Waterview Heights Rehabilitation and Nursing Cente

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

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.

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.

30.0% 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 54 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 18.4% 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 87 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 0.37 therapist hours per resident per day in 2026Q1 — more than 63% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 1% 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.

Staffing

How full it usually is: this home is certified for 229 beds and averages 189.9 residents a day — about 83% occupied, or roughly 39 beds typically open. It usually has some room. 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 3.51 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.56 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.02 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 2.82 hrs/resident/day on weekends vs 3.79 on weekdays — 26% thinner on weekends — a notable drop. RN hours go from 0.69 to 0.26 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 67% is well above the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

Inspection deficiencies

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

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.

86 citations, most serious first. The 34 most serious are shown; the remaining 52 are one tap away and print in full.

• Immediate jeopardy · Kcited before2025-12-22 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice that met each resident's physical, mental, and psychosocial needs for six (6) of 21 residents (Residents #33, #42, #90, #179, #204, and #209) reviewed. Specifically,-Resident #209 returned from the emergency department on 10/01/2025 and there was no documented evidence the resident was assessed and their treatment in the emergency department was reviewed upon return, or the physician was made aware of their return. Subsequently, the resident was hospitalized on [DATE] for an untreated, worsening urinary tract infection. -Resident #42 returned from the hospital on [DATE] and was not started on an antibiotic per hospital discharge recommendations until 11/07/2025. Additionally, hospital recommendations for a basic metabolic panel (a lab that checks for fluid balance and metabolism) in one (1) week was not completed. Subsequently, the resident was…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Kcited before2025-12-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews conducted during the survey, the facility failed to ensure adequate supervision to prevent accidents for three (3) of seven (7) residents (Resident #34, #44, and #100) reviewed. Specifically:-Resident #100 who was cognitively impaired and wore a wander alert device, left the faciity on [DATE] undetected, and attempted to enter staff vehicles in the parking lot. The resident was not provided 30-minute checks as ordered following the incident. The elopement was not reported to the New York State Department of Health as required. Additionally, the resident was observed attempting to exit through stairwell doors without their wander alert device alarming; and staff were observed silencing the wander alert alarm without checking the area for residents. -Resident #34 was at risk for falls, had an unwitnessed fall on 11/13/2025 resulting in a scalp laceration and neurological checks were not completed following the fall. Additionally, the resident was observed 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Lcited before2025-05-09 · tag F0675 — failed to support quality of life — widespread
  Honor each resident's preferences, choices, values and beliefs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review conducted during the Extended Recertification Survey from 03/09/2025 to 05/09/2025, the facility failed to provide an environment which supported and enhanced each resident's quality of life, which was the result of the cumulative effect of noncompliance cited for abuse/neglect, incontinence care, quality of care, pressure ulcers, accident hazards, sufficient staffing, significant medication errors, and infection prevention and control. This noncompliance was found to be pervasive and created an environment reflecting a complete disregard of one or more residents' well-being and quality of life, which has caused or is likely to cause serious harm that is Immediate Jeopardy, related to one or more residents' self-worth, self-esteem, and well-being. On 05/09/2025 the survey team identified and declared Immediate Jeopardy and the facility Administrator was notified at 2:03 PM. The findings include: For additional information see Centers for Medicare/Medicaid Services Form 2567: F689 - Free of Accident Hazards/Supervision/Devices…

  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
• Immediate jeopardy · Lcited before2025-05-09 · 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 observations, interviews and record review conducted during the Extended Recertification Survey and complaint investigations (NY00372404, NY00372850, NY00364319, & NY00372698) from 03/09/2025 to 05/09/2025, the facility failed to ensure sufficient nursing staff to provide nursing services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for residents in the facility (Units South One, South 2, South 3, North One, North Two, [NAME] One and [NAME] Two). Specifically, there was insufficient staff to meet all resident needs including showers, assistance with eating, toileting, personal hygiene, and receiving medications as ordered by the medical team due to lack of licensed nurses and certified nursing assistants. On 04/23/2025 the survey team identified and declared Immediate Jeopardy. The facility's failure to provide adequate staff to provide activities of daily living care, adequate supervision to those on aspiration precautions, and administer medications…

  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
• Immediate jeopardy · Lcited before2025-05-09 · 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 conducted during the Extended Recertification Survey and complaint investigations (NY00372404, NY00372850, NY00371489, and NY00372698) from 03/09/2025 to 05/09/2025, for four (4) (Residents #3, #32, #111, #459) of nine (9) residents reviewed, the facility failed to ensure that residents were free of significant medication errors. Specifically, there was no documented evidence that the residents received multiple significant medications over the course of several days including but not limited to insulin, antihypertensives (used to treat high blood pressure), antiplatelets (used to prevent blood platelets from forming clots), antidepressants, antipsychotics, antibiotics, antirejection medication (used for kidney transplants) and a medication used to treat kidney disease in dialysis patients. Additionally, review of full-house Medication Administration Audit Reports revealed no documented evidence that 193 residents had received multiple medications on multiple…

  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
• Immediate jeopardy · Lcited before2025-05-09 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews conducted during an Extended Recertification Survey from [DATE] to [DATE], the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and help prevent the development and transmission of communicable diseases and infections for three (3) (Residents #82, #148, and #459) of 10 residents reviewed and one (1) of one (1) facility potable water systems (the collection, treatment, storage, and distribution of safe drinking water). Specifically, Issue one (1) includes: The facility failed to 1) provide further testing for Legionnaires' disease for residents diagnosed with pneumonia, 2) to ensure short-term water disinfection control measures were implemented for the potable water system after receipt of samples testing positive for Legionella, and 3) to report potable water system samples exceeding greater than 30% positivity for Legionella to the New York State Department of Health,…

  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 · Past Non-Compliance
• Immediate jeopardy · Kcited before2025-05-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during an Extended Recertification Survey from 03/09/2025 to 05/09/2025, the facility failed to ensure that the residents' environment remained as free of accident hazards as possible, and that each resident received adequate supervision and assistive devices to prevent accidents for five (5) (Residents #4, #11, #83, #461 and #508) of five (5) residents reviewed for accidents and five (5) (West One, [NAME] Two, North First Floor, North Two, and South Three) of seven (7) resident areas observed for accident hazards. Specifically, the facility failed to ensure the residents, who were on aspiration precautions (precautionary steps taken by the facility to prevent inhalation of food or drink into the lungs due to swallowing difficulties), received adequate supervision and/or assistance during meals. Additionally, Resident #461 was observed with the incorrect liquid consistency as ordered by the provider (to prevent choking). This resulted in a pattern of…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Lcited before2024-09-17 · tag F0761 — failed to label and store drugs safely — widespread
  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 reviews conducted during the extended Recertification Survey from 07/08/2024 to 09/17/2024, the facility did not ensure that all drugs and biologicals in the facility were properly stored in accordance with State and Federal Laws for eight (West Two Long Hall, South One Short Hall, North One Unit, North Two Unit, South Two Long Hall, South Two Short Hall, South Three Short Hall and South Three Long Hall) of nine medication carts and three (South One, North One, and [NAME] One) of four medication rooms reviewed. Specifically, medication carts contained expired medications, medications with no resident identifiers on them, open food for staff use, a medication with no pharmacy or manufacturer label, opened insulin pens that were in use and undated, and medications stored in containers with the wrong resident identifiers. Medication rooms contained expired medications and controlled medications that were not secured with two locks. Additionally, facility staff members did not follow the facilities medication storage policy or procedure.…

  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
• Immediate jeopardy · Lcited before2024-09-17 · tag F0837 — widespread
  Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review conducted during the extended Recertification Survey from 07/08/2024 to 09/17/2024, it was determined that the facility and governing body failed to assure that the resident received appropriate quality of care by allowing the following deficient practices to exist putting the resident at risk for harm and serious injury: F550, F600, F677, F686, F760, F761, and F837. Specifically, there was inconsistent communication with the facility Administrator to ensure management of the facility and regulatory compliance. Multiple deficiencies were identified during the Recertification Survey and extended survey, including but not limited to, Immediate Jeopardy, Harm, Substandard Quality of Care, and multiple repeat deficiencies. This resulted in the likelihood of serious injury, serious harm, or death for all the residents in the facility (census 205) that was Immediate Jeopardy. This is evidenced by, but not limited to, the following: For additional information see Centers for Medicare/Medicaid Services Form 2567, refer to F550 (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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Kcited before2024-09-17 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, observations, and record reviews conducted during the extended Recertification Survey and complaint investigation (#NY00341657) from 07/08/2024 to 09/17/2024, the facility failed to ensure residents right to be free from abuse, mistreatment, or neglect for seven (Residents #70, #92, #106, #134, #140, #177, and #182) of eight residents reviewed for abuse. Specifically, for Residents #92, #134, #177, and #182, the facility did not implement interventions to protect the residents from sexual abuse. For Resident #70 who had reported to several staff members, ongoing abuse from their roommate, the facility failed to investigate the allegations. For Resident #106, the facility did not ensure incontinence care was received in a timely manner when the resident was left soiled for several hours on multiple occasions. For Resident #140, the facility did not ensure clean bed linens were supplied and the resident was observed sleeping on a bare mattress. These issues resulted in the likelihood of…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Kcited beforedisputed · IDR2024-09-17 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
  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

  Based on observations, interviews, and record review conducted during the extended Recertification Survey from 07/08/2024 to 09/17/2024, the facility failed to 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 for one (Resident #106) of five residents reviewed. Specifically, the facility did not ensure that wound treatments recommended by the Wound Care Physician were accurately and timely transcribed and implemented, that wound treatments were provided as ordered, and Resident #106 was observed on several occasions with lack of incontinence care. These issues resulted in the potential likelihood of serious injury for all the residents in the facility (census 216) that was Immediate Jeopardy. Review of the facility policy, Prevention of Pressure Ulcers/Injuries, dated January 2024, included to keep skin clean and free of exposure to urine and fecal matter, and to wash the skin after any…

  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
• Immediate jeopardy · Kcited before2024-09-17 · tag F0760 — failed to prevent significant medication errors — pattern
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record reviews conducted during the extended Recertification Survey and complaint investigation (#NY00343730) from 07/08/2024 to 09/17/2024, for 32 (Residents #4, #17, #19, #33, #36, #40, #42, #44, #56, #59, #60, #68, #80, #83, #84, #85, #90, #104, #107, #114, #116, #117, #133, #140, #164, #167, #168, #179, #190, #358, #359, and #614) of 46 residents reviewed, the facility failed to ensure the residents were free from significant medication errors. Specifically, Resident #359 was not administered their anti-anxiety and respiratory medications (not available) and was sent to the hospital the following day. Residents #33, #60, #68, and #140, did not receive significant medications that included insulin, anticoagulant (a blood thinner that prevents or reduces the clotting of blood), anti-seizure medication, and anti-hypertensive (medication for high blood pressure) on 07/04/2024 and 07/05/2024 as prescribed due to nurse staffing concerns. Resident #83, who was prescribed an antibiotic for seven days received an extra dose of the medication 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Actual harm · Icited before2025-12-22 · tag F0675 — failed to support quality of life — widespread
  Honor each resident's preferences, choices, values and beliefs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and interviews conducted during the survey, the facility failed to provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, consistent with the resident's comprehensive assessment and plan of care resulting from the cumulative effect of noncompliance cited for F684 Quality of Care, F677 Activities of Daily Living, F689 Accident Hazards, F865 Quality Assurance and Performance, and for 242 of 242 residents residing in the facility. This noncompliance was found to be widespread and created an environment reflecting pervasive disregard for one (1) or more residents' well-being and quality of life, which caused or was likely to cause serious injury, harm, impairment or death that was Immediate Jeopardy and Substandard Quality of Care. Findings include:F684 - Quality of CareWhen Resident's #33, #42, #90, #179, #204, and #209 returned from a hospital or emergency department visit, nursing did not assess the residents, the physician was not made aware, and hospital…

  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
• Actual harm · G2025-12-22 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review conducted during the survey, the facility failed to ensure the interdisciplinary team determined a resident's ability to self-administer medications was clinically appropriate for one (1) of one (1) resident (Resident #147) reviewed. Specifically, Resident #147 had expired and/or discontinued medications and used insulin needles in their room.Findings include: The facility policy Self- Administration of Medications dated 01/2025, documented residents had the right to self-administer medications if the interdisciplinary team determined that it is clinically appropriate for the resident to do so. Self-administered medications must be stored in a safe and secure place, which is not accessible by another resident. If safe storage is not possible in the resident's room, the medications of the resident permitted to self-administer would be stored on a central medication cart or in the medication room. Nursing would transfer the unopened medication to the resident when the resident requested them. Resident #147 had diagnoses including…

  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 · Gcited before2025-12-22 · 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

  Based on observations, record review, and interviews the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain grooming and personal hygiene for one (1) of seven (7) residents (Resident #132) reviewed. Specifically, Resident #132 was not assisted with showering, incontinence care, removal of facial hair, and getting out of bed as planned. Additionally, staff documented care was completed when it was not. The lack of regular and consistent care resulted in psychosocial harm to Resident #132 that was not Immediate Jeopardy. Findings include: The facility policy Resident Care with Activities of Daily Living (ADLs) reviewed 01/2025, documented residents were accurately assisted with support for basic activities of daily living. The resident's care plan was reviewed to assess for any special needs of the resident. The date and time care was provided was documented in the resident's activities of daily living and/or in the resident's medical record. Any refusals were reported to the supervisor. The facility…

  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
• Actual harm · Gcited before2025-12-22 · 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

  Based on record review, observations, and interviews the facility failed to ensure residents received care consistent with professional standards of practice to prevent pressure ulcers and wound care for one (1) of six (6) residents (Resident #10) reviewed. Specifically, Resident #10 had a leg immobilizer that was not removed for skin checks that resulted in an unstageable pressure ulcer. This resulted in actual harm to Resident #10 that was not Immediate Jeopardy.Findings included:The facility policy Prevention of Pressure Ulcers/Injuries, revised 01/2025 documented comprehensive skin assessment were done on admission and included areas of impaired circulation due to pressure from positioning or medical devices and skin would be checked daily during care. Support surfaces were selected as appropriate based on the resident's mobility, continence, skin moisture and perfusion, body size, weight, and overall risk factors.The facility policy Wound Care revised 01/2025 documented gloves were worn to remove old dressings, removed and hands washed and dried before putting on new gloves;…

  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
• Actual harm · G2025-12-22 · 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 and interviews the facility failed to ensure residents maintained acceptable parameters of nutritional status for one (1) of one (1) Resident (Resident #34) reviewed. Specifically, Resident #34 who had a history of abnormal weight loss and dysphagia (difficulty swallowing) had significant weight loss and weekly weights were not obtained per the registered dietitian's recommendations. This resulted in harm to Resident #34 that was not Immediate Jeopardy. Findings include:The facility policy Nutritional Assessment, revised 01/2025 documented the dietitian would complete a nutritional assessment for changes in condition that placed a resident at risk for impaired nutrition. A care plan would be developed to minimize the resident's risks for nutritional complications.The facility policy Weight Assessment and Interventions, revised 01/2025 documented nursing staff measured resident weights on admission, the day after admission, then weekly for two (2) weeks. Any weight change of 5% or more since the last weight assessment would be retaken the next day for…

  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
• Actual harm · G2025-12-22 · tag F0840 — isolated
  Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and interviews during the survey, the facility failed to provide specific services outside the facility when they did not employ a qualified professional to furnish the specific service for one (1) of four (4) residents (Resident #17) reviewed. Specifically, Resident #17 was not provided with neurology follow up appoints as recommended. This resulted in harm to Resident #17 that was not Immediate Jeopardy. Findings include: The facility policy, Consultations, last reviewed 01/2025 documented the facility was responsible to provide residents with specific services that were not provided by in-house medical providers. The facility was to facilitate the services in a timely manner to ensure the resident did not suffer ill effects from the delayed service. Resident #17 had diagnoses including sciatica (pain caused by compression of the sciatic nerve) and liver disease. The 09/06/2025 Minimum Data Set assessment documented the resident had intact cognition, was independent with most activities of daily living, received scheduled pain medications, 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 date of correction
• Actual harm · Icited before2025-05-09 · tag F0600 — failed to protect residents from abuse and neglect — widespread
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review conducted during an Extended Recertification Survey from 03/09/2025 to 05/09/2025, for 13 (Residents #3, #4, #11, #32, #62, #83, #111, #148, #158, #178, #459, #461, #508) of 13 residents reviewed, the facility failed to ensure that residents were free from neglect when it failed to provide the required structures and processes in order to meet the needs of one or more residents. Specifically, the facility failed to ensure sufficient nursing staff to provide nursing services to meet the residents' needs including showers, assistance with eating, toileting, personal hygiene, skin care, application of devices to prevent loss of range of motion, receiving medications as ordered by the medical team and supervision of residents on aspiration precautions to prevent choking. For Resident #178, who was observed on several occasions not wearing recommended hand splints resulting in lost range of motion to their hands, which resulted in actual harm, that was not immediate jeopardy. For Resident #158 who was observed incontinent for extended…

  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
• Actual harm · Gcited before2025-05-09 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews and record review conducted during an Extended Recertification Survey and complaint investigation (NY00372698) from 03/09/2025 to 05/09/2025, the facility failed to ensure that all residents received treatment and care in accordance with professional standards of practice for 2 (Residents #178 and #459) of 41 residents reviewed. Specifically, Resident #178 was observed on several occasions not wearing custom-made hand splints as recommended by Occupational Therapy to maintain range of motion, resulting in lost range of motion to their hands. Resident #459 did not have orders for care of their nephrostomy tube (tube inserted directly into the kidney through the skin to drain urine) for an extended period of time. This resulted in actual harm to Resident #178 that was not immediate jeopardy. The findings include: 1. Resident #178 had diagnoses including rheumatoid arthritis, spinal stenosis and a history of repeated falls. The Minimum Data Set (a resident assessment tool) dated…

  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
• Actual harm · Gcited before2025-05-09 · 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 observation, interviews and record review conducted during the Extended Recertification Survey and complaint investigation (NY00372404) from 03/09/2025 to 05/09/2025, the facility did not ensure that a resident with pressure ulcers received necessary treatment and services consistent with professional standards of practice to promote healing, prevent infection, and prevent new ulcers from developing for one (1) (Resident #158) of six (6) residents reviewed. Specifically, Resident #158 was identified by staff to have skin breakdown to their buttocks on 03/14/2025. There was no documented evidence that a medical provider was notified, or treatments initiated, until three days later. This resulted in actual harm to Resident #158 that was not Immediate Jeopardy. The finding includes: The facility policy Prevention of Pressure Ulcers/Injuries dated January 2025, documented for staff to inspect the skin on a daily basis when performing or assisting with personal care or activities of daily living. Identify…

  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
• Actual harm · Icited beforedisputed · IDR2024-09-17 · tag F0550 — failed to protect resident dignity and rights — widespread
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during the extended Recertification Survey and complaint investigation (#NY00343916) from 07/08/2024 to 09/17/2024, for five (Resident #55, #92 #106, #140, and Resident #457) of seven residents reviewed, the facility did not ensure that the residents were treated in a respectful and dignified manner. Specifically, Resident #55 was observed in the dining room wearing only a t-shirt and an incontinence brief. Resident #92 was observed to be asleep in their bed and the bed was bare, with no sheets in place. Resident #106 was observed laying on a urine soiled incontinence pad. Resident #140 was observed lying on a mattress without sheets. Resident #457 was observed lying on wet linens over an extended period of time. Additionally, there were multiple observations of residents using paper plates and plastic utensils for meals. This was evidenced by the following: Review of the facility policy, Quality of Life-Dignity, dated January 2024, documented 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 Rights Deficiencies · Deficient, Provider has date of correction
• Actual harm · Icited before2024-09-17 · 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

  Based on observations, interviews, and record review conducted during the extended Recertification Survey from 07/08/2024 to 09/17/2024, for six (South 1, South 2, South 3, North 1, North 2, and [NAME] 2) of seven resident units, the facility did not ensure sufficient staffing to provide nursing services to attain or maintain the highest practical physical, mental, and psychosocial well-being for residents in the facility. Specifically, there were several observations of residents who were incontinent and had not received timely assistance with care, and several residents had not received significant medications on 07/04/2024, 07/05/2024, and 07/29/2024 due to no nurse being available to administer the medications. This resulted in actual psychosocial harm to Resident #106 that was not immediate jeopardy. The findings included but not limited to the following: For additional information see Centers for Medicare/Medicaid Services Form 2567: F677 Activities of Daily Care Provided for Dependent Residents; F760 Residents Are Free of Significant Medication Errors. Review of the Facility…

  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
• Actual harm · Hcited before2024-09-17 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  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 extended Recertification Survey and complaint investigations (#s NY00339393, NY00343730, and NY00343916) from 07/08/2024 to 09/17/2024, for ten (Residents #69, #98, #106, #116, #122, #134, #140, #182, #456, and #457) of 13 residents reviewed, the facility did not ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene. Specifically, Resident #69 was lying in bed with no clothes on, there was a brown substance observed on their body, as well as, on the fitted sheet and the hospital gown that was underneath the resident's bottom. Resident #98 was in a wheelchair partially in the bathroom with their pants on the floor. There was stool on the floor near their bed and on the bed sheets with no staff in sight. Resident #106 was observed on several occasions with lack of incontinent care. Resident #116 was in bed and the incontinent pad underneath the…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-12-22 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews during the survey, the facility failed to ensure food was stored, prepared, distributed and served in accordance with professional standards for food service safety for one (1) of one (1) main kitchen. Specifically, the main kitchen was in disrepair, including cracked and uneven flooring, worn grout, damaged door thresholds, corroded plumbing, and broken shelving; personal items were stored with clean food service equipment; and food storage practices did not support the prevention of potential cross-contamination. Findings include:The facility policy Food Storage, last reviewed 01/2025, documented food was to be stored in a manner that prevented contamination and cross-contamination, including storing raw animal foods on lower shelves and protecting food items during storage.The facility policy Food Safety, last reviewed 01/2025, documented kitchen environments and food service operations were to be maintained in a sanitary condition to prevent biological and physical food safety hazards, and unsanitary surfaces, equipment, or storage practices…

  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 · Fcited before2025-12-22 · 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

  Based on observations, record review, and interviews, the facility failed to ensure it was administered in a manner that enabled it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, administration failed to ensure residents received appropriate quality of care by allowing the following deficient practices to exist, placing residents at risk for serious injury, serious harm, serious impairment, or death: F689 Free of Accident Hazards and F684 Quality of Care. Administration failed to ensure policies and procedures were properly identified, communicated, and consistently implemented and were not aware of the extent of the deficient practices cited. Additionally, administration failed to ensure resident safety and attain the highest practicable physical, mental and psychosocial well-being leading to several deficient practices in the areas of: F677 Activities of Daily Living Care Provided for Dependent Residents, F686 Treatment and Services to Prevent/Heal Pressure…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-12-22 · tag F0865 — failed to run a quality-improvement (QAPI) program — widespread
  Have a plan that describes the process for conducting QAPI and QAA activities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review conducted during the survey, the facility failed to ensure a Quality Assurance and Performance Improvement (QAPI) program that put forth good faith attempts to develop, implement, and maintain an appropriate plan of action to address identified issues that impacted resident safety or ensured corrective actions were set around safety, quality, rights, choice and respect. Specifically, the facility did not implement and maintain the approved plans of correction from the Extended Recertification Survey dated 05/09/2025 for Resident Rights/Exercise of Rights (F550), Safe/Clean/Comfortable/Homelike Environment (F584), Quality of Life (F675) ADL Care Provided for Dependent Residents (F677), Quality of Care (F684), Treatment/Services to Prevent/Heal Pressure Ulcers (F686), Free of Accident Hazards/Supervision/Devices (F689), Dialysis (F698), Nutritive Value/Appear, Palatable/Prefer Temp (F804) and Food Procurement, Store/Prepare/Serve- Sanitary (F812), Administration (F835) QAPI Program/Plan, Disclosure/Good Faith Attempt (F865) 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 date of correction
• Potential for harm · Fcited before2025-12-22 · tag F0880 — failed to prevent and control infections — widespread
  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 observations, record review, and interviews, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for six (6) of six (6) residents (Residents #10, #188, #192, #77, #217 and #17) reviewed and five (5) of ten (10) staff (Certified Nurse Aides #62 and #91, Registered Nurse Manager #38, and Licensed Practical Nurses #35 and #71) reviewed for influenza vaccination.Specifically:-Resident #10 had an unstageable pressure ulcer to the left ankle and was on enhanced barrier precautions. Licensed Practical Nurse #39 was observed performing wound care using inappropriate infection control practices including lack of proper hand hygiene and glove use, insufficient personal protective equipment and use of unclean scissors.- Residents #188 and #192 tested positive for COVID-19 and did not have transmission-based precaution (droplet precautions) signage posted outside their rooms and staff were…

  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 · F2025-12-22 · tag F0925 — failed to control pests — widespread
  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

  Based on observations, record review, and interviews, the facility failed to maintain an effective pest control program so that the facility was free of pests for one (1) of one (1) main kitchen reviewed. Specifically, there was evidence of roaches in the main kitchen. Findings Include:The facility policy Pest Control, reviewed 03/2026, documented the facility would implement a continuing and effective pest control prevention and monitoring program to maintain the facility as pest and rodent free as possible.The third-party vendor pest control customer service reports documented the following:-On 02/12/2026, a liquid preventive and a dust bait were applied by the dishwasher area and joining wall bathroom and a recommendation was made for an after-hour escalation treatment.-On 02/16/2026, a treatment for German roaches was applied in the kitchen; moderate activity was seen with heavy activity noted underneath the garbage disposal by the dishwasher; the area where the hole in the wall was, had been the focus problem. Recommendations included floor fans to keep the area as dry as…

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

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-12-22 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews the facility did not ensure residents had the right to a dignified existence in a manner and an environment that promoted the maintenance or enhancement of quality of life for two (2) of five (5) residents (Residents #8 and #5) and for 5 of eight (8) resident rooms (201B, 202A, 202B, 209 and 324B) reviewed. Specifically, Residents #8 and #5 were observed on multiple occasions being transported in their padded reclining wheelchair facing backwards on multiple occasions and rooms 201B, 202A, 202B, 209 and 324B were not clean, sanitary and homelike. Findings include:The facility policy, Quality of Life-Dignity, last reviewed 01/2023, documented each resident should be cared for in a manner that promoted and enhanced quality of life, dignity, respect, and individuality. Staff should keep the resident informed and oriented to their environment. Procedures should be explained before being performed and residents would be told in advance if they were going to be…

  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 before2025-12-22 · 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, record review, and interviews the facility failed to ensure residents resided in a safe, clean, sanitary, and homelike environment for eight (8) resident rooms (rooms 102 A, 105, 116, 201 B, 202 A, 202 B, 209, and 324 B) and four (4) of six (6) resident units (North 1, [NAME] 1, South 1, and South 2) reviewed.Findings include: The facility policy Resident Rights revised 01/2025, documented residents were entitled to a safe, clean, comfortable, and homelike living environment.The facility policy Floors last reviewed 01/23/2025, documented floors were cleaned daily.The facility policy Linen Handling and Transport reviewed 01/2025, documented soiled linens were removed promptly, and clean linens were maintained free from contamination.The facility policy Cleaning and Disinfection of Resident-Care Items and Equipment reviewed 01/2025, documented resident-care items and equipment were cleaned, disinfected, and stored appropriately.On 12/02/2025, the following observations were made:At 12:01 PM…

  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 · E2025-12-22 · tag F0679 — failed to provide activities — pattern
  Provide activities to meet all resident's 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, record review, and interviews conducted during the survey, the facility failed to ensure residents were provided ongoing programs to support each resident in their choice of activities for three (3) of five (5) residents (Residents #9, #104, and #184) and on three (3) of seven (7) units (South 3, North 1 and [NAME] 1) reviewed. Specifically, Residents #9 and #104 were not invited or assisted to meaningful activities that included their interests and preferences; Resident #184 did not have a plan for meaningful activities that included their interests or preferences; there were no unit specific activities conducted on the South 3 unit from 12/02/2025 - 12/11/2025; the posted activity calendar on North 1 reflected the month of November; and the activity calendar on [NAME] 1 reflected the month of October.Findings include: The facility policy Activity Programs last reviewed 01/2025, documented activity programs were designed to meet the interests of and support the physical, mental, and…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-22 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews conducted during the survey, the facility failed to ensure alleged violations involving abuse and neglect were reported immediately to the State Agency in accordance with State Law for one (1) of one (1) resident (Resident #100) reviewed. Specifically, Resident #100 who was cognitively impaired and wore a wander alert device, eloped from the facility on 10/18/2025 and there was no documented evidence the incident was reported to the New York State Department of Health as required. Findings include: Refer to F 689 Free of Accident HazardsThe facility policy Accidents and Incidents-Investigating and Reporting last reviewed 01/2025 documented all accidents or incidents involving residents occurring on the facility premises shall be investigated and reported to the administrator. The policy did not include procedures for reporting of accidents and incidents to the New York State Department of Health. Resident #100 had diagnoses including dementia with psychotic disturbance and Parkinson's disease (a progressive neurological disorder). The 10/03/2025…

  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 · D2025-12-22 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  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 conducted during the survey, the facility failed to ensure that each resident was screened for a mental disorder or intellectual disability prior to admission for one (1) of one (1) resident (Resident #121) reviewed. Specifically, the Preadmission Screening and Resident Review (PASRR, New York State Department of Health Form 695) documented Resident #121 had a serious mental illness and the section for Level II referrals and Level II recommendations were not completed. Findings include: The facility policy PP Screen and PASRR last revised on 01/2025, documented all individuals applying for a new admission to the facility must be screened to identify serious mental illness or mental retardation/developmental disability per New York State Department of Health regulations. A screen is needed prior to admission to the facility for every person, for any length of stay. A resident who was previously identified as having mental illness, and/or mental retardation/developmental…

  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

“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.

“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.

Fines & penalties

$960,884 in federal fines across 3 penalties. 1 Medicare payment denial on record.

• $460,490 — penalty dated 2025-12-22
• $185,840 — penalty dated 2025-05-09
• $314,554 — penalty dated 2024-09-17
• Medicare payment denial — starting 2026-02-14 for 102 days

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.

Who owns this facility

CMS files one row per role, so the 4 rows in the source record cover these 2 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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

Follow the money — this home’s finances

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

About 74% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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