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Foltsbrook Center For Nursing And Rehabilitation

104 North Washington Street, Herkimer, NY 13350 · For profit - Corporation · 163 certified beds · (315) 866-6964 Medicare & Medicaid certified

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1 immediate-jeopardy citation
Insights

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

In its favor
  • no federal fines or payment denials on record
Worth asking about
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (27) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its independent health-inspection rating is low (2/5)
  • its payroll-based staffing rating is low (1/5)

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

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

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

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
201 E State St · (315) 574-2300 · Call to confirm hours
Pharmacy
Budd Barn0.3 mi
316 E State St · (315) 619-9333 · Call to confirm hours
Grocery
232 Mohawk St · (315) 866-0464 · Call to confirm hours
Park
4 N Park Pl · (315) 717-0219 · Typically dawn to dusk
Place of worship
135 N Washington St · (315) 866-4984

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

Quality measures — how residents actually fare

Overall quality measures 3 of 5
Long-stay residentspeople who live here 2 of 5
Short-stay residentsrehab / post-hospital 4 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 increased23.7%14.1%15.4%worse
Long-stay residents who lose too much weight5.6%5.8%5.4%typical
Long-stay residents with a catheter left in their bladder0.6%0.5%0.9%better
Long-stay residents with a urinary tract infection0.6%1.3%2.0%better
Long-stay residents with depressive symptoms53.4%19.5%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury5.3%3.1%3.3%worse
Long-stay residents whose ability to walk worsened19.8%12.5%16.1%worse
Long-stay residents on antianxiety or hypnotic medication21.0%13.2%18.9%worse
Long-stay residents given the seasonal flu vaccine91.6%95.3%95.3%typical
Long-stay residents with pressure ulcers7.1%6.5%4.7%worse
Long-stay residents with worsening bladder/bowel control27.8%19.5%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table15.7%13.7%17.1%typical
Short-stay residents who newly got an antipsychotic medication0.5%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine80.6%78.8%79.4%typical
Short-stay residents rehospitalized after admission14.5%20.6%22.6%better
Short-stay residents with an outpatient ER visit11.7%9.6%12.0%typical
Long-stay hospitalizations per 1,000 resident days1.491.701.67better
Long-stay outpatient ER visits per 1,000 resident days2.001.361.80worse

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.

38.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 171 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

38.4%U.S. median 51.5%
Got home and stayed home
12.3%U.S. median 10.7%
Went back to hospital
61.5%U.S. median 56.6%
Met the expected recovery
0.60U.S. median 0.31
Therapy hours / resident / day
0.39hours / resident / day
Physical therapy
0.17hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 61.5% 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 96 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 0.60 therapist hours per resident per day in 2026Q1 — more than 88% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% 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 SNF38.4%CMS range 31.7–47.351.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.3%CMS range 9.7–15.210.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge61.5%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 discharge54.2%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 discharge50.0%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 identified78.5%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 setting97.4%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge97.4%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened5.6%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 hospitalization8.2%CMS range 5.0–12.07.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.041.02Oct 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

0.49
RN hours/ resident / day
0.85
LPN hours/ resident / day
1.61
Aide hours/ resident / day
2.95
Total nurse hours/ resident / day
0.27
RN hoursweekends
54.6%
Total nursing turnover
44.4%
RN turnover

How full it usually is: this home is certified for 163 beds and averages 135.7 residents a day — about 83% occupied, or roughly 27 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.95 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.61 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 2.59 hrs/resident/day on weekends vs 3.09 on weekdays — 16% thinner on weekends. RN hours go from 0.58 to 0.27 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 55% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

9
deficiencies at the latest standard inspection (2025-01-29)
6
at the previous standard inspection (2023-06-30)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

27 citations, most serious first. The 11 most serious are shown; the remaining 16 are one tap away and print in full.

  • Immediate jeopardy · J2021-06-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview during the recertification and abbreviated surveys (NY00269612 and NY00272726) conducted on 6/1/21- 6/9/21, the facility did not ensure the environment remained as free of accident hazards as possible and that each resident received adequate supervision and assistive devices to prevent accidents for 2 of 4 residents (Residents #93 and #141) reviewed. Specifically, - Resident #93, who had intact cognition and a diagnosis of quadriplegia (paralysis), sustained burns from food/beverages on multiple occasions. On 1/2/21, the resident microwaved soup and spilled it on their leg causing a 9.5 by 5.5 centimeter second-degree burn, which is currently a non-healing wound. On 1/9/21, Resident #93 microwaved a beverage and spilled it, sustaining a cluster of blisters on their abdomen. On 4/27/21, staff microwaved soup and provided it to Resident #93, who was lying in bed; the resident spilled the soup on their abdomen, sustaining a 12 by 26 centimeter second-degree burn.…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-01-29 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the recertification survey conducted 1/23/2025-1/29/2025, the facility did not ensure residents had the right to a safe, clean, comfortable, and homelike environment for the Physical Therapy gym and for 2 of 5 resident units (Units 1 and 4) reviewed. Specifically, the Physical Therapy gym, Unit 1, and Unit 4 had several walls with patched holes and missing paint. Findings include: The facility policy, Homelike Environment, revised 12/2024, documented the residents were provided a safe, clean, comfortable, and homelike environment. The facility staff and management should to the extent possible, reflect a personalized homelike setting that included clean, sanitary, and orderly environment, inviting colors and décor. Work orders dated 1/1/2025 to 1/29/2025 documented there were multiple open work orders that had not been completed. The following observations were made on Unit 4: - On 1/23/2025 at 10:31 AM, 1/24/2025 at 7:51 AM, and 1/29/2025 at 8:26 AM…

    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 · Ecited before2025-01-29 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interviews during the recertification survey conducted 1/23/2025-1/29/2025, the facility did not ensure residents were provided food and drink that was palatable, flavorful, and at an appetizing temperature for 2 of 2 meals reviewed (the 1/24/2025 2nd floor lunch meal and the 1/27/2025 1st floor lunch meal). Specifically, food was not flavorful and was not served at palatable and appetizing temperatures during the lunch meals on 1/24/2025 and 1/27/2025. Additionally, two residents (Residents #24 and #35) stated the food did not taste good and they did not receive enough food. Findings include: The facility policy, Dining Atmosphere, dated 12/2024 documented meals were served in a way that enhanced the individual's dining experience, because the presentation of the meal could directly affect how much an individual ate. Hot food must be hot, and cold food must be cold (as acceptable to the individual being served). During an interview on 1/23/2025 at 10:45 AM, Resident #24 stated the food lacked flavor. During an observation on 1/23/2025 at 12:22 PM, the menu…

    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 · Ecited before2025-01-29 · 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 observations, record review, and interviews during the recertification survey conducted 1/23/2025-1/29/2025, the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety for 1 of 1 main kitchen. Specifically, the main kitchen had soiled and poorly maintained equipment and improper food and food product storage. Findings include: The undated facility policy, Food and Supply Storage, documented all food and supply items were held and stored safely and securely, maintained quality, and were protected against contamination, spoilage, and theft. All storage areas were always kept clean and in good working condition. Stored unused food was wrapped and labeled with the name and date of production. The undated facility policy, Cleaning and Mopping of Floors, documented food particles and other unwanted foreign materials were effectively removed from flooring. All floor areas of the department were swept and mopped at least twice daily. Equipment was cleaned underneath, and no standing water 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-01-29 · tag F0925 — failed to control pests — pattern
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the recertification survey conducted 1/23/2025-1/29/2025, the facility did not maintain an effective pest control program so that the facility was free of pests for multiple resident areas on 1 of 5 resident units (5th floor) reviewed. Specifically, there were fruit flies on the 5th floor. Findings include: The facility policy, Pest Control, dated 12/2024, documented the facility would take all reasonable measures to prevent and control pests, insects, and rodents through routine cleaning, proper food storage, and regular pest control services. The third-party pest control logs dated 10/17/2024,10/24/2024,10/31/2024,11/07/2024,11/14/2024, 12/05/2024,12/11/2024,1/16/2025,1/23/2025 documented treatments for insects and flies in the facility and the facility was inspected and serviced. The following observations were made on the 5th Floor: - on 1/23/2025 at 10:30 AM there was a fruit fly on the cart in the hallway near room [ROOM NUMBER] - on 1/23/2025 at…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-29 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review during the recertification survey conducted 1/23/2025-1/29/20254, the facility did not ensure the right to reside and receive services with reasonable accommodation of resident needs and preferences for 1 of 1 resident (Resident #4) reviewed. Specifically, Resident #4 was not provided with a meal before going to outside dialysis (filtering of blood during kidney failure) appointments. Findings included: The facility policy, Food Palatability, revised 12/2024, documented the facility provided residents with nutritious, well-balanced, and palatable meals that met their individual dietary needs and preferences. The facility policy, Medical Transport Process, dated 8/12/2024 documented when an appointment was scheduled early in the morning and the resident was not allowed to eat prior to the appointment, dietary was notified and a to go breakfast was prepared for the resident. This pertained to any meal missed when on an appointment. If residents choose not to take a meal, one would be prepared upon return. Resident #4 had diagnoses…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-29 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — 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 and abbreviated (NY00361906 and NY00351460) surveys conducted 1/23/2025-1/29/2025, the facility did not ensure residents who were unable to carry out activities of daily living received the necessary services to maintain grooming and personal hygiene for 2 of 5 residents (Resident #116 and #226) reviewed. Specifically, Resident #116 was not shaved, and Resident #226 was not shaved and groomed. Findings include: The facility policy, Activities of Daily Living, revised 3/2018, documented residents were provided with care, treatment and services as appropriate to maintain or improve their ability to carry out activities of daily living. Residents who were unable to carry out activities of daily living independently received the services necessary to maintain good nutrition, grooming, and personal and oral hygiene. Appropriate care and services were provided for residents who were unable to carry out activities of daily living…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-29 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the recertification and abbreviated (NY00351460) surveys conducted 1/23/2025-1/29/2025, the facility did not ensure residents with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote wound healing, prevent infection, and prevent new ulcers from developing for 1 of 3 residents (Resident #115) reviewed. Specifically, there was no documented evidence of a Comprehensive Care Plan for Resident #115's two Stage 2 (partial thickness tissue loss) pressure ulcers. Additionally, the resident had an alternating air pressure relieving mattress (a mattress with air filled cells that inflate and deflate to redistribute pressure) that was not set to their correct weight. Findings include: The facility policy, Support Surface Guidelines, revised 9/2013, documented residents at risk of skin breakdown were assessed for appropriateness of pressure reducing devices. Redistribution support surfaces…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-29 · 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

    Based on observations and interviews during the recertification survey conducted 1/23/2025-1/29/2025, the facility did not ensure drugs and biologicals were labeled and stored in accordance with currently accepted professional principles and included the expiration date when applicable for 3 of 5 medication carts (1st, 2nd, and 4th floor medication carts), and 1 of 5 treatment carts (1st floor treatment cart). Specifically, the 1st and 4th floor medication carts and the 1st floor treatment cart were left unattended and unlocked; and the 2nd floor medication cart contained 3 insulin pens without an opened or expired/discard date. Findings include: The facility policy, Security of Medication Cart, revised 12/2024, documented the nurse secured the medication cart during the medication pass to prevent unauthorized entry. Medication carts were always locked when out of the nurse's view. The facility policy, Storage of Medications, revised 12/2024, documented drug containers that had missing, incomplete, improper, or incorrect labels were returned to the pharmacy for proper labeling…

    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 before2025-01-29 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record review, and interviews during the recertification survey conducted 1/23/2025-1/29/2025, the facility did not establish and 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 1 of 4 residents (Resident #112) reviewed, and for 1 of 1 staff bathroom (the basement breakroom bathroom) reviewed. Specifically, Certified Nurse Aide #26 did not use appropriate personal protective equipment when providing care to Resident #112 who was on transmission based precautions (droplet precautions) for influenza; and the soap dispenser in the women's bathroom located off the facility breakroom in the basement was not functional. Findings include: The facility policy, Influenza, Prevention and Control of Seasonal, revised 3/2022, documented all staff received education and training on preventing transmission of infectious agents, including influenza, during orientation to the facility. Contact and droplet…

    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 · D2025-01-02 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    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 abbreviated survey (NY00365213), the facility failed to honor advance directive wishes for 1 of 3 residents (Resident #1) reviewed. Specifically, cardiopulmonary resuscitation (attempt to restart the heart) was implemented on Resident #1 when it was established they were unresponsive and without a pulse before their advance directive wishes were determined; once their advance directives were determined to be do not resuscitate (withhold cardiopulmonary resuscitation and allow a natural death) based on their Medical Orders for Life Sustaining Treatment, cardiopulmonary resuscitation ceased, only to be resumed due to staff appearing on scene and misunderstanding the resident's advance directives. Subsequently, once emergency medical services arrived on scene, cardiopulmonary resuscitation ceased once again due to clarification of the resident's advance directives (do not resuscitate), and the resident expired. Findings include: The facility policy Advance…

    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
Show the remaining 16 citations
  • Potential for harm · Ecited before2023-06-30 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview during the recertification and abbreviated (NY00290691) surveys conducted 6/22/23-6/30/23, the facility did not ensure residents had the right to a safe, clean, comfortable, and homelike environment for 5 of 5 occupied resident floors (1st, 2nd, 3rd, 4th, and 5th floors) and for 1 of 1 resident (Resident #53) reviewed. Specifically, there were unclean floors, unclean surfaces, damaged walls, damaged floors on the 1st, 2nd, 3rd, 4th, and 5th floors; resident room [ROOM NUMBER] was cluttered with various items; Resident #53's call light was not within their reach; and there were unacceptable noise levels on the 4th floor. Findings include: The undated facility policy Call System, Residents documented each resident was provided with a means to call staff directly for assistance from their bed, from toileting/bathing facilities, and from the floor. Calls for assistance were answered as soon as possible. Urgent requests for assistance were addressed immediately.…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-06-30 · tag F0800 — pattern
    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview during the recertification survey conducted 6/22/23-6/30/23, the facility did not ensure they provided each resident with a nourishing, palatable, well-balanced diet that meets daily nutritional and special dietary needs, taking into consideration the preferences of each resident for 3 of 8 residents (Residents #5, 7, and 80) reviewed, and 2 of 2 meal test trays (1 lunch and 1 dinner tray) observed. Specifically: - 1 lunch tray and 1 dinner tray had hot and cold food items that were not maintained at safe temperatures and the food did not taste appetizing or palatable; - Resident #80 did not receive food items listed on their meal ticket and had food items they were not supposed to have; - Resident #7 did not receive food items listed on their meal ticket; and - Resident #5 requested an alternate food item for 2 lunch meals and did not receive the substitution timely. Finding include: The facility policy Food and Nutrition Services revised 10/2017, documented…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-06-30 · tag F0679 — failed to provide activities — isolated
    Provide activities to meet all resident's needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review during the recertification survey conducted 6/22/23-6/30/23, the facility did not ensure residents were provided an ongoing program to support their choice of activities, designed to meet their interests and support their physical, mental, and psychosocial well-being for 1 of 1 resident (Resident #62) reviewed. Specifically, Resident #62 was not offered meaningful activities that included their interests and preferences. Findings include: The facility policy Activity Evaluation revised 6/2018 documented an activity evaluation was conducted as part of the comprehensive assessment to help develop an activities plan that reflected the choices and interests of the resident. The Activities Director was responsible for completing the evaluation and the resident's lifelong interests, spirituality, life roles, goals, strengths, needs, and activity pursuit patterns and preferences were included in the evaluation. The facility policy Dementia Care revised 11/2018…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-06-30 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview during the recertification survey conducted 6/22/23-6/30/23, the facility did not ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 1 of 1 resident (Resident #90) reviewed. Specifically, Resident #90's urinary catheter (removes urine from the bladder into a collection bag) was observed hanging above the level of their bladder for multiple observations, potentially causing urine backflow and risk of infection. Findings include: The facility policy Catheter Care, Urinary revised 8/2022 documented position the [urinary] drainage bag lower than the bladder at all times to prevent urine from flowing back into the urinary bladder. Check the resident frequently to be sure he or she is not lying on the catheter and to keep the catheter and tubing free of kinks. Resident #90 was admitted to the facility with diagnoses including diabetes mellitus (DM, the body does use insulin efficiently) and neurogenic bladder (lack…

    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 · D2023-06-30 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview during the recertification and abbreviated (NY00317917) surveys conducted 6/22/23-6/30/23, the facility did not ensure a resident who needed respiratory care was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 of 1 resident (Resident #27) reviewed. Specifically, Resident #27 was administered oxygen (O2) without a medical order. Findings included: The facility policy, Medication and Treatment Orders revised 7/2016 documented medications and treatments shall be administered only upon the written order of a person duly licensed and authorized to prescribe such medications in this state; only authorized, licensed practitioners, or individuals authorized to take verbal orders from practitioners shall be allowed to write orders in the medical record; drug and biological orders must be recorded on the physician's order sheet in the resident's chart;…

    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 · D2023-06-30 · tag F0742 — isolated
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review during the recertification survey conducted 6/22/23-6/30/23, the facility did not ensure that residents who displayed or were diagnosed with a mental disorder or psychosocial adjustment difficulty, received appropriate treatment and services to correct the assessed problem to attain the highest practicable mental and psychosocial well-being for 1 of 1 resident (Resident #12) reviewed. Specifically, Resident #12 exhibited symptoms of depression and grief following the death of their spouse and continued need for long-term care and did not receive routine psychiatric evaluations or mental health counseling as planned. Findings include: The facility policy Behavioral Assessment, Intervention and Monitoring revised 3/2019 documented the facility would provide and residents would receive behavioral health services as needed to attain or maintain the highest practicable physical, mental, and psychosocial well-being in accordance with comprehensive assessment and plan of care. Behavioral symptoms would be identified using facility approved…

    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 · Fcited before2021-06-09 · tag F0804 — failed to serve food at safe, palatable temperature — widespread
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review during the recertification and abbreviated surveys (NY00250434) ending on 6/9/21, the facility did not provide food and drink that was palatable, attractive, and at a safe and appetizing temperature for 4 of 4 meal trays tested. Specifically, food was not served at palatable and safe temperatures. Findings include: The undated Food Temperature Policy documented once food was placed in the steam table staff would take and record the temperature of the items on the Temperature Log Sheet. The undated Temperature Log Sheet documented the following acceptable temperatures: - Entrees 160 degrees Fahrenheit (F); and - All cold foods should be 45 degrees F or below. During an interview with Resident #89 on 6/1/21 at 11:49 AM, the resident stated the food did not taste good and their son brought in snacks to them. The following was observed during the lunch meal on 6/2/21: - At 10:39 AM, lunch meal items were in the steam table being loaded onto open carts for each nursing floor and the temperatures were measured. The meal consisted of…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2021-06-09 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review conducted during the recertification and abbreviated (NY00250434) surveys completed on 6/9/21, the facility did not store, prepare, distribute and serve food in accordance with professional standards for 1 of 1 commercial dishwasher and for 1 of 8 meals (6/6/21 lunch meal) observed Specifically, the commercial dishwasher was not functioning as designed and needed to be used as a low temperature machine versus a high temperature machine. The sanitizer was not being pumped into the machine to complete the sanitization step for the dishes and utensils used in the facility. Additionally, the 4th floor lunch meal on Sunday 6/6/21 was served 45 minutes late due to insufficient staffing. Findings include: COMMERCIAL DISHWASHER The daily dishwasher temperature logs documented on 5/23/21 rinse cycle temperatures started to fall below acceptable limits (170 degrees Fahrenheit, F). During an observation with the Food Service Director on 6/2/21 at 10:52 AM, the commercial dishwasher was not functioning as designed. The dishwasher would normally…

    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 before2021-06-09 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview during the recertification survey completed on 6/9/2021, the facility did not ensure that residents received treatment and care in accordance with professional standards of practice for 1 of 4 residents (Resident #84) reviewed. Specifically, Resident #84 had a change in condition including a swollen tongue and dysphagia (difficulty swallowing) that was not addressed timely. Findings include: The 4/2007 Change in a Resident's Condition or Status facility policy documented the facility will notify the resident, the attending physician, and the representative of changes in the resident's mental/medical condition and/or status. A significant change of condition is a decline or improvement in the resident's status that will not normally resolve itself without intervention by staff or by implementing standard disease related clinical interventions. Resident #84 had diagnoses including chronic obstructive pulmonary disease (COPD, restricted breathing), dialysis dependent kidney disease, and erosive arthritis (inflammation of joints 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-06-09 · 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 observation, interview, and record review during a recertification survey conducted from 6/1/2021 to 6/9/2021, the facility did not ensure that residents maintained 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 for 2 of 8 residents (Residents #52 and #80) reviewed. Specifically, Residents #52 and #80 had significant weight loss and were not reassessed timely by clinical nutrition staff and there was no documented evidence the medical provider was made aware of the weight loss when it occurred. Findings include: The undated facility policy Weight Assessment and Intervention documents any weight change of 5% or more since the last weight assessment will be taken again the next day for confirmation. If the weight is verified, nursing staff will immediately notify the Dietitian in writing. Verbal communication must be confirmed in writing. The…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-06-09 · 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

    Based on observation, interview, and record review during the recertification survey ending on 6/9/21, the facility did not ensure drugs and biologicals were stored and labeled in accordance with currently accepted professional standards, and the expiration date when applicable for 2 of 4 medication rooms (Units 3 and 4) and 2 of 4 medication carts (Units 3 and 5) reviewed. Specifically, on Unit 3 the medication cart had an opened expired stock medication bottle and the medication room refrigerator had an opened expired biological vial. The Unit 4 medication room had 2 expired unopened stock medications and the Unit 5 medication cart had 2 expired opened stock medications. Findings include: The facility policy Medication Administration revised 7/2019 documented to check the expiration date of injections, all deceased and expired medications must be removed from the medication cart, only medications with a current order may be stored in the medication cart, all expired medications were to be removed from the medication room, and all deceased and expired medications must be removed…

    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 · D2021-06-09 · 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

    Based on observation, interview and record review during the recertification survey ending 6/9/21, the facility did not ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences for 2 of 3 residents (Residents #62 and138) reviewed. Specifically, Resident #138 did not like tuna fish and was served tuna fish sandwiches at multiple meals and Resident #62 was not provided their choice of salad dressing. Findings include: The 4/23/19 Diet policy documented all residents will receive a diet as ordered by their physician that meets their nutritional needs while providing the least restrictive and liberalized diet available at the facility. The purpose of nutrition in older adults is to improve or maintain health and quality of life. 1) Resident #138 had diagnoses including end stage renal disease and diabetes. The 5/29/21 Minimum Data Set (MDS) assessment documented the resident was cognitively intact, able to make their own decisions and was independent with eating. The comprehensive care plan (CCP) initiated 6/29/20…

    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 · D2021-06-09 · tag F0810 — isolated
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review during the recertification survey ending on 6/9/21, the facility did not provide special eating equipment for residents who need them and appropriate assistance to ensure that the resident can use the assistive devices when consuming meals and snacks for 1 of 1 resident (Resident #77) reviewed. Specifically, Resident #77 was not provided a Dycem mat (a non-slip material used to stabilize items) when eating as ordered. Findings include: The undated Adaptive Feeding Equipment Policy documented occupational therapy will evaluate a resident's ability to feed themselves and make any recommendations deemed appropriate. Once appropriate adaptive equipment is determined, the occupational therapist (OT) will email the unit manager and dietary group of the recommendations. Dietary will put the adaptive equipment on the meal ticket and ensure items are on trays for all meals. Resident #77 was admitted to the facility with diagnoses including dementia. The 4/27/21 Minimum Data Set (MDS) assessment documented the resident had severely impaired…

    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 · D2021-06-09 · tag F0836 — isolated
    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview during the recertification survey ending [DATE], the facility did not ensure services were provided in compliance with all applicable Federal, State, and local laws, regulations, and codes for 1 of 1 resident (Resident #99) reviewed. Specifically, the facility did not follow requirements for completing Resident #99's Medical Orders for Life-Sustaining Treatment (MOLST). Findings include: The MOLST Legal Requirements Checklist for Individuals with Developmental Disabilities documented use of this checklist is required for individuals with DD who lack the capacity to make their own health care decisions and do not have a health care proxy (HCP). Medical decisions which involve the withholding or withdrawing of life sustaining treatment (LST) for individuals with DD who lack capacity and do not have a health care proxy must comply with the process set forth in the Health Care Decisions Act for persons with MR (mental retardation) (HCDA [SCPA 1750-b (4)]. Effective [DATE], this…

    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 before2021-06-09 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview during the recertification survey completed on 6/9/2021, the facility did not establish and maintain an infection prevention and control program to ensure the health and safety of residents and to prevent the transmission of COVID-19 for 12 residents (Residents #20, 29, 35, 43, 44, 60, 88, 108, 109, 123, 125, and 136) observed during a meal service. Specifically, a certified nurse aide (CNA) was observed serving residents their beverages during the lunch meal at a distance closer than 6 feet with their surgical mask not covering their nose and mouth. Findings include: The New York State Department of Health (NYSDOH) Revised Health Advisory entitled COVID-19 Cases in Nursing Homes and Adult Care Facilities, dated 3/13/20 and updated 7/10/20, documented all healthcare personnel (HCP) and other facility staff shall wear a facemask while within 6 feet of residents. Extended wear of facemasks is allowed; facemasks should be changed when soiled or wet and when HCP go on breaks. The Centers for Disease Control and Prevention (CDC) guidance…

    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
  • No harm found · B2021-06-09 · tag F0582 — pattern
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review during the recertification survey ending on 6/9/21, the facility did not inform each resident before, or at the time of admission, and periodically during the resident's stay, of services available in the facility and of charges for those services, including any charges for services not covered under Medicare for 2 of 3 residents (Residents #56 and 60) reviewed. Specifically, Resident #56 and 60 did not receive CMS (Centers for Medicare and Medicaid Services) Form 10055 (Skilled Nursing Facility Advance Beneficiary notice of Non-coverage, SNF-ABN) at the end of their Medicare A stay. This is evidenced by: The 9/2020 Form CMS-10055 documents the resident's care may not be covered by Medicare and they may have to pay out of pocket for care. The following options are listed: 1) I want the care listed above. I want Medicare to be billed for an official decision on payment, which will be sent to me on a Medicare Summary Notice (MSN). I understand that if Medicare doesn't pay, I'm responsible for paying, but I can appeal to Medicare by following the…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to WECARE CENTERS — 13 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 51.9-0.9 vs chain
Health inspection 2 of 52.0≈ chain avg
Staffing 1 of 51.9-0.9 vs chain
Quality measures 3 of 53.6-0.6 vs chain
The other 12 homes this chain runs (chain average 1.9★, 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
FARKAS, YOSEFIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER5%since 02/01/2018
GRINSPAN, ARYEHIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER65%since 02/01/2018
PECKMAN, JOSHUAIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER5%since 02/01/2018
WIELGUS, GEDALIAHIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER15%since 02/01/2018
YIFAT, MENACHEMIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER5%since 02/01/2018
KELLY, DONNAIndividualW-2 MANAGING EMPLOYEEsince 07/01/2018

CMS files one row per role, so the 11 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

Follow the money — this home’s finances

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

$16.4M
Net patient revenuemost recent cost report
-8.3%
Operating marginrevenue minus expenses
$1.5M
Related-party expense8% of expenses
Who pays — share of resident-days
Medicaid 71%Medicare 10%Other / private 19%

About 71% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.5M 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

$351per resident / day
operating cost
$10,685per month
≈ monthly operating cost
$325per 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 335510. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-01-29, 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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