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Newfane Rehab & Health Care Center

2709 Transit Rd, Newfane, NY 14108 · For profit - Limited Liability company · 165 certified beds · (716) 778-7111 Medicare & Medicaid certified

Call the home — (716) 778-7111 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0605, F0607, F0609) — most recent Jun 2025
Insights

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

In its favor
  • no federal fines or payment denials on record
  • lower-than-typical staff turnover (31% vs 45% nationally) — better care continuity
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605, F0607, F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)

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.

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

Hospital
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
2610 William St · (716) 778-7237 · Call to confirm hours
Pharmacy
2780 Main St · (716) 778-0600 · Call to confirm hours
Grocery
2897 Main St · (716) 778-9095 · Call to confirm hours
Park
5931 Old Wilson Burt Rd · (800) 456-2267 · Typically dawn to dusk
Place of worship
2730 TRANSIT Rd · (716) 778-7981

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 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 4 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 increased14.0%14.1%15.4%typical
Long-stay residents who lose too much weight4.0%5.8%5.4%better
Long-stay residents with a catheter left in their bladder0.5%0.5%0.9%better
Long-stay residents with a urinary tract infection0.0%1.3%2.0%better
Long-stay residents with depressive symptoms4.5%19.5%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury2.2%3.1%3.3%better
Long-stay residents whose ability to walk worsened11.8%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication21.4%13.2%18.9%worse
Long-stay residents given the seasonal flu vaccine98.8%95.3%95.3%typical
Long-stay residents with pressure ulcers9.2%6.5%4.7%worse
Long-stay residents with worsening bladder/bowel control25.4%19.5%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table33.2%13.7%17.1%worse
Short-stay residents who newly got an antipsychotic medication8.3%1.2%1.4%worse
Short-stay residents given the seasonal flu vaccine89.6%78.8%79.4%better
Short-stay residents rehospitalized after admission11.9%20.6%22.6%better
Short-stay residents with an outpatient ER visit1.8%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days0.771.701.67better
Long-stay outpatient ER visits per 1,000 resident days0.701.361.80better

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.

29.9% 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 77 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

29.9%U.S. median 51.5%
Got home and stayed home
8.3%U.S. median 10.7%
Went back to hospital
35.6%U.S. median 56.6%
Met the expected recovery
0.18U.S. median 0.31
Therapy hours / resident / day
0.06hours / resident / day
Physical therapy
0.08hours / resident / day
Occupational therapy
0.05hours / resident / day
Speech therapy

Met the expected recovery: 35.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 45 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 0.18 therapist hours per resident per day in 2026Q1 — more than 18% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 69% of this home’s weekday level — it runs therapy at close to weekday levels right through the weekend. 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 SNF29.9%CMS range 20.9–45.051.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF8.3%CMS range 5.9–12.110.7%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 discharge35.6%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 discharge26.7%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 discharge28.9%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 settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.8%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 worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.4%CMS range 3.2–10.07.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.781.02Oct 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

0.45
RN hours/ resident / day
0.76
LPN hours/ resident / day
1.66
Aide hours/ resident / day
2.87
Total nurse hours/ resident / day
0.36
RN hoursweekends
31.4%
Total nursing turnover
23.5%
RN turnover

How full it usually is: this home is certified for 165 beds and averages 161.2 residents a day — about 98% occupied, or roughly 4 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 2.87 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.45 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.66 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 2.46 hrs/resident/day on weekends vs 3.03 on weekdays — 19% thinner on weekends. RN hours go from 0.49 to 0.36 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

9
deficiencies at the latest standard inspection (2025-06-05)
9
at the previous standard inspection (2023-08-11)

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.

22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.

  • Potential for harm · Ecited before2025-06-05 · 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, interview, and record review conducted during a Standard survey completed on 6/5/25, the facility did not ensure that there were housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for four (4) (Unit A, B, C, and D) out of four (4) units. Issues included foul odors (Unit A, B, C, and D); shower rooms with black/brown debris with missing tiles or tiles in disrepair and dirty linens ( Unit A, B, C, D); cracked floor tiles with missing pieces (Unit D); baseboards splattered with a white substance (Unit A); walls unfinished with spackle/primer and not painted (Unit A); toothbrushes, hairbrushes, wash basins, toothpaste, and a bed pan not labeled or clean in shared bathrooms (Unit C); and soiled floor mats (Unit D). The finding is: The policy and procedure titled Resident/Patient Room Cleaning dated 2/1/25 documented resident rooms must be cleaned and disinfected; floors dust and damp mopped; and that nursing is to clean bodily fluids or…

    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 · E2025-06-05 · tag F0711 — pattern
    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
    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 Standard survey completed on 6/5/25, the facility did not ensure that the physician signed and dated all orders for 13 (Resident # 1, 5, 9, 15, 20, 28, 20, 42, 48, 84, 92, 124, and 137) of 32 residents reviewed. Specifically, the facility did not ensure that the physician or non-physician provider evaluated the resident's current medication regimen and renewed orders in the electronic medical record (EMR) at least every 60 days. The findings are: 1. Resident #20 had diagnoses that included dementia, schizophrenia (a chronic brain disorder affecting thinking, feeling and behavior) and developmental disorder. The Minimum Data Set (a resident assessment tool) dated 2/23/2025 documented Resident was understood, understands and was moderately cognitively impaired. Review of the Order Review History printed on 6/4/25 for Resident #20 documented orders were last signed on 10/28/24 and previously signed on the following date: 1/20/24. 2. Resident #84 had…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-05 · tag F0605 — failed to not use drugs as a restraint — isolated
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    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 Standard survey completed on 6/5/25, the facility did not ensure that residents who use psychotropic drugs received gradual dose reductions, unless clinically contraindicated, in an effort to discontinue these drugs for two (2) residents (Resident #42 and #129) of five (5) residents reviewed for unnecessary medications. Specifically, there were no gradual dose reductions of antipsychotic medications (Residents #42, #129) and antidepressant medication (Resident #129). Additionally, there was lack of medical provider documentation for the reason dose reductions were clinically contraindicated. The findings are: The policy titled Use of Psychoactive Medications revised 9/2022, documented the facility was to provide all residents with considerate and respectful care designed to promote the resident independence and dignity in the least restrictive manner commensurate with the resident preference and physical and mental status. A psychoactive…

    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 before2025-06-05 · 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, interview, and record review conducted during a Standard survey completed on 6/5/25, the facility did not ensure that the resident environment remained as free from accident hazards as was possible and that each resident received adequate supervision to prevent accidents for one (1) (Resident #409) of one (1) resident reviewed for elopement. Specifically, Resident #409 displayed wandering and exit seeking behaviors that were not identified or evaluated for implementation of interventions for their safety. Additionally, Resident #409 had an unwitnessed fall in the shower room. The finding is: The policy titled Resident Who Wander revised 3/12/2021, documented residents who wander and who may walk unassisted or unsupervised will be care planned to do so by the interdisciplinary team. A wander evaluation will be completed on admission, quarterly, with significant change and as needed or indicated per individual resident needs. Residents who wander will be evaluated for the need of additional interventions to ensure their safety. The policy titled Elopement and…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-05 · tag F0700 — isolated
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record reviews conducted during the Standard survey completed on 6/5/25, the facility did not attempt alternatives prior to installing bed rails, did not ensure assessment, informed consent and review of the risk and benefits for use was conducted prior to use, and ensure the correct installation and maintenance of bed rails for four (4) (Resident #9,18,20, 29) of (4) four residents reviewed. Specifically, bedrails were loose and not secure per the manufacturer's recommendations. In addition, there was no evidence of appropriate alternatives used prior to installing the bed rails, no consent or routine preventative inspections of the side rails and incomplete documentation of education (risk/benefits). The findings are: The policy and procedure titled Side Rails & Positioning Bars revised 5/2025 documented it was the policy of the facility to monitor side rail or positioning rail use. The facility will only issue positioning rails to enhance a resident's independence and…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-05 · 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

    Based on interview and record review, conducted during the Standard Survey completed on 6/5/25 the facility did not ensure they provided medically related social services to attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident. Specifically, one (1) (Resident #85) of one (1) resident reviewed wanted to return to the community did not have a referral made to an outside agency. The finding is: The policy and procedure titled Transfer and Discharge of Residents dated 2/8/2010 documented that residents are informed by the Registered Nurse Case Manager or the Director of Social Services of available community services as applicable. Residents may also be instructed when and how to obtain further care treatment. The undated document titled Nursing Home Resident's Rights documented that a resident has a right to self-determination. The undated document titled Job Description Social Work documented the Social Worker participates in the discharge planning process by coordinating the interdisciplinary discharge plan and scheduling 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-05 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review conducted during a Standard survey completed on 6/5/25, the facility did not ensure that the pharmacist reported irregularities to the attending physician and the facility's Medical Director, and the Director of Nursing, and that these reports were acted upon for (2) two (Residents #42 and #129) of (5) five residents reviewed. Specifically, the Pharmacy Consultant did not recommend gradual dose reductions for psychotropic medications in effort to reduce or discontinue these medications. In addition, did not request documentation from the physician to support why a GDR (gradual dose reduction) would be clinically contraindicated. The findings are: The policy and procedure titled, Medication Regimen Review revised 9/21/2022, documented the Consultant Pharmacist will perform a monthly medication review for each nursing home resident. The Consultant Pharmacist recommendations will identify appropriateness of medication regimen and or recommendations for change. The policy 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-08-11 · 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 and interview conducted during the Standard survey completed on 8/11/23, the facility did not ensure housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior were provided for four (Units A, B, C and D) of four resident units. Specifically, there were issues with strong urine odors in resident rooms, bathrooms, hallways, and reception area; crumbling drywall around windows, unpainted, patched drywall, missing and/or in disrepair baseboards; peeling wallpaper, soiled walls, dusty ceiling vents, and a torn/ripped resident mattress. The findings are: During an observation on 8/7/23 at 9:05 AM, in the reception area upon entrance to the facility, there was a very strong urine odor. During an observation on 8/7/23 at 9:20 AM, in the B Unit hallway extending from Resident Rooms #51-55, there was a very strong urine odor. During an observation of Resident room [ROOM NUMBER] on 8/7/23 at 9:40 AM, revealed a large section (about 1.5 feet (ft) by 2 ft)…

    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 · E2023-08-11 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review conducted during a Standard survey completed 8/11/23, the facility did not provide food and drink that were prepared by methods that conserved flavor, and appearance, were palatable and at a safe and appetizing temperature, for five (Units A, B, C, D, & Kitchen) of five test trays. Specifically, food and beverages during meals were served at suboptimal temperatures, unappetizing in appearance and were not palatable. Residents #33, #37, #58, and #113 were involved. The findings are: The policy & procedure titled Food Temperature on Resident Trays dated 4/1/08 documented that it was the responsibility of the Supervisor, Dietitian, or Diet Technician to ensure that the food for residents was served at a safe and appropriate temperature. The policy did not document optimal food temperatures and how the facility would ensure that the food was served at a safe and appropriate temperature. During an interview on 8/7/23 at 1:27 PM, Resident #33 stated the food there was terrible, always cold. Additionally, Resident #33 stated they do 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-08-11 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review conducted during a Standard survey completed 8/11/23, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, one of one Kitchen had issues with outdated undated food items, corner ceiling fans near prep stations observed to be dusty and greasy and were in use while food preparation was going on and Dietary Aide #1 in food preparation area with facial hair, not wearing a beard guard. In addition, three (Unit A, Unit C and Unit D) of four-unit nourishment kitchens had issues with no thermometers in the freezers and Unit A and Unit D undated opened food items and stored staff personal belongings, food, and drink items. The findings are: The policy and procedure (P&P) titled Storage of Supplies dated 4/1/08 documented it is the policy of the dietary department to store our food purchases in proper and safe areas. Storage areas should be clean and dry. All non- food items are…

    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 12 citations
  • Potential for harm · E2023-08-11 · tag F0925 — failed to control pests — pattern
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review during the Standard survey completed on 8/11/23, the facility did not maintain an effective pest control program so that the facility was free from insects. Specifically, for three (A Unit, B Unit, D Unit) of four resident units had issues with flies. The findings are: The policy and procedure titled, Pest Control Policy, dated 1/2023 documented exposure to pests, pest residue, and the chemicals used to control them can aggravate or cause health problems for residents and staff. Regular inspections will be performed by a pest management professional, who will note situations that are conducive to pest populations and recommend repairs, sealing of pest entry points, clutter reduction, improved sanitation, and monitoring procedures. The Licensed Exterminator's most recent Summary of Service report dated 7/28/23 documented insect activity was noted at seven of seven Insect Light Traps (ILTs). The report further stated miscellaneous flies were present on the ILT…

    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 · D2023-08-11 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review conducted during a Standard survey completed on 8/11/23, the facility did not ensure they treated each resident with dignity and respect in an environment that promotes maintenance or enhancement of their quality of like, recognizing each resident's individuality. Specifically, one (Resident #15) of two residents reviewed for dignity was not provided with their breakfast meal at the same time when other residents who eat in their rooms received their meal trays. Resident #15 was told by staff they have to wait until the dining room was served. The finding is: The undated policy and procedure (P&P) titled Dignity During Dining documented trays were to be delivered to residents in a timely manner. 1. Resident #15 had diagnoses that included end stage renal disease (ESRD, kidney disease), type 2 diabetes, and chronic pain. The Minimum Data Set (MDS- a resident assessment tool) dated 5/26/23 documented the resident was cognitively intact, understands and was…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-08-11 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review conducted during a Complaint Investigation (#NY00307977) during a Standard survey completed on 8/11/23, the facility did not ensure that resident and residents' representative received a written notice of transfer or discharge that contained specific required contents specified in the regulation for one (Resident #417) of one resident reviewed for facility-initiated discharge. Specifically, the notice of transfer/discharge date d 11/23/22 did not included the location to which the resident was being transferred; a statement of the residents appeal rights, including the name, address (mailing and email), a telephone number of the entity which receives such requests, information on how to obtain an appeal form, assistance in completing the form and submitting the appeal hearing request; and the name, address (mailing and email) and telephone number of the Office of the State Long-term Care Ombudsman. The finding is: 1. Resident #417 had diagnoses including dementia with…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-11 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review conducted during a Standard survey completed on 8/11/23, the facility did not ensure that each resident who was unable to carry out Activities of Daily Living (ADL's) received the necessary services to maintain grooming and personal hygiene for one (Residents #144) of five residents reviewed for ADL's. Specifically, Residents #144 had jagged nail edges with dark thick debris under their fingernails. The finding is: The policy and procedure (P&P) titled Bath/Shower Day dated 7/15/2014, documented to clean and cut/trim/file fingernails as needed (Nurse will provide nail care for diabetic residents). 1. Resident #144 had diagnoses that included Alzheimer's disease, type 2 diabetes mellitus, and chronic congestive heart failure (CHF). The Minimum Data Set (MDS - a resident assessment tool) dated 6/30/23 documented Resident #144 usually understood, sometimes understands, and had severe cognitive impairment. Resident #144 required extensive assistance of one person…

    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 before2023-08-11 · 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 Standard survey completed on 8/11/23, the facility did not ensure that each resident receives adequate supervision to prevent accidents for one (Resident #160) of two residents reviewed for accidents. Specifically, a resident with a diagnosis of dysphagia (difficulty swallowing) and an order for a pureed diet (consistency of smooth, thick paste), received a sandwich and was observed eating it in their room without staff supervision. In addition, there was lack of cueing during meals for the resident to take small sips of liquids. The finding is: The undated policy and procedure (P&P) titled Summary of House Diets provided by the Assistant Administrator documented for a pureed diet, all food was pureed to a mashed potato consistency. The P&P titled Aspiration Precautions dated 2/20 documented to maintain optimal respiratory health for residents by means of monitoring for aspiration. Staff were to supervise residents with foods, fluids and/or…

    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 · E2021-06-29 · tag F0607 — failed to have anti-abuse policies — pattern
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review during the Standard survey completed on 6/29/21, the facility did not implement written policies and procedures for screening employees that would prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property. Specifically, the facility did not provide documentation that verified 27 (eight Registered Nurses (RNs), sixteen Licensed Practical Nurses (LPNs), two Physical Therapy Aides, and one Licensed Nursing Home Administrator) of 63 licensed employees that worked in the facility and were subject to the New York State Nurse Aide Registry, had been screened through the New York State Nurse Aide Registry prior to their employment. The finding is: Per Part 415 - Nursing Homes - Minimum Standards: Nursing home shall develop and implement written policies and procedures that prohibit mistreatment, neglect or abuse of residents and misappropriation of resident property. The facility shall not employ individuals who have had a finding entered into the New York State Nurse Aide Registry concerning abuse,…

    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 · D2021-06-29 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review conducted during the Standard survey completed on 6/29/21, the facility did not ensure that all alleged violations involving abuse are reported immediately, but no later than two hours after the allegation is made, to the to appropriate officials (including the State Survey Agency) for two (Residents #53, 143) of four residents reviewed for alleged abuse. Specifically, an alleged incident of sexual abuse (#143) and a resident to resident altercation (#53, 143) was not reported timely to the New York State Department of Health (NYS DOH) within the two-hour timeframe as required. The findings are: Review of the facility policy and procedure (P&P) titled Abuse Prevention Program revised 9/21/11 documented all alleged violations involving neglect, abuse or mistreatment including inquires of unknown source and misappropriation of resident property must also be reported. Review of facility P&P titled Accidents/Incidents revised 1/19/21 documented outside agencies will…

    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 · D2021-06-29 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review conducted during the Standard survey completed on 6/29/21, the facility did not ensure provision of a safe, sanitary and comfortable environment to help prevent the development and transmission of communicable diseases and infections for one (Resident #108) of two residents reviewed for infection control practices during wound care. Specifically, the lack of maintaining proper hand hygiene during wound care (#108). In addition, the nurse did not perform proper hand hygiene in between resident medication administration. This involved (Residents #108, 115, and 134). Review of the facility policy and procedure (P&P) titled Hand Washing dated 9/13/19 revealed hand washing is done to remove dirt, organic material and transient microorganisms from the hands and is the single most important infection control measure to prevent nosocomial infections. Times for hand washing: Before and after patient contact. After contact with a bodily substance. Before and after removing gloves. Before working on different wound sites of the same 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2025-06-05 · tag F0628 — pattern
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    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 Standard survey completed on 6/5/25, the facility did not ensure that the resident, resident's representative(s), or ombudsman was notified of the transfer or discharge, and the reasons for the move, in writing and in a language and manner they understand for (2) two of (4) four residents (Resident #88 and #92) reviewed for hospitalization. Specifically, the facility did not complete notices of discharge or transfers when they were hospitalized on [DATE] (Resident #88), and on 5/14/25 (Resident #92). In addition, the ombudsman was not notified of the resident's transfers to the hospital. The findings are: The policy and procedure titled Transfer or Discharge of Residents dated 2/2010 documented the resident and/or responsible party will be notified in writing via the Notice of Discharge or Transfer form of discharge date and location. The policy did not reflect notification of discharge or transfer to the ombudsman. 1. Resident #88 had diagnoses 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2025-06-05 · tag F0636 — pattern
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, and record review conducted during the Standard survey completed on 6/5/25, the facility did not ensure that comprehensive assessments, using the Minimum Data Set-(MDS-a resident assessment tool) of residents, were conducted within 14 calendar days after admission and not less than once every 12 months for two (Resident #109 and Resident #409) of two residents reviewed. Specifically Resident #109's Annual Minimum Data Set was not complete within 366 days after the assessment reference date (ARD) of the previous comprehensive assessment, and Resident #409's admission Minimum Data Set Assessment was not completed within 14 days of the assessment reference date. The findings are: Review of Centers for Medicare & Medicaid Services Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual dated October 2024, documented, the admission assessment is a comprehensive assessment for a new resident and must be completed by the end of day 14, counting the date of admission to the nursing home as day 1 if this is the resident's first time in this facility. 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
  • No harm found · B2023-08-11 · tag F0732 — pattern
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review conducted during the Standard survey completed on 8/11/23, the facility did not post on a daily basis the staff total number and the actual hours worked by the following categories of licensed and unlicensed nursing staff directly responsible for resident care per shift. Specifically, the facility's posted Daily Staffing form did not include the total number of licensed and unlicensed nursing staff directly responsible for resident care for each shift. The finding is: During observations on 8/7/23 at 9:29 AM, 8/8/23 at 8:25 AM, and 8/9/23 at 11:06 AM the Daily Staffing form documented the total hours worked by Certified Nurse Aides (CNA), Licensed Practical Nurses (LPN), and Registered Nurses (RN) for each shift. The total number of staff for each category and shift were not documented on the form and total hours for each category was blank. During an interview on 8/10/23 at 4:20 PM, the Scheduler stated they were responsible for filling out the Daily Staffing form. The Scheduler stated they filled in the Daily Staffing form each…

    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
  • No harm found · Bcited before2021-06-29 · tag F0623 — pattern
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review conducted during the Standard Survey on 6/29/21, it was determined that the facility failed to notify the resident, the resident's representative and/or the Office of the State Long-Term Ombudsman of a facility-initiated transfer to the hospital for two (Resident's #66 and #155) of three reviewed for written notices of transfer/discharge after hospitalization. The findings are: Review of the facility policy and procedure (P&P) titled Transfer or Discharge of Residents with approval date 2/8/2010 revealed residents are transferred or discharged only for their welfare, or facility cannot meet the resident's needs. Based on the residents assessed needs, residents and/or responsible party are notified in writing or in a language they understand. The reasons are documented in the resident's medical record. Resident and/or responsible party representative will be notified in writing via the Notice of Discharge or Transfer form of discharge date and location. This form is used as…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to MAXIMUS HEALTHCARE GROUP — 7 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 2 of 54.1-2.1 vs chain
Health inspection 2 of 54.1-2.1 vs chain
Staffing 3 of 53.0≈ chain avg
Quality measures 4 of 54.1≈ chain avg
The other 6 homes this chain runs (chain average 4.1★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
MAXIMUS NEWFANE LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 11/13/2014
MINZER, NAFTALIIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICERNO PERCENTAGE PROVIDEDsince 03/01/2016
WEITMAN, YAAKOVIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICERNO PERCENTAGE PROVIDEDsince 08/14/2014
MCDOUGALL, MATTHEWIndividualW-2 MANAGING EMPLOYEEsince 12/31/2015
BORNSTEIN, YISROELIndividualCORPORATE OFFICERsince 08/14/2014
HIRSCH, NISSONIndividualCORPORATE OFFICERsince 08/14/2014

CMS files one row per role, so the 8 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

$16.4M
Net patient revenuemost recent cost report
+2.6%
Operating marginrevenue minus expenses
$1.8M
Related-party expense11% of expenses
Who pays — share of resident-days
Medicaid 86%Medicare 5%Other / private 10%

About 86% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.8M paid to related parties — landlords or management companies under common ownership — equal to about 11% 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

$277per resident / day
operating cost
$8,411per month
≈ monthly operating cost
$284per 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 335481. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-05, 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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