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The New Jewish Home, Manhattan

120 West 106th Street, New York, NY 10025 · Non profit - Corporation · 514 certified beds · (212) 870-5000 Medicare & Medicaid certified

Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citations on record (F0600, F0604) — most recent Nov 2024Behavioral-health or dementia-care citation — no harm found (F0740)1 immediate-jeopardy citation$134,514 in federal fines
Insights

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

In its favor
  • a high payroll-based staffing rating (4/5)
  • lower-than-typical staff turnover (31% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has abuse, neglect, or exploitation citations (F0600, F0604) — most recent Nov 2024
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (29) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $134,514 in federal fines (most recent 2024-11-08)
  • its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
  • its independent health-inspection 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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's staffing and quality-measure ratings run 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
914 Columbus Ave · (212) 862-9046 · Call to confirm hours
Pharmacy
916 Columbus Ave · (212) 663-7440 · Call to confirm hours
Grocery
912 Columbus Ave · (917) 999-0468 · Call to confirm hours
Park
485 Central Park W · (646) 234-7275 · Typically dawn to dusk
Place of worship
941 Columbus Ave · (212) 866-2250

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

Quality measures — how residents actually fare

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

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 2 to 3 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 rating3★
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 increased7.4%14.1%15.4%better
Long-stay residents who lose too much weight4.5%5.8%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.5%0.9%better
Long-stay residents with a urinary tract infection0.4%1.3%2.0%better
Long-stay residents with depressive symptoms10.3%19.5%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.4%0.2%0.1%worse
Long-stay residents with falls causing major injury2.3%3.1%3.3%better
Long-stay residents whose ability to walk worsened6.8%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication4.4%13.2%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%95.3%95.3%typical
Long-stay residents with pressure ulcers3.3%6.5%4.7%better
Long-stay residents with worsening bladder/bowel control28.6%19.5%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table6.4%13.7%17.1%better
Short-stay residents who newly got an antipsychotic medication0.4%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine90.3%78.8%79.4%better
Short-stay residents rehospitalized after admission17.7%20.6%22.6%better
Short-stay residents with an outpatient ER visit5.6%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days0.591.701.67better
Long-stay outpatient ER visits per 1,000 resident days0.581.361.80better

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.

59.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 487 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

59.0%U.S. median 51.5%
Got home and stayed home
9.6%U.S. median 10.7%
Went back to hospital
79.0%U.S. median 56.6%
Met the expected recovery
0.34U.S. median 0.31
Therapy hours / resident / day
0.15hours / resident / day
Physical therapy
0.15hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 79.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 209 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 0.34 therapist hours per resident per day in 2026Q1 — more than 57% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 22% 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 SNF59.0%CMS range 53.9–63.151.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.6%CMS range 7.6–12.310.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge79.0%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge61.7%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 discharge73.7%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.3%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened1.4%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization5.1%CMS range 3.4–7.67.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.211.02Oct 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

0.82
RN hours/ resident / day
0.54
LPN hours/ resident / day
2.54
Aide hours/ resident / day
3.90
Total nurse hours/ resident / day
0.61
RN hoursweekends
30.8%
Total nursing turnover
22.9%
RN turnover

How full it usually is: this home is certified for 514 beds and averages 405.2 residents a day — about 79% occupied, or roughly 109 beds typically open. It usually has some room. 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 3.90 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.82 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.54 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.40 hrs/resident/day on weekends vs 4.11 on weekdays — 17% thinner on weekends. RN hours go from 0.91 to 0.61 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 31% 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

6
deficiencies at the latest standard inspection (2024-11-07)
10
at the previous standard inspection (2023-10-26)

Deficiencies are fewer than at the previous inspection — improving. 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.

29 citations, most serious first. The 13 most serious are shown; the remaining 16 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2023-10-26 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review conducted during the recertification survey from 10/16/2023 to 10/26/2023, the facility did not ensure residents' environment received adequate supervision and assistive devices to prevent accidents. This was evidenced for 3 of 3 residents (Resident #162, #243, and #336) reviewed for smoking out of 39 total sampled residents. Specifically, Resident #162 did not have a completed Smoking Safety Evaluation (SSE), was identified as a safe smoker despite a documented incident of smoking in their room on 10/10/2023. Resident #243's Smoking Safety Evaluation (SSE) documented they had incidents of lighting their cigarettes outside of the Designated Smoking Area (DSA). Resident #336 had an incident of smoking in the building on 5/15/2023 and was found smoking 2 packs of cigarettes simultaneously on 7/14/2023 and continued to be identified as a safe smoker. This resulted in Substandard Quality of Care that was Immediate Jeopardy (IJ) with the likelihood for serious…

    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 · G2024-11-08 · 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 (NY00332607), the facility failed to protect a resident's right to be free from Abuse. This was evident in 1 of 20 residents reviewed (Resident #1). Specifically, the facility's surveillance camera recording, dated 03/16/2024 at 3:16 AM, showed Resident #1 in their wheelchair being brought into the unlighted dining room by Certified Nursing Assistant #1. Resident #1 was not wearing any clothing or undergarment. While Certified Nursing Assistant #1 was pushing Resident #1's wheelchair, Certified Nursing Assistant #1 used their left hand to hold Resident #1's hands across their chest restricting the movements of Resident #1's hands. Once in the dining room, Certified Nursing Assistant #1 pushed Resident #1's wheelchair against the wall, then used three dining room tables (arranged in a row in front of Resident #1) to pin Resident #1's wheelchair against the wall restricting Resident #1's movements. Resident #1 was left sitting naked, in the dark, in the dining room from 3:16 AM to 5:37 AM when…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Actual harm · Gcited before2024-11-08 · tag F0604 — failed to not use physical restraints improperly — isolated
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during an abbreviated survey (NY00332607), the facility did not ensure that a resident was treated with dignity including being free from physical restraint. This was evident in 1 out of 20 residents reviewed (Resident #1). Specifically, the facility's surveillance camera recording, dated 03/16/2024 at 3:16 AM, showed Resident #1 in their wheelchair being brought into the unlighted dining room by Certified Nursing Assistant #1. Resident #1 was not wearing any clothing or undergarment. While Certified Nursing Assistant #1 was pushing Resident #1's wheelchair, Certified Nursing Assistant #1 used their left hand to hold Resident #1's hands across their chest restricting the movements of Resident #1's hands. Once in the dining room, Certified Nursing Assistant #1 pushed Resident #1's wheelchair against the wall, then used three dining room tables (arranged in a row in front of Resident #1) to pin Resident #1's wheelchair against the wall restricting Resident #1's…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-11-08 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interviews conducted during an Abbreviated Survey (NY00336486), the facility failed to treat a resident with respect and dignity and care for a resident in a manner and in an environment that promotes maintenance or enhancement of their quality of life, recognizing each resident's individuality. This was evident for 1 out of 20 residents reviewed (Resident #11). Specifically, 03/16/2024 at 5:17 PM, the facility's surveillance video recording showed Resident #11 sitting in a lounge chair in the hallway. Resident #11 removed their gown and slid themselves from the lounge chair onto the floor. The Facility's surveillance video recording showed that Resident #1 remained on the floor without clothing (only wearing an adult disposable brief) from 5:24 PM to 5:59 PM (35 minutes). Registered Nurse #1 was on the unit and did not immediately assessed Resident #11. Nursing Supervisor #1 assessed Resident #11 and there were no visible injuries. The findings are: The Facility's policy…

    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 · Ecited before2024-11-07 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interviews conducted during the Recertification Survey from 10/31/2024/ to 11/07/2024, the facility did not ensure that food was stored, prepared, distributed and served in accordance with professional standards for food service safety. This was evident during the kitchen and food service observations. Specifically, the walk-in refrigerator and the emergency food storage contained expired food items. The findings are: The facility's policy titled Food and Supply Storage with a last revision date of 01/2024 documented that most, but not all products contain an expiration date. The words 'sell-by', 'best-by', 'enjoy- by', or 'use -by', should precede the date. The 'sell-by is the last date food can be sold or consumed; do not sell products in retail areas or place on patient/trays/resident plates past the date on the product. Foods past the use by, sell-by, best-by or enjoy by date, should be discarded. On 11/04/2024 at 11:30AM, during kitchen observation with the Food Services Director, 2 packets of unfrozen tortillas with expiration 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-11-07 · 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 interview and record review conducted during the Recertification Survey from 10/31/2024 to 11/07/2024, 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 in 2 (Resident #212 and #188) of 7 residents reviewed for Accidents out of 38 total sampled residents. Specifically, 1.) Resident #212 had an unwitnessed incident on 03/04/2024 when Resident was observed on the floor with bleeding to the left leg. X-ray report showed a sub-capital fracture of the right femoral neck with mild displacement. Resident #212 was unable to explain the occurrence. 2.) Resident #188 had an…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-11-07 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interviews conducted during the Recertification Survey from 10/31/2024 to 11/07/2024, the facility did not ensure that resident environment remains as free of accident hazards as is possible. This was evident in 1 (Sutro 2) of 13 units observed. Specifically, a housekeeping cart containing chemical disinfectants, antiseptic sprays, and bleach was observed unattended in the unit corridor with the cabinet door ajar and the keys hanging from the lock. The findings are: The facility policy titled Accidents and Hazards with a reviewed date of 08/2024 documented that it is the policy of the facility to provide residents with an environment free of hazards. The facility policy titled Standard Housekeeping Cart Set-up with a revision date of 10/21/2024 documented that housekeeping carts are to be kept locked at all times. Keys are not to be permitted to be left on the cart or in the lock. The housekeeping cart will be set up in a standardized manner. The set-up guidelines for the contents of the housekeeping cart cabinet includes air freshener,…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-11-07 · 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 10/31/2024 to 11/07/2024, the facility did not ensure drugs and biologicals were stored in accordance with professional standards of practice for 1 of 13 units (2nd Floor Sutro Building). Specifically, the facility medication cart was not kept locked or under direct observation of authorized staff. The findings are: The facility policy and procedure titled Storage and Discard Dating of Drugs and Biologicals, effective date 01/04/2023, documented that all medications and other drugs, including treatment items, shall be stored in a locked cabinet, cart, or room inaccessible to residents and visitors. During medication administration, the nurse will lock the cart if they step out of visual range. Drugs shall be inaccessible only to authorized personnel. On 11/05/2024 at 2:05 PM, an unlocked medication cart was observed in the hallway corridor of the 2nd floor unit of the Sutro building adjacent to the unit dining room. The medication cart was unattended and was out of the sight 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-11-07 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and staff interviews conducted during the Recertification Survey from 10/31/2024 to 11/07/2024, the facility did not ensure that infection prevention control practices were followed to help prevent the spread, development, and transmission of communicable diseases and infections. Specifically, 1.) The facility did not conduct an annual review of the water management plan, and 2.) Enhanced Barrier Precautions were not maintained during intravenous medication administration through a Peripherally Inserted Central Catheter. The findings are: 1.) The facility policy and procedure titled Legionnaire's Disease: Prevention and Control with a last revision date of October 2024 documented that the Director of Plants Operations will review and update annually the environmental assessment of the water system. A review of the document titled Potable Water Survey, Sampling Program, and Plan that was signed for by the facility owner on 07/08/2019 showed that the facility did not have 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-10-26 · 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, interviews, and record review conducted during the Recertification Survey from 10/16/23 thru 10/26/23, the facility did not ensure the resident's right to a safe, clean, comfortable, and homelike environment. This was evident for 2 of 12 Units, (R6 and Sutro3). Specifically, 1) a) Unit R6 - room [ROOM NUMBER]a-was observed with linear broken plaster and paint on room walls. b) room [ROOM NUMBER] with rusty bathroom radiators were missing metal covers, exposing the inner pipes and were layered with dirt and debris. c) Corridor toilet across from room [ROOM NUMBER] had loose ceiling tiles and the call bell was wrapped around the grab bar in the toilet room. e) room [ROOM NUMBER] - loose cable wires. f) room [ROOM NUMBER]b- Crusty thick layered brownish stains on the base of the IV pole. The feeding pump was dusty and with scattered brown stains and streaks. g) room [ROOM NUMBER]a-wheelchairs heavily layered with dirt, dust and debris. 2) a) Sutro 3 room [ROOM NUMBER] noted with warped…

    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 · Ecited before2023-10-26 · tag F0679 — failed to provide activities — pattern
    Provide activities to meet all resident's needs.
    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 and extended survey from 10/16/2023 to 10/26/2023, the facility did not ensure an ongoing activities program was provided to meet the interests of and support the physical, mental, and psychosocial well-being of the resident for 3 (Residents #25, #252, and #366) of 6 residents reviewed for Activities. Specifically,1) Resident #25, a Spanish speaking resident, expressed they did not like the activities to the psychiatrist, and there was no follow-up to ensure Resident #25's needs were reassessed to ensure activities that met their interests were provided, 2) Resident #252, a resident with severely impaired cognition, was observed for extended periods without meaningful activities, and 3) Resident #366, who has severely impaired cognition, was observed multiple times in bed with no meaningful activities. The findings are: The facility policy and procedure revised 9/1/23 titled Therapeutic Recreation Program-Scope 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-10-26 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    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 and interviews conducted during the Recertification survey from 10/16/2023 to 10/26/2023, the facility did not ensure that a safe, functional, sanitary, and comfortable environment was provided for residents, staff, and the public. This was evident during observation of the Library/Activity Room and the facility outdoor Patio/Garden. Specifically: 1). The Garden Area contained tables that were in disrepair, had broken furniture, banister, tiles, blinds, and umbrellas; and 2). The Library Room was observed in disrepair with signs of water damage, black and green colored substance on the wood paneling, peeling plaster, and mis-hung book shelves. The findings are: 1. On 10/18/2023 at 11:33 AM, the following was observed on the outdoor Patio/Garden: a. 3 of 5 umbrellas that were broken and had holes in the cloth, b. 1 broken plastic chair in the smoking area and 4 chairs near the patio entrance that were heavily worn with warped wood causing the chairs to lean off center. c. 4 of 4 tables 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-26 · tag F0561 — failed to honor residents' choices — isolated
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    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 10/16/2023 to 10/26/2023, the facility did not ensure to promote a resident's right to self-determination through support of resident choice. This was evidenced for 1 (Resident #294) of 39 total sampled residents. Specifically, Resident #294 preferred to eat breakfast and brush their teeth after being taken out of bed and was observed in bed after breakfast had already been served. The findings are: Resident #294 was diagnosed with hemiplegia and hemiparesis of right side following nontraumatic intracerebral hemorrhage and dysphagia. The Minimum Data Set 3.0 (MDS) dated [DATE] documented Resident #294 had mild cognitive impairment, required extensive assistance of 1 person for dressing, limited assistance of 1 person for eating, and extensive assistance of 1 person for personal hygiene. On 10/17/2023 at 09:26 AM, Resident #294 was observed lying in bed with their breakfast tray untouched and out of reach on the…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
Show the remaining 16 citations
  • Potential for harm · Dcited before2023-10-26 · 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 staff interview during the recertification, abbreviated (NY00326962) and extended survey conducted from 10/16/23 through 10/26/23, the facility failed to report all alleged violations involving Abuse, Neglect, including injuries of unknown source, to the New York State Department of Health (NYSDOH), within 2 hours after the allegation was made. This was evident for 1 (Resident #79) of 10 residents reviewed for Abuse out of 38 total sampled residents. Specifically, on 3/20/23 and 3/22/23, Resident #79 reported to the Social Worker and the Physical Therapist that they were handled roughly by staff. The facility reported the incident to NYSDOH on 10/26/23. The findings are: The facility's policy and procedure titled Abuse/Neglect/Mistreatment-Prevention, Assessment & Reporting with last revised date 6/4/21 documented resident has the right to be free from verbal, sexual, physical, and mental, corporal punishment, involuntary seclusion, misappropriation of property, or any other criminal…

    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 · D2023-10-26 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview during the Recertification, Abbreviated (NY#00322426) and Extended Survey conducted from 10/16/23 to 10/26/23, the facility did not ensure that each resident was screened for a mental disorder or intellectual disability prior to admission for 1 resident reviewed for Pre-admission Screening and Record Review (PASRR). This was evident for 1 resident (Resident #738) reviewed out of 40 total sampled residents. Specifically, Resident #738 did not have a Level 1 SCREEN prior to the resident's admission to the facility. The findings are: The facility's policy and procedure titled, Screen Level II/PASRR reviewed 9/20, documented screen is needed prior to admission for every person, for any length of stay, who is admitted to a Skilled Nursing Facility in New York State to ensure proper placement of individuals in the nursing home. Resident #738 was admitted to the facility on [DATE] with diagnoses including: Parkinson's Disease, Anxiety Disorder and Depression. The admission…

    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 · D2023-10-26 · 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 observations, interview, and record review conducted during the recertification survey from 10/16/2023 to 10/26/2023, the facility did not ensure necessary behavioral health care and services to attain or maintain a resident's highest practicable physical, mental, and psychosocial well-being. This was evidenced for 1 (Resident #25) of 2 residents reviewed for mood and behavior out of 39 total sampled residents. Specifically, Resident #25 did not have adequate intervention to address their reports of anxiety and depression. The findings are: Resident #25 had diagnoses of bipolar disorder and personality disorder. The Minimum Data Set 3.0 (MDS) dated [DATE] documented Resident #25 is Spanish speaking, needs an interpreter, is cognitively intact, feels down and depressed, has trouble sleeping, feels tired, and has trouble concentrating. Resident #25 received an antipsychotic, antianxiety, and antidepressant medication. On 10/17/2023 at 12:51 PM, Resident #25 was interviewed and stated they felt very…

    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 before2023-10-26 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and staff interviews conducted during the recertification survey from 10/16/2023 to 10/26/2023, the facility did not ensure that all medications and biologicals were safely stored and firmly affixed to the inside of the medication refrigerator to prevent possible diversion. Specifically, one unopened vial of a Schedule IV Controlled Substance (Lorazepam/Ativan) was observed stored in a metal box that was attached to the top shelf of the medication refrigerator. The shelf was easily movable and not firmly affixed to the inside of the refrigerator. This was evident during observations conducted for the Medication Storage Task. (Unit R 6). The finding is: The facility policy and procedure titled, Storage of Pharmaceuticals, effective date, May 1, 1996, rev. September 2023, documented, on page 3 of 3, line 1 Medications listed in Schedules II, III, IV and V are stored under metal, double locked,double door, stationary cabinet in the medication room. This includes the storage of medication in a cold place, a cool place and/or room temperature. On 10/17/23 at 8:40AM…

    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 before2023-10-26 · 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 observations, interviews, and record review conducted during the Recertification survey from 10/16/2023 to 10/26/2023, the facility did not ensure food was stored in accordance with professional standards for food service safety. This was evident during dining observation on 2 (Sutro 1 and Sutro 3) of 12 units. Specifically, 1) the pantry refrigerator on Sutro 3 was observed containing undated and unlabeled food, and 2) the pantry refrigerator on Sutro 1 was above 41 degrees Fahrenheit (F) and contained unlabeled and undated food. The findings are: The facility policy titled Use and Storage of Food Brought for Residents from the Outside dated 1/2021 documented if the food is not prepared immediately to the resident, the food must be clearly labeled with the resident's name and room number, the date the food was brought to the resident, and use-by date. Maintenance Department will be notified for corrective action if temperature is found above 41 F. 1) On 10/16/2023 at 12:12 PM, the Sutro 3 pantry refrigerator was observed with 3 8-oz Novosource supplements (2 vanilla, 1…

    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 · D2023-10-26 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review conducted during a recertification survey and abbreviated survey (NY00322660, NY00322237), the facility failed to ensure that all alleged violations involving abuse were thoroughly investigated. This was evident for 2 of 10 residents reviewed for abuse. Specifically, 1.) On 08/22/2023, Resident #147 alleged that Certified Nursing Assistant #11 (CNA #11) pulled their leg while being turned during care. The facility investigated the allegation and gathered statements from the Licensed Practical Nurse #6 (LPN #6) and CNA #11. The investigation did not include statements from other staff or residents who might have potentially witnessed the incident. 2.) On 08/16/2023, the facility received a report from a member of Resident #336's church that a night shift staff threatened to slap Resident #336. The facility investigation only included statement from CNA #10 who was assigned on the evening shift. The investigation did not include statements from residents or other staff on the…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2021-12-23 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Resident #484 Urinary Catheter or UTI 12/21/21 10:45AM OBSERVATION : Resident was observed multiple times during the survey period . On initial tour on 12/14/2021 at 10:00am , resident was observed in bed with 2 1/2 SR up in his room with a Foley catheter with the tube touching the floor . The tube was observed with sediments and urine output from the tube is turbid. The drainage bag with a cover . resident with a private aide 24 hrs / day at 12 hours shift each . On interview , the aide states I am her to be his companion , most of the care is done by the CNA and i assist , like walking him in the BR and assisting him in eating and encouraging him. 12/15/2021 -- 12:30 PM -- resident was observed again in his room , seated in his wheelchair , with foley catheter tubing touching the floor. The HHA companion is a male , on his phone and watching TV . RECORD REVIEW : DOB: [DATE]-- [AGE] y/o DOA: [DATE]-- FLU: 10/19/2021 DRUG REGIMEN REVIEW : 12/13/2021 -- ATTENDING MD : [NAME] DX: ANEMIA /CAD/HTN / OBSTRUCTIVE…

    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 before2021-12-23 · tag F0604 — failed to not use physical restraints improperly — isolated
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews conducted during the recertification survey, the facility did not ensure that residents were free of physical restraints. Specifically, a hand mitten were used on a resident without an assessment, care planning, physician's order, or documentation regarding the medical symptoms being treated. This was evident for 1 of 1 resident reviewed for Physical Restraints (Resident #207). The finding is: The facility's policy and procedure titled Restraints dated 09/2012 last revised on 09/2017 documented the following: The facility strive toward a restraint-free environment to allow the resident to maintain his/her highest practicable level of physical, mental, and psycho-social well-being. In the event a restraint is indicated, the following policy and procedure will be followed with goal of minimizing the use of restraints. The restraint will be limited to circumstances in which the resident has medical symptoms that warrant such use and only after attempts to use…

    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 · D2021-12-23 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews conducted during the Re-certification Survey from 12/14/2021 to 12/23/2021, the facility did not ensure, to the extent practicable, that residents were involved in developing the comprehensive care plan and making decisions about their care. Specifically, the facility did not ensure that residents and resident representatives were afforded the opportunity to participate in the Comprehensive Care Plan (CCP) meeting. This was evident for 1 of 2 residents reviewed for Participation in Care Planning out of a sample of 40 residents (Resident #392). The findings are: The facility policy and procedure titled Nursing Home: Comprehensive Care Planning dated 10/1/2018 and revised 7/1/2021 documented care planning included the participation of the resident and the resident's representative to the extent practicable. It also documented under Responsibility 1) The Social Worker invites family members to the initial care plan meetings as well as quarterly care plan meetings if indicated.…

    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 · D2021-12-23 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    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 during the Recertification survey, the facility did not ensure services provided by the facility, as outlined by the comprehensive care plan, met professional standards of quality. Specifically, (1) a resident with a catheter was not receiving catheter care (Resident #484). (2) The nurse did not check to ensure the correct dosage of medication was administered or store the medication per the manufacturer's specifications (Resident #336). This was evident for 2 of 35 sampled residents (Resident # 336 and 484). The findings are: 1) The facility Policy and Procedure for Catheter Care, Urinary dated April 2020 documented the procedure steps for care. The policy also specified the date and time of catheter care, name and title of person giving the catheter care, and all assessment data obtained when giving catheter care should be recorded in the medical record. Resident #484 was admitted to the facility with diagnoses which include Coronary Artery 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-12-23 · tag F0679 — failed to provide activities — isolated
    Provide activities to meet all resident's needs.
    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 Re-certification Survey from 12/14/2021 to 12/23/2021, the facility did not provide, based on the comprehensive assessment, interests, and the preferences of each resident, an ongoing program to support residents in their choice of activities, designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident. Specifically, the facility did not appropriately assess the interests and activity preferences of a non-English speaking resident in order to provide an ongoing program of activities designed to meet their interests. In addition, the resident was not provided with television in their native language per their preferences. This was evident for 1 of 4 residents reviewed for Activities (Resident #392). The finding is: The facility policy and procedure titled Therapeutic Recreation Program - Scope revised 2/10/10 documented under Policy that activities will be age appropriate and reflect…

    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 · D2021-12-23 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    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 during the Recertification survey, the facility did not ensure that a resident with a urinary catheter received appropriate treatment and services to prevent urinary tract infections (UTIs). Specifically, there was no evidence that a resident with a foley catheter and history of a UTI received catheter care. In addition, the catheter tubing was observed on the floor. This was evident for 1 of 3 residents reviewed for Catheter Catheter or UTI (Resident #484). The finding is: The facility policy titled Catheter care, Urinary dated April 2017 states The purpose of this procedure is to prevent catheter- associated urinary tract infection in our residents . Purpose with subtitle of Maintaining Unobstructed urine Flow # 4 The urinary drainage bag (Foley catheter) should not touch the floor and should be covered with a dignity bag . Resident #484 had diagnoses which include: Coronary Artery Disease, Hypertension, and Obstructive Uropathy with Foley Catheter. The…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-12-23 · tag F0745 — failed to provide medically-related social services — isolated
    Provide medically-related social services to help each resident achieve the highest possible quality of life.
    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 interview, the facility did not provide medically related social services to attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident. This was evident in 1 of 2 residents reviewed for care. Specifically, a resident was not provided appropriate clothing. Resident #381 . The finding is: The facility policy titled, Laundry and Labeling Services, Resident /Patient Personal Clothing dated 10/07/2014 documents, The Laundry Department/Vendor is responsible for maintaining inventories, labeling and delivering resident/patient personal clothing. In coordination with Environmental Services, laundry staff may also assist responding to issues /complaints. The procedure as written on Responsibility: Unit Manager, Admissions, Social Worker informs all new residents /patients and or their families about suggested types and amount of clothing, labeling requirements and laundry services. Specific to the Social Worker it documents…

    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 · D2021-12-23 · 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 interview conducted during the Recertification survey, the facility did not ensure its residents are free of any significant medication errors. Specifically, a resident prescribed Acetylcysteine 200 milligram (mg)per (/)milliliter (ml) 20% was given Acetylcysteine 200 mg/ml 10% concentration. This was evident for 1 of 35 sampled residents (Resident #336). The finding is: Resident #336 had diagnoses which include: Respiratory Failure on tracheal with Oxygen by collar, Anoxic brain Damage, and Asthma. The Minimum Data Set 3.0 (MDS) assessment dated [DATE] documented the resident had severely impaired with cognition. On 12/17/2021 at 11:00 AM, Resident #336 was observed with tracheal tube and oxygen by tracheal collar connected at 3 liter (l) with tube feeding in progress. Occasionally, a gurgling sound was noted from the trachea tube, and there was a suction machine at the bedside. The Physician's order dated 12/15/2021 documented Acetylcysteine 200 milligram (mg) per…

    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 before2021-12-23 · 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 staff interview conducted during the recertification survey, the facility did not ensure drugs and biologicals were labeled in accordance with currently accepted professional principles and stored under proper temperature controls per manufacturer's recommendations. Specifically, an open multi-dose vial of Acetylcysteine was not dated with date of opening and discard date (96 hours after opening), and the vial was not refrigerated after opening per the manufacturer's recommendations. This was evident for 1 of 11 carts observed on 1 of 8 units reviewed for Medication Storage (Unit 7). The finding is: On 12/17/21 at 12:52 PM the unit 7 medication cart was observed with the Registered Nurse (RN). The cart contained a plastic bag containing two multi-dose vials of Acetylcysteine. One vial with 10 % concentration was open and undated with an open or discard date. The accompanying Acetylcysteine medication insert from the pharmacy with special instructions documented medication to be refrigerated after opening and to discard after 96 hours from…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2024-11-07 · tag F0582 — pattern
    Give 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review conducted during the Recertification Survey from 10/31/2024 to 11/07/2024, the facility did not ensure residents, or their designated representatives were provided appropriate notification at the termination of Medicare Part A benefits. This was evident in 2 (Resident #402 and Resident #403) of 3 residents reviewed for Beneficiary Notification out of 38 total sampled residents. Specifically, the facility did not ensure that Notice of Medicare Non-Coverage were mailed to the residents' representatives on the same day telephone notification was made. The findings are: The facility policy titled Medicare Beneficiary Notice for Non-Coverage of Service with a last revision date of 01/03/2024 documented that residents / representatives are notified in writing when a decision of Medicare non coverage is made a minimum of 2 days' notice before the last covered Medicare day. The facility policy also documented a copy of annotated Notice of Medicare Non-Coverage should be mailed 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

$134,514 in federal fines across 2 penalties.

  • $71,858 — penalty dated 2024-11-08
  • $62,656 — penalty dated 2023-10-26

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 / managerTypeRoleSince
SCARANTINO, SANDRAIndividualW-2 MANAGING EMPLOYEEsince 11/01/2019
SPINNER, RUTHIndividualW-2 MANAGING EMPLOYEEsince 09/10/2018
ALTSCHULER, ALANIndividualCORPORATE DIRECTORsince 02/02/2021
BARKAN, MELIndividualCORPORATE DIRECTORsince 09/16/2003
BERNSTEIN, DANIELIndividualCORPORATE DIRECTORsince 04/04/2013
BLUMSTEIN, WILLIAMIndividualCORPORATE DIRECTORsince 12/03/1979
EVANS, BRUCEIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 01/01/2019
FEINER, LISAIndividualCORPORATE DIRECTORsince 06/13/2000
FREEDMAN, MARGOTIndividualCORPORATE DIRECTORsince 10/01/1990
FREEMAN, DAVIDIndividualCORPORATE DIRECTORsince 10/03/1988
GLICKMAN, SUSANIndividualCORPORATE DIRECTORsince 05/07/1984
HANSEN, SCOTTIndividualCORPORATE DIRECTORsince 09/26/2011
HESS, PETERIndividualCORPORATE DIRECTORsince 06/18/2015
HOCHBERG, JOHNATHANIndividualCORPORATE DIRECTORsince 06/21/2005
JAVITS, TOMIndividualCORPORATE DIRECTORsince 01/01/2022
KUMMEL, WILLIAMIndividualCORPORATE DIRECTORsince 11/16/2010
LIPPMAN, LISAIndividualCORPORATE DIRECTORsince 04/03/2014
LUSKIN, MICHAELIndividualCORPORATE DIRECTORsince 10/06/1997
OBERLANDER, JILLIndividualCORPORATE DIRECTORsince 03/23/2021
OBERLANDER, LYNNIndividualCORPORATE DIRECTORsince 01/24/2005
PAGEL SEREBRANSKY, ELIZABETHIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 01/01/2018
PICA, ADRIENNEIndividualCORPORATE DIRECTORsince 12/17/2020
PRIMOFF, WALTERIndividualCORPORATE DIRECTORsince 06/12/2018
REINHEIMER, ELLENIndividualCORPORATE DIRECTORsince 10/31/2014
RON, ARANIndividualCORPORATE DIRECTORsince 02/02/2021
SCHNEIDER, TAMIIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 01/01/2021
SEGAL, SOFIAIndividualCORPORATE DIRECTORsince 12/16/2016
SHUSTER, BETSYIndividualCORPORATE DIRECTORsince 01/01/2022
FARBER, JEFFREYIndividualCORPORATE OFFICERsince 01/01/2018
ORELOWITZ, DAVIDIndividualCORPORATE OFFICERsince 11/17/2008
PENNY, DANAIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 01/08/2001
WEISS, MARKIndividualCORPORATE OFFICERsince 07/01/2019
JEWISH HOME LIFECAREOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2018
JHL CORPORATE SERVICES INCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 03/06/2009

CMS files one row per role, so the 38 rows in the source record cover these 34 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.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

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

$71.1M
Net patient revenuemost recent cost report
-31.6%
Operating marginrevenue minus expenses
$9.7M
Related-party expense10% of expenses
Who pays — share of resident-days
Medicaid 66%Medicare 9%Other / private 26%

This home reported $9.7M paid to related parties — landlords or management companies under common ownership — equal to about 10% 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. 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

$655per resident / day
operating cost
$19,924per month
≈ monthly operating cost
$498per 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 335491. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-11-07, 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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