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Plattsburgh Rehabilitation And Nursing Center

8 Bushey Boulevard, Plattsburgh, NY 12901 · For profit - Corporation · 89 certified beds · (518) 563-3261 Medicare & Medicaid certified

Call the home — (518) 563-3261 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0602) — cited Oct 2024
Insights

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

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0602), cited Oct 2024
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (21) — 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.

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

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
80 Sharron Ave · (518) 561-6247 · Call to confirm hours
Pharmacy
112 New York Rd · (518) 562-3380 · Call to confirm hours
Grocery
14 Skyway Shopping Ctr · (518) 561-5230 · Call to confirm hours
Park
23 Flynn Ave · (518) 563-7702 · Typically dawn to dusk
Place of worship
4919 S Catherine St · (518) 561-1842

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 4 of 5
Short-stay residentsrehab / post-hospital 3 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 1 to 4 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 rating4★
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 increased10.7%14.1%15.4%better
Long-stay residents who lose too much weight11.2%5.8%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.5%0.9%better
Long-stay residents with a urinary tract infection1.2%1.3%2.0%better
Long-stay residents with depressive symptoms3.7%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 injury5.3%3.1%3.3%worse
Long-stay residents whose ability to walk worsened9.3%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication17.8%13.2%18.9%typical
Long-stay residents given the seasonal flu vaccine100.0%95.3%95.3%typical
Long-stay residents with pressure ulcers6.0%6.5%4.7%worse
Long-stay residents with worsening bladder/bowel control32.6%19.5%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table14.6%13.7%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine96.2%78.8%79.4%better
Short-stay residents rehospitalized after admission24.0%20.6%22.6%typical
Short-stay residents with an outpatient ER visit10.5%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days1.501.701.67better
Long-stay outpatient ER visits per 1,000 resident days1.781.361.80typical

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.

54.9% 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 73 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

54.9%U.S. median 51.5%
Got home and stayed home
10.1%U.S. median 10.7%
Went back to hospital
46.7%U.S. median 56.6%
Met the expected recovery
0.47U.S. median 0.31
Therapy hours / resident / day
0.29hours / resident / day
Physical therapy
0.14hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 46.7% 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 60 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 0.47 therapist hours per resident per day in 2026Q1 — more than 78% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF54.9%CMS range 43.3–65.451.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.1%CMS range 7.3–13.710.7%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 discharge46.7%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 discharge46.7%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 discharge56.7%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified96.7%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting96.4%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final 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 stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened1.1%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 hospitalization6.9%CMS range 3.8–11.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.171.02Oct 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

0.76
RN hours/ resident / day
0.76
LPN hours/ resident / day
1.94
Aide hours/ resident / day
3.46
Total nurse hours/ resident / day
0.56
RN hoursweekends
55.1%
Total nursing turnover
21.4%
RN turnover

How full it usually is: this home is certified for 89 beds and averages 77.8 residents a day — about 87% occupied, or roughly 11 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 3.46 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.76 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.94 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.86 hrs/resident/day on weekends vs 3.71 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.84 to 0.56 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 55% 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

3
deficiencies at the latest standard inspection (2024-10-24)
7
at the previous standard inspection (2021-09-23)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

  • Potential for harm · E2024-10-24 · tag F0731 — pattern
    Request a waiver if it can't meet the nurse staffing requirements.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and record review during a recertification survey, the facility did not ensure a Registered Nurse was scheduled for at least 8 consecutive hours a day, 7 days a week. Specifically, there was no registered nurse working for 8 consecutive hours on 6/06/2024, 6/23/2024, 7/14/2024, and 9/28/2024. This is evidenced by: Record review of the written working schedules for 6/06/2024, 6/23/2024, 7/14/2024, and 9/28/2024 revealed no registered nurse was scheduled to be in the building that day. The census was 80 at the time of the survey. Record review revealed the facility submitted a letter to the Department on 10/02/2024 with a request to waive this Federal regulatory requirement. The letter read in part: - 'Request for waiver from 8-hour Registered Nurse requirement under 42 Code of Federal Regulations Section 483.35(b). I am writing to formally request a waiver from the 8-hour Registered Nuse requirement, as stipulated under 42 Code of Federal Regulations Section 483.35(b). There is an Registered Nurse on the night shift, however, it does not constitute 8 hours…

    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 · Ecited before2024-10-24 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview during the recertification survey, the facility did not store, prepare, distribute, or serve food in accordance with professional standards for food service safety. Specifically, equipment in the main kitchen and 1 of 2 unit kitchenettes were not clean, equipment was not in good repair, and a test kit for checking the concentration of chemical sanitizing solution was not provided. This is evidenced by: All observations were conducted on 10/20/2024 between 12:11 PM and 1:10 PM. The following equipment was soiled with food particles or a dusty oily buildup: • Microwave oven. • Can opener and holder. • Utensil drawers. • Shelving. • Fire extinguishers. • Floor behind the floor fan in dishwashing machine room. • B-wing nourishment station refrigerator door gasket. The thermometer for the sanitizing rinse on the automatic dishwashing machine was not functioning. The label of the chemical concentrate used to manually sanitize food equipment stated that the efficacy range of the sanitizer was to be between 200 parts per million and 400 parts per million;…

    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 · D2024-10-24 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    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 a recertification and abbreviated survey (Case # NY00316460), the facility did not ensure each resident was free from misappropriation of resident property and exploitation for 1 (Resident #78) of 3 residents reviewed. Specifically, former Activities Director # 1 used Resident #78 ' s checkbook to write checks that were deposited into their personal account and a partner ' s account amounting to over $11,000. This is evidenced by: Resident #78 was admitted with the diagnoses of end stage renal disease, non-traumatic intracranial hemorrhage, and dementia. The Minimum Data Set (an assessment tool) dated 2/22/2023, documented the resident could be understood, usually understand others, and had moderate cognitive impairment. The facility's Abuse Prevention and Investigation Policy effective 8/2020 documented the facility was committed to providing residents an environment that was free from verbal, mental, and physical abuse, mistreatment, neglect, misappropriation of…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · D2024-10-24 · tag F0813 — isolated
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interviews during the recertification survey, the facility did not ensure foods brought to residents by family and other visitors was in accordance with adopted regulations. Specifically, expired food brought to residents was not discarded. This is evidenced by: During observations on 10/21/2024 at 1:05 PM, entrees (rice and rice with tofu) labeled as belonging to Resident #13 were dated 10/07/2024. The document posted on the nourishment kitchen refrigerators titled, Resident Food Only, and dated 03/13/2023 stated that food greater than 3-days old was to be discarded. During an interview on 10/20/2024 at 1:06 PM, Licensed Practical Nurse #1 stated that dietary staff was responsible for discarding food brought in for residents that were more than 3-days old. During an interview on 10/20/2024 at 4:40 PM, Family Member #1 stated that they labeled and dated the food brought to their relative (their personal preference), that the food dated 10/07/2024 was correct, and that they relied on the facility to discard old food. During an interview on…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-24 · 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 record review and interviews during a recertification and abbreviated survey (Case #NY00347220), the facility did not ensure each resident had an environment that was as free of accident hazards as was possible to prevent accidents for 1 (Resident #20) of 4 residents reviewed for accident hazards. Specifically, when Resident #20 was holding a lit sparkler, the tip fell on their thigh and resulted in a burn. This is evidenced by: Resident #20 was admitted to the facility with diagnoses of dementia, edema, and asthma. The Minimum Data Set (an assessment tool) dated 09/25/2024 documented they could be understood, usually understand others, and was cognitively intact. The Policy and Procedure titled, Accident/Incident- Investigation and Reporting, dated 12/2023 documented guidelines for the completion, investigation, care plan intervention, and timely regulatory reporting of all accidents and incidents with appropriate follow up and monitoring post-incident occurrences. A Progress Note dated 07/04/2024 documented Resident #20 attended an outside festivity for the holiday 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 · D2024-02-13 · 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

    Based on record review and interviews during an abbreviated survey (Case #NY00332449), the facility did not ensure that all alleged violations involving abuse were reported immediately, but not later than 2 hours after the allegation was made, if the events that cause the allegation involve abuse, to the Administrator of the facility and to the State Survey Agency for 1 (Resident #1) of 3 residents reviewed. Specifically, the facility did not ensure that an allegation of physical abuse observed by staff on 1/26/2024 at 9:15 PM was reported to the New York State Department of Health within 2 hours after the allegation was made. The allegation was reported to the New York State Department of Health on 1/29/2024 at 10:36 AM. This is evidenced by: The facility Policy and Procedure titled Abuse Identification, effective 8/2020, documented all staff members were responsible for reporting indicators of abuse to the supervisor immediately. All alleged violations of abuse would be reported immediately, but no later than 2 hours if the alleged violation involved abuse. All reports of 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 · D2024-02-13 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews during an abbreviated survey (Case #NY00332449), the facility did not ensure that in response to allegations of abuse, immediate and effective measures were put in place to ensure that further potential abuse while an investigation was in progress for 1 (Resident #1) of 3 residents reviewed. Specifically, the administrative staff were not informed and involved as necessary and did not remove the alleged perpetrators from resident care when allegations of abuse were reported by staff on 1/26/2024 at 9:15 PM. This was evidenced by: The facility Policy and Procedure titled Abuse Identification, effective 8/2020, documented all staff members were responsible for reporting indicators of abuse to the supervisor immediately. Employees accused of participating in the alleged abuse would be immediately reassigned to duties that do not involve resident contact or would be suspended until the findings of the investigation have been reviewed by the Administrator. Resident #1: Resident #1 was admitted to the facility with diagnoses of 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-02-13 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews during an abbreviated survey (Case #NY00332449), the facility did not ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices. Specifically, Resident #1's care plan was not followed resulting in an abuse allegation. Resident #1 was not assessed by a Registered Nurse, the resident's family and physician were notified following the allegation. This was evidenced by: Resident #1: Resident #1 was admitted to the facility with diagnoses of dementia with behaviors, peripheral vascular disease (a circulatory condition in which narrowed blood vessels reduce blood flow to the limbs), and anxiety. The Minimum Data Set (an assessment tool) dated 12/1/2023 documented the resident could rarely or never be understood, or understand others, and had severe cognitive impairment. The Comprehensive Care Plan titled Potential to be abused, initiated 10/11/2019, documented the following interventions: respect personal space if re-direction…

    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 · E2021-09-23 · tag F0655 — pattern
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review during a Recertification survey, the facility did not develop and implement a baseline care plan for each resident that included the instructions needed to provide effective and person-centered care of the resident that met professional standards of quality care for 8 (Resident #'s 12, 16, 32, 70, 74, 272, 322, and 323) of 13 residents reviewed for baseline care plans. Specifically, for Resident #'s 16, 32, 74, and #272, the facility did not ensure a baseline care plan was developed or completed within 48 hours of the resident's admission and for Resident #'s 12, 70, 322 and #323, the facility did not ensure written summaries of the baseline care plans were provided to the resident and/or the resident's representative. This is evidenced by: The facility Policy and Procedure titled Base Line Care Plan Policy dated 10/2017, documented that a baseline care plan must be developed and implemented for each resident/resident representative according to regulatory grouping §483.21…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2021-09-23 · tag F0656 — failed to write and follow a full care plan — pattern
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview conducted during the Recertification survey and an abbreviated survey (Case #NY00276384), the facility did not ensure the development and implementation of comprehensive person-centered care plans, that included measurable objectives and timeframe's to meet the resident's medical, nursing, and mental and psychosocial needs, for 7 (Residents #'s 12, 31, 57, 70, 73 322, and #323) of 22 residents reviewed for comprehensive care plans (CCP). Specifically, for Resident #12, the facility did not ensure a resident specific CCP for behavior/emotion was developed; for Resident #31, did not ensure a CCP was developed to address the resident's respiratory care related to the resident's diagnoses of chronic obstructive pulmonary disease (COPD), pneumonia, and asthma; for Resident #57, did not ensure a CCP for impaired skin integrity was developed for the resident's persistent back rash; for Resident #70, did not ensure the CCP for pain management contained resident specific non-pharmacological interventions; for Resident #73, did not ensure that a CCP 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 11 citations
  • Potential for harm · D2021-09-23 · 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

    Based on record reviews and interviews during the recertification survey, the facility did not ensure the residents and resident representatives were notified in writing of the reason for the transfer/discharge to the hospital in a language they understood for 2 (Resident #'s 57 and 60) of 3 residents reviewed for hospitalizations. Specifically, for Resident #'s 57 and 60, the facility did not ensure the residents or residents representatives were notified in writing of the reason for the transfer/discharge to the hospital in a language they understood. This is evidenced by: The facility Policy and Procedure titled Transfer/Discharge Notice dated 2/2019, documented the purpose of the policy was to ensure residents and their representatives were notified of impending transfers and discharges and must include the following in the transfer/discharge notice in a language and format that the resident can understand: the reason for transfer/discharge, the effective date of the transfer/discharge, the location of the transfer/discharge, a statement of the resident's appeal rights with all…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-09-23 · tag F0625 — isolated
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and record reviews during the recertification survey, the facility did not ensure written notice of the facility's bed hold policy was provided to the residents and the resident representatives for 2 (Resident #'s 57 and #60) of 3 residents reviewed for hospitalization. Specifically, for Resident #'s 57 and #60, the facility did not ensure there was documented evidence the residents and the resident representatives received written notice of the facility's bed hold policy when the residents were transferred to the hospital. This was evidenced by: The facility Policy and Procedure titled Policy Regarding Bed Reservations for Temporary Absences not dated, documented a copy of the bed hold notice would be sent with the resident at the time of hospitalization or leave of absence and it would be sent to the responsible party within 1 business day. Resident #57: Resident #57 was admitted to the facility with the diagnosis of major depression, anxiety, and chronic obstructive pulmonary disease (COPD). The Minimum Data Set (MDS-an assessment tool) dated 8/9/2021,…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-09-23 · 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, record review and interview during the recertification survey and an abbreviated survey (Case #NY00277698), the facility did not 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 2 (Resident #'s 21 and 322) of 4 residents reviewed for ADL's. Specifically, for Resident #21, who was dependant on staff for ADL Care, the facility did not ensure incontinence care was provided in accordance with the resident's care plan on 9/21/2021, did not ensure the resident's hair was brushed daily and did not ensure the resident's fingernails were cleaned and trimmed, and for Resident #322, the facility did not ensure the resident received assistance with shaving. This is evidenced by: The Policy and Procedure (P&P) titled Activities of Daily Living (ADLs), not dated, documented residents who were unable to carry out activities of daily living independently would receive the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-09-23 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interviews during the recertification survey, the facility did not ensure acceptable parameters of nutrition were maintained for 1 (Resident #32) of 2 residents reviewed for nutrition. Specifically, for Resident #32, the facility did not ensure the resident's weight was documented and monitored in accordance with professional standards of practice and meal intakes were adequately documented and monitored. Additionally, the facility did not ensure a nutritional supplement was provided in accordance with professional standards. This is evidenced by: Resident #32: Resident #32 was admitted to the facility with the diagnoses of cerebral infarction, vascular dementia, and protein-calorie malnutrition. The Minimum Data Set (MDS - an assessment tool) dated 7/27/2021 documented the resident had severely impaired cognition, could usually understand others and could usually make self understood. The Comprehensive Care Plan (CCP) for Nutritional Maintenance Problem dated 8/5/2021, documented the resident had severe protein and calorie malnutrition.…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-09-23 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record review, and interviews during a recertification survey the facility did not ensure that its medication error rates were not 5 percent or greater. Specifically, for 25 medication administration opportunities there were 19 errors resulting in a medication error rate of 76%. This is evidenced by: The facility Policy and Procedure titled Administration of Medication-General dated 10/2017, documented Administration of medications will occur utilizing the following eight rights: 1. Right Time; a. assist with administration of medications at the indicated time or within sixty (60) minutes before or sixty (60) minutes after the indicated time. b. Ensure that medications labeled to be taken with food are given at mealtime or with a snack. c. Complete a medication error report if medication is not taken within sixty (60) minute timeframe, 2. Right Resident, 3. Right Medication, 4. Right Dose of Medication, 5. Right Route, 6. Right Documentation, 7. Right Reason, and 8. Right Response. Resident #27: Resident #27 was admitted to the facility with diagnosis of…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2019-06-06 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview during a recertification survey the facility did not ensure Comprehensive Minimum Data Sets (MDSs) were completed subject to the timeframes prescribed by the Center for Medicare and Medicaid Services (CMS). Specifically, for 6 (Resident #'s 4, 7, 14, 28, 29, and 120) of 6 residents reviewed, the facility did not ensure the resident's initial and periodic Comprehensive MDS assessments were completed within the Center for Medicare and Medicaid Services (CMS) specified timeframes. This is evidenced by: Resident #4: The resident was admitted to the facility on [DATE], with the diagnoses of depression, anxiety and hypertension. The Minimum Data Set (MDS) dated [DATE], documented he understands, is understood, and has moderate cognitive impairments. During record review an annual MDS dated of 4/17/19, included a signature indicating the MDS was completed on 6/4/19. Sections C, D, S, Q, and X of the MDS were not completed. Resident #7: The resident was admitted to the…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2019-06-06 · tag F0835 — failed to run the facility competently — pattern
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    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 recertification survey, the facility did not ensure it was administered in a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, the facility did not ensure that required Minimum Data Sets (MDS), which included admissions, annuals, quarterly, and significant change assessments, were completed and transmitted as scheduled to provide specific services to residents and to develop resident specific care plans for residents in their care. This was evidenced by: Refer to tag F636 During record review on 6/3/19 at 1:00 PM, MDS assessments needed to perform comparative screening for 22 sampled residents were not readably available. During record review on 6/4/19 at 10:00 AM, MDS assessments needed to perform comparative investigations for 17 sampled residents were not readably available. On 6/4/19 at 10:30 AM, the survey team…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-06-06 · 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 record review and interview during a recertification survey and an abbreviated survey (Complaint #NY00213014), the facility did not ensure the resident environment remained as free of accident hazards as possible, and did not ensure each resident received adequate supervision to prevent accidents for 1 (Resident #19) of 1 resident reviewed for accidents and supervision. Specifically, for Resident #19, the facility did not ensure the wander alarm system was audible to facility staff in all locations of the building. Additionally, when the laundry area door and exit door alarm sounded on multiple occasions, the facility did not ensure staff inspected the immediate area around the exit door before resetting the door alarm. This is evidenced by: The undated Elopement Policy documented that any staff hearing a door alarm activated was to respond to the alarm immediately. If there was no reasonable explanation for the door to be alarming, staff were to inspect the immediate area around the exit door. If no…

    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 · Past Non-Compliance
  • Potential for harm · D2019-06-06 · 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 — the official record, unedited, may be distressing

    Based on record review and interview during the recertification survey, the facility did not ensure a policy was developed for the monthly medication regimen review (MRR) that included time frames for the different steps in the process and steps the pharmacist must take when he or she identifies an irregularity that requires urgent action to protect the resident. Specifically, the facility did not ensure that time frames were established for the steps in the MRR process. This is evidenced by: The Facility Policy and Procedure titled Medication Regimen Review dated 10/2017, did not address the time frames for the different steps in the process and steps the pharmacist must take when he or she identifies an irregularity that requires urgent action to protect the resident. During an interview on 6/05/19 at 3:21 PM, DON #2 stated the policy was printed and reviewed yesterday and was not updated with a new review date. The Surveyor reviewed the P&P with the DON who was not aware the policy did not document the timeframe's for the steps in the process. 10NYCRR415.18(c)(2)

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-06-06 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and staff interview during the recertification survey, the facility did not ensure food was prepared, distributed, and served in accordance with professional standards for food service safety. Specifically, food was brought to the unit in an open cart with several food item uncovered. Staff proceeded to carry the uncovered food through the hall and serve it to residents. Additionally, food being prepared by a food service worker in the main kitchen was placed on residents dishes with gloves that had been contaminated. This is evidenced as follows: Finding 1 During observation on 6/3/19 at 12:30 PM, on Unit B an open metal cart arrived with 10 trays containing uncovered cake with pink frosting, one tray contained an open container of cottage cheese. The trays sat in the hall while staff prepared to serve the residents in their rooms. Houskeeping was observed cleaning floors and placing the cleaning cart in front of the open food cart. During observation on 6/3/19 at 12:41, LPN #1 went behind the nurse's desk, used the phone, went to the food cart and began to…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-06-06 · 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 record review and interview conducted during the recertification survey, the facility did not ensure an Infection Prevention and Control Program was maintained. Specifically, the facility did not ensure a line list, used to track infection trends and clusters, was completed for May 2019 and also did not ensure Infection Control Policy and Procedures were reviewed and/or revised on a yearly basis. This is evidenced by: Finding #1: During an interview on 06/06/19 at 10:16 AM, upon reviewing the line lists for April and May, the Infection Control Coordinator (ICC) stated the May line list had not been completed. The Director of Nursing (DON) had temporarily been assigned as Infection Control Coordinator and had reviewed infection trends of upper respiratory infections and pneumonia in April and May but had not filled out the line list for May. She had gotten through April but the May line list had not been started. Antibiotic reports were received from pharmacy for the respiratory issues. The line list itself was not documented but should have been at this time. During an…

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

    Infection Control 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 PERSONAL HEALTHCARE MANAGEMENT — 21 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 4 of 52.9+1.1 vs chain
Health inspection 4 of 52.9+1.1 vs chain
Staffing 4 of 53.3+0.7 vs chain
Quality measures 4 of 53.0+1.0 vs chain
The other 20 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 / managerTypeRoleShareSince
BARTH, ALEXANDERIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; ADP OF THE SNF35%since 01/01/2016
WALDEN, YEHUDAHIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST15%since 05/23/2014
ZAGELBAUM, EPHRAIMIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST50%since 05/23/2014
OSTROVITSKY, ISRAELIndividualCORPORATE OFFICER; ADP OF THE SNFsince 01/01/2016
SHAH SEKHON, SARIKAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2025
VEGA-CASTRO, ELENAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2016
PRNC REALTY LLCOrganizationADP OF THE SNFsince 04/10/2025

CMS files one row per role, so the 12 rows in the source record cover these 7 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.

$8.7M
Net patient revenuemost recent cost report
-1.6%
Operating marginrevenue minus expenses
$1.2M
Related-party expense13% of expenses
Who pays — share of resident-days
Medicaid 77%Medicare 12%Other / private 11%

About 77% 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 $1.2M paid to related parties — landlords or management companies under common ownership — equal to about 13% 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

$307per resident / day
operating cost
$9,327per month
≈ monthly operating cost
$302per 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 335528. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-10-24, 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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