Betsy Ross Rehabilitation Center, INC
1 Elsie Street, Rome, NY 13440 · For profit - Corporation · 120 certified beds · (315) 339-2220 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a middle-of-the-pack inspection score (3/5)
- it has 1 actual-harm citation
- a high number of inspection citations overall (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $32,254 in federal fines (most recent 2024-02-29)
- its payroll-based staffing rating is low (1/5)
- its facility-reported quality-measure rating is low (1/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 1 of 5 |
| Quality measuresSelf-reported by the facility | 1 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 1 of 5 |
| Long-stay residentspeople who live here | 2 of 5 |
| Short-stay residentsrehab / post-hospital | 1 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 14.9% | 14.1% | 15.4% | typical |
| Long-stay residents who lose too much weight | 6.3% | 5.8% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.5% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 1.1% | 1.3% | 2.0% | better |
| Long-stay residents with depressive symptoms | 1.4% | 19.5% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better |
| Long-stay residents with falls causing major injury | 3.6% | 3.1% | 3.3% | typical |
| Long-stay residents whose ability to walk worsened | 18.2% | 12.5% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 14.0% | 13.2% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 98.0% | 95.3% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 5.2% | 6.5% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 22.9% | 19.5% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 23.5% | 13.7% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 1.4% | 1.2% | 1.4% | typical |
| Short-stay residents given the seasonal flu vaccine | 62.1% | 78.8% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 30.6% | 20.6% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 25.9% | 9.6% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 2.69 | 1.70 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 4.30 | 1.36 | 1.80 | worse |
‡ 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.
42.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 95 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 32.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 52 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 7% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 42.2%CMS range 32.8–54.0 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 12.6%CMS range 9.0–17.5 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 32.7% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 25.0% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 32.7% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.8% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 2.4% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.9%CMS range 4.7–14.0 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.21 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 120 beds and averages 111.4 residents a day — about 93% occupied, or roughly 9 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.38 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.33 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.06 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 3.02 hrs/resident/day on weekends vs 3.53 on weekdays — 14% thinner on weekends. RN hours go from 0.38 to 0.19 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 55% is about the same as the national median of 45%. 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
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.
23 citations, most serious first. The 11 most serious are shown; the remaining 12 are one tap away and print in full.
- Actual harm · Gcited before2024-02-29 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview during the abbreviated survey (NY00321876), the facility did not provide an environment free of hazards or adequate supervision to prevent accidents for 1 of 3 residents reviewed (Resident #1). Specifically, Resident #1 sustained a burn to their right foot when unit helper #1 transported them in their wheelchair with a carafe of hot coffee resting between their feet. Additionally, after the resident sustained the burn, licensed practical nurse #2 applied toothpaste to the burn without a physician's order. This resulted in actual harm of a second-degree burn (partial thickness skin damage with blistering) to Resident #1 that was not Immediate Jeopardy. Findings include: The 7/2019 Safety and Supervision policy documented the facility strived to make the environment as free from accident hazards as possible. Resident safety, supervision, and assistance to prevent accidents were facility-wide priorities. The Safety of Hot Liquids policy dated 2019 documented residents were to be evaluated for safety concerns and potential for injury…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-03-17 · tag F0880 — failed to prevent and control infections — isolatedProvide 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 one (1) of one (3) resident (Resident #5) reviewed. Specifically, Resident #5 was diagnosed with COVID-19 and multiple staff were observed in Resident #5's room not wearing appropriate proper personal protective equipment and not performing hand hygiene upon exiting the room.Findings include:The facility policy COVID-19, last reviewed 12/15/2025, documented transmission-based precautions should be used when caring for residents who were documented or suspected to have communicable diseases or infections that can be transmitted to others. They would ensure adherence by staff to always choose proper personal protective equipment and dispose of it properly. Eye protection (i.e. goggle or a face shield that covers the front and sides of the face) worn during all resident care…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-06-30 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews during the recertification and abbreviated (NY00362225 and NY00365339) surveys conducted 6/24/2025-6/30/2025, the facility did not ensure a safe, clean, comfortable, and homelike environment for one (1) of two (2) resident units (Memory Care Unit). Specifically, the Memory Care Unit J, K, and L pods, had stained and sticky floors, unclean walls, and unclean shelving. Findings include: The facility policy Environmental Cleaning, Resident Equipment and COVID-19, revised 2/2025, documented the facility would ensure daily cleaning and disinfection of commonly touched environmental surfaces with disinfectant to decrease environmental contamination. The undated facility Monthly Room and Area Deep, Clean Sheet documented: - on Saturdays, all the shower rooms and common areas should be cleaned. - on Sundays, the kitchenette, small dining rooms and common areas should be cleaned. The following observations were made on the Memory Care Unit: - on 6/26/025 at 9:09 AM, a medication cart was parked outside of the K pod sitting room. The wall…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-06-30 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview during the recertification survey conducted 6/24/2025-6/30/2025, the facility did not develop and implement a comprehensive person-centered care plan that included measurable objectives and time frames to meet a resident's medical needs for one (1) of one (1) resident (Resident #52) reviewed. Specifically, Resident #52 was hospitalized for sepsis (system wide infection) and discharged to the facility with physician orders for antibiotics and their care plan was not reviewed and updated to include the recent diagnosis for infection and antibiotic usage. Findings include: The facility policy Care Plans- Baseline, last revised 6/2025, documented the comprehensive care plan would describe the services to be furnished to attain or maintain the resident's highest practicable physical, mental and psychosocial well-being. Additionally, the assessments of residents were ongoing, and care plans were revised as the information about the residents' condition changed.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-06-30 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the recertification and abbreviated (NY00372184) surveys conducted 6/24/2025 - 6/30/2025, the facility did not ensure residents received treatment and care in accordance with professional standards of practice for one (1) of two (2) residents (Resident #200) reviewed. Specifically, there was no documented evidence Resident #200 received an ordered enteral feeding (feeding provided through a tube in the stomach). Findings include: The facility policy Tube Feedings, revised 6/2025, documented the Registered Dietitian would evaluate the resident for enteral feedings and complete a Tube Feeding Prescription Form. A new form would be prepared for each change. It was the responsibility of the nursing department to follow the prescriptions. Enteral nutrition was provided as ordered. Enteral nutrition was provided consistent with current standards of practice. Nursing would confirm orders for enteral nutrition were completed. The facility policy Administering…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-06-30 · tag F0698 — failed to provide proper dialysis care — isolatedProvide safe, appropriate dialysis care/services for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews during the recertification survey conducted 6/24/2025-6/30/2025, the facility did not ensure that residents who required dialysis (used to filter waste products from the blood) received such services consistent with professional standards of practice for one (1) of one (1) resident (Resident #75) reviewed. Specifically, Resident #75 received hemodialysis treatments at a community-based dialysis center and there was inconsistent communication between the facility and the dialysis center. Findings include: The 4/11/2024 facility document Nursing Facility Dialysis Agreement, documented emergency and non-emergency change in a resident's medical condition would be immediately communicated by the party having primary knowledge of the change to the other party. The facility policy Hemo-Dialysis - Resident Care, revised 6/2025, documented there would be on-going communication between the interdisciplinary team and the dialysis unit. The exchange of information required to care for the resident was provided through the use of the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-06-30 · tag F0700 — isolatedTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews during the recertification survey conducted 6/24/2025-6/30/2025, the facility did not review the risks and benefits of bed rails or obtain informed consent prior to the installation of bed rails with the resident or resident representative for one (1) of one (1) resident (Resident #19) reviewed. Specifically, for Resident #19 there was no documented evidence the risks and benefits of bed rail use were explained, consents were obtained prior to bed rail use, or a comprehensive care plan for the use of bed rails was initiated. Additionally, the facility did have documented evidence of inspections of bed frames, mattress, and bed rails as part of a regular maintenance program. Findings include: The 5/20/25 revised facility policy, Bed Side Rails, documented the facility's regular maintenance program would include regular inspections of all bed systems (e.g. rails, frames, mattresses, and operational components). The facility would conduct regular bed inspections, utilizing an interdisciplinary, team-based approach to risk…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-06-30 · tag F0804 — failed to serve food at safe, palatable temperature — isolatedEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations and interviews during the recertification survey conducted 6/24/2025-6/30/2025, the facility did not ensure residents were provided food and drink that was palatable, flavorful, and at an appetizing temperature for two (2) of (2) two meals reviewed (Lunch meals on 6/26/2025 and 6/27/2025). Specifically, food was not served at palatable and appetizing temperatures during the lunch meal on 6/26/2025 and 6/27/2025. Findings include: The facility policy Dietary- Food Handling Program, revised 10/2024, documented hot food was to be cooked and held for service and must maintain a temperature above 135 degrees Fahrenheit and checked every half hour prior to service. Cold foods must maintain a temperature colder than 40 degrees Fahrenheit. During an observation and interview on 6/24/2025 at 12:22 PM, Resident #76 was sitting in the J-pod common area with family. The family stated the food delivery was usually late, they had not tried the resident's food, and the food did not look appetizing. During an interview on 6/24/2025 at 2:18 PM, Resident #72 stated the food 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.
- Potential for harm · Ecited before2023-12-01 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview during the recertification survey conducted November 27, 2023, to December 1, 2023, the facility did not ensure residents had the right to a safe, clean, comfortable, and homelike environment for 2 of 2 resident Wings (Wings 1 and 2) reviewed. Specifically, hot water temperatures were measured above 120 degrees Fahrenheit in resident rooms on Wings 1 and 2; and multiple ceiling tiles and a wall with water damage were left uncorrected on Wings 1 and 2. Findings include: The facility policy Water Temperature Testing was requested on November 30, 2023. The policy provided was signed by the Administrator as reviewed on November 30, 2023. The date of the previous review was unknown. The policy documented the procedure was established to ensure that hot water at fixtures accessible to residents shall not exceed 120 degrees Fahrenheit at any time. The maximum temperature limit adjustment should have been adjusted to limit the hot water to the required temperature at or below 120 degrees Fahrenheit to prevent scalding, approximately 110…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-12-01 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview during the recertification survey conducted November 27, 2023, through December 1, 2023, the facility did not store, distribute, and serve food in accordance with professional standards for food service safety in the main kitchen. Specifically, potentially hazardous foods were not cooled properly; there were unclean kitchen surfaces; and the dishwasher temperatures were not within acceptable range. Findings include: The facility policy Nutrient Retention of Foods dated June 2019, documented the facility will endeavor to prepare and serve food in such a manner as to conserve the nutritive value of foods. Food to be prepared and refrigerated before service will be chilled to storage temperature in 2 hours or less. Improper cooling: During an observation on November 28, 2023, at 11:40 AM a large bin of cooked pasta labeled 11/28 was covered with foil in the walk-in cooler. The pasta's temperature was measured at 78 degrees Fahrenheit. At 12:53 PM, the pasta was measured at 72 degrees Fahrenheit. During an interview on November 28,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-12-01 · tag F0585 — failed to handle grievances — isolatedHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview during the recertification and abbreviated (New York 00326569) surveys conducted November 27,2023 through December 1, 2023, the facility did not ensure that prompt efforts were made to resolve grievances that residents may have for 1 of 1 resident (Resident #28) reviewed. Specifically, Resident #28 had a verbal interaction with a staff member, and the facility did not update the resident on the outcome of the grievance. The facility policy, Grievances effective date 1/31/2022, documented complaints or grievances would be made orally or in in writing and could be anonymous in nature. The grievance would be handled within a reasonable expected time frame for completing review of the grievance with a proper resolution being communicated to the resident, family, designated representative/grievant within 10 days. Resident #28 was admitted to the facility with diagnoses including multiple sclerosis (a chronic disease of the central nervous system) and anxiety disorder. The 9/1/2023 Minimum Data Set assessment documented the resident 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.
Show the remaining 12 citations
- Potential for harm · Dcited before2023-12-01 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview during the recertification and abbreviated (New York 00323772) surveys conducted November 27,2023 to December 1, 2023, the facility did not ensure each resident had a person-centered comprehensive care plan developed and implemented to meet their medical, physical, mental, and psychosocial well-being for 1 of 2 residents (Resident #15) reviewed. Specifically, Resident #15 was not provided an abduction pillow (used to separate the legs) as planned. Findings include: The facility policy Care Plans, Comprehensive Person-Centered, revised October 2023 documented the comprehensive person-centered care plan incorporated identified problem areas, reflected currently recognized standards of practice for problem areas and conditions, reflected the resident's expressed wishes regarding care and treatment goals, and identified the professional services that were responsible for each element of care. Identified problems areas and their causes, and developing interventions that are were targeted and meaningful to the resident, were the end point…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-12-01 · tag F0691 — failed to provide colostomy / ostomy care — isolatedProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review during the recertification and abbreviated surveys (New York 00322907 and New York 00309977) conducted November 27, 2023 through December 1, 2023, the facility did not ensure each resident who required an ileostomy (a surgical opening to the lower small intestine where intestinal waste passes into a pouch) services received such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for 1 of 3 residents (Resident #84) reviewed. Specifically, Resident #84 had an ileostomy and did not have physician orders for ileostomy care or monitoring, there was no documented evidence that ileostomy care was provided, and the drainage pouch was not changed timely. Findings include: The facility policy Colostomy/ Ileostomy Care revised October 2023 documented the purpose was to aid in preventing exposure of the resident's skin to fecal matter (intestinal waste). After care was provided, the date and time care was provided was documented in the medical record…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-12-01 · tag F0698 — failed to provide proper dialysis care — isolatedProvide safe, appropriate dialysis care/services for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review during the recertification survey conducted November 27, 2023, through December 1, 2023, the facility did not ensure that a resident who required dialysis (a process that filters blood in someone who has kidney failure) received services consistent with professional standards of practice for 1 of 1 resident (Resident #339) reviewed. Specifically, the facility did not remove Resident #339's dialysis access site dressing to assess and monitor for complications. Findings include: The facility policy Hemodialysis- Resident Care revised 4/2014, documented the fistula (a surgical connection to create a connection between an artery and a vein for dialysis access) would be observed daily and palpated for thrill (a rumbling or buzzing sensation that can be felt) and auscultate (listen with a stethoscope) bruit (a rumbling or whooshing sound) at least every shift. The licensed nurses would evaluate, observe, and assess the fistula site for signs and symptoms of bleeding, infection, pain, swelling, or tingling in the arm with the fistula and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-12-01 · tag F0880 — failed to prevent and control infections — isolatedProvide 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, record review, and interview during the recertification and abbreviated (New York 00323772) surveys conducted November 27, 2023 - December 1, 2023, the facility did 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 3 of 4 residents (Residents #2, #4, and #10) reviewed. Specifically, licensed practical nurse #19 was observed not wearing the required personal protective equipment in Resident #2's room who was on transmission-based precautions for influenza exposure; Resident #10 tested positive for influenza, had a medical order for contact/droplet precautions and did not have personal protective equipment or precaution signage posted outside their room; and licensed practical nurse Assistant Director of Nursing #4 did not wear required personal protective equipment when administering medications to Resident #4 who was on droplet precautions. Findings include: 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.
- Potential for harm · Ecited before2021-10-08 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview during the recertification survey and abbreviated surveys (NY00274050, NY00282363 and NY00282990) conducted 10/5/21-10/8/21, the facility failed to ensure that each resident received adequate supervision and assistance devices to prevent accidents for 2 of 3 residents (Residents #37 and #219) reviewed. Specifically, - Resident #37 eloped and following the incident, the resident was moved to a secured unit. When the resident was moved off of the secured unit, a plan was not developed and implemented to ensure increased supervision was provided. - Resident #219 was a supervised smoker who sustained a burn when adequate supervision was not provided during smoking. There was no evidence activity aide #22, who monitored resident smoking, was trained prior to the incident, and no evidence they were re-trained timely following the incident to prevent further accidents. Findings include: The 1/2014 revised Wandering and Elopement policy documents elopement occurs when a…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2021-10-08 · tag F0925 — failed to control pests — patternMake 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 observation, record review and interview during the recertification survey conducted 10/5/21-10/8/21, the facility failed to maintain an effective pest control program so that the facility was free of pests for the following areas (main kitchen, waiting area/receptionist area, hallway outside room I3, hair salon, hallway outside room N3, and resident room C4). Specifically, there were fruit flies and drain flies in the main kitchen and fruit flies present in the other above mentioned areas. Findings include: During an observation on 10/5/21 at 9:59 AM, there were over 100 fruit flies in the main kitchen dish machine area, and over 25 fruit flies and 5 drain flies observed in other areas of the main kitchen. During an observation on 10/5/21 at 10:59 AM, there was 1 fruit fly flying around the waiting area/receptionist area. During an observation on 10/5/21 at 11:10 AM, there was 1 fruit fly on the wall in hallway outside room I3. During an observation on 10/5/21 at 11:36 AM, there was 1 fruit fly flying around computer in the hair salon. During an observation on 10/05/21 at…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-10-08 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review during the recertification survey conducted from 10/5/21 to 10/8/21, the facility failed to ensure a resident who is unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene for 2 of 8 residents (Residents #37 and 62) reviewed. Specifically, Resident #62 did not receive weekly showers as care planned and Resident #37's fingernails were observed to be long and unclean. This is evidenced by: The facility policy Care of Fingernails/Toenails dated 12/2013 documents nail care includes daily cleaning and regular trimming. Trimmed and smooth nails prevent the resident from accidentally scratching and injuring their skin. If the resident refused care, the supervisor was to be notified. 1) Resident #62 was admitted to the facility with diagnoses including multiple sclerosis (progressive neurodegenerative disease). The 9/18/21 Minimum Data Set (MDS) assessment documented the resident was cognitively intact and was totally dependent on 2 staff for bathing. The 2/16/21…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2021-10-08 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review during the recertification survey conducted 10/5/21-10/8/21, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice for 1 of 3 residents (Resident # 68) reviewed. Specifically, Resident #68 had a deep tissue injury (DTI, damage to underlying soft tissue) of the left heel and there was no documented evidence a comprehensive care plan (CCP) was developed and implemented to prevent worsening or further ulcers; wound treatment recommendations by the wound physician were not addressed timely, and changes in the wound identified by the the licensed practical nurse (LPN) were not reported to a medical professional qualified to perform assessments. Findings include: Resident # 68 had diagnoses including diabetes mellitus (DM), peripheral vascular disease (PVD, poor circulation), and chronic pain. The 10/5/21 Minimum Data Set (MDS) assessment documented the resident had intact cognition, did not reject care, required limited staff assistance with bed mobility, dressing,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-10-08 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide 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 interview and record review during the recertification survey conducted from 10/5/21 to 10/8/21, the facility failed to maintain acceptable parameters for nutritional status such as usual body weight range for each resident for 1 of 6 residents (Resident #45) reviewed. Specifically, Resident #45 had significant weight loss while on a tube feeding, was not weighed per medical order, and weight loss was not evaluated by medical. Findings include: The 2/2010 revised Weight Monitoring Policy documents the facility will ensure that all residents will be weighed on a routine basis to monitor their nutritional status. All residents will have a monthly weight obtained by the fifth day of each month and recorded on the Weight Monitoring Form. Nurse Managers will be responsible for reviewing the weights obtained and establishing the reweight list. The reweight list will be written on the certified nurse aide (CNA) assignment sheet daily. The Nurse Manager or designee will be responsible for recording weights in the medical record. The diet technician/registered dietitian (RD) will…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2021-10-08 · tag F0880 — failed to prevent and control infections — isolatedProvide 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 interview and record review during the recertification and abbreviated (NY00248360) surveys conducted from 10/5/21 through 10/8/21, 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 COVID-19 for 1 of 1 resident (Resident #12) reviewed. Specifically, Resident #12 presented with COVID-19 symptoms, was not tested for over 24 hours after onset of symptoms and tested positive for COVID-19. This is evidenced by: The 6/25/21 New York State Department of Health Dear Administrator Letter (DAL) NH (Nursing Home) 21-17 documented residents who have signs or symptoms of COVID-19, whether fully vaccinated or not, must be tested immediately. While test results are pending, residents with signs or symptoms should be placed on transmission-based precautions (TBP) in accordance with CDC (Centers for Disease Control) guidance. The…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-10-08 · tag F0921 — failed to keep a safe, functional, sanitary building — isolatedMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review during the recertification survey conducted 10/5/21-10/8/21, the facility failed to provide a safe, functional environment for residents who were at risk for elopement at 1 isolated door. Specifically, the Wanderguard (electronic wander detection) system for the back entrance/exit doors was not functioning. Findings include: During an interview on 10/8/21 at 1:50 PM, the Director of Facilities stated that the front entrance/exit doors and the the back entrance/exit doors were the only two sets of doors within the facility that were tied to the Wanderguard system. During observation on 10/8/21 at 1:55 PM, a surveyor with a Wanderguard (device that alarms when person wearing it approaches or exits the doors) bracelet in hand was able to walk to the back entrance/exit door and there was no audible Wanderguard alarm heard. The surveyor entered the door key code in, opened the door, and walked out of the building. The Wanderguard went past the threshold limit of the Wanderguard system and there was no audible alarm. During observation on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · B2026-03-17 · tag F0573 — patternLet each resident or the resident's legal representative access or purchase copies of all the resident's records.
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 access to medical records was provided to a resident's legal representative within two (2) working days of written request (excluding weekends and holidays) for one (1) of one (1) resident (Resident #3) reviewed. Specifically, the facility did not provide Resident #3's requested medical records to the legal representative within two (2) working days. Findings include:The facility policy Medical Records, dated 12/02/2025, documented a resident could submit their request either orally or in writing for access to personal or medical information pertaining to them. The request would be formally submitted in a timely manner to the facility's corporate compliance vendor for approval to release records and send to the risk liability insurance carrier for tracking purposes.Resident #3 had diagnoses including anxiety, bipolar disorder, and repeated falls. The 06/05/2023 Minimum Data Set assessment documented Resident #3 had severe cognitive impairment. Resident #3 was discharged home on hospice on 07/27/2023. The electronic…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$32,254 in federal fines across 4 penalties.
- $9,318 — penalty dated 2024-02-29
- $4,587 — penalty dated 2023-09-18
- $4,587 — penalty dated 2023-09-11
- $13,762 — penalty dated 2023-08-21
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
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| ALTMAN, DONALD | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR | 45% | since 05/21/1998 |
| CHIARALUCE, JOANNE | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR | 10% | since 01/01/2011 |
| BRODOCK, CHRISTINE | Individual | W-2 MANAGING EMPLOYEE | — | since 04/20/2017 |
| CHAMBERLIN, BRIAN | Individual | W-2 MANAGING EMPLOYEE | — | since 06/17/2016 |
CMS files one row per role, so the 6 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $1.4M paid to related parties — landlords or management companies under common ownership — equal to about 10% 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. 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
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New York Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 335727. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-30, 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.