Northern Metropolitan Res Health Care Facility Inc
225 Maple Avenue, Monsey, NY 10952 · Non profit - Corporation · 120 certified beds · (845) 352-9000 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- no federal fines or payment denials on record
- lower-than-typical staff turnover (20% vs 45% nationally) — better care continuity
- a high number of inspection citations overall (15) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (2/5)
- its payroll-based staffing rating is low (2/5)
- its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions
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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Worth a closer look. This home's quality-measure rating runs 2 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 — so a gap this large is worth reading the inspection record for.
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
| Overall quality measures | 4 of 5 |
| Long-stay residentspeople who live here | 4 of 5 |
| Short-stay residentsrehab / post-hospital | 3 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 3 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 4.1% | 14.1% | 15.4% | better |
| Long-stay residents who lose too much weight | 5.3% | 5.8% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.5% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.3% | 1.3% | 2.0% | better |
| Long-stay residents with depressive symptoms | 77.6% | 19.5% | 6.5% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better |
| Long-stay residents with falls causing major injury | 1.3% | 3.1% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 3.7% | 12.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 11.8% | 13.2% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 99.1% | 95.3% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 10.4% | 6.5% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 16.9% | 19.5% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 15.1% | 13.7% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.8% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 96.3% | 78.8% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 22.6% | 20.6% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 10.7% | 9.6% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 2.37 | 1.70 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.95 | 1.36 | 1.80 | typical |
‡ 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.
46.5% 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 131 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 64.9% 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 94 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.34 therapist hours per resident per day in 2026Q1 — more than 58% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 22% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 46.5%CMS range 37.6–53.8 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.6%CMS range 7.3–12.5 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | 64.9% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 59.6% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 61.7% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 97.5% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | 94.1% | 100.0% | Oct 2024–Sep 2025 | CMS 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 discharge | 94.9% | 98.7% | Oct 2024–Sep 2025 | CMS 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 stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 7.4% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.0%CMS range 3.4–10.6 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.41 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 120 beds and averages 118.3 residents a day — about 99% occupied, or roughly 2 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 3.62 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.65 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.22 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 3.12 hrs/resident/day on weekends vs 3.83 on weekdays — 19% thinner on weekends. RN hours go from 0.76 to 0.39 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 20% is below 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.
This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.
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.
15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.
- Potential for harm · Dcited before2026-03-09 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor 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
Based on observations, record review, and interviews conducted during the Abbreviated Surveys (2663420 and 2700684), the facility did not ensure residents had a right to a safe, clean, comfortable, and homelike environment for 1 (Resident #3) of 3 residents reviewed for resident rights. Specifically, Resident #3, who was assessed by therapy for wheelchair use and whose most recent Minimum Data Set documented wheelchair as the resident's primary mode of locomotion, was observed seated in a wheelchair in the dining room labeled with the name of another resident who no longer resided in the facility. Resident #3 was visibly upset and pointed at the armrest of the wheelchair. The wheelchair was too wide for Resident #3. The right armrest pad was missing, and the left armrest pad was observed frayed. The Director of Rehabilitation stated the wheelchair was not assigned to Resident #3 and observed the wheelchair was damaged and not appropriate for resident use.The findings include:A review of the facility policy titled Resident Seating Recommendations, last revised 10/20/2025, documented…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-03-09 · tag F0838 — failed to assess facility resources and resident needs — isolatedConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review and interviews conducted during the Abbreviated Surveys (2663420 and 2700684), the facility did not ensure that the facility-wide assessment determined the required resources to provide the care and services to its residents during day-to-day operations, did not address what is considered sufficient, particularly on weekends, and did not include behavioral health services necessary to meet resident needs for three (3) of three (3) units reviewed. Specifically, the Facility Assessment provided during the onsite survey did not include minimum staffing requirements for weekends for certified nurse aides and licensed practical nurses, did not identify the number of staff needed to provide behavioral health care and services, and listed zero registered nurses on the day, evening, and night shifts for all three resident units.The findings are:Review of the Facility policy titled Facility Assessment revised 11/19/2025, documented that a facility assessment is conducted at least annually and as needed to determine and update the facility's capacity 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.
- Potential for harm · Ecited before2024-07-30 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor 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 Recertification and Abbreviated Survey (NY00330514) conducted from 7/23/24-7/30/24 the facility did not ensure a clean, comfortable, and homelike environment was provided on 1 of 4 units (2 West). Specifically, walls in multiple resident rooms had stains, scuffs, chipped paint, missing moldings, and the floor had visible dirt, dust, food particles and dried food stains. The findings are; The following observations were made on 2 West: On 07/23/24 at: 9:50 AM Forks, food crumbs and paper were on the floor in resident rooms. Floors were dull and dirty. 10:33 AM Empty sugar packets, ketchup wrappers, cherry pits were observed on the floor in the resident dining room. 12:21 PM Dried up food, and bottle caps were on the floor by the nurse's station. On 07/24/24 at: 9:27 AM Crumbs, and paint chips were on the floor in the high side hallway. 3:47 PM Crumbs, plastic food wrappings, paper towels and dust balls were on the floors. On 07/25/24 at: 9:58 AM Crumbs, and food…
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.
- Potential for harm · E2024-07-30 · tag F0803 — failed to meet residents' dietary needs — patternEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review during the Recertification Survey conducted from 7/23/24 through 7/30/24, the facility did not ensure menus were followed for 5 of 32 residents, (Residents #2, #18, #20, #46, and #96) reviewed for food. Specifically, 1. on 2 occasions Resident # 2 did not receive a hardboiled egg and 4 ounces of split pea soup as per meal ticket, 2. Resident #96 did not receive 4 ounces of strawberry yogurt as per meal ticket. 3. Resident # 20 did not receive 6 ounces of split pea soup, ice cream and a frosted cupcake as per meal ticket,. 4. Resident # 18 did not receive 4 ounces of split pea soup as per meal ticket, and. 5. Resident # 46 did not receive 6 ounces of split pea soup and tossed salad as per meal ticket. The findings include: The facility policy titled Food and Nutrition Services, last revised 12/23 documented nursing personnel would ensure that residents were served the correct food tray. In addition, nursing staff would report to the Food Service Director if an…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-07-30 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview during the Recertification Survey conducted from 7/23/2024 to 7/30/2024, the facility did not ensure food was stored in accordance with professional standards for food safety practice. Specifically, 1) kitchen equipment (mixer) was noted with dry and crusted food 2) undated unlabeled and expired foods were in the refrigerator/s. 3) there was peeling paint above the pot storage shelves 4) logs to document testing of chemicals in the 3 bay pot sink were incomplete and 5) refrigerator temperature/s were above acceptable range. The findings are: The facility policy and procedure titled Food Preparation and Service, last revised 12/2023 documented that food and nutritional service employees shall prepare and serve food in a manner that complied with safe handling practices. During initial tour of the kitchen on 07/23/2024 at 09:18 AM the following were observed: -The dairy refrigerator contained three trays of undated food. - The dairy kitchen equipment (mixer) was noted to be unclean and contained dried food. -There were undated and unlabeled trays of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-07-30 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor 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 and interview conducted during the recertification survey from 7/23/24-7/30/24, the facility did not ensure that a resident's dignity was maintained for 2 of 2 residents (Resident #109 and #84) reviewed for Dignity. Specifically, during multiple observations, the catheters for Residents (# 109, #84) did not have privacy bag/s and were visible to roommate/s and/or visitors. The findings are: The policy and procedure titled Catheter Guidelines: Urinary, dated 9/11/23 documented urinary catheter use would adhere to principles of dignity to include discrete use and privacy (e.g., covering urinary catheter drainage bags). 1. Resident # 109 had diagnoses that included Nephrogenic Diabetes Insipidus, Morbid Obesity, and Diabetes Mellitus. The 6/19/24 Physician Orders documented foley catheter. The Care Plan: Indwelling Foley Catheter, dated 6/19/24, documented maintain privacy bag. The admission Minimum Data Set (an assessment tool) dated 6/27/24 documented Resident #109 had severely impaired…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-07-30 · tag F0623 — isolatedProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview conducted during a Recertification Survey from 7/23/2024 through 7/30/2024, the facility did not ensure that the Office of the Long-Term Care Ombudsman was given written notice of the transfer or discharge of residents. This was evident for 2 of 4 residents (Residents #2 and #96) reviewed for hospitalization. The findings are: Resident #2 was re-admitted to the facility on [DATE] with diagnoses including Diabetes, Hyperlipidemia, and Hypertension. On 4/1/2024, the resident experienced a change in medical status and generalized weakness and the physician ordered that the resident be transferred to the emergency room for evaluation. During an interview with the facility Director of Social work on 7/30/2024 at 10:39 AM, they stated they did not have documented evidence that Ombudsman notification of discharge and/or transfer had been provided to the Office of Long Term Care Ombudsman. Resident #96 was admitted with diagnoses including Malignant Neoplasm of the Prostate, Joint…
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.
- Potential for harm · Dcited before2024-07-30 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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, interview and record review conducted during a recertification survey from 7/23/24-7/30/24, the facility did not ensure that a comprehensive person-centered care plan was developed for 1 of 1 resident (#364) reviewed for indwelling urinary catheter. Specifically, there were no care plans in place to address care of indwelling urinary catheter for Resident #364. Findings include: The facility policy titled Care Plans - Comprehensive created on 10/2015 and last reviewed on 10/2029 documented a comprehensive, person - centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. Resident # 364 was admitted to the facility with diagnoses including fracture of the Left Femur, Fracture of the Left Radius, and Obstructive Uropathy. The Hospital Note dated 7/16/2024 documented follow up appointment with Urology, Surgery for voiding trials. The 7/18/24 Nursing Note documented the resident had an indwelling urinary catheter size 18 French 5-10 cc…
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.
- Potential for harm · D2024-07-30 · tag F0697 — failed to manage pain — isolatedProvide safe, appropriate pain management for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review conducted during the Recertification Survey and Abbreviated Survey (NY00321083), it was determined that for one of five residents (Resident #263) reviewed for unnecessary medication, the facility did not ensure that pain management was provided for each resident who required such services consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals. Specifically, for Resident # 263 there was a lack of consistent pain assessment and monitoring of effectiveness of pain medication. The findings is:: The current facility policy, titled Pain Assessment, last revised 3/2023 documented each resident would be assessed for pain and if present would have an effective pain management plan in place that would allow for optimal independence and an improved quality of life. The Licensed Nurse would document the following for PRN (as needed) pain medications: location of pain, pain level prior to medication, pain scale used, non-pharmacological interventions, pharmacological…
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.
- Potential for harm · D2024-07-30 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview during the recertification survey conducted from [DATE] to [DATE], the facility did not ensure that all drugs and biologicals used in the facility were labeled and stored in accordance with professional standards, including expiration dates when applicable for 1 of 2 medication storage rooms, and 1 of 3 treatment carts reviewed. Specifically, the treatment cart on 1 [NAME] had two boxes of DynaGinate AG, Silver Calcium Alginate rope dressings containing the name of a discharged resident (one box had a [DATE] expiration date and the second box had a [DATE] expiration date) and the Medication Storage Room on 2 East, had a box containing Ear Wax Removal Drops with an expiration date of 12/23. The findings are: The facility policy titled Medication - Storage revised on 1/2019 documented expired, discontinued and/or contaminated medications would be removed from the medication storage areas and disposed of in accordance with facility policy. During an observation 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.
Show the remaining 5 citations
- Potential for harm · D2024-07-30 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview during a Recertification Survey (7/23/24-7/30/24), the facility did not maintain an infection prevention and control program designed to prevent the development and transmission of communicable diseases and infection. Specifically, 1) for 1 of 2 residents (Resident #95) the nurse did not put on the correct personal protective equipment before administering medications to Resident #95 with Clostridium Difficile and on Contact Precautions, 2) the facility did not provide an Environmental Risk Assessment that defined potential areas of Legionella risk that was updated yearly, 3) for 1 of 6 residents (Resident#62) reviewed for pressure ulcers, the nurse did not perform hand hygiene after removing gloves and did not wear a gown during the dressing change and 4) the facility did not ensure that an infection surveillance plan based on facility assessment was implemented for identifying, tracking, and monitoring infections, communicable diseases, and outbreaks. 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.
- Potential for harm · D2024-07-30 · tag F0881 — failed to use antibiotics responsibly — isolatedImplement a program that monitors antibiotic use.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review conducted during the recertification survey from 7/23/24-7/30/24, the facility did not ensure an antibiotic stewardship program that included antibiotic use protocols and a system to monitor antibiotic use for one of one resident (Resident #5) reviewed for antibiotic use. Specifically, Resident #5 who had a urinary tract infection and was receiving Levaquin (an antibiotic) since 7/22/24 was not monitored and tracked by the Infection Control Practitioner. The finding is: Review of the policy and procedure titled Antibiotic Stewardship Program with a 7/1/23 revision date documented the facility will adhere to the principles of Antibiotic Stewardship as defined and described in the Centers for Disease Control and Prevention for Long-Term Care. Develops, promotes, and implements a facility-wide system to monitor the use of antibiotics. Resident #5 had diagnoses including Chronic Kidney Disease, Type 2 Diabetes, and Obesity. The laboratory diagnostics/results dated 7/17/24 documented [NAME] Blood Cell Count of 12.29. The 7/18/24 Urine Panel documented…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2018-10-18 · tag F0636 — isolatedAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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 conducted during a recent recertification survey, the facility did not ensure that the comprehensive assessment for 1 of 5 residents (#12) reviewed for unnecessary medications addressed the resident's psychosocial needs as they relate to dementia care and the use of psychoactive medications. This was necessary to ensure that an appropriate person-centered care plan was developed to address dementia care, behavior management and the ongoing use of psychoactive medications. The findings are: Resident #12 was admitted to the facility on [DATE] with the diagnoses of Dementia and Anxiety Disorder. The admission physicians orders included an antidepressant, Escitalopram 10 mg daily; an antianxiety medication, Alprazolam 0.25 mg daily; and an antipsychotic, Seroquel 150 mg twice daily for mood disorder. (Seroquel was reduced to 150 mg daily on 6/9/18.) The Initial Minimum Data Set (MDS; a resident assessment instrument) dated 6/15/18 revealed that the resident has…
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.
- Potential for harm · Dcited before2018-10-18 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview conducted during a recertification survey, the facility did not develop a person-centered care plan to ensure that a resident did not consume fluids in excess of the ordered daily 2-liter fluid restriction and conduct ongoing assessment of the resident's medical condition that may potentially affect the resident's hydration status for 1 of 1 resident (#95) reviewed for urinary catheter or Urinary Tract Infection (UTI). The findings are: Res #95 was admitted on [DATE] with diagnoses including Quadriplegia, neurogenic bladder, and UTI. The admission Minimum Data Set (a resident assessment tool) of 9/20/18 indicated the resident has no cognitive impairment; totally dependent on staff for most aspects of activities of daily living (ADLs) required supervision with eating; use of wheelchair; and resident believes he is capable of increased independence in at least some of the ADLs. The Care Area Assessment summary of this MDS triggered Dehydration/Fluid Maintenance which required…
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.
- No harm found · B2021-11-22 · tag F0732 — patternPost nurse staffing information every day.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews and record review conducted during a recertification survey, the facility did not ensure accurate staffing information was posted in a prominent place readily accessible to residents, staff, and visitors. Specifically, 1) the facility did not post the total and actual hours of licensed and unlicensed staff directly responsible for resident care daily and 2) did not provide complete staffing records for the six months reviewed. The findings are: The facility policy dated 2/2017 and revised 2/2021 titled Posting Direct Care Daily Staffing Numbers, documented the facility will post on a daily basis for each shift, the number of licensed staff and unlicensed personnel directly responsible for resident care, and will be posted in a prominent location. The actual time worked during that shift for each category and type of nursing staff will be recorded on the form. During the initial tour of the survey on 11/16/21 at 9:15 AM, the staffing posted at the front desk did not include all nursing staff hours. Daily staffing sheets were requested for review from…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“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.
- 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.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| SCHORR, DAVID | Individual | W-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR | since 09/01/2021 |
| GINSBERG, HINDI | Individual | CORPORATE DIRECTOR | since 01/01/2008 |
| HAGER, HERSHEL | Individual | CORPORATE DIRECTOR | since 01/01/2008 |
| KENNY, CHARLES | Individual | CORPORATE DIRECTOR | since 01/01/2009 |
| KLEIN, MORRIS | Individual | CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL | since 10/20/2015 |
| LAUBER, SIMON | Individual | CORPORATE DIRECTOR | since 01/01/2010 |
| ORZEL, ISRAEL | Individual | CORPORATE DIRECTOR | since 01/01/2010 |
| STEINMETZ, LEON | Individual | CORPORATE DIRECTOR | since 01/01/2008 |
| ZACHARAISH, ABRAHAM | Individual | CORPORATE DIRECTOR | since 01/01/2008 |
CMS files one row per role, so the 11 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
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
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.
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 335380. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-07-30, 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.