Sunnyside Care Center
7000 Collamer Rd, East Syracuse, NY 13057 · For profit - Limited Liability company · 80 certified beds · (315) 656-7218 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- no federal fines or payment denials on record
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has an abuse, neglect, or exploitation citation (F0600), cited Oct 2023
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- 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 independent health-inspection rating is low (2/5)
- nursing-staff turnover (60%) runs well above the national median (45%)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 4 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 | 4 of 5 |
| Long-stay residentspeople who live here | 4 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
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 | 11.5% | 14.1% | 15.4% | better |
| Long-stay residents who lose too much weight | 1.6% | 5.8% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.3% | 0.5% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 2.8% | 1.3% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 17.5% | 19.5% | 6.5% | better 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 | 6.7% | 3.1% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 10.8% | 12.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 14.3% | 13.2% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 95.3% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 6.6% | 6.5% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 26.6% | 19.5% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 13.2% | 13.7% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 1.1% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 96.7% | 78.8% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 15.7% | 20.6% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 5.8% | 9.6% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.13 | 1.70 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 1.26 | 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.
43.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 82 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 55.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 38 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 0.11 therapist hours per resident per day in 2026Q1 — more than 7% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 9% 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 | 43.0%CMS range 35.0–54.1 | 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 | 10.1%CMS range 6.4–15.8 | 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 | 55.3% | 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 | 52.6% | 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 | 55.3% | 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 | 100.0% | 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 | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 3.3% | 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 | 4.9% | 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 | 6.9%CMS range 3.4–12.1 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.12 | 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 80 beds and averages 73.8 residents a day — about 92% occupied, or roughly 6 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.83 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.71 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.36 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 3.00 hrs/resident/day on weekends vs 4.17 on weekdays — 28% thinner on weekends — a notable drop. RN hours go from 0.80 to 0.48 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 60% is well above 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
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 · Ecited before2025-09-12 · tag F0761 — failed to label and store drugs safely — patternEnsure 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 and interviews during the recertification survey conducted 9/8/2025-9/12/2025, the facility did not ensure drugs and biologicals were labeled and stored in accordance with currently accepted professional principles and include the appropriate accessory and cautionary instructions, and the expiration date when applicable for two (2) of four (4) medication carts (East Hall North cart and [NAME] Hall North cart) and one (1) of two (2) medication rooms (East Hall) reviewed. Specifically, the East Hall North and [NAME] Hall North medication carts contained resident medications without pharmacy labels; opened undated medications; and expired medications; and the [NAME] Hall North medication cart was unlocked and contained three cups of medication in the top drawer. Findings include: The facility policy Medication/ Treatment Labeling and Storage, reviewed 4/2025, documented medications were stored in a safe, secure, and orderly manner. Medications should be labeled accordingly and missing, incomplete, improper, or incorrect containers shall be returned to the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-09-12 · tag F0803 — failed to meet residents' dietary needs — patternEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews during the recertification and abbreviated (576137/ NY00340739 and 576142/ NY00346243) surveys conducted 9/8/2025 - 9/12/2025, the facility did not ensure resident menus were followed for two (2) of seven (7) meals observed. Specifically, the facility ran out of preplanned menu items and substituted with items that were not nutritionally equivalent; and did not inform Registered Dietitian #5 there was no orange juice, and an orange-flavored citrus punch was substituted. The Foodservice Director did not submit food orders timely to ensure food items were available for the preplanned lunch meal for 9/9/2025. Additionally, Residents #24, #64, and #66 did not receive food items at meals as planned; and Residents #7 and #48 stated the facility sometimes ran out of food.Findings include: The facility policy Food Procurement, revised 10/2024, documented orders would be placed by the Dietary Manager/ Food Service Director or designated staff according to menu requirements and inventory needs. All deliveries would be checked against…
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 before2025-09-12 · tag F0804 — failed to serve food at safe, palatable temperature — patternEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews during the recertification and abbreviated (NY00346243/ iQIES 576143) surveys conducted 9/8/2025-9/12/2025, the facility did not ensure food was served at palatable and appetizing temperatures in accordance with professional standards for food service for 2 of 2 meals (9/9/2025 and 9/10/2025 lunch meals) reviewed. Specifically, the lunch meal test trays on 9/9/2025 and 9/10/2025 were not flavorful or served at palatable and appetizing temperatures. Additionally, seven (7) anonymous residents at the Resident Council Meeting stated the food was often cold and not flavorful Findings Include:The facility policy Food and Nutrition Services, revised 1/2025, documented each resident received meals that were nourishing and palatable. Food and nutrition staff would inspect food trays to ensure the food appeared palatable, attractive and was served at a safe and appetizing temperature. During a meal observation on 9/09/2025 at 12:37 PM, Resident #66's lunch tray was sampled in the presence of Certified Nurse Aide #19, and a replacement tray…
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 before2025-09-12 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews during the recertification survey conducted 9/8/2025-9/12/2025, the facility did not ensure food was stored, prepared, distributed, and served in accordance with professional standards for one (1) of one (1) main kitchen reviewed. Specifically, food was not discarded in a timely manner; one box of bananas was stored directly on the floor; [NAME] #21 scooped chopped eggs into a mixing bowl with ungloved hands; and dishes were not sanitized properly. Findings include: The facility policy Food Receiving and Storage, revised October 2024, documented all foods stored in the refrigerator and freezer would be covered and dated with a use by date. Food was kept at least 18 inches off the floor. The facility policy Sanitization, revised October 2024, documented all equipment, food contact surfaces, and utensils should be washed to remove or completely loosen soils by using manual or mechanical means necessary and sanitized using hot water and/ or chemical sanitizing solutions. Sanitizing would be performed with one of the following…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-09-12 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the recertification survey conducted 9/8/2025-9/12/2025, the facility did not ensure a safe, clean, comfortable, and homelike environment for one (1) of two (2) resident units (West Unit). Specifically, the [NAME] Unit dining room had sticky floors with ants, there were flying insects throughout the unit, and resident room [ROOM NUMBER] had unclean walls.Findings include:The facility policy Quality of Life/Homelike Environment, revised 5/2025, documented residents were provided with a safe, clean, comfortable and homelike environment. The facility policy Inservice- Daily Cleaning, revised 7/12/2025, documented the housekeeper should clean and dust all windowsills, tables, chairs with disinfectant, and clean all spots, spills, scuff marks on vertical surfaces such as walls, doors, and over the bed table stands. The following observations were made of room [ROOM NUMBER]: -On 9/8/2025 at 6:29 PM, the wall to the right side of the window had a yellow-white…
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 before2025-09-12 · 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 recertification survey conducted 9/8/2025-9/12/2025, the facility did not ensure the comprehensive person-centered care plan was implemented to ensure a resident's nursing needs were met for one (1) of one (1) resident (Resident #46) reviewed. Specifically, Resident #46 was at risk for falls, and the care plan was not implemented or updated with individualized interventions for fall prevention. Findings include: The facility policy Care Planning, last reviewed 7/2025, documented the comprehensive care plan was based on the resident's comprehensive assessment and was developed by a Care Planning/Interdisciplinary Team. The resident and resident's family were encouraged to participate in the development and revisions of the resident's care plan. The policy did not document when to update a care plan.The facility policy Fall Policy and Procedure, last revised on 9/2024, documented when a resident had a fall, the charge nurse or designee would follow the accident and incident protocols and ensure the resident'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 · D2025-09-12 · tag F0676 — failed to keep up residents' daily-living abilities — isolatedEnsure 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
Based on observations, record review, and interviews during the recertification survey conducted 9/8/2025-9/12/2025, the facility did not ensure residents were provided the appropriate treatment and services to maintain or improve their ability to carry out activities of daily living including functional communication systems for one (1) of one (1) resident (Resident #22) reviewed. Specifically, Resident #22's primary language was not English, and the resident was not consistently provided with translation services or alternate forms of communication. Findings include:The facility policy Residents Rights, last reviewed 1/2025, documented all residents would be treated with respect, kindness, and dignity; and had the right to communicate with and access people and services, both inside and outside the facility. The facility policy Translation and/or Interpretation of Facility Services, revised 1/2025, documented individuals with limited English proficiency had meaningful access to information and services provided by the facility. The Director of Social Work identified a language…
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 before2025-09-12 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews during the recertification survey conducted 9/8/2025- 9/12/2025, the facility did not ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for one (1) of three (3) residents (Resident #66) reviewed. Specifically, Resident #66 had brown debris underneath long, untrimmed fingernails; foul breath with white debris on their teeth; and uncombed hair.Findings include:The facility policy Activities of Daily Living (ADLs) Supporting, revised 3/2018, documented residents who were unable to carry out activities of daily living independently, would receive the services necessary to maintain good nutrition, grooming, and personal and oral hygiene. Appropriate care and services were provided for residents and in accordance with the plan of care including appropriate support with hygiene, bathing, dressing, grooming, oral care, toileting, meals, and mobility. Resident #66 had diagnoses including dementia, anxiety, 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 · Ecited before2024-02-16 · tag F0677 — failed to help fully-dependent residents with daily care — patternProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interviews during the recertification and abbreviated surveys (NY00324905 and NY00316447) conducted 2/12/2024-2/16/2024, the facility did not ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 8 of 9 residents (Residents #1, #12, #17, #21, #22, #56, #61, and #64) reviewed. Specifically, Residents #17, #21 and #64 were not assisted with transfers out of bed; Resident #1 did not receive setup assistance with their meal tray as planned; Resident #56 was not assisted with shaving or oral care; Residents #61 and #56 were not provided meal trays for one meal; Resident #22 was not provided timely checks for incontinence care; and Resident #12 did not receive assistance with a shower on their scheduled shower day. Findings include: The facility policy Activities of Daily Living, supporting revised 3/2023, documented residents who were unable to carry out activities of daily living independently would receive the services…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-02-16 · tag F0725 — failed to have enough nursing staff — patternProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interviews during the recertification and abbreviated (NY00316447) surveys conducted 2/12/2024-2/16/2024 the facility did not ensure sufficient nursing staff to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being for all 76 residents in the facility. Specifically, during a confidential resident group meeting residents stated their call bells were not answered timely, especially on the weekends, and there were not always enough certified nurse aides available to assist with activities of daily living such as transfers out of bed and dressing. Additionally, deficiencies related to staffing levels were identified in the areas of Comprehensive Resident Centered Care Plans, Activities of Daily Living, Pressure Ulcers, Respiratory Care, and Food Palatability. Finding include: The facility policy Emergency Staffing Plan revised 3/2023 documents in the event of an emergency, the Administrator or designee would make the decision to utilize emergency staffing strategies as necessary to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 16 citations
- Potential for harm · Dcited before2024-02-16 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review during the recertification survey conducted 2/12/2024-2/16/2024, the facility did not ensure residents had the right to a safe, clean, comfortable, and homelike environment for 2 of 2 medication storage room (East and [NAME] medication storage rooms) reviewed. Specifically, the East and [NAME] Unit medication storage rooms were unclean and in disrepair. Finding include: The facility policy Daily/Weekly Cleaning revised 9/2023 documented the objective of a daily cleaning was to ensure cleanliness and safety. The nurse's station was to be cleaned and mopped daily. The policy did not address the cleaning of the medication storage rooms. The following observations were made: - on 2/12/2024 at 12:00 PM, the medication storage room on the [NAME] Unit was unclean. Medication packaging and debris was on the floor, there were dark dried on smudges on the floor, and the cove molding was in disrepair, hanging loose from the wall and laying across the floor. - on 2/12/2024 at 1:18 PM, the East Unit medication storage room had 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 · D2024-02-16 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview during the recertification and abbreviated (NY00314008) surveys conducted 2/12/2024-2/16/2024, the facility did not ensure allegations of abuse, neglect, or mistreatment were thoroughly investigated for 1of 2 residents (Resident #22) reviewed. Specifically, Resident #22 had skin alterations that were not thoroughly investigated to rule out abuse, neglect, or mistreatment. Findings included: The facility policy Abuse and Neglect Policy reviewed by the facility 1/9/2023 documents injuries of unknown origin would be investigated to rule out abuse, neglect, or mistreatment. The facility policy Accidents and Incidents- Investigating and Reporting revised 10/2023 documents all accidents or incidents involving residents, employees, visitors, vendors, etc. occurring on facility premises shall be investigated and reported to the administrator. Resident #22 had diagnoses including chronic obstructive pulmonary disease (lung disease), dementia, and hypertension (high blood pressure). The 7/24/2023 Minimum Data Set assessment documented the resident had…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-02-16 · 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 observation, record review, and interview during the recertification and abbreviated (NY00313895) surveys conducted 2/12/2024- 2/16/2024, the facility did not develop and implement a comprehensive person-centered care plan to meet a resident's medical and nursing needs for 3 of 3 residents (Resident's #17, #22, and #329) reviewed. Specifically, Resident #17 was transferred using a mechanical lift with assistance of 1 and not 2 as care planned; Resident #22 was transferred and toileted with assistance of 1 and not 2 as care planned; and Resident #329 did not have a motion detector outside of their room as care planned. Findings include: The facility policy Care Plan, Comprehensive Person- Centered revised 3/2023 documented a comprehensive, person- centered care plan that included measurable objectives and timetables to meet the resident's physical, psychosocial, and functional needs would be developed and implemented for each resident. The care plan identified problem areas and their cause and include interventions that were targeted and meaningful to the resident were…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-02-16 · 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
Based on observation, record review, and interview during the recertification and abbreviated surveys (NY00314609) conducted 2/12/2024-2/16/2024, the facility did not ensure residents with pressure ulcers received the necessary treatment and services, consistent with professional standards of practice, to promote wound healing, prevent infection, and prevent new ulcers from developing for 2 of 5 residents (Resident #55 and #64) reviewed. Specifically, Resident #55 did not have pressure relief for their heels as planned and Resident #64 had positioning devices for pressure relief ordered that were not being used correctly. Findings include: The facility policy Prevention of Pressure Ulcers/Injuries revised 7/2023 documented reposition residents at least every 2 hours if they were dependent on staff for repositioning. Reposition more frequently as needed, based on the condition of the skin and resident's comfort. Provide support devices and assistance as needed. 1) Resident #55 had diagnoses including pressure-induced deep tissue damage of unspecified heel (purple or blue…
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 · D2024-02-16 · 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
Based on observation, record review, and interview during the recertification survey conducted 2/12/2024 - 2/16/2024, the facility did not ensure residents who needed respiratory care were provided such care, consistent with professional standards of practice for 1 of 1 resident (Resident #63) reviewed. Specifically, Resident #63's portable oxygen tank was empty and was not replaced. Findings include: The facility policy Oxygen Administration revised 11/2023 documents verify the physician's order, review the resident's care plan to assess for any special needs of the resident, strap the portable oxygen tank to the stand, turn on the oxygen, start the flow of oxygen as ordered, and observe the resident upon setup and periodically thereafter to be sure oxygen was being tolerated. Resident #63 was admitted to the facility with diagnoses including dementia and chronic obstructive pulmonary disease (lung disease). The 12/20/2023 Minimum Data Set assessment documented the resident had moderately impaired cognition, did not reject care, and did not use oxygen. A 1/9/2024 nurse practitioner…
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 before2024-02-16 · 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 observation, record review, and interview during the recertification survey conducted 2/12/2024-2/16/2024, the facility did not ensure drugs and biologicals were labeled in accordance with currently accepted professional principles and included expiration dates when applicable for 1 of 2 medication carts (Southeast medication cart) reviewed. Specifically, the Southeast medication cart had resident specific insulin pens that were not labeled with open dates. Findings include: The facility policy Medication Administration revised 9/2021 documented the open date of insulin was recorded so expired medications were discarded. Insulin was discarded 28 days from the date opened. The licensed staff were to ensure all new medications were dated with the open date and dates were checked for expiration prior to medications being administered. The facility policy Medication Storage revised 3/2023 documented nursing staff was responsible that medication storage carts were maintained in a safe manner. The facility did not use outdated drugs or biologicals and outdated drugs were…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-02-16 · tag F0804 — failed to serve food at safe, palatable temperature — isolatedEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review during the recertification and abbreviated (NY00329249, NY00324905, and NY00316447) surveys conducted 2/12/2024-2/16/2024, the facility did not ensure each resident received and the facility provided food and drink that was at appetizing temperatures for 2 of 2 meals reviewed (2/13/2024 and 2/15/2024 lunch meals). Specifically, food was not served at appetizing temperatures during lunch meals on 2/13/2024 and 2/15/2024. Findings include: The facility policy Food Preparation and Service revised 10/2017 did not include specific food service requirements regarding meal service temperatures. Lunch 2/13/2024 During an observation and interview on 2/13/2024 at 12:08 PM, the second meal cart left the kitchen and was delivered to the [NAME] Unit by the Assistant Director of Nursing. They stated they delivered carts because the kitchen only had 3 staff. During an observation on 2/13/2024 at 12:09 PM the meal cart was delivered to the [NAME] Unit. At 12:13 PM the Administrator was checking trays, adding cold drinks, and pouring coffee. At…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-02-16 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review during the recertification and abbreviated (NY00329249) surveys conducted 2/12/2024-2/16/2024, the facility did not ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety in the main kitchen. Specifically, the main kitchen walk-in cooler, walk-in freezer, storage rooms, and rest room had unclean and uncleanable surfaces. Findings include: The facility policy Cleaning Procedures for Dietary Equipment reviewed 1/20/2023 documented: - walk-in cooler - wipe spills immediately; every night, sweep under everything, and mop with hot water and floor cleaner. - freezer-check for ice buildup; scrape and sweep floor. - coat room-on a daily basis, sweep floor and mop with hot water and floor cleaner. - ovens-wipe the outside with degreaser daily. Observations in the kitchen: - on 2/12/2024 at 9:40 AM staff were wiping down counters and mopping the walk-in cooler which had dried-on spills under racks that were molded like the bottom of a milk crate. A sheet pan containing…
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 · D2024-02-16 · 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 observation, record review, and interview during the recertification survey conducted 2/12/2024- 2/16/2024, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 of 4 residents (Residents #9 and #56) reviewed. Specifically, staff were observed not wearing the required personal protective equipment in Resident #9's room while on transmission-based precautions for COVID-19, and staff fed Resident #56 a sandwich with ungloved hands and did not perform hand hygiene before assisting another resident. Findings include: The facility policy Initiating Transmission Based Precautions revised 2023, documented transmission-based precautions would be initiated when there was reason to believe that a resident had a communicable infectious disease. Precautions may include contact precautions, droplet precautions, or…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-10-23 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview during the abbreviated survey (NY00295629), the facility did not ensure residents were free from abuse and did not protect residents from further abuse when alleged abuse was reported for 1 of 3 residents reviewed (Resident #2). Specifically, when dietary aide #13 witnessed physical abuse by activity aide #14 towards Resident #2, activity aide #14 was not immediately removed from having access to Resident #2 and all other residents while the investigation was pending. Findings include: The facility's Abuse and Neglect Policy, initiated 4/2017 and last revised 1/11/2023, documented an example of abuse was striking a resident by using a part of the body such as hitting, slapping, pushing, or shoving. All employees were required to report when they had reasonable cause to believe that abuse occurred. Once an allegation of abuse was filed, the Director of Nursing (DON) was to ensure the accused did not have access to the resident (victim). Resident #2 had diagnoses including dementia. The 3/5/2022 Minimum Data Set (MDS) assessment 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 before2023-10-23 · 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
Based on observation, interview, and record review during the abbreviated survey (NY00298567, NY00314896, and NY00324614), the facility did not ensure residents with pressure ulcers received the necessary treatment and services, consistent with professional standards of practice to promote healing and prevent new ulcers from developing for 1 of 4 residents reviewed (Resident #11). Specifically, a physician recommended wound treatment was not implemented, a new skin issue was not detected or treated timely, and the resident did not have protective booties on as care planned. Findings include: The Prevention of Pressure Ulcers/Injuries policy, revised 5/2023, documented: - inspect the skin on a daily basis when performing or assisting with personal care or ADLs (activities of daily living); - evaluate, report and document potential changes in the skin; - review interventions and strategies for effectiveness on an ongoing basis; and - ensure appropriate treatment orders and CCP (comprehensive care plan) have been implemented. Resident #11 had diagnoses including cerebral infarction…
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 · D2023-10-23 · 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
Based on record review and interviews during the abbreviated survey (NY00319785), the facility did not ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 4 residents reviewed (Resident #7). Specifically, Resident #7 had multiple falls where care planned interventions were not verified to be in place upon investigation and planned changes to fall prevention interventions were not added to the care plan following falls. Findings include: The Fall Policy and Procedure, revised 10/2021 documented the following steps were to be followed for any resident who had a fall: - The Charge nurse or designee with follow the facility accident/incident protocols and ensure the resident CCP is updated with interventions to reflect the event and ensure the event is document on the 24-hour report. The Accidents and Incidents, Investigating and Reporting policy revised 7/2022 documented the following should be included in the Report of Incident/Accident form: - date, time, and location of the incident; - the nature of injury and circumstances…
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 · Fcited before2023-09-08 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review during the abbreviated survey (NY00323086), the facility did not ensure food was stored and prepared in accordance with professional standards for food service safety in the main kitchen. Specifically, the walk-in cooler was not maintained and holding food at an acceptable temperature and the mechanical dishwasher was not reaching required temperatures. Findings include: The facility's Refrigerators and Freezers policy revised 12/2022, documented the acceptable temperature range was 35 - 40 degrees Fahrenheit (F) for refrigerators. Supervisors would inspect refrigerators and freezers monthly for gasket condition, fan condition, presence of rust, excess condensation, and any other damage or maintenance needs. Monthly tracking sheets will include time, temperature, initials, and action taken. The last column would be completed only if temperatures were not acceptable. The facility's Food Receiving and Storage policy revised 10/2022, documented functioning of the refrigeration and food temperatures would be monitored at designated…
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 before2021-09-30 · tag F0677 — failed to help fully-dependent residents with daily care — patternProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and interview during the recertification survey conducted 9/27-9/30/21, the facility failed to ensure a resident who is unable to carry out activities of daily living receives the necessary services to maintain good nutrition, grooming, and personal hygiene for 5 of 10 residents (Residents #14, 25, 28, 36 and 51) reviewed. Specifically, Residents #14, 28, and 36 were not assisted with shaving timely; Residents #25 and 51 had a decline self-feeding ability and were not consistently assisted with their meals. Findings include: The facility policy Activities of Daily Living (ADL) Care dated 10/1/18 documented nursing staff is responsible for providing the following services as outlined and/or ordered to ensure that the plan of care is consistently implemented on a shift-to-shift basis. Grooming - shaving with an electric/safety razor daily unless other preference is stated in the plan of care. Eating - each resident is to be provided with the necessary assistance and/or devices to complete their meal, staff may be assigned to feed specific 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 before2021-09-30 · 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 observation, record review and interview during the recertification survey conducted 9/27-9/30/21, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical and nursing needs for 1 of 5 residents (Resident #227) reviewed. Specifically, Resident #227 was at risk for falls and the resident was observed without their care planned interventions in place. Findings include: The facility Fall Policy and Procedure dated 9/19/19 documented it was the policy of the facility to provide a safe and secure environment for all residents. The Charge Nurse or designee will follow the facility accident/incident protocols and ensure that the resident's CCP (comprehensive care plan) is updated with interventions to reflect the event. Resident #227 had diagnoses including history of repeated falls and dementia. The admission Minimum Data Set (MDS) assessment had not yet been completed. The 9/9/21 fall assessment documented the resident was at risk to fall related to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · C2024-02-16 · tag F0732 — widespreadPost nurse staffing information every day.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview during the recertification survey conducted 2/12/2024-2/16/2024, the facility did post on a daily basis the current resident census and the total number, and the actual hours worked by licensed and unlicensed nursing staff directly responsible for resident care per shift, in a prominent place readily accessible to residents and visitors for 5 of 5 days reviewed. Specifically, the current daily resident census and nurse staffing schedules were in the dental office off the main hallway that was not readily accessible to visitors or residents. Findings include: The daily resident census and nurse staffing information was not observed in an area that was readily accessible to residents and visitors: - on 2/12/2024 at 4:23 PM. - on 2/13/2024 at 8:05 AM. - on 2/14/2024 at 8:07 AM. During an interview on 2/15/23 at 3:17 PM, receptionist #2 stated the daily staffing or census was not posted in the front lobby. The staffing schedule could be posted in one of the rooms off the main hallway near the time clock. During observations on 2/15/2024 at 4:53 PM 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.
“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.
Part of a chain
This home belongs to THE MAYER FAMILY — 11 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 2 of 5 | 2.9 | -0.9 vs chain |
| Health inspection | 2 of 5 | 2.6 | -0.6 vs chain |
| Staffing | 3 of 5 | 3.5 | -0.5 vs chain |
| Quality measures | 4 of 5 | 3.7 | +0.3 vs chain |
The other 10 homes this chain runs (chain average 2.9★, 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 / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| GEWIRTZ, ESTHER | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL | NO PERCENTAGE PROVIDED | since 03/01/2000 |
| GOLDMAN-ABRAMCHIK, DAVID | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 05/31/2023 |
| LANDA, BARUCH | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 08/08/2025 |
| LANDA, HINDA | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY | NO PERCENTAGE PROVIDED | since 05/21/2024 |
| LANDA, ISRAEL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 08/08/2025 |
| MAYER, ANDREA | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 02/11/1996 |
| MAYER, GIORGIO | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 02/11/1996 |
| ROTHENBERG, HELENE | Individual | MANAGING CONTROL - GOVERNING BODY | — | since 07/03/2024 |
| AMIDON, JEFFREY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 05/10/2024 |
| BEATTIE, TYLER | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 05/12/2025 |
| GEWIRTZ, JONATHAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 01/10/2010 |
CMS files one row per role, so the 15 rows in the source record cover these 11 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.
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 335409. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-09-12, 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.