The Grand Rehabilitation and Nursing at Great Neck
15 ST Pauls Place, Great Neck, NY 11021 · For profit - Corporation · 214 certified beds · (516) 466-3001 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- no federal fines or payment denials on record
- lower-than-typical staff turnover (15% vs 45% nationally) — better care continuity
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has an abuse, neglect, or exploitation citation (F0600), cited Apr 2022
- inspectors cited 1 immediate-jeopardy problem — the most serious level
- 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 (1/5)
- its payroll-based staffing rating is low (2/5)
- its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions
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 | 1 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 4 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 | 4 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 3 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 2 to 1 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 | 17.7% | 14.1% | 15.4% | worse |
| Long-stay residents who lose too much weight | 6.1% | 5.8% | 5.4% | worse |
| 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 | 0.4% | 1.3% | 2.0% | better |
| Long-stay residents with depressive symptoms | 38.5% | 19.5% | 6.5% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better |
| Long-stay residents with falls causing major injury | 1.3% | 3.1% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 11.6% | 12.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 15.0% | 13.2% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 96.3% | 95.3% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.8% | 6.5% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 11.8% | 19.5% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 15.7% | 13.7% | 17.1% | typical |
| Short-stay residents who newly got an antipsychotic medication | 2.3% | 1.2% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 66.3% | 78.8% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 21.8% | 20.6% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 6.3% | 9.6% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.88 | 1.70 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.13 | 1.36 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
53.7% 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 311 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 44.4% 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 205 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 0.47 therapist hours per resident per day in 2026Q1 — more than 78% 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 | 53.7%CMS range 47.5–59.1 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 8.6%CMS range 6.4–11.3 | 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 | 44.4% | 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 | 47.8% | 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 | 51.7% | 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 | 98.8% | 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 | 98.2% | 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 | 99.2% | 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 | 0.6% | 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 | 0.3% | 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 | 4.6%CMS range 3.1–7.2 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.63 | 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 214 beds and averages 210.7 residents a day — about 98% occupied, or roughly 3 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 3.07 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.39 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.98 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 2.85 hrs/resident/day on weekends vs 3.17 on weekdays — 10% thinner on weekends. RN hours go from 0.49 to 0.16 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 15% is below the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
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.
This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.
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 11 most serious are shown; the remaining 13 are one tap away and print in full.
- Immediate jeopardy · J2022-04-01 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
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 a Recertification Survey and Abbreviated Survey initiated on 3/23/2022 and completed on 4/1/2022, the facility failed to Maintains acceptable parameters of nutritional status, such as usual body weight or desirable body weight range and electrolyte balance, unless the resident's clinical condition demonstrates that this is not possible or resident preferences indicate otherwise; the facility failed to reassess the resident after the weight loss was identified and failed to notify the Physician and the Dietician to implement interventions to address and monitor the unplanned weight loss. The facility's failure to implement an existing weight monitoring policy and failure to monitor each residents' nutritional intake was identified for two (Resident #45 and Resident #80) of seven residents reviewed for Nutrition. Specifically, 1) Resident #45 with diagnoses of Alzheimer's Disease, Legal blindness, and a recent history of COVID-19 infection was identified as…
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 · D2024-07-18 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification Survey initiated on 7/11/2024 and completed on 7/18/2024, the facility did not ensure that a comprehensive person-centered care plan was reviewed and revised by the interdisciplinary team after each assessment. This was identified for one (Resident #71) of three residents reviewed for skin conditions. Specifically, Resident #71 was observed with tissues and rubber bands wrapped around two fingers on multiple occasions and Nursing staff did not revise the comprehensive care plan to address the resident's behavior. The finding is: The facility's policy, titled Behavioral Assessment, Intervention, and Monitoring, last reviewed in January 2024, documented behavior symptoms will be identified using a facility-approved behavior screening tool and a comprehensive assessment. The care plan will incorporate findings from the comprehensive assessment and be consistent with current standards of practice. The facility's policy titled Care…
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 · D2024-07-18 · 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 observation, record review, and interviews during the Recertification Survey initiated on 7/11/2024 and completed on 7/18/2024, the facility did not ensure that a resident received treatment and care in accordance with professional standards of practice. This was identified for one (Resident #260) of three residents reviewed for Choices. Specifically, Resident #260 was admitted on [DATE] after a Micra Leadless Pacemaker Implantation (electronic device that is implanted in the body to monitor heart rate and rhythm) and required pacemaker remote monitoring. The facility did not initiate the pacemaker remote monitoring until 7/11/2024 and there was no documented Physician Order for the monitoring until 7/15/2024, seven days after Resident #260 was admitted to the facility. The finding is: The facility's admission Notes policy dated 1/2022 documented preliminary resident information shall be documented upon a resident's admission to the facility including a brief description of any disabilities, prosthesis…
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 · D2024-07-18 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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 7/11/2024 and completed on 7/18/2024, the facility did not ensure that each resident with limited mobility received appropriate services, equipment, and assistance to maintain or improve mobility. This was identified for one (Resident #135) of two residents reviewed for Rehabilitation Services. Specifically, the Rehabilitation Department recommended a floor ambulation program for Resident #135, however, the floor ambulation program was not completed. The finding is: The facility's Restorative Nursing Rehab Program Floor Ambulation policy, last reviewed on 1/2023, documented each resident will receive the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, consistent with the resident's comprehensive assessment and plan of care including but not limited to restorative services. The ambulation program refers to the activity of walking that provides weight-bearing that promotes bone health and joint mobility.…
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 before2024-07-18 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the Recertification Survey initiated on 7/11/2024 and completed on 7/18/2024, the facility did not ensure that residents who are incontinent of bowel and bladder received the appropriate treatment and services to prevent Urinary Tract Infection. This was evident for one (Resident #117) of three residents reviewed for Activities for Daily Living. Specifically, Resident #117 required total assistance from one caregiver for toileting and was frequently incontinent of bowel and bladder. Resident #117 was observed wearing a urine-soaked brief and had wet linens underneath them on 7/11/2024 at 11:11 AM. The resident was last changed on the 11:00 PM to 7:00 AM shift before the observation. The findings is: The facility Resident Care with Activities of Daily Living policy and procedure, last updated on 1/2024, documented the resident will be offered toileting assistance or incontinent care twice per shift and as needed. The policy documented that staff must…
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 · D2024-07-18 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews conducted during the Recertification Survey initiated on 7/11/2024 and completed on 7/18/2024, the facility did not ensure that a resident who needed respiratory care was provided such care consistent with professional standards of practice. This was identified for one (Resident #57) of four residents reviewed for Respiratory Care. Specifically, Resident #57 had a Physician's Order to receive 4 liters of oxygen therapy per minute via mist collar to a tracheostomy continuously. However, on multiple occasions, Resident #57 was observed receiving 6 liters of oxygen per minute via mist collar to their tracheostomy. The finding is: The facility's Assessing Oxygen Saturation Policy, last revised in January 2024, documented to assess the resident for the following signs and symptoms of impaired oxygen saturation: altered respirations, difficulty breathing, and abnormal breath sounds. The policy further documented to notify the Physician if the oxygen saturation level…
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 · D2024-07-18 · tag F0770 — failed to provide lab services — isolatedProvide timely, quality laboratory services/tests to meet the needs of residents.
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 7/11/2024 and completed on 7/18/2024, the facility did not ensure it obtained laboratory services to meet the needs of each resident. This was identified for one (Resident #41) of three residents reviewed for Transmission-Based Precautions. Specifically, Resident #41 was receiving the antibiotic Vancomycin for Methicillin-Resistant Staphylococcus aureus (a bacteria that causes serious infection) in the urine and mastoid bone (the bone behind the ear) and the Physician ordered a Vancomycin trough level (a laboratory test used to determine therapeutic dosage) to be drawn on 7/9/2024. There was no documented evidence in the resident's medical record that the laboratory order was completed. The finding is: The facility's Laboratory and Diagnostic Test Results Clinical Protocol, last reviewed 1/2024, documented the Physician will identify and order diagnostic and lab testing based on diagnostic and monitoring needs. The staff will process test requisitions and arrange for tests. The…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-07-18 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the Recertification Survey initiated on 7/11/2024 and completed on 7/18/2024, the facility did not establish and maintain an infection prevention and control program designed to prevent the development and transmission of communicable diseases and infections. This was identified for one (Resident #112) of six residents reviewed in the Medication Administration Task. Specifically, Resident #112 had a physician's order for Strict Contact Precautions for Pseudomonas Aeruginosa (a type of bacteria) in the urine which required the use of Personal Protective Equipment including a gown and gloves. The Licensed Practical Nurse (Medication Nurse) #1 was observed on 7/12/2024 entering the room without wearing a gown and gloves and administered medications to Resident #112. The finding is: The facility's Initiation of Transmission-Based Precautions policy, last revised on 1/2024, documented it is the policy of the facility to prevent the spread of infection within…
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 · E2022-04-01 · tag F0725 — failed to have enough nursing staff — patternProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review during the Recertification Survey initiated on 3/23/2022 and completed on 4/1/2022, the facility did not ensure that there was sufficient nursing staff to provide nursing and related services to assure resident safety and to attain or maintain the highest practicable physical, mental and psychosocial wellbeing of each resident as determined by resident assessment and individual plans of care. This was identified through staff interviews, resident council task, review of facility assessment and staffing assignments. Specifically, 1) The facility nursing staffing assignments did not reflect the staffing needs as indicated in the facility assessment; 2) Resident #136 did not receive wound care treatment as prescribed by the Physician on multiple occasions 3) Resident #358 received 6 medications and 1 supplement 3 hours later than the prescribed time to be administered; 4) Resident #99 did not have a Certified Nursing Assistant (CNA) assigned on the 7-3 shift 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 · E2022-04-01 · tag F0755 — failed to provide safe pharmacy services — patternProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the Recertification Survey initiated on 3/23/2022 and completed on 4/1/2022 the facility did not ensure that pharmaceutical services including administration of all medications was provided to meet the needs of all residents. This was identified for one (Resident #358) of one resident reviewed for Pharmacy Services. Specifically, on 3/25/2022 Registered Nurse (RN) #3 did not administer 9 AM Physician-ordered medications to Resident #358 timely. The finding is: The facility's policy titled Administering Medications, revised on 1/2022, documented medications must be administered in accordance with the [Physician's] orders, including any required time frame, and medications must be administered within one (1) hour of their prescribed time, unless otherwise specified. As per the Physician's History and Physical dated 3/21/2022, Resident #358 was admitted with diagnoses including Asthma, Chronic Atrial Fibrillation, and Hypertension. As per the Nursing…
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 · D2022-04-01 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification Survey initiated on 3/23/2022 and completed on 4/1/2022, the facility did not ensure resident rights to be free from neglect. This was identified for one (Resident #99) of five residents reviewed for Activity of Daily Living (ADL). Specifically, Resident #99 required staff assistance for ADL and incontinence care. The resident did not receive ADL and incontinence care on 3/25/2022 from 6:14 AM until 12:15 PM. The resident was observed in bed with a strong urine odor in their room. Resident #99 was visibly upset, clenching their lips and stated with an elevated loud tone that no one took care of them today. The resident stated they were wet and had been asking for staff assistance all morning; however, no staff came to assist. The finding is: The Abuse Prohibition policy last updated January 2022 documented Neglect is defined as the failure of the facility and its employees and service providers to provide goods and services to 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.
Show the remaining 13 citations
- Potential for harm · Dcited before2022-04-01 · 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 staff interviews during the Recertification Survey initiated on 3/23/2022 and completed on 4/1/2022, the facility did not ensure that the comprehensive person-centered care plan (CCP) for each resident was implemented. This was identified for one (Resident #110) of seven residents reviewed for nutrition. Specifically, Resident #110 had a Physician's (MD) order for daily weights for 3 days and weekly weights every 7 days for four weeks for weight monitoring. There was no documented evidence the weights were completed according to the Physician's order. The finding is: The facility Weight Assessment and Intervention policy reviewed on 1/2022 documented the nursing staff will measure resident weights on admission, the next day, and weekly for two weeks thereafter. If no weight concerns are noted at this point, weight will be measured monthly thereafter. Resident #110 was admitted with diagnoses that include Hemiplegia/Hemiparesis, Dysphagia, and Hypertension. The admission Minimum Data…
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 · D2022-04-01 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification Survey initiated on 3/23/2022 and completed on 4/1/2022, the facility did not ensure that residents who are unable to carry out Activities of Daily Living (ADL) receive the necessary services to maintain grooming and personal hygiene. This was identified for one (Resident #99) of five residents reviewed for ADLs. Specifically, Resident #99, who was alert and oriented and required staff assistance for ADL care, did not receive morning care on 3/25/2022 during the 7 AM-3 PM nursing shift until 12:15 PM because no Certified Nursing Assistant (CNA) was assigned to provide care for the resident. The resident was observed in bed with a strong urine odor in their room. Resident #99 was visibly upset, clenching their lips and stated with an elevated loud tone that no one took care of them today. The resident stated they were wet and had been asking for staff assistance all morning; however, no staff came to assist. The finding is: The…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-04-01 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews and record review during the Recertification Survey initiated on 3/23/2022 and completed on 4/1/2022, the facility did not ensure that all residents received adequate supervision to prevent Accidents. This was identified for one (Resident #85) of three residents reviewed for Accidents. Specifically, Resident #85 was observed shaving themselves with a razor without supervision and had blood on their face. The finding is: The facility Hazardous Areas, Devices and Equipment Policy dated July 2017, documented all hazardous devices in the facility will be identified and addressed appropriately to ensure resident safety and mitigate accident hazards to the extent possible. A hazard is defined as anything in the environment that has the potential to cause injury or illness. Examples of environmental hazards include but are not limited to: sharp objects that are accessible to vulnerable residents. Monitoring to ensure that recommendations are implemented consistently and correctly will…
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 before2022-04-01 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification Survey initiated on 3/23/2022 and completed on 4/1/2022, the facility did not ensure that residents who are incontinent of Bowel and Bladder receive appropriate treatment and services to prevent Urinary Tract Infections (UTI) and that a resident who enters the facility with an indwelling catheter is assessed for removal of the catheter as soon as possible unless the resident's clinical condition demonstrates that catheterization is necessary. This was identified for one (Resident #99) of five residents reviewed for ADLs and one (Resident #356) of three residents reviewed for Urinary Catheter. Specifically, 1) Resident #99, who was alert and oriented and required staff assistance for incontinence care, did not receive morning care on 3/25/2022 during the 7 AM-3 PM nursing shift until 12:15 PM because no Certified Nursing Assistant (CNA) was assigned to provide care for the resident. The resident was observed in bed with a strong urine…
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 · D2022-04-01 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review, during the Recertification survey initiated on 3/23/2022 and completed on 4/1/2022, the facility did not ensure all medications and tube feedings were accurately labeled and medications were safely stored in 1 of 4 medication carts reviewed for Medication Storage Task and for 1 (Resident #110) of 3 residents reviewed for Tube Feeding. Specifically, 1) an unopened bottle of Latanoprost (glaucoma medication) eye drops was not refrigerated as per the pharmacy instructions; and an opened pro-source bottle was not labeled with the opened date. Additionally, two unmarked tablets were observed in the medication cart in an unlabeled souffle cup. 2) on 3/23/2022 Resident #110's tube feeding bottle was not labeled with the start time, the feeding rate, and the signature of nurse who initiated the feeding. Additionally, the feeding tube was not dated to indicate when the feeding tube was changed. The findings are: 1) The facility Storage of Medication Policy and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-04-01 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and staff interviews during the Recertification Survey completed on 4/1/2022 the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one Resident (#357) of one resident reviewed for Infection Control and one (Resident #356) of three residents reviewed for urinary catheter. Specifically, 1) Resident #357 was a new admission and placed on droplet precautions due to partial COVID-19 vaccination status; on 3/24/2022 staff members were observed in the resident's room providing care and not wearing appropriate Personal Protective Equipment (PPE); and 2) on 3/25/2022 Resident #356's urinary catheter drainage bag was observed lying directly on the floor while the resident was in bed. The findings are: The facility's policy titled COVID Isolation, revised 1/2022, documented Droplet Precautions may 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.
- Potential for harm · Dcited before2019-10-18 · 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 observation, record review, and staff interviews during the recertification survey, the facility did not ensure that a comprehensive person-centered care plan was developed and implemented for each resident that includes measurable objectives and interventions to meet each resident's medical, nursing, mental and psychosocial needs that are identified in the comprehensive assessment. This was identified for 1 (Resident #140) of 2 residents reviewed for vision/hearing. Specifically, Resident #140 was identified on the Minimum Data Set (MDS) assessment as having moderate difficulty with hearing. The CCP developed for hearing deficit did not include person-centered interventions to assist the resident to effectively communicate with staff. The finding is: The facility's policy and procedure dated March 2019 titled Care Plans, Comprehensive Person-Centered documented . 13. Assessments of residents are ongoing and care plans are revised as information about the residents and the residents' condition change.…
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 · D2019-10-18 · tag F0813 — isolatedHave a policy regarding use and storage of foods brought to residents by family and other visitors.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on facility record review and staff interview during the recertification survey, the facility did not ensure that their policy regarding use and storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling, and consumption specifically included how facility staff would ensure that: 1) a resident is assisted in accessing and consuming the food, if the resident is not able to do so on his or her own and 2) family and visitors understood safe food handling practices; such as safe cooling/reheating processes, hot/cold holding temperatures, preventing cross contamination, and hand hygiene. The finding is: The facility's Personal Food Policy dated 3/19/18 was reviewed on 10/16/19 at 9:20 AM. The policy did not specifically include how the facility would ensure that: 1) a resident was assisted in accessing and consuming food brought in by family and other visitors, if the resident was not able to do so on his or her own and 2) family and visitors understood safe food handling practices; such as safe cooling/reheating processes,…
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 before2019-10-18 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interviews during the Recertification Survey the facility did not ensure that for each resident infection control measures were employed to prevent the development and transmission of communicable diseases and infections. This was identified for one (Resident #149) of two residents reviewed for Respiratory Care. Specifically, during the tracheostomy (trach) care observation the nurse removed the old dressing, did not change gloves or wash hands before proceeding with the cleaning process, and then applied the clean dressing with the same gloved hands that were used to remove the old dressing. The finding is: The facility's policy and procedure titled Tracheostomy Care, revised 5/2017, documented that after the old dressing is removed the soiled glove should be pulled over the dressing and then discarded followed by hand washing. Resident #149 was admitted to the facility on [DATE] with diagnoses including Diabetes Mellitus, Cerebrovascular Accident, and Tracheostomy Status. The 9/17/19…
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 · B2024-07-18 · tag F0842 — failed to keep accurate, complete medical records — patternSafeguard 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 staff interviews during the Recertification and Abbreviated (NY00323936) Survey initiated on 7/11/2024 and completed on 7/18/2024, the facility did not maintain medical records on each resident that were complete and accurate for one (Resident #91) of one resident reviewed for Abuse. Specifically, Resident #91's family member reported bruising to Resident #91's left eye on 9/13/2023. However, the resident's skin assessment and medical evaluation to rule out trauma were not documented in the medical record. The finding is: The facility's Charting and Documentation policy, last reviewed in 1/2024, documented objective observations, treatments or services performed, events, incidents or accidents involving the resident are to be documented in the medical record. Resident #91 was admitted with diagnoses including Unspecified Dementia, Type 2 Diabetes Mellitus, and Venous Insufficiency. The 7/21/2023 annual Minimum Data Set assessment documented a Brief Interview for Mental Status score of 99, indicating the resident was unable to complete 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.
- No harm found · C2022-04-01 · tag F0888 — widespreadEnsure staff are vaccinated for COVID-19
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 3/23/2022 and completed on 4/1/2022, the facility did not implement policies and procedures to ensure that all staff were completely vaccinated for COVID-19 and did not include a process for ensuring the implementation of additional precautions, intended to mitigate the transmission, and spread of COVID-19. Specifically, the facility allowed one unvaccinated staff member (Registered Nurse (RN) #10) to provide direct resident care and one unvaccinated staff, the Food Service Director, to interact in close proximity to residents while not wearing an N95 mask. The finding is: The facility policy, Vaccination Compliance Plan dated 8/16/2021, did not include a contingency plan that addressed actions the facility would take for staff with valid medical exemptions. During the vaccination review, three staff members were identified to have valid medical exemptions for the Covid-19 Vaccine Mandate that included RN #10 and the Food Service Director. On 3/25/2022 at 1:01 PM, the Food Service…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · B2022-04-01 · tag F0835 — failed to run the facility competently — patternAdminister 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 observation and record review during the Recertification Survey and Abbreviated Survey (Complaint # NY 00290462) initiated on 3/23/2022 and completed on 4/1/2022 the facility did not ensure that the facility was administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable, physical, mental, and psychosocial wellbeing. Specifically, the facility did not ensure adequate linen supplies were available to meet the residents' needs on two (Unit 1 and Unit 2) of four units observed. The finding is: Resident #30 was admitted with diagnoses that include Hypertension, Type II Diabetes Mellitus and was Legally Blind. The Minimum Data Set (MDS) assessment dated [DATE] documented the resident's Brief Interview for Mental Status (BIMS) score was 15, which indicated intact cognition. The resident had no behavioral symptoms and no rejection of care. During an observation on 3/23/2022 at 1:10 PM and on 3/24/22 at 10:50 AM Resident #30 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.
- No harm found · B2019-10-18 · 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 staff interviews during the recertification survey, the facility did not ensure that each resident's environment was safe, clean, and homelike. This was identified for two (Residents #16 and #70) of two residents reviewed for environment. Specifically, the floor mats designated for Residents #16 and #70 were dirty and heavily stained with grayish colored materials. The findings are: The facility's policy and procedure dated March 2019 titled Floor Mats documented . 2. Floor mats will be wiped daily by housekeeping staff. 3. When floor mats are visibly soiled, the nursing staff notifies the housekeeping staff. 4. Housekeeping staff will remove the floor mats and take them to be cleaned. 1) Resident #16 has diagnoses including Seizure Disorder and Parkinson's Disease. The resident was admitted to the facility on [DATE]. The Quarterly Minimum Data Set (MDS) assessment dated [DATE] documented the resident's Brief Interview for Mental Status (BIMS) score was 9 indicating 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 THE GRAND HEALTHCARE — 16 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 1 of 5 | 1.8 | -0.8 vs chain |
| Health inspection | 1 of 5 | 2.0 | -1.0 vs chain |
| Staffing | 2 of 5 | 2.1 | -0.1 vs chain |
| Quality measures | 4 of 5 | 2.1 | +1.9 vs chain |
The other 15 homes this chain runs (chain average 1.8★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| STRAUSS, JEREMY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER; ADP OF THE SNF | 95% | since 01/01/2019 |
| STRAUSS, MERYL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | since 01/01/2019 |
| MOZOROSKY, DANIEL | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 09/01/2022 |
| SCHWARTZ, ELLIOTT | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 07/01/2025 |
CMS files one row per role, so the 9 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 $1.1M 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 335483. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-07-18, 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.