No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Elderwood of Uihlein at Lake Placid

185 Old Military Road, Lake Placid, NY 12946 · For profit - Limited Liability company · 156 certified beds · (518) 523-8600 Medicare & Medicaid certified

Call the home — (518) 523-8600 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

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

In its favor
  • no federal fines or payment denials on record
Worth asking about
  • a high number of inspection citations overall (26) — 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 (2/5)
  • nursing-staff turnover (61%) runs well above the national median (45%)
  • about 25% of its spending goes to commonly-owned related companies

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.

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

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
29 Church St · (518) 523-1717 · Call to confirm hours
Pharmacy
2140 Saranac Ave · (518) 523-5305 · Call to confirm hours
Grocery
188 Newman Rd · (518) 523-1689 · Call to confirm hours
Park
Wright Mountain · Typically dawn to dusk
Place of worship

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

Quality measures — how residents actually fare

Overall quality measures 3 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 3 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating 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 increased17.8%14.1%15.4%worse
Long-stay residents who lose too much weight2.4%5.8%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.5%0.9%better
Long-stay residents with a urinary tract infection0.8%1.3%2.0%better
Long-stay residents with depressive symptoms10.6%19.5%6.5%better 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 injury8.0%3.1%3.3%worse
Long-stay residents whose ability to walk worsened10.5%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication25.4%13.2%18.9%worse
Long-stay residents given the seasonal flu vaccine89.6%95.3%95.3%typical
Long-stay residents with pressure ulcers9.2%6.5%4.7%worse
Long-stay residents with worsening bladder/bowel control29.3%19.5%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table17.4%13.7%17.1%typical
Short-stay residents who newly got an antipsychotic medication1.9%1.2%1.4%worse
Short-stay residents given the seasonal flu vaccine70.7%78.8%79.4%worse
Short-stay residents rehospitalized after admission20.0%20.6%22.6%better
Short-stay residents with an outpatient ER visit12.8%9.6%12.0%typical
Long-stay hospitalizations per 1,000 resident days1.101.701.67better
Long-stay outpatient ER visits per 1,000 resident days2.221.361.80worse

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.

49.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 104 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

49.4%U.S. median 51.5%
Got home and stayed home
9.0%U.S. median 10.7%
Went back to hospital
62.5%U.S. median 56.6%
Met the expected recovery
0.19U.S. median 0.31
Therapy hours / resident / day
0.14hours / resident / day
Physical therapy
0.01hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 62.5% 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 80 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 0.19 therapist hours per resident per day in 2026Q1 — more than 19% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 22% 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 SNF49.4%CMS range 40.2–58.251.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.0%CMS range 6.0–13.010.7%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 discharge62.5%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 discharge56.2%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 discharge62.5%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 identified99.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay3.0%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 worsened5.0%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 hospitalization5.5%CMS range 3.0–11.97.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.981.02Oct 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

0.57
RN hours/ resident / day
0.62
LPN hours/ resident / day
1.43
Aide hours/ resident / day
2.62
Total nurse hours/ resident / day
0.21
RN hoursweekends
61.3%
Total nursing turnover
37.5%
RN turnover

How full it usually is: this home is certified for 156 beds and averages 144.7 residents a day — about 93% occupied, or roughly 11 beds typically open. It runs fairly full. 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 2.62 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.57 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.43 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 2.40 hrs/resident/day on weekends vs 2.71 on weekdays — 11% thinner on weekends. RN hours go from 0.72 to 0.21 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 61% is well above the national median of 45%.

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

Inspection trend

12
deficiencies at the latest standard inspection (2024-10-02)
6
at the previous standard inspection (2021-11-19)

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.

26 citations, most serious first. The 10 most serious are shown; the remaining 16 are one tap away and print in full.

  • Potential for harm · E2024-10-02 · tag F0761 — failed to label and store drugs safely — pattern
    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, the facility did not ensure drugs and biologicals were labelled and stored in accordance with professional standards of practice. Specifically, (a.) an opened medication bottle had an expired date; (b.) opened medication bottles had no open dates (c.) opened insulin pens were labeled with incorrect expiration dates; (d.) a pre-poured medication cup was noted at a resident's bedside. This was evident for 2 out of 3 medication carts reviewed. This is evidenced by: The facility's Policy and Procedure titled, Medications Administration Methods, date last modified: [DATE] documented under PRODCEDURE #5: Medications may not be pre-poured/pre-punched. #6: Medication expiration dates are checked prior to administration. Refer to manufacturer guidelines for medications with shortened expiration dates (i.e. insulin). GENERAL PRECAUTIONS FOR ADMINISTRATION OF MEDICATIONS #3: A medication must never be left at bedside or be out…

    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 · Ecited before2024-10-02 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interviews during the recertification survey, the facility did not ensure food was stored, prepared, distributed or served in accordance with professional standards for food service safety for the main kitchen and one of 3 resident unit kitchenettes. Specifically, appliances and surfaces were not clean. This is evidenced by: During observations on 09/24/2024 at 11:04 AM, in the main kitchen, the following appliances or surfaces were soiled with food particles or oily dust: • Slicer • Cooking line drawers • Bulk food bins • Cupboard doors • 2 exterior windows (windows, windowsills, window screens) • 2 exterior window fan grills • ABC-rated fire extinguisher During observations on 09/24/2024 at 11:56 AM, in the Unit Four Resident Kitchenette, the following was soiled with food particles: Interior of the microwave oven The undated document titled Cooks Cleaning Check List documented that the slicer is to be cleaned and free of debris and utensil drawers are to be clean inside and out. During an interview on 09/24/2024 at 12:01 PM, Director of Dining Services #1…

    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 · E2024-10-02 · tag F0814 — failed to dispose of garbage properly — pattern
    Dispose of garbage and refuse properly.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interviews during the recertification survey, the facility did not dispose of garbage and refuse properly. Specifically, the side doors to the two outdoor garbage dumpsters were not closed, the sides of the dumpsters below the doors were soiled with food drips, and the grounds around dumpsters were littered. This is evidenced by: During observations on 9/30/2024 at 12:02 PM, litter was found in the outdoor employee break area, around the dumpsters, and the loading dock area. During an interview on 9/30/2024 12:27 PM, Administrator #1 stated that they would have the areas outside cleaned, and staff would be in-serviced on keeping the break area and dumpster area pick-up. 10 New York Codes, Rules, and Regulations 415.14(h)

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-02 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview conducted during the recertification survey, the facility did not ensure treatment with respect, dignity, and care for each resident in a manner and in an environment that promoted maintenance or enhancement of their quality of life, recognizing each resident's individuality for 3 (Resident #s48, 100 and 113) of 32 residents reviewed for dignity. Specifically, (a.) Resident #48 was administered an insulin shot in the resident common area during lunch; (b.) Resident #100 had their shirt on inside and backwards, and (c.) Resident #113 was seen in their room removing their pants with their room door open and in full view of the resident common area. This is evidenced by: A facility policy titled Dignity date modified 8/01/2019, documented that each resident had the right to be treated with dignity and respect. All activities and interaction with residents by any staff, temporary agency staff or volunteers must focus on assisting the resident in maintaining 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-02 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interviews during a recertification survey, the facility did not ensure a resident was assessed by the interdisciplinary team to determine a resident's ability to safely administer their own medications if clinically appropriate for 1 (Resident #73) of 32 residents reviewed. Specifically, Resident #73 was observed with topical pain medications in their room and there was no assessment and/or physician order for the resident to self-administer the medications. This is evidenced by: The Policy and Procedure titled, Self- Administration of Medication, revised 4/10/2018, documented residents who desired to self-administer medication were permitted to do so upon review and approval by the interdisciplinary care planning team members and with an order from the attending physician. Legend or over-the-counter medications would be stored in a locked drawer in the resident's room. The use of self-administered medication would be monitored by licensed nursing staff. Resident # 73 was admitted with diagnoses of chronic obstructive pulmonary disease,…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-02 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    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 — the official record, unedited, may be distressing

    Based on observation, record review, and interviews during the recertification survey, the facility did not provide necessary maintenance services to maintain a clean, sanitary, comfortable, and homelike environment relative to building #1. Specifically, the roof leaked. This is evidenced by: During observations on 09/27/2024 at 10:18 AM, evidence of roof leaks was found in the following areas: • Unit One data room had a large tarp hanging from the ceiling. • Unit One janitor closet had water-stained ceiling tiles. • Activities room had a water-stained ceiling tile. • Core area had 2 areas with drain hoses attached to ceiling tiles draining into catch-buckets. During an interview on 09/30/2024 at 2:02 PM, Administrator #1 stated that the facility is looking to secure a contractor and have the roof leaks repaired before winter. 10 New York Codes, Rules, and Regulations 415.5(h)(4)

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-02 · tag F0637 — isolated
    Assess the resident when there is a significant change in condition
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews during a recertification survey, the facility did not ensure a Significant Change Minimum Data Set assessment was completed for 1 (Resident #128) of 1 resident reviewed. Specifically, a Significant Change Minimum Data Set assessment was not completed for Resident #128, when the resident was diagnosed with a left arm fracture on 4/11/2024, and the resident was no longer able to stand or walk on 4/12/2024. This is evidenced by: Cross-referenced to: F684: Quality of Care Resident #128 was admitted to the facility with diagnoses of rheumatoid arthritis, muscle weakness, and difficulty walking. The Minimum Data Set (an assessment tool) dated 8/7/2024, documented the resident was cognitively intact. The resident was able to make themselves understood and understand others. The document titled, SNF ADL Summary (Interventions) - V2, and dated 4/08/2024, documented focus: ADL (activities of daily living) function/mobility/restorative care: - Sit to stand: the ability to come to a standing position from sitting in a chair, wheelchair, or on the side 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-02 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during a recertification survey, the facility did not ensure patient centered care plans were reviewed and revised by the interdisciplinary team after each assessment in a timely manner for 2 (Resident #'s 128 and 2) of 32 residents reviewed. Specifically, the facility did not ensure A) Resident #128's care plan was reviewed and revised timely following a fall on 4/6/2024 and fracture diagnosed on [DATE] and B) Resident #2's care plan was reviewed and revised following resident-to-resident altercations on 7/01/2024, 7/08/2024 and 8/03/3024. This is evidenced by: Cross-referenced to: F684: Quality of Care, F637: Comprehensive Assessment After Significant Change The Policy and Procedure titled, Care Planning (IDT), revised 1/22/2019, documented the interdisciplinary team (IDT) would review/revise the care plan after each assessment, including both the comprehensive and quarterly review assessments per the Resident Assessment Instrument manual. It documented that between care…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-02 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review during the recertification survey, the facility did not ensure a dependent resident was provided with appropriate treatment and services to maintain or improve their language and communication for 1 of 1 resident (Resident #118) reviewed for Activities of Daily Living. Specifically, nursing staff did not provide Resident #118 with adequate, consistent interpreter services in accordance with professional standards of care. This is evidenced by: Resident #118 was admitted with diagnosis of stenosis of small artery (the walls of the small arteries in the heart aren't working properly); cervicalgia (pain in or around your spine beneath your head) and history of falls. The Minimum Data Set (an assessment tool) dated 9/2024, documented a Brief Interview for Mental Status indicated resident was cognitively intact. The facility document titled, Limited English Proficiency Policy, last modified 4/24/2018, documented Language assistance will be provided through use of competent bilingual staff, staff interpreters contracts of formal…

    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 before2024-10-02 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews during a recertification survey, the facility did not ensure a resident received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan and the resident's choices for 1 (Resident #128) of 1 resident reviewed for hospitalization. Specifically, the facility did not ensure Resident #128 received an assessment by a qualified person when they returned to the facility on 4/11/2024, following diagnosis and treatment of a left upper arm fracture in the Emergency Department. This is evidenced by: Resident #128 was admitted to the facility with diagnoses of rheumatoid arthritis, muscle weakness, and difficulty walking. The Minimum Data Set (an assessment tool) dated 8/7/2024, documented the resident was cognitively intact. The Comprehensive Care Plan for Safety, revised 8/29/2024, documented the resident was at risk for falls related to impaired gait. The Incident Report for Resident #128 dated 4/6/2024 at 4:32 PM, documented the resident had an unwitnessed fall. The resident stated their left…

    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
Show the remaining 16 citations
  • Potential for harm · D2024-10-02 · 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 observations, record review, and interviews conducted during the recertification survey, the facility did not ensure that each resident received the necessary respiratory care and services that were consistent with professional standards of practice, for 2 (Resident #'s 29 and 35) of 2 residents reviewed for oxygen administration. Specifically, for Residents #29 and 35, their supplemental oxygen tubing was not dated and labeled to reflect when the tubing was changed. This is evidenced by: A review of the facility's policy and procedure titled Oxygen Therapy, Concentrator, last revised on 3/26/2018, documented that oxygen would be administered by licensed nurses with a physician's order. As part of the procedure nursing staff would label and date the tubing and all tubing would be changed at least weekly (7 days), or more often if soiling with secretions occurs. A review of the facility's policy and procedure titled Oxygen Therapy, Oxygen Cylinder, last revised on 6/27/2023, documented that oxygen would…

    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 before2024-10-02 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review during the recertification survey, the facility did not ensure infection prevention control practices were followed to help prevent the spread, development, and transmission of communicable diseases and infection for all residents and staff on 4 of 4 units (Units #1, 2, 3, and 4) during the recertification survey. This is evidenced by: The facility's policy titled Infection Prevention Control Program dated 7/15/2024, documented that all department heads would ensure that the following procedures would be followed: 1. Staff were responsible for washing their hands frequently, especially after handling soiled or contaminated objects; before and after coming into contact with residents or handling possessions of resident, and handling equipment. 2. Protective gloves or other protective equipment were worn when a staff member had direct contact with body fluids during work duties. Staff member should follow infection prevention policies and procedures and use…

    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 · D2024-10-02 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review conducted during recertification and abbreviated survey, the facility did not ensure that the development and implementation of comprehensive person-centered care plans included measurable objectives and timeframes to meet residents' medical, nursing, mental and psychosocial needs for 1 (Resident #42) of 31 residents reviewed for comprehensive care plans. Specifically, for Resident #42 , Certified Nurse Aide did not implement the intervention of geri sleeves prior to care which resulted in skin tear to resident's right forearm. This is evidenced by: Resident #42 was admitted to the facility with diagnoses of unspecified atrial fibrillation (an irregular heartbeat), chronic kidney disease (a disease characterized by progressive damage and loss of function in the kidneys), and atherosclerotic heart disease (a chronic condition that occurs when plaque builds up in the arteries of the heart, reducing blood flow to the heart). The Minimum Data Set (an assessment tool) dated…

    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 · D2021-11-19 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews and interviews during a recertification survey, the facility did not develop and implement a baseline care plan for each resident that included the instructions needed to provide effective and person-centered care of the resident that met professional standard of quality care for 3 (Resident #'s 2, 32, and #57) of 11 residents reviewed for baseline care plans. Specifically, for Resident #'s, 32 and #57, the facility did not ensure a baseline care plan was developed or completed within 48 hours of the residents' admission. This is evidenced by: The facility Policy and Procedure titled Care Plan - BASELINE last revised 2/15/2018, documented that the interdisciplinary team will develop a baseline care plan within 48 hours of admission which provides instructions for the provision of effective and person-centered care to each resident. Resident #2: Resident #2 was admitted to the facility with diagnoses of acquired absence of right leg below the knee, type 2 diabetes mellitus with other specified complication, and major depressive disorder single episode…

    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 · D2021-11-19 · 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

    Based on observation, interview and record review during the recertification survey and an abbreviated survey (Case #NY00280258), the facility did not ensure residents who were unable to carry out activities of daily living (ADLs) received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 2 (Resident #'s 37 and 40) of 3 residents reviewed for ADL's. Specifically, for Resident #'s 37 and 40, who were dependent on staff for ADL care, the facility did not ensure incontinence care was provided in accordance with the resident's care plan. This is evidenced by: The Policy and Procedure (P&P) titled ADL Assistance and Supervision dated 1/8/2018, documented the Unit Manager/designee would ensure that a plan of care for receiving ADL assistance and/or supervision was incorporated into the daily nursing care of each residents, if needed. The P&P titled Bladder and Bowel, Incontinence Management dated 4/10/2018, documented residents who were incontinent, or unable to express their needs should have a bladder incontinence management program and…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-11-19 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interviews during the recertification survey and an abbreviated survey (Case #NY00280271), the facility did not ensure a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice for 1 (Resident #8) of 3 residents reviewed for pressure ulcers. Specifically, for Resident #8, the facility did not ensure an open area on the resident's coccyx was assessed upon discovery and did not ensure that a timely treatment plan was initiated. This is evidenced by: The facility Policy & Procedure titled Skin Care Program, last modified on 5/8/2018 documented: If a skin breakdown occurs, the Team Leader informs the Unit Manager/Designee and completes a skin assessment and documents in the medical record, notifies the Attending Physician, Dietician, and other members of the inter-disciplinary care team as necessary. The Unit Manager/designee and/or Skin Care Assessment Team will determine ongoing monitoring after assessment of the wound. Resident #8: Resident #8 was admitted to the facility with…

    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 before2021-11-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during the recertification survey, the facility did not ensure the resident's environment remained as free of accident hazards as possible for 1 (Resident #37) of 1 resident reviewed for falls. Specifically, for Resident #37, who had 19 falls from 9/21/2021 - 11/10/2021 resulting in 2 fractures (collarbone and hip), the facility did not ensure the resident's fall risk was consistently re-assessed and did not conduct a root cause analysis after the resident fell, did not consistently identify, implement, or revise resident specific interventions in a timely manner to reduce the resident's risk to fall and did not consistently monitor care planned interventions for effectiveness. This is evidenced by: The Policy and Procedure (P&P) titled Accidents/Incident Reporting and Review (Staff/Visitors/Residents) dated 6/14/2021, documented the Administrator and Director of Nursing Services would review all accidents/incidents involving residents to ensure that appropriate actions were…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-08-02 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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 record reviews and interviews during the recertification survey, the facility did not ensure for one (Resident #75) of one resident reviewed for hospitalization received written notice of transfer/discharge with the reason for the transfer/discharge in a language they understand. Specifically, for Resident #75, the facility did not ensure the written notice of transfer/discharge with the reasons for the transfer were provided to the resident or the resident's representative when the resident was transferred to the hospital. This is evidenced by: Resident #75: The resident was admitted to the facility on [DATE], with diagnoses of dementia with behavioral disturbance, coronary artery disease, and congestive heart failure. The Minimum Date Set dated 6/24/19, documented the resident was cognitively intact and able to make her needs known. A policy titled: Discharge Planning and Review with a date last modified of 2/13/19 documented for: Procedure - Step 3 - Emergency Discharge or Planned Transfer/discharge:…

    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 · D2019-08-02 · tag F0625 — isolated
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    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 reviews and interviews during the recertification survey, the facility did not ensure one (Resident #75) of one resident reviewed for hospitalization recieved a bed hold policy notice upon transfer. Specifically, for Resident #75, the facility did not ensure that the resident and/or the residents' representative was notified in writting of the bed hold policy when the resident was transfered to the hospital. This is evidenced by: Resident #75: The resident was admitted to the facility on [DATE], with diagnoses of dementia with behavioral disturbance, coronary artery disease, and congestive heart failure. The Minimum Date Set dated 6/24/19, documented the resident was cognitively intact and able to make her needs known. A policy titled: Hospitalization (Bed Reservations, Readmission, Notifications) with a date last modified of 7/11/19 documented: The Director of Social Services/Designee is responsible for coordinating the bed reservation process, for knowing the bed reservations status of a…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-08-02 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and staff interview during a recertification the facility did not ensure that based on the comprehensive assessment of a resident, residents receive treatment and care in accordance with professional standards of practice to maintain the highest practicable physical well-being for one (Resident #44) of twenty-one residents reviewed. Specifically, Resident #44 was not assisted out of bed for care, services and activities at the facility for more than two months. This is evidenced by: Resident #44: This resident was admitted to the facility on [DATE], with diagnoses of multiple sclerosis, stage IV pressure ulcer and contracture of multiple sites. The Minimum Data Set (MDS- an assessment tool) dated 5/20/19, documented the resident was without cognitive impairment and had the ability to understand and be understood. The MDS documented the resident was transferred with extensive two-person assistance. During observations on 7/29/19 at 12:30 PM, 7/30/19 at 8:05 AM and 1:33 PM, and…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-08-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interviews during the recertification survey the facility did not ensure each resident was free from accident hazards for 1 (Resident #54) of 21 residents reviewed. Specifically, for Resident #54, who had difficulty swallowing, the facility did not ensure the resident was sitting fully upright in bed while eating. This is evidenced by: Resident #54: The resident was admitted to the facility on [DATE], with the diagnosis of dementia, dysphagia and gastroesophageal reflux disease (GERD). The Minimum Data Set (an assessment tool) dated 7/22/19, documented the resident had severe cognitive impairment. The resident was sometimes able to understand others and usually able to be understood. The resident required the supervision of 1 person while eating. The Policy & Procedure (P&P) titled Feeding a Resident (partial assistance) dated 7/23/18, documented residents were to be sitting in a chair if possible or head of bed elevated as tolerated to 90 degrees while eating. 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 · D2019-08-02 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    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 reviews and interviews during a recertification survey, the facility did not ensure residents who use psychotropic drugs received gradual dose reductions, and behavioral interventions, unless clinically contraindicated for 1 (Resident #36) of 5 residents reviewed for unnecessary psychotropic medications. Specifically: For Resident #36, the facility did not ensure the resident received a gradual dose reduction for the use of an antidepressant medication. This is evidenced by: Resident #36: The resident was admitted on [DATE], with diagnoses of cerebral infarction accident with hemiplegia, chronic pain syndrome, and major depressive disorder. The Minimum Data Set (MDS- an assessment tool) dated 5/9/19, assessed the resident was without cognitive impairment. The resident received antidepressant medication daily. The medical record documented the resident received Venlafaxine 75mg by mouth daily from April 2016 through 5/24/19 for a diagnosis of depression. The medical record did not…

    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 before2019-08-02 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and staff interview during the recertification survey, the facility did not store, prepare, distribute or serve food in accordance with professional standards for food service safety. Food preparation and serving areas and equipment are to be kept clean, kitchen equipment is to be kept in good repair, and a test kit is to be provided to measure the parts per million (ppm) concentration of the solution used to sanitize equipment. Specifically, equipment in the main kitchen and unit kitchenettes were not clean, equipment was not in good repair, and an accurate test kit was not provided. This is evidenced as follows. The main kitchen and the kitchenettes were inspected on 07/29/2019 at 10:15 AM. In the main kitchen and unit kitchenettes, the shelving, drawers, mixer, slicer, ABC fire extinguisher, and microwave ovens were soiled with food particles; the floor in the floor right of the sink in the Unit 4 kitchenette was soiled with a black build-up. In the main kitchen, the interior plastic panel of the Nor-Lake reach-in refrigerator was cracked…

    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 before2019-08-02 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review during a recertification survey, the facility did not maintain an infection prevention and control program designed to help prevent the development and transmission of communicable diseases and infection for 2 (Resident #'s 13 & 45) of 2 residents. Specifically, for Resident #13, the facility did not ensure infection control standards were maintained during a dressing change, and for Resident #45 the facility did not ensure tracheostomy (a surgically created breathing passage in the neck with an airway applicance) care was provided using standard infection control precautions. This is evidenced by: Resident #13: The resident was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses of multiple sclerosis, stage IV pressure ulcer (injuries to skin and underlying tissue resulting from prolonged pressure on the skin - that reaches into muscle and bone) of the left buttock, and muscle contracture of multiple sites. The Minimum Data Set (MDS- an…

    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 · Ccited before2021-11-19 · tag F0584 — failed to keep a safe, clean, comfortable home — widespread
    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 — the official record, unedited, may be distressing

    Based on observation and staff interview during the recertification survey, the facility did not provide effective housekeeping and maintenance services. Specifically, the facility did not ensure floors were clean on 3 of 3 resident units. This is evidenced as follows. Resident rooms and common areas were spot-checked on 11/17/2021 at 12:05 PM. The floors were soiled next to walls and/or door thresholds in resident room #'s 216, 221, 223, 224, 352, 355, 360, 361, 368, 369, 373, 378, and #380; the Units 1, 3, and 4 common areas and corridors; and the core area. The Housekeeping Supervisor stated in an interview on 11/17/2021 at 12:25 PM, that housekeeping was aware of the floor cleanliness and has recently hired a floor technician. The Administrator stated in an interview on 11/17/21 at 02:16 PM, that the facility does not have a staffing issue with housekeeping and the floors will be cleaned. 483.10(i)(3); 10 NYCRR 415.5(h)(4)

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2021-11-19 · tag F0813 — widespread
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and staff interview during the recertification survey, the facility did not ensure the policy regarding foods brought to residents is in accordance with adopted regulations. Specifically, the policy does not include a procedure to ensure all residents have the necessary assistance in accessing and consuming food brought to them by visitors. This is evidenced is as follows. Record review of the facility policy for food brought in by visitors was reviewed on 11/16/2021. This policy did not include a procedure to assist residents that are unable on their own to access and consume food brought to them by visitors. The Administrator stated in an interview on 11/16/21 at 11:26 AM the policy on food brought in by residents or for residents does not include a provision for helping residents that need assistance in accessing their food, but the policy will be updated. 10 NYCRR 415.14(h)

    Nutrition and Dietary 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 ELDERWOOD — 17 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 2 of 52.5-0.5 vs chain
Health inspection 2 of 52.5-0.5 vs chain
Staffing 2 of 52.1-0.1 vs chain
Quality measures 3 of 53.2-0.2 vs chain
The other 16 homes this chain runs (chain average 2.5★, 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
185 OLD MILITARY ROAD OPERATING HOLDCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 04/21/2015
COLE, WARRENIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL50%since 04/22/2015
RUBIN, JEFFREYIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL50%since 04/22/2015
TART, RACHELIndividualW-2 MANAGING EMPLOYEEsince 08/01/2020
QUILLARD, PHILIPIndividualOPERATIONAL/MANAGERIAL CONTROLsince 04/22/2015

CMS files one row per role, so the 9 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

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.

$16.6M
Net patient revenuemost recent cost report
-17.3%
Operating marginrevenue minus expenses
$4.9M
Related-party expense25% of expenses
Who pays — share of resident-days
Medicaid 67%Medicare 10%Other / private 23%

This home reported $4.9M paid to related parties — landlords or management companies under common ownership — equal to about 25% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. 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

$466per resident / day
operating cost
$14,179per month
≈ monthly operating cost
$397per 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 335267. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-10-02, 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.

What to do next