Isabella Geriatric Center Inc
515 Audubon Avenue, New York, NY 10040 · Non profit - Corporation · 705 certified beds · (212) 342-9200 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has a citation for mishandling residents’ money or property (F0570)
- 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
- the CMS record shows $8,422 in federal fines (most recent 2025-12-23)
- its independent health-inspection rating is low (2/5)
- its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Location & what’s nearby
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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 3 of 5 |
| Long-stay residentspeople who live here | 4 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 16.4% | 14.1% | 15.4% | typical |
| Long-stay residents who lose too much weight | 4.6% | 5.8% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.1% | 0.5% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.4% | 1.3% | 2.0% | better |
| Long-stay residents with depressive symptoms | 9.9% | 19.5% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better |
| Long-stay residents with falls causing major injury | 1.2% | 3.1% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 15.6% | 12.5% | 16.1% | typical |
| Long-stay residents on antianxiety or hypnotic medication | 6.6% | 13.2% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 99.6% | 95.3% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.2% | 6.5% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 18.8% | 19.5% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 9.5% | 13.7% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.9% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 92.1% | 78.8% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 27.3% | 20.6% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 9.1% | 9.6% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 2.27 | 1.70 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.46 | 1.36 | 1.80 | better |
‡ 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.
41.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 226 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 53.6% 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 321 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 0.16 therapist hours per resident per day in 2026Q1 — more than 15% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 20% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 41.3%CMS range 32.2–47.3 | 51.5% | Oct 2022–Sep 2024 | worse than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 12.2%CMS range 10.1–15.1 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 53.6% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 49.5% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 51.4% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 99.6% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 97.7% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 98.1% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.2% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 2.9% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.7%CMS range 4.5–9.6 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.01 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 705 beds and averages 683.6 residents a day — about 97% occupied, or roughly 21 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.21 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.78 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.16 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 2.90 hrs/resident/day on weekends vs 3.33 on weekdays — 13% thinner on weekends. RN hours go from 0.85 to 0.62 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 42% 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
Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
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 · Ecited before2026-03-25 · tag F0725 — failed to have enough nursing staff — patternProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interviews, the facility failed to ensure sufficient nursing staff were available to provide nursing and related services to assure resident safety to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing of each resident. Specifically, interviews with residents, resident representatives, the Resident Council, and staff members indicated that there were staffing concerns in the facility. Additionally, a review of staffing from 12/15/2025-03/25/2026 indicated multiple dates where the facility did not ensure sufficient nursing staffing based on their facility assessment's staffing levels.The findings include: The Facility Assessment last updated March 2026 included a Nursing Staffing Plan that documented that by employing acuity-based approach to staffing, the facility ensures that its residents receive the right level of care at the right time, promoting their well-being and overall quality of life. The facility develops par levels of Registered Nurses, Licensed Practical Nurses, and Certified 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.
- Potential for harm · Dcited before2025-12-23 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and interview during the Abbreviated Survey (ID# 2685553) the facility did not develop and implement a comprehensive person-centered care plan for each resident that includes measurable objectives and time frames to meet each resident's medical, nursing, mental, and psychosocial needs. This was evident in one (1) of six (6) residents (Resident #1) sampled for comprehensive care plan. Specifically, Resident #1 who was receiving medications to prevent constipation did not have a person-centered care plan with interventions in place. The findings are:The facility policy tiled Comprehensive Care Plan effective 12/2023 documented the facility develops and maintains an individualized person-centered comprehensive plan of care to meet identified needs/goals. The Comprehensive Care Plan is initiated on the day of admission and completed within 7 days after Care Area Assessments completion.Resident #1 was admitted to facility with diagnoses including chronic pulmonary embolism ( a blood clot that…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-23 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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 The findings are: The facility policy titled 'Consultations' dated 10/2021 documented after consultation is completed, the nurse reviews recommendations and contacts attending physician to report recommendations or changes in treatment plan. Resident #1 was admitted to facility with diagnoses including chronic pulmonary embolism ( a blood clot that blocks and stops blood flow to an artery in the lung), coronary heart disease, moderate pericardial effusion (refers to collection of excess fluid in the pericardial sac surrounding the heart) and small cell carcinoma of the Lung complicated by superior vena cava syndrome (occurs when blood flow through the heart blood vessel is obstructed, often due to tumors or blood clots, leading to symptoms like swelling and difficulty breathing).The Minimum Data Set, dated [DATE], documented Resident #1 had moderately impaired cognition.A review of a Hematology/Oncology consult dated 09/10/2025, documented Resident #1 was seen by the oncologist on 09/10/2025, and the oncologist…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-12-09 · tag F0609 — failed to report abuse allegations — isolatedTimely 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, record review, and interviews conducted during the Abbreviated Survey (Complaint 2588679), the facility did not ensure that all alleged violations involving abuse, neglect, including injuries of unknown source were reported immediately, but not later than 2 hours after the allegation was made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the New York State Department of Health. This was evident for one (1) (Resident #2) of six (6) residents reviewed for accidents. Specifically, Resident #2 had an unwitnessed fall on 07/16/2025 resulting to a laceration to the left eyebrow and eventually was found to have an acute fracture in the humeral neck that was not reported to the New York State Department of Health. The findings include: The facility policy and procedure titled Abuse Prohibition-Prevention and Reporting…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-04-02 · tag F0725 — failed to have enough nursing staff — patternProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews conducted during the Recertification and Complaint (NY00315735 & NY00330475) survey from 03/26/24 to 04/02/24, the facility did not ensure there was sufficient numbers of nursing assistants available to provide nursing care to all residents in accordance with the resident's plan of care. This was evident during review of the Sufficient and Competent Nurse Staffing task. Specifically, 1) Review of facility par level revealed short staffing on 9 of 9 weekends reviewed, 2) Resident #175 did not receive scheduled showers during the Months of December 2023 and January 2024 due to shortage of staff, 3) Resident #210 required two persons assistance for Activities of Daily Living to get out of bed and was not consistently taken out of bed due to short staffing, 4) During Resident Council meeting 10 of 10 residents in attendance reported the facility is consistently short staff and they had to wait between 20 minutes and 4 hours before the staff responded to the call…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-04-02 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, and record review conducted during the Recertification survey from 3/26/2024 to 4/2/2024, the facility did not ensure food was stored in accordance with professional standards for food service safety. This was evident during kitchen observation and in 1 (9th floor) of 18 pantries. Specifically, 1) the kitchen walk-in refrigerator contained expired, opened, and undated food and drink items, 2) the 9th floor pantry refrigerator was 44 degrees Fahrenheit and contained undated, unlabeled food, and 3) Dietary staff were observed not wearing head coverings in the food preparation area of the kitchen The findings are: The facility policy titled Food Storage from Deliveries dated 9/2020 documented opened, stored leftover food should be labeled and dated. Opened items should be discarded after 48 hours. Expired food should be discarded immediately. The Food Service supervisor ensures foods are labeled, dated, and not expired. The facility policy titled Food Storage on Units dated 9/2020 documented all items to be stored on the units are to be labeled 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.
- Potential for harm · Ecited before2024-04-02 · tag F0880 — failed to prevent and control infections — patternProvide 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 staff interviews conducted during the recertification survey from 3/26/2024 to 4/2/2024, the facility did not ensure infection control practices and procedures were maintained. This was evident for 1 (Unit 10W) of 18 resident units during medication pass and during infection control review. Specifically, 1) infection control policies were not reviewed annually, and 2) License Practical Nurse #4 did not sanitize a blood pressure cuff in between resident use or perform hand hygiene during medication administration. The findings are: 1) The facility policy titled Operating Procedures - Infection Control was dated 12/2022, Influenza Vaccination Requirements - Health Care Workers was dated 4/12/2017, Mandatory COVID-19 Vaccination Program was dated 12/14/2021, and Antibiotic Stewardship Program was dated 09/2022. There was no documented evidence the policies related to infection control were reviewed and revised annually. On 04/02/2024 at 01:45 PM, the Director of Nursing was interviewed and stated the Infection Control Preventionist was not…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-04-02 · tag F0577 — isolatedAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
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 3/26/2024 to 4/2/2024, the facility did not ensure that notice of the availability of the survey results was posted in prominent areas accessible to the public. This was evident for 10 (Resident #s 60, 410, 571, 74, 113, 611, 287, 371, 470, and 250) of 10 resident attendees during Resident Council Meeting. Specifically, notification of survey result availability was not posted in prominent areas of the facility accessible to the public. The findings are: The facility policy titled Resident Rights and Responsibilities dated 7/2022 documented residents and their representatives are informed of their rights. During observation of the facility on 3/26/2024 at 9:00 AM and 3/29/2024 at 11:00 AM, notification of survey result availability was posted in the lobby entrance of the main building. There were no observations of the notification posted on the 18 residential units or 1st floor frequented by residents, staff, 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.
- Potential for harm · D2024-04-02 · tag F0582 — isolatedGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview conducted during the Recertification survey from 3/26/2024 to 4/02/2024, the facility did not ensure that appropriate notices were provided to Medicare beneficiaries when they were discharged from skilled services. This was evident for 2 (Residents #311 and #554) of 3 residents reviewed for Beneficiary Notification out of 39 total sampled residents. Specifically, a copy of the Notice of Medicare Non-Coverage was not mailed to the resident's representative on the same date that the telephone notification was made. The findings are: The facility policy titled Notice of Medicare Non-Coverage (NOMNC) dated 11/2023 documented that the MDS Coordinator/Designee will issue the NOMNC to the patient and/or responsible party. A copy of the signed NOMNC will be given to the patient and a copy will be kept in the clinical compliance office. The MDS Coordinator must ensure that the beneficiary or responsible party signs and dates the NOMNC to demonstrates that the beneficiary or representative received notice and understands that the termination decision can…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-04-02 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide 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, interviews, and record review conducted during the Recertification and Complaint (NY00315735 & NY00330475) Survey from 3/26/2024 to 4/2/2024, the facility did not ensure residents unable to carry out activities of daily living received the necessary services to maintain grooming and personal hygiene. This was evident for 2 (Resident #175 and Resident #210) of 9 residents reviewed for Activities of Daily Living out of 38 total sampled residents. Specifically, 1) Resident #175 did not receive staff assistance and was unable to shower in 12/2023 and 1/2024, and 2) Resident #210 was not provided with physical assistance necessary to transfer out of bed. The findings are: 1) Resident # 175 had diagnoses of anemia and heart failure. The Minimum Data Set 3.0 assessment dated [DATE] documented Resident #175 was cognitively intact and required the physical assistance of two people for bathing. On 03/27/2024 at 10:06 AM, Resident #175 was interviewed and stated staff did not provide them with the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 16 citations
- Potential for harm · Dcited before2024-04-02 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide 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 observation, record review, and interviews conducted during the Recertification Survey from 3/26/2024 to 4/2/2024, 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. This was evident for 1 (Resident #210) of 3 residents reviewed for limited range of motion out of 38 total sampled residents. Specifically, Resident #210 had a right-hand contracture and was observed without a carrot splint per Physician Order. The findings are: Resident #210 had diagnoses of dementia and cerebral vascular accident with right hemiplegia. The Minimum Data Set 3.0 assessment dated [DATE] documented Resident #210 was severely cognitively impaired and had functional limitation in range of motion on 1 side of their upper extremities. Between 03/26/2024 at 10:34 AM and 4/1/2024 at 4:25 PM, there were multiple observations of Resident #210 with a right-hand contracture and without a carrot splint in their right hand. The…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-04-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 conducted during the Recertification and Complaint (NY00327086) Survey from 3/26/2024 to 4/2/2024, the facility did not ensure a resident remained free of accident hazards. This was evident for Resident #494 reviewed for accidents out of 38 total sampled residents. Specifically, The findings are: The facility policy titled Microwave - Reheating of Food Items dated 11/2023 documented Nursing and Nutrition staff were responsible for microwaving food and testing the internal temperature until it reaches 165 degrees Fahrenheit. Resident #494 had diagnoses of diabetes mellitus and anemia. The Minimum Data Set 3.0 assessment dated [DATE] documented Resident #494 had mild cognitive impairment and required 1 person to assist with activities of daily living. The Comprehensive Care Plan related to impaired skin integrity initiated 5/10/2023 documented to assess Resident #494's skin every shift and assess risk factors on an ongoing basis. activity report last reviewed 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.
- Potential for harm · D2024-04-02 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement 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 observation, record review, and staff interviews conducted during the Recertification survey from 03/26/2024 to 04/2/2024, the facility did not ensure psychotropic drugs were not given to residents unless the medication was necessary to treat a specific condition as diagnosed and documented in the clinical record. This was evident for 2 (Resident #190 and #141) of 5 residents reviewed for Unnecessary Medications out of 38 total sampled residents. Specifically, 1) Resident #190 was prescribed Risperdal without documented evidence of behavior or staff attempts to use nonpharmacological interventions, and 2) there was no documented evidence Resident #141 displayed behavior, nonpharmacological interventions were used, or a medical assessments was done prior to placing Resident #141 on psychotropic medication. The findings are: The facility policy titled Psychotropic Medications dated 05/2023 documented psychotropic medications require proper indications for use, alternatives when appropriate, appropriate…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-12-28 · tag F0609 — failed to report abuse allegations — patternTimely 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, record review, and interviews conducted during an Abbreviated Survey (NY00322374 & NY00327956), the facility did not ensure that an alleged violation involving abuse was reported immediately but not later than two hours after the allegation was made if the events that caused the allegation involve abuse or result in serious bodily injury to New York State Department of Health (NYSDOH). This was evident for two out of eight residents (Resident #2 & Resident #3) sampled for abuse. Specifically, 1) Resident #2 reported to Licensed Practical Nurse (LPN) #1 on 10/16/23 at approximately 11:30 am (as per the facility's investigation), that two females (identified as Certified Nursing Assistant #1 and #2) gabbed Resident #1 by their left wrist and ripped off their disposable brief. Resident #1 also complained of pain to their left wrist. The facility did not report the alleged allegation of abuse within two hours, the facility reported the allegation of abuse to NYSDOH on 10/17/23 at 01:22 pm. 2)…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2022-12-16 · tag F0570 — patternAssure the security of all personal funds of residents deposited with the facility.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interviews during the Recertification survey conducted from 12/11/2022 to 12/16/2022, the facility did not ensure a surety bond was purchased to assure the security of all personal funds of residents deposited with the facility. This was evident for 367 residents with personal funds accounts (PFA) out of 632 residents. Specifically, the facility's PFA for 367 residents exceeded the facility's surety bond amount. There are 367 residents with personal fund balances amounting to a total of $935,493.32 held by the Facility and the amount of bond to assure residents against loss was only $100,000. The findings are: The facility policy titled Resident PFA last revised 11/2018 documented the facility must purchase a Surety Bond, or otherwise provide satisfactory assurance to assure the security of all personal funds of residents deposited with the facility. The Resident's Personal Funds Trust Fund Bond dated 08/01/2018 documented the facility obtained a surety bond for $100,000. The facility Patient Cash Worksheet dated 12/12/2022 documented a total balance of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2022-12-16 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews conducted during the recertification survey from 12/11/2022 to 12/16/2022, the facility did not ensure a safe, clean, comfortable, and homelike environment was maintained for residents. This was evident for 6 of 18 resident units. Specifically, 1) resident bathrooms on Unit H-7 had a strong smell of urine and were stained and 2) medication carts, linen carts, wheelchairs, and a Hoyer lift from Units SNF-4, SNF-5, SNF-6, SNF-7, and SNF-8 were dirty and stained. The findings are: Facility policy and procedure titled Environment of Care Rounds, dated 11/2016, revised 01/2020 documented, the purpose is to conduct regular environmental care rounds of all areas of the facility to effectively manage and maintain the facility as well as to identify and correct hazards to which may exist to residents, staff, and visitors. 1) On 12/11/2022 at 7:22 AM, Unit H-7 was observed with a pungent odor of urine in resident bathrooms of room [ROOM NUMBER], #721, and #726. Each of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2022-12-16 · tag F0656 — failed to write and follow a full care plan — patternDevelop 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 interviews conducted during the Recertification survey from 12/11/22 to 12/16/22, the facility did not ensure person-centered comprehensive care plans (CCP) was developed and implemented to address resident medical, physical, mental, and psychosocial needs. This was evident for 6 (Resident #116, #219, #95, #115, #600, and #207) of 38 total sampled residents. Specifically, 1) a CCP related to contractures was not developed for Resident #116, 2) a CCP related to contractures was not developed for Resident #219, 3) a CCP related to antipsychotic medication was not developed for Resident #95, 4) a CCP related to vision impairment was not developed for Resident #115, 5) a CCP related to wandering/elopement was not developed for Resident #600, and 6) a CCP related to anticoagulant therapy was not developed for Resident #207. The findings are but not limited to: The facility policy titled CCP last reviewed May 2022 documented the facility develops and maintains an individualized…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2022-12-16 · tag F0688 — failed to keep residents mobile / prevent decline — patternProvide 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 review, and interviews conducted during the Recertification survey from 12/11/22 to 12/16/22, the facility did not ensure residents with limited mobility receive appropriate equipment to maintain or improve mobility. This was evident for 2 of 2 residents (#116 and #219) reviewed for Limited Range of Motion (ROM) out of 38 total sampled residents. Specifically, 1) there were multiple observations of Resident #116 without right handroll in place and 2) there were multiple observations of Resident #219 without left hand gauze roll in place. The findings are: The facility policy titled Splint/Brace/Assistive Devices last revised 01/2022 documented Certified Nursing Assistant (CNA) applies splint/brace as per instructions and Registered Nurse (RN) assures appropriate documentations by all clinical team members. 1) Resident #116 had diagnoses of hemiplegia to the right dominant side following cerebral infarct and aphasia. The Minimum Data Set 3.0 (MDS) assessment dated [DATE] documented…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2022-12-16 · tag F0725 — failed to have enough nursing staff — patternProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews conducted during the Recertification and Complaint (NY00300469) survey from 12/11/22 to 12/16/22, the facility did not ensure there was sufficient staff available to meet the residents' needs considering the number, acuity and diagnoses of the facility's resident population as determined by the Facility Assessment. This was evident during review of the Sufficient and Competent Nurse Staffing task. Specifically, 1.) Unit SNF-4 did not have adequate staff to care for a census of up to 45 residents with Resident #376 requiring a 1-to-1 (1:1) supervision, 2.) Resident #298 exhibited behaviors that required extra staff assistance to be toileted and was observed smelling of urine with stained pants, 3.) Unit H-7 was observed with urine-stained floors on the 11PM-7AM shift without housekeeping staff available to clean at night, and 4.) less than 3 Certified Nursing Assistants (CNA) worked from on multiple units even though the Facility Assessment (FA) documented 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.
- Potential for harm · D2022-12-16 · tag F0641 — isolatedEnsure 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 interview conducted during the recertification survey from 12/11/22/ to 12/16/22, the facility did not ensure Minimum Data Set 3.0 (MDS) assessments accurately reflected a resident's status. This was evident for 1 (Resident #600) of 38 total sampled residents. Specifically, the MDS for Resident #600 did not reflect the resident's wanderguard (WG) use. The findings are: The facility policy titled MDS Completion Policy dated October 2020 documented to assure accurate completion of the MDS. Resident #600 had diagnoses of dementia without behavioral disturbance and diabetes. The MDS assessment dated [DATE] documented Resident #600 was severely cognitively impaired and wander/elopement alarm was not in use. On 12/11/22 at 10:45 AM and 12/12/22 at 10:39 AM, Resident #600 was observed with WG to the left forearm. The Nursing Elopement Risk Assessment initiated 09/15/2022 and completed 09/18/2022 documented Resident #600 required a WG. Nursing Note (NN) dated 9/15/22 documented Resident #600…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-12-16 · tag F0657 — failed to keep the care plan current — isolatedDevelop 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 the Recertification survey from 12/11/22 to 12/16/22, the facility did not ensure resident Comprehensive Care Plans (CCP) were reviewed and revised after each assessment and as needed to reflect changing needs. This was evident in 2 (Resident # 316 and #128) of 38 total sampled residents. Specifically, 1) Resident #316's CCP related to seizure disorder was not reviewed and revised upon each assessment or episode of seizure and 2)Resident #128's CCP related to COVID-19 was not reviewed and revised upon each assessment. The findings are: The facility policy titled CCP last revised May 2022 documented the facility develops and maintains an individualized person-centered CCP to meet identified needs/goals. The CCP is periodically reviewed and revised as necessary, based on the resident's response, and after each comprehensive assessment, reassessment, at a minimum every 3 months, and annually. 1) Resident # 316 had diagnoses of epilepsy and unspecified…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-12-16 · tag F0744 — failed to care for residents with dementia — isolatedProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews conducted during the recertification survey from 12/11/22 to 12/16/22, the facility did not ensure a resident diagnosed with dementia received the appropriate treatment and services to attain or maintain their highest practical, physical, mental, and psychosocial wellbeing. This was evident for 1 (Resident #298) out of 4 residents reviewed for dementia care. Specifically, the facility did not develop and implement a person-centered comprehensive care plan (CCP) that included and supported the dementia care needs of Resident #298. The findings are: The facility policy titled CCP dated May 2022 documented the facility develops and maintains an individualized person-centered comprehensive plan of care to meet identified needs/goals. Care Plans are periodically reviewed and revised by the Interdisciplinary Team (IDT) of qualified persons, based on the resident's response, after each comprehensive assessment, reassessment, at a minimum every three months, 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.
- Potential for harm · D2020-11-19 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interview during the re-certification survey, the facility did not ensure each resident was treated with respect and dignity and cared for in a manner that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality. Specifically, a staff member was observed entering a legally blind resident room twice without knocking on the door. This was evident for 1 of 1 resident (Resident #174) reviewed for Dignity out of a total sample of 37 residents. The finding is: The facility in-service and lesson plan titled, Customer Service/Residents' Rights and Dignity was completed on 07/30/2020. The curricula included staff providing customer service to residents with respect. An example of such act included knocking on the door and announcing self before entering. Resident #174 was admitted with diagnoses including glaucoma, legal blindness, Cerebrovascular Accident (CVA), and Hemiparesis. The Annual Minimum Data Set (MDS) 3.0 dated 07/18/2020 and Quarterly MDS 3.0 dated 11/04/2020 both documented the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2020-11-19 · tag F0757 — failed to avoid unnecessary drugs — isolatedEnsure each resident’s drug regimen must be free from unnecessary drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, during the recent recertification survey, the facility did not ensure a resident on insulin received adequate monitoring. Specifically, the physician was not notified when a resident on sliding scale insulin had blood glucose levels over 300 mg/dL (milligrams per deciliter). This was evident for 1 of 5 residents reviewed for unnecessary medications (Resident #405). The findings are: The facility's policy Blood Glucose Monitoring, effective February 2020, documented that the RN/LPN notifies the physician if a critical value is obtained. Includes intervention for critical value in medical record. A nurse practitioner or a physician should be notified of an elevated finger stick blood glucose if there is (1) a change in cognition, level of consciousness, or function, (2) signs of infection, or (3) a significant change in the level of diabetic control for this person. Resident #405 has diagnoses of Diabetes Mellitus, Non-Alzheimer's Dementia and Depression. The 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.
- Potential for harm · Dcited before2020-11-19 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the re-certification survey, the facility did not ensure infection control practices were followed to prevent the spread and transmission of communicable diseases and infections. Specifically, a staff member was observed entering the room of a resident on contact isolation precautions for Methicillin-Resistant Staphylococcus Aureus (MRSA) in the urine without donning Personal Protective Equipment (PPE). This was evident in 1 of 2 residents (Resident #345) investigated for Urinary Tract Infection (UTI) out of a total sample of 37 residents investigated. The finding is: The Centers for Disease Control, 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings (Last update July 2019) on page 72 documented the following recommendations for those who are on contact precautions.Healthcare personnel caring for patients on Contact Precautions wear a gown and gloves for all interactions that may involve contact…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · B2022-12-16 · tag F0640 — patternEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interviews conducted during the Recertification survey from 12/11/22 to 12/16/22, the facility did not ensure Minimum Data Set 3.0 (MDS) assessments were electronically transmitted to the Centers for Medicare and Medicaid Services (CMS) Quality Improvement Evaluation System (QIES) Assessment Submission and Processing (ASAP) system within 14 days of completion. This was evident for 22 (Resident #s 45, 321, 435, 407, 265, 301, 518, 280, 227, 221, 500, 91, 562, 339, 348, 356, 139, 110, 43, 392, 495, and 117) of 26 residents reviewed for Resident Assessment. Specifically, MDS assessments for Resident #s 45, 321, 435, 407, 265, 301, 518, 280, 227, 221, 500, 91, 562, 339, 348, 356, 139, 110, 43, 392, 495, and 117 were not transmitted and submitted to QIES within 14 days of their completion date. The findings include but are not limited to: The facility's policy titled MDS Completion Policy dated October 2020 documented the MDS Assessor/Coordinator submits MDS assessments that were completed timely to QIES to fulfill Federal regulations. The QIES CMS Submission…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$8,422 in federal fines across 1 penalty.
- $8,422 — penalty dated 2025-12-23
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| ADAMS, ANCA | Individual | W-2 MANAGING EMPLOYEE | since 03/21/2022 |
| ANTHONY, RIA | Individual | W-2 MANAGING EMPLOYEE | since 01/23/2017 |
| BALKO, ALEXANDER | Individual | W-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR | since 12/01/2017 |
| DAVIS, JEFFREY | Individual | W-2 MANAGING EMPLOYEE; CORPORATE OFFICER | since 12/01/2017 |
| LEONEL, RENATO | Individual | W-2 MANAGING EMPLOYEE | since 01/20/2017 |
| MELIAMBRO, ROCCO | Individual | W-2 MANAGING EMPLOYEE | since 01/01/2008 |
| PRINCIVIL-BARNETT, LOYOLA | Individual | W-2 MANAGING EMPLOYEE | since 01/01/2020 |
| WEATHERLY, CAROL | Individual | W-2 MANAGING EMPLOYEE | since 01/20/2017 |
| CORTES, TARA | Individual | CORPORATE DIRECTOR | since 01/01/2011 |
| GORMLEY, WILLIAM | Individual | CORPORATE DIRECTOR | since 12/01/2017 |
| GOSHIN, ARTHUR | Individual | CORPORATE DIRECTOR | since 12/01/2017 |
| HARDING, RICHARD | Individual | CORPORATE DIRECTOR | since 01/01/1996 |
| LIPTON, MARK | Individual | CORPORATE DIRECTOR | since 01/01/2007 |
| RICHARDSON, HILA | Individual | CORPORATE DIRECTOR | since 01/01/2007 |
| TALBOT, IRWIN | Individual | CORPORATE DIRECTOR | since 01/01/2007 |
| WAGNER, DAVID | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | since 01/01/2022 |
| WYATT, ANN | Individual | CORPORATE DIRECTOR | since 05/01/1999 |
| KOSCHITZKI, DAVID | Individual | CORPORATE OFFICER | since 01/01/2022 |
CMS files one row per role, so the 21 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $6.2M 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
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in NY
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New York Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 335100. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-04-02, 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.