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Rochester Center for Rehabilitation and Nursing

525 Beahan Road, Rochester, NY 14624 · For profit - Limited Liability company · 124 certified beds · (585) 247-7880 Medicare & Medicaid certified

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Abuse-prevention, restraint, or reporting citation — no harm found (F0607) — cited Oct 2023Resident-funds citation (F0565)1 immediate-jeopardy citation$9,315 in federal fines
Insights

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

Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has a citation for mishandling residents’ money or property (F0565)
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • a high number of inspection citations overall (30) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $9,315 in federal fines (most recent 2023-10-31)
  • 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 (1/5)
  • nursing-staff turnover (61%) runs well above the national median (45%)

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.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 1 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 3 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
Urgent care / clinic
517 Beahan Rd · (585) 235-1489 · Call to confirm hours
Pharmacy
2150 Chili Ave · (585) 429-5190 · Call to confirm hours
Grocery
1500 Brooks Ave · (585) 328-2550 · Call to confirm hours
Park
1489 Howard Rd · (585) 247-6100 · Typically dawn to dusk
Place of worship

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

Quality measures — how residents actually fare

Overall quality measures 3 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 2 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 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.

Overall rating1★
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 increased16.5%14.1%15.4%typical
Long-stay residents who lose too much weight12.9%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 infection0.3%1.3%2.0%better
Long-stay residents with depressive symptoms7.6%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 injury0.5%3.1%3.3%better
Long-stay residents whose ability to walk worsened13.7%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication9.3%13.2%18.9%better
Long-stay residents given the seasonal flu vaccine97.1%95.3%95.3%typical
Long-stay residents with pressure ulcers12.0%6.5%4.7%worse
Long-stay residents with worsening bladder/bowel control24.3%19.5%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table8.0%13.7%17.1%better
Short-stay residents who newly got an antipsychotic medication0.4%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine82.6%78.8%79.4%typical
Short-stay residents rehospitalized after admission19.6%20.6%22.6%better
Short-stay residents with an outpatient ER visit11.7%9.6%12.0%typical
Long-stay hospitalizations per 1,000 resident days3.151.701.67worse
Long-stay outpatient ER visits per 1,000 resident days2.801.361.80worse

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.

31.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 124 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

31.0%U.S. median 51.5%
Got home and stayed home
10.8%U.S. median 10.7%
Went back to hospital
55.5%U.S. median 56.6%
Met the expected recovery
0.26U.S. median 0.31
Therapy hours / resident / day
0.13hours / resident / day
Physical therapy
0.09hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 55.5% 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 155 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 0.26 therapist hours per resident per day in 2026Q1 — more than 38% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF31.0%CMS range 23.3–40.551.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.8%CMS range 7.5–14.710.7%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 discharge55.5%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 discharge53.5%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 discharge49.0%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 identified98.3%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 setting95.8%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 discharge95.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.4%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 worsened4.2%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 hospitalization8.2%CMS range 5.0–12.47.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.111.02Oct 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

0.28
RN hours/ resident / day
1.01
LPN hours/ resident / day
1.98
Aide hours/ resident / day
3.27
Total nurse hours/ resident / day
0.18
RN hoursweekends
61.1%
Total nursing turnover
78.9%
RN turnover

How full it usually is: this home is certified for 124 beds and averages 120.4 residents a day — about 97% occupied, or roughly 4 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.27 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.28 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.98 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 2.69 hrs/resident/day on weekends vs 3.51 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.32 to 0.18 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 61% is well above the national median of 45%. 1 administrator has left in the past year.

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

13
deficiencies at the latest standard inspection (2025-01-14)
7
at the previous standard inspection (2023-10-31)

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.

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.

30 citations, most serious first. The 12 most serious are shown; the remaining 18 are one tap away and print in full.

  • Immediate jeopardy · J2023-10-31 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review conducted during the Recertification Survey from [DATE] to [DATE], the facility failed to ensure that all residents had the right to request, refuse, and/or discontinue treatment, and to formulate an advance directive (medical interventions in the event of a life-threatening episode) that would be honored for 5 (Residents #57, #76, #104, #364, and #508) of 35 residents reviewed. Specifically, the facility failed to ensure residents' advance directive (code status) identifiers were consistently documented for Resident #57, #104, #364 and #508, whose Medical Orders for Life-Sustaining Treatment (MOLST) identified their code status as Do Not Resuscitate (DNR -meaning to allow natural death and not initiate Cardiopulmonary Resuscitation (CPR) in the absence of pulse and respiration) while their physician orders documented orders for Full Code (to initiate CPR). Additionally, MOLST forms for Residents #57, #364, and #508 identified them as cognitively intact, with the ability to…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Actual harm · G2026-04-22 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure residents receiving enteral nutrition, (tube placed in the stomach via the abdomen to receive nutritional support) were provided treatment and services in accordance with physician orders and professional standards of practice to prevent complications for three (3) of four (4) residents reviewed (Resident #5, Resident #7, and Resident #9). Specifically, Resident #5 did not receive prescribed enteral nutrition and hydration for multiple days and was hospitalized ; Resident #7 and Resident #9 had significant inconsistencies in the administration of prescribed enteral nutrition and hydration without physician orders, clinical justification, or documented refusals. This deficient practice resulted in actual harm, that was not Immediate Jeopardy, for Resident #5 who developed dehydration (a condition caused by insufficient fluid intake resulting in fluid imbalance), hypotension (low blood pressure), and new onset atrial fibrillation…

    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 plan of correction
  • Potential for harm · F2026-04-22 · tag F0725 — failed to have enough nursing staff — widespread
    Provide 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to ensure sufficient nursing staff were available to provide nursing services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for residents in the facility. Specifically, staffing levels were insufficient to meet resident care needs, the facility did not consistently meet its own identified minimum staffing levels, and the facility failed to implement sufficient contingency staffing measures to address known staffing shortages, resulting in missed medication administrations, delayed medication administration, and inability to complete ordered treatments.The findings include: The Facility assessment dated [DATE] documented the facility was licensed for 124 beds with a daily census of 120 to 122 residents. The Facility Assessment included staffing would be adjusted based on resident acuity and included a minimum staffing plan of two (2) nurses on the first floor during day shift from 7:00 AM to 3:00 PM, one (1)…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has plan of correction
  • Potential for harm · F2026-04-22 · tag F0760 — failed to prevent significant medication errors — widespread
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, the facility failed to ensure medications were administered in accordance with physician orders, resulting in clinically significant medication errors, for 11 of 11 residents reviewed (Residents #1, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13). Specifically, Resident #8 received duplicate dosing of a controlled medication (drugs regulated due to their potential for abuse, misuse, or dependence), and several residents experienced omissions of ordered medications, and/or medications administered outside the ordered timeframe and there was no documented evidence a medical provider was notified. These failures included high-risk medications such as insulin (used to treat high blood sugar levels), anticoagulants (blood thinner), anti-seizure medications, cardiac medications (used to treat heart conditions), antibiotics (used to treat infections), and narcotics (controlled medications used to treat severe pain). The findings include: The facility policy Medication…

    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 plan of correction
  • Potential for harm · F2026-04-22 · tag F0835 — failed to run the facility competently — widespread
    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 observations, interviews, and record review, the facility failed to ensure it was administered in a manner which 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 failed to ensure administrative systems, including staffing oversight, medication administration monitoring, and quality assurance processes, were implemented and functioning to identify and correct deficient practices, resulting in a pattern of noncompliance across multiple areas of care, including sufficient nursing staffing, medication administration, and enteral nutrition management.The findings include:The facility policy Quality Assurance and Performance Improvement Program reviewed 04/28/2025 documented the program was designed to support continuous evaluation of facility systems, ensure care delivery systems function consistently and accurately, identify issues and concerns, and develop 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.

    Administration Deficiencies · Deficient, Provider has plan of correction
  • Potential for harm · D2026-04-22 · tag F0868 — isolated
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure the Quality Assessment and Assurance committee met at least quarterly, in accordance with regulatory requirements. Specifically, the facility had a lapse of approximately five (5) months between scheduled meetings.The findings include:Review of the facility's Quality Assurance and Performance Improvement Program reviewed 04/28/2025 included the purpose, which was to support the continuous evaluation of facility systems with the objectives of ensuring care delivery systems function consistently, accurately, and incorporate current and evidence-based practice standards, where available; preventing deviation from care processes, to the extent possible; identifying issues and concerns with facility systems, as well as identifying opportunities for improvement; and developing and implementing plans to correct and/or improve identified areas.Review of the facility's Quality Assurance and Performance Improvement Committee policy last reviewed December 2022 indicated the committee will meet monthly at an appointed time, 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.

    Administration Deficiencies · Deficient, Provider has plan of correction
  • Potential for harm · E2025-01-14 · tag F0565 — failed to support the resident council — pattern
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and record reviews conducted during the Recertification Survey from 01/06/2025 to 01/14/2025, for six (Residents #34, #36, #44, #70, #71, and #92) of six residents reviewed, the facility did not ensure that concerns voiced by residents during Resident Council meetings related to resident care and life in the facility were responded to and a rationale given for the response. Specifically, during a special Resident Council meeting, multiple residents voiced multiple care concerns that they felt had not been followed up on. Review of the previous six months of meeting minutes did not include any follow ups, resolution, or a rationale for lack of resolution to the resident's concerns. This is evidenced by the following: During a special Resident Council meeting on 01/07/2025 at 2:00 PM, with six residents present, it was reported that appropriate silverware was not provided to residents for meals instead utensils that were plastic, miniature in size, and often broke in half while using. Residents reported lack of linens, not being allowed to go outside without…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-01-14 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews conducted during the Recertification Survey from 01/06/2025 to 01/14/2025, for three (first, second, and third floors) of three resident-use floors and one of one basement, the facility did not provide housekeeping or maintenance services necessary to maintain a sanitary, orderly, and comfortable interior. Specifically, exhaust ventilation was not functional, ready stand lifts were dirty, there was wall and window damage, chairs were in disrepair, a microwave oven was dirty, an exit stairwell was dirty, and an exit door was not tight fitting into the door frame. The findings are: Observations on 01/07/2025 from 9:05 AM to 9:33 AM included the exhaust ventilation on the third floor was not functioning in the staff bathroom, bathrooms of resident rooms #319 and #322, and the soiled utility room. Significant foul odors were noted in each of these rooms and when a piece of paper was placed against the exhaust grates, no air draw was observed. During an interview at this time, the…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-01-14 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, and record review conducted during the Recertification Survey from 01/06/2025 to 01/14/2025 the facility did not ensure they established and maintained an Infection Control Program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 3 (Residents #34, #45, and #99) of 24 of residents reviewed. Specifically, appropriate Personal Protective Equipment (PPE) was not worn by nursing staff in residents' room that were identified by the facility as requiring Enhanced Barrier Precautions while preforming high contact care to residents. Additionally, observations of multiple facility staff who had declined the influenza vaccine were not wearing face masks while in resident care areas during the current influenza season as determined by the Department of Health. The facility policy Enhanced Barrier Precautions, dated 05/30/2024, documented Enhanced Barrier Precautions would be initiated and implemented for residents as applicable in accordance 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-14 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NY00352644 NY00348465 Based on observations, interviews, and record review conducted during the Recertification Survey from 01/06/2025 to 01/14/2025, for three (Residents #9, #47, and #96) of 15 residents reviewed, the facility did ensure that each resident was treated with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality. Specifically, all residents were observed being served meals using disposable cutlery (plastic utensils) and dishware (paper/plastic plates) and stated it was ongoing. This was evidenced by the following: Review of the facility policy, Quality of Life/Dignity, dated 05/28/2024, documented each resident shall be cared for in a manner that promotes and enhances quality of life, dignity, respect, and individuality. Residents shall be treated with dignity and respect at all times. 1. Resident #9 had diagnoses including anxiety, depression, and obesity. The Minimum Data Set Resident Assessment, dated 10/20/2024, documented…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-14 · tag F0636 — isolated
    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 interviews and record review conducted during the Recertification Survey from 01/06/2025 to 01/14/2025, for four (Resident #31, #53, #99 and #220) of seven residents reviewed, the facility did not ensure that a comprehensive assessment of residents' needs, strengths, goals, life history, and preferences were conducted per the regulatory timeframes using the Centers for Medicare and Medicaid Services specified Resident Assessment Instrument (RAI) process. Specifically, Residents #53 and #220 did not have their comprehensive admission assessments completed within 14 calendar days of admission, and Resident #99 did not have their comprehensive assessment completed within 14 calendar days of the assessment reference date. This is evidence by the following: The State Operations Manual and the Resident Assessment Instrument (Minimum Data Set Resident Assessment) Manual 3.0 include facilities, at a minimum, are required to complete a comprehensive assessment (Minimum Data Set Resident Assessment) of each…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-14 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and record review conducted during the Recertification Survey from 01/06/2025 to 01/14/2025, for four (Residents #31, #47, #80, and #99) of seven residents reviewed, the facility did not ensure the Minimum Data Set Resident Assessment accurately reflected the residents' status. Specifically, the issues involved inaccurate coding for Section I - Active Diagnoses (Resident #47) and Section N - Medications (Residents #31, #80, and #99). This is evidenced by the following: Review of the current Long Term Care Facility Resident Assessment Instrument 3.0 User's Manual, dated October 2024, Section I included the disease conditions in the section required a physician-documented diagnosis (or by a nurse practitioner, physician assistant, or clinical nurse specialist if allowable under state licensure law) in the last 60 days. Section N included medications are to be coded according to the medication's therapeutic category and/or pharmacological classification, not on how they are used. Additionally, antiplatelet medications such as aspirin, should not be coded as 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 18 citations
  • Potential for harm · D2025-01-14 · tag F0656 — failed to write and follow a full care plan — isolated
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during the Recertification Survey from 01/06/2025 to 01/14/2025, for three (Residents #53, #104, and #220) of 26 residents reviewed, the facility did not develop and/or implement the comprehensive person-centered care plans for each resident that included measurable objectives and timeframes to meet all the resident's medical, nursing, mental, and psychosocial needs. Specifically, Resident #53's Comprehensive Care Plan did not include goals and interventions related to the resident's post-traumatic stress disorder diagnosis. Resident #220's Comprehensive Care Plan did not include goals and interventions related to care of the resident's nephrostomy tube (tube inserted into the kidney that drains urine directly into a drainage bag and bypassing the bladder). Resident #104 had a physician's order for compression (ACE) wraps (a dressing used to help reduce swelling in an extremity) to be applied to the left arm in the morning and removed at bedtime.…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-14 · 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 observations, interviews, and record review conducted during the Recertification Survey from 01/06/2025 to 01/14/2025 for one (Resident #21) of nine residents reviewed, the facility did not ensure that residents who were unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene. Specifically, Resident #21 did not receive assistance with shaving and fingernail care as requested. This is evidenced by the following. The facility policy Activities of Daily Living Care and Support, revised 03/13/2024, included activities of daily living care and support will be provided for residents who are unable to carry out activities of daily living independently, with the consent of the resident and in accordance with the resident's assessed needs, personal preferences, and individualized plan of care including grooming. Nail care should be provided as needed for the resident. Facial hair will be groomed as per resident's preference and/or assessed…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-14 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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, interviews, and record review conducted during the Recertification Survey from 01/06/2025 to 01/14/2025, for one (Resident #45) of one resident reviewed, the facility did not ensure the resident received the necessary care, treatment, and services consistent with professional standards of practice to promote healing, prevent new pressure ulcers from developing, and/or prevent existing pressure ulcers from worsening. Specifically, Resident #45 did not receive a thorough wound assessment upon re-admission to the facility after a hospitalization with a pressure ulcer and no pressure ulcer care or treatments were documented as provided for multiple days. This is evidenced by the following: The facility policy Wound Identification and Wound Rounds, last revised 11/06/2023, included the facility will identify, assess, and manage residents with pressure injuries, skin alterations, impairments, or wounds in accordance with current standards of practice. New admissions and re-admissions will have a…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-14 · 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 observations, interviews, and record review conducted during the Recertification Survey from 01/06/2025 to 01/14/2025, for one (Resident #99) of one resident reviewed, the facility did not ensure a resident maintained acceptable parameters of nutritional status and was offered sufficient fluid intake to maintain proper hydration and health. Specifically, the facility could not provide documented evidence for a resident that required total nutrition and hydration via a gastrostomy tube (the delivery of nutrients through a feeding tube directly into the stomach also referred to as an enteral feeding) was provided nutritional and hydration care and services consistent with the resident's comprehensive assessment. Additionally, Resident #99's Medication Administration Record was missing documentation and had documentation that did not correlate with medical orders or the Registered Dietitian recommendations for tube feed and water flush administration. This was evidenced by the following: Review of the facility policy Enteral Feedings, dated February 2023, included when…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-14 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews conducted during the Recertification Survey from 01/06/2025 to 01/14/2025, the facility did not ensure that all drugs and biologicals were properly stored in accordance with State and Federal Laws for three (Unit Three medication cart North, Unit Three medication cart South, Unit Two medication cart North) of three medication carts reviewed. Specifically, multiple medication carts contained several insulin pens labeled by pharmacy to refrigerate until opened that were unopened and stored in the medication carts and a vial of insulin stored in the medication cart that was not opened. Additionally, two nicotine patches were observed stuck to the shower room wall and an opened insulin was observed at a resident's bedside. This evidenced by the following: The facility policy Medication Storage, dated January 2019, documented that medication will be stored in a manner that maintains the integrity of the product, ensures the safety of the residents, and is in accordance 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-14 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and record review conducted during the Recertification Survey from 01/06/2025 to 01/14/2025, the facility did not ensure each resident received the influenza or the pneumococcal immunizations (vaccine) for two (Resident #8 and #74) of five residents reviewed. Specifically, the facility was unable to provide any evidence the residents or their representatives had been provided educational material, been offered, or declined the immunizations. The facility policy Infection Control-Influenza Vaccine/Pneumococcal Vaccine, dated 11/24/2024, documented that all residents and/or the resident representative will be offered and provided influenza vaccine and pneumococcal vaccine. Residents have the opportunity to refuse the vaccine. A resident's refusal of the vaccine shall be documented on the informed consent for influenza vaccine and pneumococcal vaccine and placed in the resident's medical record and will include that the resident or resident's representative was provided education regarding the benefits and potential side effects of the vaccine. 1. Resident #8 had…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-04-19 · tag F0694 — pattern
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review conducted during an Abbreviated Survey (complaint #NY00311416), for one (Resident #11) of two residents reviewed, the facility did not ensure parenteral fluids/medications (liquids given via intravenous, also known as IV) were administered and treatments completed were consistent with professional standards of practice and in accordance with the physician's orders, the resident's comprehensive person-centered care plan and the resident's goals and preferences. Specifically, there was inconsistent documented evidence that nursing assessments for proper placement of a catheter, signs and symptoms of infection and dressing changes were completed per physician orders for a peripherally inserted central catheter (a catheter that is inserted through a vein in your arm and ends up in a large vein in the chest, also known as a PIC line). Additionally, antibiotics and flushes (medications used to keep the PIC line patent) were not consistently documented as administered as ordered. This is evidenced by the following: The facility policy,…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-10-31 · tag F0607 — failed to have anti-abuse policies — pattern
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews conducted during the Recertification Survey completed on 10/31/23, it was determined that for seven of seven newly hired employees the facility did not implement written policies and procedures to prevent abuse, neglect, exploitation, and/or misappropriation of resident property related to screening prospective employees. Specifically, a nurse aide registry abuse screening was not completed for newly hired employees prior to starting work. The findings are: A review of the facility policy Centers Healthcare Policy CA-1 Abuse, revised February 2019, included a screening section that documented that All potential employees, contracts, and consultants who will have access to residents are screened for a history of abuse, neglect, or mistreating residents/patients during the hiring process. Screening will consist of, but not limited to, inquiries into the State Nurse Aide Registry. On 10/24/23 from 8:32 AM to 9:45 AM., newly hired employee files were provided to the surveyor for review and included the following: A Certified Nursing Assistant (CNA)…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-10-31 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review conducted during the Recertification Survey 10/23/23 to 10/31/23, it was determined that the facility did not ensure medications were stored in two (Unit two cart #2 and Unit three cart #1) of three medication carts reviewed and in one (Unit one) of two medication rooms reviewed in accordance with current State and Federal regulations. Specifically, multiple loose and unlabeled pills were found in two medication carts, resident medications were not labeled or dated with open date on one cart and several bottles of expired medication were stored in one medication room. This is evidenced by the following: Review of the facility policy Medication Storage last revised January 2019 revealed that the facility will have medications stored in a manner that maintains the integrity of the product, ensures the safety of the residents, and is in accordance with Department of Health guidelines. During an observation on 10/26/23 at 11:00 AM Unit three medication cart #1 had multiple loose pills in the drawer of the medication cart that were not…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-10-31 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews and record review conducted during the Recertification Survey from 10/23/23 to 10/31/23, it was determined that for one (Resident #559) of four residents reviewed for dignity, the facility did not ensure the resident was treated with respect and dignity and care for the resident in a manner and environment that promotes enhancement of their quality of life. Specifically, staff did not provide privacy during care on multiple observations. This is evidenced by the following: Resident #559 had diagnoses which included chronic obstructive pulmonary disease (a chronic lung disease that causes difficulty breathing), a right leg amputation and Alzheimer's Disease. In a progress note dated 10/11/23 the Social Worker documented that the resident had moderate impairment of cognitive function. A review of the current Comprehensive Care Plan revealed that Resident #559 required partial to substantial assist for activities of daily living. During an observation on 10/24/23 at 9:18 AM, Resident #559 was observed receiving personal care from Certified Nurse…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-10-31 · tag F0636 — isolated
    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 interviews and record reviews conducted during the Recertification Survey 10/23/23 to 10/31/23, it was determined for 3 (Residents #7, #92, and #559) of 24 residents reviewed for Minimum Data Set (MDS) Assessments (a resident assessment tool completed, at a minimum, after admission to a facility to identify resident specific areas that require care planning for each resident), the facility did not ensure that residents had the required Comprehensive admission Assessment including the Care Areas Assessments (CAAs) conducted within 14 days following admission per the regulatory timeframes using the Centers for Medicare & Medicaid Services specified Resident Assessment Instrument (RAI) process. Specifically, Residents #7, 92, and #559 did not have their Comprehensive admission Assessments completed within 14 calendar days of admission. The finding is: 1. Resident #559 was admitted to the facility on [DATE] with diagnoses including COVID-19, altered mental status and a right leg amputation. The resident's…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-10-31 · 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 observations, interviews, and record review during the Recertification Survey 10/23/23 to 10/31/23, it was determined that for 1 (Resident #99) of 13 residents reviewed for activities of daily living (ADLs) the facility did not ensure a dependent resident received the assistance needed with their ADLs. Specifically, the facility did not assist the resident with meal set up. This is evidenced by the following: Resident #99 had a diagnosis of stroke, expressive aphasia (difficulty speaking and affecting communication), and left sided hemiplegia (paralysis on one side of the body). The Minimum Data Set assessment dated [DATE] included that Resident #99 required set up assist for meals. Therapy recommendations dated 8/30/23 included the resident required assist to set up their meals and open beverages as the resident was unable to. Review of the Comprehensive Care Plan dated 9/18/23 and current [NAME] (care plan used by the Certified Nursing Aides (CNAs) for daily care) revealed that Resident #99 needed…

    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 · D2023-10-31 · tag F0805 — failed to prepare food in a form residents can eat — isolated
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during the Recertification Survey 10/23/23 to 10/31/23, it was determined for 1 (Resident #84) of 15 residents reviewed for dining the facility did not ensure that food was prepared in a consistency to meet the residents needs per the physician order and the resident's care plan. Specifically, Resident #84 was on a ground/minced/moist diet and was food inconsistent with their diet orders and unable to eat. This is evidenced by the following: The facility policy Modified Food Consistency, revised April 2020, documented the food and nutrition services department will be responsible for preparing and serving the diet texture as ordered and that food consistency changes should not be made without a written order. Resident #84 had diagnoses including dysphagia (difficulty swallowing), aspiration (accidentally inhaling food into the lungs) pneumonia and diabetes. The Minimum Data Set (MDS) Assessment, dated 7/12/23, revealed the resident had moderately…

    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 · Ecited before2021-10-26 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during the Recertification Survey completed on 10/26/21 it was determined that for three (first, second, and third floors) of three resident use floors, the facility did not provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior. Specifically, wall tiles were missing in bathrooms, sections of walls were in disrepair, baseboard coving was missing, exhaust ventilation was not working, the lower parts of corridor walls were brown with residue, sinks were damaged, and ceiling tiles were dirty and broken. The findings are: 1. Observations on 10/20/21 from 8:52 a.m. to 1:06 p.m. revealed: a) One-half of a ceiling tile above the microwave next to the kitchen tray line was broken off. When interviewed at this time, the Food Service Director stated when it rained about one month ago, the tile broke off and maintenance needs to replace the tile. b) There were dirty and dusty ceiling tiles 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2021-10-26 · tag F0925 — failed to control pests — pattern
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during the Recertification Survey completed on 10/26/21, it was determined that for three (first, second, and third floors) of three resident use floors, the facility did not maintain an effective pest control program. Specifically, house flies and drain flies were present throughout in the facility. The findings are: 1. Observations on 10/20/21 at 9:07 a.m. revealed dozens of small brown drain flies on the walls and in the air located in the dish room of the main kitchen. In an interview at this time, the Food Service Director stated that the flies have been a problem since they've worked there. 2. When interviewed on 10/20/21 at 10:15 a.m., Resident #19 stated that there are too many flies in their room. Observations in the room revealed more than a dozen houseflies on the curtains, in the bathrooms, on the walls, and in the air. 3. Observations on 10/20/21 at 1:08 p.m. revealed a significant amount of small brown drain flies present 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-10-26 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record reviews conducted during the Recertification Survey completed on 10/26/21, it was determined that for one (Resident #50) of one resident reviewed the facility did not ensure the resident's right to personal privacy, including personal care. Specifically, staff were observed giving personal care to the resident through the resident's window that was accessible to the public. This is evidenced by the following: The facility policy Quality of life/Dignity, dated September 2014, documented that staff shall promote, maintain, and protect resident privacy, including bodily privacy during assistance with personal care and during treatment procedures. Resident #50 had diagnoses including legal blindness, cellulitis (infection in the skin and underlying tissue) and kidney failure. The Minimum Data Set Assessment, dated 8/28/21, revealed that the resident was cognitively intact, required extensive assist to total dependence of two staff members for personal hygiene and bathing, and was always incontinent of urine and stool. During an observation…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-10-26 · 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 observations, interviews and record reviews conducted during the Recertification Survey and complaint investigations (#NY00277949, #NY00277458 and # NY00282915) it was determined that for 1 (Resident #13) of nine residents reviewed the facility did not provide the necessary services to maintain good grooming and personal hygiene. The issues involved the lack of incontinence care. This is evidenced by the following: Resident #13 had diagnoses including metabolic encephalopathy (brain injury or disease), dementia, and unspecified intellectual disabilities. The Minimum Data Set Assessment, dated 4/29/21, revealed the resident was moderately impaired cognitively and required the extensive assistance of two staff members for personal hygiene. The current Comprehensive Care Plan and the bedside [NAME] (care plan used by the Certified Nursing Assistant (CNA) to provide daily care), revealed that Resident #13 required the assistance of two staff members for personal hygiene, is incontinent of bladder and bowel…

    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
  • No harm found · B2025-01-14 · tag F0732 — pattern
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record reviews conducted during a Recertification Survey from 01/06/2025 to 01/14/2025, the facility did not ensure the daily nurse staffing information was posted on a daily basis. Specifically, the nursing staff information was not posted daily at the beginning of each shift during the survey, the information on the form was not updated to reveal current staffing changes, and the facility did not maintain the daily nursing staffing data for a minimum of 18 months. This is evidenced by the following: During observations on 01/06/2025 at 12:12 PM and 3:03 PM, 01/07/2025 at 11:24 AM and 4:17 PM, and 01/08/2025 at 8:29 AM, the daily nurse staffing information was not posted. During an interview on 01/08/2025 at 11:22 AM, the Director of Human Resources stated they are responsible for completing and posting the daily nurse staffing information. They stated daily nurse staffing information was completed for all shifts in the morning and posted, but was not updated to reflect any changes in staffing at any point during the day. Weekend daily nurse…

    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

“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

$9,315 in federal fines across 1 penalty.

  • $9,315 — penalty dated 2023-10-31

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to CENTERS HEALTH CARE — 36 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 1 of 52.2-1.2 vs chain
Health inspection 1 of 52.1-1.1 vs chain
Staffing 1 of 52.1-1.1 vs chain
Quality measures 3 of 53.8-0.8 vs chain
The other 35 homes this chain runs (chain average 2.2★, per CMS)
1 of 5Buffalo Center For Rehabilitation And NursingBuffalo, NY 1 of 5Carthage Center For Rehabilitation And NursingCarthage, NY 1 of 5Delmar Center For Rehabilitation And NursingDelmar, NY 1 of 5Ellicott Center For Rehabilitation And NursingBuffalo, NY 1 of 5Granville Center For Rehabilitation And NursingGranville, NY 1 of 5Hammonton Center for Rehabilitation and HealthcareHammonton, NJ 1 of 5Hope Center for HIV and Nursing CareBronx, NY 1 of 5Oneida Center For Rehabilitation And NursingUtica, NY 1 of 5Onondaga Center for Rehabilitation and NursingMinoa, NY 1 of 5Ontario Center for Rehabilitation and HealthcareCanandaigua, NY 2 of 5Boro Park Center for Rehabilitation and HealthcareBrooklyn, NY 2 of 5Brooklyn Center for Rehabilitation and ResidentialBrooklyn, NY 2 of 5Deptford Center for Rehabilitation and HealthcareDeptford, NJ 2 of 5Fulton Center For Rehabilitation And HealthcareGloversville, NY 2 of 5Holliswood Center for Rehabilitation and HealthcarHollis, NY 2 of 5Martine Center For Rehabilitation And NursingWhite Plains, NY 2 of 5New Paltz Center For Rehabilitation And NursingNew Paltz, NY 2 of 5Richmond Center for Rehabilitation and Specialty HStaten Island, NY 2 of 5Schenectady Center For Rehabilitation And NursingSchenectady, NY 2 of 5Triboro Center for Rehabilitation and NursingBronx, NY 2 of 5Troy Center For Rehabilitation And NursingTroy, NY 2 of 5Warren Center For Rehabilitation And NursingQueensbury, NY 3 of 5Beth Abraham Center for Rehabilitation and NursingBronx, NY 3 of 5Bronx Center For Rehabilitation & Health CareBronx, NY 3 of 5Bushwick Center for Rehabilitation and Health CareBrooklyn, NY 3 of 5Cooperstown Center For Rehabilitation And NursingCooperstown, NY 3 of 5Essex Center For Rehabilitation And HealthcareElizabethtown, NY 3 of 5Glens Falls Center For Rehabilitation And NursingGlens Falls, NY 3 of 5Steuben Center for Rehabilitation and HealthcareBath, NY 3 of 5Washington Center For Rehab And HealthcareArgyle, NY 4 of 5Corning Center for Rehabilitation and HealthcareCorning, NY 4 of 5Far Rockaway Center for Rehabilitation and NursingFar Rockaway, NY 4 of 5University Center for Rehabilitation and NursingBronx, NY 4 of 5Williamsbridge Center For Rehabilitation And NrsgBronx, NY 5 of 5Slate Valley Center For Rehabilitation And NursingGranville, NY

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
ABRAMCHIK, AMIRIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; ADP OF THE SNF5%since 03/22/2021
GREENBERG, DAVIDIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST5%since 03/22/2021
ROZENBERG, KENNETHIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; MANAGING CONTROL - GOVERNING BODY90%since 01/01/2025
GOLDMAN, NATHANIndividualMANAGING CONTROL - GOVERNING BODYsince 01/01/2025
HENDRIX, HEIDIIndividualMANAGING CONTROL - GOVERNING BODYsince 01/01/2025
LANTZITSKY, AHARONIndividualMANAGING CONTROL - GOVERNING BODYsince 01/01/2025
LEVINSON-COVERT, SEANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/24/2025
PULCINO, TIFFANYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/23/2025

CMS files one row per role, so the 12 rows in the source record cover these 8 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.

$16.0M
Net patient revenuemost recent cost report
+3.8%
Operating marginrevenue minus expenses
$1.7M
Related-party expense11% of expenses
Who pays — share of resident-days
Medicaid 57%Medicare 13%Other / private 29%

This home reported $1.7M paid to related parties — landlords or management companies under common ownership — equal to about 11% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$354per resident / day
operating cost
$10,752per month
≈ monthly operating cost
$368per 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 335556. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-01-14, 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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