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Northern Manhattan Rehabilitation and Nursing Cent

116 East 125th Street, New York, NY 10035 · For profit - Partnership · 320 certified beds · (212) 426-1284 Medicare & Medicaid certified

Call the home — (212) 426-1284 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citations on record (F0600, F0609) — most recent Oct 2025Behavioral-health or dementia-care citation — no harm found (F0740)4 actual-harm citations$67,412 in federal fines
Insights

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

In its favor
  • lower-than-typical staff turnover (23% vs 45% nationally) — better care continuity
Worth asking about
  • it has abuse, neglect, or exploitation citations (F0600, F0609) — most recent Oct 2025
  • it has 4 actual-harm citations
  • a high number of inspection citations overall (28) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $67,412 in federal fines (most recent 2025-10-16)
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (1/5)
  • its payroll-based staffing rating is low (2/5)

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

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

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 1 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 3 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Urgent care / clinic
55 E 124th St · (212) 602-9199 · Call to confirm hours
Pharmacy
2056 Lexington Ave · (212) 426-5555 · Call to confirm hours
Grocery
2083 Lexington Ave · (212) 289-8486 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship

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

Quality measures — how residents actually fare

Overall quality measures 3 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 1 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 1 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 rating1★
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 increased11.7%14.1%15.4%better
Long-stay residents who lose too much weight6.6%5.8%5.4%worse
Long-stay residents with a catheter left in their bladder0.4%0.5%0.9%better
Long-stay residents with a urinary tract infection0.0%1.3%2.0%better
Long-stay residents with depressive symptoms84.4%19.5%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury2.0%3.1%3.3%better
Long-stay residents whose ability to walk worsened5.6%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication6.7%13.2%18.9%better
Long-stay residents given the seasonal flu vaccine90.6%95.3%95.3%typical
Long-stay residents with pressure ulcers2.7%6.5%4.7%better
Long-stay residents with worsening bladder/bowel control19.0%19.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table14.7%13.7%17.1%better
Short-stay residents who newly got an antipsychotic medication2.1%1.2%1.4%worse
Short-stay residents given the seasonal flu vaccine71.6%78.8%79.4%typical
Short-stay residents rehospitalized after admission25.8%20.6%22.6%worse
Short-stay residents with an outpatient ER visit6.4%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days2.451.701.67worse
Long-stay outpatient ER visits per 1,000 resident days1.211.361.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

33.7% 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 162 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

33.7%U.S. median 51.5%
Got home and stayed home
10.4%U.S. median 10.7%
Went back to hospital
38.2%U.S. median 56.6%
Met the expected recovery
0.39U.S. median 0.31
Therapy hours / resident / day
0.18hours / resident / day
Physical therapy
0.17hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 38.2% 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 170 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 0.39 therapist hours per resident per day in 2026Q1 — more than 67% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF33.7%CMS range 24.5–39.451.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.4%CMS range 8.0–13.310.7%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 discharge38.2%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 discharge45.9%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge42.4%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified99.7%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 setting99.3%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 discharge98.2%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 stay0.6%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 worsened3.7%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 hospitalization10.8%CMS range 7.7–14.37.1%Oct 2023–Sep 2024worse than U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.461.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.44
RN hours/ resident / day
0.45
LPN hours/ resident / day
2.27
Aide hours/ resident / day
3.16
Total nurse hours/ resident / day
0.27
RN hoursweekends
22.6%
Total nursing turnover
25.8%
RN turnover

How full it usually is: this home is certified for 320 beds and averages 315.2 residents a day — about 98% occupied, or roughly 5 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 3.16 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.44 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.27 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 2.86 hrs/resident/day on weekends vs 3.29 on weekdays — 13% thinner on weekends. RN hours go from 0.51 to 0.27 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 23% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

5
deficiencies at the latest standard inspection (2025-12-02)
5
at the previous standard inspection (2023-12-01)

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.

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.

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

  • Actual harm · Gcited before2025-10-16 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews conducted during an abbreviated survey (622104 & 662084), the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices. This was evident for two (2) of seven (7) residents (Residents #4 and #5) sampled. Specifically: 1. Resident #4 complained of pain to their left arm on 03/27/2025 and 03/28/2025. There was no documented evidence medical interventions were completed. On 03/31/2025, Resident #4 was transferred to the hospital with altered mental status and to rule out deep vein thrombosis (a blood clot forming in the deep vein). At the hospital, Resident #4 was diagnosed with a fracture of the left proximal humerus. This resulted in actual harm to Resident #4 that was not Immediate Jeopardy. 2. Resident #5 complained of pain to their right hip on 09/17/2024 and a STAT x-ray was ordered by Physician #3 on 09/18/2025. Resident…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Actual harm · G2025-10-16 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    The findings include:The facility's policy titled 'Pain Assessment' with a review date of 10/2005, directed that every resident will be assessed on admission for pain management and thereafter as medically indicated. Respectively, pain control measures should be used before pain becomes severe. It also directed that the physician was to be notified if measures are unsuccessful or if current complaint is a significant change from the resident's experience. The facility's policy titled 'Change in Resident's Condition', with a review date of 03/2022, directed staff to document any change in a resident's condition and to inform the Medical Doctor and designated representative in a timely fashion. The policy also documented that the resident is placed on the 24-hour report and care is rendered according to need and Medical Doctor's order. The Facility Investigative Summary dated 03/31/2025, documented Resident #4 reported that they had pain in their left arm. The nurse in charge (Registered Nurse #4) assessed the area and administered Acetaminophen, which provided temporary relief. 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Actual harm · Gcited before2024-04-30 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews conducted during an abbreviated survey (NY00339715), the facility failed to protect a resident from physical abuse by nursing home staff. This was evident in one out of ten residents sampled for abuse (Resident #1). Specifically, on 04/19/2024 at 8:30 pm, Certified Nursing Assistant #1 and Certified Nursing Assistant #2 were providing Incontinence care to Resident #1. Certified Nursing Assistant #2 witnessed Certified Nursing Assistant #1 slap Resident #1 several times in the head. On 04/19/2024 at 9:30 pm, Registered Nurse #1 did a physical assessment on Resident #1 and there were no bruises. Subsequently, on 04/20/2024 at 7:00 am, the Director of Nursing did a physical assessment of Resident #1 and saw a red bruise measuring 2 centimeters by 1.5 centimeter under Resident #1's left eye. This resulted in actual harm to Resident #1 that was not Immediate Jeopardy. The findings are: The Facility's Policy and Procedure on Abuse and Neglect, revised date 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Actual harm · Gcited before2024-04-30 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews conducted during an abbreviated survey (NY00339715), the facility did not ensure that all allegations of abuse were reported in a timely manner to local law enforcement, facility administrator, and the New York State Department of Health in accordance with federal and state regulations. This was evident in one out of ten residents sampled (Resident #1). Specifically, on 04/19/2024 at 8:30 pm, Certified Nursing Assistant #2 reported to License Practical Nurse #1 that Certified Nursing Assistant #1 slapped Resident #1 several times in the head. On 04/19/2024 at 11:59 pm, The Director of Nursing notified the facility's Administrator by a text message about the incident. On 04/20/2024 at 12:44 am, the facility failed to report the allegation to law enforcement and the New York State Department of Health within two hours. The findings are: The Facility's Policy and Procedure on Abuse and Neglect, revised date of 12/2023, documented any staff member or person affiliated 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-12-02 · tag F0725 — failed to have enough nursing staff — pattern
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews, the facility failed to ensure sufficient nursing staff were available to provide nursing and related services. Specifically, the facility reported short staffing on weekends confirmed by a review of the Daily Staffing and the Payroll Based Journal Staffing Data Report. The findings include:The facility's Payroll Based Journal Staffing Data Report for the 3rd quarter of Fiscal Year 2025 (04/01-06/30/3025) triggered low weekend staffing.The Facility assessment dated [DATE] stated the facility had an average of 310 occupied beds on 8 units with 40 beds on each floor. Par levels were listed as follows:Day shift, Units 2, 3, 5, 6 and 9 - 1 to 2 Registered Nurses / Licensed Practical Nurses and 3 to 5 Certified Nursing AssistantsDay shift, Units 4, 7 and 8 - 1 to 2 Registered Nurses / Licensed Practical Nurses and 4 to 6 Certified Nursing AssistantsEvening shift, Units 2, 3, 5, 6 and 9 -- 1 Registered Nurse / Licensed Practical Nurse and 2-4 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-02 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews, during the Recertification and Complaint (Intake 622067) Survey, the facility failed to notify a resident's representative of a significant change in the resident's status. This was evident for one (1) (Resident #43) of 40 sampled residents. Specifically, Resident #43's representative was not notified of the resident's change in condition that resulted to a hospital transfer on 10/17/2024. The findings include: The facility's policy and procedure titled Notification of Change with a last revised date of March 2024 documented that it was the policy of the facility to document any changes in the resident's condition and inform the medical doctor and designated representative. The facility must inform the resident representative when there is significant change in the resident's physical, mental or psychological status and a decision to transfer a resident. Resident #43 was admitted to the facility with diagnoses that included Hypertension, Depression, and…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-02 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    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, the facility failed to provide a summary of the baseline care plan for two (2) (Residents #5 and #98) of 40 sampled residents. Specifically, Resident #98 and Resident #5's representative were not provided with a written summary of the residents' baseline care plan. The findings include:The facility policy titled Baseline Care Plan with a last revised date of March 2025 documented that it is the policy of the facility to develop baseline care plan within 48 hours of admission. Along with the baseline care plan is a summary of care plan that is provided to the resident and or representative in a language that can be understood.1. Resident #98 was admitted with diagnoses that included Heart Failure and Peripheral Vascular Disease.The admission Minimum Data Set assessment dated [DATE] documented Resident #98's cognition as intact and that the resident participated in the assessment.On 09/15/2025 at 9:51 AM, Resident #98 was interviewed and stated they received a…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-02 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews the facility failed to ensure that residents are free of any significant medication errors. This was evident for one (1) (Resident #324) of 8 residents reviewed during the Medication Administration Task. Specifically, Resident #324 was not administered the 10:00 AM dose of Dorzolamide-Timolol eye drops as ordered by the physician and a 2:00 PM dose of Hydralazine 50 milligrams was held without physician notification.The findings include:The facility's policy and procedure titled Medication Administration, with a last revision date of 10/2024, documented medications are to be administered in a two-hour timeframe, one (1) hour before or after the medication order time. The nurse will review the Medication Administration Record for accuracy when all medication for a specific resident has been prepared. The nurse reviews each resident's medication as needed and notifies the physician if changes are needed.Resident #324 was admitted to the facility with active…

    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 before2025-12-02 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews , the facility did not ensure that drugs were stored in accordance with professional standards. This was evident in two (2) (Unit 3 and Unit 5) of nine (9) units observed for medication administration and medication storage. Specifically, Unit three (3) and Unit five (5) medication carts were left unlocked and unattended on 2 occasions. The findings include: The facility's policy and procedure titled Medication Administration, with a revision date of 10/2024, documented that it is preferable for the nurse to prepare medications from the Medication Administration Record at a medication cart, which is to be kept in close view of the nurse at all times and locked unless in use.On 09/16/2025 at 11:10 AM, Licensed Practical Nurse #3 left the medication cart unlocked in the hallway when they went to Resident #314's room to administer insulin. On 09/16/2025 at 11:55 AM, an interview was conducted with Licensed Practical Nurse #3 who stated that they forgot to lock the…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-12-02 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interviews the facility failed to ensure food was stored, prepared, distributed, and served in accordance with professional standards of food service safety. This was evident during Dining and Kitchen Observation Task. Specifically, 1.) Certified Nursing Assistant #8 failed to perform hand hygiene while assisting residents with their meals. 2.) Kitchen staff were observed with visible facial hair while in the kitchen area. 3.) Expired food items were observed in the kitchen refrigerator. The findings include: 1.) The facility's Handwashing/Hand Hygiene policy with a last reviewed date of 02/2023 documented that the purpose of the procedure is to provide guidelines for effective handwashing and hygiene techniques to aide in the prevention of the transmission of infections. The policy stated that in most situations, the preferred method of hand hygiene is an alcohol-based hand rub, for instance, after contact with resident's skin and after removing gloves. During dining observation in Unit 9 on 09/17/2025 between 12:49 PM to 1:05 PM, Certified…

    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 · Dcited before2025-10-16 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interviews conducted during an Abbreviated survey (6220995), the facility did not ensure a resident was free from abuse. This was evident for one (1) of four (4) residents (Resident #7) sampled. Specifically, on 03/05/2025 at 6:30 PM, Resident #7 reported to Licensed Practical Nurse #1 that they were hit with a bottle on their upper lip by Certified Nursing Assistant #9. Resident #7 was assessed by the Director of Nursing on 03/05/2025 and was observed with slight swelling to their upper lip. The findings are:The policy and procedure on Abuse dated 02/2025 stated each resident has the right to be free from abuse, neglect, exploitation, misappropriation of resident property, corporal punishment, and involuntary seclusion. It is the responsibility of the employees, facility consultants, attending physicians, family members, visitors, etc., to promptly report any incident or suspected incident of neglect or resident abuse, including injuries of unknown source, and theft or misappropriation of resident property to facility management. Resident #7…

    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 before2025-10-16 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews conducted during an abbreviated survey (622104), the facility did not ensure that a resident care plan was reviewed and revised by the interdisciplinary team. This was evident for one (1) out of seven (8) residents sampled (Resident #4). Specifically, Resident #4 reported to Certified Nursing Assistant #3 that they had pain in their left arm on 03/27/2025, just before lunch, and Registered Nurse #4 was notified. Resident #4 complained of pain their left arm again on 03/28/2025 and the left arm was observed to be swollen and larger than the right. Registered Nurse #4 notified Physician #1 who ordered Tylenol (1000 milligrams) and a STAT x-ray. Resident #4 was transferred to the hospital on [DATE] with Altered Mental Status, a blood pressure of 184/110, pulse 110, and to rule out Deep Vein Thrombosis (a blood clot forming in the deep vein). Resident #4 was diagnosed with a fracture of the left proximal humerus in the hospital. There was no documented evidence 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 · D2025-10-16 · tag F0726 — failed to have competent, trained nursing staff — isolated
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    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 (622104), the facility did not ensure licensed nurses have the specific competencies, and skill sets necessary to care for residents' needs, as identified through resident assessments, and described in the plan of care. This was evident for one (1) of seven (7) residents (Resident #4) reviewed. Specifically, Resident #4 complained of pain to their left arm on 03/27/2025 and 03/28/2025. Physician #1 was notified on 03/28/2025 and ordered Tylenol 1000 milligrams and a STAT x-ray of the left arm. Registered Nurse #4 stated they did not enter the orders because they did not receive training on the electronic medical record (Sigma). This resulted in a delay in treatment for Resident #4 who was transferred to the hospital on [DATE] at 1:55 PM and was admitted with diagnosis of left arm fracture. Findings include:The policy titled 'Nursing Orientation Program', last reviewed 01/2025 documented it is the policy of this facility to…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2023-12-01 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interviews conducted during the recertification survey from 11/27/2023 to 12/01/2023, the facility did not ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. This was evident for 6 of 8 resident floors (Floor 2, 4, 5, 6, 7, and 9) and the kitchen. Specifically, 1) ice machines in the pantry on Floors 2, 4, 5, 6, 7, and 9 were dirty and dusty, and 2) the kitchen had dusty air vents and walls. The findings are: The facility policy titled Exhaust Fans dated 12/2022 documented exhaust fans will be cleaned weekly and as needed. The facility policy titled Procedures for Cleaning Work Areas dated 12/2022 documented all walls are washed down with detergent and sanitizing agent once each week. The facility policy titled Ice Machines dated 04/2023 documented the ice machines must be kept in a sanitary condition to provide an uncontaminated product. The Ice Machine Inspection Log documented the ice machines were last checked on units 2, 3, 4, 5, 6, 7 and 9 on 11/26/2023. 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
Show the remaining 14 citations
  • Potential for harm · Ecited before2023-12-01 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews conducted during the recertification survey from 11/27/2023 to 12/01/2023, the facility did not ensure a clean, comfortable, and homelike environment was maintained. This was evident for 6 of 8 resident floors (Floors 4, 5, 6, 7, 8, and 9) during review of the Environment. Specifically, 1) Air Conditioning/Heating (AC/H) units were observed with missing covers leaving the inside of the unit exposed, 2) cabinets were in disrepair with misaligned, cracked doors and shelves and missing doorknobs, and 3) a cracked bedside table and cracked tile in room [ROOM NUMBER]. The findings are: On 11/28/2023 at 10:13 AM, cracked bathroom tile and a wooden bedside table that was cracked, and split were observed in room [ROOM NUMBER]. An AC/H unit with cardboard covering the right side and bottom was observed in room [ROOM NUMBER]. On 11/29/2023 at 10:04 AM, the 9th Floor AC/H units throughout the floor were observed dusty. The pantry had cabinet doors with chipped paint and…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-12-01 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review conducted during the recertification and complaint (NY00323859) survey from 11/27/2023 to 12/01/2023, the facility did not ensure a resident received treatment and care in accordance with professional standards of practice. This was evident for 1 (Resident #241) of 37 total sampled residents. Specifically, the Registered Nurse (RN) and the Medical Doctor (MD) were not made aware in a timely manner when Resident #241 had a change in condition and required hospitalization. The findings are: The facility policy titled Notification of Change dated 03/2023 documented that any change in the resident's condition was to be documented and the medical doctor (MD) and designated representative (DR) were to be informed. A facility must immediately consult with the MD when there is a significant change in the resident's condition. Resident #241 had diagnoses of stroke and dementia. The Minimum Data Set 3.0 (MDS) assessment dated [DATE] documented Resident #241 was severely…

    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 before2023-12-01 · 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 interviews conducted during the Recertification survey from 11/27/2023 to 12/01/2023, the facility did not ensure medications and biologicals were stored in accordance with currently accepted professional principles. This was evident for 1 (5th Floor) of 8 resident units. Specifically, the 5th Floor medication room contained an expired bag of intravenous (IV) fluids. The findings are: The facility policy titled IV Therapy dated 03/2023 documented to check IV medication for expiration dates. On 12/01/2023 at 12:52 PM, the 5th Floor medication room was observed with Licensed Practical Nurse (LPN) #3 and contained a bag of IV fluid 5% dextrose 1000 ml (lot # Y381345) with an expiration date of May 2023. LPN #3 was interviewed at the time and stated the IV fluid bag was expired and needed to be returned to the pharmacy. The medication room was checked daily for anything that was expired and the IV fluid bag was missed because it was at the bottom of storage area. On 12/01/2023 at 12:57 PM, Registered Nurse (RN) #2 was interviewed and stated the…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-12-01 · 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 observations, record review, and interviews conducted during the Recertification survey from 11/27/2023 to 12/01/2023, the facility did not ensure that infection control practices were maintained. This was evident for 1 (Resident #216) of 37 total sampled residents. Specifically, Registered Nurse (RN) #2 was observed during wound care did not perform hand hygiene before wound care or during wound care at required intervals when doing wound care on a resident. The findings are: The facility policy titled Handwashing/Hand Hygiene dated 02/2023 documented hand washing with antimicrobial or nonantimicrobial soap and water must be performed before and after direct contact with residents, after contact with blood, body fluids, secretions, mucous membranes, or non-intact skin, after removing gloves, and after handling items potentially contaminated with blood, body fluids or secretions. The use of gloves does not replace handwashing. Resident #216 had diagnoses of Peripheral Vascular Disease and Anemia. During a wound care observation for Resident #216 on 11/29/2023 at 02:51 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-20 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review during an abbreviated survey (NY00291550), the facility failed to ensure that all alleged violations involving abuse were reported immediately, but not later than 2 hours after the allegations of abuse were made to the New York State Department of Health (NYSDOH). This was evident in 2 of 13 residents reviewed (Resident #6 and Resident #7) for abuse. Specifically, On 02/20/22 at 1:55 AM, Resident #6 and Resident #7 were involved in an alleged resident to resident physical abuse, the facility reported the incident to the NYSDOH on 02/20/2022 at 2:41 PM. The findings are: The facility's policy and procedure titled Abuse Neglect, Mistreatment, Exploitation, Injury of Unknown Sources which was last reviewed on 2/23 documented it is the responsibility of facility's employees, facility consultants, attending physicians, family members, visitors, etc. to promptly report any incident or suspected incident of neglect or resident abuse including injuries of unknown source, and theft…

    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 · Fcited before2021-10-05 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and staff interviews during the recertification survey, the facility did not ensure infection control practices and procedures were maintained to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections. Specifically, 1) Oxygen tubing was observed on multiple occasions touching the floor (Resident #508 and #509). 2) The facility did not have a functional, site-specific water management plan, sampling plan, or a completed and up-to-date environmental risk assessment for Legionella. This was evident for 2 of 3 residents observed for Respiratory care (Resident #508 and #509) out of an investigative sample of 40 residents and investigation of facility task Infection Control for Legionella. The findings are: 1) Resident # 508 was first admitted to the facility on [DATE] with last admission date of 9/17/2021 with diagnosis which includes Traumatic Brain Injury (TBI), Chronic Obstructive Pulmonary Disease…

    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 before2021-10-05 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and staff interviews during the recertification survey, the facility did not ensure that the resident has a right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Specifically, 1) A resident room was observed with multiple boxes on the floor from head of bed to the foot of the bed, boxes under elevated bed head, multiple plastic containers stacked up at the back of the bed headboard from the floor to over top of bedhead, multiple filled plastic bags observed under bed, covering the entire space under the bed and multiple tied filled plastic bags observed under the air conditioner in the room (Resident #100), and multiple privacy curtains observed dirty with stains (rooms [ROOM NUMBER]). This was evident for 2 of 8 Units (Units 2 and 4) and 1 of 40 sampled residents (Resident #100) observed for the Environment. The findings are: The facility's policy titled Laundry and Linen: Cubicle…

    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 · D2021-10-05 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews conducted during the Recertification Survey, the facility did not ensure that a resident's assessment was accurate. Specifically, the Minimum Data Set (MDS) 3.0 assessment for a Resident inaccurately documented dialysis treatment. This was evident for 1 out of 3 residents (Resident #102) reviewed for Resident Assessment out of an investigative sample of 40 residents. The findings are: The facility's policy Comprehensive Assessment/MDS Process last review 12/2020 documented all disciplines involved in completing the MDS 3.0 are mandated to sign and a test to sections that has been accurately completed. Resident #102 was admitted to the facility on [DATE], with diagnoses that included Unspecified lump in the left breast, unspecified quadrant and Hypertension. The admission MDS dated [DATE] documented that Resident #102 cognitive status as moderately impaired. Renal Insufficiency, Renal Failure or End-Stage Renal Disease (ESRD) or use of Dialysis 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-10-05 · 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 observations, staff interviews and record reviews conducted during the recertification survey, the facility did not ensure that a person-centered comprehensive care plan developed and implemented to meet their preferences and goals, and address the resident's medical, physical, mental, and psychosocial needs of residents. Specifically, 1) A Care Plan with measurable goals and interventions were not developed for a resident who room was observed with multiple boxes from the head of bed to the foot of the bed, boxes observed under elevated bed head, multiple plastic containers observed stacked up at the back of the bed from floor to top of bed head, filled plastic bags observed under bed, under air conditioner in the resident room (Resident #100). 2) A Care Plan with measurable goals and interventions were not developed for a resident with Pressure Ulcer/Injury (Resident # 355). This was evident for 1 of 1 resident observed for Environment (Resident #100) and 1 out of 2 residents observed for Pressure…

    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 before2021-10-05 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews during the Recertification and Abbreviated Survey (#NY00260357) the facility did not ensure the resident and/or resident representative participated in care planning, to the extent practicable. Specifically, residents were not invited to the quarterly CCP meeting. This was evident for 2 of 40 sampled residents (Resident #s 187 and 296). The findings are: Facility Policy Titled Person-Centered Care Planning: Care Plan Process dated 09/2021 documented upon admission, quarterly and for significant changes in resident condition thereafter, the facility shall conduct a comprehensive Person-Centered Care Plan including accurate assessment of each resident's functional capacity. The resident and their family and designated representative are preeminent members of the Team and vital to its functioning. Family members are invited upon admission, quarterly, annually and at their request. 1) Resident #187 was admitted with diagnoses which include Diabetes Mellitus without mention 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-10-05 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and interviews conducted during a recertification survey, the facility did not ensure that care and treatment were provided to a resident, in accordance with comprehensive assessment and professional standards of practice. It was determined that the facility did not ensure that a resident was treated for a UTI in a timely manner. Specifically, Resident # 203 had lab results, abnormal Urinalysis complete with microscopy, dated 08/28/21, and the results were not reviewed, and treatment ordered until 09/21/21, by the Physician. This was evident for 1 of 1 resident reviewed for UTI (Resident #203) The findings are: The facility policy dated Panic/ Critical Laboratory Values, last reviewed 10/20, documented all laboratory panic values will be called in by the laboratory to the Nursing supervisor who will notify the physician. The laboratory will be given a list of all the panic/critical results that have to be reported to the physician as soon as they are available. Resident #203…

    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 · D2021-10-05 · tag F0740 — failed to provide behavioral / mental-health care — isolated
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility did not ensure that an appropriate environment and atmosphere plan were in place that was conducive to a resident's mental and psychosocial well-being; and the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care. Specifically, a resident with hoarding behaviors was not addressed. This was evident for 1 of 1 resident reviewed for Behavior/Emotional. (Resident #100). The findings are: Resident #100 was admitted to the facility 12/17/2019, with diagnoses that included Pneumonia, Hypertension and Congestive Heart Failure. The Quarterly Minimum Data Set (MDS), Assessment Reference Date (ARD) 7/13/2021 documented Resident #100 had intact cognition. Resident #100 required supervision with set-up assistance for Bed Mobility, Transfers, Eating, and Personal Hygiene. Resident able to ambulate without assistive…

    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 · D2021-10-05 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and staff interview conducted during the Recertification survey, the facility did not ensure expired syringes were identified and removed from the current medication supply for disposition. Specifically, expired insulin and supplements were observed in the medication carts. This was evident on 1 of 8 units reviewed for Medication Storage (Unit 4). The finding is: The policy Medication Storage and Handling, last reviewed 11/20, documented medication biologicals and intravenous sections having an expiration date are removed from storage and usage and properly disposed of after such date. No discontinued, outdated, or deteriorated drugs or biologicals are to be used for residence care. All such drugs are to be returned to the pharmacy for destruction. On 10/04/2021 at 04:36PM, an observation of the 2 medication rooms on the 4th floor was conducted with the 4th floor Registered Nurse Supervisor (RN) #4. In the medication room where the narcotics are stored a total of 29 Sol-Care Luer lock syringes with safety needle 3 ml (25gx1) with an expiration…

    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 · D2021-10-05 · tag F0806 — failed to honor food preferences — isolated
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record review and interviews, during the Recertification survey the facility did not ensure each resident received food that accommodated residents allergies, intolerance's, and preferences. Specifically, (1). A resident who expressed a preference for no raw cucumber, raw onion and raw tomato and whose meal ticket specified such, was served these items at the lunch meal on a vegetable salad and then served raw onion and raw tomato on a chicken sandwich during the lunch meal. (2). A resident who expressed a preference for no tomato was served tomato soup at a lunch meal and sliced raw tomato with a chicken sandwich at a lunch meal. This was evident for 2 of 26 residents sampled for dining observations. (Resident #260 and Resident #267). The findings include: The policy titled Diet Prescription Procedure revised 07/2019 and reviewed 12/2020 documented all residents admitted to this facility will be evaluated by the Dietitian for therapeutic and mechanically altered dietary restriction, food allergies, food intolerances and dietary preference to develop a meal…

    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

“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

$67,412 in federal fines across 2 penalties.

  • $12,298 — penalty dated 2025-10-16
  • $55,114 — penalty dated 2024-04-30

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 / managerTypeRoleShareSince
HURWITZ, BARBARAIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; W-2 MANAGING EMPLOYEE25%since 01/01/1996
RAUSMAN, CHAIMIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; W-2 MANAGING EMPLOYEE10%since 01/01/1996
RAUSMAN, MICHAELIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; W-2 MANAGING EMPLOYEE; OPERATIONAL/MANAGERIAL CONTROL13%since 01/01/1996
KLEIN, MORDECHAIIndividualW-2 MANAGING EMPLOYEE; GENERAL PARTNERSHIP INTERESTsince 01/01/1996
RAUSMAN, NORMANIndividualW-2 MANAGING EMPLOYEE; OPERATIONAL/MANAGERIAL CONTROLsince 01/01/1996
GREEN, RIVKAIndividualGENERAL PARTNERSHIP INTERESTsince 01/01/1996
RAUSMAN, DESIREIndividualGENERAL PARTNERSHIP INTERESTsince 01/01/1996
RAUSMAN, SURIIndividualGENERAL PARTNERSHIP INTERESTsince 01/01/1996
WEITS, BRACHAIndividualGENERAL PARTNERSHIP INTERESTsince 01/01/1996

CMS files one row per role, so the 15 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$49.0M
Net patient revenuemost recent cost report
+6.8%
Operating marginrevenue minus expenses
$7.2M
Related-party expense16% of expenses
Who pays — share of resident-days
Medicaid 69%Medicare 13%Other / private 19%

This home reported $7.2M paid to related parties — landlords or management companies under common ownership — equal to about 16% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

$408per resident / day
operating cost
$12,393per month
≈ monthly operating cost
$437per 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 335792. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-02, 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.

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