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Friedwald Center For Rehab And Nursing, L L C

475 New Hempstead Road, New City, NY 10956 · For profit - Individual · 180 certified beds · (845) 678-2000 Medicare & Medicaid certified

Call the home — (845) 678-2000 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Aug 2024Behavioral-health or dementia-care citation — no harm found (F0741)
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 Aug 2024
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (26) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its 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.

3/5
CMS overall
3 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 5 of 5

Worth a closer look. This home's quality-measure rating runs 3 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
Urgent care / clinic
873 N Main St
Pharmacy
8 Highview Ave · +917738883786 · Call to confirm hours
Grocery
20 Mezritch Rd · (845) 354-5400 · Call to confirm hours
Park
75 Firemans Memorial Drive · Typically dawn to dusk
Place of worship

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

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 5 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 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 increased16.0%14.1%15.4%typical
Long-stay residents who lose too much weight5.3%5.8%5.4%typical
Long-stay residents with a catheter left in their bladder0.3%0.5%0.9%better
Long-stay residents with a urinary tract infection1.9%1.3%2.0%typical
Long-stay residents with depressive symptoms15.7%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 injury0.9%3.1%3.3%better
Long-stay residents whose ability to walk worsened14.5%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication19.7%13.2%18.9%typical
Long-stay residents given the seasonal flu vaccine98.1%95.3%95.3%typical
Long-stay residents with pressure ulcers4.7%6.5%4.7%typical
Long-stay residents with worsening bladder/bowel control20.5%19.5%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table14.3%13.7%17.1%better
Short-stay residents who newly got an antipsychotic medication1.2%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine90.1%78.8%79.4%better
Short-stay residents rehospitalized after admission21.7%20.6%22.6%typical
Short-stay residents with an outpatient ER visit7.0%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days2.181.701.67worse
Long-stay outpatient ER visits per 1,000 resident days1.091.361.80better

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.

55.6% 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 542 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

55.6%U.S. median 51.5%
Got home and stayed home
9.6%U.S. median 10.7%
Went back to hospital
69.3%U.S. median 56.6%
Met the expected recovery
0.45U.S. median 0.31
Therapy hours / resident / day
0.18hours / resident / day
Physical therapy
0.22hours / resident / day
Occupational therapy
0.05hours / resident / day
Speech therapy

Met the expected recovery: 69.3% 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 267 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 0.45 therapist hours per resident per day in 2026Q1 — more than 75% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% 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 SNF55.6%CMS range 50.3–59.651.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.6%CMS range 7.7–12.310.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge69.3%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 discharge67.4%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 discharge67.4%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified99.1%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 setting86.5%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 discharge97.6%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.2%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 worsened3.4%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 hospitalization9.8%CMS range 7.7–11.67.1%Oct 2023–Sep 2024worse than U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.311.02Oct 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

0.89
RN hours/ resident / day
0.73
LPN hours/ resident / day
2.58
Aide hours/ resident / day
4.20
Total nurse hours/ resident / day
0.49
RN hoursweekends
40.3%
Total nursing turnover
52.9%
RN turnover

How full it usually is: this home is certified for 180 beds and averages 171.6 residents a day — about 95% occupied, or roughly 8 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 4.20 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.89 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.58 is at or above 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 3.71 hrs/resident/day on weekends vs 4.39 on weekdays — 16% thinner on weekends. RN hours go from 1.05 to 0.49 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% 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 (2024-07-16)
3
at the previous standard inspection (2021-07-14)

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.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

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

  • Potential for harm · E2025-12-10 · tag F0641 — pattern
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during an abbreviated survey (NY00374854/801166), the facility did not ensure that all participants in the assessment process have the requisite knowledge to complete an accurate assessment. For 4 out of 4 residents (Resident #3, Resident #6, Resident #7, Resident #8) reviewed for assessments. Specifically, (1) Resident #3 who had severe cognitive impairment and was unable to be interviewed had eight trauma informed care assessments completed by the facility Social Worker with a score of zero indicating no evidence of trauma; (2) Resident #6 who had severe cognitive impairment and was unable to be interviewed had eight trauma informed care assessments completed by the facility Social Worker with a score of zero on two assessments and a score of one on six assessment indicating no evidence of trauma; (3) Resident #7 had who had severe cognitive impairment and was unable to be interviewed had twelve trauma informed care assessments completed by the facility Social Worker, with…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-12-10 · 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 record review and interviews during an abbreviated survey (NY00368065, NY00356980) the facility did not ensure a comprehensive person-centered care plan was implemented for 2 out of 4 residents (Resident #1, Resident #5) reviewed for care planning. Specifically, (1) Resident #1 with a known behavior of refusing care and being non-compliant, had documented refusals of care on three occasions. Review of Resident #1's care plans revealed they did not have a care plan initiated to reflect their refusal behaviors. (2) Resident #5 had a Stage 4 sacral pressure ulcer which resolved on 07/31/2024, the resident was hospitalized on [DATE] and was readmitted to the facility on [DATE] with the Stage 4 sacral pressure ulcer reopened. There was no documented evidence of Resident #5's pressure ulcer care plan being reactivated on readmission. The findings are: The facility Comprehensive Care Plan policy dated 09/24/2024 documented it is the policy of the facility to develop and implement a comprehensive…

    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 before2025-12-10 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during an abbreviated survey (NY00368065/801164), the facility did not ensure a comprehensive person-centered care plan was implemented for 1 out of 4 residents (Resident #1) reviewed for care planning. Specifically, Resident #1 with a known behavior of refusing care and being non-compliant, had documented refusals of care on three occasions. Review of Resident #1's care plans revealed they did not have a care plan initiated to reflect their refusal behaviors and noncompliance. The findings are:The facility Comprehensive Care Plan policy dated 09/24/2024 documented it is the policy of the facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that incudes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the resident comprehensive assessment. 1)Resident #1 had diagnoses including but not limited to Hepatic Encephalopathy,…

    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 · D2025-12-10 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during an abbreviated survey (NY00368065, NY00374854), the facility did not ensure that a resident who is unable to carry out activities of daily living receives the necessary services to maintain good grooming and personal hygiene for 3 out of 3 residents (Resident #1, Resident #3, Resident #4) reviewed for quality of care. Specifically, (1) Resident #1's representative reported they found Resident #1 covered in urine and feces on multiple occasions. Resident #1 was incontinent and dependent on staff for toileting. Review of Resident #1's certified nurse aide accountability revealed within a 2-month period, there were no signatures indicating toilet use was provided by direct care staff on 37 occasions; (2) Resident #3 is incontinent and dependent on staff for toileting. Review of Resident #3's certified nurse aide accountability record revealed within a 2-month period, there were no signatures indicating toilet use was provided by direct care staff on 26 occasions; (3)…

    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 · D2024-08-23 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations and interviews conducted during an abbreviated survey (NY00349754, NY00348426) the facility did not ensure that each resident was free from abuse for 1 of 4 residents (Resident #1) reviewed for abuse. Specifically, on 7/30/2024 Licensed Practical Nurse #1 was seen on surveillance video picking up a water pitcher with water off their medication cart and throw the pitcher and water in Resident #1's direction. Licensed Practical Nurse #1 then threw a small water bottle at Resident #1. An assessment of Resident #1 was conducted, and no injuries were identified. Findings include: The facility Abuse, Neglect and Exploitation policy dated 6/1/2021 and last reviewed/revised 10/1/2023 documented it is the policy of this facility to provide protections for the health, welfare, and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation, and misappropriation of resident property. Abuse is defined as…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-23 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews conducted during an abbreviated survey (NY00349754, NY00348426) the facility did not ensure that the comprehensive care plan was reviewed and revised timely for 2 out of 4 residents (Resident #1, Resident #4) reviewed for abuse. Specifically, (1) Resident # 1 with a history of known behaviors, had an incident on 7/30/2024 with Licensed Practical Nurse #1 and the risk for abuse, behavioral symptoms care plans were not updated to reflect the 7/30/2024 incident. (2) Resident # 4 reported to the Director of Social Services on 7/16/2024 that Registered Nurse # 1 had cursed at them and called them a name. Resident #4's risk for abuse care plan was not updated to reflect the allegation. Findings include: The facility's undated as comprehensive care plan policy documented it is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-23 · tag F0741 — failed to have staff trained for behavioral health — isolated
    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews conducted during an abbreviated survey (NY00349754, NY00348426) the facility did not ensure that nursing staff were in serviced in behavioral health care needs of residents for 1 of 4 residents. Specifically, the facility was unable to provide documented evidence that they provided education on behavioral health to Licensed Practical Nurse #1 before they were assigned to the dementia unit on 7/30/2024. Licensed Practical Nurse #1 engaged in a verbal altercation with Resident #1 with known verbal/physical aggressive behavior, and Licensed Practical Nurse #1 threw a pitcher of water at the resident during the verbal exchange. Finding include: A review of the Behavioral Health Policy dated 9/1/2022 documented it is the policy of this facility to ensure all residents receive necessary behavioral health services to assist them in reaching and maintaining their highest level of mental and psychosocial functioning. All facility staff, including contracted staff and volunteers,…

    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 · D2024-07-16 · tag F0560 — isolated
    Protect a residents' right to refuse some types of non-requested transfers within the nursing home.
    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, conducted during the recertification survey from 7/9/2024 to 7/16/2024, the facility did not ensure a resident's right to refuse a room transfer solely for the convenience of staff. This was evident for 1 (Resident #132) of 37 total sampled residents. Specifically, Resident #132 was transferred from the 2nd Floor to the 3rd Floor after a staff member reported they were uncomfortable providing the resident care. The findings are: The undated facility policy titled Change of Room or Roommate documented the facility reserves the right to make resident room changes when found the facility deems it necessary. A resident has the right to refuse a transfer to another room. Resident #132 had diagnoses of a right femur fracture and end stage renal disease. The Minimum Data Set 3.0 dated 6/6/2024 documented Resident #132 was cognitively intact. During an interview on 07/10/2024 at 12:11 PM, Resident #132 stated that Certified Nursing Assistant #28 reported to the former Director of Nursing…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-07-16 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review conducted during the recertification survey from 7/9/2024 to 7/16/2024, the facility did not ensure the resident's right to a clean, comfortable, and homelike environment. This was evident for 1 (3rd Floor) of 3 resident units. Specifically, the 3rd Floor ad peeling wallpaper in the hallway and a dayroom with walls that were stained and damaged, missing and mismatched wallpaper, and with misshapen and bent window blinds. The findings are: The undated facility policy titled Cleaning and Disinfection documented routine cleaning will be performed in resident common areas and wall cleaning will be conducted when visibly soiled. On 07/09/2024 at 09:39 AM, the 3rd Floor dayroom was observed with window blinds containing several misshapen and bent slates, a quarter-sized hole in the wall next to the television that was crumbling and exposing white dusty plaster beneath, several areas along the wall with remnants of thick white tape, a missing section of wallpaper near the television, and dried food splatters and black scuff along 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 · D2024-07-16 · tag F0585 — failed to handle grievances — isolated
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    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 a recertification and abbreviated (NY00335338 and NY00341688) survey from 7/9/2024 to 7/16/2024, the facility did not ensure prompt efforts were made to resolve resident grievances for 2 of 2 residents reviewed for grievances (Resident #321 and #136). Specifically, 1) a grievance investigation was not conducted when the Designated Representatives for Resident #321 and Resident #136 expressed care concerns to facility staff. The findings are: The undated facility policy titled Grievances documented when a grievance is reported, the grievance officer and assigned social worker will be notified and an investigation will be conducted. All investigative findings will be discussed with the complainant in writing by the facility within 5 business days, 1) Resident #321 had diagnoses of Parkinson's disease and adult failure to thrive. The Minimum Data Set 3.0 assessment tool dated 4/5/2024 documented Resident #321 had moderately impaired cognition. 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 Rights Deficiencies · Deficient, Provider has date of correction
Show the remaining 16 citations
  • Potential for harm · D2024-07-16 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review conducted during the recertification and abbreviated (NY00314688) survey from 7/9/2024 to 7/16/2024, the facility did not ensure all alleged violations involving abuse were reported immediately, but not later than 2 hours after the allegation was made, to the New York State Department of Health. This was evident for Resident #136 reviewed for abuse out of 37 total sampled residents. Specifically, an allegation of abuse related to ecchymosis (bruising) found on Resident #136's ear was not reported to the New York State Department of Health. The findings are: The facility policy titled Abuse, Neglect, and Exploitation dated 10/1/2023 documented allegations involving abuse will be reported immediately, but not later than 2 hours after the allegation is made, to the Administrator and state agency. Resident #136 had diagnoses of dementia and metabolic encephalopathy. The Minimum Data Set 3.0 assessment dated [DATE] documented Resident #136 had severe cognitive…

    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 · D2024-07-16 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interview, and record review conducted during the recertification and abbreviated (NY00314688) survey from 7/9/2024 to 7/16/2024, the facility did not ensure all alleged violations involving abuse were thoroughly investigated. This was evident for Resident #136 reviewed for abuse out of 37 total sampled residents. Specifically, an allegation of abuse related to ecchymosis found on Resident #136's ear was not thoroughly investigated to include interviews with the Dermatologist who assessed and determined Resident #136 experienced physical trauma. The findings are: The facility policy titled Abuse, Neglect, and Exploitation dated 10/1/2023 documented allegations involving abuse will be reported immediately, but not later than 2 hours after the allegation is made, to the Administrator and state agency. Resident #136 had diagnoses of dementia and metabolic encephalopathy. The Minimum Data Set 3.0 assessment dated [DATE] documented Resident #136 was severely cognitively impaired. On 07/09/2024…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-07-16 · 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 recertification survey and abbreviated survey (NY00322156) conducted from 7/08/24-7/16/24 , the facility did not ensure that a comprehensive person-centered care plan was developed for 1 of 1 residents (#127) reviewed for urinary tract infections. Specifically, there were no care plans in place to address prevention of reoccurring urinary tract infections for Resident #127. Findings include: The undated facility policy titled Comprehensive Care Plans documented the facility was to develop and implement a comprehensive person-centered care plan for each resident with resident rights, that included measurable objectives and timeframe's to meet a resident's medical, nursing, mental and psychosocial needs. Resident #127 was admitted with diagnoses and conditions including Dementia, Diabetes Mellitus, and history of Urinary Tract Infections. The Minimum Data Set an assessment tool dated 4/11/24 documented Resident #127 had severe cognitive impairment and was dependent on staff for all activities of daily living and…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-07-16 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review conducted during the recertification survey from 7/9/2024 to 7/16/2024, the facility did not ensure a resident received treatment and services in accordance with professional standards of practice and their comprehensive person-centered care plan. This was evident for 1 (Resident #65) of 37 total sampled residents. Specifically, Resident #65 was observed out of bed in a reclining back wheelchair seated on a hoyer pad and there was no documented evidence to address the level of assistance and devices required for safe bed-to-chair transfer. The findings are: Resident #65 had diagnoses of cerebral infarction and left side hemiplegia. The Minimum Data Set (assessment tool) dated 6/20/2024 documented Resident #65 had severe cognitive impairment, was dependent on staff assistance for bed-to-transfers and did not use a wheelchair or mobility device. On 07/10/2024 at 01:49 PM, 07/12/2024 at 10:20 AM, and 07/15/2024 at 12:54 PM, Resident #65 was observed out of bed in 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 · Dcited before2024-07-16 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review during a recertification survey conducted from 7/9/24-7/16/24, the facility did not ensure residents with limited range of motion received appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion for 2 of 8 residents (Resident #21 and #98) reviewed for positioning and mobility. Specifically, the staff did not ensure 1) Resident # 21's bilateral hand splints were worn throughout the day as ordered and care planned and 2) Resident #98's right-hand splint was worn as per physician order. The finding is: A Policy and Procedure dated 2/21 titled Rehabilitation Positioning Devices, documented ensure residents were proper position and body alignment with appropriate positioning devices as needed. 1) Resident #21 was admitted with diagnosis of Multiple Sclerosis, Functional Quadriplegia and Type 2 Diabetes. The Quarterly Minimum Data Set (an assessment tool) dated 4/18/2024 documented Resident #21 was cognitively intact and was dependent with all activities of daily living. The…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-07-16 · tag F0730 — isolated
    Observe each nurse aide's job performance and give regular training.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on staff interview and review of facility records during the recertification survey from 7/9/24 through 7/16/24, the facility did not ensure certified nurse aide performance reviews were completed at least once every 12 months. Specifically, five of seven certified nurse aides did not have performance reviews documented at least once every 12 months. Findings include: Review of Certified Nurse Aide #7, #17, #24, #25, and #26 hire dates revealed they had been working at the facility for more than one year. The review of performance evaluations for Certified Nurse Aide #7 and #17 revealed their last performance evaluations were completed on 8/4/08 and 3/15/10 respectively. There was no documented evidence that performance evaluations were completed for Certified Nurse Aide #24, #25 and #26. During an interview on 07/15/2024 at 11:22 AM, the Human Resources Director stated the annual performance evaluations for the Certified Nurse Aides were not done, the facility was in the process of getting them done with the new administrator on board. During an interview on 7/15/2024 at…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-07-16 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review during the recertification survey from 7/9/24 through 7/16/24, the facility did not ensure drugs and biologicals were stored in accordance with currently accepted professional standards for 2 of 26 residents (Resident #378 and #425) reviewed for medication storage and labeling . Specifically, 1. Nystatin-Triamcinolone cream with a 6/14/24 -6/28/24 administration date was observed on Resident # 378's bedside table and 2. Fluticasone and Albuterol metered dose inhalers were observed on Resident # 425's bedside table. The findings are: The undated policy titled Resident Self-Administration of Medication documented all nurses and nurse aides were required to report any medication found at the residents' bedside to the charge nurse. 1. Resident # 378 was admitted to the facility with diagnoses including Diabetes, Chronic Kidney Disease and Peripheral Vascular Disease. The Minimum Data Set (an assessment tool) dated 5/9/24 documented Resident #378 was cognitively intact. Observation on 07/09/24 at 12:23 PM, 07/09/24 at 03:50 PM, 7/10/24…

    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 · D2024-07-16 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview conducted during a recertification survey conducted from 7/9/24-7/16/24, the facility did not ensure infection control prevention including proper use of personal protective equipment and enhanced barrier precautions were maintained to help prevent the development and transmission of communicable diseases and infections for 2 of 32 residents (#130 and #72). Specifically, 1) contact precautions were not followed when Activity Aide #9 touched an overbed table in Resident #130's room and 2) enhanced barrier precautions were not implemented when Certified Nurse Assistant #10 and Certified Nurse Assistant #11 transferred Resident #72 into bed by Hoyer lift. Findings include: The undated facility policy for enhanced barrier precautions documented precautions were an infection control intervention designed to reduce transmission of multi drug resistant organisms that employed targeted gown and glove use during high contact resident care activities. High contact care activities include transfer from chair to bed. 1) Resident #130 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-07-14 · 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, interviews, and record reviews conducted during a recertification survey, the facility did not ensure that each resident had the right to a dignified existence and each resident was cared for in a manner and environment that promoted maintenance or enhancement of his or her quality of life for 1 of 4 residents (#90) reviewed for dignity. Specifically, resident #90 was observed in the dining room wearing a urinary (foley) catheter drainage bag with no privacy cover. The findings are: Review of the Facility Policy and Procedure on Indwelling Urethral Catheter dated 07/17 documented to provide privacy, and leg bags may be used either for the dignity of the resident or when the drainage bags interfere with residents ambulation. There was no documentation specific to applying a cover to the foley drainage bag when the resident is out of bed and out of the room. Resident #90 was admitted to the facility on [DATE] with diagnoses that included Cerebral Infarction, Spastic Hemiplegia affecting 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 · Dcited before2021-07-14 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — 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 a recertification survey and abbreviated survey (NY00275488), the facility did not exercise care for the protection of resident property from loss or theft. This was evident for 2 of 2 residents (#36, #149) reviewed for personal property. Specifically, (1) resident #36's family complained that a total of 15 pairs of clothing was missing which was reported to the facility; ( 2) during the initial pool process resident #149 stated that the facility lost his/her two blankets two weeks ago which was reported to the Social Worker (SW). The findings are: Review of an Undated Facility Policy on Resident Clothing replacement of loss or damaged item documented that all clothing must be labeled with the residents name and logged on the residents personal property sheet on admission and whenever additional clothing items were obtained. Only clothing listed on the resident's personal property sheet will be replaced if lost or damaged. All lost clothing should be reported to Social…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-07-14 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and interviews conducted during a recertification survey, the facility did not ensure that residents were provided the appropriate treatment and services to improve and/or prevent a further decline in range of motion (ROM). Specifically, on multiple observations a resident did not have a right-hand roll applied as per physician order. This was evident for 1 of 3 residents (#90) reviewed for positioning and limited mobility. The findings are: Review of the Facility Policy on Positioning Devices dated 2020 documented that the Rehab Department will assess the resident from admission for the use of positioning devices such as palm guards/hand roll to ensure proper body alignment both in and out of bed. Long term residents will be assessed and reviewed quarterly on the Minimum Data Set (MDS, an assessment tool) schedule. Positioning devices will be included in the treatment orders and instructions will be placed in the Certified Nursing Assistant (CNA) Accountability. 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2019-11-06 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review during a recertification survey the facility failed to ensure that only authorized personnel had access to two of three medication rooms. Specifically, keys to two medication rooms were stored in unsecured drawers at the nurses' stations and the door to one medication room was left ajar while the room was unattended. The findings are: 1. Observation on 11/01/19 at 12:10 PM of the first-floor nurses' station revealed that the Nurse Manager (RN) #3, obtained keys to the medication room from an unlocked, top drawer at the nurses' station. The door to the medication room was already ajar when the RN #3 approached the room to unlock it while the two assigned medication nurses were in the hallway administering medications to the residents. Five other residents were in close vicinity to the medication room. During interview on 11/01/19 at 12:10 PM, RN #3 said the two medication nurses on the unit were responsible for securing the medication room. She went on to explain that the unit had three keys to the medication room, one for each of the…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-11-06 · tag F0573 — isolated
    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview conducted during the recertification and abbreviated survey (Complaint #NY00243944), the facility did not ensure that the resident's legal representative was provided upon written request with a copy of the resident's health care records within 2 working days as per federal regulation. Specifically, on 06/04/19 a mailed and faxed request for the medical records of Resident #215 was sent to the facility. These medical records were not received by the legal representative of the resident until 10/21/19. This was evident for 1 of 1 resident reviewed for access to medical records. Findings are: Resident # 215 was admitted to the facility on [DATE] with diagnoses including schizophrenia, depression and atrial fibrilation. On 06/16/19 the resident was pronounced dead following a bout of labored breathing and decreased responsiveness. A copy of a letter dated 06/04/19 requesting the medical records of Resident #215 from the legal representative was reviewed. Another letter dated…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-11-06 · tag F0661 — isolated
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review conducted during a recertification survey, it could not be ensured that the facility completed a discharge summary for a discharged resident. Specifically, there was no evidence that a discharge summary detailing the resident's clinical status, course of treatment and post discharge needs was completed to ensure a safe and effective transition of care. This was evident for 1 of 1 resident (Resident #167) reviewed for discharge. The findings are: Resident #167 was admitted to the facility on [DATE] with diagnoses including Hypertension, Diabetes, reflux, general weakness and pneumonia. The Minimum Data Set (MDS) assessment dated [DATE] documented the resident is cognitively intact and requires extensive to total assist with most activities of daily living. Review of Resident #167's record revealed that there is a progress note titled discharge summary written by the Physician Assistant on 10/26/2019. The first paragraph states that the resident was examined and medically…

    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 · D2019-11-06 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review during a recertification survey, the facility failed to ensure 1 of 7 residents reviewed for respiratory care (Resident #4) received the required oxygen treatment consistent with professional standards of practice and the resident's comprehensive care plan. Specifically, Resident #4 received more liters per minute (lpm) of oxygen than ordered. The findings are: Resident #4 was a [AGE] year-old man who was admitted on [DATE] and readmitted on [DATE]. His diagnoses included Pneumonia/Sepsis related to Aspiration, Dysphagia, Hemiplegia, Anxiety Disorder, chronic obstructive pulmonary disease, and chronic hypoxic respiratory failure (inadequate oxygen to tissues and cells). He also is dependent on supplemental oxygen. The resident's Minimum Data Set (MDS) assessment dated [DATE] documented he had severely impaired cognitive skills. He was totally dependent on two staff for activities of daily living, had shortness of breath with exertion and when lying flat and…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2019-11-06 · 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 interview and record review conducted during the most recent re-certification survey, the facility did not ensure that written notices to family regarding discharge to the hospital included the reasons for the discharge. This was evident for 3 of 4 residents reviewed for hospitalization (Residents #41, #87, and #468). The findings include but are not limited to the following: 1. Resident #87, with diagnoses including Dementia and Schizophrenia, was hospitalized on [DATE] per nursing note due to low blood pressure and hematuria (blood in the urine). The family was informed via telephone of the transfer to the hospital on 8/15/19 but there was no documented evidence that a written notice that included the reasons for the transfer was sent to the family. On 11/4/19 in the afternoon the Social Worker (SW) was asked for documentation to show that the family was sent a written notification of the discharge to the hospital and the reason for the discharge. The SW provided a letter which showed that the family…

    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
WINET, BARRYIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 12/19/2003
BRAUN, MICHAELIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/31/2025
CARUS, RACHELIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/04/2025
COHNEN, MICHELEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/20/2016
CONTE, JANETIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/22/2024
EBSTEIN, BENIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/01/2023
GAN, SHARLYNEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/08/2022
GELLER, ADAMIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/06/2024
ISABELLE, JIMIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2018
MAXWELL, LYNNIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/10/2025
REICHMAN, YEHUDISIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/23/2012
ROTH, BENIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/24/2016
SHAH, DEVIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/11/2018

CMS files one row per role, so the 25 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

$34.9M
Net patient revenuemost recent cost report
-3.7%
Operating marginrevenue minus expenses
$964K
Related-party expense3% of expenses
Who pays — share of resident-days
Medicaid 60%Medicare 28%Other / private 12%

This home reported $964K paid to related parties (affiliated landlords or management companies) in its most recent 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

$594per resident / day
operating cost
$18,046per month
≈ monthly operating cost
$572per 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 335734. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-07-16, 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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