South Shore Rehabilitation And Nursing Center
275 W Merrick Road, Freeport, NY 11520 · For profit - Corporation · 100 certified beds · (516) 623-4000 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- no federal fines or payment denials on record
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- a high number of inspection citations overall (24) — 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)
- its payroll-based staffing rating is low (2/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 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
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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 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 | 19.4% | 14.1% | 15.4% | worse |
| Long-stay residents who lose too much weight | 5.3% | 5.8% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.5% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.3% | 1.3% | 2.0% | better |
| Long-stay residents with depressive symptoms | 6.8% | 19.5% | 6.5% | typical |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better |
| Long-stay residents with falls causing major injury | 2.0% | 3.1% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 15.1% | 12.5% | 16.1% | typical |
| Long-stay residents on antianxiety or hypnotic medication | 11.6% | 13.2% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 97.6% | 95.3% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 9.9% | 6.5% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 13.4% | 19.5% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 14.4% | 13.7% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 68.9% | 78.8% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 17.1% | 20.6% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 4.8% | 9.6% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.51 | 1.70 | 1.67 | typical |
| Long-stay outpatient ER visits per 1,000 resident days | 0.80 | 1.36 | 1.80 | better |
§ 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.
45.7% 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 142 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 57.6% 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 85 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 0.77 therapist hours per resident per day in 2026Q1 — more than 94% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 15% 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 | 45.7%CMS range 37.0–54.0 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.5%CMS range 8.5–16.0 | 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 | 57.6% | 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 | 58.8% | 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 | 99.4% | 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 | 98.7% | 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 | 94.3% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 1.2% | 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 | 4.7% | 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 | 11.3%CMS range 7.7–15.3 | 7.1% | Oct 2023–Sep 2024 | worse than U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.48 | 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 100 beds and averages 96.2 residents a day — about 96% occupied, or roughly 4 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.80 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.78 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.23 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 3.50 hrs/resident/day on weekends vs 3.92 on weekdays — 11% thinner on weekends. RN hours go from 0.85 to 0.62 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 42% 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
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.
24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.
- Potential for harm · Fcited before2025-08-15 · tag F0925 — failed to control pests — widespreadMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and staff interviews, during the Recertification Survey initiated on 08/11/2025 and completed on 08/15/2025, the facility did not maintain an effective pest control program. This was identified during the kitchen task. Specifically, the exit door from the kitchen, which is used to remove refuse and leads to the parking lot and garbage disposal bins, had an approximate half-inch gap at the bottom of the door.This is a repeat citation.The finding is:The undated facility policy titled Pest Control documented to maintenance of an effective pest control system. The facility maintains an ongoing pest control program to ensure that the building is kept free of insects and rodents.On 08/11/2025 at 10:15 AM, during the initial kitchen tour conducted with the Food Service Director (Staff #7), the kitchen exit door leading to the parking lot and garbage disposal bins was observed to have an approximate half-inch gap at the bottom of the door.During an interview on 08/11/2025 at 10:15 AM, the Food Service Director stated they were unaware of the gap at the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-08-15 · tag F0756 — failed to review each resident's drug regimen — patternEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during the Recertification Survey initiated on 08/11/2025 and completed on 08/15/2025, the facility did not ensure that Physician Responses (actions) documented on Monthly Medication Regimen Reviews were carried out to address irregularities identified by the Pharmacist. This was identified for three (3) (Resident #1, #32, and #12) of five (5) residents reviewed for Unnecessary Medications. Specifically, recommendations were provided by the Pharmacy consultant on the Medication Regimen Review Form for Resident #1, Resident #32, and Resident #12; however, the recommendations were not implemented, and there was no documented evidence in the residents' medical records that the identified irregularities were reviewed and what, if any, actions were taken to address the irregularities. The findings are: The facility's undated policy titled, Pharmacy Drug Regimen Reviews, documented the Consultant Pharmacist shall identify, document, and report possible medication irregularities…
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 before2025-08-15 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification Survey initiated on 08/11/2025 and completed on 08/15/2025, the facility did not ensure that it developed and implemented a comprehensive person-centered care plan for each resident that included measurable objectives and timeframes to meet each resident's medical, nursing, and mental and psychosocial needs. This was identified for one (1) (Resident #14) of three (3) residents reviewed for Skin Conditions and one (1) (Resident #32) of five (5) residents reviewed for Unnecessary Medications. Specifically, 1) Resident #14 had a diagnosis of Methicillin-Resistant Staphylococcus Aureus (a type of bacteria that is resistant to antibiotics) infection in the chest wounds. There was no care plan developed for the wound infection and the contact precautions. 2) Resident #32 was receiving treatment for their heart conditions, including an anticoagulant therapy and treatment for hypotension (low blood pressure). There was no documented evidence…
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 · D2025-08-15 · tag F0658 — failed to meet professional standards of care — isolatedEnsure 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 observation, record review, and interviews during the Recertification Survey initiated on 08/11/2025 and completed on 08/15/2025, the facility did not ensure services provided as outlined in the comprehensive care plan met professional standards of quality. This was identified for one (1) (Resident #75) of four (4) residents reviewed for Medication Administration. Specifically, during the medication administration observation for Resident #75 on 08/12/2025, Registered Nurse #6 did not follow the five rights (right person, right time, right medication, right route, right dosage) of medication administration and poured liquid Keppra (a medication for seizures) from another resident's medication bottle without checking the label. Additionally, Registered Nurse #6 did not check the placement of the gastrostomy tube before administering the medications to Resident #75.Cross Reference F755-Pharmacy Services/Procedure/Pharmacist/RecordsThe finding is:The facility's policy, titled Administration of Drugs, reviewed 12/07/2007, documented to ensure that all residents are given 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 · D2025-08-15 · 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 and Abbreviated Survey (2572082) initiated on 08/11/2025 and completed on 08/15/2025, the facility did not ensure that each resident who is unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene. This was identified for one (Resident #24) of two residents reviewed for Activities of Daily Living. Specifically, upon several observations, Resident #24 was not clean-shaven, and their hair was mussed. Resident #24's plan of care indicated the resident was to receive scheduled showers at least two times per week. Review of the resident's record indicated Resident #24 received only one shower from 07/23/2025 to 08/12/2025.The finding is: The facility's undated policy titled Certified Nursing Assistant Plan of Care and Kardex documented that each resident will be provided with proper and safe basic nursing care by the Certified Nursing Assistant. The primary care nurse should update the Kardex (care instructions…
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 · D2025-08-15 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during the recertification Survey initiated on 08/11/2025 and completed on 08/15/2025, the facility did not ensure each resident received treatment and care in accordance with professional standards. Specifically, Resident #32 had an active physician's order for Midodrine (a medication used to treat low blood pressure) every eight (8) hours as needed when the resident's systolic blood pressure (the top number in a blood pressure reading representing the pressure in the arteries when the heart muscle contracts) was below 120 millimeters of mercury. Review of Resident #32's Medication Administration Record for July and August 2025 revealed that in 08/2025 the resident did not receive the medication as ordered for 16 out of 16 opportunities from 08/01/2025 to 08/13/2025; and in July 2025, the resident did not receive Midodrine for 26 of 29 opportunities. There were nine times when the blood pressure was not documented on the Medication Administration Record for July 2025.…
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 before2025-08-15 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification survey initiated on 08/11/2025 and completed on 08/15/2025, the facility did not ensure each resident with a pressure ulcer received the necessary treatment and services, consistent with professional standards of practice, to promote wound healing, prevent infection, and prevent new ulcers from developing. This was identified for two (2) (Resident #16 and Resident #2) of two (2) residents reviewed for pressure ulcers. Specifically, 1) Resident #16 weighed 84.7 pounds and was observed lying in bed with the air mattress weight setting set at 350 pounds. 2) Resident #2 was observed with an air mattress with a low-pressure warning light illuminated on 08/11/2025, 08/12/2025, and 08/13/2025. When the mattress was replaced, the weight setting on the air mattress was set at 350 pounds. The resident's weight was 115 pounds.The findings are: A facility policy titled Impaired Skin Integrity last revised on 04/2018, documented once 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.
- Potential for harm · D2025-08-15 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interviews during the Recertification Survey initiated on 08/11/2025 and completed on 08/15/2025, the facility did not ensure each resident received pharmaceutical services, including procedures that assure the accurate administering of all drugs and biologicals to meet the needs of each resident. This was identified for one (1) (Resident #75) of four (4) residents reviewed for Medication Administration. Specifically, during the medication administration observation for Resident #75 on 08/12/2025, Registered Nurse #6 did not check the placement of the gastrostomy tube before administering the medications.The finding is:The facility's policy titled Medication Administration via Feeding Tube, revised 06/2023, documented disconnect tube feeding (if in progress) and cap the tube; assess resident's abdomen; check tube placement and patency by either aspirating (pulling up with a syringe) gastric contents or auscultating (listening with a stethoscope as air is pushed into the stomach with a syringe) for instilled air.Resident #75 was admitted with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-08-15 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification Survey initiated on 08/11/2025 and completed on 08/15/2023, the facility did not ensure that it established and maintained 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. This was identified on one (second floor) of two nursing units. Specifically, the facility staff did not utilize appropriate personal protective equipment and did not perform hand hygiene to prevent the spread of infection.The finding is:The facility's policy titled Infection Control/Nursing/Contact Precautions, revised 11/2023, documented to prevent the transmission of organisms among residents, staff, and visitors. The decision to isolate a resident and the type of isolation required are determined by the source of infection, the mode of transmission, and the susceptibility of the host. Resident requiring…
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 · E2024-04-11 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor 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 initiated on 4/7/2024 and completed on 4/11/2024, the facility did not provide a homelike environment and maintenance services to maintain a comfortable interior for three (Unit 1 North, Unit 1 South, and Unit 2 South) of four units observed during the environmental task. Specifically, Rooms 217 (Unit 2 South) 117 (Unit 1 South), 115, and 111 (Unit 1 North) had unrepaired water damage in the walls. Resident #60's room (Unit 1 North) was observed with holes in the wall due to the removal of the soap dispenser from the wall and the area was left unrepaired. The finding is: The facility's Quality of Life: Homelike Environment policy dated 4/2024 documented to provide residents with a comfortable and homelike environment. The facility staff and management shall maximize the characteristics of the facility that reflect a homelike setting including an inviting décor. The Resident Council Meeting minutes dated 2/21/2024 documented…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 14 citations
- Potential for harm · E2024-04-11 · 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 observation and interviews during the Recertification Survey initiated on 4/7/2024 and completed on 4/11/2024, the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. Specifically, during the initial kitchen tour on 4/7/2024, a carton of frozen egg product, that was intended to be used on 4/8/2024 for the breakfast meal, was observed on a table thawing at room temperature. The finding is: The facility's undated policy titled, Thawing Frozen Raw Food documented to ensure the proper temperature is maintained during food storage, plan ahead to allow enough time for proper thawing; remove raw food from the carton and place it on a sheet pan; place the sheet pan on the bottom shelf of the refrigerator, never above the ready to eat food; do not let food stay out of the refrigerator for a long period of time. During the initial kitchen tour with First [NAME] #1 on 4/7/2024 at 9:00 AM, a carton of frozen egg product was observed on a table in the kitchen thawing at room temperature. 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 · D2024-04-11 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interviews during the Recertification Survey and Extended Survey (NY 00321584), the facility did not ensure that it reported each injury of unknown origin to the New York State Department of Health within 24 hours as required. This was identified for one (Resident #35) of four residents reviewed for Discharge. Specifically, on 8/5/2023 Resident #35 was identified by facility staff with discoloration and swelling to the right arm; an x-ray on 8/6/2023 confirmed an acute oblique fracture of the distal radius (a fracture that is on an angle of one of the bones in the forearm that connects to the wrist). The incident was not reported to the New York State Department of Health until 8/7/2023. The finding is: The facility's policy titled, Resident Accident/Incident Report last revised 4/2018, documented it is the responsibility of the Director of Nursing Services/Administrator to notify the New York State Department of Health within five working days of the occurrence when an accident/incident involves alleged abuse. Resident #35 was admitted with diagnoses…
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 before2024-04-11 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification Survey initiated on 4/7/2024 and completed on 4/11/2024, the facility did not ensure that a comprehensive person-centered care plan was developed or implemented for each resident to meet a resident's medical and nursing needs. This was identified for one (Resident #47) of one resident reviewed for Limited Range of Motion. Specifically, Resident #47 had a physician's order for a hand roll to be worn on the right hand at all times due to limited mobility. Resident #47 was observed multiple times without the hand roll as per the physician's order. The finding is: The facility's policy and procedure titled, Comprehensive Care Plan last revised on 3/2016, documented that all residents will have an individualized interdisciplinary care plan developed by the interdisciplinary care plan team on admission, annually, and upon identification of significant change in condition. Resident #47 was admitted with diagnoses of Acute Respiratory…
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 before2024-04-11 · 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 interviews during the Recertification Survey initiated on 4/7/2024 and completed on 4/11/2024 the facility did not ensure that each resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection, and prevent new ulcers from developing. This was identified for one (Resident #55) of one resident reviewed for Pressure Ulcers. Specifically, Resident #55 had multiple Stage 4 pressure ulcers to the sacrum, right upper back, and left upper back. The resident was utilizing an air mattress as per the physician's order. The weight setting on the resident's air mattress was set at 240 pounds, while the resident's most recent weight was recorded as 123 pounds. The facility staff were unable to adjust the air mattress weight setting according to the resident's weight to provide appropriate pressure relief to the affected areas. The facility nursing staff reported the malfunction to the maintenance department; however, the mattress was not repaired. 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 · D2024-04-11 · tag F0693 — failed to provide proper feeding-tube care — isolatedEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification Survey initiated on 4/7/2024 and completed on 4/11/2024, the facility did not ensure that the staff implemented and provided care and services according to resident's needs and professional standard of practice for each resident with a feeding tube. This was identified for one (Resident # 302) of three residents reviewed for Tube Feeding. Specifically, on 4/7/2024 at 9:28 AM and 4/8/2024 at 6:11 AM, Resident #302 was observed receiving enteral tube feeding; the enteral tube feeding and the water bags were observed hanging on a feeding tube stand without a label including the resident's name, and the time the tube feeding was started. The finding is: The facility's Policy and Procedure titled, Enteral Feeding last revised in 12/2018 documented that the enteral tube feeding will be administered as per the order of a License Independent Practitioner to provide liquid nourishment and/or medication into the stomach through a gastrostomy/…
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 · D2024-04-11 · tag F0698 — failed to provide proper dialysis care — isolatedProvide safe, appropriate dialysis care/services for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the Recertification Survey initiated on 4/7/2024 and completed on 4/11/2024 the facility did not ensure a resident requiring dialysis services received such services consistent with professional standard of practice. This was identified for one (Resident #31) of two residents reviewed for Dialysis. Specifically, Resident #31, who receives Dialysis treatment three times a week, was observed on 4/7/2024 with swelling to their left upper arm. Resident #31 returned from their dialysis treatment on 4/6/2024 with recommendations to apply warm compresses to the left upper arm. The recommendations were communicated from the dialysis center staff to the facility staff via a Dialysis Communication Notebook. The facility staff did not address and apply the warm compresses to the resident's right upper arm as indicated by the Dialysis center. The finding is: The facility policy and procedure titled, Patient Care for Dialysis last reviewed on 9/2018 documented 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.
- Potential for harm · D2024-04-11 · tag F0835 — failed to run the facility competently — isolatedAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during the Recertification Survey and Abbreviated Survey (Complaint #NY 00326378) initiated on [DATE] and completed on [DATE], the facility was not administered in a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, facility administration allowed an unlicensed, graduate nurse to work in the capacity of a Registered Nurse until [DATE], almost four months beyond the Public Health Emergency (PHE) waiver expiration date of [DATE]. The finding is: Executive Order Number 4.22 dated [DATE] documented the Executive Order number 4 was extended until [DATE] which included a temporary Suspension and Modification of Subdivision 5 of Section 6907 of the Education Law and Regulations to the extent necessary to permit graduates of registered professional nurse and licensed practical nurse licensure qualifying education programs registered 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.
- Potential for harm · D2024-04-11 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interviews during the Recertification Survey initiated on 4/7/2024 and completed on 4/11/2024 the facility did not ensure that it maintained medical records for each resident in accordance with accepted professional standards and practices. This was identified for one (Resident #39) of five residents reviewed for Unnecessary Medications. Specifically, Resident #39 had a physician's order to self-administer their insulin and obtain their blood glucose via finger stick. The results of the blood glucose readings and self-administered insulin dosage were not accurately recorded in the resident's medication administration record on 4/9/2024 at 11:30 AM. The finding is: The facility's policy titled, Self Medication, dated 2/2003, documented it is the responsibility of the primary team nurse to check with the resident all the dispensed medication was given, sign documentation in the medication administration record, including date and time; and monitor resident on a self-medication program on a daily basis Resident #39 was admitted with diagnoses…
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 before2024-04-11 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interviews during the Recertification Survey initiated on 4/7/2024 and completed on 4/11/2024, the facility did not ensure it maintained an infection prevention and control program to help prevent the development and transmission of communicable diseases and infections. This was identified for one (Resident #55) of one resident reviewed for Pressure Ulcers. Specifically, on 4/11/2024 Resident #55 was on contact precautions for Candida Auris (a fungal infection). There was a contact precautions sign at the doorway directing staff and visitors to wear appropriate personal protective equipment. The Director of Maintenance was observed in the resident's room examining the resident's air mattress and coming in substantial contact with the resident's environment (bed sheets, privacy curtain, air pump). The Director of Maintenance was not wearing any personal protective equipment. The finding is: The facility's policy titled Contact Precautions, last revised 11/2023, documented it is the policy of the facility to prevent the transmission of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-04-11 · tag F0925 — failed to control pests — isolatedMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interviews during the Recertification Survey initiated on 4/7/2024 and completed on 4/11/2024 the facility did not ensure that it took measures to eradicate or contain a pest control concern in the kitchen. Specifically, the exit door from the kitchen, which is used to remove refuse and leads to the parking lot and the garbage disposal bins, had an approximate half-inch gap at the bottom of the door. Kitchen staff reported sightings of mice in the kitchen. The finding is: The undated facility policy titled, Pest Control, documented to maintain an effective pest control system. The facility maintains an ongoing pest control program to ensure that the building is kept free of insects and rodents. On 4/7/2024 at 9:00 AM during the initial kitchen tour with First [NAME] #1 the exit door from the kitchen, which is used to remove refuse and leads to the parking lot and the garbage disposal bins, had an approximate half-inch gap at the bottom of the door. Maintenance Director #1 was interviewed on 4/8/2024 at 1:30 PM and stated the facility uses a…
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 before2022-07-19 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during the Recertification Survey initiated on 7/12/2022 and completed on 7/19/2022, the facility did not ensure that the comprehensive person-centered care plan (CCP) that includes measurable objectives and timeframes to meet each resident's medical and nursing needs were implemented. This was identified for one (Resident #43) of one resident reviewed for pressure ulcer. Specifically, Resident #43 was identified with a Stage II pressure ulcer to the Sacral area on 7/5/2022. There was no documented evidence that a CCP with measurable goals and interventions was completed to address the resident's Stage II pressure ulcer. The finding is: The facility Policy titled Care Plans-Comprehensive dated 2/1/2017 and last revised on 2/1/2018 documented: an individualized comprehensive care plan that includes measurable objective and time frames to meet the residents medical, nursing, mental, and psychological needs is developed for each resident; each resident's comprehensive care plan…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-07-19 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and staff interviews during the Recertification Survey initiated on 7/12/2022 and completed on 7/19/2022 the facility did not ensure that its medication error rate was not five percent or greater based on observation of the administration of 25 medications. Specifically, a Registered Nurse (RN #2) did not follow the Physician's orders to administer two eyedrops at the prescribed time for Resident #26. Additionally, RN #2 administered four different eye drop medications to Resident #26 that were not in accordance with the Physician's orders. This resulted in a medication error rate of greater than five percent. The finding is: The facility's policy titled, Medication Administration-General, dated 3/5/2017, documented that medications are administered in accordance with the written orders of the Prescriber. Medications are administered within one hour before or after the scheduled time. The facility's policy titled, Installation of Eye Drops dated 2/17/2019, documented that when administering two or more different eye drops, allow three to five…
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 · D2022-07-19 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and staff interviews during the Recertification Survey initiated on 7/12/2022 and completed on 7/19/2022 the facility did not ensure that each resident was free from significant medication errors. This was identified for one (Resident #26) of four residents reviewed for Medication Administration. Specifically, during the medication administration observation task on 7/13/2022, the Registered Nurse (RN) #2 medication nurse administered four different eye drop medications to Resident #26 that were not in accordance with the Physician's orders. RN #2 was observed administering one eye drop medication immediately after the other eye drop medication. The finding is: The facility's policy titled, Installation of Eye Drops dated 2/17/2019, documented that when administering two or more different eye drops, allow three to five minutes between each application. The facility's policy titled, Medication Administration-General dated 3/5/2017, documented that medications are administered in accordance with the written orders of the Prescriber. Resident #26…
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 · C2025-08-15 · tag F0838 — failed to assess facility resources and resident needs — widespreadConduct 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 — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during the Recertification Survey initiated on 08/11/2025 and completed on 08/15/2025, the facility did not ensure its Facility Assessment considered specific staffing needs for each resident unit. This was identified during the Sufficient Nursing Staffing Task. Specifically, the Facility Assessment, last reviewed in July 2025, did not indicate nursing staffing (Certified Nursing Aides, Licensed Practical Nurse, and Registered Nurse) needs for each resident unit. The finding is:The facility's undated policy titled Facility Assessment documented the facility will evaluate its resident population and identify the resources needed to provide the necessary person-centered care and services the residents require. A detailed review of the resident population that included, but was not limited to resident census data, resident capacity, factors that affect the overall acuity of the residents, physical characteristics of the facility, and services currently provided. A review of the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“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 SAPPHIRE CARE GROUP — 8 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 | 3 of 5 | 2.6 | +0.4 vs chain |
| Health inspection | 2 of 5 | 1.9 | +0.1 vs chain |
| Staffing | 2 of 5 | 2.1 | -0.1 vs chain |
| Quality measures | 5 of 5 | 4.6 | +0.4 vs chain |
The other 7 homes this chain runs (chain average 2.6★, 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 |
|---|---|---|---|---|
| ABRAMCZYK, SOLOMON | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; W-2 MANAGING EMPLOYEE | 25% | since 02/26/2014 |
| FARKOWITZ, ESTHER | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 45% | since 02/26/2014 |
| PLATSCHEK, RICHARD | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | since 02/26/2014 |
| SCHUCK, ROBERT | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | since 02/26/2014 |
CMS files one row per role, so the 5 rows in the source record cover these 4 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.
This home reported $1.4M paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in NY
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New York Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 335156. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-15, 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.