Allegria Nursing & Rehab Center Of Port Jefferson
1360 Route 112, Port Jefferson Stati, NY 11776 · For profit - Individual · 143 certified beds · (631) 473-7100 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- no federal fines or payment denials on record
- 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 (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (1/5)
- its payroll-based staffing rating is low (2/5)
- about 23% of its spending goes to commonly-owned related companies
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 | 1 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Worth a closer look. This home's quality-measure rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
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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 | 3 of 5 |
| Short-stay residentsrehab / post-hospital | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 2 to 1 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
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 | 29.1% | 14.1% | 15.4% | worse |
| Long-stay residents who lose too much weight | 6.1% | 5.8% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.2% | 0.5% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.0% | 1.3% | 2.0% | better |
| Long-stay residents with depressive symptoms | 1.4% | 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 | 1.3% | 3.1% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 23.3% | 12.5% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 18.7% | 13.2% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 95.3% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 5.4% | 6.5% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 15.5% | 19.5% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 22.6% | 13.7% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 1.5% | 1.2% | 1.4% | typical |
| Short-stay residents given the seasonal flu vaccine | 95.3% | 78.8% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 18.9% | 20.6% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 9.2% | 9.6% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.95 | 1.70 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.22 | 1.36 | 1.80 | better |
‡ 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.
51.3% 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 155 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 68.8% 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 144 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 0.45 therapist hours per resident per day in 2026Q1 — more than 76% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 11% 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
| 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 | 51.3%CMS range 44.3–57.2 | 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 | 10.5%CMS range 7.6–13.7 | 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 | 68.8% | 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 | 70.1% | 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 | 68.8% | 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 | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS 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 discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF 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 | 0.5% | 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 | 9.7%CMS range 6.6–12.8 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.59 | 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 143 beds and averages 125.2 residents a day — about 88% occupied, or roughly 18 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 3.65 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.53 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.19 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 2.99 hrs/resident/day on weekends vs 3.91 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 0.62 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
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 more than at the previous inspection — worsening. 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.
23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.
- Potential for harm · F2025-05-08 · tag F0880 — failed to prevent and control infections — widespreadProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and staff interviews during the Recertification Survey initiated on 5/04/2025 and completed on 5/08/2025, the facility did not ensure that it established and maintained 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. This was identified for 1) two (Resident #82 and Resident #73) of five residents reviewed for Medication Administration and 2) laundry room observation conducted during the Infection Control Laundry Task. Specifically, 1) Licensed Practical Nurse #1 did not follow the manufacturer's instructions and did not use the appropriate Environmental Protection Agency (EPA) approved disinfectant to clean and disinfect the shared blood glucose meter between the two residents (Resident #82 and Resident #73). 2) Laundry Aid #1 did not use appropriate Personal Protective Equipment when handling soiled and clean laundry. The findings are: 1)The facility's policy titled Blood Glucose Testing/Glucose Control,…
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 · F2025-05-08 · tag F0908 — failed to keep essential equipment working — widespreadKeep all essential equipment working safely.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations and interviews during the Recertification Survey initiated on 5/4/2025 and completed on 5/8/2025, the facility did not maintain all mechanical, electrical, and patient care equipment in a safe operating condition. This was identified during the laundry observation for the Infection Control Task. Specifically, during a tour of the laundry room, a washing machine was observed overflowing and causing the water to accumulate on the floor around the drain. Additionally, the back of the washing machine and dryers had an accumulation of lint and dust. The finding is: The facility's policy titled Laundry Procedures, dated 8/16/2024, documented at the end of each shift, the walls are washed down using disinfectant, washers are wiped down with disinfectant, and then wiped down with stainless steel cleaner. The floors are swept and mopped daily using all-purpose cleaner. The Porters will clean the room weekly. Infection control policies and procedures will be followed when applicable to this department. During an observation of the laundry room on 5/7/2025 at 10:32 AM,…
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 · E2025-05-08 · tag F0550 — failed to protect resident dignity and rights — patternHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification Survey initiated on 5/4/2025 and completed on 5/8/2025, the facility did not ensure each resident was treated with respect and dignity and provided care in a manner and in an environment that promotes maintenance or enhancement of their quality of life. This was identified for one unit (Unit B) of three units observed during the Dining Task. Specifically, 1) during the lunch meal observation on 5/4/2025, twelve residents were seated at a large table in the Unit B main dining room. Four (Resident #15, Resident #95, Resident #44, and Resident #56) of the twelve residents at the table did not receive their lunch meal until 30 minutes after the other eight residents were served. Resident #15 left the dining room and said they felt disrespected when they were not served their lunch meal at the same time as others. 2) Certified Nurse Aide #1 was observed standing over Resident #55 while assisting the resident with their lunch meal in 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 · E2025-05-08 · tag F0761 — failed to label and store drugs safely — patternEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification Survey initiated on [DATE] and completed on [DATE], the facility did not ensure that all medications and biologicals were stored in locked compartments under proper temperature controls, and permit only authorized personnel to have access to the keys. This was identified for two (Unit H and Unit B ) of the four units reviewed during the Medication Storage Task. Specifically, Unit H medication carts were not clean and had items stored other than the medications. The Unit H medication refrigerator had yellowish-brown dried substances on the bottom shelf. Unit B Long Hall medication cart contained unidentifiable medication tablets and loose glucometer strips. The findings are: The facility's Routine Cleaning and Disinfecting Policy dated [DATE] documented routine surface cleaning and disinfection will be conducted with a detailed focus on visibly soiled surfaces and high touch areas to include but not limited to: treatment 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 · E2025-05-08 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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 Recertification Survey initiated on 5/4/2025 and completed on 5/8/2025, the facility did not ensure that food was stored in accordance with professional standards for food service safety. This was identified during the Kitchen Task. Specifically, two kitchen refrigerators contained numerous unlabeled and undated food items. The finding is: The facility's policy titled Food Storage with a revised date of 8/4/2024, documented that all food will be dated upon stocking if taken out of its original packaging. If not in the original packaging, all food items must be dated and labeled with the name of the contained food and discarded after three days. During the kitchen tour on 5/4/2025 at 10:21 AM, the refrigerator was observed with 18 egg salad sandwiches that were not labeled and dated. Another refrigerator used to store day-service food items was observed with five apple sauce cups, 30 chocolate pudding cups, six Jello cups, and seven single-serve salads that were not labeled with a use-by date. 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.
- Potential for harm · D2025-05-08 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and staff interviews during the Recertification Survey initiated on 5/4/2025 and completed on 5/8/2025, the facility did not ensure that each resident's right to personal privacy and confidentiality of his or her medical record was maintained. This was identified for one (Resident #62) of nine residents observed for the Medication Administration Task. Specifically, Licensed Practical Nurse #4 left Resident #62's electronic medical record open in the hallway with the resident's personal and medical information visible to other staff, residents, and visitors. The finding is: Resident #62 was admitted with diagnoses that included Hypertension, Cerebral Infarction, and Hemiplegia. A Quarterly Minimum Data Set assessment dated [DATE] documented the resident's Brief Interview for Mental Status score was 14, which indicated intact cognition. The resident received Antiplatelet and Anticoagulant medications. During a medication pass observation on 5/6/2025 at 9:35 AM for Resident #62,…
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 before2025-05-08 · tag F0609 — failed to report abuse allegations — isolatedTimely 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 observation, record review, and interviews during the Recertification and abbreviated (Complaint #NY 00377877) Survey, initiated on 5/4/2025 and completed on 5/8/2025, the facility did not ensure that all alleged violations involving abuse, neglect, and mistreatment were reported immediately to the facility administration and not later than 2 hours to the Department of Health after the allegation was made. This was identified for one (Resident #108) of one resident reviewed for Abuse. Specifically, Resident #108 alleged that Certified Nursing Aide #4 pushed them off the bed, resulting in a fall without injury. There is no documented evidence that the facility reported the allegation of abuse to the New York State Department of Health. The finding is: The facility's policy, titled Abuse, Mistreatment, Neglect, and Exploitation, dated 7/14/2024, documents that the facility completes a full investigation when signs of Mistreatment, Neglect, Exploitation, or Abuse are noted by any personnel. The witness of such actions will immediately notify their Supervisor on duty. 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.
- Potential for harm · Dcited before2025-05-08 · 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
Based on observation, record review, and interviews during the Recertification and Complaint (NY 00377877) Survey, initiated on 5/4/2025 and completed on 5/8/2025, the facility did not ensure that all alleged violations involving abuse, mistreatment, or neglect were thoroughly investigated. This was identified for one (Resident #108) of one residents reviewed for Abuse. Specifically, Resident #108 alleged that Certified Nursing Assistant #4 pushed them off the bed, resulting in a fall without injury. The facility did obtain a statement from the resident and an investigation related to the allegation of being pushed out of bed was not completed. The finding is: The facility's policy, titled Abuse, Mistreatment, Neglect, and Exploitation, dated 7/14/2024, documents that the facility completes a full investigation when signs of Mistreatment, Neglect, Exploitation, or Abuse are noted by any personnel. The witness of such actions will immediately notify their Supervisor on duty. All reports/allegations of potential abuse, neglect, mistreatment, and or exploitation must be reported…
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 before2025-05-08 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 observation, record review, and interviews during the Recertification and Abbreviated (NY 00377877) Survey initiated on 5/4/2025 and completed on 5/8/2025, the facility did not ensure that a comprehensive person-centered care plan was implemented for each resident to meet the resident's nursing, mental, and psychosocial needs. This was identified for one (Resident #108) of one resident reviewed for Abuse. Specifically, Resident #108 had a comprehensive care plan intervention to provide care by a male certified nursing aide and/or two aides due to verbally inappropriate behavior towards female staff. An accident/incident report dated 4/5/2025 revealed the resident received care from one female Certified Nursing Aide, Certified Nursing Assistant #4. The finding is: The facility's policy titled Care Plans, dated 6/2024, documented that care plan interventions are designed after careful consideration of the relationship between the resident's problem areas and their causes. Resident #108 was admitted with diagnoses including Hemiplegia and Hemiparesis following Cerebral…
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 · D2025-05-08 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, Record review, and staff interviews during the Recertification Survey initiated on 5/4/2025 and completed on 5/8/2025, the facility did not ensure that each resident's Comprehensive Care Plan was revised by the interdisciplinary team after each assessment to reflect the resident's current status. This was identified for one (Resident #97) of one resident reviewed for Bladder and Bowel Incontinence. Specifically, Resident #97's minimum data set assessments indicated the resident was frequently incontinent of bladder; however, the comprehensive care plan inaccurately documented the resident was occasionally incontinent of bladder. The finding is: The facility's Care Plan policy and procedure, effective 6/20/2024, documented assessment of the resident is ongoing, and care plans are revised as information about the resident and the resident's condition changes. The care planning/interdisciplinary team is responsible for the review and updating of the care plan when: there has been a significant…
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 13 citations
- Potential for harm · D2025-05-08 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews, during the Recertification Survey initiated on 5/4/2025 and completed on 5/8/2025, the facility did not ensure the resident's environment remained free of accident hazards as possible. This was identified for one (Resident #62) of nine residents observed for the Medication Administration Task. Specifically, during a medication administration pass for Resident #62, Licensed Practical Nurse #4 left the medication cart unattended and went into the resident's room without ensuring the medication cart was securely locked and was clearly visible to the nurse administering medication. The finding is: The facility's Administrating Medication policy and procedure dated 12/3/2024, documented during administration of medication, the medication cart is kept closed and locked when out of sight of the medication nurse. Additionally, the cart must be clearly visible to the personnel administering medication. Resident #62 was admitted with diagnoses that included…
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 · E2024-02-01 · tag F0725 — failed to have enough nursing staff — patternProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and staff interviews during the Recertification Survey initiated on 1/28/2024 and completed on 2/1/2024, the facility did not ensure sufficient nursing staff were available to provide nursing services to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing of each resident. This was identified during a review of the Payroll Based Journal (PBJ) Staffing Data Report, and review of the Facility Assessment; concerns raised during the Resident Council meeting; and during the medication administration observation on Sunday (1/28/2024) on one of three nursing units. Specifically, review of the Payroll Based Journal (PBJ) Staffing Data Report and the Facility Assessment (FA) identified that the facility did not ensure adequate staffing was available to meet the residents' needs on multiple days; two of ten residents present at the Resident Council meeting held on 1/29/2024 voiced concerns regarding staffing shortage and receiving their medications late; an off-hour survey was conducted on 1/28/2024 and one Licensed…
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 · E2024-02-01 · tag F0759 — failed to keep medication error rate low — patternEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews conducted during the Recertification Survey initiated on 1/28/2024 and completed on 2/1/2024, the facility did not ensure that the facility's medication error rates are not five percent or greater. This was identified for 42 of 53 opportunities for six (Resident #82, Resident #51, Resident #12, Resident #72, Resident #22, and Resident #92) of nine residents observed during a medication pass observation. This resulted in a 79.25% medication error rate. Specifically, 1) Resident #82 did not receive eleven of the 9:00 AM Physician ordered medications until 10:56 AM. 2) Resident #51 did not receive three of the 9:00 AM Physician ordered medications until 11:10 AM. 3) Resident #12 did not receive seven of the 9:00 AM Physician ordered medications until 10:38 AM. 4) Resident #72 did not receive seven of the 9:00 AM Physician ordered medications until 11:00 AM. 5) Resident #22 did not receive five of the 9:00 AM Physician ordered medications until 11:05 AM; and 6)…
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 · D2024-02-01 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews conducted during the Recertification Survey initiated on 1/28/2024 and completed on 2/1/2024 the facility did not ensure that each resident had a call bell accessible to alert staff of the residents' needs. This was identified for one (Resident #29) of five residents reviewed for the Environmental Task. Specifically, Resident #29 was observed in their room on 1/28/2024 and 1/31/2024 with the call bell out of their reach. The finding is: The facility's policy for the Call System dated 9/18/2023 documented that residents are provided with a means to call staff for assistance through a communication system that directly calls a staff member or a centralized station. Resident #29 was admitted with diagnoses that included Cerebral infarction, Type 2 Diabetes Mellitus, and Osteoarthritis. Resident #29's admission Minimum Data Set assessment dated [DATE] documented the resident's Brief Interview for Mental Status score was 13 which indicated the resident had intact…
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 before2024-02-01 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop 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 observation, record review, and interviews during the Recertification Survey initiated on 1/28/2024 and completed on 2/1/2024, the facility did not develop and implement a comprehensive person-centered care plan that includes measurable objectives and time frames to meet the resident's medical and nursing needs. This was identified for one (Resident #120) of five residents reviewed for Respiratory Care. Specifically, Resident #120 did not have documented evidence that a care plan was initiated for the use of Oxygen at 2 Liters per minute via nasal cannula continuously every shift for Hypoxia (absence of enough oxygen in the tissues to sustain bodily function). The finding is: The facility's policy titled, Care Plans last revised on 4/20/2023 documented the facility's Care Planning/Interdisciplinary Team, in coordination with the resident, his or her representative, develops and maintains a comprehensive care plan that is based on a thorough assessment. Each resident's comprehensive care plan is designed to identify problems, reflect treatment goals, timetables, 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 · D2024-02-01 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and staff interviews during the Recertification Survey initiated on 1/28/2024 and completed on 2/1/2024, the facility did not ensure that a resident received treatment and care in accordance with professional standards of practice, and the comprehensive person-centered care plan. This was identified for one (Resident #114) of two residents reviewed for Skin Conditions. Specifically, Resident #114 was seen for a Vascular Consult on 1/22/2024 and returned with a dressing on their right lower leg. The resident's right lower extremity was observed on 1/28/2024 and 1/29/2024 with a dressing in place; however, there was no indication when the dressing was last changed. Additionally, there was no documentation regarding the assessment of the right lower extremity wound nor a physician's order for treatment and care of the right lower extremity until 1/29/2024, seven days after the resident was seen by the Vascular Consultant. The finding is: The facility's policy titled, Wound…
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 · D2024-02-01 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and interviews conducted during the Recertification Survey initiated on 1/28/2024 and completed on 2/1/2024 the facility did not ensure that each resident with limited range of motion received appropriate treatment and services to prevent further decrease in range of motion. This was identified for one (Resident #8) of one resident reviewed for Limited Range of Motion. Specially, Resident #8 was observed on three occasions without the Physician ordered gauze handrolls in place to prevent decline in range of motion. The finding is: The facility's policy titled, Small Adaptive Devices for Activities of Daily Living Skills dated 9/10/2023 documented proper, safe, and consistent use of small adaptive devices can maximize the resident's level of independence. The policy also documented that gauze rolls are used to help protect and preserve the small joints in the hands and fingers. Resident #8 was admitted with diagnoses that included Cerebral Infarction, Hemiplegia (paralysis)…
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 · D2024-02-01 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and staff interviews during the Recertification Survey initiated on 1/28/2024 and completed on 2/1/2024, the facility did not ensure that residents who need respiratory care are provided such care consistent with professional standards of practice. This was identified for one (Resident # 120) of five residents reviewed for Respiratory Care. Specifically, Resident #120 had an order for continuous oxygen therapy via a nasal cannula at 2 Liters per minute every shift for Hypoxia (an absence of enough oxygen in the tissues to sustain bodily functions). The resident was observed on three occasions without the use of the supplemental oxygen as ordered by the Physician. The finding is: The facility's policy and procedure titled, Oxygen Administration, last revised on 5/16/2023 documented to perform an assessment before and while the resident is receiving oxygen and to administer oxygen as ordered by the Physician. No smoking /Oxygen in Use sign to be placed as per the facility protocol for oxygen administration. Resident #120 was admitted 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.
- Potential for harm · D2024-02-01 · tag F0710 — isolatedObtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
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 during the Recertification survey initiated on 1/28/2024 and completed on 2/1/2024, the facility did not ensure that medical care for each resident was supervised by the Physician including providing orders for the resident's medical status. This was identified for one (Resident #114) of two residents reviewed for Skin Conditions. Specifically, Resident #114 was seen for a Vascular consultation on 1/22/2024. Recommendations were made for the use of bilateral ace wraps to be applied in the morning and to be removed at the hour of sleep to treat the resident's lower extremities edema (swelling caused by too much fluid trapped in the body's tissues). There was no documented evidence that any qualified professional addressed the recommendation made by the Vascular Consultant for Resident #114 to use the ace wraps for the lower extremity edema. The finding is: The facility's policy titled, Medical Consultation, last revised on 1/10/2024 documented that in the event…
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 before2022-07-28 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during the Recertification Survey and Abbreviated Survey (Complaint #NY 00272022) initiated on 7/21/2022 and completed on 7/28/2022, the facility did not ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment are reported immediately but not later than two hours after the allegation is made if the events that caused the allegation involve abuse to the administrator of the facility and to other officials (including to the state survey agency). This was identified for one (Resident #224) of three residents reviewed for Abuse. Specifically, on 2/22/2021 Social Worker (SW) #1 was informed by the hospital SW of an abuse allegation made by Resident #224 that a Certified Nursing Assistant (CNA) at the Nursing Home had inappropriately touched Resident #224 during perineal care. The facility did not report the allegation of abuse to the New York State Department of Health (NYSDOH) within two hours. The finding is: The Facility's policy for Resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-07-28 · 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 the Recertification Survey and Abbreviated Survey (Complaint #NY 00272022) initiated on 7/21/2022 and completed on 7/28/2022, the facility did not ensure that all incidents of alleged abuse are thoroughly investigated to rule out Abuse, Neglect, and Mistreatment. This was identified for one (Resident #224) of three residents reviewed for Abuse. Specifically, Resident #224 reported to the Social Worker (SW) #1 that a Certified Nursing Assistant (CNA) inappropriately touched Resident #224. The facility's Investigation Report lacked documented evidence that statements were obtained from direct care staff that cared for the resident. The finding is: The Facility's policy for Resident Abuse, Mistreatment, Neglect, and Exploitation dated 1/5/2022 defined abuse as the willful infliction of injury, unreasonable confinement, intimidation or punishment with resulting physical harm, pain, or mental anguish. All reports and allegations of abuse, neglect, mistreatment, and or…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-07-28 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and staff interviews during the Recertification Survey initiated on 7/21/2022 and completed on 7/28/2022 the facility did not ensure that a comprehensive person-centered care plan was developed and implemented for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment. This was identified for one (Resident #25) of three residents reviewed for Activities of Daily Living (ADLs). Specifically, Resident #25 had a Physician's order for showers to be administered on the 3:00 PM-11:00 PM nursing shift on Wednesdays and Fridays. There was no documented evidence that Resident #25 Comprehensive Care Plan (CCP) was implemented to ensure the Physician's order for showers were followed. The finding is: Resident #25 was admitted with diagnoses that include Chronic Obstructive Pulmonary Disease, Hypertension, and Schizophrenia. A Minimum Data Set (MDS)…
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 · C2025-05-08 · tag F0838 — failed to assess facility resources and resident needs — widespreadConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
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 initiated on 5/4/2025 and completed on 5/8/2025, the facility did not ensure its Facility Assessment considered daily staffing needs for each resident unit and for each shift, such as day, evening, and night. This was identified during the Sufficient and Competent Nurse Staffing Review Task. Specifically, the Facility Assessment, last updated on 2/3/2025, only reflected emergency staffing levels and did not consider the daily Nursing staffing needs for each nursing unit. The finding is: The Facility assessment dated [DATE] documented the facility was licensed for 143 residents with an average daily census of 120. The facility assessment identified a total of three units including Unit A, Unit B, and Unit H. The facility assessment did not document the bed capacity for each unit. The facility assessment documented the following staffing plan per 24 hours (for the entire facility): Three (3) Registered nurses, nine (9) Registered…
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.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| GAUL, JULIANNA | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER | 50% | since 04/01/2009 |
| SALZMAN, VANESSA | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE OFFICER | 50% | since 04/01/2009 |
| GAUL, KENNETH | Individual | W-2 MANAGING EMPLOYEE | — | since 04/01/2009 |
CMS files one row per role, so the 5 rows in the source record cover these 3 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.
This home reported $4.7M paid to related parties — landlords or management companies under common ownership — equal to about 23% 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
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 335514. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-05-08, 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.