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Presbyterian Home For Central New York INC

4290 Middle Settlement Road, New Hartford, NY 13413 · Non profit - Church related · 242 certified beds · (315) 797-7500 Medicare & Medicaid certified

Call the home — (315) 797-7500 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0604, F0609) — most recent Mar 2025Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • no federal fines or payment denials on record
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604, F0609) — 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 (24) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its independent health-inspection rating is low (2/5)
  • it did not file the payroll staffing data CMS requires — its 1 of 5 staffing rating is the rating CMS assigns for not reporting, not a measure of how many nurses are on the floor
  • its facility-reported quality-measure 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.

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

Location & what’s nearby

Hospital
1/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
4301 Middle Settlement Rd · (315) 624-8500 · Call to confirm hours
Pharmacy
1 Sangertown Sq Ste 3 · (315) 738-9052 · Call to confirm hours
Grocery
4350 Middle Settlement Rd · (315) 793-9226 · Call to confirm hours
Park
8689 · Typically dawn to dusk
Place of worship
4291 Middle Settlement Rd · (315) 732-1349

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 2 of 5
Long-stay residentspeople who live here 2 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 held steady at 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 increased25.5%14.1%15.4%worse
Long-stay residents who lose too much weight5.6%5.8%5.4%typical
Long-stay residents with a catheter left in their bladder1.8%0.5%0.9%worse
Long-stay residents with a urinary tract infection2.2%1.3%2.0%worse
Long-stay residents with depressive symptoms0.0%19.5%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury4.3%3.1%3.3%worse
Long-stay residents whose ability to walk worsened12.7%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication20.4%13.2%18.9%typical
Long-stay residents given the seasonal flu vaccine99.0%95.3%95.3%typical
Long-stay residents with pressure ulcers5.2%6.5%4.7%worse
Long-stay residents with worsening bladder/bowel control28.7%19.5%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table15.4%13.7%17.1%typical
Short-stay residents who newly got an antipsychotic medication0.6%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine75.2%78.8%79.4%typical
Short-stay residents rehospitalized after admission28.8%20.6%22.6%worse
Short-stay residents with an outpatient ER visit17.7%9.6%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.131.701.67worse
Long-stay outpatient ER visits per 1,000 resident days1.591.361.80better

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

§ 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.

43.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 201 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

43.7%U.S. median 51.5%
Got home and stayed home
9.1%U.S. median 10.7%
Went back to hospital
69.0%U.S. median 56.6%
Met the expected recovery

Met the expected recovery: 69.0% 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 84 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.

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 SNF43.7%CMS range 38.0–50.651.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.1%CMS range 6.8–12.310.7%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 discharge69.0%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 discharge72.6%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 discharge57.1%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 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 stay0.0%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 worsened3.5%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 hospitalization6.5%CMS range 3.5–10.57.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.081.02Oct 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

No payroll-based (PBJ) staffing hours are on file for this home — and the record suggests that is because it did not report them. CMS rates its staffing 1 of 5, which is the rating CMS assigns when a home does not report. Every Medicare-certified nursing home is required to submit its actual payroll data quarterly, and that submission is what makes staffing numbers auditable rather than a claim. A home that does not file is not the same as a home with no data yet: ask this home directly what its nurse-to-resident ratios and weekend RN coverage are, why its payroll data is not filed, and weigh the independent health-inspection score heavily in the meantime.

Inspection trend

11
deficiencies at the latest standard inspection (2024-04-26)
8
at the previous standard inspection (2022-01-14)

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.

24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.

  • Potential for harm · D2025-03-21 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview during the abbreviated (NY00348553) survey conducted 3/21/2025, the facility did not ensure an elopement incident was reported to the State Agency as required for 1 of 3 residents reviewed (Resident #1). Specifically, Resident #1 eloped 6/29/2024 when they removed a window panel from an unoccupied room on their unit, climbed out the window and were discovered standing in the fenced-in courtyard with their walker. The facility did not report the elopement incident to the New York State Department of Health as required. Findings include: The August 2016 New York State Department of Health Incident Reporting Manual documented at least one of the following elements must be present for an incident to be reportable to the New York State Department of Health: - Resident with cognitive impairment or elopement risk left the facility undetected, or eloped from physician, other outside appointment, or facility outing. - Resident, despite cognition, was at risk for elopement and remained missing after a search of the building was conducted. - Resident with 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-04-26 · tag F0813 — pattern
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    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 conducted 4/22/2024-4/26/2024, the facility did not ensure a policy and procedure regarding the use and storage of food brought to residents from outside the facility to ensure safe and sanitary storage, handling, and consumption for 2 of 6 resident units (Broadway and Rodeo units) reviewed. Specifically, staff did not know the policy and procedure to properly reheat, and measure temperatures of food brought to residents from outside the facility. Additionally, there was undated resident food in the Broadway and Rodeo Unit kitchenette refrigerators. Findings include: The facility policy Food from Outside Sources revised 4/10/2024, documented: - Safe food handling practices were to be followed by visitors and staff regarding handling, storage, and reheating of food brought in from the outside. - It was the responsibility of the person bringing food in for the resident to assure that items were handled properly. - Any staff or visitor may heat food items in a closed, microwave safe container. 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-04-26 · 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 conducted 4/22/2024-4/26/2024, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 7 of 8 residents (Residents #17, #22, #33, #82, #89, #267, and #278) reviewed. Specifically, -Resident #17 had clostridioides difficile (a contagious germ that causes diarrhea and inflammation of the colon) and transmission-based precautions were not implemented timely. - Resident #22 had extended-spectrum beta-lactamase (enzyme resistant to most antibiotics) in the urine and transmission-based precautions were not properly maintained. - Resident #33 had colonized extended-spectrum beta-lactamase in the sputum and enhanced barrier precautions were not properly maintained. - Residents #82 and #278 had indwelling medical devices and were not placed on enhanced barrier precautions as required. - Residents #89 and #267 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-26 · 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 during the recertification and abbreviated (NY00338896 and NY00310300) surveys conducted 4/22/2024-4/26/2024, the facility did not treat each resident with respect and dignity and did not provide care for each resident in a manner that promoted enhancement of quality of life for 1 of 2 residents (Resident #3) reviewed. Specifically, Resident #3 was asked to use a bed pan rather than being taken to the toilet as requested. Findings include: The facility policy Resident Rights last reviewed 4/8/2024, documented the facility would assure that all Federal and State laws which guaranteed rights of our residents were followed. These rights included a dignified existence, and to be treated with respect, kindness, and dignity. The facility policy Activity of Daily Living- Supporting last reviewed 10/2023, documented appropriate care and services would be provided for residents who were unable to carry out activities of daily living independently, with the consent 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-26 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview during the recertification survey conducted 4/22/2024-4/26/2024, the facility did not ensure a resident's ability to safely self-administer medications was clinically appropriate for 1 of 1 resident (Resident #19) reviewed. Specifically, Resident #19 was observed with glucose tablets (medication to increase low blood sugar) at their bedside and there was no documented evidence the interdisciplinary team had assessed the resident's ability to safely self-administer the medication. Findings include: The facility policy Self-Administration of Medication/Treatment reviewed 7/12/2022 documented as part of the resident's overall evaluation, the nursing home staff and practitioner would assess each resident's mental and physical abilities to determine whether self-administering medications was clinically appropriate for the resident. If the team determined that a resident could not safely administer medications, the nursing staff would administer the medications. Staff would identify and give the charge nurse any medications found at 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 before2024-04-26 · 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 during the recertification survey conducted 4/22/2024-4/26/2024, the facility did not develop and implement a comprehensive person-centered care plan to meet the resident's medical and nursing needs for 2 of 2 residents (Resident #4 and #32) reviewed. Specifically, Resident #4 did not have a comprehensive care plan developed with interventions for reoccurring urinary tract infections; and Resident #34 did not have a comprehensive care plan developed for wandering risk. Findings include: The facility policy Interdisciplinary Care Plans, dated 4/12/2022 documented the facility must develop and implement a comprehensive care plan to meet the needs of each resident. The plan of care should include individual preferences, desires, and goals of care to meet the resident's medical, psychosocial, and nutritional needs. The interdisciplinary team must maintain the person-centered plan of care and update as indicated with new or changing interventions to achieve 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-26 · 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

    Based on observation, record review, and interview during the recertification survey conducted 4/22/2024-4/26/2024, the facility did not review and revise the comprehensive care plan based on changing goals and needs for 1 of 1 resident (Resident #79) reviewed. Specifically, Resident #79's meal tickets and comprehensive care plan included a fluid restriction of 2,000 milliliters daily which was previously discontinued by the medical provider. Findings include: The 4/12/2022 facility policy Interdisciplinary Care Plans documented the interdisciplinary team would maintain a person centered plan of care at all times and update as indicated with new or changing interventions developed to achieve the desired outcome. Resident #79 had diagnoses including chronic kidney disease, peripheral vascular disease (poor circulation), and congestive heart failure (the heart does not pump efficiently). The 4/3/2024 Minimum Data Set assessment documented the resident had intact cognition, required assistance with activities of daily living, and received a therapeutic diet. The comprehensive care plan…

    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 before2024-04-26 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the recertification and abbreviated (NY00310300, NY00321040) surveys conducted 4/22/2024-4/26/2024, the facility did not ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 3 of 5 residents (Residents #2, #12 and #35) reviewed. Specifically, Resident #2 was not assisted with removal of unwanted facial hair; Resident #12 had unclean and untrimmed fingernails; and Resident #35 had unclean fingernails. Findings include: The facility policy Activities of Daily Living (ADL) reviewed 10/1/2023 documented appropriate care, treatment, and services were provided for residents who were unable to carry out activities of daily living independently in accordance with the plan of care, including support and assistance with hygiene, mobility, elimination, dining, and communication. 1) Resident #2 had diagnoses including fracture of the right…

    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 · D2024-04-26 · 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 observation, interview, and record review during the recertification survey conducted 4/22/2024-4/26/2024, the facility did not ensure a resident with limited range of motion received appropriate treatment and services to prevent further decrease in range of motion for 1 of 2 residents (Resident #12) reviewed. Specifically, Resident #12 did not have their resting palm (hand) guards applied appropriately as recommended by occupational therapy for hand and finger contractures. Findings include: The facility policy Orthotic Devices reviewed 8/1/2023, documented the facility assured residents received appropriate services and interventions in response to physical and functional needs with the purpose that joint range of motion and elasticity were maintained and provided proper body alignment. Resident #12 had diagnoses including dementia, rheumatoid arthritis (an autoimmune inflammatory disease), and contracture (tightening of tissue) of the right hand. The 3/14/2024 Minimum Data Set assessment documented the resident had moderately impaired cognition and was dependent for…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-26 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review during the recertification survey conducted 4/22/2024-4/26/2024, the facility did not ensure residents maintained acceptable parameters of nutritional status for 1 of 4 residents (Resident #276) reviewed. Specifically, Resident #276 had a significant weight loss, nutritional status and interventions were not reassessed, and there was no documented evidence the medical provider was made aware of the significant weight loss. Findings included: The facility policy Residents Weights /Height and Significant Weight Loss last reviewed 10/25/2022, documented regular monitoring of weights was necessary to screen residents for significant weight changes, which may indicate a resident was at nutritional risk. Each resident weight and height were measured upon admission (within 48 hours). The height and weight were recorded into the electronic medical record. New admissions were weighed weekly for 4 weeks. The Unit Manager/Charge Nurse would review the weight and determine if a reweight was indicated. Nursing would indicate verified weight…

    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 14 citations
  • Potential for harm · D2024-04-26 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview during the recertification survey conducted 4/22/2024-4/26/2024, the facility did not ensure that a resident being fed by enteral means (tube placed in the stomach for feeding) received the appropriate treatment and services to prevent complications of enteral feed including but not limited to aspiration (inhalation of food/fluid into the lungs) for 1 of 1 resident (Resident #82) reviewed. Specifically, Resident #82's head of the bed was not elevated during and after receiving enteral feedings as ordered. Findings include: The facility policy Enteral Tube Feeding via Continuous Pump revised 6/6/2022 documented the facility remained current in and followed accepted best practices in enteral nutrition. The head of the bed was positioned at 30 degrees-45 degrees (semi-Fowler's position) for feeding, unless medically contraindicated. Resident #82 had diagnoses including adult failure to thrive, gastrostomy (tube inserted in the stomach for feeding) status, and moderate protein-calorie malnutrition. The 2/8/2024 Minimum Data Set…

    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 · D2024-04-26 · 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, record review, and interview during the recertification survey conducted 4/22/2024-4/26/2024, the facility did not ensure drugs and biologicals were labeled and stored in accordance with currently accepted professional principles and included the expiration date when applicable for 2 of 3 medication carts (Rodeo Drive and Wall Street Unit medication carts) reviewed; and for 2 of 3 medication refrigerators (Rodeo Drive and Wall Street Units) reviewed. Specifically, the Wall Street medication cart had an insulin pen for Resident #3 that was not labeled with an opened or expiration date; and the Rodeo Drive medication cart had an inhaler for Resident #29 that was not labeled with an opened or expiration date, and the medication cart was left unattended and unlocked at the nursing station. Additionally, the Rodeo Drive and Wall Street medication refrigerators did not have consistent documentation that temperatures were monitored or maintained; and the Wall Street medication refrigerator temperature was not maintained within acceptable storage parameters. Findings…

    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 · Ecited before2022-01-14 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview during the recertification and abbreviated surveys (NY00280158 and NY00283260) conducted 1/10/22-1/14/22, the facility failed to provide adequate supervision to prevent accidents for 3 of 3 residents (Residents #14, 37, and 90) reviewed. Specifically, - Resident #37 eloped when a door on the unit was left ajar and there was no documented follow-up or staff education to ensure doors were secured. Residents #14 and #90 subsequently eloped through a door left ajar on the unit. - A headcount was not completed after Resident #14 eloped, and staff did not identify that Resident #90 had also eloped and was outside unsupervised. - Residents #14's, 37's, and 90's comprehensive care plans (CCP) were not reviewed when elopement risk changed to ensure interventions for elopement prevention were implemented and appropriate. Findings include: The facility policy Assessment of the Wandering Resident revised 7/2012, documented all new admissions would be assessed by a registered nurse (RN) to determine their risk for wandering. Reassessments would…

    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 before2022-01-14 · 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

    Based on observation, record review and interview during the recertification and abbreviated (NY00285403) surveys conducted 1/10/22-1/14/22, the facility failed to ensure residents had a right to a dignified existence for 1 of 1 resident (Resident #81) reviewed. Specifically, Resident #81 was observed without pillowcases, with a torn pillow, holes in their socks and a room that lacked personalization. Findings include: The facility policy Resident Rights dated 2/17/19 documents the residents shall be treated with respect and dignity and have a dignified existence. Resident #81 had diagnoses including dementia, bipolar disorder, and major depressive disorder. The 11/16/21 Minimum Data Set (MDS) assessment documented the resident was cognitively intact, felt down, depressed, or hopeless, required supervision with most activities of daily living (ADLS), and felt choosing what clothes to wear and taking care of personal belongings was very important. The comprehensive care plan (CCP), initiated 1/21/19, documented the resident had an ADL self-care deficit and required extensive…

    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 · D2022-01-14 · 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

    Based on observation, interview, and record review during the recertification survey conducted 1/10/22-1/14/22, the facility failed to make prompt efforts to resolve grievances the resident may have for 1 of 1 resident (Resident #9) reviewed. Specifically, a grievance by Resident #9 for a missing hearing aid was not addressed timely. Findings include: The facility policy Misappropriation of Resident Property dated 9/2021, documented an investigation shall be conducted within 48 hours. A log containing information regarding the receipt, review, investigation, and disposition of every allegation will be maintained in social services. The resident and/or complainant will be notified in writing as to the findings of the allegation. Resident #9 had diagnoses including dementia, adjustment disorder, and anxiety. The 9/17/21 Minimum Data Set (MDS) documented the resident was cognitively intact, had minimal difficulty hearing, did not have a hearing aid, usually made self understood, usually understood others, and required extensive assistance with most activities of daily living (ADL). 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 · D2022-01-14 · tag F0604 — failed to not use physical restraints improperly — isolated
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    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 1/10/22-1/14/22, the facility failed to ensure that that when a restraint was indicated for a resident, the least restrictive alternative for the least amount of time was used and included documented ongoing re-evaluation of the need for a restraint for 1 of 1 resident (Resident #58) reviewed. Specifically, Resident # 58 had a perimeter mattress (a mattress with defined edges to aid in fall prevention) which was not assessed to determine if it was the least restrictive device and there was no ongoing re-evaluation of the need for the use of the mattress. Findings include: The facility policy Physical Measures and Safety Devices (RESTRAINTS) revised 3/2019 documented a Restrictive Device Assessment will be completed in resident's electronic medical record. Nursing will complete all sections of the restrictive device assessment. The Restrictive Device Assessment will be completed and reviewed at resident's initial 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-01-14 · 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 during the recertification survey conducted from 1/10/22-1/14/22, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs for 3 of 21 residents (Residents #23, 69, and 93) reviewed. Specifically, Resident #28's comprehensive care plan (CCP) did not address the use of an anticoagulant (blood thinner); Resident #69's CCP did not include oxygen and insulin use; and Resident #93's CCP did not reflect their morning wake up time preference. Findings include: The facility policy Comprehensive Care Plan revised 6/10/19 documented each resident shall have a comprehensive person-centered care plan which identifies a resident's medical, nursing, nutritional, psychosocial, spiritual, rehabilitative, and activity needs, as well as functional ability, assistive devices implemented to maintain functional…

    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 before2022-01-14 · 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

    Based on observation, record review and interview during the recertification and abbreviated (NY00285403, NY00278786, and NY00274049) surveys conducted 1/10-1/14/22, the facility failed to ensure residents who are unable to carry out activities of daily living (ADLs) receive the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 4 of 8 residents (Residents #5, 44, 81 and 93) reviewed. Specifically, Resident #5 was not assisted with nail care, Resident #44 was not dressed and assisted out of bed timely, Resident #81 was not provided nail care or facial grooming, and Resident #93 was not provided oral hygiene. Findings include: The facility policy Supporting Activities of Daily Living (ADL) effective 8/27/19 documents residents who are unable to carry out activities of daily living independently will receive the services necessary to maintain good grooming, and personal and oral hygiene. Appropriate care and services will be provided for residents who are unable to carry out ADLs independently, with the consent of the resident and in accordance…

    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 · D2022-01-14 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview during the recertification survey conducted 1/10/22-1/14/22, the facility failed to ensure a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection, and prevent new ulcers from developing for 1 of 1 resident (Resident # 96) reviewed. Specifically, Resident #96's pressure ulcer treatments were not completed twice daily as ordered. Findings include: The facility policy Wound and Skin Protocols dated 8/29/17 documented the RN/LPN (registered nurse/licensed practical nurse) will document daily on resident treatment sheet, treatment administered, equipment in use, and observation dressing is intact as appropriate. Resident #96 had diagnoses including dementia, Stage III (full thickness skin loss) pressure area to sacrum, and diabetes. The Minimum Data Set (MDS) assessment dated [DATE] documented the resident had moderately impaired cognition, required extensive…

    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 before2019-06-21 · 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, record review, and interview during the recertification survey the facility did not ensure all residents had the right to a dignified existence and self-determination that promotes maintenance or enhancement of quality of life for 1 of 1 residents (Resident #511) reviewed for dignity. Specifically, Resident #511 was moved from a table in the dining room, where she had been having coffee and conversing with 3 other residents, to a different table by herself. Finding include: Resident #511 was admitted on [DATE] with diagnoses including dementia without behavioral disturbance. The 6/5/19 Minimum Data Set (MDS) assessment documented the resident had intact cognition, did not display behavioral symptoms, and thought it very important to do things with groups of people. The 6/4/19 Comprehensive Care Plan (CCP) documented the resident had a need for socialization and was to be encouraged to socialize with staff and peers. Resident #511 was observed in the dining room on 6/17/19: - At 12:18 PM…

    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 before2019-06-21 · 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, interview, and record review during the recertification survey, the facility did not ensure each resident received adequate supervision to prevent accidents for 1 of 7 residents (Resident #64) reviewed for accidents. Specifically, Resident #64 was planned for a chair alarm and was observed on multiple occasions without the alarm in place; and was transferred in an unsafe manner. Findings include: The facility's Bed and Wheelchair Alarm Check Policy revised 10/2008 documents bed and chair alarms will be checked for proper positioning and functioning every shift. 1) Resident #64 was admitted to the facility on [DATE] and had diagnoses including dementia, abnormality of gait and mobility, and muscle weakness. The 6/4/19 Minimum Data Set (MDS) assessment documented the resident's BIMS (Brief Interview for Mental Status) was 11/15, indicating moderate cognitive impairment and he required extensive assistance of two individuals for transfers and locomotion on and off the unit. The resident 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-06-21 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    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, the facility did not ensure each resident's drug regimen must be free from unnecessary drugs for 2 of 5 residents (Residents #13 and 185) reviewed for unnecessary medications. Specifically, Residents #13 and 185 were prescribed as needed antipsychotic medications and the medications were not re-evaluated for continued use after 14 days. Findings include: The May 2018 Medication Monitoring and Management Policy documented the interdisciplinary team reviews the resident's medication regimen for efficacy and actual or potential medication-related problems (on an ongoing basis/quarterly). As needed (PRN) orders include an indication for use. If the PRN medication is used to modify behavior, the indications(s) for use is clearly defined in objective terms, e.g., what specific symptom(s) is being addressed. The resident is monitored for the effectiveness of the medication or possible adverse consequence. Results are documented in the resident's…

    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 · Dcited before2019-06-21 · 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 during the recertification survey, the facility did not ensure it established and maintained an infection prevention and control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of communicable diseases and infections for 4 of 7 residents (Residents #16, 25, 28 and 69) reviewed during medication administration observations. Specifically, during a medication administration observation, hand hygiene was not performed between multiple residents. Additionally, the glucometer was not sanitized between resident use. Findings include: The 1/2019 facility policy Hand Hygiene, documents handwashing should take place before and after resident care, after gloves are removed, and between resident contacts. The 7/2013 facility policy Glucometer Cleaning Guidelines documents glucose monitoring devices must be disinfected between each resident use. On 6/19/19 licensed practical nurse (LPN) #7 was observed during medication administration on Birch Unit: - At 7:34 AM she…

    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 · C2022-01-14 · tag F0732 — widespread
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview during the recertification survey conducted 1/10/22-1/14/22, the facility failed to post on a daily basis at the beginning of each shift, the current resident census and the total number and the actual hours worked by licensed and unlicensed nursing staff directly responsible for resident care per shift, in a prominent place readily accessible to residents and visitors for 5 of 5 days reviewed. Specifically, the facility did not post the most current, daily resident census and nurse staffing information as required. Findings include: The facility's revised 5/2017 Nursing service staffing levels policy documented the facility would provide sufficient nursing staff levels to meet the needs of the residents. The Director of Nursing (DON), Assistant Director of Nursing (ADON) or Nursing Supervisor would complete each unit staff schedules every other week. The specific nursing staff numbers and census for each unit will be posted daily in the designated area located in the administrative corridor of facility. Posting information included current date,…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction

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

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
PRESBYTERIAN HOMES & SERVICES INC.Organization5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 08/15/1963
ABRAHAM, MARIEIndividualCORPORATE DIRECTORsince 01/01/2018
KANE, JEFFIndividualCORPORATE DIRECTORsince 01/01/2018
MILLS, DEBORAHIndividualCORPORATE DIRECTORsince 07/01/2016
OHMANN, ROBERTIndividualCORPORATE DIRECTORsince 01/01/2018
PITCHER, PATRICIAIndividualCORPORATE DIRECTORsince 04/01/2021
RIGGLE, RICKIndividualCORPORATE DIRECTORsince 01/01/2018
WILLIAMS, ROGERIndividualCORPORATE DIRECTORsince 04/01/2014
BREEN, JULIANNEIndividualCORPORATE OFFICERsince 01/01/2020
BURKE, JERRYIndividualCORPORATE OFFICERsince 01/01/2018
RUTTER, JEREMYIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/01/2021
VOCE, LINDAIndividualCORPORATE OFFICERsince 01/01/2012
WILLIAMS, JAYIndividualCORPORATE OFFICERsince 01/01/2018
GRAHAM, KEVINIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/02/2025
JEANTY, HAMERTONIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2020

CMS files one row per role, so the 19 rows in the source record cover these 15 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner 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.

$12.3M
Net patient revenuemost recent cost report
-19.8%
Operating marginrevenue minus expenses
$210K
Related-party expense1% of expenses
Who pays — share of resident-days
Medicaid 60%Medicare 10%Other / private 30%

This home reported $210K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$363per resident / day
operating cost
$11,027per month
≈ monthly operating cost
$303per 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 335546. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-04-26, 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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