had been evaluated for their effectiveness. Specifically, 1) care plan interventions to prevent further weight loss were not reviewed and evaluated for their effectiveness for 1 of 6 residents reviewed for nutrition (Resident #199); 2) care plan interventions were not updated to address a resident's decline in urinary status and to potentially restore bladder function, for one of two residents reviewed for urinary incontinence (Resident #31); and 3) the care plan for Resident #63 was not updated to address the resident's issue with ongoing loose stools. The findings are: 1) Resident #199 was admitted to the facility on [DATE] with diagnoses including; Hypertension, Alzheimer's Disease and Chronic Right Foot Ulcer, non-pressure. The admission minimum data set (MDS- a resident assessment tool) dated 5/25/18 indicated the resident was 60 inches tall and weighed 115 lbs at 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
Show the remaining 11 citations
  • Potential for harm · D2019-04-18 · tag F0607 — failed to have anti-abuse policies — isolated
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    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 recertification survey, the facility did not ensure that all employees are screened to rule out a history of abuse and neglect in accordance with its written policy. Specifically, 1 of 5 newly hired employees whose personnel records were reviewed was not screened via the Nurse Aide Registry to rule out a history of abuse/neglect of residents. The findings are: According to the facility's policies and procedures (P&P) for abuse and neglect, all employees are to be screened for history of abuse. The P&P further states that Appropriate licensing boards and registries are utilized (e.g. [NAME]). On 4/18/19 the Director of Human Resources (DHR) was asked to provide the surveyor the personnel record of 5 employees (3 CNAs, a housekeeper and a Licensed Practical Nurse, LPN) that should contain their screening records. Evidence was lacking that the housekeeper was screened via the State Nurse Aide Registry. In an interview on 4/18/19 with the DHR a request was…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-04-18 · 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 interview and record review conducted during the recertification survey, the facility did not ensure that the comprehensive assessment for 1 of 2 residents (Resident #276) reviewed for bladder incontinence accurately reflected the resident's bladder status. Specifically, the Minimum Data Set (MDS-a resident assessment tool) documented the resident was continent of bladder, which was not consistent with prior assessments and data collection in the resident's clinical record. This resulted in a care plan not being developed to address the resident's actual level of bladder continence. The findings are: Resident #276 was admitted to the facility on [DATE] with the diagnoses of Seizure Disorder. The resident had a significant change MDS done on 3/14/19. This MDS showed that the resident had no cognitive impairment and was continent of bladder. However, the certified nursing assistant (CNA) record showed that during the look behind assessment period of seven days for this MDS, the resident had an episode of…

    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 · D2019-04-18 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility did not ensure that 1) a care plan was developed to address issues following a hospitalization, and 2) a care plan was implemented for a resident to prevent further weight loss and 3) a care plan was implemented for a resident with ongoing loose bowel movements. This was evident for 1 of 3 residents reviewed for hospitalization (Resident #187), 1 of 6 residents reviewed for nutrition (Resident #188) and 1 of 7 residents reviewed for unnecessary medications (Resident #63). The findings are: 1) Resident #187 was admitted to the facility on [DATE]. Diagnoses as identified on the 12/31/18 annual Minimum Data Set (MDS - a resident assessment tool) included Anemia and Gastrointestinal Hemorrhage. Review of the Nursing Progress Notes dated 12/20/18 indicated the resident vomited coffee ground material and passed black stool. The physician was made aware and ordered transfer to the hospital to rule out Gastrointestinal Bleeding. The resident was on Aspirin…

    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 before2019-04-18 · 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 recertification survey, the facility did not ensure that residents were provided the appropriate treatment and services to improve and/or prevent a further decline in range of motion (ROM). Specifically, a resident did not have a left- hand splint applied as per Physician order. This was evident for 1 of 4 residents (#166) reviewed for positioning and limited mobility. The findings are: Resident #166 was admitted to the facility on [DATE] with diagnoses including Arthritis, Alzheimer's disease, and Diabetes. The 5/24/18 Significant Change Minimum Data Set (MDS; an assessment tool) indicated Resident #166 had cognitive impairment, no impairment of upper or lower extremities, and received 5 days of Occupational (OT)and Physical (PT)Therapies, The 2/23/19 Quarterly MDS indicated mild cognitive impairment, no impairment of the upper or lower extremities, and received 5 days of Occupational (OT)and 4 days Physical (PT) Therapy. Review 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-04-18 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview conducted during the recertification survey the facility did not ensure that 1)Resident #31 who was continent of bladder on admission received services and assistance to maintain continence. 2) Resident #276 received an accurate assessment of urinary status to determine the type of incontinence. The findings are: 1. Resident #31 was admitted to the facility on [DATE] with diagnoses including Parkinson's disease, Psychotic Disorder, and Hypertension. The 5/26/18 Significant Change Minimum Data Set (MDS; an assessment tool) documented the resident was cognitively intact, received supervision with completion of Activities of Daily Living (ADLs) was always continent, received 2 days of diuretic therapy, and 5 days of occupational (OT) and physical (PT) therapies. The 1/7/19 Quarterly MDS indicated cognitive impairment, resident received supervision with ADLS, was occasionally incontinent of bladder, and received 7 days of diuretic therapy. Review of the care plan…

    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 · D2019-04-18 · 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

    Resident #63 Tube Feeding Based on observation, interview and record review conducted during the recertification survey, the facility did not ensure that the necessary care and services were provided in accordance with the physician's orders for a resident receiving a tube feeding. This was evident for 1 resident reviewed for tube feeding. (Resident #63). The findings are: Resident #63 has diagnoses including; Diabetes Mellitus, Dysphagia and Gastrostomy. The annual Minimum Data Set (MDS- a resident assessment tool) dated 1/14/2019 documented the resident had a BIMS (Brief Interview for Mental Status) score of 2 out of a possible 15 which indicated she had severe cognitive impairment. This assessment further documented the resident required total assistance of 2 persons for bed mobility, transfers and personal hygiene. The care plan related to tube feeding included the following goals; resident will be free of signs and symptoms of aspiration, free of signs and symptoms of complications and free from fluid imbalance. Current April 2019 physician's orders document the following;…

    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 · D2019-04-18 · tag F0726 — failed to have competent, trained nursing staff — isolated
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    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 recertification survey, the facility did not ensure that a Certified Nurse Aide (CNA) demonstrated competency in dealing with a confrontational/difficult situation involving the CNA and one resident reviewed for abuse (Resident #276). Specifically, the CNA did not communicate or respond appropriately to the resident's behavior regarding a situation involving the resident's roommate in order to prevent the situation from escalating. Complaint: #NY00236060 The findings are: Resident #276 was admitted to the facility on [DATE] with the diagnosis of Seizure Disorder. Review of the significant change minimum data set (MDS- a resident assessment tool) done on 3/14/19 documented that the resident had no cognitive impairment, felt down/depressed, and exhibited no behavior problems. Review of the Incident report dated 3/22/19 documented that on 3/20/19 the resident claimed that she was pushed in the face during an argument with the CNA. The Registered…

    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 · D2019-04-18 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review conducted during the recertification survey, the facility did not ensure that the medication regimen for 1 of 7 residents (Resident #63) was adjusted to address continued use of three laxatives in the presence of adverse effects which indicated that the medications should be reduced or discontinued. Specifically, Resident #63 remained on Miralax, Colace and an enema three times weekly while experiencing multiple loose/soft BMs weekly for at least 4 months. The findings are: Resident #63 is a [AGE] year old female admitted to the facility on [DATE] with diagnoses of Diabetes Mellitus, Non-Alzheimer's Dementia and Depression. The annual Minimum Data Set ( MDS-a resident assessment tool) dated 1/14/19 noted that the resident had severe cognitive impairment, is fed via gastrostomy tube and was not constipated. The resident's current plan of care addressing constipation was initially developed on 5/12/14. The goal for the resident was to have normal bowel movements 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2017-08-01 · tag F0242 — isolated
    Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review conducted during a recertification survey, the facility did not ensure that the right to make choices about aspects of life that were important to 1 of 3 residents reviewed for choices (#379) was provided. Specifically, the resident was not given the choice to choose between a bed bath and a shower. The findings are: Resident # 379 was re-admitted to the facility on [DATE] for long-term with diagnoses and conditions including Stage 4 pressure ulcer of the sacral region, Cerebral Infarction, and unspecified thrombosis of deep veins of the lower extremities. The admission Minimum Data Set (MDS; a resident assessment tool) of 12/2/16 and the Quarterly MDS of 5/8/17 and 7/17/17, indicated that the resident scored 15 out of 15 on the Brief Interview for Mental Status (BIMS; a test used to measure orientation and memory recall) which suggested that the resident had no cognitive impairment. On Section F of these MDS assessments (interview for daily preferences), the resident…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2017-08-01 · tag F0282 — isolated
    Provide care by qualified persons according to each resident's written plan of care.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview conducted during a recertification survey, the facility did not ensure that care and treatment were implemented in accordance with the care plan for 1 of 3 residents (#379) reviewed for pressure ulcers. Specifically, bilateral heel boots used to offload the resident's heels were not consistently applied to promote healing and/or prevent development and/or recurrence of pressure ulcers. The finding is: Resident # 379 is a long-term care resident and was re-admitted to the facility on [DATE] with diagnoses and conditions including Stage 4 pressure ulcer to the sacral region, Cerebral Infarction, unspecified thrombosis of deep veins of the lower extremity. The Quarterly Minimum Data Set (MDS; a resident assessment tool) of 5/8/17 indicated that the resident had a BIMS of 15 out of 15 (Brief Interview for Mental Status; used to measure orientation and memory recall) which suggested that the resident was not cognitively impaired. Additionally, this MDS indicated the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2017-08-01 · tag F0314 — isolated
    Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
    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, interview and observation conducted during a recertification survey, the facility did not ensure that care and treatment were implemented for 1 of 3 residents (#379) reviewed for pressure ulcers. Specifically, bilateral heel boots used to offload the resident's heels were not consistently applied to promote healing and/or prevent development of further pressure ulcers. The finding is: Resident # 379 is a long-term care resident and was re-admitted to the facility on [DATE] with diagnoses and conditions including Stage 4 pressure ulcer to the sacral region, Cerebral Infarction, unspecified thrombosis of deep veins of the lower extremity. The Quarterly Minimum Data Set (MDS; a resident assessment tool) of 5/8/17 indicated that the resident had a BIMS of 15 out of 15 (Brief Interview for Mental Status; used to measure orientation and memory recall) which suggested that the resident was not cognitively impaired. Additionally, this MDS indicated the resident is high risk for developing…

    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

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

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleSince
AMORUSO, DONALDIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 12/18/1995
ARDITTI, DAVIDIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/13/2015
BARNES, CASSIDYIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/13/2017
BRANDON, SYMRAIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 03/08/2006
BURKE, BONITAIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/23/2015
BUTLER, JAMESIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 07/30/2010
CELIBERTI, RICHARDIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
DEMETRICES GEORGE, SANDRAIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/10/2024
DICAPUA, PETERIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 12/07/2012
ENGELSON, DEVORAHIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/17/2003
FAULKNER-SMITH, SIMONEIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/07/2011
GALT, RONALDIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/07/2022
GARRY, HELENEIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 09/18/2000
GIULIANO, CARMINEIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 09/14/2015
HALEY, MARGARETIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
HEERY, MARYIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
HERCEG, SUSANIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2020
LEYDEN, DAVIDIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/17/2019
LYNCH, DEBORAHIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 09/23/2000
MCCAULEY, KRISTENIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/06/2023
MERUSI, MARYIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/13/2016
MOONEY, JOANIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 11/08/2006
MORRISSEY, MARY BETHIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 04/05/2018
NEUENDORF, JAMESIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/21/2025
PFEFFER, THERESAIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 12/17/2024
POHAR, MARKIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/11/2023
RAMDHANIE, DOODNATHIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/18/2024
SCHREIER, SANDIIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/07/2015
SETTANNI, DONATOIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 10/10/2016
SMITH, CATHERINEIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/11/2024
VAN DUSEN, ARLENEIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
VARGAS, ENRIQUEIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/17/2023
KRASNAUSKY, PATRICIAIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/12/1998
BOTTOM LINE COLLECTIONS LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2022
HEALTHPRO HERITAGE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/01/2011
LONG TERM SOLUTIONS, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2019
PARISH PROPERTY MANAGEMENT, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/26/2024
PKF O'CONNOR DAVIES, LLPOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/08/2008
LUCARIELLO, RALPHIndividualOPERATIONAL/MANAGERIAL CONTROLsince 12/13/2004

CMS files one row per role, so the 101 rows in the source record cover these 39 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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

Follow the money — this home’s finances

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

$43.8M
Net patient revenuemost recent cost report
-20.3%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 70%Medicare 10%Other / private 20%

About 70% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. 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

$508per resident / day
operating cost
$15,448per month
≈ monthly operating cost
$422per 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 335383. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2023-05-18, 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