St Camillus Residential Health Care Facility
813 Fay Road, Syracuse, NY 13219 · Non profit - Corporation · 284 certified beds · (315) 488-2951 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has 1 actual-harm citation
- a high number of inspection citations overall (24) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $39,754 in federal fines (most recent 2024-01-22)
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (2/5)
- its payroll-based staffing rating is low (2/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 4 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
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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 4 of 5 |
| Long-stay residentspeople who live here | 3 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 held steady at 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 20.0% | 14.1% | 15.4% | worse |
| Long-stay residents who lose too much weight | 7.4% | 5.8% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.5% | 0.5% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 1.7% | 1.3% | 2.0% | better |
| Long-stay residents with depressive symptoms | 5.6% | 19.5% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better |
| Long-stay residents with falls causing major injury | 4.8% | 3.1% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 22.6% | 12.5% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 18.8% | 13.2% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 99.5% | 95.3% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 6.7% | 6.5% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 15.1% | 19.5% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 11.4% | 13.7% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.2% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 84.6% | 78.8% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 18.5% | 20.6% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 8.0% | 9.6% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.12 | 1.70 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 1.67 | 1.36 | 1.80 | typical |
‡ 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.
55.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 558 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 57.9% 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 164 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 0.46 therapist hours per resident per day in 2026Q1 — more than 77% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 12% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 55.5%CMS range 49.9–59.7 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.0%CMS range 7.8–13.4 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 57.9% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 49.4% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 63.4% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 99.5% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 99.3% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.9% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 2.8% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.8%CMS range 5.6–11.3 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.04 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 284 beds and averages 251.0 residents a day — about 88% occupied, or roughly 33 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.49 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.43 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.84 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 2.89 hrs/resident/day on weekends vs 3.73 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.53 to 0.16 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 37% is about the same as 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.
24 citations, most serious first. The 11 most serious are shown; the remaining 13 are one tap away and print in full.
- Actual harm · G2024-01-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview during the abbreviated survey (NY00331278), the facility did not ensure each resident received adequate supervision and the environment remained as free of accident hazards as possible to prevent accidents for 1 of 3 residents reviewed (Resident #2). Specifically, Resident #2 obtained and ingested medications from the medication cart and it was unclear whether licensed practical nurse #3 left the medication cart unlocked when it was unattended or whether the lock malfunctioned. After ingesting the medications, the resident required hospitalization and treatment with activated charcoal (emergent treatment for an overdose) and intravenous fluids. This resulted in actual harm to Resident #2 that was not immediate jeopardy. Findings included: The undated Medication Cart policy documented the facility required medication carts to be locked at all times when staff were not actively standing at the cart. Staff were expected to understand and adhere to the facility policy. Resident #2 had diagnoses including vascular dementia with psychotic…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2026-01-09 · tag F0550 — failed to protect resident dignity and rights — patternHonor 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
Based on observations, record review, and interviews during the recertification survey (complaint #2643650) the facility failed to treat each resident with respect and dignity and in a manner and environment that promotes maintenance or enhancement of quality of life, recognizing each resident's individuality. Specifically, during a confidential group meeting thirteen (13) of thirteen (13) residents stated they experienced long call bell response times and multiple observations were made of long call bell response times.Findings include:The facility policy Resident Rights, last reviewed 5/14/2024, documented residents had a right to a dignified existence, self-determination, communication with and access to persons and services both inside and outside of the facility. The facility policy Meeting Resident Needs, revised 12/20/2023, documented the nursing staff response to resident needs (including call bells) was expected to occur regardless of credential, title or resident assignment; response to resident needs should take priority over other routine tasks; licensed nursing 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.
- Potential for harm · E2026-01-09 · tag F0761 — failed to label and store drugs safely — patternEnsure 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 and interviews, the facility failed to ensure drugs and biologicals were labeled and stored in accordance with currently accepted professional principles for four (4) of seven (7) medication carts (Unit 2 East and West, Unit C, and Unit D) and one (1) of three (3) medication rooms (Unit 2) reviewed. Specifically, the Unit 2 [NAME] cart had insulin pens that were not labeled with the open or expiration dates, and expired medications; the Unit 2 East cart had insulin pens that were not labeled with open or expiration dates; the Unit C cart had insulin pens, nasal sprays, and inhalers not labeled with open or expiration dates and expired medications were left in the cart; the Unit D cart had insulin pens and inhalers that were not labeled with open or expiration dates; and the Unit 2 medication room had supplies directly on the floor under the sink.Findings included:The facility policy Medication Administration, revised 06/20/2019, documented all multidose vials/containers were labeled with the facility provided medication sticker and included the expiration date,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2026-01-09 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews during the recertification survey (complaint #652393) the facility failed to ensure food was stored, prepared, distributed and served in accordance with professional standards for food service safety for one (1) of one (1) main kitchen. Specifically, in the main kitchen food in the cooler was not labelled, expired food was not discarded, the dish machine was not functioning properly while in use, and food service equipment was unclean. Findings include:The facility policy Food Safety and Procurement, last reviewed 03/2025, documented food would be discarded based on food labels or upon evidence of spoilage. Food which was not properly labeled and dated was discarded. Food service staff would monitor the refrigerators daily and discard outdated food. Strategies to control food borne illness included equipment and utensil cleaning and sanitizing, including the dish machine.The facility procedure Daily Cleaning Assignments, last reviewed 02/2020, documented the refrigerators and ovens would be cleaned daily.The facility 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.
- Potential for harm · E2026-01-09 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews during the recertification survey, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for two (2) of ten (10) staff (Certified Nurse Aide #35 and Environmental Services Worker #48) reviewed for influenza vaccinations; and five (5) of eight (8) residents (Residents #66, #87, #195, #244, and #268) reviewed for transmission based precautions. Specifically, Certified Nurse Aide #35 and Environmental Services Worker #48 declined the influenza vaccine and were observed wearing their masks below their nose while in resident areas; and Resident's #66, #87, #195, #244, and #268 were on droplet precautions for diagnoses of influenza and/or COVID-19 and staff were observed not wearing appropriate personal protective equipment when entering their rooms.Findings include:InfluenzaThe facility policy Staff influenza Vaccination, policy, revised…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-01-09 · tag F0554 — isolatedAllow residents to self-administer drugs if determined clinically appropriate.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, and record review during the recertification survey (complaint #652367) the facility failed to ensure the interdisciplinary team determined a resident's ability to safely administer their own mediations, if clinically appropriate, for two (2) of three (3) residents (Residents #108 and #260) reviewed. Specifically, Resident #108 had a prescribed nasal spray on their bedside table and Resident #260 had unprescribed elderberry supplements on their bedside table. There was no documented evidence of assessments and/or physician orders for the residents to safely self-administer medications.Findings included:The facility policy Self Medication, revised 06/18/2008, documented the procedure for self-administer of medications included identifying the resident who may be appropriate for self-medication, a physician order was obtained, and a resident self-medication administration record was completed. A self-medication pill holder that the resident was comfortable with was sent to pharmacy and filled with one week's worth of medication. The pill holder was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-01-09 · tag F0604 — failed to not use physical restraints improperly — isolatedEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews the facility failed to ensure that when a restraint was indicated, the least restrictive alternative for the least amount of time was used and included ongoing re-evaluation of the need for the restraint for one (1) of one (1) resident (Resident #13) reviewed. Specifically, a crisscross lap belt (a nylon belt around the waist and hooked to the back of the wheelchair) was implemented for Resident #13 and there was no documented evidence the device was determined to be the least restrictive alternative or the need for the device was periodically reevaluated. Findings include: The facility policy Restraints, revised 11/2017, documented the use of restraints for staff convenience, for purposes of discipline, or as substitutes for direct care, activities, and other services was prohibited. Restraint use was limited to circumstances in which the resident had medical symptoms that warranted the use and used only to protect the health and safety of the resident, and to assist the resident to attain and maintain optimum levels of physical…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-01-09 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews during the recertification survey the facility failed to ensure the development and implementation of a comprehensive person-centered care plan for each resident to include services provided to maintain the resident's highest practicable physical well-being for two (2) of three (3) residents (Residents #195 and #6) reviewed. Specifically, Resident #195's person-centered comprehensive care plan did not include the use of an anticoagulant (blood thinner) and Resident #6's person-centered comprehensive care plan did not include the use of insulin (used to treat high blood sugars) or an anticoagulant.Findings include:The facility policy Comprehensive Care Plans, revised 10/17/2022, documented the facility would develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that would include measurable objectives and timeframes to meet a resident's medical, nursing, mental and psychosocial needs that were identified in a comprehensive assessment. The comprehensive care plan would be…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-01-09 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews during the recertification and abbreviated survey (2643650) the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, personal and oral hygiene for one (1) of four (3) residents (Resident #17) reviewed. Specifically, Resident #17 had brown debris underneath long, untrimmed fingernails; had foul breath; was unshaven; and did not receive their shower as plannedFindings include: The facility policy Activities of Daily Living (ADLs) Supporting, effective 12/22/2023, documented residents were provided with the necessary services to maintain good grooming, nutrition, personal, and oral hygiene when the resident was unable to carry out activities of daily living. Hygiene included bathing, dressing, grooming, oral care, mobility, toileting, communication, eating, and drinking. The facility policy Shaving, effective 12/29/2023, documented nursing facility would ensure a resident who was unable to carry out required grooming received…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-01-09 · tag F0698 — failed to provide proper dialysis care — isolatedProvide safe, appropriate dialysis care/services for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews during the recertification survey, the facility failed to ensure that residents who required dialysis (used to filter waste products from the blood when the kidneys do not work properly) received such services consistent with professional standards of practice for one (1) of one (1) resident (Resident #134) reviewed. Specifically, Resident #134 received hemodialysis treatments at a community-based dialysis center and did not have on-going assessments and oversight before and after dialysis treatments including assessment of the dialysis access site, and consistent ongoing communication and collaboration between the facility and the dialysis center. Additionally, the resident was not always provided a lunch meal on their dialysis days.Findings include:The facility policy Coordination of Dialysis Treatment, revised 1/19/2018, the Dialysis Care Coordination Form accompanied the residents to their treatment. The goal was to facilitate communication between the facility and the dialysis center for the purpose of incorporating pertinent…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-01-09 · tag F0806 — failed to honor food preferences — isolatedEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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 the facility failed to ensure accommodation of resident food preferences for one (1) of two (2) residents (Resident #4) reviewed. Specifically, Resident #4 did not receive double portions at meals as planned. Findings included:The facility policy Accommodation of Needs and Preferences and Homelike Environment, revised 12/2017, documented the facility would identify and provide reasonable accommodation of resident preferences. The facility policy Management of Resident Dining, revised 06/2025, documented food and drink would be provided per the meal ticket. The supervisor would monitor each meal on the tray line to ensure tray accuracy, including portion size of the resident tray.Resident #4 had diagnoses including food insecurity. The 12/13/2025 Minimum Data Set assessment documented the resident was cognitively intact and had diagnoses of protein calorie malnutrition and depression.The 12/10/2025 hospital discharge summary documented Resident #4 was treated for starvation ketoacidosis.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.
Show the remaining 13 citations
- Potential for harm · Ecited before2023-11-20 · tag F0550 — failed to protect resident dignity and rights — patternHonor 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
Based on interviews during the recertification survey conducted 11/13/2023-11/20/2023, the facility did not ensure residents had the right to exercise their rights as a resident of the facility and as a citizen or resident of the United States for all 241 residents of the facility. Specifically, mail from the United States Postal Service (USPS) was not delivered to residents on Saturdays, thereby denying all residents the same rights provided to other citizens of the general community. Findings include: The facility policy, Resident Rights, reviewed and revised 10/18/2022, documented the nursing facility recognized and supported the residents' right to exercise their rights as a resident of the facility and of the United States. The policy summarized the rights of resident as stipulated under the Federal and State law. During a resident group interview on 11/13/2023 at 3:40 PM, ten anonymous residents stated personal mail was not delivered to them on Saturdays. During an interview on 11/15/2023 at 11:45 AM, unit secretary #1 stated they would go to the mailroom and get the mail 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.
- Potential for harm · E2023-11-20 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review during the recertification and abbreviated (NY00321818 and NY00317835 and NY00321978) surveys conducted 11/13/2023-11/20/2023, the facility did not ensure residents had the right to a safe, clean, comfortable, and homelike environment for 5 of 6 resident units (Units B, C, D, 2, and 3). Specifically, Unit 3 had mattresses and furniture in disrepair; Units B, C, D, 2, and 3 served resident meals directly on trays; and the medication room and the kitchenette were unclean on Unit 3. Finding include: The facility policy Resident Rights dated 10/18/2022, documented the residents had the right to a dignified existence that included a safe, clean, comfortable, and homelike living environment. The facility policy Standards for Resident Dining, dated 10/9/2018 documented the dining area tables should be properly set with placemats on the units, condiments, etc. Residents served in their rooms should have meals taken to the rooms covered and assist with set up within…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-11-20 · tag F0725 — failed to have enough nursing staff — patternProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interviews during the recertification and abbreviated (NY00327307, NY00321978, NY00321818 and NY00317835) surveys conducted 11/13/2023-11/20/2023 the facility did not ensure sufficient nursing staff to provide nursing care to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being for 10 of 10 residents who expressed concerns regarding lack of sufficient staffing and not receiving care in a timely manner. Specifically, during a confidential group meeting (resident council) residents stated their call bells could sometimes take an hour to an hour-and-a half to be answered, and that there were not enough certified nurse aides (CNAs) to assist dependent residents with personal hygiene and toileting tasks. Additionally, deficiencies related to staffing levels were identified in the areas of ADL Care Provided for Dependent Residents (Residents #36, #100, #120, #141, and #183) and the area of Quality of Care (Resident #146); and one discharged resident (Resident #304) that was not provided…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2023-11-20 · tag F0804 — failed to serve food at safe, palatable temperature — patternEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview during the recertification and abbreviated (NY00326461, NY00326492, and NY00317835) surveys conducted 11/13/2023-11/20/2023, the facility did not ensure each resident received and the facility provided food and drink that was palatable, flavorful, accurate, and at an appetizing temperature for 3 of 3 meals reviewed (11/14/2023 and 11/15/2023 lunch meals, 11/16/2023 breakfast). Specifically, food was not palatable or served at appetizing temperatures and meal trays were missing items, Findings include: The facility's policy Management of Resident Dining dated 2/25/2020 documented that it was the responsibility of the cook staff to verify that all food sent to the units for meal service was palatable and at a proper holding temperature. Resident interviews and observations included the following: - on 11/13/2023 at 10:48 AM, Resident #135 stated the food was not good and was mushy. The sandwiches did not taste good, and the chicken salad was not good. - on 11/13/2023 at 11:09 AM, Resident #183 stated the food was always cold. - on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-11-20 · tag F0582 — isolatedGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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 interview during the recertification survey conducted 11/13/2023-11/20/2023, the facility did not ensure they provided the appropriate liability and appeal notices to Medicare beneficiaries for 1 of 3 residents (Resident #353) reviewed. Specifically, Resident #353 was discharged from the facility to home and did not receive a Notice of Medicare Non-Coverage (NOMNC) CMS-10123 (Centers for Medicare and Medicaid Services) for Medicare Part A as required. Findings include: The CMS form instructions for the Notice of Medicare Non-Coverage (NOMNC) CMS-10123 documents a Medicare provider or health plan (Medicare Advantage plans and cost plans, collectively referred to as plans) must deliver a completed copy of the NOMNC to beneficiaries/enrollees receiving covered skilled nursing, home health (including psychiatric home health), a comprehensive outpatient rehabilitation facility, and hospice services. The NOMNC must be delivered at least two calendar days before Medicare covered services end…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-11-20 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview during the recertification and abbreviated surveys (NY00326492) conducted 11/13/2023- 11/20/2023, the facility did not ensure the implementation and development of person-centered comprehensive care plans (CCP) to meet residents' medical, nursing, and mental and psychosocial needs for 4 of 5 residents reviewed (Residents #91, #116, #141, and #216). Specifically, Residents #91's and #216's CCP did not include isolation precautions; Resident #116 did not receive ordered treatments or consume meals in the dining room as care planned; and Resident #141's low air loss mattress (used for pressure reduction) settings were not implemented as planned. Findings include: The facility policy Baseline Care Plan revised 12/23/2021, documented the care plan included physician orders, dietary orders, and infections. Direct care staff were educated about care plan interventions, services, and treatments to be administered by the facility and personnel acting on behalf of the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-11-20 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview during the recertification and abbreviated surveys (NY00312845, NY00317835, NY00321300, NY00321978, NY00326461, NY00326492, NY00326914, and NY00327307) conducted 11/13/2023-11/20/2023, the facility did not ensure residents who were unable to carry out activities of daily living (ADLs) received the necessary services to maintain grooming, personal hygiene, and oral hygiene for 5 of 7 residents (Residents #36, #100, #120, #141, and #183) reviewed. Specifically, Residents # 36 and #100 were not assisted with oral hygiene; Resident #120 did not receive fingernail hygiene; Resident #141 was not provided with a shower, oral hygiene, and fingernail care; and Resident #183 was not assisted with removal of facial hair. Findings include: The facility policy Denture Management revised 5/22/2017, documented residents with dentures were assessed and dentures were cleaned and stored to maintain integrity of the dentures. There was no documented policy on the provision of oral…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-11-20 · tag F0679 — failed to provide activities — isolatedProvide activities to meet all resident's needs.
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 11/13/2023-11/20/2023, the facility did not ensure residents were provided an ongoing program to support their choice of activities, designed to meet their interests and support their physical, mental, and psychosocial well-being for 2 of 2 residents (Residents #53 and #190) reviewed. Specifically, Resident #53 was not provided preferred activity when their television was non-functional; and Resident #190 was not provided meaningful activities that met their interests and preferences. Findings include: The facility policy, Resident Rights, reviewed and revised 10/18/2022, documented the nursing facility was committed to protecting and supporting the rights for each resident including freedom of choice to make their own, independent decisions through support of resident choice, such as to choose activities and schedules, participation in organizations and activities of their choice, and right to reasonable accommodations of needs. The facility policy, Assessment, Provision, and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-11-20 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and interview during the recertification and abbreviated surveys (NY00317835, NY00312624, NY00321818, NY00312845, NY00321300, NY00321978, NY00326461, NY00326492, and NY00326914) conducted 11/13/2023-11/20/2023, the facility did not ensure residents received treatment and care in accordance with professional standards of practice for 1 of 1 resident (Resident #146) reviewed. Specifically, Resident #146 had an unstageable (full-thickness pressure injuries in which the base is obscured by dead tissue) right heel pressure wound, and an unstageable right buttock wound and there was no documented evidence treatments were completed as ordered. Findings include: The facility policy Accountability of Medication and Treatment Administration revised 11/25/2016 documented the treatment nurse would document the administration of the treatment in the resident record immediately following the treatment. If the treatment nurse was unable to provide the treatment the charge nurse should be notified in a timely manner that the treatment could not be completed and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-11-20 · tag F0810 — isolatedProvide special eating equipment and utensils for residents who need them and appropriate assistance.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review during the recertification survey conducted 11/13/2023-11/20/2023, the facility did not ensure residents received special eating equipment as required for 2 of 2 residents (Residents #135 and #103) reviewed. Specifically, Resident #135 was not provided with a scoop plate as ordered and Resident #103 was not provided with a scoop plate or adaptive silverware. Findings include: The facility policy Management of Resident Dining revised 2/25/2020 documented dining service staff safely transported meals including meal tickets and required dishware to the appropriate units. Nursing staff double checked compliance with diet order including adaptive equipment and delivered the meal to the room and again verified all items on the tray were accurate including adaptive equipment (this constituted the third check). The facility policy Standards for Resident Dining revised 10/9/2018 documented that staff ensured that residents who required assistive devices/adaptive…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-11-20 · tag F0812 — failed to store, cook, and serve food safely — isolatedProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview during the recertification survey conducted from 11/13/2023-11/20/2023, the facility did not ensure food was stored and prepared in accordance with professional standards for food service safety in the main kitchen. Specifically, single service items were re-used, the hood filters were not maintained, and the clean ice scoop was not stored properly. Findings include: The following observations were made in the main kitchen: - on 11/13/2023 at 10:00 AM the ice scoop was sitting directly on top of the ice machine. The hood filter closer to the walk-in cooler had a damaged filter. The filter slats were damaged and spaced approximately 1-inch apart. - on 11/14/2023 at 12:20 PM, the ice scoop was sitting directly on top of the ice machine. Staff were actively using the ice scoop to pour ice in drinks for service on the units. At 12:25 PM, kitchen operations manager #64 was pouring drinks for service from re-used plastic gallon water jugs. The jugs were labeled with black marker not to discard. - on 11/20/2023 at 12:00 PM, with Chef Manager #62 present,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-11-20 · tag F0919 — failed to provide a working call system — isolatedMake 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
Based on observation, record review, and interview during the recertification and abbreviated (NY00317835 and NY00321978) surveys conducted 11/13/2023-11/20/2023, the facility did not ensure resident call systems were accessible to call for staff assistance for 1 of 3 residents (Resident #116) reviewed. Specifically, Resident #116 was observed on multiple occasions with their call bell out of reach. Findings include: The facility policy Meeting Resident Needs revised 3/13/2019, documented that the certified nurse aide (CNA) would strive to conduct hourly checks during their shift that included verifying the call bell was located within resident reach. Licensed staff were expected to verify that staff were conducting those hourly checks per policy. Resident #116 was admitted to the facility with diagnoses including diabetes mellitus, depression, and right below the knee amputation (BKA). The 8/14/2023 Minimum Data Set (MDS) assessment documented the resident was cognitively intact and required extensive assistance of 1 for bed mobility, transfers, dressing, toileting, and hygiene.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2021-07-30 · tag F0679 — failed to provide activities — isolatedProvide activities to meet all resident's needs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review during the recertification survey conducted from 7/26/21-7/30/21, the facility did not provide each resident an ongoing program to support residents in their choice of activities designed to meet the interests and support the physical, mental, and psychosocial well-being of each resident for 2 of 3 (Residents #2 and 31) reviewed. Specifically, Resident #2 was not offered meaningful activities and was not provided with activities of their choosing. Resident #31 was not provided with music of their choosing as care planned. The 10/27/20 updated Assessment and Documentation of Activity Participation policy documents every effort will be made to promote resident participation in preferred, meaningful activities which includes that care plans are individualized and reflect an adequate level of stimulation. Recreation Services will conduct an initial assessment to gather preferred interests; participation in these activities; strengths, needs, and any changes that impact their participation. Recreation Staff are to conduct a baseline care…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$39,754 in federal fines across 1 penalty.
- $39,754 — penalty dated 2024-01-22
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| BALDUZZI, TRACY | Individual | CORPORATE DIRECTOR | since 05/01/2023 |
| BISHOP, JEANNE | Individual | CORPORATE DIRECTOR | since 03/01/2011 |
| BORIS, TRACI | Individual | CORPORATE DIRECTOR | since 08/01/2023 |
| CAPPUCCILLI, PETER | Individual | CORPORATE DIRECTOR | since 01/01/2010 |
| CATANZARITA, JOHN | Individual | CORPORATE DIRECTOR | since 01/01/2010 |
| CHAPMAN, GEORGE | Individual | CORPORATE DIRECTOR | since 04/01/2018 |
| CHASE, EILEEN | Individual | CORPORATE DIRECTOR | since 12/01/2023 |
| CONOLE, CHARLES | Individual | CORPORATE DIRECTOR | since 01/01/2010 |
| CULLEN, LINDSAY | Individual | CORPORATE DIRECTOR | since 05/01/2023 |
| DRAPOLA, BARBARA | Individual | CORPORATE DIRECTOR | since 01/01/2017 |
| FERNANDEZ, MICHELE | Individual | CORPORATE DIRECTOR | since 05/01/2023 |
| HILL, TIMOTHY | Individual | CORPORATE DIRECTOR | since 08/01/2023 |
| HINES MCGRIFF, WANDA | Individual | CORPORATE DIRECTOR | since 12/01/2016 |
| KOPP, RICHARD | Individual | CORPORATE DIRECTOR | since 01/01/2010 |
| MAESTRI, JOHN | Individual | CORPORATE DIRECTOR | since 01/01/2013 |
| MCCLURG, SCOTT | Individual | CORPORATE DIRECTOR | since 01/01/2013 |
| PAGE, NANCY | Individual | CORPORATE DIRECTOR | since 05/01/2023 |
| REICHER, DOUGLAS | Individual | CORPORATE DIRECTOR | since 03/01/2011 |
| ROE, ALISON | Individual | CORPORATE DIRECTOR | since 12/01/2023 |
| BARBER, KATHRYN | Individual | CORPORATE OFFICER | since 01/01/2010 |
| SCHAFER, MICHAEL | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2023 |
| ZINGARO, MICHAEL | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | since 01/05/2009 |
| IGNACIO, RENANTE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 02/12/2025 |
CMS files one row per role, so the 27 rows in the source record cover these 23 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.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in NY
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New York Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 335283. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-09, 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.