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St Johnland Nursing Center

395 Sunken Meadow Road, Kings Park, NY 11754 · Non profit - Corporation · 250 certified beds · (631) 269-5800 Medicare & Medicaid certified

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Flagged for abuse1 immediate-jeopardy citation$30,817 in federal fines
Insights

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

Worth asking about
  • CMS has flagged it for abuse
  • it has an abuse, neglect, or exploitation citation (F0600), cited Feb 2026
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $30,817 in federal fines (most recent 2025-03-10)
  • its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
  • its independent health-inspection 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 1 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Worth a closer look. This home's staffing and quality-measure ratings run 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★★★ 5/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
48 Route 25A · (631) 863-1007 · Call to confirm hours
Pharmacy
629 E Main St · (631) 265-6404 · Call to confirm hours
Grocery
120 Main St · (631) 292-2544 · Call to confirm hours
Park
Tiffany Field · (732) 563-2525 · Typically dawn to dusk
Place of worship
59 Church St · (631) 269-6635

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

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 4 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 2 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating2★
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 increased10.3%14.1%15.4%better
Long-stay residents who lose too much weight4.6%5.8%5.4%better
Long-stay residents with a catheter left in their bladder0.1%0.5%0.9%better
Long-stay residents with a urinary tract infection0.1%1.3%2.0%better
Long-stay residents with depressive symptoms6.2%19.5%6.5%typical
Long-stay residents who were physically restrained0.6%0.2%0.1%worse
Long-stay residents with falls causing major injury4.4%3.1%3.3%worse
Long-stay residents whose ability to walk worsened7.8%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication18.1%13.2%18.9%typical
Long-stay residents given the seasonal flu vaccine100.0%95.3%95.3%typical
Long-stay residents with pressure ulcers3.6%6.5%4.7%better
Long-stay residents with worsening bladder/bowel control8.4%19.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table13.5%13.7%17.1%better
Short-stay residents who newly got an antipsychotic medication1.9%1.2%1.4%worse
Short-stay residents given the seasonal flu vaccine95.2%78.8%79.4%better
Short-stay residents rehospitalized after admission25.9%20.6%22.6%worse
Short-stay residents with an outpatient ER visit9.8%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days3.111.701.67worse
Long-stay outpatient ER visits per 1,000 resident days1.541.361.80better

§ 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.

61.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 482 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

61.0%U.S. median 51.5%
Got home and stayed home
11.2%U.S. median 10.7%
Went back to hospital
80.1%U.S. median 56.6%
Met the expected recovery
0.34U.S. median 0.31
Therapy hours / resident / day
0.16hours / resident / day
Physical therapy
0.13hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 80.1% 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 206 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 0.34 therapist hours per resident per day in 2026Q1 — more than 57% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF61.0%CMS range 56.5–65.551.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.2%CMS range 8.9–13.410.7%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 discharge80.1%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 discharge66.0%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 discharge78.6%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 identified92.2%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting91.6%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 discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.0%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 worsened2.9%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.3%CMS range 4.5–8.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.231.02Oct 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

0.76
RN hours/ resident / day
1.02
LPN hours/ resident / day
2.36
Aide hours/ resident / day
4.14
Total nurse hours/ resident / day
0.48
RN hoursweekends
39.0%
Total nursing turnover
48.8%
RN turnover

How full it usually is: this home is certified for 250 beds and averages 205.4 residents a day — about 82% occupied, or roughly 45 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 4.14 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.76 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.36 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 3.75 hrs/resident/day on weekends vs 4.30 on weekdays — 13% thinner on weekends. RN hours go from 0.88 to 0.48 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 39% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

11
deficiencies at the latest standard inspection (2024-12-10)
6
at the previous standard inspection (2023-05-18)

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.

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

  • Immediate jeopardy · Kcited before2025-03-10 · tag F0600 — failed to protect residents from abuse and neglect — pattern
    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 record review and interviews during an abbreviated survey (NY00372994 and NY00364939) the facility did not ensure that resident's received adequate supervision to remain free from sexual abuse for three (3) of three (3) residents (Resident #2, #3, and #4) reviewed for abuse. Specifically, on 12/16/2024 at approximately 8:00 AM, License Practical Nurse #2 responded to a call for help from the dining room and observed that Resident #1 was touching the genital area of Resident #2. License Practical Nurse #2 intervened and removed Resident #2. Resident #1 was left unsupervised and immediately began rubbing the genital area of Resident #3. Additionally, on 02/22/2025, Registered Nurse #4 heard Resident #4 yelling get out, and when they entered Resident #4's room they observed Resident #4 in bed, the bed linens were pulled down, Resident #4's pants were pulled down below the waist, and Resident #1's hands were at the genital area of Resident #4. This resulted in actual harm for Resident #2, #3, and #4 which…

    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
  • Actual harm · Gcited before2023-05-18 · 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 interviews during the Recertification Survey and Abbreviated survey (Complaint #NY00278415) initiated on 5/11/2023 and completed on 5/18/2023, the facility did not ensure that each resident received assistive devices to prevent accidents. This was identified for one (Resident #124) of nine residents reviewed for accidents. Specifically, Resident #124, who was cognitively intact was pushed by Physical Therapist (PT) #1 from the patio to the resident's room on 6/21/2021. PT #1 pushed the wheelchair without the leg rests in place contrary to the facility's leg rest policy. Subsequently, Resident #124's left leg got caught under the wheelchair. Resident #124 was transferred to the hospital and was diagnosed with a left femur (thigh bone) fracture. This resulted in actual harm to Resident #124 that is not Immediate Jeopardy. The finding is: The Facility's Leg Rest policy dated October 2017 documented all residents are issued wheelchairs with leg rests as appropriate. 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 before2026-02-25 · 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 observation, interviews and record review during an abbreviated survey intake number 2707253 the facility failed to ensure adequate supervision and timely risk assessment for an elopement for one (1) of three (3) sampled residents (Resident #1). Specifically, Resident #1 verbalized the desire to leave the facility to a provider who reported it to facility staff, the facility failed to follow the elopement prevention policy and assessed for elopement risk or implement supervision. Resident #1 eloped from the facility and was found outside on the facility grounds 30 minutes later. Findings include:Resident #1 was admitted to the facility on [DATE] with diagnoses including stroke, hemiparesis, and urinary tract infection. A Minimum Data Set Brief Interview for Mental Status (BIMS) completed on 12/09/2025 documented a score of 11, indicating moderate cognitive impairment.Facility policy titled Elopement Prevention (dated 2020) required that upon a significant change in condition, each resident be assessed…

    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 before2026-02-05 · 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 abbreviated survey 2645588 , the facility did not ensure the residents right to be free from abuse and neglect for one (Resident #1) of three residents reviewed. Specifically, during a transfer Certified Nursing Assistant #1 needed to lower Resident #1 to the floor when their (Resident #1) legs became weak. This resulted in an injury to Resident #1's left knee requiring first aid. Certified Nursing Assistant #1 completed the transfer by themselves although the comprehensive care plan and Kiosk Nursing instructions documented Resident #1 was to have two staff member assistances with transfers.The finding is :The facility Abuse Prevention Identification Investigation and Reporting policy dated October 2016 reviewed April 2025 documented neglect defined as means failings provide timely, consistent, safe, adequate, and appropriate services, treatment, and/or care to a resident of a residential care facility, while the resident is under the supervision 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-12-10 · tag F0725 — failed to have enough nursing staff — pattern
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification Survey and Abbreviated Survey (NY 00358060, NY 00355385, NY 00357476, and NY 00358655) initiated on 12/3/2024 and completed on 12/10/2024, the facility did not ensure sufficient nursing staff were available to provide nursing services to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing of each resident. This was identified for four (Inn, Head Injury Rehabilitation Unit, Muhlenberg, and [NAME] Hall) of seven nursing units reviewed during the Sufficient Nursing Staffing Task. Specifically, during an observation on 12/8/2024 (Sunday) 13 of 15 residents in the Head Injury Unit were still in bed at 11:38 AM due to insufficient staffing. Resident #38, who resided in the Inn unit, did not receive showers as scheduled on 11/28/2024 and 12/2/2024 due to understaffing. On 11/29/2024, the [NAME] Unit had only one Certified Nursing Assistant (#13) assigned for a unit census of 46. Certified Nursing…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-12-10 · 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, record review, and interviews during the recertification initiated on 12/3/2024 and completed on 12/10/2024, the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. This was identified during the Kitchen task observation on 12/4/2024. Specifically, the facility did not monitor the temperature of cold food items (sandwiches, potato salad, pudding) at the time of meal service. The finding is: A facility policy and procedure titled Food Preparation, documented time/temperature control for safe food (formerly known as potentially hazardous food) means a food that requires time/temperature controls for safety to limit pathogenic organism growth or toxin formation. The Dining Services Director/Cook(s) is responsible for food preparation techniques, which minimize the amount of time food items are exposed to temperatures greater than 41 degrees Fahrenheit and/or less than 135 degrees Fahrenheit or per state regulation. The Cook(s) ensures that all foods are held 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-10 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and staff interviews during the Recertification Survey initiated on 12/3/2024 and completed on 12/10/2024, the facility did not ensure each resident was treated with respect and dignity and provided care in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life. This was identified on one ([NAME] Unit-secure dementia unit) of seven nursing units observed during the dining task. Specifically, during the lunch meal observation on 12/4/2024 on the [NAME] unit, there were 11 dining tables in the room. At least 3 to 4 residents were seated at each table. The lunch meal was being served by the nursing staff from the first meal transport rack. At all of the tables, some residents had received their lunch trays and were eating, while other residents at the same table had not received their lunch trays because the second lunch transport rack and smaller cart had not arrived on the unit from the kitchen. The finding is: The facility'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 · D2024-12-10 · 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 observation, record review, and staff interviews during the Recertification Survey initiated on 12/3/2024 and completed on 12/10/2024, the facility did not ensure it developed and implemented a comprehensive person-centered care plan for each resident to meet each resident's medical and nursing needs. This was identified for one (Resident #152) of one resident reviewed for Accommodation of Needs. Specifically, Resident #152 had a physician's order for a wheelchair with bilateral leg rests. Resident #152 was observed on multiple occasions sitting in the wheelchair without the leg rests. The finding is: The facility's policy titled Wheelchair Safety, effective March 2017, documented you must never transport a resident without foot pedals regardless of locomotion status. Make sure feet are on foot pedals when the resident is in the wheelchair. The facility's policy titled Wheelchair Transport, dated March 2017, documented that foot pedals must be on the chair if staff are pushing a resident. The feet must…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-10 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview during the recertification initiated on 12/3/2024 and completed on 12/10/2024, the facility failed to ensure, to the extent practicable, the participation of the resident and the resident's representative(s) for the development of the resident's care plan. This was identified for one (Resident #66) of three residents reviewed for Care Planning. Specifically, the facility did not conduct interdisciplinary care plan meetings and did not provide notice of invitation to the resident or the resident's representative to participate in the quarterly assessments. The finding is: A facility policy and procedure titled Care Planning, effective 7/2016, revised 10/2024, documented creating a comprehensive, individualized care plan for each resident based on the assessments performed using the Minimum Data Set and ensuring compliance with Federal and State regulations. Quarterly and annual updates to the care plan, or as required due to significant changes in a 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-12-10 · 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 interviews during the recertification and abbreviated survey (NY 00361065) initiated on 12/3/2024 and completed on 12/10/2024, the facility did not ensure the resident environment remained as free of accident hazards as possible and the residents received adequate supervision and assistance devices to prevent accidents. This was identified for one (Resident #73) of six residents reviewed for Accidents. Specifically, Resident #73 required two-person assistance with bed mobility and for a mechanical lift transfer to and from the bed. On 11/18/2024, Certified Nursing Assistant #14 turned and positioned Resident #14 by themselves and used a mechanical lift transfer to transfer Resident #73 from bed to their wheelchair without assistance. The finding is: The Facility Policy for Hoyer Lift Transfer last revised on 4/2023 documented Lift transfers must be completed by two employees using the following procedure to ensure the safe transfer of residents and protect employees from…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-10 · tag F0726 — failed to have competent, trained nursing staff — isolated
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    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 survey (NY 00361065) initiated on 12/3/2024 and completed on 12/10/2024, the facility did not ensure that nurse aides were able to demonstrate competency in skills and techniques necessary to care for resident needs, This was identified for one (Resident #73) of six residents reviewed for Accidents. Specifically, Resident #73 required two-person assistance with bed mobility and mechanical lift transfers. On 11/18/2024, Certified Nursing Assistant #14 turned and positioned Resident #14 by themselves and used a mechanical lift transfer to transfer Resident #73 from bed to their wheelchair without assistance. The finding is: The Facility Policy for Hoyer Lift Transfer last revised on 4/2023 documented Lift transfers must be completed by two employees using the following procedure to ensure the safe transfer of residents and protect employees from injury. The procedure documented nursing staff will explain the procedure 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-12-10 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews conducted during the Recertification Survey initiated on 12/3/2024 and completed on 12/10/2024, the facility did not ensure that all medications and biologicals were stored properly and labeled in accordance with currently accepted pharmaceutical principles and practices. This was identified for one (Resident #19) of six residents reviewed for Accidents. Specifically, the facility did not ensure that medications were properly labeled and stored. Two tubes of Voltaren analgesic cream, which were not labeled with the resident's name or directions of application, were observed in Resident #19's room on their nightstand. There was no staff in the vicinity. The findings are: Resident #19 had a diagnosis of Diabetes Mellitus and Peripheral Vascular Disease. A quarterly Minimum Data Set assessment dated [DATE] documented Resident #19 had a Brief Interview for Mental Status of 15 indicating the resident had intact cognition. The Minimum Data Set documented Resident #19…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
Show the remaining 9 citations
  • Potential for harm · D2024-12-10 · tag F0800 — isolated
    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

    Based on record review and interviews during the Recertification Survey initiated on 12/3/2024 and completed 12/10/2024, the facility did not ensure each resident was provided a nourishing, palatable, well-balanced diet that meets daily nutritional and special dietary needs, taking into consideration the preferences of each resident. This was identified for one (Resident #79) of three residents reviewed for Food. Specifically, Resident #79 verbalized disliking the food served to them and specified they were not assessed for their food preferences. Finding include: The facility's vendor policy Food Preferences documented that it is the center policy that individual dining, food, and beverage preferences are identified for all residents/patients. Action Steps include that the Dining Services Director or designee will interview the resident or resident representative to complete a Food Preference Interview within the admission process. The purpose of identifying individual preferences for dining location, and meal times, including times outside of the routine schedule, food, 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-12-10 · 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 staff interviews during the Recertification Survey initiated on 12/3/2024 and completed on 12/10/2024, the facility did not maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infections. This was identified for one (Resident #46) of five residents observed during medication administration. Specifically, during the medication administration observation for Resident #46 on 12/4/2024, Registered Nurse #1 handled the oral medication tablets with their bare hands and administered those medications to the resident. The finding is: The facility's policy titled Medication Pass via Medication Cart, dated 12/2016, documented to follow infection control policies while administering medication. Hold the back of the blister card over the souffle cup and pop the pill into the cup without touching the pill. The facility policy titled Infection Control-Strategy of Investigation, Control, Prevention, last reviewed 4/2023 documented, that the facility will investigate,…

    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 · D2024-12-10 · tag F0919 — failed to provide a working call system — isolated
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    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 and abbreviated Survey (NY 00358655) initiated on 12/03/2024 and completed on 12/10/2024, the facility did not ensure call bells were within reach for each resident at their bedside. This was identified for one (Resident #39) of five residents reviewed for Activities of Daily Living. Specifically, Resident #39, who was assessed to require assistance with transfer and locomotion, was observed on several occasions with a tap call bell out of reach. The finding is: Resident #39 was admitted with diagnoses including Traumatic Brain Injury, Anoxic (lack of oxygen) Brain Injury, and Myocardial Infarction (heart failure due to lack of blood supply to the heart). The Quarterly Minimum Data Set, dated [DATE] documented no Brief Interview for Mental Status score because Resident #39 was rarely or never understood. The Minimum Data Set documented Resident #39 had impairment to the upper and lower extremities. Minimum Data Set 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-05-18 · 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 interviews, and record review during the Recertification Survey and Abbreviated survey (Complaint # NY00315350) initiated on 5/11/2023 and completed on 5/18/2023, the facility did not ensure that each resident remained free from abuse. This was identified for one (Resident #142) of two residents reviewed for abuse. Specifically, a Certified Nursing Assistant (CNA) #3 was observed hitting Resident #142's shoulder, waiving a phone directly in front of the resident's face, and speaking in a loud manner while accompanying the resident to a medical appointment outside of the facility. The finding is: The facility's Policy and Procedure titled Abuse, Identification, Investigation and Reporting dated 10/2016 and last revised on 4/2023, defined physical abuse as inappropriate physical contact with a resident which harms or is likely to harm the resident. Resident #142 was admitted with diagnoses including Unspecified Malignant Neoplasm of Skin of the Face, Transient Cerebral Ischemic Attack, and Type 2 Diabetes…

    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 · D2023-05-18 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during the Recertification Survey and Abbreviated Survey (NY 00303861) initiated on [DATE] and completed on [DATE] the facility did not ensure that services provided or arranged by the facility meet professional standard of quality. This was identified for one (Resident #356) of two residents reviewed for accident. Specifically, Resident #356 was readmitted on [DATE] on the 3:30 PM-to 11:30 PM shift with diagnoses of Head Injury and Chest Contusion. The resident was placed on the 24-Hour Report for monitoring. There was no documented evidence in the medical record that the resident was assessed on the 11:30 PM-7:30 AM shift. The finding is: The facility's Admission/readmission Vital Signs policy and procedure last reviewed 1/2023 documented for all admission and readmission to have regular monitoring of vital signs. Upon admission the admitting nurse will obtain physician orders for vital signs monitoring; this includes the monitoring of Blood Pressure, Pulse, Respiration,…

    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 · D2023-05-18 · 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 interviews and record review during a Recertification Survey and an Abbreviated Survey (Complaint# NY00289075) initiated on 5/11/2023 and completed on 5/18/2023 the facility did not ensure that each resident who is unable to carry out Activities of Daily Living (ADLs) received the necessary services to maintain safe transfers. This was identified for one (Resident #18) of five residents reviewed for ADLs. Specifically, Resident #18 was assessed as at risk for falls and required two-person assistance for transfers to and from the bed as per the resident's plan of care. On 12/31/2021 Certified Nursing Assistant (CNA) #4 transferred Resident #18 by themselves from a chair to the bed causing Resident #18 to fall during the transfer. The finding is: The Policy/Procedure on ADLs updated 12/2022 documented to provide assistance as needed for ADLS to prevent incidents and maintain safety. Resident #18 was readmitted to the facility with diagnoses that include Congestive Heart Failure and Gout. The Minimum Data…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-05-18 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during the Recertification Survey initiated on 5/11/2023 and completed on 5/18/2023, the facility did not ensure that it maintains medical records for each resident that are complete and accurately documented. This was identified for one (Resident #74) of one resident reviewed for Dialysis. Specifically, the Physician's monthly notes dated 4/17/2023 and 5/11/2023 did not address the resident's right upper extremity Deep Vein Thrombosis (DVT) status. The finding is: The facility's Physician Services policy and procedure dated 12/2022 documented that the Physician must review the resident's total program of care, including medications and treatments, at each visit. Resident #74 was admitted with diagnoses that include End Stage Renal Disease (ESRD) on Hemodialysis, Acute Embolism and Thrombosis of Deep Vein of Right Upper Extremity, and Hypertension. The Annual Minimum Data Set (MDS) assessment dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 4 which…

    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 before2023-05-18 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interviews during the Recertification Survey initiated on 5/11/2023 and completed on 5/18/2023, the facility did not ensure that an Infection Prevention and Control Program (IPCP) designed to help prevent the development and transmission of infection was maintained. This was identified for one (Resident #147) of five residents reviewed for Pressure Ulcers. Specifically, during a wound care observation for Resident #147's Stage III Pressure Ulcer, the Licensed Practical Nurse (LPN) #3 did not perform hand hygiene after cleansing the wound and prior to donning (putting on) clean gloves. The finding is: The facility's Policy and Procedure for Hand Hygiene dated 12/2022 documented to apply new gloves and perform hand hygiene. Resident # 147 has diagnosis that include Stage III Pressure Ulcer to the sacral region. The Minimum Data Set (MDS) assessment dated [DATE] documented the resident had severe cognitive impairment and had both short and long term memory impairment. 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-04-13 · 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 observations, interviews, and record review during the Recertification survey completed on 4/13/2021, the facility did not provide pharmaceutical services, including procedures that assure accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals, to meet the needs of each resident on 3 of 7 nursing units. Specifically, the emergency boxes in the medication rooms had expired medications. The findings are: On 4/9/2021 between 2:00 PM and 2:55 PM, observations of the medication storage rooms were conducted. The following was observed: An observation of the Sunset Hall Unit medication storage room at 2:00 PM revealed the following expired medications in the emergency box; Epipen (Adrenalin)- Expiration date 1/2021 Epinephrine- Expiration date 1/2021 Naloxone - Expiration date 1/2021 Nitroglycerine- Expiration date 2/2021 An interview was conducted on 4/9/2021 at 2:15 PM with the Licensed Practical Nurse (LPN) #1. She stated that she did not know who was responsible for…

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

    Pharmacy Service 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

$30,817 in federal fines across 1 penalty.

  • $30,817 — penalty dated 2025-03-10

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

Who owns this facility

Owner / managerTypeRoleSince
AGNES, MICHAELIndividualCORPORATE DIRECTORsince 03/31/2020
CONWAY, MARIONIndividualCORPORATE DIRECTORsince 03/31/2020
DEMING, DAVIDIndividualCORPORATE DIRECTORsince 03/31/2020
DOERGE, CARLIndividualCORPORATE DIRECTORsince 05/23/1998
LANE, HEATHERIndividualCORPORATE DIRECTORsince 03/31/2020
SANTANGELO, JOSEPHIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 03/31/2020
TRETOLA, MICHAELIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/12/2025
VERMYLEN, ARLENEIndividualCORPORATE DIRECTORsince 03/31/2020
FAYNZILBERT, YELENAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/24/2025

CMS files one row per role, so the 13 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

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

$32.7M
Net patient revenuemost recent cost report
-8.6%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 70%Medicare 16%Other / private 14%

About 70% 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. 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

$453per resident / day
operating cost
$13,760per month
≈ monthly operating cost
$417per 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 335487. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-12-10, 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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