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Montgomery Nursing And Rehabilitation Center

2817 Albany Post Road, Montgomery, NY 12549 · For profit - Partnership · 100 certified beds · (845) 457-3155 Medicare & Medicaid certified

Call the home — (845) 457-3155 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Oct 2023Behavioral-health or dementia-care citation — no harm found (F0740)
Insights

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

In its favor
  • no federal fines or payment denials on record
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Oct 2023
  • a high number of inspection citations overall (27) — 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)

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

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

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

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
940 NY-17K, Suite 1 Montgomery, New York 12549 · (845) 457-2900 · Call to confirm hours
Pharmacy
470 Route 211 E · (845) 342-0381 · Call to confirm hours
Grocery
ShopRite2.7 mi
99 Hawkins Dr · (845) 457-4114 · Call to confirm hours
Park
60 Bachelor St · (845) 457-5502 · Typically dawn to dusk
Place of worship
34 E Searsville Rd · (845) 467-8151

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 5 of 5
Short-stay residentsrehab / post-hospital 2 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.

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 increased12.3%14.1%15.4%better
Long-stay residents who lose too much weight6.7%5.8%5.4%worse
Long-stay residents with a catheter left in their bladder0.2%0.5%0.9%better
Long-stay residents with a urinary tract infection0.0%1.3%2.0%better
Long-stay residents with depressive symptoms11.7%19.5%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury1.4%3.1%3.3%better
Long-stay residents whose ability to walk worsened7.7%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication12.1%13.2%18.9%better
Long-stay residents given the seasonal flu vaccine93.7%95.3%95.3%typical
Long-stay residents with pressure ulcers6.2%6.5%4.7%worse
Long-stay residents with worsening bladder/bowel control21.3%19.5%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table2.1%13.7%17.1%better
Short-stay residents who newly got an antipsychotic medication0.6%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine70.1%78.8%79.4%worse
Short-stay residents rehospitalized after admission24.8%20.6%22.6%typical
Short-stay residents with an outpatient ER visit16.2%9.6%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.861.701.67worse
Long-stay outpatient ER visits per 1,000 resident days0.551.361.80better

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.

42.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 313 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

42.3%U.S. median 51.5%
Got home and stayed home
10.1%U.S. median 10.7%
Went back to hospital
54.7%U.S. median 56.6%
Met the expected recovery
0.70U.S. median 0.31
Therapy hours / resident / day
0.41hours / resident / day
Physical therapy
0.26hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 54.7% 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 106 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 0.70 therapist hours per resident per day in 2026Q1 — more than 92% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% 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 SNF42.3%CMS range 35.8–47.851.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.1%CMS range 7.6–14.010.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge54.7%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 discharge51.9%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 discharge55.7%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 identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care 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 discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.5%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 worsened1.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization8.5%CMS range 6.1–12.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.441.02Oct 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

0.61
RN hours/ resident / day
0.76
LPN hours/ resident / day
1.70
Aide hours/ resident / day
3.07
Total nurse hours/ resident / day
0.62
RN hoursweekends
38.5%
Total nursing turnover
60.9%
RN turnover

How full it usually is: this home is certified for 100 beds and averages 91.8 residents a day — about 92% occupied, or roughly 8 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 3.07 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.61 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.70 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 2.77 hrs/resident/day on weekends vs 3.20 on weekdays — 13% thinner on weekends. RN hours go from 0.60 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 (2025-01-14)
1
at the previous standard inspection (2022-07-15)

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.

27 citations, most serious first. The 10 most serious are shown; the remaining 17 are one tap away and print in full.

  • Potential for harm · Ecited before2025-01-14 · 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 during the recertification survey conducted from 1/7/25 to 1/14/25, the facility did not ensure a clean and home like environment was maintained for 1 of 2 nursing units (South unit). Specifically, (1) the floor and radiators in room [ROOM NUMBER], #129 and #130 were dirty, the walls and closet trim in room [ROOM NUMBER] had chipped and scuffed paint, room [ROOM NUMBER] had feces on the toilet and room [ROOM NUMBER] had a brown liquid spill on the floor and (2) a meal tray was provided to Resident #24 and contained a hot beverage cup and utensils with a build up of lime deposit stains. The findings include: The policy and procedure titled Cleaning and Disinfection of Environmental Surfaces effective 9/30/2020 last reviewed 3/2024 documented environmental surfaces will be cleaned and disinfected according to current CDC recommendations for disinfection of healthcare facilities and the OSHA Bloodborne Pathogens Standard. Walls, blinds, and window curtains in resident areas will…

    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 · E2025-01-14 · 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

    Based on record review and interview conducted during the recertification survey from 1/7/25 to 1/14/25, the facility did not ensure sufficient nursing staff to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, the facility did not meet minimum staffing requirements for Certified Nurse Aides as documented on the Facility Assessment on 10 of 28 days reviewed. The findings are: The Facility Assessment Staffing Plan Minimum Staffing documented Day shift: 3 Licensed Nurses on both units and 3 Nurse Aides on both units. Evening shift: 2 Licensed Nurses on both units and 3 Nurse Aides on both units. Night shift: 1 Licensed Nurse on both units and 2 Nurse Aides on both units. Actual staffing from December 9 2024 to January 6 2025 documented: 12/14/24 South Unit 11:00 PM-7:00 AM one Certified Nurse Aide, and North Unit 11:00 PM-3:00 AM one Certified Nurse Aide. 12/22/24 North Unit 7:00 PM-9:30 PM two Certified Nurse Aides. 12/25/24 South Unit 7:00 AM-12:00 PM two Certified Nurse Aides. 12/28/24 North Unit 10:00 AM-1:00…

    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 · E2025-01-14 · tag F0730 — pattern
    Observe each nurse aide's job performance and give regular training.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview during the recertification survey from 1/7/25 to 1/14/25, the facility did not ensure Certified Nurse Aide performance appraisals were completed at least once every 12 months for 5 of 5 Certified Nurse Aides reviewed. Specifically, performance appraisals were not documented every 12 months for Certified Nurse Aides #1, #2, #3, #4, and #5. The findings are: There was no documented evidence that performance appraisals were completed every 12 months for Certified Nurse Aide #1, #2, #3, #4 and #5. During an interview on 1/08/25 at 9:25 AM the Director of Nursing stated they were aware that performance appraisals should be completed for the Certified Nurse Aides and stated they were responsible for writing the performance appraisals. 10 NYCRR 415.12(h)(1)

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-01-14 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview conducted during the recertification survey from 1/7/25 to 1/14/25, the facility did not ensure food was stored in accordance with professional standards for food service safety. Specifically, 1. the refrigerators contained food and/or packages that were unlabeled, had no received on date, and did not contain an expiration date, 2. the walk-in freezer contained food and/or packages that were unlabeled and not properly sealed to prevent freezer burn, and 3. the dry storage pantry contained food products that did not contain expiration dates. The findings are: During an initial tour of the kitchen on 1/7/25 at 09:52 AM accompanied by the Director of Food Services, the following was observed in the food service refrigerators/walk in freezer and dry storage area: The Refrigerator contained: -Six 80 individual slice packs of American Cheese with no expiration date -One unlabeled container of beef meatballs -Three and one-half trays of eggs with no received date and no expiration date -One unlabeled/undated container of thawed chicken thighs -One…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-01-14 · tag F0880 — failed to prevent and control infections — pattern
    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 during the recertification survey from 1/7/25 to 1/14/25, the facility did not ensure infection prevention and control program designed to prevent the development and transmission of communicable diseases and infection was maintained for 2 of 8 residents ( #49, and #66) reviewed for Infection Control. Specifically, 1) the facility did not properly implement transmission-based precautions for Resident #49 and 2) the facility did not ensure an infection surveillance plan was implemented for identifying, tracking, and monitoring infections, communicable diseases, and outbreaks for Resident #49 and # 66, The findings are: The Policy titled Transmission-Based Precaution last updated 7/8/20/24 documented transmission- based precautions shall be used when caring for residents who are documented or suspected to have communicable diseases of infections that can be transmitted to others. Droplet precautions are to be implemented for residents known to be infected with microorganisms that can be transmitted by droplets which includes…

    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 · E2025-01-14 · tag F0925 — failed to control pests — pattern
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    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 and abbreviated surveys (NY00359070 ) from 1/7/2025 to 1/14/2024, the facility did not ensure that an effective pest control program was maintained so that the facility was free of rodents on 1 of 2 units (South) and the physical therapy department. Specifically, there was no documented evidence of facility follow up/monitoring to assess ongoing need and/or effectiveness of interventions put in place by the pest control company to eradicate and/or contain mice. The findings are: The policy and procedure effective 3/2019 last reviewed 3/2024 titled Pest Control documented this facility maintains an ongoing pest control program to ensure that the building is kept free of insects and rodents. The Pest Control Logbook dated 2/7/24 to 1/8/25 documented mice were observed in room [ROOM NUMBER] and #106 on 4/16/24, a mole was observed in room [ROOM NUMBER], and maintenance shop on 10/15/24, a mouse was in room [ROOM NUMBER] on 10/15/24, and a…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-14 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review conducted during a recertification survey from 01/07/25 to 01/14/25, the facility did not ensure residents had the right to a dignified experience for 2 of 2 residents (Residents # 65 and Resident # 341) reviewed for dignity. Specifically, 1) Licensed Practical Nurse # 31 was observed standing over Resident # 65 while feeding them their lunch meal and 2) Resident # 341's urine collection bag was observed uncovered and visible to other residents and visitors. The findings include: 1)The facility policy titled Assistance with Meals dated 3/2/24 documented residents shall receive assistance with meals in a manner that meets the individual needs of each resident. Residents who cannot feed themselves will be fed with attention to safety, comfort, and dignity for example, not standing over residents while assisting them with meals. Resident # 65 was admitted to the facility with diagnoses including Cerebral Infarct, Diabetes, and Atrial Fibrillation. The 7/17/23…

    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 · D2025-01-14 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    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 during the recertification survey from 1/7/25 to 1/14/25, the facility did not ensure that a Level 1 Screen was thoroughly completed prior to admission to the nursing home for 2 of 23 residents (Resident #1 and #30) reviewed for Pre-admission Screening. Specifically, questions #23 through #27 were left blank on the Level 1 Screen for Resident #1,and questions #27 through #35 were left blank on the Level 1 Screen for Resident #30. The findings include: The facility Policy and Procedure titled PASRR Screening effective 3/2019 last reviewed 3/2024 documented, it is the policy of the facility that all residents must have a PASRR Screen upon admission to this facility and, thereafter, when there is a significant change that has a bearing on the resident's specialized service needs. The screen assesses residents for mental illness, dementia and mental retardation. Resident #1 was admitted to the facility with diagnoses of Cerebral Palsy Seizure Disorder and Dysphagia. The Quarterly…

    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 before2025-01-14 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview conducted during the recertification survey from 1/7/25 to 1/14/25, the facility did not ensure that the comprehensive person-centered care plan was followed for 1 of 4 residents (Resident #11) reviewed for Accidents. Specifically, for Resident #11, the use of Bilateral Fall Mats were not implemented as per Care Plan after a 10/8/24 fall. The Findings Include: The undated Policy and Procedure titled Accident/Fall Prevention documented a plan of care to prevent falls/injury would be developed. The plan of care would include but not limited to floor mattress, low bed. Each resident would be provided a fall prevention device as needed and the staff would ensure that they were in working order. Resident #11 was admitted with diagnoses including but not limited to Encephalopathy, Dementia, and Chronic Obstructive Pulmonary Disease. The Care Plan titled Risk for Falls effective 10/5/24 last updated 1/5/25 documented an actual fall on 10/8/24, Bilateral Fall Mats. The 5…

    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 · D2025-01-14 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview during the recertification survey conducted 1/07/2025 from 1/14/2025, 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 #68) reviewed for Dialysis. Specifically, there was no documented evidence of consistent assessment and oversight before, during and after dialysis treatment for Resident #68 who received Hemodialysis treatments at a community-based Dialysis Center. Additionally, communication and collaboration between the facility and the Dialysis Center was not consistently documented Findings include: Policy & Procedure titled Hemodialysis dated 3/2019 last reviewed 3/2/2024 documented there will be ongoing communication between the interdisciplinary team and the dialysis center. To ensure exchange of information required to care for 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
Show the remaining 17 citations
  • Potential for harm · D2025-01-14 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview conducted during the recertification survey from [DATE] to [DATE], the facility did not ensure a medication error rate of no more than 5%, 2 of 35 opportunities (5.71%) for 2 of 4 residents (Resident #34 and Resident #31) reviewed for Medication Administration. Specifically, 1) Resident #34 was administered one Tums 200 mg/ Calcium 500 mg chewable tablet instead of two as per physician order, and 2) Resident #31 did not receive Vitamin C as per physician order. The findings include: The Policy titled Medication Administration dated [DATE] documented medications would be administered to residents in a timely and accurate manner by a licensed nurse or physician. Resident #34 was admitted to the facility with diagnoses including but not limited to Atrial Fibrillation, Dysphagia and Hypertension. The [DATE] Physician Order documented Tums 200 mg/Calcium 500 mg chewable tablet, give 2 by oral route for heartburn. During the [DATE] at 9:40 AM medication administration…

    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 · D2025-01-14 · 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 record review and interview during the recertification and abbreviated surveys (NY00360214) conducted from 1/7/25 to 1/14/25, the facility did not ensure residents were free from significant medication errors for one of one resident (Resident #70) reviewed for Neglect. Specifically, staff administered medications to Resident #70 including Doxycycline 100 mg (antibiotic), Metformin 500 mg (diabetes pill), [NAME] 95-100 mg ( heart pill), Torsemide 20 mg (water pill), Metoprolol ER 75 mg (blood pressure pill), and Farxiga 10 mg (kidney pill), which were not physician prescribed for Resident #70 resulting in Resident #70 developing chest pain and being transferred to an acute care hospital for evaluation. The findings include: The facility policy Medication Incident Errors dated 12/28/2020 and revised on 11/12/2024, documented medication incidents to include wrong resident, wrong dose, wrong medication, wrong time, wrong day, wrong route. To determine if the incident is significant include, 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-30 · 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 conducted during an abbreviated survey (NY00358461) on 10/28/24, the facility did not ensure each resident received treatment and care in accordance with professional standards of practice for 1(Resident #1) of 3 residents reviewed for accidents. Specifically, a left hip x-ray was not performed as per the 10/20/24 physician order after Resident #1 who was admitted status post (previous) left hip open reduction and internal fixation (hip fracture repair) sustained a fall 3 days after admission. The findings include: The Policy titled Medication and Treatment Orders with a revision date of 4/8/24 documented orders treatments will be consistent with principles of safe and effective orders. Verbal orders must be recorded immediately in the resident chart by the person receiving the order. Resident #1 had diagnosed including but not limited to dementia, open reduction internal fixation of the left hip (repair of a hip fracture) and metabolic encephalopathy (a brain disorder caused by a chemical imbalance in the blood that affects brain…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interviews conducted during an abbreviated survey (NY00358461) the facility did not ensure each resident received adequate supervision consistent with resident's needs goals and care plan to prevent accidents. This was evident for 1 (Resident #1) of 3 residents reviewed for accidents. Specifically, Resident #1 who was assessed as having suicidal ideation and a high risk for falls on admission had a physician's order for 15-minute safety checks. There was no documented evidence that 15-minute safety checks were consistently done as per the 10/18/24 physician's order. The certified nursing aide care instructions did not include the order for 15-minute safety check. Resident #1 was found on the floor in their room on 10/20/24. The findings include: The Policy titled Accidents/Incident Report with a 3/2/24 revision date documented the facility is responsible to investigate accidents to determine possible causative factors and implement interventions that may prevent a…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-30 · tag F0740 — failed to provide behavioral / mental-health care — isolated
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    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 the abbreviated survey (NY00358461), the facility did not ensure that a resident received appropriate behavioral care intervention to address suicidal ideation for 1 (Resident #1) of 3 residents reviewed for behavioral health care. Specifically, Resident #1, was admitted with a diagnosis of depression and verbalized having suicidal ideation with no plan of self-harm on 10/18/2024. A physician's order dated 10/18/2024 for 15-minute safety checks documented no indication for the order. 2)The 15-minute safety check was not listed as an intervention on the suicidal ideation history care plan or included on the certified nurse aide instruction. The 15-minute safety checks were not consistently documented by staff per the physician's order. Resident #1 was found on the floor on 10/20/2024 when they attempted to transfer self without assistance. Findings include: The Facility Policy titled Suicidal Precaution revised 10/2024 documented resident suicide threats…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-19 · tag F0552 — isolated
    Ensure that residents are fully informed and understand their health status, care and treatments.
    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 (NY00305611), the facility did not ensure that the resident and/or their representative was informed in advance of treatment risks and benefits, options, and alternatives when a medication was changed for 1 of 3 (Resident #1) residents reviewed. Specifically, Resident #1's representative was not informed of the risks, benefits, and treatment alternatives prior to increasing the Clonazepam 0.5mg from once daily to twice daily. Resident #1 was on palliative care, had 2 recent falls from bed, was confused and agitated. The findings are: The facility policy and procedure titled Notification to Resident/Resident Representative dated 1/15/2020 and received 10/19/23 documented our facility shall promptly notify the resident, his or her Attending Physician, and representative of changes in the resident's medical/mental condition and/or status (e.g., changes in level of care, billing/payments, resident rights, etc.). Unless otherwise instructed by the resident, a nurse will notify the resident's representative when:…

    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 · D2023-10-19 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview conducted during the abbreviated survey (NY00318405), the facility did not ensure residents were free from abuse for 1of 3 residents (Resident#1) reviewed. Specifically, on 6/14/2023 a Licensed Practical Nurse (LPN#1) was witnessed by another resident (Resident #2-witness) grasping Resident#1 who was severely impaired by their shirt collar twice and pulled their body to the back of their wheelchair as Resident#1 was leaning forward/ and was attempting to self-transfer. Resident#1 had a history of confusion and restlessness. Resident#2 informed Certified Nurse Aide (CNA#1) who reported incident to the Registered Nursing Supervisor (RNS) and Resident #1 was assessed with no injuries. Findings include: The Facility Policy on Abuse Prevention created 8/25/2023 and last revised 12/7/2021 documented all residents will be free from elder abuse or exploitation, mistreatment, or neglect. Physical abuse includes hitting, slapping, pinching, and kicking. Resident #1 had…

    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 before2022-07-15 · 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 observations, interviews and record review conducted during a 7/22/2022-7/15/2022 Recertification Survey, the facility did not ensure that the comprehensive person-centered care plan was developed for 1 of 2 residents (#3) reviewed for mood and/or behaviors. Specifically, a comprehensive care with measurable goals and interventions was not developed to address chewing behaviors for Resident #3. The finding is: Resident #3 was admitted to the facility 10/26/18 and had diagnoses including but not limited to Non-Alzheimer's Dementia, Anemia, and Hypertension. The 7/2/2021 Annual Minimum Data Set (MDS; a comprehensive resident assessment tool) documented Resident #3 had severely impaired cognition, behavioriol symptoms occurring 1-3 days, received extensive assist of one staff for hygiene and dressing, and received no antipsychotics or psychology services. The 4/1/2022 Quarterly MDS documented Resident #3 had severely impaired cognition, behavioral symptoms, occurring 1-3 days, received extensive assist of one staff for hygiene, and dressing and received no antipsychotics or…

    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 · Ecited before2019-07-30 · tag F0656 — failed to write and follow a full care plan — pattern
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview during the recent recertification survey, the facility did not ensure that care plans were developed with appropriate goals and interventions to address specific care needs of the residents. This was evident for 2 of 22 sampled residents. There was no evidence of Care Planning related to cellulitis for Resident #25 as well as wounds and a venous ulcer for Resident #75. The findings are but not limited to the following: 1. Resident #75 was admitted to the facility on [DATE]. Current diagnoses included Anemia, Hypertension and Peripheral Vascular disease. The Minimum Data Set (MDS - an assessment tool) admission assessment dated [DATE] showed that Resident #75 had one venous/arterial ulcer on the ankle. Skin and Ulcer Treatments included utilizing a pressure reducing device for bed and chair, application of non-surgical dressings and application of ointments/medications. Care Area Assessment and Care Planning identified pressure ulcer as a triggered area that would be addressed…

    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 · D2019-07-30 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review conducted during the most recent recertification survey, it cannot be ensured that the facility notified the designated representative in writing of the facility's bed hold policy. This was evident for 1 of 3 residents reviewed for hospitalization (Resident #61). The findings are: Resident # 61 is a 93- year-old male who was admitted to the facility on [DATE] with the diagnosis of Dementia. Nurse's Notes documented in May 2019 revealed that the resident exhibited multiple episodes of sexually inappropriate behavior towards staff and was transferred on 5/10/19 to the geriatric psychiatric unit of a hospital to address this concern. The Nurse's Note showed that the family/designated representative was made aware of the hospitalization. However, there was no documented evidence that the family/designated representative was notified of the facility's bed hold policy in writing. The Social Worker (SW) was interviewed on 7/29/19 in the morning regarding written notification on 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 · D2019-07-30 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review conducted during a recertification survey, it cannot be ensured that comprehensive care plans for 2 of 22 sampled residents were revised to address status changes. Specifically, the Care Plans did not include changes in skin condition for Resident #2 and hearing ability for Residents #2 and #25. The findings are: 1. Resident #2 was admitted on [DATE] with diagnoses that included Hypertension, Age related osteoporosis with current pathological fracture and Wound Infection. Review of the Skin Integrity Care Plan effective 05/20/2019 documented that the resident will not develop additional areas of skin breakdown. The care plan was not updated to include the resident's sacrum stage 2 pressure ulcer identified on 05/29/2019 that has worsened to a stage 3 pressure ulcer on 07/17/2019. Review of the Wound Care Progress Notes from 06/06/2019 to 07/17/2019 documented that a Stage 2 Sacrum Pressure Ulcer was identified on 05/29/2019 that has worsened to a Stage 3 on…

    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 · D2019-07-30 · tag F0685 — isolated
    Assist a resident in gaining access to vision and hearing services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview conducted during the recertification survey, it could not be ensured that residents received proper treatment and assistive devices to maintain hearing ability. This was evident for 1 resident out of 3 residents (Resident #2) reviewed for vision and hearing. The findings are: 1. Resident #2 was admitted on [DATE] with diagnoses that included Hypertension, Age related osteoporosis with current pathological fracture and Wound Infection. Review of the Hearing Deficit Care Plan initiated on 7/8/16 and in effect as of 7/30/19 documented a goal to maintain Resident #2's hearing aid in working condition, use of the hearing aid as ordered, check hearing aid placement twice daily. Review of the Nurse's Notes dated 2/13/17 through 2/15/17 showed that Resident #2's Hearing Aid was misplaced and could not be located. There have been no updates on the care plan from the initiation date. Review of the Physician Order Activity Detail Report and Integrated Progress Notes from…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-07-30 · 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

    Based on observation, interview and record review conducted during a recertification survey, it cannot be ensured that the facility provided pharmaceutical services to assure accurate acquiring, receiving and administration of medications to meet the needs of each resident. Specifically, expired medications were found on one of six medication carts and in one of two medication rooms. The findings are: 1. During medication storage review on the afternoon of 7/26/19, one medication cart on the North long hallway was found to have one bottle, half filled, of Milk of Magnesia with an expiration date of 4/18. A strip of five Feverall acetaminophen suppositories was found with an expiration date of 01/19. The medication nurse #1 did not know why the medications were in the cart. 2. Review of the medication room on the South unit with medication nurse #2 revealed the following medications: a. Warfarin 5 mg 6 pills expired 2/1/2019 b. Warfarin 2.5 mg 12 tabs expired 03/01/2019 c. Warfarin 2.5 mg expired 10 tabs expired 7/01/2019 All were for Resident # 73 who is currently on anticoagulation…

    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 · D2019-07-30 · tag F0836 — isolated
    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview during the recertification survey, the facility was not in compliance with Section 915 of the 2015 edition of the International Fire Code as adopted by New York State, which requires the installation of carbon monoxide detectors in buildings with fuel-fired appliances. Carbon monoxide detectors were not installed in mechanical rooms containing fuel fired equipment (laundry room, boiler room, generator room, etc) or in previously approved locations. The findings are: The life safety tour of the facility was conducted during the recertification survey on 7/25/19 between 9:45 AM - 2:00 PM. At that time it was observed that carbon monoxide (CO) monitors were not installed in areas housing fuel fired (propane and diesel) equipment. These areas included the kitchen, laundry room, boiler room. In concurrent interviews at 11:05 AM on 7/25/19, a member of the Maintenance Department and the facility's Life Safety Consultant confirmed that there were no CO monitors, but that they would be installed where required. 483.70 (b)

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-07-30 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview during a Recertification survey it could not be ensured that the facility adhered to infection prevention and control program practices. The findings include: Resident #287 was admitted to the facility on [DATE] with diagnoses including Hypertension, Non-Alzheimer Dementia, and Hyperlipidemia. The 7/19/19 admission Minimum [NAME] Set (MDS - an assessment tool) indicated a Brief Interview of Mental Status (BIMS an assessment of cognitive function) score of 4/15 (severe cognitive impairment), received total assist from staff for toileting, had an indwelling catheter and 1 stage 2 pressure ulcer which was present on admission. Physician orders dated 7/15/19 included for the facility to monitor urine output every shift, obtain a urology consult, provide foley care every shift, change the foley monthly. Further review showed that a 7/17/19 Physician order recommended for the facility to change the foley bag every 2 weeks. Observations on 07/24/19 at 10:30AM and 7/24/19 at 12:15PM…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • No harm found · Bcited before2019-07-30 · 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 the most recent recertification survey, the facility did not ensure that the residents' environment was maintained in a clean manner. Specifically, floors, doors, baseboard trims and ceiling tiles were not being maintained in a clean condition. This was noted on 2 of 2 units (North and South units), in the Main Dining Room and the lobby area. The findings include but are not limited to the following: During tour of the facility on 7/24/19 and 7/25/19 the following conditions were observed: 1. Multiple tiled vinyl floors in residents' room (to include rooms #5, 15, 16, 24, 40, 44 and 45) were dull and exhibited multiple streaks. 2. The lower portions of multiple wooden room doors (to include rooms # 26, 27, 28, 30, 3, 40, 41, 42, 44, 46, and 48 on the South unit) had green laminate attached to them that exhibited black scuff marks. 3. White baseboard trims exhibited black scuff marks in rooms to include # 1, 10, 14, and 24. 4. The areas of the floor tiles…

    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
  • No harm found · B2019-07-30 · tag F0623 — pattern
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview during the most recent recertification survey, it cannot be ensured that the facility notified residents' representatives in writing when transferred to the hospital. This was evident for 3 of 3 residents (Residents #9 , #61 and #76) reviewed for hospitalization. The findings are: 1. Resident #9 was admitted to the facility on [DATE]. Current diagnoses included Cerebrovascular Accident (stroke) with Hemiplegia/Hemiparesis (one sided weakness/paralysis), Chronic Kidney Disease, Anemia, Congestive Heart Failure, Hypertension and Hyperlipidemia. The Minimum Data Set (MDS - a tool to assess a resident's care needs) dated 11/26/18 indicated stroke as the primary diagnosis. A Nursing Progress Note dated 6/18/19 indicated the resident was transferred to the hospital for lethargy and wheezing and that the daughter was notified of the transfer. The Admit/Transfer/Discharge information in the Electronic Medical Record indicated the resident returned to the facility on 7/5/19. There was…

    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

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

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleShareSince
IZSAK, ROBERTIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF25%since 01/01/2026
JOZEFOVIC, HERBERTIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF10%since 01/01/2026
JOZEFOVIC, YOSEFIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF20%since 01/01/2026
KREISMANN, ARIIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF19%since 01/01/2026
MARKOVICS, ETHELIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST13%since 01/01/2026
MARKOVICS, MENACHEMIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF13%since 01/01/2026
BONILLA, MADELYNIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 01/01/2026
ELLIOT, DEBIIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROLsince 01/01/2026
FEMINELLA, DANIELLEIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 01/01/2026
KAUR, SUKHDEEPIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2026
LACEWELL, ANGELAIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2026
MANISCALCO, VINCENTIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 01/01/2026
MASTERSON, EILEENIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 01/01/2026
MCPEEK, KATEIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 01/01/2026
MOZDIERZ, SANDYIndividualMANAGING CONTROL - GOVERNING BODY; ADP OF THE SNFsince 01/01/2026
2817 POST ROAD REALTY LLCOrganizationADP OF THE SNFsince 01/01/2026
FCA PARTNERS LLCOrganizationADP OF THE SNFsince 01/01/2026
HMM & CO., LLPOrganizationADP OF THE SNFsince 01/01/2026
LONG TERM SOLUTIONS, INC.OrganizationADP OF THE SNFsince 01/01/2026
MED-NET COMPLIANCE LLCOrganizationADP OF THE SNFsince 01/01/2026
MONTGOMERY MANAGEMENT 26 LLCOrganizationADP OF THE SNFsince 01/01/2026
SIMBACARE MANAGEMENT LLCOrganizationADP OF THE SNFsince 01/01/2026

CMS files one row per role, so the 44 rows in the source record cover these 22 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.

$17.7M
Net patient revenuemost recent cost report
-1.2%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 53%Medicare 34%Other / private 13%

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

$535per resident / day
operating cost
$16,253per month
≈ monthly operating cost
$528per 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 335396. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-01-14, 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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