Daleview Care Center
574 Fulton Street, East Farmingdale, NY 11735 · For profit - Corporation · 142 certified beds · (516) 694-9800 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- lower-than-typical staff turnover (33% vs 45% nationally) — better care continuity
- it has an abuse, neglect, or exploitation citation (F0602), cited Jan 2024
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605, F0609) — 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 (26) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure score sits well above its independent inspection score
- its payroll-based staffing rating is low (2/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 2 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
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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 3 to 4 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 16.4% | 14.1% | 15.4% | typical |
| Long-stay residents who lose too much weight | 3.3% | 5.8% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.5% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.0% | 1.3% | 2.0% | better |
| Long-stay residents with depressive symptoms | 71.7% | 19.5% | 6.5% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better |
| Long-stay residents with falls causing major injury | 0.5% | 3.1% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 14.3% | 12.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 17.1% | 13.2% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 99.1% | 95.3% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.3% | 6.5% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 11.8% | 19.5% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 2.5% | 13.7% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.9% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 100.0% | 78.8% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 18.8% | 20.6% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 5.4% | 9.6% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.48 | 1.70 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 1.21 | 1.36 | 1.80 | better |
‡ 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.
53.4% 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 288 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 78.8% 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 132 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.39 therapist hours per resident per day in 2026Q1 — more than 68% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 18% 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
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 53.4%CMS range 48.3–59.0 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.7%CMS range 8.4–13.8 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | 78.8% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 72.0% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 77.3% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 98.0% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS 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 discharge | 95.5% | 98.7% | Oct 2024–Sep 2025 | CMS 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 stay | 1.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.2%CMS range 3.8–9.5 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.45 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 142 beds and averages 136.5 residents a day — about 96% occupied, or roughly 6 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.64 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.62 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.09 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.26 hrs/resident/day on weekends vs 3.80 on weekdays — 14% thinner on weekends. RN hours go from 0.72 to 0.38 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 33% is below the national median of 45%. 1 administrator has left in the past year.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
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.
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 10 most serious are shown; the remaining 16 are one tap away and print in full.
- Potential for harm · D2026-05-08 · tag F0605 — failed to not use drugs as a restraint — isolatedPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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 survey, the facility failed to ensure each resident has the right to be free from chemical restraints not required to treat the resident's medical symptoms. This was identified for one (Resident #1) of five (5) residents reviewed for Unnecessary Medications. Specifically, Resident #1 with diagnosis of major depressive disorder was seen by a psychiatrist on 03/31/2026 who provided a recommendation to reduce the resident's quetiapine (an antipsychotic) dosage from 100 milligrams twice a day to 25 milligrams twice a day for seven days and then discontinue the medication. The facility did not respond to the psychiatry consultation until 05/06/2026, when the facility lowered the dosage as per the psychiatrist recommendation.The findings include:The facility's policy titled Psychotropic Medications, dated 12/01/2025, documented after medications are ordered for a resident, the staff and practitioner shall seek an appropriate dose and duration for each…
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.
- Potential for harm · Dcited before2026-05-08 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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
Based on observations, record review, and interviews during the survey, the facility failed to ensure it implemented a comprehensive person-centered care plan that includes measurable objectives and time frames to meet each resident's medical and nursing needs that are identified in the comprehensive assessment. This was identified for one (1) (Resident #43) of two (2) residents reviewed for skin conditions. Specifically, Resident #42 had a physician's order to offload heels at all times. On multiple occasions while the resident was in bed, the resident's heels were directly in contact with a pillow and were not being offloaded.The findings include:Resident #43 was admitted with diagnoses including diabetes mellitus, peripheral vascular disease, and cerebrovascular accident. The 04/16/2026 admission Minimum Data Set assessment documented a Brief Interview for Mental Status score of 10, indicating the resident had moderate cognitive impairment. The resident had a diabetic ulcer and was at risk for pressure ulcer development. The resident required partial/moderate assistance for bed…
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.
- Potential for harm · D2026-05-08 · tag F0657 — failed to keep the care plan current — isolatedDevelop 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 observations, record review and staff interviews during survey, the facility failed to ensure the comprehensive care plan was reviewed and revised by the interdisciplinary team to reflect each resident's preferences and status after each assessment. This was identified for one (1) (Resident #117) of three (3) residents reviewed for skin conditions. Specifically, Resident # 117 had a physician order for compression socks for both legs in the morning and remove at bedtime. Resident #117's care plan did not include the use of ace bandage (an elastic compression wraps designed to reduce swelling) on both legs during the day and remove at night for chronic venous insufficiency (a condition when the leg vein valves are damaged or weakened).The findings include:The facility's policy and procedure titled, Care Plans last revised on 12/2025 documented that all residents will have a plan of care review initially and then no less than every 90 days. Problem statements, goals and interventions will be reviewed,…
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.
- Potential for harm · D2026-05-08 · tag F0697 — failed to manage pain — isolatedProvide safe, appropriate pain management for a resident who requires such services.
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 during survey the facility failed to ensure that pain management was provided to each resident consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences. This was identified for one (Resident #148) of one resident reviewed for pain management. Specifically, Resident #148 was admitted to the facility with chronic bilateral elbow pain; however, there was no pain medication ordered. In addition, when the resident reported sever pain rating of 8 out of a scale of 0-10 (a scale used to measure pain intensity, where 0 equals no pain and 10 represents the worst imaginable pain) to a Registered Nurse Supervisor, the resident did not receive pain medication for more than two hours.The findings include:The facility policy titled Pain Assessment, dated September 2025, documented pain is difficult to define because of multidimensional aspects. All residents admitted for care management will be…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-05-08 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and interviews during the survey the facility failed to ensure it provided pharmaceutical services, including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals to meet the needs of each resident for one (Resident #146) of five (5) residents observed during the medication administration task. Specifically, during the medication administration observation for Resident#146, Licensed Practical Nurse #5 crushed an extended-release (designed to slowly release the medication) potassium chloride tablet. The blister pack for the extended-release potassium chloride tablet had a direction sticker that read do not crush.The findings include:The facility policy titled Medication Administration: General Policies and Practices, dated 12/01/2025, documented prior to administering medications, the staff nurse: reads the order carefully in its entirety, noting the name, dosage, route, and time of administration, making certain the dosages, frequency and schedules correspond with the physician's…
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.
- Potential for harm · Dcited before2026-05-08 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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 observations, record review and staff interviews, the facility failed to ensure that all drugs and biologicals were stored and labeled in accordance with currently accepted professional principles. This was identified for one (1) (unit 3) of three (3) units observed during the initial tour and for one (1) (medication cart for Unit 2) of three (3) medication carts reviewed during the medication storage and labeling task. Specifically, 1) Unit Three (3) shower room had unlabeled cream on the ledge in the shower room. 2) Unit Two (2) medication cart was observed with an insulin pen, and an eye drop bottle without a date to indicate when the medications were first opened to determine when the medications should be discarded.The findings include:The facility policy and procedure titled, Medications: Storage and Handling last revised on 12/12/2025 documented that medications and biologicals are stored in locked compartments under proper temperature controls and only authorized personnel have access to the keys. Medications and biologicals past their expiration dates are removed…
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.
- Potential for harm · D2026-05-08 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard 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 observations, interviews, and record review during the survey, the facility failed to maintain medical records that are complete and accurately documented. This was identified for one (1) (Resident #28) of three (3) residents reviewed for catheter. Specifically, Resident #28's contact precautions were discontinued on 04/21/2026; however, the resident's medical record was not updated to reflect discontinuation of the contact precautions in Resident #28's electronic medical record (EMR).The findings include: The facility's policy titled Charting and Documentation dated 09/2025 documented all services provided to the resident, progress toward the care plan goals, or any changes in the resident's medical, physical, functional or psychosocial condition, shall be documented in the resident's medical record. The medical record should facilitate communication between the interdisciplinary team regarding the resident's condition and response to care. Resident #28 was admitted with diagnoses including neurogenic…
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.
- Potential for harm · Dcited before2026-05-08 · tag F0880 — failed to prevent and control infections — isolatedProvide 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, record review, and interviews during the survey, the facility failed to ensure it maintained an infection prevention and control program designed to help prevent the development and transmission of communicable disease and infections. This was identified for one (Resident #43) of two residents reviewed for skin conditions and for one (1) (Unit 2 medication cart) of three (3) medication carts reviewed during the medication storage and labeling task. Specifically, 1) during the wound care observation for Resident #43, Licensed Practical Nurse #6 did not sanitize the overbed table before placing the wound care supplies on top of the table. Additionally, Licensed Practical Nurse #6 did not sanitize their hands after removing the dirty dressings from the foot wounds and prior to applying the clean treatments. 2) Licensed Practical Nurse #1 did not use an Environmental Protection Agency (EPA) approved cleaning agent to sanitize the glucometer (a handheld device used to measure the concentration of sugars in the blood) machine after using the machine for each…
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.
- Potential for harm · Dcited before2025-02-28 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews during the Recertification Survey, initiated on 2/24/2025 and completed on 2/28/2025, the facility did not ensure that each 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 identified for two (Resident #90 and Resident #237) of three residents reviewed for Pressure Ulcers. Specifically, 1) during a wound care observation of Resident #90's left buttock Stage 2 Pressure ulcer (wound with partial thickness loss of skin) on 2/26/2025, another stage Stage 2 Pressure Ulcer was observed on the right buttock. There was no documented evidence of an assessment or a Physician's order for treatment for the right buttock pressure ulcer. The wound care nurse administered treatment on Resident #90's right buttock wound without any Physician's Order 2) Resident #237 was assessed with a Stage 3 pressure ulcer to the sacrum.…
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.
- Potential for harm · Dcited before2025-02-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the Recertification Survey initiated on 2/24/2025 and completed on 2/28/2025, the facility did not ensure that each resident's environment remained free of accident hazards. This was identified for one (Resident #21) of four residents reviewed for Accidents. Specifically, an oxygen E-Cylinder tank (portable oxygen tank) was observed on the right side of Resident #21's bed. The E-Cylinder tank was not secured in a rolling safety stand or a metal rack. The finding is: The facility's policy, titled Oxygen Closet last revised on 9/2024, documented the facility would maintain an adequate supply of oxygen needed for the administration of oxygen. A minimum of two small E-Cylinder tanks will be maintained on each unit for emergency purposes. Oxygen tanks not secured on tank dollies or the E-tank rack, will be secured to the wall with chains. Resident #21 was admitted with diagnoses including Acute Renal Failure with Hypoxia (absence of enough oxygen 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.
Show the remaining 16 citations
- Potential for harm · D2025-02-28 · tag F0693 — failed to provide proper feeding-tube care — isolatedEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification Survey initiated on 2/24/2025 and completed on 2/28/2025, the facility did not ensure that the staff implemented and provided care and services according to the resident's needs and professional standard of practice for each resident with a feeding tube. This was identified for one (Resident #27) of one resident reviewed for Tube Feeding, specifically, on 2/24/2025 at 11:30 AM and 1:00 PM. Resident #27 was observed receiving enteral tube feeding (a method of providing nutrition directly into the gastrointestinal (GI) tract through a tube); the enteral tube feeding bottle and the water bag was observed hanging on a feeding tube stand without a label including the resident's name and the time the tube feeding was started. The finding is: The facility's policy titled Tube Feedings: Gastrostomy Feedings, last revised on 11/12/2024, documented that Gastrostomy tube feedings will be administered by licensed nursing staff in accordance 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.
- Potential for harm · D2025-02-28 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews during the Recertification Survey initiated on 2/24/2025 and completed on 2/28/2025, the facility did not ensure the Physician documented in the resident's medical record that the irregularity identified by the Pharmacist has been reviewed and what action has been taken to address it. This was identified for two (Resident #121 and Resident #116) of five residents reviewed for Unnecessary Medications. Specifically, Nurse Practitioner #1 disagreed with recommendations provided by the Consultant Pharmacist for Resident # 121 and Resident #116; however, the reason for the disagreement was not documented. The findings are: The facility's undated policy titled, Drug Regimen Review-Monthly documented that the Prescriber/Licensed Designee shall document on the Drug Regimen Review form whether they agree or disagree with the recommendations and provide a brief clinical rationale if no change is to be made. 1) Resident #121 had diagnoses including Atrial Fibrillation 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.
- Potential for harm · Dcited before2025-02-28 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the Recertification Survey initiated on 2/24/2025 and completed on 2/28/2025 the facility did not ensure each resident was free of any significant medication errors. This was identified for one (Resident #284) of six residents observed during medication administration. Specifically, Resident #284 had a do not crush physician's order for Metoprolol extended-release medication tablet (a blood pressure medication). During the medication administration observation, Licensed Practical Nurse #5 crushed and administered the Metoprolol extended-release medication tablet to Resident #284. The finding is: The facility's policy titled Medication Administration: General Policies and Practices, effective 11/12/2024, documented that prior to administering any medication the staff nurse reads the order in its entirety carefully, noting the name, dosage, route, and time of administration, making certain that the dosages, frequency, and schedules correspond with 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.
- Potential for harm · Dcited before2025-02-28 · tag F0761 — failed to label and store drugs safely — isolatedEnsure 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 observation, record review, and staff interviews during the Recertification Survey initiated on 2/24/2025 and completed on 2/28/2025, the facility did not ensure that drugs and biologicals were stored in a locked compartment. This was identified for one (Resident #1) of four residents reviewed for Accident Hazards. Specifically, Resident #1 was observed with an Albuterol inhaler (medication used to treat difficulty breathing) on top of their bed and there was no nursing staff in the vicinity. There was no Physician's order for Albuterol inhaler and the resident was not assessed to self-administer their medication. The finding is: The facility's policy titled Medications: Storage and Handling last revised on 12/12/2024, documented medications are stored according to procedures established in compliance with State and Federal regulations. Medications and biologicals are stored in locked compartments under proper temperature controls, and only authorized personnel have access to the keys. Residents…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-02-28 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification Survey initiated on 2/24/2025 and completed on 2/28/2025, the facility did not ensure it maintained an infection prevention and control program to help prevent the development and transmission of communicable diseases and infections. This was identified for one (Resident #283) of one resident reviewed for Respiratory Infection. Specifically, Resident #283 was re-admitted to the facility on [DATE] from the hospital with a diagnosis of Influenza. The resident was placed on Contact and Droplet Precautions. During two separate observations, [NAME] #1 and [NAME] #2 were cleaning the resident's room without wearing appropriate Personal Protective Equipment. [NAME] #1 put on the Personal Protective Equipment after the observation and then exited the room without removing the Personal Protective Equipment to retrieve a garbage pail from the hallway. The finding is: The facility's policy titled Infection Control-Droplet Precautions, effective…
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.
- Potential for harm · Ecited before2024-08-27 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review during an abbreviated survey with complaint # NY00350920, the facility did not ensure that the environment remained secure and free from accident hazards for one (Resident #1) of three residents reviewed for elopement. Specifically, Resident #1 with severe impaired cognition and assessed as an elopement risk exited the facility undetected by staff through an unalarmed south stairwell emergency exit door at 5:55PM. Resident #1 was found by local law enforcement 0.2 miles away from the facility at 6:40PM. The facility staff identified Resident #1 missing at 8PM. There are 12 other residents identified as elopement risk. The findings are: The facility's policy and procedure titled Elopement and Prevention effective 10/1/2005 and revised on 5/15/24 documented that it is the policy of the facility to provide safe and secure environment for all residents. In the event of resident elopement, it is the policy of the facility to implement the policy and procedure…
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.
- Potential for harm · E2024-01-31 · tag F0602 — failed to protect residents from theft of their belongings — patternProtect each resident from the wrongful use of the resident's belongings or money.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY F602 Based on observations, interviews, and record reviews conducted during an abbreviated survey (Case #NY00329271), the facility did not ensure each resident was free from misappropriation of resident property and exploitation for 2 (Resident #1 and Resident #2) of 3 residents reviewed. Specifically, Resident #1 credit cards was fraudulently used, and 30 dollars was taken while a resident in the facility, Resident #2 had 500 dollars taken from their purse. This is evidenced by: A Policy and Procedure (P&P) titled Abuse Prevention dated February 2023 documented the following: procedures were in place for screening and training employees, protection of residents and for the prevention, identification, investigation and reporting of abuse, neglect, mistreatment, and misappropriation of resident property to ensure that the facility was doing all that was within its control to prevent occurrences. The policy defined Misappropriation of Resident Property as the deliberate misplacement, exploitation, or wrongful,…
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.
- Potential for harm · Ecited before2023-12-14 · tag F0760 — failed to prevent significant medication errors — patternEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the Recertification Survey initiated on 12/10/2023 and completed on 12/14/2023 the facility did not ensure each resident remained free of significant medication errors. This was identified for three (Resident #29, Resident #95, and Resident #92) of three residents reviewed for significant medication errors. On 12/10/2023 multiple residents received their medications late because the 11:00 PM-7:00 AM shift Licensed Practical Nurse #8 completed the medication administration pass late which then caused Licensed Practical Nurse #5 to administer medications to the residents late on the 7:00 AM-3:00 PM shift. Specifically, 1) Resident #29 received the physician ordered 6:00 AM and 6:30 AM pain medication and Thyroid medication at 8:02 AM, 2) Resident #95 received the physician ordered insulin and blood glucose check at 10:01 AM instead of 7:30 AM and also at 3:12 PM instead of 11:30 AM, and 3) Resident #92 received the physician ordered pain medication 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.
- Potential for harm · D2023-12-14 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews during the Recertification Survey and Abbreviated Survey (NY 00323920) initiated on 12/8/2023 and completed on 12/14/2023 the facility did not ensure that all injuries of unknown source were reported immediately, but not later than 2 hours if there are serious bodily injury, or not later than 24 hours if there are no serious bodily injuries. Specifically, on 7/21/2023 Resident #274 was identified with an injury of unknown origin. There was no documented evidence that the injury was reported to the New York State Department of Health (NYSDOH) as required. The finding is: The facility's Abuse Prevention policy and procedure effective February 2023 documented that all alleged violations must be immediately reported to the Administrator, state agency, and any other required law enforcement agencies within the specified time frame. The policy documented that all alleged violations of abuse, neglect, exploitation, or mistreatment, including injury of unknown source and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-12-14 · tag F0623 — isolatedProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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 record review and interviews during the Recertification Survey initiated on 12/10/2023 and completed on 12/14/2023, the facility did not ensure that the Office of the Long-Term Care Ombudsman was notified of each resident's transfer or discharge to the hospital. This was identified for one (Resident #75) of two residents reviewed for Hospitalization. Specifically, Resident #75 was discharged to the hospital on [DATE] and no notification of the discharge was sent to the Office of the Long-Term Care Ombudsman. The finding is: Resident #75 was admitted to the facility with diagnoses including Parkinson's Disease with Dyskinesia and Alzheimer's Disease. The significant change in status Minimum Data Set (MDS) assessment dated [DATE] documented that the resident had severely impaired cognitive skills for daily decision making with long and short term memory problems. The Nursing Progress Note dated 10/21/2023 at 1:58 PM documented the resident was observed breathing abnormally. Medical group was called 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.
- Potential for harm · Dcited before2023-12-14 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the Recertification Survey initiated on 12/10/2023 and completed on 12/14/2023, the facility did not ensure that each resident had a person-centered Comprehensive Care Plan (CCP) developed and implemented that includes measurable objectives and time frames to meet a resident's medical, nursing, mental and psychosocial needs. This was identified for one (Resident #21) of one resident reviewed for Skin Conditions (non-pressure). Specifically, Resident #21 had Physician Orders to receive treatments to bilateral lower extremities and an ACE wrap (compression bandages) to be applied to bilateral lower extremities. On 12/10/2023 during a tour of the 2nd floor Nursing Unit, the dressings to the lower extremities of Resident #21 were observed with a date of 12/8/2023. In addition, Resident #21 complained that the ACE wraps to their bilateral lower extremities were not applied to their legs for 2 days since 12/8/2023. The finding is: The policy titled: Medication…
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.
- Potential for harm · D2023-12-14 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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 observations, record review, and interviews during the Recertification Survey initiated on 12/10/2023 and completed on 12/14/2023, the facility did not ensure each resident received treatment and care in accordance with professional standards of practice, and the comprehensive person-centered care plan. This was identified for one (Resident #327) of four residents reviewed for Accidents. Specifically, Resident #327 was observed on multiple occasions without the use of the Physician ordered ACE wraps or [NAME] (compression stocking) stockings to bilateral lower extremities due to complaint of pain and bilateral lower extremity edema. Additionally, when the ACE wrap was applied, the staff did not remove the ACE wraps as per the Physician's orders. The finding is: Resident # 327 has diagnoses of Edema, Cellulitis, and Diabetes Mellitus. The 11/21/2023 admission Minimum Data Set (MDS) assessment documented a Brief Interview for Mental Status (BIMS) score of 15, indicating the resident was cognitively intact. A nursing progress note dated 12/1/2023 at 7:25 AM documented 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.
- Potential for harm · Dcited before2023-12-14 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide 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 observation, record review, and interviews during the Recertification Survey, initiated on 12/10/2023 and completed on 12/14/2023, the facility did not ensure each 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 identified for one (Resident #328) of two residents reviewed for Pressure Ulcers. Specifically, Resident #328 was admitted to the facility on [DATE] with a Stage 4 pressure ulcer to the right ischium (a bony prominence of the pelvis). Treatment for the Stage 4 pressure ulcer was not started until 10/23/2023. The initial wound assessment by the wound care Registered Nurse (RN) and the wound care physician documented an incorrect wound depth. Additionally, there was no intervention in the pressure ulcer Comprehensive Care Plan (CCP) or the Certified Nursing Assistant (CNA) care instructions to turn and position the resident. 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.
- Potential for harm · D2023-12-14 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide 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 observations, record review and interviews conducted during a Recertification Survey initiated on 12/10/2023 and completed on 12/14/2023, the facility did not ensure that a resident who needed respiratory care was provided such care consistent with professional standards of practice. This was identified for one (Resident #425) of five residents reviewed for Respiratory Care. Specifically, Resident #425 had a Physician's order to receive 2 liters of oxygen per minute continuously. The resident was observed receiving 4 liters and 5 liters of oxygen per minute respectively on two consecutive days. The finding is: The facility's Administration and Maintenance of Oxygen policy revised June 2023 documented attending physicians are to provide a written order for the use of oxygen in non-emergency situations noting: the device to be used; the amount of oxygen flow; the duration of use; and the frequency the oxygen may be administered. The licensed nursing staff are to turn on the gauge and adjust the oxygen…
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.
- No harm found · B2025-02-28 · tag F0636 — patternAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews during the Recertification Survey initiated on 2/24/2025 and completed on 2/28/2025, the facility did not conduct a comprehensive assessment of a resident not less than once every 12 months while a resident. This was identified for one (Resident #78) of one resident reviewed for the Resident Assessment Task. Specifically, Resident #1's admission Minimum Data Set assessment was completed on 2/7/2024. The Annual Minimum Data Set (MDS) assessment was completed on 2/10/2025, which was 369 days from the previous comprehensive assessment. Additionally, the Assessment Reference Date for the Annual Minimum Data Set was 1/20/2025 and the assessment was not completed until 21 days after the Assessment Reference date. The finding is: The facility's policy and procedure titled Resident Assessment Instrument (MDS 3.0), last revised on 10/1/2023, documented that the Annual (Comprehensive Assessment) is completed within 366 days of the previous Comprehensive Assessment reference 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.
- No harm found · B2025-02-28 · tag F0640 — patternEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews during the Recertification Survey initiated on 2/24/2025 and completed on 2/28/2025, the facility did not ensure that all completed Minimum Data Set (MDS) assessments were electronically transmitted to the Center for Medicare and Medicaid Services (CMS) within 14 days of the resident assessment completion. This was identified for one (Resident #78) of one resident reviewed for the Resident Assessment Task. Specifically, Resident #78's Annual Minimum Data Set (MDS) assessment was completed on 2/10/2025; however, the assessment was not electronically submitted to the Center for Medicare and Medicaid Services (CMS) until 2/25/2025, 15 days after the completion date. The finding is: The facility's policy and procedure titled Resident Assessment Instrument (MDS 3.0), last revised on 10/1/2023, documented that the Minimum Data Set (MDS) process requires input from the health care team to complete the designated areas in a timely and accurate fashion in accordance with State…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“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.
- 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.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| MITTEL, JENNIFER | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 11% | since 07/07/2013 |
| OSTREICHER, ROBERT | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER | 67% | since 03/27/1997 |
| KERKOVICH, MARY | Individual | CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/07/2024 |
CMS files one row per role, so the 6 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
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
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
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.
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 335161. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-08, 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 →
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