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Fulton Commons Care Center Inc

60 Merrick Avenue, East Meadow, NY 11554 · For profit - Corporation · 280 certified beds · (516) 222-9300 Medicare & Medicaid certified

Call the home — (516) 222-9300 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Behavioral-health or dementia-care citation — no harm found (F0740)1 actual-harm citation$8,401 in federal fines
Insights

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

In its favor
  • lower-than-typical staff turnover (22% 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 1 actual-harm citation
  • a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $8,401 in federal fines (most recent 2025-04-02)
  • its independent health-inspection rating is low (2/5)
  • its facility-reported quality-measure rating is low (2/5)
  • about 21% of its spending goes to commonly-owned related companies

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

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

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

Location & what’s nearby

Hospital
1/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
30 Merrick Ave · (516) 794-7010 · Call to confirm hours
Pharmacy
Rite Aid0.6 mi
1910 Hempstead Tpke · (516) 794-0616 · Call to confirm hours
Grocery
1897 Front St · (516) 394-9001 · Call to confirm hours
Park
Merrick Ave · Typically dawn to dusk
Place of worship
123 Merrick Ave · (516) 794-8911

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

Quality measures — how residents actually fare

Overall quality measures 2 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 2 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 3 to 2 stars. From monthly CMS archive snapshots.

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

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased17.6%14.1%15.4%worse
Long-stay residents who lose too much weight7.8%5.8%5.4%worse
Long-stay residents with a catheter left in their bladder0.8%0.5%0.9%typical
Long-stay residents with a urinary tract infection0.1%1.3%2.0%better
Long-stay residents with depressive symptoms83.9%19.5%6.5%worse 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 injury1.3%3.1%3.3%better
Long-stay residents whose ability to walk worsened11.7%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication13.8%13.2%18.9%better
Long-stay residents given the seasonal flu vaccine93.3%95.3%95.3%typical
Long-stay residents with pressure ulcers8.4%6.5%4.7%worse
Long-stay residents with worsening bladder/bowel control10.5%19.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table28.6%13.7%17.1%worse
Short-stay residents who newly got an antipsychotic medication3.3%1.2%1.4%worse
Short-stay residents given the seasonal flu vaccine63.4%78.8%79.4%worse
Short-stay residents rehospitalized after admission25.9%20.6%22.6%worse
Short-stay residents with an outpatient ER visit7.3%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days2.471.701.67worse
Long-stay outpatient ER visits per 1,000 resident days1.181.361.80better

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.

41.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 382 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

41.8%U.S. median 51.5%
Got home and stayed home
10.1%U.S. median 10.7%
Went back to hospital
53.5%U.S. median 56.6%
Met the expected recovery
0.30U.S. median 0.31
Therapy hours / resident / day
0.16hours / resident / day
Physical therapy
0.10hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 53.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 200 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 0.30 therapist hours per resident per day in 2026Q1 — more than 48% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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 SNF41.8%CMS range 36.6–47.751.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.1%CMS range 7.5–12.510.7%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 discharge53.5%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge52.5%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 discharge52.0%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 identified99.7%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting96.7%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 discharge96.9%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 worsened3.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.1%CMS range 4.4–8.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.581.02Oct 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

0.47
RN hours/ resident / day
0.75
LPN hours/ resident / day
2.61
Aide hours/ resident / day
3.83
Total nurse hours/ resident / day
0.34
RN hoursweekends
21.6%
Total nursing turnover
11.8%
RN turnover

How full it usually is: this home is certified for 280 beds and averages 271.6 residents a day — about 97% occupied, or roughly 8 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 3.83 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.47 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.61 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.63 hrs/resident/day on weekends vs 3.92 on weekdays — 7% thinner on weekends. RN hours go from 0.53 to 0.34 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 22% 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

7
deficiencies at the latest standard inspection (2024-12-23)
10
at the previous standard inspection (2023-04-28)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

20 citations, most serious first. The 11 most serious are shown; the remaining 9 are one tap away and print in full.

  • Actual harm · Gcited beforedisputed · IDR2025-04-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interviews conducted during an abbreviated survey (NY00369337) the facility did not ensure each resident received adequate supervision consistent with resident's needs to prevent accidents. This was evident for one (1) (Resident #1) of three (3) residents reviewed for accidents. Specifically, Resident #1 was assessed to be at high risk for falls upon admission. Resident #1 sustained multiple falls (10 falls between 12/10/2024 and 12/17/2024 and four (4) falls between 12/31/2024 and 1/9/2025) while in the facility. On 12/17/2024, the resident sustained a fall resulting in an injury to the left eye and was transferred to the hospital. The resident was readmitted on [DATE] with recommendations for enhanced 1:2 (one staff member to two residents) supervision to prevent falls. There was no documented evidence that the facility implemented enhanced supervision interventions to prevent accidents. On 1/9/2025, Resident #1 sustained a fall and was transferred to the hospital for…

    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 · Ecited before2024-12-23 · tag F0725 — failed to have enough nursing staff — pattern
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews during the Recertification Survey initiated on 12/15/2024 and completed on 12/23/2024, the facility did not ensure sufficient nursing staff were available to provide nursing services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. This was identified for seven of seven units reviewed for the Sufficient Nursing Staffing Task. Specifically, 1) a review of the Payroll-Based Journal (PBJ) Staffing Data Report Quarter Three, 2024 (April 1- June 30) indicated excessively low weekend staffing and One Star Staffing Rating 2) a review of the daily staffing sheets revealed the facility did not provide sufficient numbers of Certified Nursing Assistants as indicated in the Facility Assessment. This is a repeat deficiency. The finding is: The Payroll-Based Journal Staffing Data Report for Fiscal Year Quarter Three, 2024 (April 1- June 30) indicated the facility triggered for excessively low weekend staffing and One Star Staffing Rating. The Facility Assessment, last updated June 2024, 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-23 · tag F0553 — failed to let residents help plan their care — isolated
    Allow resident to participate in the development and implementation of his or her person-centered 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 record review and staff interviews during the Recertification Survey initiated on 12/15/2024 and completed on 12/23/2024, the facility did not ensure that each resident had the right to participate in the development and implementation of their person-centered plan of care. This was identified for one (Resident #93) of four residents reviewed for Choices. Specifically, Resident #93, a cognitively intact resident with no known family or designated representative, was not invited to their Comprehensive Care Plan meeting. The finding is: The Care Planning-Interdisciplinary Team Policy and Procedure last reviewed in January 2024 documented that the resident, the resident's family, and/or legal representative/guardian or surrogate are encouraged to participate in the development of and revisions to the resident's care plan. Every effort will be made to schedule care plan meetings at the best time of day for the resident and family. The Care Plans, Comprehensive Person-Centered Policy and Procedure last…

    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 · D2024-12-23 · tag F0660 — isolated
    Plan the resident's discharge to meet the resident's goals and needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews during the Recertification Survey initiated on 12/15/2024 and completed on 12/23/2024, the facility did not develop and implement an effective discharge planning process that focused on the resident's discharge goals. This was identified for one (Resident #93) of four residents reviewed for Choices. Specifically, Resident #93, a cognitively intact resident with no known family or designated representative, requested a transfer to another nursing facility; however, the facility did not address the resident's request to meet the resident's discharge goals. The finding is: The Discharge Summary and Plan Policy and Procedure last reviewed in January 2024 documented that when the facility anticipates a resident's discharge to a private residence, or another nursing care facility, a discharge summary, and the post-discharge plan will be developed by the Care Planning/Interdisciplinary Team with the assistance of the resident and their family. Residents will be asked about…

    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 · D2024-12-23 · tag F0685 — isolated
    Assist a resident in gaining access to vision and hearing 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 conducted during the Recertification Survey completed on 12/23/2024, the facility did not ensure that residents received proper assistive devices to maintain hearing abilities. This was identified for one (Resident #59) of two residents reviewed for Communication. Specifically, Resident #59, with highly impaired hearing had a Physician's order to use the hearing aids for both ears. The facility staff did not recharge the hearing aids consequently Resident #59 was not able to use the hearing aids to effectively communicate with staff and peers. The finding is: The facility's Policy titled Hearing Aid; Rechargeable Type dated 1/2024 documented guidelines including: storing the resident's hearing aids in the charger, away from direct sunlight or very warm temperatures when not in use. Check specific manufacturer's instructions for care of the hearing aid and charger. It is recommended to charge the hearing aids every night. Resident #59 was admitted with…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-12-23 · tag F0710 — isolated
    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's 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 record review and staff interviews during the Recertification Survey initiated on 12/15/2024 and completed on 12/23/2024, the facility did not ensure that the medical care of each resident was supervised by the Physician including monitoring changes in the resident's medical status. This was identified for one (Resident #93) of four residents reviewed for Choices. Specifically, The Psychiatrist's consultation dated 10/21/2024 included recommendations to explore options with the resident for transfer to another facility of the resident's choice and for the resident to receive behavior therapy and counseling. Nurse Practioner #1 reviewed the recommendations provided by the Psychiatrist; however, did not agree, disagree, or implement the recommendations. The finding is: The Consultation Policy and Procedure, last reviewed in January 2024 documented the Physician will approve any orders they agree with on the consultation. The Physician will document the reason if they disagree with the consultant. 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-23 · tag F0740 — failed to provide behavioral / mental-health care — isolated
    Ensure each resident must receive and the facility must provide necessary behavioral health care and 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 record review and staff interviews during the Recertification Survey initiated on 12/15/2024 and completed on 12/23/2024, the facility did not ensure each resident received the necessary behavioral health care and services according to the resident's comprehensive assessment and plan of care to attain or maintain the highest practicable physical, mental, and psychosocial well-being. This was identified for one (Resident #93) of four residents reviewed for Choices. Specifically, Resident #93 was not offered behavioral or psychological counseling when the resident expressed feeling down, depressed, and hopeless to Social Worker #1. Additionally, the Psychiatrist's consultation dated 10/21/2024 recommended providing behavior therapy. Nurse Practioner #1 reviewed the recommendations provided by the Psychiatrist; however, did not agree, disagree, or implement the recommendations. The finding is: The Consultation Policy and Procedure, last reviewed in January 2024 documented the Physician will approve any…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-23 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification Survey initiated on 12/15/2024 and completed on 12/23/2024, the facility did not ensure that drug records were in order and accounted for all controlled drugs. This was identified on one (Unit 1 East) of seven units reviewed during the Medication Storage Task. Specifically, the Pharmacy delivered 56 tablets of Oxycodone 10 milligrams for Resident #162 on 12/17/2024; however, the Individual Resident's Controlled Substance Record documented that 46 tablets were received. Additionally, on 12/18/2024, the Individual Resident's Controlled Substance Record documented that 41 tablets of Oxycodone 10 milligrams were available, although the blister packs contained 50 tablets due to an inaccurate reconciliation of the total medication received from the Pharmacy on 12/17/2024. The finding is: The facility policy titled Controlled Substance/Narcotic Management Protocol dated 2/2021 and revised 1/2024 documented that all narcotics will be counted…

    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 · Ecited before2023-11-28 · tag F0656 — failed to write and follow a full care plan — pattern
    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, record review and interviews during the abbreviated survey (NY00307264), the facility did not ensure that each resident had a Comprehensive Care Plan (CCP) developed that included measurable objectives and interventions to meet the resident's medical and nursing needs to attain or maintain the resident's highest practicable well-being. This was identified for 2 of 3 residents (Resident #2 and Resident #3) reviewed for falls. Specifically, Resident #2 experienced multiple falls and there was no CCP developed with goals and interventions to address the falls, and Resident #3 had multiple falls without goals or interventions to address the falls. The findings are: Resident #2 had diagnoses including Alzheimer's Disease, Hypertension and Cerebral Infarction. The 7/29/23 Minimum Data Set (MDS) assessment documented the resident had moderate cognitive impairment with a Brief Interview Mental Score (BIMS) of 12 and required extensive assistance of 2 for toileting and transfers and extensive…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-11-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interviews during the abbreviated survey (NY00307264), the facility did not ensure each resident received adequate supervision and assistance devices to prevent accidents for two of three residents (Resident #2 and Resident #3) reviewed for falls. Specifically, the facility failed to identify issues that placed Resident #2 and Resident #3 at risk for falls and implement steps to address those risks in a manner that enabled Resident #2 and Resident #3 to achieve or maintain their highest practicable physical, mental, and psychosocial well-being. As a result, Resident #2, and Resident #3 experienced multiple falls. Findings include: The Fall Policy and Procedure dated 1/2023 documented the reports will be reviewed by the safety committee for trends related to accidents or safety hazards in the facility to analyze any individual resident vulnerabilities. Resident #2 had diagnoses including Alzheimer's Disease, Hypertension and Cerebral Infarction. The Minimum Data Set (MDS)…

    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 · E2023-04-28 · tag F0640 — pattern
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews during the Recertification Survey initiated on 4/24/2023 and completed on 4/28/2023, the facility did not ensure that within 14 days after the facility completes a resident's Minimum Data Set (MDS) assessments, the facility must electronically transmit encoded, accurate, and complete MDS data to the Center for Medicare and Medicaid System (CMS). This was identified for 10 (Resident #170, #75, #94, #2, #78, #74, #70, #60, #76, and #151) of 11 residents reviewed during the Resident Assessment Facility Task. The findings include, but were not limited to: The facility policy titled Comprehensive MDS Policy dated January 2023 documented that the facility transmits data, per CMS regulations, after the facility completes a resident assessment. 1) Resident #170 has diagnoses which include Coronary Artery Disease and Hypertension. Resident #170 had an admission MDS dated [DATE] which was completed on 12/25/2022, and transmitted on 3/8/2023, 73 days after the completion date.…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 9 citations
  • Potential for harm · Dcited before2023-04-28 · 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 record review and interviews during the Recertification Survey and Abbreviated Survey (NY00309735) initiated on 4/24/2023 and completed on 4/28/2023, the facility did not ensure that a person-centered care plan for each resident that includes measurable objectives and timeframes was developed. This was identified for one (Resident #126) of twelve residents reviewed for Activities of Daily Living (ADLs). Specifically, Resident #126 was admitted to the facility in May of 2022 and there was no Comprehensive Care Plan (CCP) developed for the resident's ADLs as of 4/27/2023. The finding is: The facility's Person Centered Care Plan policy and procedure last revised on 1/2023 documented the comprehensive person-centered care plan is developed within seven (7) days of the completion of the required comprehensive Minimum Data Set (MDS) assessment. The policy also documented the Interdisciplinary team must review and update the care plan at least quarterly in conjunction with the required quarterly MDS…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-28 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
    Ensure residents do not lose the ability to perform activities of daily living unless there is 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 record review and staff interviews during the Recertification Survey and Abbreviated Survey (Complaint #NY00307520) initiated on 4/24/2023 and completed on 4/28/2023, the facility did not provide the necessary care and services to ensure that a resident's abilities in activities of daily living (ADLs) do not diminish unless circumstances of the individual's clinical condition demonstrate that such diminution was unavoidable. This was identified for one (Resident #59) of nine residents reviewed for ADLs. Specifically, Resident #59 was not assisted out of bed on 12/2/2022, 12/3/2022 and 12/4/2022 due to their Hoyer pad being wet and having to wait for it to dry. The finding is: The facility's policy titled, Activities of Daily Living last reviewed January 2021 documented that based on the comprehensive resident assessment of a resident and consistent with the resident's needs and choices, the facility will provide the necessary care and services to ensure that a resident's abilities in activities of daily…

    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 before2023-04-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interviews during the Recertification survey and Abbreviated survey (NY00308230), the facility did not ensure that each resident receives adequate supervision to prevent accidents. This was identified for one (Resident #245) of three residents reviewed for Accidents. Specifically, Resident #245 with moderately impaired cognition was admitted on [DATE] and was assessed as high risk for elopement. The facility staff did not initiate interventions related to the identified high risk of elopement. On 1/6/2023 Resident # 245 exited the facility undetected by the facility staff and was found approximately 45 minutes later at approximately one mile away from the facility. The finding is: The facility's Wandering, Unsafe Resident policy and procedure dated 1/2023 documented the facility will strive to prevent unsafe wandering while maintaining the least restrictive environment for residents who are at risk for elopement. The policy documented that resident will be assessed on…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-28 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interviews during the Recertification Survey initiated on 4/24/2023 and completed on 4/28/2023 the facility did not ensure that each resident with an indwelling urinary catheter received appropriate care and services. This was identified for one (Resident #122) of two residents reviewed for Urinary Catheter. Specifically, Resident #122 had an indwelling urinary catheter inserted in the facility on 3/21/2023; however, there was no physician order obtained for insertion of the catheter or catheter care until 4/24/2023. Additionally, there was no documented evidence in the medical record of an assessment and plan for the removal of the catheter as soon as possible. The finding is: The facility's undated policy and procedure titled Foley Catheters documented catheter care is done at least once daily, the Foley catheter drainage bag is changed weekly on Wednesday, and a doctor's order is needed to place a Foley catheter and/or change the catheter as needed (PRN). The facility's policy, titled Foley Catheter Removal, last reviewed 1/2023,…

    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 · D2023-04-28 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and staff interviews during the Recertification Survey initiated on 4/24/2023 and completed on 4/28/2023, the facility did not ensure that each resident who required dialysis received such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents goals and preferences. This was identified for one (Resident #121) of one resident reviewed for Dialysis. Specifically, 1) a recommendation by the Registered Dietician (RD) to discontinue a liquid supplement was not addressed. 2) A laboratory report forwarded by the Dialysis Center was not addressed by the resident's Physician. 3) Resident #121 was on a fluid restriction of 1,200 cubic centimeters (cc) of fluid per day, with 900 ccs of fluid to be provided by the dietary department and 300 ccs of fluid to be provided by nursing staff. The facility did not have documented evidence of the resident's fluid intake. The finding is: The facility's policy, titled Restricting Fluids, last reviewed 1/2023, documented to follow specific instructions concerning…

    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 before2023-04-28 · tag F0710 — isolated
    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's 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 record review and staff interviews during the Recertification Survey initiated on 4/24/2023 and completed on 4/28/2023, the facility did not ensure that the medical care of each resident was supervised by the Physician including monitoring changes in the resident's medical status. This was identified for one (Resident #16) of six residents reviewed for Nutrition. Specifically, Resident #16 had an 8.0% significant weight loss in 30 days and a 9.5% significant weight loss in 90 days identified in March 2023. The significant weight loss was not addressed by the resident's Primary Care Physician (PCP) in their Monthly Progress Notes. The finding is: The facility's policy titled, Weight Assessment and Intervention last reviewed in 1/2023 documented that the threshold for significant unplanned and undesirable weight loss will be based on the following criteria: 1 month - 5% weight loss is significant/greater than 5% is severe; 3 months - 7.5% weight loss is significant/greater than 7.5% is severe; 6 months -…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-04-28 · tag F0725 — failed to have enough nursing staff — isolated
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews during the Recertification Survey and Abbreviated Survey (Complaint #NY00307520) initiated on 4/24/2023 and completed on 4/28/2023, the facility did not ensure that there was sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care and considering the number, acuity and diagnoses of the facility's resident population in accordance with the facility assessment. This was identified for one (Resident #59) of nine residents reviewed for Activities of Daily Living (ADLs). Specifically, on 12/10/2022 and 12/11/2022 on the 3 [NAME] Unit the facility did not have sufficient nursing staffing and Resident #59, who resides on the 3 [NAME] Unit, was not assisted out of bed due to insufficient staffing. The finding is: 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-28 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure 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 4/24/2023 and completed on 4/28/2023 the facility did not ensure that for each resident the attending physician reviewed and responded to the recommendations made by the Pharmacist on the medication regimen reviews. This was identified for two (Resident #122 and Resident #98) of five residents reviewed for Unnecessary Medications. Specifically, 1) Resident #122's pharmacy medication regimen review dated 3/19/2023 recommended to add parameters for when to administer as needed (PRN) pain medications. The resident's attending physician did not review and respond to the recommendation; and 2) Resident #98 was seen by the Pharmacy Consultant on 1/14/2023 and recommended a benefit/risk evaluation for Gabapentin (an anticonvulsant medication). The physician disagreed with the recommendation and did not provide rationale for their disagreement. The findings are: The facility's policy titled Monthly Drug Regimen Reviews dated…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-28 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the Recertification Survey initiated on 4/24/2023 and completed on 4/28/2023 the facility did not ensure that resident records were accurately documented in accordance with professional standards of practice. This was identified for one (Resident #69) of three residents reviewed for position and mobility. Specifically, the Occupational Therapist did not accurately document in the resident's medical record a failed trial and reversal of the recommendation for a hand splint. The finding is: Resident # 69 was admitted with diagnoses that include Adult Failure to Thrive, Type 2 Diabetes Mellitus and Osteoarthritis. The Quarterly Minimum Data Set (MDS) assessment dated [DATE] documented the resident had short and long-term memory problems and was severely impaired for daily decision-making. The resident required extensive assistance of two persons for transfer and had limitations in range of motion to bilateral upper and lower extremities. The Physician (MD)…

    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

“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.

“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.

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

$8,401 in federal fines across 1 penalty.

  • $8,401 — penalty dated 2025-04-02

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

Part of a chain

This home belongs to THE GRAND HEALTHCARE — 16 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 2 of 51.8+0.2 vs chain
Health inspection 2 of 52.0≈ chain avg
Staffing 3 of 52.1+0.9 vs chain
Quality measures 2 of 52.1-0.1 vs chain
The other 15 homes this chain runs (chain average 1.8★, per CMS)

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

Who owns this facility

Owner / managerTypeRoleShareSince
FOGEL, ESTHERIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST10%since 12/10/1999
KALTER, FRADYIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST10%since 12/10/1999
KALTER, MOSHEIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; W-2 MANAGING EMPLOYEE50%since 04/30/2015

CMS files one row per role, so the 4 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.

$44.2M
Net patient revenuemost recent cost report
+6.3%
Operating marginrevenue minus expenses
$8.6M
Related-party expense21% of expenses
Who pays — share of resident-days
Medicaid 53%Medicare 23%Other / private 24%

This home reported $8.6M paid to related parties — landlords or management companies under common ownership — equal to about 21% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

$422per resident / day
operating cost
$12,841per month
≈ monthly operating cost
$451per 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 335831. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-12-23, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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