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Archcare at Eger Health Care and Rehabilitation Ce

140 Meisner Avenue, Staten Island, NY 10306 · Non profit - Corporation · 378 certified beds · (718) 979-1800 Medicare & Medicaid certified

Call the home — (718) 979-1800 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0602) — cited Jul 2025
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • lower-than-typical staff turnover (28% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0602), cited Jul 2025
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score

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.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 5 of 5

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

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
3090 Richmond Rd · (718) 351-1949 · Call to confirm hours
Pharmacy
12 New Dorp Ln · (917) 456-1066 · Call to confirm hours
Grocery
135 Park St
Park
Rockland Ave @ Manor Rd · (212) 639-9675 · Typically dawn to dusk
Place of worship

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

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 5 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 improved from 3 to 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased8.6%14.1%15.4%better
Long-stay residents who lose too much weight3.5%5.8%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.5%0.9%better
Long-stay residents with a urinary tract infection1.6%1.3%2.0%better
Long-stay residents with depressive symptoms45.2%19.5%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury3.1%3.1%3.3%typical
Long-stay residents whose ability to walk worsened6.3%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication28.8%13.2%18.9%worse
Long-stay residents given the seasonal flu vaccine99.3%95.3%95.3%typical
Long-stay residents with pressure ulcers4.5%6.5%4.7%typical
Long-stay residents with worsening bladder/bowel control12.7%19.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table6.6%13.7%17.1%better
Short-stay residents who newly got an antipsychotic medication0.5%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine96.5%78.8%79.4%better
Short-stay residents rehospitalized after admission17.8%20.6%22.6%better
Short-stay residents with an outpatient ER visit8.3%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days1.631.701.67typical
Long-stay outpatient ER visits per 1,000 resident days0.691.361.80better

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.

55.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 924 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

55.0%U.S. median 51.5%
Got home and stayed home
11.5%U.S. median 10.7%
Went back to hospital
85.4%U.S. median 56.6%
Met the expected recovery
0.30U.S. median 0.31
Therapy hours / resident / day
0.15hours / resident / day
Physical therapy
0.13hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Met the expected recovery: 85.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 329 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 0.30 therapist hours per resident per day in 2026Q1 — more than 48% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF55.0%CMS range 51.5–58.051.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.5%CMS range 9.8–13.510.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge85.4%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge86.9%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge79.6%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.4%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.2%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.1%CMS range 5.3–8.77.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.191.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

1.06
RN hours/ resident / day
0.32
LPN hours/ resident / day
1.97
Aide hours/ resident / day
3.35
Total nurse hours/ resident / day
0.76
RN hoursweekends
27.9%
Total nursing turnover
25.3%
RN turnover

How full it usually is: this home is certified for 378 beds and averages 294.4 residents a day — about 78% occupied, or roughly 84 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 3.35 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 1.06 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.97 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.94 hrs/resident/day on weekends vs 3.51 on weekdays — 16% thinner on weekends. RN hours go from 1.18 to 0.76 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 28% 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

6
deficiencies at the latest standard inspection (2025-07-09)
11
at the previous standard inspection (2023-03-28)

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.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

  • Potential for harm · D2025-07-09 · 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 staff interviews during the Recertification Survey conducted from 07/01/2025 to 07/09/2025, the facility failed to ensure that a resident was cared for in a manner that maintained or enhanced dignity. This was evident for 1 (Resident #427) of 4 residents reviewed for Catheter out of 36 total sampled residents. Specifically, Resident #427's suprapubic catheter drainage bag and tubing were not covered with a privacy bag.The findings include:The facility policy titled Residents Right to Privacy and Dignity that was last reviewed on 01/2025 documented that residents are treated in a dignified manner and their privacy rights are upheld as outlined in the resident bill of rights.The facility's policy titled Close Urinary system that was last reviewed on 02/2025 documented that drainage bag cover should be utilized for privacy.Resident #427 was admitted to the facility with diagnoses which included Neurogenic Bladder, Cystostomy, Quadriplegia and Seizure Disorder. The Quarterly…

    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 before2025-07-09 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the Recertification Survey conducted from 07/01/2025 to 07/09/2025, the facility failed to ensure residents who are unable to carry out activities of daily living received the necessary services to maintain grooming and personal hygiene. This was evident for 1 (Resident #139) of 5 residents reviewed for Activities of Daily Living out of 36 total sampled residents. Specifically, Resident #139 was not showered once a week as scheduled.The findings included:The facility's policy and procedure titled Shower with a reviewed date of 02/2025 documented residents will be given showers in accordance with residents' wishes.Resident #139 was admitted to the facility with diagnoses that included Cerebrovascular Accident, Aphasia, and Hypertension.The annual Minimum Data Set assessment dated [DATE] documented Resident #139 was cognitively intact and was dependent on staff for oral/personal hygiene and showering. The assessment documented it was very important 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-09 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    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 Recertification Survey from 07/01/2025 to 07/09/2025, the facility failed to ensure residents with indwelling urinary catheters received appropriate care and services to manage the urinary catheter. This was evident for 1 (Resident # 427) of 4 residents out of 36 total sampled residents. Specifically, Resident #427, who had a suprapubic urinary catheter, was observed with the urinary drainage bag and the spigot lying on the floor without a barrier.The findings include:The facility's policy on Suprapubic Catheter that was last reviewed on 01/2025 documented that the drainage bag must not touch the floor and privacy cover must be in place. Resident #427 was admitted to the facility with diagnoses that included Neurogenic Bladder, Cystostomy, Quadriplegia and Seizure Disorder. The Quarterly Minimum Data Set assessment dated [DATE] documented that Resident #427 had severe cognitive impairment, required extensive assistance of 2 staff members for…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-09 · tag F0694 — isolated
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the Recertification Survey conducted from 07/01/2025 to 07/09/2025, the facility failed to ensure that each resident received care and services for the provision of parenteral fluids consistent with professional standards of practice. This was evident for 1 (Resident #270) of 36 total sampled residents. Specifically, Resident #70's midline intravenous catheter insertion site dressing was undated, and the dressing appeared brownish and was peeling off. The findings include:The facility's policy titled Intravenous Therapy dated 02/2022 that was last reviewed on 03/2025 documented that standard precautions and aseptic technique will be used in the initiation and maintenance of intravenous therapy. The procedure documented, after insertion of intravenous catheter, to secure the catheter with a sterile transparent dressing and to place the label on the dressing indicating nurse's initials and date.Resident #270 was admitted to the facility with diagnoses 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-09 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interviews during the Recertification Survey conducted from 07/01/2025 to 07/09/2025, the facility failed to ensure that food was distributed and served in accordance with professional standards for food service safety. This was evident for 1 (Resident #123) of 2 residents reviewed during the dining task observations out of 36 total sampled residents. Specifically, Certified Nursing Assistant #2 who was assisting Resident #123 at lunch time, held a sandwich with bare hands before giving it to the resident.The findings include:The facility policy titled Resident Dining Procedure with Staff with a revision date of 01/2025 documented staff must avoid touching food with bare hands. Food shall be received by the resident in a manner that complies with safe food handling practices. During dining observation on 07/01/2025 at 12:51 PM, Certified Nursing Assistant #2 removed the plastic wrap on a chicken sandwich and held the sandwich with bare hands and gave it to Resident #123. On 07/01/2025 at 1:09 PM, Certified Nursing Assistant #2 was interviewed…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-09 · tag F0814 — failed to dispose of garbage properly — isolated
    Dispose of garbage and refuse properly.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interviews, the facility failed to ensure garbage and refuse were disposed of properly. This was evident during the Kitchen Observation task. Specifically, the facility's waste compactor was not kept closed when not in use, exposing garbage and refuse and had the potential to attract pests.The findings include:The facility's policy and procedure titled Solid Waste Disposal with a revised date of 01/2025 documented food waste and rubbish will be disposed of in an approved manner to prevent contamination of food, clean dishes, or clean working areas. Lids must be kept closed on all outside trash receptacles. During observation on 07/08/2025 from 10:09 AM to 10:22 AM, Dietary Worker #1 and Food Service Director were observed removing garbage from the kitchen to the compactor located outside of the building. The compactor lid was observed to be open and uncovered.Dietary Worker #1 was immediately interviewed and stated they do not know why the compactor was left opened, but it should have been closed after whomever disposed garbage in the…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-07-03 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interviews conducted during an abbreviated survey (NY00369908/728066), the facility failed to protect a resident's right to be free from the misappropriation of resident property and/or exploitation. This was evident for one out of nine residents (Resident #9) reviewed for personal property. Specifically, on 01/23/2025 at 7:10 AM, when counting narcotics (pain relieving) medications, Registered Nurse #1 reported a blister pack containing thirty Oxycodone 2.5 mg tablets that belonged to Resident #9 was missing from the medication cart drawer. During the facility-wide search, the empty medication blister pack had been torn into pieces in the shredder, and 30 Oxycodone tablets were missing. Additionally, Registered Nurse Supervisor #1 was seen on the facility surveillance counted the narcotics medications alone and then removed the medications from the medication cart drawer. The findings are: The facility policy and procedure entitled Abuse Prohibition Protocol, dated 01/2025, documented that residents must not be subject to abuse, neglect,…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · D2025-07-03 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review, conducted during an abbreviated survey (NY00374579), the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice. This was evident for 1 out of 9 residents sampled (Resident #8). Specifically, on 03/09/2025 at approximately 5:22 AM, Certified Nursing Assistant #1 noted a small area of purpura (discoloration) on Resident #8's left knee and informed Registered Nurse #1. Registered Nurse #1 did not do a physical assessment, did not document in the medical record, and failed to inform the Medical Doctor, which resulted in a delay in diagnosis and treatment. On 03/10/2025, Resident #8 was transferred to the hospital due to a swollen left knee with discoloration and was diagnosed with a closed fracture of the Left femur (the thigh bone) and required surgery. Findings are:The facility's Policy and Procedures titled Notification of Resident's Change in Condition, dated 04/2020, documented that the…

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

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Potential for harm · D2024-08-09 · 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 conducted during an Abbreviated Survey (NY00344007), the facility failed to provide adequate supervision to a resident to prevent an accident. This was evident in one out of four residents (Resident #1) sampled for accidents. Specifically, Resident #1 was left unattended in the shower room by Certified Nursing Assistant #1 on 06/01/2024. Licensed Practical Nurse #1 and Certified Nursing Assistant #2 observed Resident #1 sitting on the wet floor in the shower room with the shower chair titled behind Resident #1 on 06/01/2024 at 9:30am. Resident #1 was transferred to the emergency room on [DATE] and returned to the facility the same day with their left arm in a sling. The findings are: The facility Policy and Procedure of Resident Accident or Incident Reporting dated 02/14/2024 documented that an accident is defined as a second-degree burn, laceration requiring sutures, fracture, or event requiring hospitalization that has occurred in the facility or outside the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-03-28 · tag F0561 — failed to honor residents' choices — pattern
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews conducted during the Recertification survey from 3/21/23 through 3/28/23, the facility did not ensure that it promoted and facilitated resident self-determination by supporting resident choice. Specifically, residents' bathing preferences were not honored. This was evident for 2 of the 2 residents reviewed for Choices out of 38 sampled residents. (Resident #5, and #22). The findings are: 1. Resident #5 was admitted to the facility with diagnoses that included Multiple Sclerosis, Quadriplegia, and Trigeminal Neuralgia. The Quarterly Minimum Data Set (MDS) assessment dated [DATE] identified Resident #5 as cognitively intact and dependent on staff for Activities of Daily Living (ADLs). The MDS documented that no rejection of care occurred. The Annual MDS assessment dated [DATE] documented that it is very important for Resident #5 to choose between a tub bath, shower, or sponge bath. On 03/21/23 at 11:12 AM, an interview was conducted with Resident #5. Resident #5…

    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
Show the remaining 11 citations
  • Potential for harm · E2023-03-28 · tag F0657 — failed to keep the care plan current — pattern
    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 observations, record review, and staff interviews conducted during the Recertification survey from 3/21/23 to 3/28/23, the facility did not ensure that resident or resident's representative were offered the opportunity to participate in the revision and/or review of the comprehensive care plan. Specifically, resident and resident's representatives were not consistently invited to participate in their care plan meetings and a care plan was not revised to reflect use of a hand roll. This was evident for 3 of 3 residents reviewed for Care Plan, and 1 of 2 residents reviewed for Position/Mobility out of 38 residents sampled (Residents #9, #155, #250 and #153). The findings are: The facility policy and Procedure titled Multidisciplinary Comprehensive Care Plan/Minimum Data Set dated 02/09/2010, approved 01/2022 documented: That there shall be an Interdisciplinary Team which develops a comprehensive Care Plan (CCP) composed of representatives from the following departments .That the participation of the…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-03-28 · tag F0725 — failed to have enough nursing staff — pattern
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews conducted during the Recertification and Complaint (NY00312017) survey from 3/21/23 through 3/28/23, the facility did not ensure sufficient nursing staffing to attain or maintain the well-being of each resident. Specifically, resident units did not have adequate staff to care for a census of up to 300 residents, with multiple residents reporting being given bed baths and not receiving showers as scheduled. The findings include but are not limited to: The Facility Assessment (FA), with the last revised date of February 2023, documented a capacity of 300 residents. The required staff are Certified Nursing Assistants (CNAs); night shift 25, day shift 57, and evening shift 52. The licensed nurse providing direct care- night shift 9, day shift 15, and evening shift 13. The Staffing Sheet dated 3/21/23 documented 7.5 Licensed Practical Nurse (LPN) and 27.5 CNAs for a census of 296 residents for the day shift. The Staffing Sheet dated 3/22/23 documented 9 LPNs and…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-28 · tag F0585 — failed to handle grievances — isolated
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification Survey from 3/21/23 to 3/28/23, the facility did not ensure a resident's right to voice care and treatment grievances and a prompt effort to resolve resident grievances. This was evident for 1 of 7 residents reviewed for Activities of Daily Living (ADL) of 38 total sampled residents (Resident #11). Specifically, the grievance process was not initiated for Resident #11 when the resident expressed concerns with ADL care received. The findings are: The facility policy titled Grievance Management dated 8/2022 documented each resident has the right to voice grievances to the facility and the facility should ensure prompt resolution to all grievances while keeping the resident and representatives informed. Resident #11 had diagnoses of seizures and ataxia. The Minimum Data Set 3.0 (MDS) assessment dated [DATE] documented Resident #11 was cognitively intact, was occasionally incontinent of bladder, always continent of bowel, and required…

    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 · D2023-03-28 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    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 conducted during the Recertification survey conducted from 3/21/23 to 3/28/23, the facility did not ensure that the assessment accurately reflected the resident's status. This was evident for 1 of 5 residents reviewed for Unnecessary Medication (Resident #228). Specifically, the Minimum Data Set 3.0 (MDS) assessment inaccurately documented that a Gradual Dose Reduction (GDR) of psychotropic medication was attempted on 2/9/23. The findings are: The facility's policy and procedure titled MDS 3.0 Completion and Electronic Submission reviewed 1/24/22 documented the MDS shall be completed on every resident according to regulatory guidelines as set forth in RAI Manual, version 3.0. Resident #228 was admitted to the facility with diagnosis of Non-Alzheimer's Dementia, Hyperlipidemia, and Hypertension. The Quarterly Minimum Data Set (MDS) assessment dated [DATE] documented Resident #228 had severely impaired cognition, received antipsychotic and antidepressant on 7 of 7 days,…

    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 · D2023-03-28 · 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 observation, record review and staff interviews conducted during the Recertification/ Complaint survey, the facility did not ensure that a person-centered comprehensive care plan (CCP) was developed and implemented to address the resident's medical, physical, mental, and psychosocial needs. Specifically, 1). a CCP was not developed and implemented for a resident prescribed an antibiotic for chronic Urinary Tract infection (UTI); and 2). a CCP was not developed and implemented for resident's use of Anticoagulant therapy. This was evident for 1 of 1 resident reviewed for Antibiotic Use (Resident #85) and 1 of 1 resident reviewed for Anticoagulant (Resident #248), out of a sample of 38 residents investigated. The findings are: The facility policy and Procedure titled Multidisciplinary Comprehensive Care Plan/Minimum Data Set dated 02/09/2010, approved 01/2022 documented: .That a coordinated CCP for each resident is to be developed, documented, and maintained .consonant with both the attending physician's…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-03-28 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification survey conducted 3/21/23 to 3/28/23, the facility did not ensure a resident who was unable to carry out activities of daily living (ADLs) received the necessary services to maintain grooming and personal hygiene. This was evident for 1 of 7 residents (Resident #11) reviewed for ADLs. Specifically, Resident #11 did not consistently receive a shower twice weekly as scheduled. The findings are: The facility policy and procedure titled Provision of ADL care, approved 12/20/11, documented the facility has protocols in place to ensure that residents receive ADL care. The licensed nurse (LPN) develops a plan of care with the resident and communicates it to CNAs, who provide grooming and hygiene and document all care provided to residents during their shifts. ADLs include personal hygiene and toilet management among others. Resident #11 was admitted with diagnoses which included Hemiplegia, Seizures, and Ataxia. The Quarterly Minimum Data…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-28 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    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 conducted from 3/21/23 to 3/28/23, the facility did not ensure that a resident who needed respiratory care was provided such care consistent with professional standards of practice. This was evident for 1 of 1 resident (Resident #71) reviewed for Respiratory Care out of a total sample of 38 residents. Specifically, Resident #71 had a Physician's order to receive 2 liters of oxygen per minute continuously and was observed receiving 4 liters of oxygen per minute on four consecutive days. The findings are: The facility policy and procedure titled Administration of Oxygen, dated 2/2023, documented that a licensed nurse would administer oxygen (O2) in accordance with the physician's orders. The policy further stated that the licensed nurse should monitor the administration of oxygen and check the equipment daily. The charge nurse/ unit manager ensures that staff members under their supervision follow this 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 · D2023-03-28 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide 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 observations, record review, and interviews conducted during the recertification survey from 3/21/2023 to 3/28/2023, the facility did not ensure an account of all controlled drugs was maintained and periodically reconciled. This was evident for 1 of 6 units (Unit 3E) observed for Medication Storage. Specifically, a Registered Nurse (RN) on Unit 3E did not reconcile a narcotics supply count. The findings are: The facility policy titled Medication Ordering/Administration and Electronic Recordation date approved 2/2023 documented at the time of administration, in addition to initializing the blister pack and Medication Administration Record, the Controlled Record is completed for each dosage. Resident #247 had diagnoses of Type 2 diabetes mellitus, Peripheral Vascular disease, and Necrotizing Fasciitis. A Physician Order dated 02/27/2023 documented Resident #247 was prescribed Oxycodone HCL 5mg give I tablet by mouth every 4 hours as needed for pain. The Medication Administration Record (MAR) dated 3/24/2023 documented Resident #247 was given 1 tablet of Oxycodone 5 mg at 8:58…

    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 · D2023-03-28 · 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

    Based on record review and staff interviews conducted during the Recertification survey conducted from 3/21/23 to 3/28/23, the facility did not ensure that a medication regimen review (MRR) performed by the consultant pharmacist was reviewed and acted upon by the attending physician or medical director in a timely manner. This was evident for 1 of 5 residents reviewed for Unnecessary Medications Review out of a total sample of 39 residents (Resident #228). Specifically, a pharmacy recommendation to perform a lipid panel for Resident #228 was agreed upon by the Attending Physician (AP), but the test was not completed. The findings are: The facility's policy and procedure titled Drug Regimen Review revised 1/23 documented that the consultant pharmacist performs a comprehensive drug regimen review (DRR) at least monthly on all residents. The DRR includes evaluating the resident's response to medication therapy to determine that the resident maintains the highest practicable level of functioning and prevents or minimizes adverse consequences related to medication therapy. Resident #228…

    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 · D2023-03-28 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record review, and interviews conducted during the recertification survey from 3/21/2023 to 3/28/2023, the facility did not ensure medications and biologicals were stored in accordance with professional standards of practice. This was observed on 1 of 6 units during the Medication Storage task (Unit 3). Specifically, one vial of expired influenza vaccine was stored in the medication storage room refrigerator on Unit 3. The findings are: The facility policy titled Expired Medication Protocol reviewed 6/2022 documented outdated, contaminated, or deteriorated medications and those in containers that are cracked, soiled or without secure closures are immediately removed from stock and disposed of according to procedures for medication disposal, must then be reordered if a current order does not exist. The policy did not document when opened vials of Influenza vaccines should be discarded. On 3/24/23 at 10:57 AM, an Afluria Influenza Vaccine Quadrivalent multidose vial was observed punctured in the Medication Room refrigerator on Unit 3. The open date on the vial…

    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 · E2020-02-19 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and staff interviews during the recertification survey, the facility did not ensure that infection control practices and procedures were maintained. Specifically, (1) BiPap and Nebulizer Masks were observed touching the wall and table without a plastic barrier on several occasions (Resident #126, Resident #136). (2) Two staff members were observed without personal protective equipment (PPE) in the room of the residents on transmission-based precaution (Resident #85, Resident #249, and Resident #51). This was evident for 5 random resident observations on 2 of 8 resident floors observed for Infection Control Practices(Floor 6 and 8). The findings are: Medicated Aerosol/ Inhalant Therapy Policy and Procedure Policy: The facility Medicated Aerosol/ Inhalant Therapy Policy and Procedure documented procedure #15 to replace mouthpiece, tubing and nebulizer weekly. Ensures mouthpiece is stored in plastic bag and secures compressor when not in use. 1) Resident #126 had diagnoses which include…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction

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

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to ARCHCARE — 7 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 4 of 54.0≈ chain avg
Health inspection 3 of 53.1-0.1 vs chain
Staffing 4 of 53.4+0.6 vs chain
Quality measures 5 of 55.0≈ chain avg
The other 6 homes this chain runs (chain average 4.0★, per CMS)

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

Who owns this facility

Owner / managerTypeRoleSince
BELLMYER, CHARLESIndividualCORPORATE DIRECTORsince 01/01/2020
CARLSON, MARIAIndividualCORPORATE DIRECTORsince 01/01/2019
CHIN, JAMESIndividualCORPORATE DIRECTORsince 01/01/2020
GRANDELL, BRENDAIndividualCORPORATE DIRECTORsince 01/01/2020
HASTEDT, ROBERTIndividualCORPORATE DIRECTORsince 01/01/2018
LAGAZZO, LILLIANIndividualCORPORATE DIRECTORsince 01/01/2015
MILLER, KEITHIndividualCORPORATE DIRECTORsince 01/01/2019
MONTANTI, PETERIndividualCORPORATE DIRECTORsince 01/01/2017
MULLANEY, KARENIndividualCORPORATE DIRECTORsince 04/27/2014
ROBERTI, CYNTHIAIndividualCORPORATE DIRECTORsince 01/01/2011
SARAKA, JOHNIndividualCORPORATE DIRECTORsince 01/01/2017
THORSEN, DONALDIndividualCORPORATE DIRECTORsince 04/27/2014
TOOKER, PATRICIAIndividualCORPORATE DIRECTORsince 01/01/2007
DELEEUWERK, GARRYIndividualCORPORATE OFFICERsince 12/27/2012
SENK, LORRIIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 12/04/2021

CMS files one row per role, so the 16 rows in the source record cover these 15 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.

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.

$50.8M
Net patient revenuemost recent cost report
-9.9%
Operating marginrevenue minus expenses
$2.6M
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 53%Medicare 17%Other / private 30%

This home reported $2.6M paid to related parties (affiliated landlords or management companies) in its most recent 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

$498per resident / day
operating cost
$15,147per month
≈ monthly operating cost
$454per day
avg. revenue, all payers

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

What families pay in NY

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New York Medicaid page.

Typical monthly cost in New York
$15,528/mo
Nursing home (semi-private)
$16,729/mo
Nursing home (private)
$7,110/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 335332. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-09, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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