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Mayfair Care Center

100 Baldwin Road, Hempstead, NY 11550 · For profit - Corporation · 200 certified beds · (516) 538-7171 Medicare & Medicaid certified

Call the home — (516) 538-7171 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Mar 20232 actual-harm citations$41,308 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • lower-than-typical staff turnover (30% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Mar 2023
  • it has 2 actual-harm citations
  • a high number of inspection citations overall (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $41,308 in federal fines (most recent 2024-09-25)
  • its independent health-inspection rating is low (2/5)
  • its facility-reported quality-measure rating is low (1/5)
  • 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.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 1 of 5

Location & what’s nearby

Hospital
1/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
291 S Franklin St · (516) 564-6787 · Call to confirm hours
Pharmacy
216 Henry St · (516) 485-8774 · Call to confirm hours
Grocery
155 Baldwin Rd · (516) 385-3990 · Call to confirm hours
Park
335 Greenwich St · (516) 489-3400 · Typically dawn to dusk
Place of worship

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

Quality measures — how residents actually fare

Overall quality measures 1 of 5
Long-stay residentspeople who live here 2 of 5
Short-stay residentsrehab / post-hospital 1 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 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.

Overall rating1★
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 increased16.3%14.1%15.4%typical
Long-stay residents who lose too much weight6.5%5.8%5.4%worse
Long-stay residents with a catheter left in their bladder0.2%0.5%0.9%better
Long-stay residents with a urinary tract infection3.1%1.3%2.0%worse
Long-stay residents with depressive symptoms18.3%19.5%6.5%typical for the state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury3.1%3.1%3.3%typical
Long-stay residents whose ability to walk worsened15.1%12.5%16.1%typical
Long-stay residents on antianxiety or hypnotic medication8.5%13.2%18.9%better
Long-stay residents given the seasonal flu vaccine86.2%95.3%95.3%typical
Long-stay residents with pressure ulcers6.1%6.5%4.7%worse
Long-stay residents with worsening bladder/bowel control21.9%19.5%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table49.3%13.7%17.1%worse
Short-stay residents who newly got an antipsychotic medication10.5%1.2%1.4%worse
Short-stay residents given the seasonal flu vaccine44.2%78.8%79.4%worse
Short-stay residents rehospitalized after admission21.9%20.6%22.6%typical
Short-stay residents with an outpatient ER visit10.8%9.6%12.0%typical
Long-stay hospitalizations per 1,000 resident days2.631.701.67worse
Long-stay outpatient ER visits per 1,000 resident days2.681.361.80worse

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.

37.6% 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 52 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

37.6%U.S. median 51.5%
Got home and stayed home
13.8%U.S. median 10.7%
Went back to hospital
14.5%U.S. median 56.6%
Met the expected recovery
0.28U.S. median 0.31
Therapy hours / resident / day
0.10hours / resident / day
Physical therapy
0.13hours / resident / day
Occupational therapy
0.05hours / resident / day
Speech therapy

Met the expected recovery: 14.5% 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 83 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 0.28 therapist hours per resident per day in 2026Q1 — more than 43% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% 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 SNF37.6%CMS range 24.1–52.651.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF13.8%CMS range 10.3–18.410.7%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 discharge14.5%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 discharge22.9%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge15.7%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 identified100.0%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 setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.8%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 worsened4.8%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 hospitalization7.3%CMS range 4.1–10.97.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.631.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.44
RN hours/ resident / day
0.69
LPN hours/ resident / day
2.15
Aide hours/ resident / day
3.28
Total nurse hours/ resident / day
0.26
RN hoursweekends
29.5%
Total nursing turnover
20.0%
RN turnover

How full it usually is: this home is certified for 200 beds and averages 193.4 residents a day — about 97% occupied, or roughly 7 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 3.28 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.44 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.15 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.03 hrs/resident/day on weekends vs 3.38 on weekdays — 10% thinner on weekends. RN hours go from 0.52 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 30% is below the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

8
deficiencies at the latest standard inspection (2024-09-25)
12
at the previous standard inspection (2023-03-30)

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.

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.

23 citations, most serious first. The 12 most serious are shown; the remaining 11 are one tap away and print in full.

  • Actual harm · G2024-09-25 · 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 observations, record review, and interviews during the Recertification Survey initiated on 9/17/2024 and completed on 9/25/2024, the facility did not ensure that each resident received adequate supervision to prevent accidents and the resident environment remained as free of accident hazards as is possible. This was identified for two (Resident #51 and Resident #165) of ten residents reviewed for Accidents. Specifically, 1) Resident #51 had a history of falls and wandering behavior and the Comprehensive Care Plan directed staff to place the resident in a supervised area when awake. Resident #51 was left unsupervised in the hallway on 7/24/2024 at 1:10 AM and was found on the floor with injuries to the right side of their forehead and mouth. Subsequently, the resident was transferred to the hospital and was diagnosed with Traumatic Subdural Hemorrhage (brain bleed) and a Cervical Fracture (spine). 2) Resident #165, with a history of Suicidal Ideation was observed with an unattended disposable shaving…

    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 · G2023-03-30 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect 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 observation, record review and interviews during the Recertification Survey and Abbreviated Survey (NY00305185) initiated on 3/22/2023 and completed on 3/30/2023, the facility did not ensure each resident was free from abuse, neglect, misappropriation of resident property, and exploitation. This was identified for one (Resident #140) of two residents reviewed for Resident-to-Resident Abuse. Specifically, on 11/8/2022, Resident #326, with intact cognition, verbalized that they are going to hit Resident #140 if the resident went to their room again. Soon after the verbal threat, Resident #326 went to Resident #140's room and was observed hitting Resident #140 in the head. Subsequently, Resident #140 was transferred to the hospital and was diagnosed with a left orbital (eye) skull fracture and bruising to the head. This resulted in actual harm to Resident #140 that is not Immediate Jeopardy. The finding is: The facility's policy titled, Abuse Prevention Program/Abuse and Neglect-Clinical Protocol/Abuse…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-09-25 · tag F0880 — failed to prevent and control infections — pattern
    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 observations, record review, and interviews during the Recertification Survey initiated on 9/17/2024 and completed on 9/25/2024, 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 1) six (Resident #52, Resident #194, Resident #29, Resident # 32, Resident #1, Resident #50) of six residents reviewed for the Medication Storage and Labeling Task and 2) one (Resident #53) of three residents observed for infection Control Task. Specifically, Licensed Practical Nurse #6 did not use an Environmental Protection Agency approved cleaning agent to sanitize the glucometer (a handheld device used to measure the concentration of sugar in the blood) machine after using the glucometer machine for each resident. 2) Resident #53 was on contact precautions for a Vancomycin Resistant Enterococcus (a multi-drug resident organism) infection to the right lower extremity…

    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 · D2024-09-25 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    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 9/17/2024 and completed on 9/25/2024 the facility did not ensure that the interdisciplinary team had determined that self-administration of medications was clinically appropriate for each resident. This was identified for one (Resident #75) of ten residents reviewed for Accidents. Specifically, Resident #75 was applying the Biofreeze Professional Pain-Relieving Gel to their knees and the facility staff was aware. A review of the resident's medical records revealed there was no assessment to determine if the resident could safely self-administer the medication. Additionally, Resident #75 did not have a Physician's Order to apply the Biofreeze Professional Pain-Relieving Gel. The finding is: The facility's policy and procedure titled Self-Administration of Medications, last revised on 1/2024 documented that as part of a resident's overall evaluation, the staff and the practitioner will assess each resident's mental…

    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 · D2024-09-25 · tag F0641 — isolated
    Ensure each resident receives an accurate 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 interviews during the Recertification Survey initiated on 9/17/2024 and completed on 9/25/2024, the facility did not ensure an assessment was completed to accurately reflect the resident's status. This was identified for one (Resident #167) of one resident reviewed for Hospice and End of Life. Specifically, the Quarterly Minimum Data Set assessment dated [DATE] did not reflect that Resident #167 received Hospice care. The finding is: The facility's policy titled MDS Assessment Coordinator, last reviewed on 1/2024 documented a Registered Nurse should be designated the responsibility of conducting and coordinating each resident's Minimum Date Set assessment. Each individual who completes a portion of the assessment must certify the accuracy of that portion of the assessment by dating and signing the assessment and identifying each section completed. Resident #167 was admitted with diagnoses including Palliative Care, Cerebrovascular Disease, and Dementia. The Quarterly Minimum Data Set…

    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 · D2024-09-25 · tag F0801 — isolated
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during the Recertification Survey initiated on [DATE] and completed on [DATE], the facility did not ensure that a qualified Dietician is licensed or certified as a nutrition professional by the state in which the services are performed. This was identified for one (Registered Dietitian #1) of five employees reviewed for the Criminal History Record Check task. Specifically, part-time Registered Dietitian #1 did not have an active license or certification issued by the New York State as a Dietitian or nutrition professional since [DATE]. Registered Dietician #1 was hired by the facility on [DATE] and continued to work directly with the residents without documented evidence of being supervised by a qualified professional. The finding is: A review of Registered Dietitian #1's personnel file revealed that they were hired by the facility on [DATE] and their Dietetics-Nutrition license from New York State had expired on [DATE]. There was no documented evidence that Registered…

    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 before2024-09-25 · tag F0806 — failed to honor food preferences — isolated
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review during the Recertification Survey initiated on 9/17/2024 and completed on 9/25/2024, the facility did not ensure that each resident received food that accommodated resident allergies, intolerances, and preferences. This was identified for one (Resident #39) of eighteen residents reviewed during the dining task. Specifically, Resident #39 had a physician's order for a gluten-free diet (gluten is a protein found in grains like wheat, rye, and barley). During observations on 9/17/2024 and 9/19/2024, the resident was served white bread with their meal for lunch. The finding is: Resident #39 was admitted with diagnoses including Hypertension and Chronic Obstructive Pulmonary Disease. The Annual Minimum Data Set assessment dated [DATE] documented a Brief Interview for Mental Status score of 14, indicating the resident was cognitively intact. The Minimum Date Set assessment documented the resident was on a therapeutic diet. The Comprehensive Care Plan titled 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-30 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    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 and the Abbreviated Survey (NY 00311955) initiated on 3/22/2023 and completed on 3/30/2023 the facility did not ensure that each resident representative was notified timely when there was a change in the resident's condition and a need to commence a new form of treatment was identified. This was identified for one (Resident #276) of two residents reviewed for notification of change. Specifically, Resident #276 was identified with significant weight loss of twenty-nine pounds in last six months and received intravenous fluids due to poor oral intake. The facility staff did not notify the resident's family in a timely manner of the resident's poor oral intake, significant weight loss, and administration of the Intravenous (IV) fluids in response to the poor oral intake. The finding is: The facility's policy and procedure titled; Acute Condition Changes Clinical Protocol last reviewed 1/2023 did not address notification to the resident's…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-30 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during the Recertification Survey and the Abbreviated Survey (NY00311955) initiated on 3/22/2023 and completed on 3/30/2023 the facility did not ensure that a Baseline Care Plan for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care was developed within 48 hours of admission. This was identified for one (Resident #276) of four residents reviewed for Pressure Ulcer (PU). Specifically, Resident #276 was admitted with a Sacral PU on 12/16/2022. A Baseline care plan for the Sacral Pressure Ulcer was not completed within 48 hours as required. The finding is: The facility's Baseline Care Plan policy reviewed 1/2023 documented to assure that the resident's immediate care needs are met and maintained, a baseline care plan will be developed within forty-eight (48) hours of the resident's admission. The baseline care plan will be used until the staff can conduct the…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-30 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews during the Recertification Survey initiated on 3/22/2023 and completed on 3/30/2023, the facility did not ensure that high protein supplements were provided as ordered by a Physician. This was identified for one (Resident #128) of four residents reviewed for Nutrition. Specifically, Resident #128 was assessed by the Registered Dietician (RD) on 10/13/2022 with recommendations to provide LPS (liquid protein supplement) and then again on 12/17/2022 with recommendation to provide LPS and Juven (a powdered protein supplement) to aid in wound healing. A Physician's order first documented on 12/17/2022 indicated to administer both LPS and Juven as per the RD's recommendations. There was no documented evidence in the Medication Administration Record (MAR) that the resident received the LPS until 1/22/2023 and the Juven until 2/2/2023. The finding is: The facility's policy titled, Enteral (tube) Nutrition last reviewed on 1/2022 documented that the Dietitian will monitor…

    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 · D2023-03-30 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide 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 record review and interviews during the Recertification Survey initiated on 3/22/2023 and completed on 3/30/2023, the facility did not ensure that the resident maintained, to the extent possible, acceptable parameters of nutritional and hydration status. This was identified for one (Resident #128) of four residents reviewed for Nutrition. Specifically, Resident #128 was not provided the adequate amount of protein via tube feeding that was needed for wound healing, as assessed and recommended by the Registered Dietician (RD). The finding is: The facility's policy titled, Enteral (tube) Nutrition last reviewed on 1/2022 documented that the Dietitian will monitor residents who are receiving enteral feedings and will make appropriate recommendations for interventions to enhance tolerance and nutritional adequacy of enteral feedings. The facility's policy titled, Nutrition and Hydration to Maintain Skin Integrity last reviewed on 1/2023 documented that the healing of acute (e.g., postoperative) and chronic…

    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 · D2023-03-30 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during the Recertification initiated on 3/22/2023 and completed on 3/30/2023, the facility did not ensure that the medical care of each resident was supervised by the Physician including monitoring changes in the resident's medical status. This was identified for one (Resident #7) of four residents reviewed for Nutrition. Specifically, Resident #7 was admitted to the facility on [DATE] with a diagnosis of Type 2 Diabetes Mellitus. The resident's Physician did not monitor the resident's blood work timely to evaluate the progression of the disease and need for treatment. The finding is: The facility's policy titled Diabetes - Clinical Protocol last reviewed on 2/2023 documented that the Physician will follow up on any acute episodes associated with a significant change in blood sugars or deterioration of previous glucose control and document resident status at subsequent visits until the acute situation is resolved. Resident #7 with diagnoses including Type 2 Diabetes Mellitus…

    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
Show the remaining 11 citations
  • Potential for harm · D2023-03-30 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide 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 [DATE] and completed on [DATE], the facility did not ensure it provided pharmaceutical services including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals to meet the needs of each resident. This was identified for two (Resident #47 and #98) of four residents observed during medication pass. Specifically, on [DATE], 1) Resident #47 did not receive the scheduled Furosemide (a medication for Hypertension) dose; and 2) Resident #98 did not receive the scheduled Divalproex (Depakote-prescribed for Schizophrenia) dose during the medication pass observation. The medications were not available for administration because the medications were not re-ordered in a timely manner from the pharmacy. The finding is: The facility's undated policy titled, Prescribing and Ordering of Medications documented the facility will communicate any medication reorders,…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-30 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during the Recertification Survey initiated on 3/22/2023 and completed on 3/30/2023, the facility did not ensure that Physician Responses (actions) documented on Monthly Medication Regimen Reviews (MRR) were carried out to address irregularities identified by the Pharmacist. This was identified for two (Resident #7 and Resident #109) of five residents reviewed for Unnecessary Medications. Specifically, 1) a Psychiatric Consult was requested for Resident #7 by the Physician in February 2023, in response to the MRR dated 2/11/2023; however, no Physician's Order was documented in the resident's Electronic Medical Record (EMR). A Psychiatric Consult was not completed until 3/27/2023 after a subsequent MRR was completed on 3/7/2023 and the physician again recommended a Psychiatry Consult. 2) Resident #109 was seen by the Pharmacy Consultant on 2/21/2023 who recommended a Gradual Dose Reduction (GDR) for Risperidone (an antipsychotic medication) from 0.5 milligrams (mg) daily 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-30 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    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 3/22/2023 and completed on 3/30/2023 the facility did not ensure that all residents were free of any significant medication errors. This was identified for two (Resident #8, and Resident #114) of two residents reviewed for choices. Specifically, both residents did not receive their medications as ordered by the Physician. On 3/22/2023 Resident #8 complained that they received all their 9:00 AM medications at 11:00 AM, and Resident #114 did not receive the 9:00 AM Buprenorphine HCl-Naloxone (treatment of Opioid Dependency) medication until 12:00 PM. The finding is: 1). Resident #8 was admitted with diagnoses that included Pain, Deep Vein Thrombosis, Bipolar Disorder, Panic Disorder and Muscle Spasticity. A Quarterly Minimum Data Set (MDS) assessment dated [DATE] documented the resident had a Brief Interview for Mental Status (BIMS) score of 13 which indicated the resident had intact cognition. The resident had no…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-03-30 · 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 during the Recertification Survey initiated on 3/22/2023 and completed on 3/30/2023 the facility did not ensure that all drugs and biologicals used in the facility were labeled in accordance with currently accepted professional principles. This was identified for one (Resident #24) of one resident reviewed for Hydration. Specifically, Resident #24 was observed with Intravenous (IV) hydration fluid infusing via an IV port. The IV bag was not labeled with the resident's name nor the date and time the IV fluid was hung. The finding is: The facility Intravenous Administration of Fluid and Electrolytes policy and procedure reviewed 1/2023 documented for continuous therapy, mark solution container with label that states when the bag was started and approximate time of completion. The policy documented to always use a label or tape (never write directly on the bag with ink or marker). Resident #24 had diagnoses that include Volume Depletion, Localized Edema, 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 · D2023-03-30 · tag F0770 — failed to provide lab services — isolated
    Provide 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during the Recertification Survey and Abbreviated Survey (Complaint #NY00308569) initiated on 3/22/2023 and completed on 3/30/2023, the facility did not obtain laboratory services to meet the needs of its residents. This was evident for one (Resident #226) of four residents reviewed for Nutrition. Specifically, Resident #226 had Physician's Orders dated 12/14/2022 for the resident to have a Urinalysis with Culture and Sensitivity test which was never completed. The finding is: The facility's policy titled, Lab and Diagnostic Test Results - Clinical Protocol last revised in January 2023 documented that the Physician will identify and order diagnostic and laboratory testing based on diagnostic and monitoring needs. Resident #226 has diagnoses which include Hypertension and Diabetes Mellitus. The admission Minimum Data Set (MDS) assessment dated [DATE] documented that the resident had a Brief Interview for Mental Status (BIMS) score of 11 which indicated that the resident had…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-03-30 · tag F0806 — failed to honor food preferences — isolated
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during the Recertification Survey initiated on 3/22/2023 and completed on 3/30/2023, the facility did not ensure that each resident received food that accommodates resident preferences and receive appealing options of similar nutritive values to residents who chose not to eat food that is initially served or who request a defend meal choice. This was identified for two (Resident #46 and Resident #76) during the Dining Observation task for one of three dining rooms. Specifically, during the Dining Observation Task on the second floor, Resident #46 and Resident #76 verbalized they were not made aware or offered the alternate meal for lunch on 3/24/2023. The finding is: The facility's Policy and Procedure on Food Preferences, last revised 1/2023 documented that upon admission, the resident's food preferences will be taken by the Dietician or nursing staff. Staff, assisted by the Physician, will identify any nutritional issues and dietary recommendations that may conflict with 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2020-10-02 · 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 staff interview during a Recertification Survey, the facility did not follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness. Specifically, during a Kitchen tour on 9/28/20, the Ice Maker's ice receptacle lid was visibly soiled with dark brown stains and the inside walls of the ice receptacle were covered with black soil like material. The finding is: During a tour of the Kitchen on 9/28/20 at 10:30 AM, Ice Maker was inspected. The ice receptacle lid was visibly soiled. The inside walls of the ice receptacle holding the ice were soiled and black soil like material came off onto the paper towel when wiped off. The Food Service Director (FSD) was interviewed on 9/28/20 at 10:45 AM, he stated that the Ice Maker is cleaned monthly by an outside vendor service company. The FSD further stated that he did not have a cleaning schedule and or the cleaning logs for the Ice Maker. The FSD also stated that he thought that the Ice Maker in the kitchen was last cleaned in August 2020 and was currently due for another service. The…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-10-02 · tag F0659 — isolated
    Provide care by qualified persons according to each resident's written plan of care.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and staff interview during the Recertification Survey, the facility did not ensure that services provided or arranged by the facility, as outlined by the Comprehensive Care Plan (CCP) were provided in accordance with each resident's written plan of care. This was evident for one (Resident # 55) of one resident reviewed for pressure ulcers. Specifically, Resident #55 who was assessed at high risk for develping Pressure Ulcers. The CCP documented Heel Booties to both feet as an intervention to prevent the development of Pressure Ulcers. On 9/28/20, on two seperate occasions, Resident #55 was observed out of bed, seated in a lounge chair wearing non-skid socks . The resident's heels were resting on the lounge chair and the heel booties were observed on the overbed table on both occasions. The finding is: Resident #55 was readmitted to the facility on [DATE] and has diagnoses that included Dementia with Behavioral Disturbance, and Diabetes Mellitus. The Minimum Data Set (MDS)…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2020-10-02 · 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 and interview during the Recertification Survey completed on [DATE], the facility did not ensure expired and undated biologicals were removed and discarded according to the manufacturer's recommendations for 2 of 3 medication carts. Specifically, during observation of two medication carts on two separate units the glucose test Control Solutions used for calibration of the glucometer were opened and undated with an expiration date beyond the date listed on the container labels. The findings are: The Facility Policy titled Glucometer Quality Control Testing Policy dated [DATE] documented Check expiration date on the vial, do not use past 90 days after opening the vial. The (Glucose) Control Solution Manufacturer's Summary and Explanation documented the control solution may be used to check the performance of the meter and test strip or testing technique. The (Glucose) Control Solution Manufacturer's Instructions Warning and Precautions documented check the expiration date shown on the vial…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2024-09-25 · tag F0636 — pattern
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and record review during the Recertification Survey initiated on 9/17/2024 and completed on 9/25/2024 the facility did not ensure that comprehensive assessments of residents were conducted within 14 calendar days after admission and not less than once every 12 months. This was identified for three (Residents #126, Resident#168, and Resident #181) of 11 residents reviewed for the Resident Assessment Task. Specifically, Resident #168's Significant Change Minimum Data Set, Resident #126's Annual Minimum Data Set, and Resident # 181's Discharge Minimum Data Set Assessments were not completed within 14 days of the assessment reference date. The findings are: The facility's policy and procedure for Minimum Data Set, last revised on 8/2023 documented a Registered Nurse shall be designated for conducting and coordinating each resident's assessment. The Assessment Coordinator must date and sign each assessment to certify that the assessment has been completed. Each individual who completes a portion of the assessment must certify the accuracy of that portion of the…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2024-09-25 · tag F0638 — pattern
    Assure that each resident’s assessment is updated at least once every 3 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and record review during the Recertification Survey initiated on 9/17/2024 and completed on 9/25/2024 the facility did not ensure residents were assessed using the quarterly review instrument specified by the State and approved by the Centers for Medicare and Medicaid Services not less frequently than once every three months. This was identified for eight (Resident #92, Resident #161, Resident #170, Resident #120, Resident #135, Resident #194, Resident #153, and Resident #155) of 11 residents reviewed for the Resident Assessment Task. Specifically, the Quarterly Minimum Data Set assessments for Resident #92, Resident #161, Resident #170, Resident #120, Resident #135, Resident #194, Resident #153, and Resident #155 were not completed within 14 days of the assessment reference date. The findings are: The facility policy titled Minimum Data Set Completion and Submission Timeframes dated 1/2024 documented that the timeframes for completion and submission of the assessments are based on the current requirements published in the Resident Assessment Instrument Manual.…

    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

“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

$41,308 in federal fines across 1 penalty.

  • $41,308 — penalty dated 2024-09-25

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.

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 →

RatingThis homeChain avg
Overall 1 of 51.8-0.8 vs chain
Health inspection 2 of 52.0≈ chain avg
Staffing 3 of 52.1+0.9 vs chain
Quality measures 1 of 52.1-1.1 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 / managerTypeRoleShareSince
FOGEL, ESTHERIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST10%since 06/29/1995
KALTER, FRADYIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST10%since 06/29/1995
KALTER, MOSHEIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; W-2 MANAGING EMPLOYEE41%since 06/29/1995
BODEN, ARTHURIndividualW-2 MANAGING EMPLOYEEsince 07/13/2007
STERN, SAMUELIndividualCORPORATE OFFICERsince 06/01/2022

CMS files one row per role, so the 6 rows in the source record cover these 5 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.

$23.6M
Net patient revenuemost recent cost report
-7.3%
Operating marginrevenue minus expenses
$2.4M
Related-party expense9% of expenses
Who pays — share of resident-days
Medicaid 65%Medicare 10%Other / private 24%

This home reported $2.4M paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$383per resident / day
operating cost
$11,642per month
≈ monthly operating cost
$357per 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 335279. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-09-25, 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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