Park Avenue Extended Care Facility

Location & what’s nearby

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

Quality measures — how residents actually fare

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.

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.

54.8% 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 272 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 66.8% 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 184 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 0.39 therapist hours per resident per day in 2026Q1 — more than 67% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 24% 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.

Staffing

How full it usually is: this home is certified for 240 beds and averages 230.6 residents a day — about 96% occupied, or roughly 9 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.32 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.54 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.02 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 3.16 hrs/resident/day on weekends vs 3.39 on weekdays — 7% thinner on weekends. RN hours go from 0.55 to 0.51 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 45% is about the same as the national median of 45%.

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

Inspection trend

Deficiencies are 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.

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.

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

• Potential for harm · E2024-11-04 · 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 and Abbreviated Survey (NY 00331717) initiated on 10/28/2024 and completed on 11/4/2024, the facility did not ensure it had sufficient nursing staff on a 24-hour basis to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. This was identified on six of six resident units during the Sufficient Staffing Task. Specifically, 1) the Facility Assessment did not match the number actual number of Certified Nursing Assistants assigned to work on each unit; 2) medications during the 7:00 AM-3:00 PM shift were administered late on the 3rd and 5th floor nursing units due to understaffing issue; and 3) wound care was not performed on the 11:00 PM-7:00 AM shift for Resident #48 on multiple occasions because understaffing issue. Cross References: F 677 Quality of Life F 686 Quality of Care The finding is: The facility's policy…

  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 · E2024-11-04 · 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, interviews, and record review conducted during the Recertification Survey, initiated on 10/28/2024 and completed on 11/4/2024, the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. This was evident during the Kitchen task observation. Specifically, frozen food items (pancakes, sausage patties, beef burger patties) were stored undated and with opened packaging. The finding is: The facility's policy titled Food Receiving and Storage, dated 12/2023, documented that Supervisors will observe all refrigerated and frozen goods for the integrity of the wrapping materials as a primary barrier to cross-contamination. The management team will ensure that all products are labeled and dated by the staff and utilized by their expiration date. Open dates are hand-written dates that will be placed on all opened kitchen stock products. Kitchen observation was conducted with the Food Service Director on 10/28/2024 at 9:31 AM. A walk-in freezer unit was observed with multiple open…

  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 · E2024-11-04 · tag F0919 — failed to provide a working call system — pattern
  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 initiated on 10/28/2024 and completed on 11/4/2024 the facility did not ensure call systems were accessible to each resident while the residents were in their rooms. This was identified for three (Resident #350, Resident #4, and Resident #87) of three residents reviewed for call systems. Specifically, 1) Resident #350, who was assessed to require assistance with transfer and locomotion, was observed in their room alone sitting in a chair; the call bell was observed on the floor approximately five feet away from the resident; 2) Resident #4, who was assessed to require staff assistance with transfers and locomotion, was observed on 10/28/2024 and 10/29/2024; the call bell was observed out of the resident's reach; and 3) Resident #87 was observed in bed on two occasions and the call bell was observed hanging from the wall onto the floor out of the resident's reach. The findings are: The facility's policy titled Call Bell 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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-04 · 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 observations, record review, and interviews during the Recertification Survey initiated on 10/28/2024 and completed on 11/4/2024 the facility did not ensure that each resident was treated with respect and dignity and cared for in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life. This was identified for two (Resident #92 and Resident #87) of four residents reviewed for Dignity. Specifically, on 10/28/2024, Resident #92 and Resident #87, who resided in the same room, were observed in bed with multiple layers of linen, cloth chucks (pads used to protect the bed linen), and plastic liners. Additionally, both residents were wearing multiple briefs that were saturated with urine and the room had a strong urine odor. The findings are: The facility's policy and procedure for Resident Rights reviewed 1/2024 documented the facility to ensure all residents are afforded their right to a dignified existence, self-determination, respect, full recognition of their…

  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 · D2024-11-04 · 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 interviews and record review during the Recertification Survey and Abbreviated Survey (NY 00332218) initiated on 10/28/2024 and completed on 11/4/2024, the facility did not ensure that services provided or arranged by the facility meet the current professional standards of quality This was identified for one (Resident #14) of two residents reviewed for Choices. Specifically, on 1/16/2024 the Physician ordered Diclofenac 0.1% (nonsteroidal anti-inflammatory) eye drops for 14 days Resident #14. The Diclofenac eye drops were not delivered by the pharmacy and were not available for administration until 1/24/2024; however, the nursing staff documented that the eye drops were administered to Resident #14 on 11 occasions between 1/16/2024 and 1/23/2024. The finding is: The facility's policy for Medication Administration and Documentation, last reviewed in April 2024 documented to ensure medication administration and documentation occurs in an accurate and timely manner. [Licensed nurses] should immediately…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-04 · 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 observation, record review, and staff interview during the Recertification Survey initiated on 10/28/2024 and completed on 11/4/2024 the facility did not ensure that residents who are unable to carry out activities of daily living receive the necessary services to maintain good grooming and personal hygiene. This was identified for two (Resident #92 and Resident #87) of three residents reviewed for activities of daily living. Specifically, 1) Resident #92 required staff assistance with activities of daily living care. During an observation on 10/28/2024, the resident did not receive their morning care until 12:50 PM. The resident stated they were wet and had not received care since the 11:00 PM-7:00 AM shift. 2) Resident #87 required staff assistance for the activity of daily living care. During an observation on 10/28/2024, the resident did not receive their morning care until 1:55 PM. The resident's brief was saturated with urine and the room had a strong urine odor. The findings are: The facility…

  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 before2024-11-04 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during the Recertification Survey and Extended Survey (NY 00331717), initiated on 10/28/2024 and completed on 11/4/2024, the facility did not ensure each resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection, and prevent new ulcers from developing. This was identified for two (Resident #156 and Resident #48) of four residents reviewed for Pressure Ulcers. Specifically, 1) Resident #156 entered the facility on 7/10/2024 with unstageable (the depth and stage of the wound cannot be determined until dead tissue is cleared away or removed and the base of the pressure injury is visible) pressure ulcers to their right and left heels; however, there was no documented evidence of treatment administration to the wound sites until 7/23/2024; and 2) wound care treatments for Resident #48's sacrum and buttock pressure ulcers were not administered as ordered by the Physician. 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 · D2024-11-04 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification Survey initiated on 10/28/2024 and completed on 11/4/2024, the facility did not ensure that each resident maintained, to the extent possible, acceptable parameters of nutritional, and hydration status. This was identified for one (Resident #102) of one resident reviewed Dialysis. Specifically, Resident #102 had a physician's order for fluid restriction of 1200 milliliters per day. Resident #102's meal tickets and Electronic Medication Administration Record (EMAR) indicated the resident was receiving fluids that were exceeding the physician-ordered daily amount. The finding is: The facility's policy titled, Fluid Restrictions dated 3/2024, documented the facility provides fluid restrictions for residents placed on such restrictions per the discretion of the Physician. The unit dietitian will be responsible for initiating the physician's order for fluid restriction into the facility's computer system and will work with nursing 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-11-04 · tag F0710 — isolated
  Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews conducted during a Recertification Survey initiated on 10/28/2024 and completed on 11/4/2024, the facility did not ensure the Physician provided orders for the resident's immediate care and needs. This was identified for one (Resident #75) of two residents reviewed for Choices. Specifically, Resident #75 with a diagnosis of Epilepsy was receiving Topiramate (anticonvulsant medication) that should be gradually withdrawn to minimize the potential for seizures or increased seizure frequency as per the manufacturer's warning and precautions. The medication was abruptly stopped from 10/19/2024 to 10/22/2024 and restarted after four days on 10/23/2024. The finding is: The facility's policy and procedure titled Physicians Services last reviewed in March 2024 documented that the resident's medical care will be supervised by the attending Physician or alternate Physician who will assume the principal obligation and responsibility for managing the resident's medical care. On each…

  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 · D2024-11-04 · tag F0732 — isolated
  Post nurse staffing information every day.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interviews during the Recertification Survey initiated on 10/28/2024 and completed on 11/4/2024 the facility did not ensure that daily nursing staffing was posted in a prominent location and with the numbers of Registered Nurses, Licensed Practical Nurses, and Certified Nurse Aides who were working that day. Specifically, the facility lobby, near the front entrance, near the elevator bank, and the elevators were observed on 10/28/2024 at 8:55 AM and then again at 10:05 AM. There was no daily staffing posted that included the total number of licensed and unlicensed nursing staff working per shift. The finding is: During an observation on 10/28/2024 at 8:55 AM and again on 10/28/2024 at 10:05 AM, nursing staff posting was absent in the facility lobby and near the front entrance, near the elevator bank, in the elevators, and on the unit on the 8th floor. During an interview on 10/29/2024 at 1:30 PM, the Director of Nursing Services stated the Staffing Coordinator is expected to fill out and post the nursing staffing each morning and the Registered Nurse…

  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

“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.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

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.

About 73% 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

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