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Taconic Rehabilitation And Nursing At Hopewell

3 Summit Court, Fishkill, NY 12524 · For profit - Limited Liability company · 160 certified beds · (845) 896-1500 Medicare & Medicaid certified

Call the home — (845) 896-1500 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 30 lower-level deficiencies on record (see below)
Insights

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

In its favor
  • no federal fines or payment denials on record
Worth asking about
  • a high number of inspection citations overall (30) — 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)

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

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

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

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

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
60 Merritt Blvd Ste 107 · (845) 622-0043 · Call to confirm hours
Pharmacy
26 W Merritt Blvd · (845) 896-4055 · Call to confirm hours
Grocery
ShopRite0.7 mi
738 Route 9 · (845) 897-2211 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship

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

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 5 of 5

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

Trend — is this home getting better or worse?

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

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

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased13.9%14.1%15.4%typical
Long-stay residents who lose too much weight11.7%5.8%5.4%worse
Long-stay residents with a catheter left in their bladder1.3%0.5%0.9%worse
Long-stay residents with a urinary tract infection0.8%1.3%2.0%better
Long-stay residents with depressive symptoms2.2%19.5%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury3.3%3.1%3.3%typical
Long-stay residents whose ability to walk worsened11.0%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication18.0%13.2%18.9%typical
Long-stay residents given the seasonal flu vaccine79.2%95.3%95.3%worse
Long-stay residents with pressure ulcers10.0%6.5%4.7%worse
Long-stay residents with worsening bladder/bowel control4.2%19.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table14.5%13.7%17.1%better
Short-stay residents who newly got an antipsychotic medication0.2%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine53.8%78.8%79.4%worse
Short-stay residents rehospitalized after admission19.6%20.6%22.6%better
Short-stay residents with an outpatient ER visit6.3%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days1.331.701.67better
Long-stay outpatient ER visits per 1,000 resident days0.651.361.80better

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.

60.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 368 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

60.2%U.S. median 51.5%
Got home and stayed home
10.6%U.S. median 10.7%
Went back to hospital
55.2%U.S. median 56.6%
Met the expected recovery
0.53U.S. median 0.31
Therapy hours / resident / day
0.23hours / resident / day
Physical therapy
0.26hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 55.2% 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 163 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 0.53 therapist hours per resident per day in 2026Q1 — more than 83% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 25% 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 SNF60.2%CMS range 54.8–66.151.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.6%CMS range 8.0–13.210.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge55.2%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 discharge47.9%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 discharge63.8%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 identified96.8%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting98.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge97.0%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 stay0.9%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 worsened1.8%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 hospitalization6.4%CMS range 4.4–9.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.931.02Oct 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

0.48
RN hours/ resident / day
1.23
LPN hours/ resident / day
2.18
Aide hours/ resident / day
3.90
Total nurse hours/ resident / day
0.40
RN hoursweekends
49.7%
Total nursing turnover
40.9%
RN turnover

How full it usually is: this home is certified for 160 beds and averages 142.8 residents a day — about 89% occupied, or roughly 17 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.90 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.48 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.18 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 3.06 hrs/resident/day on weekends vs 4.24 on weekdays — 28% thinner on weekends — a notable drop. RN hours go from 0.52 to 0.40 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

8
deficiencies at the latest standard inspection (2026-02-12)
7
at the previous standard inspection (2023-05-08)

Deficiencies are more than at the previous inspection — worsening. 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.

30 citations, most serious first. The 10 most serious are shown; the remaining 20 are one tap away and print in full.

  • Potential for harm · Fcited before2026-02-12 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview during a recertification survey from 2/05/2026 to 2/12/2026, the facility did not ensure that food was stored in accordance with professional standards for food service safety. Specifically, twelve (12) food items were not properly identified and dated in the kitchen refrigerators, freezers, and food storage areas.The findings include:The policy titled Food Receiving and Storage last revised December 2012, documented all opened items would be labeled, dated and discarded after three (3) days once opened. On 2/05/2025 at 9:31 AM, the initial inspection of the kitchen was conducted with the Food Service Manager, and the following were observed:One (1) gallon container of milk with no opened date and a one (1) quart container of half & half with no opened date in the night prep refrigerator.One (1) bag of chicken tenders with no identification label and one (1) bag of meatless chicken tenders with no identification label in the walk-in-refrigerator.One (1) bag of frozen pizza with no identification label and one (1) container of hot dogs with no…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-12 · 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 interview and record review the facility did not ensure that staff facilitated the inclusion of the resident or resident representative in all aspects of person-centered care planning that supports the resident's goals, choices, and preferences including potential for return to a community setting for one (1) of two (2) residents reviewed for Discharge. Specifically, Resident #22 was admitted on [DATE] for short term rehabilitation and there was no documented evidence that Resident #22 and/or their representative were invited to participate in the Comprehensive Care Plan meeting. Additionally, there was no documented evidence that evaluation of Resident #22's discharge needs and/or options was ongoing prior to notification of their Medicare coverage ending on 01/23/2026. The findings include:Resident #22 was admitted to the facility with diagnoses that included repeated falls, chronic kidney disease, and benign prostatic hyperplasia (noncancerous enlargement of the prostate).The 01/01/2026 Social Work…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-12 · tag F0585 — failed to handle grievances — isolated
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    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 and abbreviated survey (NY002683111) the facility did not ensure that grievances were resolved in a timely manner for (2) two of (4) four residents (Residents #24, and #162) reviewed for Personal Property. Specifically, 1) Resident #24 was missing a red flip phone as of 11/24/2025 and (2) Resident #162 was missing an iPhone case, and gold colored chain and cross as of 11/21/2025. Both residents were not provided with reimbursement as of 2/12/26. The findings include:The policy titled Management of Patient /Resident and Family Complaints Concerns/Grievances effective 01/01/2000 documented the facility would make prompt efforts to resolve complaints/concerns/grievances. The resident and/or designated representative will be instructed of both the facility and the Department of Health complaint procedures verbally and in writing. 1) Resident #24 was admitted to facility with diagnoses including Heart Failure and Depression.The 11/21/2025 quarterly Minimum Data Set (assessment tool) documented Resident…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-12 · tag F0628 — isolated
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility did not ensure that a copy of the notice of transfer or discharge was sent to the State Long Term Care Ombudsman for two (2) of three (3) residents (Resident #14, Resident #158) reviewed for Hospitalization. Specifically, 1) there was no documented evidence that a notice of transfer was sent to the New York State Ombudsman when Resident #14 was transferred to the hospital on [DATE], and 2) there was no documented evidence that a notice of transfer was sent to the New York State Ombudsman when Resident #158 was transferred to the hospital on [DATE], The findings include: The policy titled Discharge Notice last revised 06/2025, documented when a resident is temporarily transferred on an emergency basis to an acute care facility, notice of the transfer may be provided to the resident and resident representative as soon as practicable, according to 42 CFR 483.15(c)(4)(ii)(D). Copies of notices for emergency transfers must also still be sent to the ombudsman, but they…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-12 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview the facility did not ensure accuracy of resident assessments for (1) one of (1) one resident (Resident #110) reviewed for Accidents, and (1) one of (1) one resident (Resident # 2) reviewed for Edema. Specifically, Resident #110 had documented falls on 08/09/2025 and 10/21/2025 that were not identified on their Minimum Dat Set assessments, and Resident #2 had a documented 12/04/2025 facility acquired stage three pressure ulcer that was coded on the Minimum Data Set assessment as having been present on admission to the facility. The findings include: The policy titled Minimum Data Set, last revised 02/2025, documented that the Minimum Data Set is expected to accurately reflect the resident status. 1)Resident #110 had diagnoses including orthopedic conditions, cancer, and osteoarthritis of the knee. The 8/09/2025 Accident /Incident Report documented Resident #110 was observed on the floor in front of their wheelchair. The 9/26/2025 quarterly Minimum Data Set assessment documented no falls anytime in the last month prior to admission, no falls in the…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-02-12 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility did not ensure comprehensive care plans were reviewed and revised with each assessment and as needed to reflect residents changing needs. This was evident for two (2) (Resident #4 and Resident #11) of five (5) residents reviewed for Unnecessary Medication. Specifically, 1) the cardiac care plan for Resident #4 did not address the diagnosis of atrial fibrillation and use of anticoagulants, and 2) the psychosocial care plan for Resident #11 did not address the use of antipsychotic medication. The findings include: The policy titled Interdisciplinary Care Planning last revised 09/25/2025 documented a comprehensive resident-centered care plan is developed by the Interdisciplinary Team upon admission and reviewed/updated on a regular basis throughout the resident's length of stay. 1) Resident #4 diagnoses included peripheral vascular disease, and atrial fibrillation. The 01/16/2026 quarterly Minimum Data Set (a resident assessment tool) documented Resident #4 had moderate cognitive impairment and received anticoagulants. The…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-12 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview during the recertification and abbreviated survey (623104/NY00345976), the facility did not ensure each resident received care, consistent with professional standards of practice, to treat and/or prevent pressure ulcers for two (2) of seven (7) (Residents #13 and Resident #143) reviewed for Pressure Ulcers. Specifically, 1) Resident #13 who was assessed as at risk for pressure ulcers was not provided heel offload/float as per the comprehensive care plan, 2) Resident #143 who was assessed as at risk for pressure ulcers was not provided heel offload/float as per physician order and comprehensive care plan and a pressure reducing device was not provided as per comprehensive care plan.The findings include:1)Resident #13's diagnoses included bipolar disorder, unspecified dementia without behavior disturbance, and dysphagia.The current care plan titled Skin Integrity documented Resident #13 was at risk for impaired skin integrity related to impaired mobility. Float heels when in bed. The 12/26/2025 quarterly Minimum Data Set (a 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-12 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review the facility did not ensure care consistent with professional standards of practice, and the comprehensive person-centered care plan was provided for one (1) of three (3) residents (Resident #13) reviewed for Respiratory Care. Specifically, Resident #13 was administered oxygen at a liter flow greater than the current physician's order. Additionally, Certified Nurse Aide #8 did not adhere to enhanced barrier precautions when they had contact with and handled Resident #13's nasal cannula. The findings include:The policy titled Oxygen Therapy, last revised 09/2023, documented oxygen administered by licensed staff. Oxygen administration requires physician order.Resident #13's diagnoses included bipolar disorder, unspecified dementia without behavior disturbance, and dysphagia.The 06/07/2023 care plan titled Impaired Pulmonary Function documented administer oxygen per physician order.The 10/28/2025 physician order documented enhanced barrier precautions stage 4 wound sacrum. The 06/14/2025 physician order documented continuous oxygen via…

    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 before2025-12-05 · 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 an abbreviated survey (NY00341591), the facility did not have a comprehensive patient centered care plan developed or implemented for 1 (Resident #1) out of three residents reviewed for care planning. Specifically, Resident #1 was admitted to the facility from a local hospital on [DATE] and when they came into the facility, they already had Hospice care in place from the hospital. Review of Resident #1's care plan revealed they did not have a Hospice care plan in place.The facility's policy titled Hospice Services with a revision date of 07/2025 documents that the resident and family participate in developing the care plan where appropriate and that nursing coordinates the plan of care and ongoing collaboration and communication closely with Hospice, the resident and family, and other disciplines. The facility policy titled Interdisciplinary Care Planning last revised 04/15/2024 documented that a comprehensive resident-centered Care Plan is developed by the…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-05 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, and interviews conducted during the abbreviated Survey (NY00341591), the facility did not provide services in accordance with professional standards of care. Specifically, for one (Resident #1) of three residents reviewed for Hospice, Resident #1 was receiving Hospice care from an outside agency; however, the resident record contained no documentation, orders, progress notes, medical provider notes, or care plans addressing the Hospice care. The facility policy titled Hospice Services last revised 07/2025 documented that nursing coordinates the plan of care and ongoing collaboration and communication closely with Hospice, the resident and family, and other disciplines. The facility policy titled Interdisciplinary Care Planning last revised 04/15/2024 documented that a comprehensive resident-centered Care Plan is developed by the Interdisciplinary Team upon admission and reviewed/updated on a regular basis throughout the resident's length of stay.Resident #1 was admitted to the facility with diagnoses that included unspecified fracture of right femur,…

    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 20 citations
  • Potential for harm · Dcited before2025-12-05 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility did not provide evidence that care plan interventions were consistently carried out for the resident reviewed for pressure injuries. Specifically, Resident #1 who was admitted with a deep tissue injury, had an intervention to turn and position every two hours which wasn't consistently documented indicating this intervention was not properly performed. Review of the policy titled Documentation of Pressure Ulcer and Chronic Wounds last revised 6/2023 documented that Pressure ulcers and chronic wounds are monitored closely to monitor effectiveness of treatment and change in risk factors. Review of the policy titled Activities of Daily living last reviewed 9/2025 documents that each resident will receive, and the facility will provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, consistent with the resident's comprehensive assessment and plan of care. This policy further…

    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 · D2025-12-05 · tag F0711 — isolated
    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during an abbreviated survey (NY00341591), the facility did not have a resident's total program of care created, specifically orders for Hospice were never entered by the medical provider for one (Resident #1) of three residents reviewed for Hospice. Specifically, Resident #1 was admitted on [DATE] and was on Hospice care from their prior facility and the Physician has no progress note addressing this and there are no orders to continue Hospice care for Resident #1 who was being seen regularly by the outside Hospice provider.The facility policy titled Hospice Services with a revision date of 07/2025 document that there is a collaborative effort between Hospice and the facility for residents with life-limiting illnesses. The Facility will maintain a written agreement with Hospice. Resident #1 was admitted on [DATE] and in review of the entire chart, there are no orders, no physician notes documenting physician was aware resident was on Hospice. Review of all notes and orders…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-08-25 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews conducted during an abbreviated survey (NY00359790/623106), the facility did not ensure that the residents had a right to a safe, clean, comfortable, and homelike environment, including housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for 5 (Resident #5, #6, #7, #8 and #9) of 9 residents rooms observed for environmental concerns. Specifically, 1) In room [ROOM NUMBER]B of the Roosevelt unit, occupied by Resident #5, a new admit, the window was observed to have gray duct tape covering the entire bottom width of the windowsill. The window screen contained multiple ripped holes of varying sizes, several spackle paste were noted on the wall behind the Resident's bed, and the dresser drawer was broken and unable to close; 2) In room [ROOM NUMBER] B on the Roosevelt unit, occupied by Resident #6, the window was entirely covered with plastic and white patches of spackle were observed on the wall behind the…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-08-25 · tag F0726 — failed to have competent, trained nursing staff — pattern
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews conducted during an abbreviated Survey (NY00380249/623119, NY00382698/623133 ), the facility did not ensure that Certified Nurse Aides had the appropriate competencies and skills sets necessary to care for residents' needs, 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 described in the plan of care. Specifically, 1) Certified Nurse Aide #1 was involved in an allegation of abuse on 05/07/2025. Review of their employee file revealed Certified Nurse Aide #1's required abuse training was last completed on 06/19/2025. Prior to that, the last abuse training was completed on 03/14/2024. 2)Certified Nurse Aide # 2 who was involved in an allegation of abuse on 5/3/2025 had their required training for abuse prevention and compliance on 05/20/2025. Prior to this, their last abuse training was completed on 02/16/2024.3) Certified Nurse Aide # 3 had their required training for abuse prevention 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-08-25 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and interviews conducted during an abbreviated survey (NY00348484/623066), the facility did not ensure residents received quality of care in accordance with professional standards of practice for 1 (Resident #4) of 4 residents reviewed. Specifically, Resident #4 had an unwitnessed fall on 03/24/2024 which resulted in a pelvic and iliac crest fracture. The hospital discharge instructions documented for Resident #4 to be non-weight bearing to the right lower extremity and to follow up with the orthopedic surgeon in 2-4 weeks. The facility was unable to provide documented evidence that Resident #4's follow-up appointment with the orthopedic surgeon as per the hospital physician's discharge instructions was done.The findings include:The facility policy titled Process for Scheduling Outside Appointments revised on 11/2024 documented that the facility will assist the resident in gaining access to specialty providers per their preference and per provider recommendation when needed for the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-05-08 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during the recertification survey from 5/01/2023 to 5/08/2023, the facility did not ensure they provided a safe, clean, comfortable, and homelike environment on 3 of 3 units. Specifically, gray markings were noted on a resident room ceiling, an air vent was dusty/dirty/chipped/scratched, and peeling paint, peeling wallpaper, and broken bathroom floor tiles were observed. The findings are: The facility Policy and Procedure titled Facility Policy-Maintenance effective 6/1/2020 and last revised 9/2021 documented the facility provided an environment that fostered a positive self-image for the residents and preserved their dignity. The entire facility including but not limited to the floors, walls, and ceilings would be maintained in good repair. During observation tours of [NAME] Grove, Boscobel, and Roosevelt Units on 5/01/2023 and 5/03/2023, the following were observed: - gray markings on the ceiling near the resident room air vent and the air vent was…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-05-08 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during the recertification survey from 5/1/2023 to 5/8/2023, the facility failed to store drugs and biologicals in accordance with currently accepted professional principles. Specifically, 1) Expired drugs and biologicals were found in 2 of 3 medication storage rooms (Boscobel and Roosevelt units) and 4 of 6 medication carts (2 medication carts on the Boscobel unit and 1 medication cart on the Roosevelt unit) reviewed for medication storage and labeling; and 2) Medications were stored improperly and left out on a resident's bedside table (Resident #94). The findings include: 1. Multiple observations were conducted of the facility's medication carts and medication storage rooms on 5/4/2023 between 12:00 PM and 4:00 PM and revealed the following: -Boxes of Juven (a therapeutic nutrition powder) with expiration dates ranging from 2/2023-4/2023 were discovered in the medication rooms of the Boscobel and Roosevelt units, as well as the facility's central…

    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 · D2023-05-08 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record reviews and interviews during a Recertification Survey conducted from 5/1/2023-5/08/2023, the facility did not ensure 9 of 9 residents were treated in a dignified manner while dining (Residents #51, #106, #46, #20, #5, #79, #63, #37 and #72). Specifically, a Licensed Practical Nurse (LPN) was observed standing over Resident #51 while feeding the resident; four staff members (Certified Nurse Aides (CNA) #5, #3, #6 and Activity Aide #1) were observed pointing to Residents #46 and #106 and referred to them as feeders; Resident #37 was served a meal 8 minutes after their tablemate was served; and staff spoke to Resident #72 in an undignified manner during a meal. Findings include: 1) During an observation on 5/8/2023 at 8:53 AM, LPN #5 was observed standing over Resident #51 in the community dining room while feeding the resident oatmeal. During an interview on 5/8/2023 at 8:53 AM, LPN #5 stated they did not know staff were not supposed to stand up while feeding residents. 2) During an observation on 5/3/2023 at 11:45 AM, Activity Aide #1 verbalized to CNA…

    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 · D2023-05-08 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during the recertification survey from 5/1/2023 to 5/8/2023, the facility failed to ensure each resident's right to personal privacy for 1 of 4 residents (Resident #70) reviewed for dignity, and 1 of 3 nursing units ([NAME] Grove) reviewed for confidentiality of resident records. Specifically, 1) Resident #70 was not provided privacy during an ultrasound procedure and, 2)A unit roster with confidential medical record information for multiple residents was discovered visible and unattended in a public area on the [NAME] Grove unit. The findings are: 1. Resident #70 was admitted to the facility with diagnoses including dementia, chronic kidney disease, and hypertension. A review of Resident #70's 2/14/2023 Quarterly Minimum Data Set (MDS, a resident assessment tool) documented the resident had severe cognitive impairment, required extensive assistance of two or more staff for bed mobility, and was totally dependent on one person for performing their…

    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 · D2023-05-08 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review conducted during a recertification survey, the facility did not ensure that the resident and/or their representative were provided a written summary of the Baseline Care Plan of the initial plan for delivery of care and services by receiving a written summary of the Baseline Care Plan within 48 hours of admission. This was evident for 1 of 26 sampled residents. Specifically, Resident #78 or their representative did not receive a written copy of their Baseline Care Plan within 48 hours. The findings are: A review of the facility policy and procedure signed and dated 2/10/23 titled, Interdisciplinary Care Planning documented that the facility would develop a Baseline Care Plan within 48 hours of resident admission. The facility would provide the resident and/or representative with a summary of the Baseline Care Plan. The electronic Baseline Care Plan acknowledgement was completed by an interdisciplinary team member which would identify who received the Baseline…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-05-08 · 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 interview and record review conducted during a recertification survey, the facility did not ensure that a person-centered care plan addressing oxygen use was developed for 1 of 1 resident (Resident #55) reviewed for respiratory care. Specifically, there was a physician order for oxygen and there was no evidence in the electronic medical record (EMR) that a care plan was created for the use of oxygen. The findings are: The policy and procedure titled Interdisciplinary Care Plans last revised 2/10/23 documented The Comprehensive Care Plan was reviewed and updated with changes and minimally on a quarterly basis. The following care plan focuses were addressed for every resident as appropriate: Advance Directives, Bathing, Dressing, Personal Hygiene, Falls/Restraints, Skin Integrity, Cardiac (if indicated) and Pulmonary (if indicated) etc. Resident #55 was admitted to facility on 3/12/19 with diagnoses that included Vascular Dementia without behavioral disturbance, Cerebral Infarction and Chronic Systolic…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-05-08 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview conducted during a recertification survey conducted 5/1/2023-5/8/2023, the facility did not ensure that food was stored and prepared in a manner to prevent contamination. Specifically, sliced tomato was stored in the walk-in refrigerator in the kitchen and was not labeled with the date it was sliced and stored in the refrigerator. The findings are: The policy and procedure titled Food Storage: Cold Foods last revised 4/2018 documented all foods would be stored in covered containers, labeled and dated, and arranged in a manner to prevent cross contamination. During the initial tour of the kitchen on 5/1/2023 at 9:20 AM, sliced tomatoes on a plate covered in saran wrap were observed in the refrigerator without a date. During a follow up interview with the Food Service Director (FSD) on 5/5/2023 at 8:55 AM, the FSD stated that food was stored and labeled when it was put in the refrigerator. The FSD stated when food arrived, it got labeled with a delivery date. The FSD stated when the tomato was sliced and covered with saran wrap, it should have been…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2019-07-05 · tag F0725 — failed to have enough nursing staff — widespread
    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 observation, interviews and record review conducted during a recertification survey, the facility did not ensure that sufficient staff was available to meet the needs of the residents. The findings are: Review of the Facility assessment dated [DATE], identified the Minimum staffing requirements of CNAs and Nurses needed per day to provide resident care. For the Day Shift (7am-3pm) the minimum staffing was identified as 27; the Evening Shift (3pm-11pm) the minimum staffing was identified as 23; and for the Night Shift (11pm-7am) the minimum staffing was identified as 15. Interview with the Staffing Coordinator (SC) on 07/03/19 at 03:28 PM confirmed that the identified staffing requirements as per the Facility Assessment is accurate. Surveyor review of Daily staffing sheets from 5/24/19 through 6/22/19 showed that of 93 shifts in that timeframe, the facility was below the minimum staffing level on 49 occasions or 53% of the time. The Director of Nursing was interviewed on 07/03/2019 at 04:15 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2019-07-05 · tag F0838 — failed to assess facility resources and resident needs — pattern
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview during a recertification survey, the facility did not ensure that the Facility Assessment (FA) dated 04/25/2019, noted accurate bed capacity and accurate level of support required by the resident population. The findings are: 1. The FA dated 4/25/19 identified the Minimum staffing requirement (both nurses and Certified Nursing Assistants) needed provide resident care to a daily average census of 104-108 residents. However, the average daily census from 3/24/2019 to 07/05/2019 is 144 residents per day. 2. The FA dated 4/25/2019 identified that the number of residents for which the facility is licensed to provide care is 120. However, review of the facility's 1/5/2009 Operating Certificate reflects a capacity of 160. 415.26

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-07-05 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review conducted during a recertification survey, the facility did not ensure that comprehensive person-centered care plans with measurable goals, interventions, and timeframe were put in place to address pressure ulcers and vision deficits. Specifically, 1 of 5 residents (Resident # 84) reviewed for pressure ulcers did not have a care plan in place to address her right heel Deep Tissue Injury pressure ulcer. The findings are: Resident # 84 was admitted on [DATE] and has diagnoses including Bipolar Disorder and Pressure Ulcer. According to the 6/1/19 Significant Change Minimum Data Set (MDS - an assessment tool), the resident had impaired cognition with a Brief Interview of Mental Status (BIMS) of 8, was at risk for developing pressure ulcers secondary to the risk factors of immobility, alteration in nutrition, urinary/bowel incontinence. Furthermore, Resident #84 was diagnosed with a stage 4 pressure ulcer, an unstageable pressure ulcer. The Physician's Orders 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-07-05 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview conducted during a recertification survey, the facility did not ensure that each residents' Comprehensive Care Plan (CCP) was reviewed and revised to reflect the resident's current health status. This was evident for 1 (Resident #81) of 5 residents reviewed for accidents. Specifically, Resident #81 had a fall on 3/6/19 and the CCP was not reviewed and revised to reflect the fall and interventions developed to decrease risk for further falls. The findings are: Resident #81 was admitted on [DATE] with diagnoses including hypertension, diabetes mellitus, non-Alzheimer's dementia, depression, and fall with injury - not major. A Comprehensive Care Plan (CCP) dated 8/9/18 documented Resident #81's risk for falls related to impaired balance, a history of falls and poor safety awareness. The CCP was revised on 9/10/18 to include that Resident #81 attempted to stand unassisted and exhibited poor sleep patterns. The CCP noted Resident #81's diagnoses to include dementia…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-07-05 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews conducted during the Recertification Survey, it was determined that for 1 of 1 residents reviewed for Activities of Daily Living, the facility did not provide the necessary care and services to maintain personal hygiene. Specifically, personal care was not provided in a timely manner. (Residents# 49). The findings are: 1. During an observation in the hallway outside of room [ROOM NUMBER] in Unit 2 on 07/02/19 at 05:18 AM a noticeable fecal and urine odor was identified. At 05:56 AM, Resident #49 was observed with the charge nurse and the Nursing Supervisor by room [ROOM NUMBER] and the resident remained with an odor of feces and urine. The Nursing Supervisor identified that Resident #49 was in need of a change of undergarment. 415.12(a)(3)

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-07-05 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review conducted during a recertification survey, the facility did not ensure that its medication error rate did not exceed 5% for 1 of 3 residents (Resident # 19) observed during a medication pass, for a total of 2 out of 26 opportunities for error resulting in an error rate of 7.6%. The findings are: Resident # 19 is a [AGE] year-old female who was admitted on [DATE] who has diagnoses including Hypertension, Diabetes, and Anemia. A Medication observation was conducted on 6/28/19 at 9:44AM on the Locus Grove Unit. The Licensed Practical Nurse (LPN #2) administered the resident's morning medications including, but not limited to: 1. Artificial tears eye drops with active ingredients Glycerin 0.2%, Hypromellose 0.2%, Polyethylene glycol 400 1%, 1 drop to each eye; and 2. B-Complex with B12 tablet which contained the active ingredients, not limited to Vitamin B-12 (Cyanocobalamin) 5mcg, and Pantothenic Acid (Vitamin B 5)100mcg oral from the facility stock bottles. Review…

    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
  • No harm found · Ccited before2019-07-05 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record review and interview conducted during a recertification survey, the facility did not ensure food was stored in accordance with professional standards for food service safety to ensure prevention of foodborne illness. Specifically, a refrigeration unit designed for holding foods during meal service/tray line was found to have an internal thermometer reading greater than 41-degrees Fahrenheit and contain time and Temperature Controlled for Safety (TCS) foods which were not maintained at 41 degrees F or less. Additionally, expired TCS foods were stored in two (2) refrigerated units, and four (4) food storage units were not maintained in a sanitary manner. The findings are: During the initial tour of the kitchen on Wed 6/26/19 between 10:10 am and approximately 11:15 am the following were observed: 1. On 6/26/19 at 10:10am, the meal service/tray line milk refrigerator was noted to have an internal thermometer reading of 48 degrees F and TCS foods were stored in the unit. At that time, the temperatures of multiple TCS foods were checked with the Food Service…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2019-07-05 · tag F0814 — failed to dispose of garbage properly — widespread
    Dispose of garbage and refuse properly.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews and record review conducted during the recertification survey, the facility did not ensure that garbage was contained and disposed of in an appropriate manner. Specifically, the trash compactor area was not maintained in a sanitary condition to prevent harborage of pests. The findings are: An observation of the trash compactor area was conducted on 7/2/19 at 10:30am with the Food Service Director (FSD) and the Dietary Aide (DA #2) responsible for food service trash disposal present. The following were observed: 1. A multitude flies were observed inside the compactor, around the compactor, and landing on the compactor itself. 2. A heavily littered area located to the right rear of the compactor contained bread, vegetable juice cans, juice cups, yogurts cups, cereal containers, used plastic, paper and Styrofoam serve ware, and leaves. The area was visually estimated to be 4 feet in width by 6 feet in length. 3. The area under the compactor was observed to have a heavy accumulation of dried debris, plastic care gloves, and leaves. 4. The outside of the…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleShareSince
EATON MERCURIO, STEPHENIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL50%since 07/13/2022
FARBENBLUM, MICHAELIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL50%since 07/13/2022
MAZUR, MICHAELIndividualW-2 MANAGING EMPLOYEE; CORPORATE DIRECTORsince 07/13/2022

CMS files one row per role, so the 6 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted.

Follow the money — this home’s finances

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

$16.9M
Net patient revenuemost recent cost report
+6.6%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 64%Medicare 15%Other / private 20%

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

$378per resident / day
operating cost
$11,492per month
≈ monthly operating cost
$405per 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 335789. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-02-12, 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.

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