Valley View Manor Nursing Home
40 Park Street, Norwich, NY 13815 · For profit - Limited Liability company · 82 certified beds · (607) 334-9931 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (4/5)
- it has an abuse, neglect, or exploitation citation (F0600), cited Dec 2024
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0610) — 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 (25) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 3 of 5 |
| Long-stay residentspeople who live here | 2 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 held steady at 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 22.0% | 14.1% | 15.4% | worse |
| Long-stay residents who lose too much weight | 5.7% | 5.8% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.5% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 3.0% | 1.3% | 2.0% | worse |
| Long-stay residents with depressive symptoms | 12.4% | 19.5% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better |
| Long-stay residents with falls causing major injury | 2.9% | 3.1% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 17.8% | 12.5% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 16.9% | 13.2% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 95.3% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 8.1% | 6.5% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 24.2% | 19.5% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 20.4% | 13.7% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 2.1% | 1.2% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 92.1% | 78.8% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 9.1% | 20.6% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 5.9% | 9.6% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.17 | 1.70 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 1.93 | 1.36 | 1.80 | typical |
‡ 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.
46.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 28 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 62.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 37 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: not reported. This home filed no therapist hours at all in its payroll data for this quarter. That is a gap in what it reported, and we do not read it as an absence of therapy — the homes that file nothing here include ones that discharged hundreds of Medicare rehab patients in the very same period, who plainly received therapy from someone. Because we cannot tell a home that under-reports from one that genuinely provides little, this home is left out of the comparison above rather than scored at zero. Ask it directly how many therapist hours a rehab resident gets, and on which days.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 46.0%CMS range 32.4–64.0 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.0%CMS range 6.1–14.7 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 62.2% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 35.1% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 64.9% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not 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 discharge | not 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 stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 9.6% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.1%CMS range 4.3–12.7 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.99 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 82 beds and averages 76.1 residents a day — about 93% occupied, or roughly 6 beds typically open. It runs fairly full. 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 3.95 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.74 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.57 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 2.85 hrs/resident/day on weekends vs 4.39 on weekdays — 35% thinner on weekends — a notable drop. RN hours go from 0.83 to 0.52 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 49% is about the same as 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
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.
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.
25 citations, most serious first. The 10 most serious are shown; the remaining 15 are one tap away and print in full.
- Potential for harm · Ecited before2026-04-06 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews, the facility failed to ensure a clean, comfortable, and homelike environment for two (2) of two (2) resident units (North and South units) and the main front entrance. Specifically, the North and South units had strong urine odors, and unclean walls and floors; and the main front entrance had trash that littered the walkway areas.Findings include: The undated facility policy In-service - Daily Cleaning, documented the objective of a daily cleaning was to ensure cleanliness and safety. Daily cleanings should be performed as follows: trash receptacles should be emptied along with bedside bags, each housekeeper should use good judgement when determining the frequency of trash removal keeping odor control in mind; the housekeep should clean all spots, spills, or scuff marks on vertical surfaces such as walls, doors, and over bed tables; the entire floor must be dry mopped; and the entire floor must be wet mopped, not to forget to mop under the bed, closet floor,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2026-04-06 · tag F0840 — patternEmploy or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interviews the facility failed to ensure specific services outside the facility when the facility did not employ a qualified professional to furnish the specific service for one (1) of one (1) resident (Resident #22) reviewed. Specifically, Resident #22 was referred to neurology (nervous system specialist), rheumatology (autoimmune diseases, musculoskeletal disorders, and arthritis specialist), pulmonology (lung specialist), and ophthalmology (eye specialist) and the facility did not follow up on these referrals in a timely manner.Findings include: The facility policy Outside Appointments and Consultations, revised 01/2026, documented the facility would ensure all residents received timely, appropriate, and coordinated care when attending outside appointments or consultations. The facility maintained accountability for continuity of care, resident safety, communication, and follow-up in accordance with state and federal regulations. The physician ordered the consultation and scheduled in collaboration with the resident, responsible party, and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-04-06 · tag F0583 — failed to protect personal privacy — isolatedKeep residents' personal and medical records private and confidential.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to ensure resident's right to personal privacy and confidentiality of their personal and medical information for one (1) of one (1) resident (Resident #2) reviewed. Specifically, Resident #2 had a binder located in a holder outside their room, accessible to all, containing staff entries about the resident's personal care. Findings include: The undated facility policy Resident Rights, documented residents had the right to privacy and confidentiality of records. The facility policy Quality of Life – Dignity, revised 08/2025, documented staff should maintain an environment in which confidential clinical information was protected, for example: signs indicating the resident clinical status or care needs should not be openly posted in the resident's room unless specifically requested by the resident or family member. Resident #2 had diagnoses including depression. The 12/27/2025 Minimum Data Set assessment documented the resident had intact cognition; rejected care one (1)- three (3) of seven (7) days; and did not…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-04-06 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews (Intake #s 2714848 and 2729682) the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming and personal and oral hygiene for one (1) of three (3) Residents (Resident #3) reviewed. Specifically, Resident #3 had facial hair and shaving was not offered. Findings include: The facility policy Activities of Daily Living, supported, revised 04/2025, documented appropriate care and services will be provided for residents who are unable to carry out activities of daily living independently, with the consent of the resident in accordance with their plan of care, including appropriate support and assistance with hygiene: (bathing, dressing, grooming and oral care).Resident #3 had diagnoses including quadriplegia (paralysis of all four limbs) and depression. The 11/21/2025 Minimum Data Set assessment documented the resident had moderately impaired cognition and was dependent on staff for personal hygiene. The Comprehensive Care Plan…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-04-06 · tag F0693 — failed to provide proper feeding-tube care — isolatedEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review and interviews, the facility failed to ensure a resident who is fed by enteral means (feeding tube) receives the appropriate treatment and services to prevent complications of enteral feeding for one (1) of one (1) resident (Resident #37) reviewed. Specifically, Resident #37's enteral feeding formula, water flush containers, and tubing were not dated and timed. Findings include: The facility policy Enteral Nutrition, revised 08/2025, did include directions for administering tube feeding and hang life of enteral formulas. Resident #37 had diagnoses including esophageal cancer and gastrostomy (feeding tube) status. The 02/24/2026 Minimum Data Set assessment documented the resident had moderately impaired cognition and required enteral feeding. The Comprehensive Care Plan revised 04/01/2026 documented the resident was at risk for malnutrition related to history of protein calorie malnutrition, schizophrenia, anxiety and depression, history of underweight body mass index, edentulous (having no natural teeth), history of sporadic meal intakes,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-04-06 · tag F0698 — failed to provide proper dialysis care — isolatedProvide safe, appropriate dialysis care/services for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews during the facility failed to ensure that residents who required dialysis services (filtration of blood when the kidneys do not work) received such services consistent with professional standards of practice for one (1) of two (2) residents (Resident #10) reviewed. Specifically, Resident #10 received hemodialysis treatments at a community-based dialysis center and did not have on-going assessments and oversight before and after dialysis treatments or consistent documented evidence of communication with the dialysis center. Findings include: The facility policy Dialysis, revised 7/2008, documented residents that received dialysis received interventions to maintain their highest level of functioning. Every dialysis resident had a comprehensive care plan regarding their need for dialysis and residents going out of the building for hemodialysis will take communication sheets allowing for ease of communication between the facilities.Resident #10 had diagnoses including end stage kidney disease with dependence on dialysis. The…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-12-11 · tag F0600 — failed to protect residents from abuse and neglect — isolatedProtect 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 record review and interviews during abbreviated survey (NY00317123), the facility did not ensure residents were free from abuse and failed to protect residents from further abuse for 2 of 2 residents (Resident #2 and 4) reviewed, and 6 unidentified residents. Specifically, Resident #1 was cognitively impaired with a history of sexually inappropriate behaviors and there were no documented interventions to address the resident's ongoing behaviors or to protect other residents from abuse. Resident #2, a cognitively impaired resident, was touched on their breast by Resident #1. Two weeks later, Resident #2 was documented as being touched inappropriately by Resident #1. There was no documented evidence Resident #2 was assessed timely, no evidence the provider and the resident's family were notified timely and interventions to protect Resident #2 and other vulnerable residents were not effective to prevent recurrence. Resident #4, a cognitively impaired resident had their back and buttocks rubbed by Resident #1. Subsequently, Resident #1 kissed unidentified residents on two…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-12-11 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond 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 record review and interviews during abbreviated survey (NY00317123), the facility did not ensure allegations of abuse and neglect were thoroughly investigated for 3 of 4 residents (Resident #1, #3, and #4) reviewed and for an additional 6 unidentified residents. Specifically, facility investigations did not identify concerns related to: -Resident #2, a cognitively impaired resident, was touched on their breast by Resident #1. Two weeks later, Resident #2 was documented as having Resident #1 rub their genitals against them. There was no documented evidence Resident #2 was assessed timely, no evidence the provider and the resident's family were notified timely and interventions to protect Resident #2 and other vulnerable residents were not implemented timely. - Resident #4, a cognitively impaired resident had their back and buttocks rubbed by Resident #1. - Resident #1 had sexually inappropriate behaviors towards unidentified residents documented in their medical record on 6 occasions (including kissing 2…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2024-11-05 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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 during the abbreviated survey (NY00357986), the facility did not ensure food related equipment functioned in accordance with professional standards for food service safety in the main kitchen. Specifically, the water temperatures of the wash and rinse sinks in the three bay sink system (a 3-step process used to manually wash, rinse, and sanitize dishware) were not hot and less than 110 degrees Fahrenheit. Findings include: The facility policy, Sanitization, revised 5/2024, documented the food service area shall be maintained in a clean and sanitary manner. All equipment, food contact surfaces, and utensils shall be washed to remove or completely loosen soil by using the manual or mechanical means necessary and sanitized using hot water and/or chemical sanitizing solutions. Sanitizing of utensils should be accomplished by contact with sanitizing solution or immersion for 30 seconds in hot (at least 171 degree Fahrenheit) water. The Pot and Pan Cleaning and Sanitizing Procedures, located on the wall above the three bay sinks…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-05-03 · tag F0730 — patternObserve each nurse aide's job performance and give regular training.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview during the recertification survey conducted 4/29/2024-5/3/2024 the facility did not ensure certified nurse aide performance reviews were completed once every 12 months for 2 of 3 certified nurse aides (certified nurse aides #9 and #10) reviewed. Specifically, certified nurse aides #9 and #10 did not have performance reviews documented at least once every 12 months. Findings included: The facility In-Service Training Program, Nurse Aide, revised October 2017, documented the facility would complete a performance review of certified nurse aides at least once every 12 months. Records would be filed in the employee's personnel file or would be maintained by the department supervisor. During a review of personnel files for certified nurse aides #9 and #10 there was no documented evidence of performance reviews completed at least once every 12 months. During an interview on 5/2/2024 at 10:15 AM, the Corporate Director of Nursing stated the certified nurse aide personnel files containing annual performance reviews were kept in the Human Resources office.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 15 citations
- Potential for harm · D2024-05-03 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview during the recertification and abbreviated (NY00335434) surveys conducted 4/29/2024-5/3/2024, the facility did not review and revise the comprehensive care plan based on needs of the residents and responses to current interventions for 1 of 4 residents (Resident #47) reviewed. Specifically, Resident #47 had resident-to-resident altercations and their care plans were not reviewed and revised after the incidents to determine if current interventions were effective or if additional interventions were needed. Findings include: The facility policy Resident-to-Resident Altercations revised 12/2016 documented the facility was to make any necessary changes in the care plan approaches to any or all the involved residents. The facility policy Care Plans, Comprehensive Person-Centered revised 3/2023 documented the interdisciplinary team developed and implemented a person-centered care plan for each resident. Care plans were revised as information about the resident's condition changed. The interdisciplinary team would review and update the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-05-03 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review during the recertification survey conducted 4/29/2024 - 5/3/2024, the facility did not ensure a resident with limited range of motion received appropriate treatment and services to prevent further decrease in range of motion for 1 of 2 residents (Resident #39) reviewed. Specifically, Resident #39 did not have their right resting hand splint applied as ordered. Findings include: The facility policy Adaptive Position Equipment dated 8/28/2007 documented the rehabilitation department staff would issue the prescribed equipment. The nursing supervisor would be responsible for ensuring the adaptive equipment would be consistently done on all shifts. It was the responsibility of nursing to investigate or locate the equipment if it became lost or misplaced. Resident #39 had diagnoses including diffuse traumatic brain injury with loss of consciousness and right upper extremity weakness. The 3/26/2024 Minimum Data Set assessment documented the resident had moderately impaired cognition, required partial to moderate assistance with upper body…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-05-03 · tag F0726 — failed to have competent, trained nursing staff — isolatedEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview during the recertification survey conducted 4/29/2024-5/3/2024, the facility did not ensure nursing staff had the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care and considering the number, acuity and diagnoses of the facility's resident population in accordance with facility assessment for 2 of 2 licensed nurse records (registered nurse #6 and licensed practical nurse #7) reviewed. Specifically, registered nurse #6 and licensed practical nurse #7 did not receive annual competency evaluations to measure their pattern of knowledge, skills, abilities, and other characteristics to perform their work roles successfully as outlined in the 2023 facility assessment and per regulations. Findings include: The Facility Assessment Tool updated 10/2/2023 documented all staff members had or would have yearly competencies, 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.
- Potential for harm · D2024-05-03 · tag F0804 — failed to serve food at safe, palatable temperature — isolatedEnsure 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 during the recertification survey conducted 4/29/2024-5/3/2024, the facility did not ensure each resident received and the facility provided food and drink that was palatable, flavorful, and at appetizing temperatures for 1 of 2 meals sampled (Resident #66). Specifically, food items on 1 of 2 test trays (4/30/2024 lunch meal) were not at acceptable temperatures. Findings include: The facility policy Food Holding Temperatures dated 1/30/2024, documented if temperatures of food were below 140 degrees Fahrenheit, remove them from the steam table and reheat to required minimum preparation temperature of: 165 degrees Fahrenheit - poultry; 150 degrees Fahrenheit - all other meats; 145 degrees Fahrenheit - eggs. The facility policy Temperatures dated 9/2002, documented test trays would be done randomly by the diet technician, registered dietitian, and Food Service Director three days a week and temperature sheets would be kept for sample trays by the diet technician. The policy did not document appropriate food temperatures for meal items…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-05-03 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure 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 interview during the recertification survey conducted 4/29/2024-5/3/2024, the facility did not ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety in the main kitchen. Specifically, the kitchen ventilation hood was unclean and laden with grease and dust buildup; the floor in the walk-in freezer was unclean with food items under shelving storage; and a section of flooring in front of the main dish machine was in disrepair and had unclean water and food debris. The facility policy Cleaning/sanitation of Kitchen dated 8/2016, documented food service workers and/or cooks were responsible for maintaining a clean environment in the kitchen. All persons were responsible for cleaning up after themselves. The Supervisor Cook, Food Service Manager, diet technician, or dietitian as needed, would ensure this. The Food Service Manager, diet technician, and /or dietitian were responsible party to check on cleaning and maintenance of equipment. The April 2024 weekly cleaning audits…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-08-29 · tag F0622 — isolatedNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
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 during the abbreviated survey (NY00308047), the facility did not ensure the development and implementation of an effective transfer or discharge planning process including documentation in the resident's medical record and appropriate communication of information to the receiving health care institution or provider for 1 of 3 residents (Resident #1) reviewed. Specifically, Resident #1 was issued a facility-initiated discharge notice and there was no supporting documentation related to the reasons the facility was unable to meet the resident's needs. There was no care plan related to the discharge, and when discharge plans changed, there was no new plan put in place. Additionally, when the resident was denied readmission to the facility from a hospital stay, they did not provide the hospital with the resident's information and did not contact the hospital for discharge planning. Findings include: The undated facility policy Transfer and Discharge Requirements/Documentation…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-08-29 · tag F0623 — isolatedProvide 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 record review and interview during the abbreviated survey (NY00308047), the facility did not notify the resident and the resident's representative of the transfer or discharge and the reasons for the move in writing and in a language and manner they understood for 1 of 3 residents reviewed (Resident #1). Specifically, Resident #1 was issued a 30-day discharge notice, was transferred to the hospital prior to their anticipated discharge date , and the resident's representative was not notified. The facility would not readmit the resident from the hospital and the representative was not notified in writing prior to the facility's refusal to readmit the resident. The facility issued a second 30-day discharge notice after they refused to readmit the resident. Additionally, the discharge notice was not sent to the Ombudsman as required and did not contain the required information. Findings include: The undated facility policy Notice Before Transfer documented before the facility transferred or discharged a…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-08-29 · tag F0626 — isolatedPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview during the abbreviated survey (NY00308047), the facility did not permit a resident to return to the facility after they were hospitalized for 1 of 3 residents reviewed (Resident #1). Specifically, Resident #1 was sent to the hospital for evaluation for behaviors. The resident was medically cleared, transported back to the facility, and the facility refused to accept the resident. Findings include: The facility policy COVID-19 Mitigation Plan and Prevention and Control last revised 12/2022 documented: - New admissions and readmissions were to be tested on days 1, 3, and 5 except for residents within 30-days of a COVID infection. A negative COVID antigen test was recommended for all new admissions and readmissions prior to admission, unless a COVID test was positive in the last 30 days of admission to the facility. The policy did not address admission or readmission of residents with positive COVID-19 status. Resident #1 was admitted with diagnoses including vascular dementia with behavioral disturbance and restlessness and agitation. The…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2022-02-04 · tag F0677 — failed to help fully-dependent residents with daily care — patternProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview during the recertification and abbreviated surveys (NY00283712, NY00260801, NY00283446, NY00283054, and NY00267378) conducted 1/31/22- 2/4/22, the facility failed to ensure residents who were unable to carry out activities of daily living (ADLs) received the necessary services to maintain good nutrition, grooming, and personal and oral hygiene for 5 of 6 residents (Residents #104, 155, 156, 158, and 160) reviewed. Specifically, Residents #104, 158, and 160 did not receive showers as planned, Resident #156 did not receive incontinence care as planned and Resident #155 was observed with unclean nails. Finding included: The facility policy Activities of Daily Living (ADLs) revised 1/2020 documented residents who are unable to carry out ADLs independently will receive services needed to maintain good nutrition, grooming, and both personal and oral hygiene. Appropriate care and services for residents who are unable to carry out ADLs independently included: A) Hygiene…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2022-02-04 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review during the recertification survey conducted 1/31/22 - 2/4/22, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections, including COVID-19, for 1 of 3 residents (Resident #108) reviewed and for 3 staff (certified nurse aid, [CNA] #7, physical therapist [PT] #17 and activity aide #18). Specifically, the Assistant Director of Nursing (ADON)/Infection Preventionist (IP) did not perform appropriate hand hygiene during a wound treatment for Resident #108, and CNA #7, PT #17, and activity aide #18 were observed wearing face masks below their nose while in residential areas and in proximity (less than 6 feet) to residents. Findings include: Wound Dressing Observation The facility policy Wound Care revised 01/2020 documents to wash and dry hands thoroughly after establishing a clean…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-02-04 · tag F0554 — isolatedAllow residents to self-administer drugs if determined clinically appropriate.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview during the recertification survey conducted 1/31/22 - 2/4/22 the facility failed to assess residents to determine their ability to safely self-administer medication when clinically appropriate for 2 of 2 residents (Residents #108 and #206) reviewed. Specifically, Residents #108 and #206 had inhalers (hand-held, portable devices that deliver medication to the lungs) at their bedsides and there were no physician orders for self-medication administration or resident assessments to determine ability to safely self-administer medications. Findings include: The facility policy Storage of Medications revised 01/2020, documented each resident's medications shall be assigned to an individual cubicle, drawer, or other holding area. The facility policy Medication Administration revised 6/4/21, documented medications must be administered in accordance with the orders. 1) Resident #108 had a diagnosis of chronic obstructive pulmonary disease (COPD, airflow blockage). The…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-02-04 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor 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 during the recertification survey conducted 1/31/22- 2/4/22, the facility failed to ensure residents had the right to a safe, clean, comfortable, and homelike environment for 6 of 12 bathrooms/shower rooms reviewed. Specifically, hot water temperatures were not comfortable and safe for resident use; the hot water temperatures measured at the sinks in shared resident bathrooms between rooms [ROOM NUMBERS] was 128 Fahrenheit (F); between rooms [ROOM NUMBERS] was 128 F; between rooms [ROOM NUMBERS] was 124 F; between rooms [ROOM NUMBERS] was 124 F; between rooms [ROOM NUMBERS] was 122 F; and the south wing shower room water was measured at 122 F. Findings include: The undated and untitled facility policy documents hot water supplied to sinks, tubs, and showers in resident areas shall be regulated to a maximum temperature of 115 F at the terminal end to prevent injury or discomfort due to extreme water temperatures. The Environmental Services Supervisor or designee…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-02-04 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview during the recertification and abbreviated surveys (NY283054) conducted 1/31/22-2/4/22, the facility failed to ensure residents with pressure ulcers received necessary treatment and services consistent with professional standards of practice to promote healing, prevent infection, and prevent new ulcers from developing for 1 of 4 residents(Resident #208) reviewed. Specifically, Resident #208's pressure ulcer treatments were not completed as ordered. Findings include: The facility policy Wound Care revised 1/2020 documents to notify the Supervisor if the resident refuses the wound care. Resident #208 had diagnoses including diabetes, morbid obesity, and an unstageable (full thickness tissue loss where the base of the wound is covered with dead tissue) pressure area to the left gluteal fold. The 11/18/21 Minimum Data Set (MDS) assessment documented the resident had intact cognition, required extensive assistance for bed mobility, transfers and dressing, did not reject care, was not at risk for the development of pressure ulcers, did…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-02-04 · tag F0806 — failed to honor food preferences — isolatedEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review during the recertification and abbreviated surveys (NY00283712, NY00283446, and NY00283054) conducted 1/31/22-2/4/22, the facility failed to ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences for 2 of 2 residents (Residents #155 and 205) reviewed. Specifically, Resident #155 had a significant weight loss and did not receive nutritional supplements at meals as ordered. Resident #205 had a documented dairy and lactose allergy and received vanilla mousse containing lactose. Findings include: 1)Resident #155 had diagnoses including other specified eating disorder and dysphagia (difficulty swallowing). The 12/21/21 Minimum Data Set (MDS) assessment documented the resident had severe cognitive impairment, required limited assistance with eating, weighed 120 pounds, did not have significant weight change, and received a therapeutic, mechanically altered diet. On 12/19/21, LPN #16's progress…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · C2022-02-04 · tag F0640 — widespreadEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interviews during the recertification survey conducted 1/31/22-2/4/22, the facility failed to electronically submit encoded, accurate and complete Minimum Data Set (MDS) data to the CMS (Centers for Medicare and Medicaid Services) System within 14 days after the assessment completion date for 67 of 67 residents residing in the facility. Specifically, the MDS assessments for all 67 residents were not submitted within 14 days of completion. Findings include: The facility policy, Electronic Transmission of the MDS dated 01/2021, documents all MDS assessments and discharge and re-entry records will be completed and electronically encoded into our facility's MDS information system and transmitted to CMS' QIES Assessment Submission and Processing (ASAP) system in accordance with current Omnibus Budget Reconciliation Act (OBRA) regulations governing the transmission of MDS data. During the offsite preparation of the recertification survey on 1/27/22 (within 5 days prior to survey entrance), the MDS 3.0 assessments were not viewable in the QIES (Quality…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to THE MAYER FAMILY — 11 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 3 of 5 | 2.9 | +0.1 vs chain |
| Health inspection | 3 of 5 | 2.6 | +0.4 vs chain |
| Staffing | 4 of 5 | 3.5 | +0.5 vs chain |
| Quality measures | 3 of 5 | 3.7 | -0.7 vs chain |
The other 10 homes this chain runs (chain average 2.9★, 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 / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| DAVIDOWITCH, NACHUM | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | since 01/01/2010 |
| GEWIRTZ, ESTHER | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12% | since 01/01/2010 |
| GOLDFARB, LARRY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | since 01/01/2010 |
| KIRSCH, ROSLYN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL | 15% | since 01/01/2008 |
| LANDA, STEVEN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL | 12% | since 01/01/2008 |
| MAYER, ANDREA | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 18% | since 01/01/2010 |
| MAYER, GIORGIO | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 18% | since 01/01/2010 |
| SCHULSINGER, LUBA | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | since 01/01/2010 |
| GEWIRTZ, JONATHAN | Individual | CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL | — | since 01/01/2018 |
CMS files one row per role, so the 12 rows in the source record cover these 9 parties — each is shown once here with every role it holds. Nothing is omitted.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
About 75% 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 $526K paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in NY
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New York Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 335208. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-06, 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.