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Glen Arden Inc

214 Harriman Drive, Goshen, NY 10924 · Non profit - Corporation · 40 certified beds · (845) 291-7800 Medicare & Medicaid certified

Call the home — (845) 291-7800 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Resident-funds citation (F0565)2 actual-harm citations$108,046 in federal fines1 Medicare payment denial
Insights

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

In its favor
  • a high payroll-based staffing rating (5/5)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for mishandling residents’ money or property (F0565)
  • it has 2 actual-harm citations
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $108,046 in federal fines (most recent 2024-07-02)
  • its payroll-based staffing 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) 5 of 5
Quality measuresSelf-reported by the facility 3 of 5

Worth a closer look. This home's staffing rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
Dr singh0.4 mi
1995 Route 17M
Pharmacy
6 N Church St · (845) 237-5557 · Call to confirm hours
Grocery
1 Railroad Ave · (845) 238-6735 · Call to confirm hours
Park
The Heritage Trl · (845) 615-3830 · Typically dawn to dusk
Place of worship
118 S Church St · (845) 615-1330

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 3 of 5
Long-stay residentspeople who live here 1 of 5
Short-stay residentsrehab / post-hospital 5 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 2 to 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 increased28.3%14.1%15.4%worse
Long-stay residents who lose too much weight11.7%5.8%5.4%worse
Long-stay residents with a catheter left in their bladder6.3%0.5%0.9%worse
Long-stay residents with a urinary tract infection6.2%1.3%2.0%worse
Long-stay residents with depressive symptoms0.0%19.5%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury5.1%3.1%3.3%worse
Long-stay residents whose ability to walk worsened34.9%12.5%16.1%worse
Long-stay residents on antianxiety or hypnotic medication17.9%13.2%18.9%typical
Long-stay residents given the seasonal flu vaccine100.0%95.3%95.3%typical
Long-stay residents with pressure ulcers12.4%6.5%4.7%worse
Long-stay residents with worsening bladder/bowel control38.4%19.5%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table13.4%13.7%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine56.4%78.8%79.4%worse
Short-stay residents rehospitalized after admission9.2%20.6%22.6%better
Short-stay residents with an outpatient ER visit2.5%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days2.561.701.67worse
Long-stay outpatient ER visits per 1,000 resident days1.781.361.80typical

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

§ 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.

48.5% 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 97 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

48.5%U.S. median 51.5%
Got home and stayed home
11.1%U.S. median 10.7%
Went back to hospital
52.7%U.S. median 56.6%
Met the expected recovery
0.50U.S. median 0.31
Therapy hours / resident / day
0.29hours / resident / day
Physical therapy
0.18hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Met the expected recovery: 52.7% 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 55 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 0.50 therapist hours per resident per day in 2026Q1 — more than 80% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% 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 SNF48.5%CMS range 39.3–58.351.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.1%CMS range 7.7–14.710.7%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 discharge52.7%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 discharge54.5%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge41.8%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 identified94.2%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 settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 discharge100.0%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 stay0.0%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 worsened5.8%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 hospitalization6.1%CMS range 3.6–11.67.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.071.02Oct 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

1.20
RN hours/ resident / day
0.73
LPN hours/ resident / day
3.24
Aide hours/ resident / day
5.17
Total nurse hours/ resident / day
0.96
RN hoursweekends
36.0%
Total nursing turnover
47.1%
RN turnover

How full it usually is: this home is certified for 40 beds and averages 32.1 residents a day — about 80% occupied, or roughly 8 beds typically open. It usually has some room. 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 5.17 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.20 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.24 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.69 hrs/resident/day on weekends vs 5.36 on weekdays — 12% thinner on weekends. RN hours go from 1.29 to 0.96 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% 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

6
deficiencies at the latest standard inspection (2025-12-22)
12
at the previous standard inspection (2024-07-02)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

21 citations, most serious first. The 12 most serious are shown; the remaining 9 are one tap away and print in full.

  • Actual harm · G2025-12-22 · 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 interview, observation and record review during the survey, the facility failed to ensure residents received care consistent with professional standards of practice to prevent pressure ulcers and to prevent worsening of pressure ulcers. This was evident for one (1) of three (3) residents (Resident #11) reviewed for pressure ulcers. Specifically, Resident #11 was assessed as at risk for pressure ulcers on admission and had no pressure ulcers. There was no documented evidence that offloading practices or turning and positioning were implemented to prevent pressure ulcers from developing. On 11/23/2025, a Stage 2 (damage to skin or underlying soft tissue) pressure ulcer to their left heel was identified. On 12/09/2025, Resident #11's left heel wound had progressed to a Stage 4 pressure ulcer (full thickness skin and tissue loss). Recommendations by the Wound Care Physician were made for turning and positioning, offloading and nutrition shakes on 11/25/2025, 12/02/2025 and 12/09/2025. There was no documented evidence that the Wound Care Physician's recommendations were…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Actual harm · Gcited before2024-07-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation and interview conducted during a recertification survey the facility failed to ensure that adequate supervision and effective use of the facility's monitoring program to prevent falls and injuries were provided for 2 of 3 residents reviewed for accidents (Resident #10 and #12). Specifically, (1) Resident #10 was care planned to be on 30-minute monitoring after a 4/12/24 fall. Resident #10 had a second fall on 4/14/24 which resulted in a nondisplaced transverse fracture of the distal malleolus (a break in the small prominent bone on either side of the ankle) and the facility did not implement care plan changes to address recurrent falls and (2) Resident #12 had 6 falls between 9/16/23 and 5/3/24 and the facility did not implement new interventions, including toileting schedules and monitoring, as recommended on the Accident/Incident reports. This resulted in multiple hospitalizations and the resident sustained fractured ribs from the falls on 9/16/23 and 5/3/24. This resulted…

    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 before2025-12-22 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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 the facility did not ensure food was stored and prepared in accordance with professional standards for food service safety. Specifically, 1) unsealed, unlabeled, and undated foods were stored in the refrigerators and freezer, 2) expired foods were stored in the dry pantry, walk in cooler, and reach- in refrigerator, and 3) staff were observed not wearing hair and beard restraints while in the kitchen. The findings include: The policy last revised 5/2018 titled Labeling and Dating documented all foods must be labeled and dated to ensure foods are being used in a proper timeframe, and any unopened food item will be discarded by the manufacturer labeled expiration date.The policy reviewed 07/1999 titled Personal Hygiene documented employees must follow personal hygiene practices and must wear hair restraints required by state or federal health codes. During observation of the kitchen on 12/16/2025 at 12:27 PM, the following was revealed:The reach- in refrigerator contained unlabeled and undated fruit salad, sliced cucumbers, crumbled bacon, a tray 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-12-22 · 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 observation, interview, and record review the facility did not ensure that each resident was treated in a manner that maintained or enhanced each resident's dignity and respect for one (1) resident (Resident #32) reviewed for dining. Specifically, Resident #32's meal tray and feeding assistance were not provided at the same time another resident (Resident #23) at the same table was provided their meal tray and feeding assistance. Additionally, once served, Registered Nurse #18 stood over Resident #32 while they provided the resident with feeding assistance.The findings include:The policy titled Resident Rights last revised 11/2025 documented residents have the right to a dignified existence. Residents will be treated with respect and dignity, and cared for in a manner, and in an environment that promotes the maintenance or enhancement of their quality of life and recognizes their individuality. During an observation in the dining room on December 16, 2025, at 5:27 PM, while their tablemate, Resident #32, was waiting to be served, Resident #23 was served and eating 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 · Dcited before2025-12-22 · 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

    Based on record review and interview the facility did not ensure the development and implementation of comprehensive person-centered care plans that included measurable objectives and timeframes to meet the resident's medical, nursing, and nutrition needs for one (1) of one (1) resident (Resident #20) reviewed for Tube Feeding. Specifically, there was no documented evidence that a comprehensive care plan with goals and interventions was developed to address Resident #20's tube feeding and nothing by mouth status as per the 11/29/2025 physician order. The findings include:The policy and procedure revised 08/2025, titled Resident Assessment and Comprehensive Care Planning documented a comprehensive care plan includes measurable objectives to meet each identified problem/need and is reviewed and revised as necessary to outline care needs and strategies. Professional staff individualizes each care approach specific to each resident's needs.Resident #20 was admitted to the facility with diagnoses including Parkinson's disease, and dysphagia.The 04/16/2024 care plan titled Alteration in…

    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 · D2025-12-22 · tag F0710 — isolated
    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview the facility did not ensure that medical supervision was provided for one (1) of three (3) residents (Resident #11) reviewed for pressure ulcers. Specifically, Resident #11 was diagnosed with a left heel Stage 2 pressure ulcer, and the primary physician did not address recommendations by the wound care physician on 11/25/2025 or 12/02/2025 or 12/09/2025. Subsequently, two (2) weeks later Resident #11's left heel wound was classified as unstageable, was surgically debrided on 12/09/2025 and then classified as a Stage 4 pressure ulcer (full thickness skin and tissue loss).The findings include:The 3/28/2019 policy titled Pressure Ulcer Prevention and Management documented the physician writes orders for treatments as needed.Resident #11's diagnoses included status post left hip fracture with surgical intervention, osteoporosis, and non-Alzheimer's dementia. The 11/12/2025 Comprehensive Nursing Assessment (admission assessment) documented Resident #11 was at risk for pressure ulcers. The 11/12/2025 Braden Scale (tool for predicting pressure ulcer…

    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 · D2025-12-22 · tag F0730 — isolated
    Observe each nurse aide's job performance and give regular training.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review the facility did not ensure that certified nurse aides had a performance review completed every 12 months. Specifically, one (1) of four (4) certified nurse aides (Certified Nurse Aide #5) did not have a performance review completed in the last twelve months.The findings include:There was no documented evidence of a completed annual performance review for Certified Nurse Aide #5 in the last 12 months. During an interview on 12/19/2025 at 12:45 PM, Registered Nurse Unit Manager #4 stated they were responsible for completing the annual reviews for the staff nurses, nurse supervisors, and certified nurse aides. They stated Certified Nurse Aide #5 worked with the facility since 09/24/2018. They stated they did not have a signed performance review for Certified Nurse Aide # 5 from the last 12 months.During a follow up interview on 12/22/2025 at 1:05 PM, Registered Nurse Unit Manager #4 stated they contacted Human Resources and determined they did not have a performance review on file for Certified Nurse Aide #5 from the last 12 months. 10NYCRR…

    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 · E2024-07-02 · 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 observation, interview, and record review conducted during the recertification survey from 6/25/2024 to 7/2/2024, the facility did not ensure residents' right to a safe, clean, comfortable and homelike environment. This was evident during environmental observation of resident Unit 1 and Unit 2. Specifically, 1) Unit 1 was observed with a ceiling leak, stained and uneven carpeting, and stained ceiling tiles, and 2) Unit 2 was observed with broken bathroom floor tiles, stained, frayed, and uneven carpeting, and a broken desk in the nourishment station. The findings are: The facility policy titled Safety Committee Policy dated 4/21/2024 documented the Safety Committee was responsible for identifying issues pertaining to the environment and managing safety, and hazardous materials and wastes. 1) On 06/25/2024 from 9:47 AM to 11:00 AM, 6/26/2024 from 9:30 AM to 5:00 PM, and 6/27/2024 from 9:30 AM to 5:00 PM, Unit 1 was observed with the following: - hallway carpeting with large brown stains and rippled…

    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 · E2024-07-02 · tag F0841 — pattern
    Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review conducted during the post-survey revisit from 9/3/2024 to 9/5/2024, the facility did not ensure the medical director was responsible for implementation of resident care policies and the coordination of medical care in the facility. Specifically, the new Medical Director hired on 8/1/2024 was unaware of their responsibilities as a medical director and had no previous nursing home experience, was not a part of the quality assurance committee, and did not assess residents until 12 days after hire date. The findings are: The facility Medical Director Agreement dated 7/29/2024 documented the Medical Director shall be responsible for assuring each resident's responsible physician attends to the resident's medical needs, participates in care planning, follows the schedule of visits in accordance with 10 NYCRR 415.15(b), and complies with the facility policies, rules, regulations, and medical staff by-laws. Please refer to F689. On 9/5/2024 at 3:54 PM, the Medical Director was interviewed and stated they were the only physician on staff at…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-07-02 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review conducted during the recertification survey from 6/25/2024 to 7/2/2024, the facility did not ensure a safe, functional, sanitary, and comfortable environment for residents, staff and the public was provided. This was evident during environmental observation of the kitchen, staff lounge, housekeeping closet, and ancillary services room. Specifically, a sheet of ice was observed covering the kitchen freezer floor, the staff lounge and housekeeping closet had stained ceiling tiles, and the ancillary services room had several items stored on the floor. The findings are: The facility policy titled Safety Committee Policy dated 4/21/2024 documented the Safety Committee was responsible for identifying issues pertaining to the environment and managing safety, and hazardous materials and wastes. On 06/25/24 at 10:01 AM, 6/26/2024 from 9:30 AM to 5:00 PM, and 6/27/2024 from 9:30 AM to 5:00 PM, the facility was observed with the following: - staff lounge locker room and bathroom with stained ceiling tiles, - the ancillary services room had…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-07-02 · 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 observation, interview, and record review conducted during the recertification survey from 6/25/2024 to 7/2/2024, the facility did not ensure each resident was treated with respect and dignity. This was evident for 2 (Resident #13 and Resident #37) of 18 sampled residents during dining observation. Specifically, Resident #37 and Resident #13 were not served lunch at the same time as their tablemates. The findings are: The facility policy titled Open Dining dated 2/16/2007 documented residents participating in open-style dining will be able to dine at their preferred time and are served their meal according to the dining program. On 6/25/2024 at 12:05 PM, Resident #37 and Resident #10 were observed in the dining room seated at the same table. Resident #10 received their meal tray and began eating their lunch. Resident #37 watched their tablemate eat lunch and asked a staff member for a lunch tray. Resident #37 was served their lunch tray at 12:14 PM. On 06/27/2024 at 12:35 PM, Resident #13, #8, #36, and #10 were observed in the dining room seated at the same table. 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 · Dcited before2024-07-02 · 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

    Based on record review, observation and interview conducted during a recertification survey, the facility did not develop and implement a person-centered care plan with measurable objectives and time frames in accordance with comprehensive assessments for one of one resident reviewed for Communication-Sensory and Incontinence and one of three residents reviewed for Positioning / Mobility (R #10). Specifically, for Resident #10 comprehensive care plans were not developed and/or implemented to address hearing impairment to allow for clear communication between facility staff and Resident #10, bladder and bowel incontinence, and to address bilateral hand joint stiffness related to rheumatoid arthritis. The findings are: Resident #10 was admitted with diagnoses including Rheumatoid Arthritis, Hypertension and Hyperlipidemia. The 5/30/24 Quarterly Minimum Data Set (a resident assessment and screening tool) documented Resident #10 had severe cognitive impairment, had highly impaired hearing, did not use a hearing aide, and usually understood but missed some part/intent of message, 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 9 citations
  • Potential for harm · D2024-07-02 · 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 observations, interviews, and record reviews conducted during the Recertification Survey, it was determined that for 1 of 3 residents (Resident #12) reviewed for accidents, the facility did not ensure that a resident's care plan was revised with new interventions following a fall. Specifically Resident #12 had 7 falls from 9/16/23 to 5/3/24 and care plans were not revised to reflect the recommendations made on accident reports or rehab recommendations. The findings are: The Accident Incident Policy last revised 11/2017 documented it is the policy of the facility to ensure that the environment, the people and systems are such that promotion of resident safety and security of accidents/incidents is vigilantly sustained. To this end the Accident/Incident Report serves as the basis for formally reporting and recording residents' accidents/incidents, and for statistical gathering, tracking and analyzing pertinent data to highlight trends, patterns and factors which may warrant an investigation and or risk management factors. As applicable per NYS Department of Health reporting…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-07-02 · 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 observation and interview conducted during the recertification survey it was determined for 2 of 3 residents reviewed for quality of care (Resident #10 and #2), the facility did not ensure residents received treatment and care in accordance with professional standards of quality. Specifically, 1. Resident #10 had a fall on 4/14/24 which resulted in a nondisplaced transverse fracture of the distal malleolus and the facility did not ensure that a CAM boot (orthopedic device that limits foot movement and protects the area during recovery) and/or physical therapy were provided in a timely manner as per orthopedic recommendation and 2. Resident #22 with diagnoses including end stage renal disease had pruiritis(itchy skin) which resulted in visible excoriation/s (breaks in the skin) and the physician was not notified resulting in a delay of treatment. Findings include: 1. The 3/7/24 Quarterly Minimum Data Set Assessment documented Resident #10 had severe cognitive impairment, no functional…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-07-02 · tag F0761 — failed to label and store drugs safely — isolated
    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 observation, record review and interviews conducted during the recertification survey from 6/25/2024 to 7/2/2024, the facility did not ensure that all drugs and biologicals were stored in accordance with the manufacturer's specifications and professional standard of practice. Specifically, the medication storage room was observed with expired medical equipment that was used to administer medications. Findings include: The facility's policy titled Medication Storage in the Facility dated 8/22/2014 documented that outdated, contaminated, or deteriorated medications and those in containers that are cracked, soiled, or without secure closures are immediately removed from stock, disposed of according to procedures for medication destruction, and reordered from the pharmacy, if applicable. On 07/01/24 at 10:40 AM, the medication storage room was observed with three expired 20 gauge needles with an expiration date of 2/29/23, five-43 inch 9 millimeter Medtronic quick sets with an expiration date of 3/1/23, 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-07-02 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review during the recertification survey, the facility did not provide food and drink that was at a safe and appetizing temperature for 3 of 5 food items (shrimp salad, cucumber salad, baked chicken/fish was the alternate, and apricots) being served from a steam table during the dining experience. Specifically, the baked chicken, shrimp salad and apricots were registered temperatures ranges in the danger zone (temperatures above 41 degrees Fahrenheit (F) and below 135 degrees (F), and that allow the rapid growth of pathogenic microorganisms that can cause foodborne illness. The findings are: During an interview with Resident #141 on 6/25/24 at 11:08 AM, they stated the food was constantly cold at dinner time. Resident #141 stated they could not recall the exact date but about 2 weeks ago they plated food, and it took 30 minutes to deliver trays. During an observation on 6/27/24 at 12:11 PM, while servers were prepping food for tray distribution from steam table, temperatures were taken on the shrimp salad, cucumber salad, baked chicken,…

    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 · D2024-07-02 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews conducted during the recertification survey from 6/25/24-7/02/2024 the facility did not ensure an infection prevention and control program was designed to provide a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections for 2 (Residents #19 and #22) of 4 residents reviewed. Specifically, Resident #19 had a urostomy tube and Resident #22 had a nephrostomy tube, and enhanced barrier precautions were not implemented. Findings include: The facility's policy titled Transmission Based Precautions/Enhanced Barrier Precautions dated 12/15/2022 documented that enhanced barrier precautions are meant to prevent the spread of multi drug resistant organisms. They are used with all residents with indwelling medical devices. The principles of Enhanced Barrier precautions are that staff will use a gown and gloves during high contact resident care activities only and is intended to be used for…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-11-14 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview conducted during the Recertification Survey and Abbreviated Survey NY00271654) from 11/8/2022-11/14/2022 for 1 of 2 residents (Resident #17) reviewed for elopement, the facility did not ensure all residents received adequate supervision and devices to prevent accidents. Specifically, the wanderguard system did not operate as designed to prevent Resident #17 with exit seeking behaviors from exiting the building during an ice storm. Findings are: The policy and procedure titled elopement dated 11/26/13 (no revision date) documented the facilities have written a program concerning missing residents' elopement prevention and elopement policy. Annual training of staff on code [NAME], as well as initial and ongoing assessment of residents concerning risk for wandering behavior and elopement. Resident #17 was admitted to the facility on [DATE] with diagnoses including Unspecified Dementia without Behavioral Disturbance, Chronic Obstructive Pulmonary Disease, 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-11-14 · 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, interview, and record review conducted during a Recertification Survey conducted between 11/8/12 to 11/14/22, 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 kitchen tour the facility's main kitchen was observed to have outdated condiments in the refrigerator, spices with no legible open date, and spices labeled with open dates that did not follow the recommended storage guidelines. The findings are: Review of the Policy and Procedure (P&P) titled Food Storage-Perishable with a revision date of 11/2004 documented sanitary procedures will be followed in the handling of all perishable foods. The policy further documented the purpose of the policy is to ensure food is stored under safe and sanitary conditions to prevent injury and food borne illness. Review of the Policy and Procedure (P&P) titled Food Storage-Non-Perishable with a revision date of 11/2004 documented all containers will be properly labeled as to contents and items will be…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2024-07-02 · tag F0640 — pattern
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview conducted during a recertification survey, the facility did not electronically transmit encoded and completed Minimum Data Set; a federally-mandated process for clinical assessment of all residents in Medicare or Medicaid-certified nursing homes) to the Centers for Medicare and Medicaid Services system information within 14 days of the final Minimum Data Set Assessment completion date as required for payment information and quality measure purposes. This was evident for 2 of 2 residents (#16 and #18) reviewed for resident assessment. The findings are: Review of the facility's MDS assessment data completion and submission activities revealed that the following Minimum Data Set records exceeded 120 days from the date of completion and had not been submitted to the Centers of Medicare and Medicaid Services System Information until - Resident # 16: Discharge Minimum Data Set Assessment assessment dated [DATE] was rejected on 3/31/24 and had not been resubmitted until 6/25/24.…

    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
  • No harm found · B2022-11-14 · tag F0565 — failed to support the resident council — pattern
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review conducted during a Recertification Survey conducted from 11/8/22 to 11/14/22, the facility did not consider the views of the resident council and act promptly upon the grievances and recommendations of such groups concerning issues of resident care and life in the facility. Specifically, the facility did not ensure resident council meetings were held between 3/24/21 to 10/28/22. Members of resident council voiced concerns regarding meetings not being held or how often meetings are supposed to take place. Members were also not aware of the grievance process to address concerns. The findings are: Review of the Policy and Procedure (P&P) titled Resident Council Constitution by Laws with a revision date of 2/2003 documented the purpose of resident council is to resolve problems or grievances among residents and others at the facility and to enable residents to take active responsibility for their quality of life by providing residents an opportunity for independence. The policy further documented meetings are to be held monthly. Select…

    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

“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

$108,046 in federal fines across 1 penalty. 1 Medicare payment denial on record.

  • $108,046 — penalty dated 2024-07-02
  • Medicare payment denial — starting 2024-10-02 for 10 days

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

Who owns this facility

Owner / managerTypeRoleSince
ALEXANDER, JENNIFERIndividualW-2 MANAGING EMPLOYEEsince 12/01/2020
GOLDSTEIN, BETHIndividualCORPORATE OFFICERsince 12/01/2020
MARKOPOULOS, ANASTASIOSIndividualCORPORATE OFFICERsince 12/01/2020

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

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.

$7.1M
Net patient revenuemost recent cost report
-72.8%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 10%Medicare 30%Other / private 60%

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

$1,187per resident / day
operating cost
$36,088per month
≈ monthly operating cost
$687per 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 335802. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-22, 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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