Brookside Multicare Nursing Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

39.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 243 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 79.3% 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 174 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 0.34 therapist hours per resident per day in 2026Q1 — more than 56% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% 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.

Staffing

How full it usually is: this home is certified for 353 beds and averages 298.5 residents a day — about 85% occupied, or roughly 54 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.91 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.90 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.33 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 3.44 hrs/resident/day on weekends vs 4.10 on weekdays — 16% thinner on weekends. RN hours go from 1.03 to 0.56 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 22% is below the national median of 45%.

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.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

• Potential for harm · D2025-11-25 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the Recertification Survey initiated on 11/19/2025 and completed on 11/25/2025 the facility did not ensure that each resident was treated with respect and dignity and cared for in a manner that promoted maintenance or enhancement of their quality of life. This was identified for two (2) (Resident #116 and Resident #140) of seven (7) residents reviewed for Dignity. Specifically, during a lunch meal observation on 11/20/2025, Certified Nursing Assistant #2 and Registered Nurse #2 were observed standing over the residents while they fed the residents the lunch meal.The finding is: The facility policy titled Assisting with Feeding dated 01/21/2025 documented residents who cannot feed themselves will be fed with attention to safety, comfort and dignity. Staff should not stand over residents while assisting them with meals. Resident #116 was admitted with diagnoses including Alzheimer's (brain disorder that causes memory loss), Depression and seizures (sudden…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-25 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and interviews during the Recertification Survey initiated on 11/19/2025 and completed on 11/25/2025, the facility did not ensure that it provided a safe, clean, comfortable, and homelike environment. This was identified for one (1) (Broadway Unit) of seven (7) nursing units reviewed for Environment. Specifically, the ceiling in Resident #56's room had a hole that measured approximately one and half (1.5) feet by one and a half (1.5) feet. The hole had water stains along the edges and had draping plaster hanging on each side. Additionally, the wall above the window in Resident #56's room was poorly spackled and had water stains. The finding is: The facility policy titled Maintenance Requests Internal Work Orders, last revised on 01/2025, documented that anyone requesting a maintenance repair must fill out a maintenance request form. Maintenance mechanic/designee will collect all maintenance requests daily. Work orders will be prioritized and distributed to maintenance staff…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-25 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, interviews during the Recertification Survey initiated on 11/19/2025 and completed on 11/25/2025, the facility did not ensure that it implemented a comprehensive person-centered care plan to meet each resident's medical, nursing, and mental and psychosocial needs identified in the comprehensive assessment. This was identified for one (1) (Resident #67) of four (4) residents reviewed for Pressure Ulcers. Specifically, Resident #67 had physician's orders for bilateral elbow pads to be worn at all times and padded side rails while in bed. The resident was observed on multiple occasions wearing either one elbow pad or no elbow pads. Additionally, the side rail pads were on the floor while the resident was in bed on one occasion.The finding is: The facility policy titled Comprehensive Care Plans and Resident/Patient Meeting, Timing, and Revisions dated 02/15/2025 documented the facility develops and implements a comprehensive person-centered care plan for each resident that…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-06-26 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and interviews during the Recertification Survey initiated on 6/17/2024 and completed on 6/26/2024, the facility did not ensure that all drugs were stored in accordance with professional standards. This was identified for three (Carnation, Broadway, and Azaelia) of seven units reviewed for the medication storage task. Specifically, 1) The Carnation unit medication storage Room was observed on 6/21/2024 with four bottles of Aspirin (blood thinner) 325 milligrams with an expiration date of 4/2024; 2) The Broadway Unit medication storage room was observed on 6/21/2024 with nine bottles of Aspirin 325 milligrams and three bottles of Vitamin B12 (a vitamin supplement) with an expiration date of 4/2024; and 3) The Azaelia Unit medication storage room was observed on 6/21/2024 with three bottles of Aspirin 325 milligrams with an expiration date of 4/2024. The findings are: The facility's Storage of Medicine policy last reviewed on 2/2024 documented the facility shall not use outdated drugs or biologicals. All such drugs shall be returned to 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-06-26 · tag F0657 — failed to keep the care plan current — isolated
  Develop 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 record review, and interviews during the Recertification Survey initiated on [DATE] and completed on [DATE] the facility did not ensure a person-centered comprehensive care plan was reviewed and revised to address each resident's needs. This was identified for one (Resident #73) of one resident reviewed for Advanced Directives. Specifically, Resident #73 had a Do Not Resuscitate (the resident does not want cardiopulmonary resuscitation (CPR) the person has no heartbeat and is not breathing) Advance Directive in place in [DATE], which was later rescinded in February 2022 by the resident's representative; however, the resident's comprehensive care plan was not revised to accurately reflect interventions for the resident's current Advance Directive, full code status (full support which includes cardiopulmonary resuscitation (CPR), if the patient has no heartbeat and is not breathing). The finding is: The facility's policy and procedure titled Comprehensive Care Plans (CCP) and Resident/Patient Meeting,…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-06-26 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the Recertification Survey initiated on 6/17/2024 and completed on 6/26/2024, the facility did not ensure that each resident's environment remained as free of accident hazards as possible. This was identified for one (Resident #301) of two residents reviewed for Accident Hazards. Specifically, Resident # 301 had a physician's order for Premarin (a cream containing a mixture of estrogen hormones to treat menopause symptoms) vaginal cream to be applied to the vaginal area by the facility staff. During an observation on 6/17/2024, a tube of conjugated (joined together) Premarin vaginal cream was observed on the resident's overbed table. The resident was using the Premarin vaginal cream daily and was applying the cream to their abdominal folds and groin areas themselves. The resident did not have a physician's order to self-administer their medications. The finding is: The facility Medication Administration and Documentation-General policy and procedure,…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-06-26 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  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 staff interviews during the Recertification Survey initiated on 6/17/2024 and completed on 6/26/2024, the facility did not ensure that the attending physician documented in the resident's medical record that the identified irregularity has been reviewed and what, if any, action has been taken to address it. This was identified for one (Resident #136) of five residents reviewed for Unnecessary Medications. Specifically, the Medication Regimen Review for Resident #136 dated 5/15/2024 documented a recommendation from the consultant Pharmacist to evaluate Rozerem (a sedative to treat sleeplessness) and to consider trial taper to as needed (PRN) for one week then discontinue, if appropriate. The Physician agreed with the recommendation; however, did not address the recommendation and did not document the plan in Resident #136's medical record. The finding is: The facility's policy and procedure titled Pharmacy Drug Regimen Reviews last revised on 7/25/2017 documented that the Consultant…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2022-11-02 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2) During an initial tour conducted on 10/25/2022 at 11:38 AM on the Broadway nursing unit, a resident who resided in room [ROOM NUMBER] complained that the floor in their room was not mopped frequently. On observation, a dry dirt-like substance was observed on the floor and in the grout at the resident's bedside, in the corners of the room, and in front of the sink area. Housekeeper #3 was interviewed on 11/2/2022 at 11:13 AM. Housekeeper #3 stated the rooms are swept daily and mopped every other day. Housekeeper #3 stated they were not aware of the condition of the floor in room [ROOM NUMBER]. The Housekeeping Director was interviewed on 11/2/2022 at 3:16 PM. The Housekeeping Director stated that the rooms are mopped every other day and upon request. The Housekeeping Director stated that they were never informed that room [ROOM NUMBER] was not being mopped every other day. The Housekeeping Director stated that the floor in the resident's room should never be in such condition. The Housekeeping Director stated…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2022-11-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and staff interviews during the Recertification Survey initiated on 10/25/2022 and completed on 11/2/2022, the facility did not ensure that the resident environment remains as free of accident hazards as possible. This was identified for 2 (Resident #307 and Resident #159) of 7 residents reviewed for accidents and in the Carnation/Broadway unit dining room. Specifically, 1) A bottle of Pharma [NAME] Cannabidiol (CBD) Oil, a bottle D-Mannose capsules (Supplement for urinary tract), a bottle of Acidophilus 100 million organism tablets, and a bottle of Cranberry 4200 milligram (mg) with vitamin C soft gels, were observed unattended on Resident #307 bedside table, 2) Two Acetaminophen tablets were observed in a soufflé cup on Resident #159's bedside table, 3) On 10/25/2022 during an initial tour in the shared Carnation and Broadway unit dining room, the ice machine was observed to be leaking with a tray under the ice machine that contained water. Two wet blankets and a wet towel…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2022-11-02 · tag F0919 — failed to provide a working call system — pattern
  Make sure that a working call system is available in each resident's bathroom and bathing area.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and staff interviews during the Recertification Survey initiated on 10/25/2022 and completed on 11/2/2022, the facility did not ensure that residents are adequately equipped to call for staff assistance through a communication system directly to a staff member or centralized staff work area from each resident's bedside. This was identified for 3 (Resident #137 #240 and #252) of 11 residents in the initial pool reviewed for Environmental Task. Specifically, 1) Resident #137 was observed in bed on 10/25/2022 and the call bell was observed on the floor out of the resident's reach; 2) Resident #240 was observed in bed on 10/25/2022 and 10/26/2022 with the call device out of the resident's reach; 3) Resident #252 was observed in their room on 10/25/2022 with the call device out of the resident's reach. The findings are: The facility Accident Prevention Policy dated 2/26/2018 documented, in the safety measures section, call bells and personal items should be within the resident's…

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

  Environmental Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to OPTIMA CARE — 8 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 14 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

About 73% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $8.6M paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NY