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Sarah Neuman Center for Rehabilitation and Nursing

845 Palmer Avenue, Mamaroneck, NY 10543 · Non profit - Corporation · 300 certified beds · (914) 698-6005 Medicare & Medicaid certified

Call the home — (914) 698-6005 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Mar 20252 actual-harm citations$163,020 in federal fines
Insights

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

Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Mar 2025
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 2 actual-harm citations
  • a high number of inspection citations overall (31) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $163,020 in federal fines (most recent 2025-01-06)
  • its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
  • its independent health-inspection rating is low (1/5)

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

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

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

Worth a closer look. This home's staffing and quality-measure ratings run 4 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
1/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1030 W Boston Post Rd · (914) 777-2273 · Call to confirm hours
Pharmacy
1310 Boston Post Rd · (914) 833-3001 · Call to confirm hours
Grocery
1260 Boston Post Rd · (914) 833-9112 · Call to confirm hours
Park
1000 W Boston Post Rd · Typically dawn to dusk
Place of worship
175 Rockland Ave · (914) 698-2960

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 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 5 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 fell from 5 to 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 increased13.5%14.1%15.4%better
Long-stay residents who lose too much weight7.0%5.8%5.4%worse
Long-stay residents with a catheter left in their bladder0.5%0.5%0.9%better
Long-stay residents with a urinary tract infection0.7%1.3%2.0%better
Long-stay residents with depressive symptoms30.5%19.5%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury3.4%3.1%3.3%typical
Long-stay residents whose ability to walk worsened11.6%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication10.6%13.2%18.9%better
Long-stay residents given the seasonal flu vaccine98.0%95.3%95.3%typical
Long-stay residents with pressure ulcers4.5%6.5%4.7%typical
Long-stay residents with worsening bladder/bowel control17.7%19.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table16.2%13.7%17.1%typical
Short-stay residents who newly got an antipsychotic medication1.2%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine49.8%78.8%79.4%worse
Short-stay residents rehospitalized after admission22.4%20.6%22.6%typical
Short-stay residents with an outpatient ER visit9.9%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days1.261.701.67better
Long-stay outpatient ER visits per 1,000 resident days1.121.361.80better

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.

63.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 454 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

63.7%U.S. median 51.5%
Got home and stayed home
9.8%U.S. median 10.7%
Went back to hospital
63.1%U.S. median 56.6%
Met the expected recovery
0.28U.S. median 0.31
Therapy hours / resident / day
0.13hours / resident / day
Physical therapy
0.12hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Met the expected recovery: 63.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 236 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.28 therapist hours per resident per day in 2026Q1 — more than 41% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 11% 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 SNF63.7%CMS range 58.2–67.051.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.8%CMS range 7.5–12.310.7%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 discharge63.1%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge58.9%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge62.3%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 identified99.7%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge99.4%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.7%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened2.6%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization4.9%CMS range 2.6–7.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.891.02Oct 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

0.85
RN hours/ resident / day
0.42
LPN hours/ resident / day
1.95
Aide hours/ resident / day
3.22
Total nurse hours/ resident / day
0.62
RN hoursweekends
38.0%
Total nursing turnover
30.4%
RN turnover

How full it usually is: this home is certified for 300 beds and averages 273.0 residents a day — about 91% occupied, or roughly 27 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 3.22 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.85 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.95 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 2.91 hrs/resident/day on weekends vs 3.34 on weekdays — 13% thinner on weekends. RN hours go from 0.95 to 0.62 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 38% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

11
deficiencies at the latest standard inspection (2025-01-30)
0
at the previous standard inspection (2022-06-06)

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.

31 citations, most serious first. The 12 most serious are shown; the remaining 19 are one tap away and print in full.

  • Actual harm · Gcited before2025-10-23 · 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

    Based on record review and interviews conducted during abbreviated surveys #2607851 and #2580703 the facility failed to ensure that the resident environment was free of accident hazards and/or that each resident received adequate supervision to prevent accidents for two (2) of three (3) residents (Residents #1 and #2) reviewed for accidents. Specifically, 1) on 09/03/2025 Resident #1 was transferred via Hoyer lift (mechanical device) by Certified Nurse Aide #1 and Private Aide #1, who was not approved to provide clinical or nursing care functions. Subsequently, Resident #1 sustained a hematoma (collection of blood) to the back of their head, and 2) on 08/03/2025 Resident #2 was transferred by Certified Nurse Aide #2 without the use of a Sara lift (mechanical sit-to-stand device) and an additional staff member as care planned. Subsequently, Resident #2 sustained a swollen knee that was red and warm to touch, and Resident #2 had complaints of pain. This resulted in actual harm to Resident #1 and Resident #2 that is not Immediate Jeopardy. The findings include: The undated 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Actual harm · Hcited before2025-01-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    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 interviews and record review conducted during the recertification and abbreviated surveys (NY00350448, NY0035998, NY00343310, NY00351372) from 1/22/2025-1/29/2025, the facility failed to ensure that four (4) of six (6) residents' (Resident, #534 #70, #207, #65) environment remained as free of accident hazards as possible and that each resident received adequate supervision and assistance to prevent accidents. Specifically: 1. Resident #534 was not supervised to prevent a fall from a wheelchair, which resulted in three (3) fractured ribs and a fractured scapula (shoulder blade); 2. Resident #70 required a mechanical lift and two-person physical assist for transfers. Certified Nurse Aide #24 used a sit to stand assistance device and one person for the transfer, resulting in a painful bruise on the left side of the forehead; 3. Resident #207 required a two-person assist for bathing, toileting, and transfers as documented in their plan of care however the assigned aide provided a one-person assist for…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2025-10-23 · tag F0867 — failed to act on quality-improvement findings — widespread
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The Facility did not take actions aimed at performance improvement, including the methods by which the facility will systematically identify, report, track, investigate, analyze, and use data and information to develop activities to prevent adverse events. Specifically, on 12/22/2025 during the onsite post survey, the facility did not convene a QAPI meeting to determine the root cause analysis for the deficient practice cited during the survey exited 10/23/2025. The last QAPI meeting was convened on 10/17/2025. The facility did not complete their Directed Plan of Correction imposed with a Category 1 remedy and failed to implement their Plan of Correction as directed by the State Agency by their deadline. As a result the Plan of Correction was not fully implemented by the credible alleged date of compliance of 12/16/2025.The first survey exited 10/23/25 and the facility did not have a QAPI meeting since 10/17/2025. The QA team did not convene 15 days after they received the statement of deficiencies. There was no Risk Assessment conducted to determine how they were in non-compliance.…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-04 · 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

    Based on record review and interviews conducted during the Abbreviated Survey(NY00375662), the facility did not ensure the development and implementation of comprehensive person-centered care plans to attain or maintain the residents' highest practicable physical, mental, and psychosocial well-being for 1(Resident #1) of 3 reviewed for behaviors. Specifically, Resident #1 had a history of behaviors that included resisting Activities of a Daily Living cares from staff, and the facility was unable to provide documented evidence that a Behavior Care Plan was in place prior to 3/25/25. The Findings are: The 10/1/2018 Facility policy titled Comprehensive Care Planning documented that the Interdisciplinary Team(IDT) reviews the Care Plans during the care plan meeting, triggered and other care issues and ensure care plans are in place which address the issues, and reviews and updates care plans at least quarterly and more frequently as warranted by the resident's condition Resident #1 was admitted with diagnoses including but not limited to dementia with behavioral and mood disturbances,…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-04 · 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

    Based on observations, record review and interviews conducted during an Abbreviated Survey (NY00375662), the facility did not ensure that adequate supervision and effective use of the facility's monitoring program to prevent falls and injuries were provided for 1 (Residents #1) of 3 residents reviewed for accidents. Specifically, on 3/20/2025, Resident #1 who had a history of falls and balance problems and required one-person assistance for toileting was left alone in the bathroom by Certified Nurse Aide #1. Resident #1 fell backwards which caused them to hit their head and sustain an abrasion to the posterior scalp with some bleeding. The Findings are: The 5/5/2015 Facility policy titled Falls Prevention and Management last updated 11/2024 documented that it is the facility policy to assess all Residents for risk of falling, and to implement person centered prevention plans as necessary. Resident #1 was admitted with diagnoses including but not limited to dementia with behavioral and mood disturbances, difficulty in walking, history of falling, and legal blindness. The 12/27/2024…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-03-14 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews conducted during the abbreviated survey (NY00374143) the facility did not ensure residents were free from abuse, neglect or mistreatment for 1(Resident #1) of 3 reviewed. Specifically, on 3/5/2025, Registered Nurse Supervisor#1 observed Certified Nurse Aide #1 pushing Resident #1 who is severely cognitively impaired, from the front in the hallway. Resident #1 stumbled backwards but did not fall. Certified Nurse Aide #1 was asked why they pushed the resident, and they responded, because he does not listen. The findings are: The Facility Policy titled Abuse/Neglect/Mistreatment-Prevention, Assessment & Reporting last revised on 11/4/2022 documented that residents have the right to be free from abuse, neglect, misappropriation of resident property, and exploitation. This includes but is not limited to freedom from corporal punishment, involuntary seclusion and any physical or chemical restraint not required to treat the resident's medical symptoms.…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-01-30 · tag F0550 — failed to protect resident dignity and rights — pattern
    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, interview, and record review during the Recertification Survey from 01/22/2025 through 01/30/2025, the facility did not ensure residents had the right to a dignified dining experience for 3 of 35 sampled residents (Residents #585, #165, and #72). Specifically, Certified Nurse Assistant #17 and #21 referred to Resident #585 as a feeder during lunch service on 1/22/25, Certified Nurse Aide #36 was observed standing over Resident #165 while feeding them a lunch meal, and Certified Nurse Aide #37 was observed standing over Resident #72 while feeding them their meal. The findings include: The facility policy titled Nursing, Feeding of Residents Revised 5/21/14 documented the registered nurse will evaluate the resident needs for assistance with feeding and assign certified nurse assistants to assist with feeding accordingly. Communicates to the assigned certified nurse assistant resident need, preferences and limitation in process. Supervises the feeding process. Observes the feeding process.…

    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 · E2025-01-30 · 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 record review and interview conducted during recertification and abbreviated survey (NY00364240, NY00341828 and NY00353718)) from 1/22/25 to 1/30/25, the facility did not ensure there was sufficient nursing staff to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, upon review of the staffing schedule from December 22 2024 through January 29 2025, the facility did not consistently provide adequate staffing on all units/shifts to meet the needs of the residents. The findings are: A facility policy titled, Nursing Staffing (reviewed 9/24), documented an adequate number of staff consistent with the organization's mission, the scope of services provided, and the population served. Staff is hired with the qualifications that commensurate with the defined job responsibilities and applicable degrees/certifications. The Director of Nursing in conjunction with the department of Human Resources and the Administration of the Home will ensure…

    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 · Dcited before2025-01-30 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview conducted during a recertification survey from 1/22/25 to 1/30/25, the facility did not ensure a person centered comprehensive care plan was developed and/or implemented for 1 of 1 resident (#78) reviewed for Hospice Care. Specifically, there was no documented evidence that a care plan was developed when Residents #78 was put on hospice care on 1/15/25. The findings include: Resident #78 was admitted to the facility with diagnoses including dysphagia, cerebral aneurysm, and dementia without behaviors. The Significant Change Minimum Data Set (resident assessment) dated 11/20/24 documented the resident's cognition was severely impaired. The 1/14/25 Health Status Note documented hospice came today to do a consult. As per the nurse practitioner the resident will start on hospice tomorrow 1/15/25. There was no documented evidence that a care plan was developed when Residents #78 was put on hospice care on 1/15/25. The 1/16/25 Social Service Note documented the social worker was informed hospice accepted the resident onto hospice 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 · D2025-01-30 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview during the Recertification Survey from 1/22/2025-1/30/2025, the facility did not ensure each resident maintained, to the extent possible, acceptable parameters of nutrition and hydration status for one of two residents (Resident #163) reviewed for Nutrition. Specifically, for Resident #163 there was no documented evidence for the implementation of 960ml per day fluid restriction as per physician order. The finding is: The Policy & Procedure titled Nursing Intake and Output; Management of Fluid Restriction revised 12/2024 documented the purpose is to maintain an accurate record of resident's fluid intake and output with risk for dehydration or fluid overload. Procedure: Nurse initiates intake and output sheets and determines with the dietician the amount of fluids to be provided with meals, between meals, and with medications. The Dietician indicates on meal card Fluid Restriction, and monitors fluid provided at meals. The Certified Nurse Aide records intake and output and reports at the end of the shift. Resident #163 had diagnoses…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-30 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview during the recertification survey conducted from 1/22/2025 to 1/30/2025, the facility did not ensure residents who required dialysis (a procedure to remove waste products and excess fluid from the blood when the kidneys stop working properly) received services consistent with professional standards of practice for 1 of 1 resident (Resident #163) reviewed for Dialysis. Specifically, there was no documented evidence of consistent assessment and oversight before, during and after dialysis treatment for Resident #163 who received hemodialysis treatments at a community-based dialysis center. Findings include: Policy and Procedure Titled Hemodialysis dated November 2011 and last reviewed 10/29/2024 documented resident's receiving hemodialysis treatments will be monitored. If resident had an arteriovenous fistula check for the presence of thrill and bruit daily. The nurse's responsibility to document in the progress notes residents condition including vital sign, post dialysis, weight and presence of arteriovenous fistula's thrill 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 · D2025-01-30 · tag F0730 — isolated
    Observe each nurse aide's job performance and give regular training.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview conducted during the recertification survey from 1/22/25 to 1/30/25, the facility did not ensure annual performance reviews for nursing staff were completed at least once every 12 months. Specifically, the facility was unable to provide annual performance reviews for 2 of 5 Certified Nurse Aides (#14, #16) reviewed. The findings are: The facility policy titled Human Resources - Performance Appraisals - Competencies, revised 12/14, documented: It is the policy of the New Jewish Home to routinely and periodically appraise the job performance and competencies of each employee. Performance appraisals will be performed after the completion of the probationary period for all non-exempt staff and after the initial review period for exempt staff. Each employee is evaluated annually thereafter. During an interview and observation on 1/27/25 at 9:54 AM the Director of Human Resources stated departments were responsible for completing annual performance appraisals for certified nurse aides. They stated the human resource department sent notifications 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
Show the remaining 19 citations
  • Potential for harm · D2025-01-30 · 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, record review, and interview during the recertification survey conducted 1/22/25 to 1/30/25, the facility did not ensure the current resident census and the total number and the actual hours worked by licensed and unlicensed nursing staff directly responsible for resident care per shift was posted in a prominent place, readily accessible to residents and visitors on 3 of 6 days reviewed. Findings include: The daily resident census and nurse staffing information could not be located in a prominent place readily accessible to residents and visitors from 1/22/25 through 1/24/25. During an interview on 1/27/25 at 11:11 AM the Director of Nursing stated daily staffing reports were usually posted by the nurse manager on a table near front desk security. During an interview and observation on 1/27/25 at 11:42 AM Nurse Manager #27 stated they posted daily staffing information on a table at the front entrance near the security desk. The resident census and daily staffing schedule was observed in a plastic paper holder obscured by numerous other papers folded over 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-30 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview conducted during a recertification survey from 1/22/25-1/30/25, the facility did not ensure infection control prevention practices were maintained to prevent the development and transmission of communicable diseases and infection and did not ensure there was a system for preventing, identifying, reporting, investigating, and controlling infection and communicable disease for all residents. Specifically, 1) there was no evidence that a facility risk assessment was completed or that a water management plan was in place to prevent and control legionella and 2) an observation was made of Environmental Staff# 28 entering a contact isolation room to empty garbage bags without donning a gown or washing hands with soap and water before and after contact with the resident environment. The findings are: The policy titled Legionnaires' Disease: Prevention and Control revised February 2, 2024, documented the director of plant operations reviews and updates, annually, environmental assessment of the water systems, this involves reviewing 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-30 · tag F0947 — failed to train nurse aides adequately — isolated
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview conducted during the recertification survey from 1/22/25 to 1/30/25, the facility did not ensure certified nurse aides were provided required 12 hours of training to ensure safe delivery of care. Specifically, the facility was unable to provide evidence that 3 of 5 Certified Nurse Aides (#18 #20 and #21) reviewed for nurse aide in-service training were provided 12 hours of mandatory annual in-service training. The findings are: The Corporate Facility Policy titled, Continuing Education In-Service and Competence Training, (revised 11/4/24) documented In-service training must be sufficient to ensure the continuing competence of nurse aides but be no less than 12 hours per year. During an observation and interview on 01/27/25 at 02:07 PM the Nurse Educator, provided 6.0 hours of in-service for Certified Nurse Aide #18, 6.5 hours for Certified Nurse Aide #20, and 9 hours for Certified Nurse Aide #21. The Nurse Educator stated Certified Nurse Aides #18, #20, and #21 did not complete 12 hours of annual in-service training. The Nurse Educator stated…

    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 · D2025-01-30 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview during the recertification survey and abbreviated survey (NY00339514) from 1/22/25 to 1/30/25, the facility did not ensure that each resident's right to privacy and confidentiality of their personal and medical records was maintained. Specifically, the health information of another resident was attached to Resident #535's discharge summary and given to Resident #535's designated representative. The findings are: The policy and procedure titled Health Information Privacy and Accountability Act Information Security Policy revised 1/26/2023 documented corporate information assets shall be protected whether the information is in oral, written, taped or electronic form. Corporate information assets shall be equally protected regardless of the nature of the asset and how and where it is transmitted or stored. Resident #535 was admitted to facility with the following diagnoses Diabetes, Hypertension and Muscle Weakness. The admission Minimum Data Set, dated [DATE]…

    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 before2025-01-30 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review conducted during Recertification and Abbreviated Survey (NY00358858, NY00369058) conducted from 01/22/25-1/30/25, the facility did not ensure that all alleged violations of abuse including injuries of unknown origin were reported immediately, but not later than 2 hours to the state survey agency for 2 of 3 residents reviewed for Abuse (Resident #110 and Resident#186). Specifically, 1) Resident #110 was noted to have a bruise on 10/27/24 that was not reported to the state agency until 10/30/24. and 2) Resident # 186 was noted to have a bruise on 1/12/25 that was not reported to the state agency until 1/16/25. The findings are: The facility policy titled Abuse, Neglect and Mistreatment Prevention dated 11/4/22 documented particularly for events that take place in nursing home or adult day health center - if during the course of the investigation, identifies that serious bodily injury has occurred and there is reasonable suspicion that abuse, neglect, mistreatment or exploitation is the cause, reports the situation within two hours 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-30 · 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

    Based on record review and interview conducted during Recertification and Abbreviated Surveys (NY00361430) from 1/22/25 to 1/30/25, the facility did not ensure residents and/or representatives were provided written notification in a manner they understood and that a copy of the notice was sent to a representative of the Office of the State Long-Term Care Ombudsman for 1 of 3 residents (Resident #127) who was transferred/discharged to the hospital. The findings are: There was no documented evidence of a facility policy to address notification of residents or their representatives and the Ombudsman in writing of the reason for the resident's transfer to the hospital. Resident #127 was admitted with diagnoses including Anemia, Coronary Artery Disease, and Hypertension. The 12/25/24 Minimum Data Set Discharge Return/Anticipated assessment documented Resident #127 was discharged . The 12/25/24 Nursing Note documented the resident had several episodes of vomiting and diarrhea, vital signs 136/95, heart rate 94, Resp rate 19 temp 97.5 O2 Sat 97% room air, complained of chills. The…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-30 · 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

    Based on record review and interview conducted during the Recertification and Abbreviated Surveys (NY00361430) from 1/22/25 to 1/30/25, the facility did not ensure residents or resident representatives were notified in writing of the facility bed hold policy for 1 of 3 residents (Resident #127) reviewed for hospitalization. Specifically, Resident #127 was transferred to the hospital and the facility was unable to provide evidence that written notice of facility bed hold policy was given to the resident or their representatives. The findings are: The facility policy and procedure, bed hold retention dated 11/9/2023 documented nursing will include a copy of the bed hold retention policy with the resident as part of the hospitalization documents. No policy was provided to document that the facility will notify residents or their representatives in writing of the facility bed hold policy. Resident #127 was admitted with diagnoses including anemia, coronary artery disease, and hypertension. The 12/25/24 Minimum Data Set Discharge Return / Anticipated Assessment documented the resident…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-30 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview during a recertification survey and abbreviated survey (NY00343310) conducted 01/22/25-01/30/25, the facility did not ensure residents received quality of care in accordance with professional standards of practice for 1 of 4 Residents (#534) reviewed for accidents. Specifically, timely assessment and treatment were not provided for Resident #534 who had a 5/24/24 unwitnessed fall that was not reported by Certified Nurse Aide #43 and Licensed Practical Nurse #44. Subsequently, on 5/25/24 after bruising was noted on their back Resident #534 was transferred to the hospital where it was determined Resident #534 had a fractured scapula and fractured ribs #4,#5 and #6. The findings are: The facility policy titled Resident Incident/Accident Reporting and Investigating Process revised 8/31/22 documented the responsibility of the employee is to notify a licensed nurse if they observe a resident who has sustained an accident/injury of unknown origin. The responsibility of the licensed nurse is to complete the exam of the resident with the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-06 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews conducted during an abbreviated survey (NY00336811), the facility did not ensure residents rights to be free from abuse for 1 (Resident #7) of 8 residents reviewed for abuse. Specifically, on 3/21/2024 Resident #7 alleged that Certified Nursing Assistant #4 threw towels at them when asking for assistance and yelled at them to say please the next time. Certified Nursing Assistant #4 walked out on the resident without completing care. The facility removed Certified Nursing Assistant #4 from caring for Resident #7, but Certified Nursing Assistant #4 continued to care for other residents for the rest of their shift. Licensed Practical Nurse did not report the incident to their supervisor. The facility investigation concluded abuse occurred as Certified Nursing Assistant #4 would not confirm or deny the allegation. The findings are: The Facility policy Abuse/Neglect/Mistreatment-Prevention, Assessment & Reporting of these or other crimes again a resident/client in our 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-06 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews conducted during an abbreviated survey (NY00336811 and NY00325082), the facility did not ensure an alleged violation involving abuse was reported to the New York State Department of Health within 2 hours of occurrence. This was evident for 2 of 7 residents (Resident #1 and #7) reviewed for abuse and mistreatment. Specifically, on 09/27/23 Certified Nurse Aide #2 reported to Licensed Practical Nurse #1 that Resident #1 was noted with a skin injury to the right side of their head. Licensed Practical Nurse #1 did not check for the injury and failed to notify their supervisor. The facility did not report the incident to the New York State Department of Health until 09/29/23 at 10:36 AM; 2) Resident #7 reported an alleged abuse by that Certified Nurse Aide #4 to Licensed Practical Nurse #3 on 03/21/24. Licensed Practical Nurse #3 did not immediately report the alleged abuse to their supervisor and allowed Certified Nurse Aide #4 to complete their shift interacting and caring for other residents after the alleged abuse incident occurred. 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-07-12 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews during an abbreviated survey (NY00347206), the facility did not ensure the residents right to be free from abuse for 1 (Resident #1) of 3 reviewed for abuse. Specifically, on 7/2/2024 the Therapeutic Recreational Specialist witnessed Resident #1 looking frightened after Certified Nurse Aide #2 aggressively grabbed their arm while being transported in the dayroom. Certified Nurse Aide #2 was asked by the Therapeutic Recreational Therapist to assist with seating the resident. The Therapeutic Recreational Specialist and the Certified Nurse Aide #2 reported the incident to the Registered Nurse Supervisor #1. Certified Nurse Aide #2 completed their shift on 7/2/2024 and was suspended on 7/3/2024. The facility policy titled Abuse/Neglect/Mistreatment-Prevention, Assessment & Reporting of these or other crimes against a resident/client in our care dated 11/4/2022 documented each resident/client has the right to be free from abuse, neglect, misappropriation of resident property,…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record review and interviews conducted during an abbreviated survey (NY00326450), the facility did not ensure that residents received adequate supervision and assistance to prevent accidents. Specifically, Resident #4 who was care planned as requiring two persons assist for transfer was transferred by Certified Nurse Assistant #1 by themselves, and Resident #4 hit their head on Hoyer-lift bar. Resident #4 complained of pain and discomfort at the time of incident. No injuries were noted. The findings are: Review of facility Mechanical Lift Policy dated 9/2021 received from the facility on 5/9/2024 documented the purpose is to safely position and lift patients. It is used to prevent patient and staff injuries. Nursing personnel trained in the use of mechanical lifts are permitted to operate the device. The primary function is to safely lift residents from bed, chair, toilet, and floor. It is recommended that two (2) trained staff members are present when moving or/and using the lift to weigh or transfer a resident. Resident #4 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 · E2018-12-19 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview conducted during a recertification survey the facility did not provide the housekeeping and maintenance services necessary to maintain a clean, comfortable and homelike environment for multiple residents throughout the facility. Findings include but are not limited to: During an initial tour of the environment on 12/10/18 at 10:00am the following was observed; on the first floor of the North East (N) unit of the facility in rooms 135, 138, 139, 140, 142 and 143 paint was peeling off near bathroom tiles. In room [ROOM NUMBER], the floor board was missing exposing peeled wallpaper. Also noted in room [ROOM NUMBER] was a hole in the wall exposing the toilet pipe. In addition, wires in the call bell housing were exposed. During an initial environmental tour of the second floor of North East (N) on 12/12/18 at 9:40am in room [ROOM NUMBER], the floor mat on the right side of the bed was noted to be heavily soiled with loose dirt and debris. In addition, scuffed walls were noted 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 · D2018-12-19 · 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 interview conducted during a recertification survey the facility did not ensure that 1 of 3 residents (R#153) reviewed for care planning was given the opportunity to participate in the development, review, and revision of her care plan. Further, the facility did not review and revise the comprehensive care plan with measurable objectives, time frames and appropriate interventions for 1 of 1 residents (R#153) reviewed for pain and 1 of 7 residents (R #123) reviewed for Accidents. The findings Are: 1) Resident #153 was admitted on [DATE] with diagnoses including Fibromyalgia, Diabetes, and Deep Vein Thrombosis. The 10/22/18 admission Minimum Data Set (MDS- a resident assessment and screening tool) indicated the resident scored 14 out of 15 on the BIMS (Brief Interview for Mental Status; used to measure memory recall and orientation) which indicated the resident was cognitively intact. Resident #153 was interviewed on 12/11/18 at 10:19 AM and she stated she did not recall being invited 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2018-12-19 · 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, interview and record review during a recertification survey, medication was administered for excessive duration without adequate indication for ongoing use to one randomly observed resident during pressure ulcer treatment (Resident #287). Specifically, a topical antibacterial agent used for the treatment of wounds and burns was applied and maintained in contact with intact skin. The findings are: Resident #287 had diagnoses including Alzheimer's disease with early onset and abnormalities of gait and mobility. According to the Minimum Data Set (MDS) assessment completed 11/16/2018, the resident was not ambulatory and required physical assistance for personal hygiene, bed mobility, transfer and locomotion. The resident ' s Care Plan noted a Stage 2 pressure ulcer to the left heel that measured 2.5 cm X 5 cm X 0 cm on 8/28/18 and to provide treatment as ordered to left heel, measure length, width, and depth of the ulcer weekly, observe for signs of necrosis, infection, healing and inform MD for further information. The Care Plan further noted Stage 2 left heel…

    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 · D2018-12-19 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review conducted during a recertification survey the facility did not ensure 1. the provision of medications and/or biologicals, as ordered by the prescriber, to meet the needs of each resident; and 2. the facility and the pharmacist did not ensure that procedures were developed and implemented so that all medication orders were processed consistently and accurately through the stages of ordering, receiving, and administering medications. Specifically, a medication prescribed for Addison's disease (also known as primary adrenal insufficiency) for Resident #312 was unavailable for administration for a period of 5 days (5/17/18 to 5/21/18 inclusive). The findings are: Res # 312 was admitted on [DATE] with diagnoses including but not limited to: Primary Adrenocortical insufficiency, Pressure Ulcer of sacral region unstageable, and spinal stenosis. Resident was discharged to the hospital on 4/18/18 for generalized weakness and cervical spine contusion and was readmitted on [DATE]. 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2018-12-19 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review conducted during a recertification survey the facility did not ensure that medication was administered without significant error for one of six residents (Residents #26, #45, #177, #293, #306 and #312) reviewed for medication use. Specifically, a medication prescribed for Addison's disease (also known as primary adrenal insufficiency) for Resident #312 was not administered in accordance with the physician's order for a period of 5 days (5/17/18 to 5/21/18 inclusive). Resident # 312 was admitted on [DATE] with diagnoses including but not limited to: Primary Adrenocortical insufficiency, Pressure Ulcer of sacral region, and spinal stenosis. The admission Minimum Data Set (MDS - a resident assessment and screening tool) dated 3/21/18 revealed the resident was cognitively intact and active diagnosis included primary adrenocortical insufficiency. A subsequent Significant Change in status MDS dated [DATE] revealed remained cognitively intact and active diagnose included primary…

    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 · D2018-12-19 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review during a recertification survey, the medical record was not accurately documented for one randomly reviewed resident(Resident #287). Specifically, pressure ulcer treatments that were not performed were documented as done. The findings are: Resident #287 had a 11/21/18 Physician ' s Orders for Silver Sulfadiazine 1% topical cream (Silver Sulfadiazine is a Sulfonamide-based topical agent with antibacterial and antifungal activity) for the left heel including instructions for application two times a day; irrigate with normal saline, lightly pack with Silver Sulfadiazine cream, cover with dry dressing to left heel site. The resident ' s left heel was observed during wound care performed by a 7A-3P shift RN on 12/13/2018 at 11:45AM. The RN applied Silver Sulfadiazine cream and a dressing to the left heel site. The resident ' s left heel was observed again on 12/14/2018 at 10:30AM with the Unit Nurse Manager. The treatment and dressing applied on 12/13/18 by 7A-3P shift was still in place. The Treatment Administration Record was reviewed…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2025-01-30 · tag F0640 — pattern
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview conducted during the Recertification Survey from 1/22/25 to 1/30/25, the facility did not ensure Minimum Data Set Assessments were submitted within 14 days after the facility completed the resident's assessment for 2 of 2 residents reviewed for Minimum Data Set (Resident #129, Resident #225). The findings are: The facility's policy and procedure titled Resident Assessment Instrument/Minimum Data Set, dated [DATE] and revised on 10/1/24 documented ensure that the Resident Assessment Instrument is used as the basis for a uniform system of resident assessment and care planning by the Interdisciplinary Team. Review of the submissions revealed: - Resident #129's Quarterly Minimum Data Set 3.0, with an assessment reference date of 11/15/24 and completion date of 11/20/24, was submitted on 1/24/25. - Resident #225's Quarterly Minimum Data Set 3.0, with an assessment reference date of 11/18/24 and completion date of 11/27/24, was submitted on 1/24/25. During interview on 1/24/25 at…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

$163,020 in federal fines across 1 penalty.

  • $163,020 — penalty dated 2025-01-06

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

Part of a chain

This home belongs to INFINITE CARE — 8 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 52.0≈ chain avg
Health inspection 1 of 51.5-0.5 vs chain
Staffing 3 of 52.4+0.6 vs chain
Quality measures 5 of 54.3+0.7 vs chain
The other 7 homes this chain runs (chain average 2.0★, 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
PALMER AVENUE SNF OPERATIONS HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 08/04/2025
KLEIN, ESTHERIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF95%since 08/04/2025
PEREZ, KATHRYNIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF5%since 08/04/2025
MYITCREW INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/04/2025
NATIONAL DATACARE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/04/2025
STREAMLINE VERIFY LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/04/2025
ZUNTA LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/04/2025
ABRAMS, LAURENCEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/04/2025
BERKOWITZ, JAREDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/04/2025
GUPTA, GAYATRIIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/04/2025
HOGAN, TARAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/04/2025
MARCUCCI, MIRELLEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/04/2025
845 PALMER AVENUE REALTY LLCOrganizationADP OF THE SNFsince 08/04/2025
SEAM NY 2020 TRUSTOrganizationADP OF THE SNFsince 08/04/2025
HYNES, TAMARAIndividualADP OF THE SNFsince 08/04/2025
WOLOFSKY, CHAVAIndividualADP OF THE SNFsince 08/04/2025

CMS files one row per role, so the 27 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted.

7 organizational owners 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.

$41.6M
Net patient revenuemost recent cost report
-27.4%
Operating marginrevenue minus expenses
$5.5M
Related-party expense10% of expenses
Who pays — share of resident-days
Medicaid 70%Medicare 8%Other / private 22%

This home reported $5.5M paid to related parties — landlords or management companies under common ownership — equal to about 10% 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

$511per resident / day
operating cost
$15,531per month
≈ monthly operating cost
$401per 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 335296. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-01-30, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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