Glendale Home-Schdy Cnty Dept Social Services
59 Hetcheltown Road, Scotia, NY 12302 · Government - County · 200 certified beds · (518) 384-3600 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- no federal fines or payment denials on record
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605, F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has 1 actual-harm citation
- a high number of inspection citations overall (27) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its independent health-inspection rating is low (2/5)
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 | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Location & what’s nearby
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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 3 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
| Short-stay residentsrehab / post-hospital | 3 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 3 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 | 14.2% | 14.1% | 15.4% | typical |
| Long-stay residents who lose too much weight | 6.0% | 5.8% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.5% | 0.5% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 2.1% | 1.3% | 2.0% | typical |
| Long-stay residents with depressive symptoms | 2.0% | 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 | 6.0% | 3.1% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 11.8% | 12.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 11.9% | 13.2% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 98.4% | 95.3% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 7.9% | 6.5% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 27.5% | 19.5% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 17.5% | 13.7% | 17.1% | typical |
| Short-stay residents who newly got an antipsychotic medication | 0.8% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 96.6% | 78.8% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 26.7% | 20.6% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 6.2% | 9.6% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 2.38 | 1.70 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.28 | 1.36 | 1.80 | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
47.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 148 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 51.1% 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 92 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 0.33 therapist hours per resident per day in 2026Q1 — more than 54% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 24% 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 | 47.3%CMS range 38.8–55.3 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.6%CMS range 7.4–16.1 | 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 | 51.1% | 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 | 37.0% | 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 | 50.0% | 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 | 99.2% | 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 | 96.9% | 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 | 3.9% | 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 | 8.7% | 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 | 7.7%CMS range 4.5–12.3 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.95 | 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 200 beds and averages 183.3 residents a day — about 92% occupied, or roughly 17 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 4.09 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.52 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.53 is at or above 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 3.50 hrs/resident/day on weekends vs 4.32 on weekdays — 19% thinner on weekends. RN hours go from 0.65 to 0.19 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
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 more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
27 citations, most serious first. The 11 most serious are shown; the remaining 16 are one tap away and print in full.
- Actual harm · G2026-05-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews conducted during survey, the facility failed to ensure each resident received adequate supervision to prevent accidents for one (Resident # 3) of three residents reviewed. Specifically, Resident #3 who was at high risk for falls and at risk for bleeding, fell out of bed with no injury on 05/25/2023, while care was provided by one Certified Nurse Aide per care planned interventions. The facility failed to (a.) reassess the resident's risk for falls, (b.) assess the resident for safe bed mobility with one staff, and (c.) implement new interventions to mitigate the risk of an accident. A fall risk assessment was completed on 06/06/2023 with the resident scoring a higher risk for falls than previously assessed, without documented evidence the facility assessed the resident for safe bed mobility and/or new interventions to mitigate the risk of an accident. Subsequently, on 06/19/2023, Resident #3 fell out of bed while care was being provided by one Certified Nurse Aide and 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 before2026-05-04 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — patternProvide 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 record review and interviews conducted during a survey, the facility failed to ensure that a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice for three (3) (Resident #s 3, 2, and 7) of 4 residents reviewed. Specifically, (a.) (1.) Resident #3's pressure ulcer on the left heel had inconsistent wound staging (performed to indicate the characteristics and extent of tissue injury) from 8/03/2023 to 9/22/2023, (2.) a pressure ulcer on the right heel had treatment orders and did not have any weekly wound assessments, and (3.) a pressure ulcer on the back of the lower left leg had a treatment order and did not have weekly wound assessments, (b.) (1.) Resident #2's pressure ulcer on the coccyx identified on 10/11/2023, did not have weekly wound assessments when the wound was being treated from 10/11/2023 to 12/31/2023; (2.) did not ensure placement of an air mattress from 10/17/2023 to 12/31/2023, to prevent worsening of the coccyx…
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 before2026-05-04 · tag F0697 — failed to manage pain — isolatedProvide safe, appropriate pain management for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interviews conducted during a survey, the facility failed to provide pain management consistent with professional standards of practice and the comprehensive person-centered care plan for one (1) (Resident #3) of three (3) residents review. Specifically, for Resident #3, the facility did not have evidence of an assessment of the resident's pain, when there was a new physician order dated 9/23/2023 for Tramadol (narcotic pain medication) and the resident was already receiving Acetaminophen (helps treat mild to moderate pain) Extra Strength 1000 milligrams, every eight (8) hours. Findings include: Resident #3: Resident #3 was admitted to the facility with diagnoses of multiple sclerosis (body's immune system attacks the protective covering of the nerve cells of the brain), diabetes (body does make enough insulin or it well as it should to remove sugar from the bloodstream), and pressure ulcer(localized area of skin and tissue damage caused by prolonged, unrelieved pressure, friction, or shear forces) of unspecified site and stage. The Minimum Data Set (an…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2026-04-28 · tag F0755 — failed to provide safe pharmacy services — patternProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record reviews and interviews conducted during the survey, the facility failed to maintain and account for all controlled substances in accordance with professional standards of practice. Specifically, the narcotic count record signature sheet for three (3) of five (5) units were incomplete. Findings include: A review of narcotic count record book for unit Mohawk Trail side A cart documented blank spaces for Off going nurse did not sign for 04/20/2026 at 03:00 PM A review of narcotic count record book for unit Mohawk Trail side B cart documented blank spaces for On coming nurse did not have documented evidence of signature for 04/15/2026 at 03:00 PM Off going nurse did not have documented evidence of signature for 04/15/2026 at 11:00 PM A review of narcotic count record book for unit Union Station side B cart documented blank spaces for Off going nurse did not have documented evidence of signature for 04/07/2026 at 03:00 PM On coming nurse did not have documented evidence of signature for 04/15/2026 at 07:00 AM Off going nurse did not have documented evidence of signature…
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 before2026-04-28 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview during the survey, the facility failed to ensure that food was stored, prepared, distributed, or served following professional standards for food service safety in the main kitchen and in 2 (two) of 5 (five) kitchenettes/nourishment stations. Specifically, proper dating of open items was not followed, and expired food items were found stored ready for use in the refrigerators and freezers. Findings include: Policy titled, Food Safety Policies and Standards revised 05/31/2025 documented refrigerated, ready to eat TCS (Time/Temperature Control for Safety) food prepared and held in a food establishment for more than 24 hours must be clearly marked with a use by/discard date. Food that is required to be date marked must be discarded if it is in a container or package that does not bear a date or date mark. Commercially packaged, ready-to-eat TCS foods must be clearly marked at the time the original container is opened and used within 7 days but cannot exceed the manufacturer's use…
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 before2026-04-28 · tag F0880 — failed to prevent and control infections — patternProvide 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 observation, record review, and interview conducted during the survey, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for two (2) (Resident #'s 28 and 137) of four (4) residents reviewed for infection control practices. Specifically, 1.) Certified Nurse Aide # 1 failed to utilize Enhanced Barrier Precautions during resident care, increasing the risk of cross- contamination. 2.) Licensed Practical Nurse #3, while administering medications via gastrostomy tube (a tube placed into the stomach to provide nutrition) failed to maintain aseptic technique by placing the medication cup and supplies for the gastrostomy tube directly on the Resident's bedside table. In addition, the nurse dropped the cup full of crushed medication and proceeded to administer the medications without discarding and repreparing the dose. These deficient 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.
- Potential for harm · D2026-04-28 · tag F0559 — isolatedHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview during a survey, the facility failed to ensure a resident received a written notice, including the reason for the change, before a room change. In addition, the resident was not provided with the opportunity to disagree and or decline the decision to change rooms. This was evident for one (1) of one (1) residents (#43) reviewed. Specifically, Resident #43 was verbally informed of a room change because it was alleged that a roommate was assisting Resident #43 with activities of daily living. Findings include:The facility's Policy and Procedures titled Room Changes dated 10/29/2024, documented 2. Residents must receive at least 30 days' notice before any planned room change, except in emergency situations where immediate action is required. The interdisciplinary care team, in consultation with the resident and their representative, should determine the necessity and appropriateness of the room change. The notice should include the reason for the change and the new room assignment. 3. Resident Consultation: Residents and their representatives must…
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 · D2026-04-28 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews conducted during a survey, the facility did not ensure it consulted with the resident's physician and notified the resident's representative when there was a significant change in the resident's physical status for two (2) (Resident #s 16 and 207) of four (4) residents reviewed. Specifically, (a.) Resident #16 family representative were not made aware of resident's change in condition and that resident received intravenous fluids. (b.) Resident #207 was assessed at pain level 10/10, the physician ordered medication adjustments and was not notified that the pain medication was ineffective. Findings include:The Facility's Policy and Procedure Title, Notification of Families, revised 2/28/2016, documented, Protocol: Notification process when acute or significant changes occur that affect the resident's mental, physical, or psychological status. Glendale nursing staff will inform residents/primary contact or legal representative via phone numbers provided before leaving 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 · D2026-04-28 · 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 and interviews conducted during survey the facility did not ensure residents' personal property were free from loss or theft for one (1) of one (1) residents reviewed. Specifically, Resident #43 reported they did not receive their laundry back in a timely manner and also five (5) nightgowns were not returned. Findings include: CMS regulations (specifically 42 CFR S483.10(e)(2)) guarantee nursing home residents the right to retain and use personal possessions, including clothing and furnishings, as space permits. Facilities must respect personal property, ensure a homelike environment, and protect belongings from theft, provided they do not infringe on the health, safety, or rights of others. The facility's Policy and Procedure titled Resident Rights Revised: 1/2025, documented Glendale Home is committed to upholding the dignity, autonomy, and well-being of each resident. Policy Interpretation and Implementation 1. Federal and state laws guarantee certain basic rights to all residents of this facility. These rights include the resident's right to: Retain and use…
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 · D2026-04-28 · tag F0605 — failed to not use drugs as a restraint — isolatedPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record reviews and interviews during a survey, the facility failed to ensure residents were free from unnecessary medications for,(4) four (Residents #55, 97, 13, and #155) of six (6) residents reviewed, Specifically, a) Residents #55 and #97 had as needed psychotropic medications with end dates outside the regulatory limit of 14 days. b) resident #13, did not have documented attempts of gradual dose reduction or documentation that a gradual dose reduction is clinically contraindicated c) Resident #155 did not have an appropriate diagnosis for an antipsychotic medication. Findings include: The policy and procedure titled Psychotropic Medication, reviewed 2/2025, stated as needed orders for psychotropic drugs were limited to 14 days and a gradual dose reduction must be attempted annually, unless clinically contraindicated. Resident #55 Resident #55 was admitted to the facility with the diagnoses of vascular dementia (a progressive decline in thinking skills caused by conditions that block or reduce blood flow to the brain), atrial fibrillation (an arrhythmia where 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 · D2026-04-28 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record reviews and interviews conducted during a survey, the facility failed to timely report an injury of unknown origin to the State Survey Agency immediately, but not later than two (2) hours after the findings of serious bodily injury in accordance with State law through establish procedure for one (1) (Resident #8) of one (1) resident reviewed. Specifically, for Resident #8 a fracture of unknown origin was not reported Findings include: Facility policy titled, Abuse, Neglect, Mistreatment and Misappropriation of Resident Property, reviewed 04/2025, documented the facility prohibits abuse, neglect, misappropriation of resident property, and exploitation by anyone including but not limited to staff, family, friends and residents of the facility. The Administrator or Director of Nursing will notify the appropriate State Agency(s) immediately (no later than 2 hours after allegation / identification of allegation) by Agency's designated process after identification of alleged/suspected incident. Resident #8 Resident # 8 was admitted to the facility with a diagnoses 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.
Show the remaining 16 citations
- Potential for harm · D2026-04-28 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews during the survey, the facility failed to provide care to dependent residents in accordance with professional standards of practice for two (2) (Resident #s 2 and #201) of five (5) residents reviewed. Specifically, (a.) for Resident #2, staff failed to provide the resident with a shower/bath for the first two weeks after admission and (b.) for Resident #201, staff failed to provide assistance to the bathroom and toilet resident as scheduled. Findings include: Resident #201 Resident #201 was admitted to the facility with diagnoses of displaced intertrochanteric fracture of right femur (a type of broken hip), heart failure (when the heart muscle doesn't pump blood as well as it should), paroxysmal atrial fibrillation (episodes of an irregular heart rhythm). The Minimum Data Set (an assessment tool) dated 07/15/2024, documented that the resident could be understood, understand others, and was cognitively intact. Record Review Care Plan dated 12/20/2023 titled Activities 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.
- Potential for harm · D2026-04-28 · 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 observation, record review and interviews during a survey, the facility did not ensure that residents received treatment and care in accordance with professional standards of practice for ONE (1) (resident #207) of thirty-five (35) residents reviewed. Specifically, on 7/14/2024 at 11:42 AM, Resident #207's daughter called expressing concern and stated resident complained of trouble breathing and pain 10/10. At 4:47 PM the provider was notified of pain 10/10 and adjusted the resident's pain medication. At 9:46 PM, resident #207 was lethargic with no appetite; the provider was not made aware of the change in condition and or persistent pain. On 7/15/2024 at 4:09 PM, Resident #207 was unresponsive, hypotensive and sent to the Emergency Room. Findings include:Resident #207 was admitted to the facility with diagnosis of Coronary Artery Disease (a common heart condition where plaque builds up in the arteries, restricting blood flow to the heart muscle); Peripheral Vascular Disease (a slow and progressive…
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 · D2026-04-28 · tag F0742 — isolatedProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record reviews and interviews during the survey process, the facility failed to obtain necessary treatment and services to correct the assessed problem or to attain the highest practicable mental and psychosocial well-being. Specifically, for Resident #13, there was no psychiatric service follow-up as ordered by the psychiatrist. Findings include: Resident #13 was admitted to the facility with the diagnoses of hemiplegia(a severe or complete paralysis on one side of the body caused by brain damage) following cerebral infarction (sudden disruption of blood flow to the brain, leading toe cell death), generalized anxiety disorder (a mental health condition characterized by persistent, excessive, and uncontrollable worry), and bipolar disorder (a chronic mental health condition characterized by extreme mood swings alternating between intense highs and severe lows). The Minimum Data Set (an assessment tool) dated 2/11/2026 documented the resident was able to be understood, was able to understand others, and was cognitively intact. The Follow Up Psychiatric Consultation, 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.
- Potential for harm · Dcited before2026-04-28 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review conducted during a survey, the facility failed to ensure that its medication error rate did not exceed five (5) percent for two (2) (Resident #'s 32 and #57) of eight (8) residents observed during a medication pass for a total of 35 observations. This resulted in a medication error rate of 31.43 percent. Findings Include: The facility's policy and procedure titled Administering Medications revised 03/2023, documented the expiration/beyond use date was to be checked prior to administering a medication. Resident #32 Resident #32 was admitted to the facility with diagnoses of essential primary hypertension (most common type of high blood pressure), herpes viral ocular disease unspecified (group of eye disorders caused by infection with the herpes simplex virus), hyperlipidemia unspecified (excess amount of fats in your blood). The Minimum Data Set (an assessment tool) dated [DATE], documented that the resident could be understood, understand others, and 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 · Dcited before2023-08-18 · 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 interviews during the recertification survey, the facility did not ensure the development and implementation of comprehensive person-centered care plans, that included measurable objectives and time frames to meet the resident's medical, nursing, mental and psychosocial needs for 3 (Resident #s 77, 135 and #78) of 34 residents reviewed for Comprehensive Care Plans (CCP). Specifically, for Resident #77, the facility did not ensure the CCP included a care plan to address the resident's hearing deficit and use of hearing aids; for Resident #135, the facility did not ensure the CCP included interventions related to the use of a splint. Specifically, for Resident #78 the facility did not ensure a CCP included a care plan to address alterations in urinary elimination to include an indwelling catheter and ongoing infection requiring contact isolation and treatment of that infection. This is evidenced by: Resident #77 Resident #77 was admitted to the facility with the diagnoses 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.
- Potential for harm · D2023-08-18 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interviews during the recertification survey, the facility did not ensure care plans were reviewed and revised in a timely manner for 2 (Resident #'s 45, and 78) of 34 residents reviewed for Comprehensive Care Plans (CCP). Specifically, for Resident #45, the facility did not ensure the Comprehensive Care Plan (CCP) for Sensory Deficit (At Risk for Visual Deficit), Musculoskeletal Disorder (Vitamin D Deficiency), and Sleep Pattern Disturbance were reviewed at least quarterly. Specifically, for Resident #78, the facility did not ensure the CCP for Resident #78 for Neuromuscular disease related to Multiple Sclerosis and Altered Urinary Elimination were updated quarterly with goals and interventions as treatment was changed. This is evidenced by: The Policy and Procedure (P&P) titled Baseline Care Plans, Resident Care Plans, dated 11/2022, documented the Interdisciplinary Team (IDT) must review and update each CCP at least quarterly. Resident #45 Resident #45 was admitted to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-08-18 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interviews during the recertification and abbreviated survey (Case #NY00277034) on 8/14/2023 through 8/18/2023, the facility did not ensure all alleged violations of abuse, neglect, or mistreatment, including injuries of unknown source were thoroughly investigated for 1 (Resident #425) of 5 residents reviewed. Specifically, for Resident #425, the facility did not ensure that alleged abuse by Certified Nurse Aide (CNA) #5, reported on 6/1/2021 at 4:18 PM, was thoroughly investigated and documented to rule out abuse, mistreatment, or neglect. Also the facility did not ensure the results of all investigations were reported to other officials in accordance with State law, including to the State Survey Agency, within 5 working days of the incident. This is evidenced by: The facility policy titled Freedom from Abuse, Neglect and Exploitation last reviewed 4/28/2022, documented in response to allegations of abuse, neglect, exploitation or mistreatment, the facility must: 1) Ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment…
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 before2021-05-19 · tag F0656 — failed to write and follow a full care plan — patternDevelop 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 reviews and interviews during the recertification survey the facility did not develop and implement a comprehensive person-centered care plan (CCPs) for each resident, consistent with the residents rights, that included measurable objectives and timeframe's to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 6 (Resident #'s 20, 24, 34, 43, 118, and # 141) of 29 residents reviewed for comprehensive care plans (CCPs). Specifically, for Resident #20, 34, and #43 the facility did not ensure a CCP was developed for the use of psychotropic drug use for residents who were receiving psychotropic medication, for Resident #24, the facility did not ensure a CCP was developed for the resident with obstructive and reflux uropathy (a condition in which the flow of urine is blocked and causes the urine to back up and injure one or both kidneys), and for Resident #118, the facility did not ensure a CCP was developed for 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 · E2021-05-19 · tag F0725 — failed to have enough nursing staff — patternProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review during a recertification survey the facility did not ensure it provided services by sufficient numbers of each of the following types of personnel on a 24-hour basis to provide nursing care to all residents in accordance with resident care plans for 3 (Resident #'s 94, 7, and #15) on 3 (Dutch Hallow, Pine Plains and [NAME] Crossing) of 5 units. Specifically, for Resident #94, the facility did not ensure the resident was transferred out of bed and/or transferred to the toilet due to inadequate staffing on the weekends, for Resident #7, the facility did not ensure the resident was transferred out of bed on the weekends and for Resident #15, did not ensure incontinence care was provided every 4 hours, in accordance with the Comprehensive Care Plan (CCP) due to inadequate staffing on the weekends. This is evidenced by: During an observation of the unit layout on 5/13/2021 at 10:15 AM, the units were very large and spread out into 3 separate self contained pods…
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 · E2021-05-19 · tag F0838 — failed to assess facility resources and resident needs — patternConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview during a recertification survey, the facility did not ensure it conducted and documented a facility-wide assessment to determine what resources are necessary to care for its residents competently during both day-to-day operations and emergencies. The facility must review and update that assessment, as necessary, and at least annually. Specifically, the facility did not ensure their facility assessment included an evaluation of the overall number of facility staff needed to ensure that a sufficient number of qualified staff were available to meet each resident's needs. This was evidenced by: The Facility Assessment last reviewed on 1/14/2021, did not include an evaluation of the minimum staff required to ensure a sufficient number of qualified staff were available to meet each resident's needs. During an interview on 05/19/21 at 12:21 PM, the Administrator stated they looked through the Facility Assessment and there was no formal staffing plan. They reviewed the Facility Assessment on 1/14/2021, but had not assessed staffing levels since COVID-19…
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 before2021-05-19 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide 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 observation, record review and interview during a recertification survey, the facility did not ensure residents received care to prevent avoidable pressure ulcers, and that residents with pressure ulcers received necessary treatment and services to promote healing, prevent infection and prevent new ulcers from developing for 1 (Resident #49) of 3 residents reviewed for pressure ulcers. Specifically, for Resident #49, the facility did not ensure a mechanical wound treatment (wound vac) was applied correctly. Additionally, the facility did not ensure the care plan developed for a stage 4 pressure ulcer (full thickness tissue loss with exposed bone, tendon or muscle) contained interventions for an infected wound or for suspected deep tissue injuries (DTI: localized area of discolored intact skin or blister due to damage of underlying soft tissue) to the resident's bilateral great toes. This is evidenced by: Resident #49 Resident #49 was admitted to the facility with diagnoses of local infection of the skin and subcutaneous tissue, pressure ulcer of the sacral region stage 4…
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 before2021-05-19 · tag F0697 — failed to manage pain — isolatedProvide safe, appropriate pain management 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 a recertification survey, the facility did not ensure adequate pain management was provided to residents who required such services, consistent with professional standards of practice for 2 (Resident #'s 24 and #131) of 2 residents reviewed. Specifically, for Resident #24, the facility did not ensure the residents pain was consistently monitored before and after receiving a routine pain medication and did not ensure there was an ongoing assessment of the pain the resident experienced during compression boot (inflatable sleeves for the legs that go up to thighs, fill with air and squeeze the legs to increase blood flow) therapy and for Resident #131, the facility did not ensure staff monitored the effectiveness of scheduled pain medication for the resident who received Tramadol (pain medication) and Tylenol (pain medication) on a routine basis for a diagnosis of chronic pain. This is evidenced by: Resident #24: Resident #24 was admitted to the facility was the diagnoses of osteoporosis, chronic pain, and stage 2 pressure ulcer…
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 before2021-05-19 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record reviews and interviews conducted during the recertification survey, it was determined that the facility did not ensure that it was free of medication error rates of 5 percent or greater for two (Residents #88 and #165) out of six residents reviewed for medication administration with 26 total observations resulting in a 34.62 percent error rate. Specifically, the facility did not ensure medication was administered as ordered by the medical doctor for Residents #88 and #165. This is evidenced by the following: The facility Policy and Procedure (P&P) titled Glendale Nursing Home Medication Administration Schedule Protocol dated 2/6/2012 stated drugs must be administered no more than sixty minutes before or after the scheduled time. Resident #88: Resident #88 was admitted to facility with hypertension, major depressive disorder and Alzheimer's disease. The Minimum Data Set (MDS - a resident assessment tool) dated 3/10/2021 documented resident was cognitively impaired, sometimes was understood and usually understood others. During an observation on 5/17/21…
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 before2021-05-19 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation and staff interview during the recertification survey, the facility did not store, prepare, distribute or serve food in accordance with professional standards for food service safety. Specifically, non-food contact equipment were not clean in the main kitchen and in 5 of 5 unit kitchenettes. This is evidenced by: The main kitchen and the kitchenettes were inspected on 05/13/2021 at 9:45 AM. In the main kitchen, the sides of both convection ovens, the stovetop, and the electric outlets under the food preparation tables were covered in food debris. In 5 of 5 unit kitchenettes, the gaskets and the exhaust fans in the refrigerators were covered in food particles and dust, and the underside of the juice machines were covered in a black syrup like substance. The Director of Food Services stated in an interview on 05/17/2021 at 11:30 AM. that the non-food contact surfaces in the main kitchen and unit kitchenettes will be cleaned. 10 NYCRR 415.14(h); Chapter 1 State Sanitary Code Subpart 14-1.90, 14-1.110, 14-1.170
- Potential for harm · D2021-05-19 · tag F0813 — isolatedHave a policy regarding use and storage of foods brought to residents by family and other visitors.
What the surveyor found here — the official record, unedited, may be distressing
Based on record review and staff interview during the recertification survey, the facility did not ensure the policy regarding foods brought in to residents by visitors is in accordance with adopted regulations. Specifically, the facility policy does not have provisions to ensure facility staff assist dependent residents in accessing and consuming food brought to them by visitors. This is evidenced is as follows. Record review of the facility policy for food brought in by visitors was reviewed on 05/13/2021. This policy did not include a method by which staff assist residents in accessing and consuming food if the resident is not able to do so on their own. The Director of Food Service stated in an interview on 05/13/2021 at 3:05 PM, that the policy for food brought to residents does not include guidelines on how residents will access and consume food brought to them if they are not able to do so on their own. 10NYCRR 483.60(i)(3)
- Potential for harm · Dcited before2021-05-19 · 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 and interview during a recertification survey conducted on 5/26/2021, 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. Specifically, the facility did not ensure facility staff members changed gloves and performed hand hygiene during the process of collecting specimens via nasal swabbing for COVID-19 testing for 4 (Certified Nurse Assistant (CNA) #5, Resident Support Worker (RSW) #5, Human Resource (HR) #6, and [NAME] #7) of 5 staff members swabbed. This is evidenced by: The Centers for Disease Control and Prevention (CDC) Infection Control guidance titled Interim Infection Prevention and Control Recommendations for Healthcare Personnel [(HCP)] During the Coronavirus Disease 2019 (COVID-19) Pandemic, updated 2/23/2021, documents HCP should perform hand hygiene before and after all patient contact, contact with potentially infectious material, and before putting 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.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| LAWTON, ROBERT | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/05/2026 |
| MOLINEUX, KATHLEEN | Individual | CORPORATE OFFICER; ADP OF THE SNF | since 04/25/2011 |
| ZBYTNIEWSKI, TODD | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 08/02/2021 |
| SCHENECTADY COUNTY | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/1966 |
| FERGUSON, MACKENZIE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/07/2024 |
| LEWIS, ERIN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 07/24/2022 |
| DEANGELIS, PAMELA | Individual | ADP OF THE SNF | since 01/26/2026 |
| HILL, ALLISON | Individual | ADP OF THE SNF | since 07/22/2024 |
CMS files one row per role, so the 16 rows in the source record cover these 8 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.
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 335252. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-28, 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 →
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