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Van Rensselaer Manor

85 Bloomingrove Drive, Troy, NY 12180 · Government - County · 362 certified beds · (518) 283-2000 Medicare & Medicaid certified

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Flagged for abuseBehavioral-health or dementia-care citation — no harm found (F0744)1 actual-harm citation1 immediate-jeopardy citation CMS recorded as corrected before the inspection ended (past non-compliance)$21,645 in federal fines
Insights

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

Worth asking about
  • CMS has flagged it for abuse
  • it has an abuse, neglect, or exploitation citation (F0600), cited Mar 2026
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604, F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 1 actual-harm citation
  • inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (33) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $21,645 in federal fines (most recent 2025-01-31)
  • its independent health-inspection rating is low (2/5)
  • its payroll-based staffing rating is low (2/5)
  • its facility-reported quality-measure rating is low (1/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

1/5
CMS overall
1 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 1 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
24 N Greenbush · (518) 238-6142 · Call to confirm hours
Pharmacy
MARKET320.8 mi
79 Vandenburgh Ave · (518) 266-8711 · Call to confirm hours
Grocery
79 Vandenburgh Ave · (518) 266-8711 · Call to confirm hours
Park
55 Maxwell Dr · Typically dawn to dusk
Place of worship
175 Williams Rd · (518) 283-6110

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

Quality measures — how residents actually fare

Overall quality measures 1 of 5
Long-stay residentspeople who live here 1 of 5
Short-stay residentsrehab / post-hospital 1 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 2 to 1 stars. From monthly CMS archive snapshots.

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

Overall rating1★
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 increased13.8%14.1%15.4%better
Long-stay residents who lose too much weight5.7%5.8%5.4%typical
Long-stay residents with a catheter left in their bladder1.3%0.5%0.9%worse
Long-stay residents with a urinary tract infection3.4%1.3%2.0%worse
Long-stay residents with depressive symptoms4.2%19.5%6.5%better 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 injury5.5%3.1%3.3%worse
Long-stay residents whose ability to walk worsened11.7%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication14.2%13.2%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%95.3%95.3%typical
Long-stay residents with pressure ulcers7.1%6.5%4.7%worse
Long-stay residents with worsening bladder/bowel control24.9%19.5%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table26.9%13.7%17.1%worse
Short-stay residents who newly got an antipsychotic medication3.5%1.2%1.4%worse
Short-stay residents given the seasonal flu vaccine96.1%78.8%79.4%better
Short-stay residents rehospitalized after admission30.4%20.6%22.6%worse
Short-stay residents with an outpatient ER visit13.3%9.6%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.711.701.67worse
Long-stay outpatient ER visits per 1,000 resident days1.941.361.80typical

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.

34.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 45 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

34.6%U.S. median 51.5%
Got home and stayed home
10.8%U.S. median 10.7%
Went back to hospital
59.6%U.S. median 56.6%
Met the expected recovery
0.15U.S. median 0.31
Therapy hours / resident / day
0.06hours / resident / day
Physical therapy
0.07hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Met the expected recovery: 59.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 52 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.15 therapist hours per resident per day in 2026Q1 — more than 13% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% 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 SNF34.6%CMS range 22.8–48.851.5%Oct 2022–Sep 2024worse than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.8%CMS range 6.7–15.710.7%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 discharge59.6%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 discharge30.8%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 discharge55.8%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 settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.6%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 worsened4.7%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 hospitalization6.5%CMS range 2.9–13.17.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.841.02Oct 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

0.52
RN hours/ resident / day
1.02
LPN hours/ resident / day
1.67
Aide hours/ resident / day
3.21
Total nurse hours/ resident / day
0.27
RN hoursweekends
48.3%
Total nursing turnover
45.5%
RN turnover

How full it usually is: this home is certified for 362 beds and averages 266.7 residents a day — about 74% occupied, or roughly 95 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 3.21 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.52 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.67 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 2.69 hrs/resident/day on weekends vs 3.42 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.62 to 0.27 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% 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

10
deficiencies at the latest standard inspection (2026-04-01)
7
at the previous standard inspection (2023-05-01)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

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.

33 citations, most serious first. The 12 most serious are shown; the remaining 21 are one tap away and print in full.

  • Immediate jeopardy · J2025-01-31 · tag F0678 — failed to provide CPR when needed — isolated
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    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 an abbreviated complaint survey (Case #NY00357407), the facility did not ensure personnels ability to provide emergency basic life support, including cardiopulmonary resuscitation (CPR), to residents requiring such care prior to the arrival of emergency medical personnel in accordance with the resident's advance directives and subject to related physician orders for one (Resident #1) of three residents reviewed. Specifically, the facility did not ensure Resident #1's advance directive status was known during a significant change in the resident's respiratory condition on [DATE]. The facility failed to initiate cardiopulmonary resuscitation in a timely manner for a resident that was a full code and was in cardiopulmonary arrest (a resident without a pulse or respiration). This resulted in Immediate Jeopardy Past Noncompliance for Resident #1 with the potential for serious harm to the health and safety of all residents in the facility and Substandard Quality of 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.

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Actual harm · Gcited before2021-04-02 · 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 record review and interviews, during a recertification survey, the facility failed to ensure a resident received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for one (Resident #59) of 3 residents reviewed for hospitalizations. Specifically, for Resident #59, the facility failed to follow the Nurse Practitioner's readmission plan for the resident to have a Foley catheter (a tube inserted into the bladder to drain urine). The facility failed to notify the physician/nurse practitioner (NP) on multiple occasions for directions based on condition changes related to the resident's Foley catheter and urinary status, and did not obtain a urine specimen timely to determine the presence of an infection. urologisThis resulted in a hospitalization in the ICU for urosepsis (a disease that is caused by an infection in the urinary tract involving of an accumulation of pus-forming bacteria or their toxins in the blood…

    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 · Dcited before2026-04-01 · 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 observations, interviews, and record review conducted during the survey, the facility failed to ensure residents were treated with dignity and respect for one (1) of one (1) resident reviewed (Resident #143) and B1 unit. Specifically, staff failed to maintain discretion regarding resident conditions, used inappropriate and unprofessional language in resident care areas, interacted with a resident in a reprimanding manner during medication administration, and displayed non-dignified signage in a public area. These failures had the potential to cause emotional distress and negatively impact resident dignity and the facility environment.Findings include:Facility document titled, Your Rights as a Nursing Home Resident in New York State published by the New York State Department of Health, documented residents had the right to be valued as an individual, to be treated with consideration, dignity and respect in full recognition of their self-worth. Residents had the right to be cared for in a manner that…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-01 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and interview conducted during the survey, the facility failed to provide effective maintenance services on seven (7) of seven (7) resident units. Specifically, several walls were in various states of disrepair. Findings include:During facility tours on 3/24/2026 through 3/27/2026 between the hours of 9:00 AM and 3:00 PM, walls corners and baseboards were found to be in a state of disrepair at seven (7) of seven (7) of the active nursing stations and in seven (7) of seven (7) of the unit dining rooms. Walls in the following resident rooms walls were identified to be in a state of disrepair:A104A112A122B102A205A214A213 During interview, on 3/25/2026 at 1:45 PM, Director of Security #1 stated that the facility had focused on ensuring the safety of the residents when it came to prioritizing repairs and that the facility was currently undergoing renovations where almost all identified items would be replaced. 10 New York Codes, Rules, and Regulations 415.14(h)

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-04-01 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    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 survey, the facility failed to ensure alleged violations were investigated, prevented, or corrected according to professional standards for two (2) (Resident #31 and #271) of 12 residents reviewed. Specifically, Resident #271 was found on the floor of their room with an injury of unknown origin; an investigation was started and closed without any documented statements from the resident or persons identifying how the injury occurred. Resident #31 reported a missing tote of clothing; an investigation was started and closed without a documented outcome. Findings include:The policy titled Abuse/Neglect revised 11/2024, documented investigations were to be completed for possible abuse or crime. Interviews were to be obtained from the resident and any person/s who may be able to provide information. The information is reviewed by nursing administration at the onset, during, and at the close of the investigation. The Director of Nursing or…

    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 · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-04-01 · 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 interviews conducted during the survey, the facility failed to ensure that comprehensive care plans were developed and implemented according to professional standards for three (3) (Residents #94, 132, and 192) of 41 residents reviewed. Specifically, Resident #94 did not have a care plan for Self-Administration of Medication, Resident #132 did not have a care plan for alcohol use, and Resident #192 had a care plan titled Nutrition with an intervention of lab draws yearly that was not implemented. Findings include:The policy titled Care Planning revised 07/2025, documented a comprehensive person-centered care plan would include detailed information and direction to meet an individual needs. The care plan was to have evaluation/monitoring notes with all changes and quarterly reviews. The policy titled Resident Alcohol Use last reviewed 11/12/2025, documented residents may consume alcohol in accordance with their rights, clinical condition, and individualized care plan. 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 · D2026-04-01 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation record review, and interviews conducted during the survey, the facility failed to ensure that comprehensive care plans were revised according to professional standards for one (1) (Resident #192) of 41 residents reviewed. Specifically, Resident #192 had a care plan titled Nutrition that was reviewed on 3/26/2026 but not revised to reflect the resident's current status. Findings include:Resident #192 was admitted to the facility with diagnoses of unspecified dementia (group of symptoms affecting memory, thinking and social abilities), hypertensive heart disease (elevated bloods pressure), and gout (inflammatory arthritis that causes pain and swelling in your joints). The Minimum Data Set (an assessment tool) dated 12/12/2025 documented the resident was usually understood, could usually understand others, and was severely cognitively impaired. During an interview on 3/31/2026 at 11:45 AM, Dietitian #1 acknowledged they had reviewed the care plan on 3/26/2026 without revision despite no albumin levels being performed every 180 days. They stated the care plan should…

    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 · D2026-04-01 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews during the survey, the facility failed to ensure that residents were free of unnecessary medications for three (3) (Resident #13, 31, and 231) out of seven (7) residents reviewed. Specifically, Resident #13 and #231 had psychotropic drugs ordered on 03/04/2026 with no end and or renewal date. Resident #13 also had scheduled pain management narcotics ordered two (2) times a day routine and every four (4) hours as needed with no end dates. Findings include: Resident #231 Resident #231 was admitted with diagnoses paraplegia (paralysis of lower extremities), Parkinsonism (a progressive movement disorder of the nervous system) and neuromuscular disfunction of bladder (when a problem with your brain, nerves or spinal cord causes you to lose control of your bladder).The Minimum Data Set (an assessment tool) dated 01/15/2026, documented they could be understood, understand others, and was cognitively intact. Review of physician order by Nurse Practitioner #2 dated 03/19/2025, documented Oxycodone five (5) milligrams, give one and a half (1.5) tablets by…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-04-01 · 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 survey, the facility failed to ensure that food was stored, prepared, distributed, or served following professional standards for food service safety in seven (7) of seven (7) resident unit nutrition rooms and the central kitchen. Specifically, several items were found without expiration dates and proper food cooling procedures were not followed.Findings include:During inspection in the central kitchen on 3/23/2026 between 11:00 AM and 2:00 PM, the following items were found to be out of compliance with New York State food safety regulations:Cold, facility-made sandwiches were identified without proper expiration dates in the following areas:Sandwich prep station refrigerator in main kitchen;3A Dietary refrigerator;1B Dietary refrigerator;3B nutrition refrigerator.The temperature logs for the dietary refrigerators on all units were not completed for every day.No unit was able to provide temperature logs for resident-owned refrigerators.During kitchen tour a full-size kitchen pan filled with beef stew was identified 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 · D2026-04-01 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews, observations, and interviews conducted during the survey, the facility failed to ensure medical records were kept in accordance with accepted professional standards and the facility did not ensure that resident identifiable information was not released to the public according to professional standards, complete and accurate for five (5) of five (5) units and one (1) (Resident #271) of one (1) resident. Specifically, a) narcotic count record books for five (5) of five (5) units were incomplete, b) for Resident #271, nebulizer tubing was labeled with date of 03/08/2026 and the treatment administration record was signed weekly for tubing changes through the remainder of 03/2026, and c) two (2) of two (2) laptop computers were left unattended on medication carts with resident identifiable information accessible. Findings include:A review of the narcotic count record book for unit A2 documented blank spaces forOncoming nurse did not sign for 03/23/2026 at 7:00 AM.A review of the narcotic count record book for unit A3 team 2 documented blank spaces forOncoming…

    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 before2026-03-18 · 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

    Based on record review and interviews conducted during an abbreviated survey, the facility did not ensure each resident was treated with respect and dignity, and care in a manner and in an environment that promoted maintenance or enhancement of their quality of life for one (1) (Resident #1) of four (4) residents reviewed. Specifically, Resident #1 was left alone on the floor after fall for upwards of four (4) minutes after Certified Nurse Aide #1 physically abused them by causing the resident to fall from their wheelchair.This is evidenced by:Cross referenced to F600The facility's undated Resident Handbook, presented as the facility dignity policy, documented 'as a nursing home resident, you have the right to: dignity, respect and a comfortable living environment; quality of care and treatment without discrimination; freedom of choice to make your own, independent decisions; be informed in writing about services and fees before you enter the nursing home; the safeguard of your property and money; safeguards in admission transfer and discharge; privacy in communications; choose your…

    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 before2026-03-18 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    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 (Case #2591142), the facility did not prevent willful infliction of abuse, neglect, or mistreatment for two (2) (Resident # 1, and 3) of four (4) residents reviewed for abuse, neglect, or mistreatment. Specifically, the facility did not fully investigate an incident that occurred on 08/02/2025 when Certified Nurse Aide #1 lowered Resident #1 to the floor. Video footage captured on 08/02/2025 was viewed by facility staff on 08/14/2025 and showed abusive handling of Resident #1 that resulted in the resident falling to the floor and remaining unattended for four (4) minutes.This is evidenced by: The Facility's Abuse & Neglect Policy, updated on 04/03/2025, documented residents had the right to be free from neglect, verbal, sexual, physical or mental abuse, corporal punishment, exploitation and involuntary seclusion. Record review of the facility's abuse investigation dated 08/15/2025 through 09/03/2025 revealed Certified Nurse…

    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 · Deficient, Provider has date of correction
Show the remaining 21 citations
  • Potential for harm · Dcited before2026-03-18 · 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

    Based on record review and interviews conducted during an abbreviated survey, the facility did not provide needed care and services that were resident centered and in accordance with professional standards of practice to meet each resident's physical, mental, and psychosocial needs for one (1) (Resident #1) of four (4) residents reviewed. Specifically, Resident #1 was not assessed for full range of motion before being manually lifted from the floor and placed in their wheelchair after suffering a fall to the floor. This is evidenced by:The facility's policy and procedure titled, Post Fall Routine, revised 5/2024, documented the purpose of the Post Fall Routine was to assess the resident for injury, to identify and treat any underlying causes and predisposing risk factors, to provide the resident physical comfort and reassurance, and to insure the resident's safety by preventing re-occurrence. The procedures documented were 1. Registered Nurse would assess the resident for any injury related to the fall and provide emergency treatment, as necessary; 2. All resident would be assisted…

    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 · D2026-03-18 · tag F0867 — failed to act on quality-improvement findings — isolated
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    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 abbreviated surveys (Case #2591142), the facility did not ensure a quality assessment and assurance committee developed and implemented appropriate plans of action to correct identified quality deficiencies. Additionally, the facility did not implement written policies and procedures for feedback, data collection systems, and monitoring, including adverse event monitoring. Specifically, the facility did not follow the policies established to provide performance improvement plans, staff correction, and resident safety. This is evidenced by: Cross reference: F600, F684The facility policy titled, Quality Assurance Performance Improvement with effective date 08/15/2025, and last updated 06/06/2025, documented the Quality Assurance Performance Improvement program would aim for safety and high quality with all clinical intervention and service delivery while emphasizing autonomy, choice, and quality of daily life for residents and family by…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-10 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review conducted during the Abbreviated survey (Complaint #NY00379718) completed on 6/10/2025, the facility did not ensure the resident's right to be free from abuse, neglect or mistreatment for one (1) (Resident #2) of three (3) residents reviewed for abuse, neglect and mistreatment. Specifically, a Certified Nurse Aide #3 did not follow Resident #2's care plan for dietary meal consistency when they provided Resident #2 with a regular chicken consistency that caused Resident #2 to choke and required back thrusts and mouth sweeps to clear their throat and mouth. This is evidenced by: The facility policy and procedure titled, Abuse/Neglect, revised 4/2025, documented the following: it is the policy of the facility that all residents have the right to be free from neglect, verbal, sexual, physical or mental abuse, corporal punishment, exploitation and involuntary seclusion. The facility education titled, Reportable Incidents / Examples, undated, provided by Director of Nursing #1, documented the following: Neglect may include, but is not…

    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 · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-10 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review conducted during an Abbreviated survey (Complaint #NY00378218) completed on 6/10/2025, the facility did not ensure that all alleged violations involving abuse, neglect, mistreatment including injuries of unknown source, were reported immediately, but not later than two hours after the allegation was made to the facility's Administrator and the State Survey Agency for one (1) (Resident #5) of three (3) residents reviewed. Specifically Resident #5 was found to have an injury of unknown source to their right eye, and it was not reported within the required timeframe. This is evidenced by: The facility policy and procedure title, Resident Incident / Accident Reporting, date revised 9/2023 documented the following: all resident incident / accidents are reported, investigated and documented at the time of the incident / accident or upon discovery, in an effort to prevent or decrease recurrence. Accident - any happening that results in bodily injury, including but not limited to falls, fractures, lacerations, burns, skin tears and bruises.…

    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 · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-10 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review conducted during an Abbreviated survey (Complaint #NY00379718 and #NY00378218) completed on 6/10/2025, it was determined the facility did not ensure that all violations of abuse, neglect, mistreatment were thoroughly investigated for two (2) (Resident #2 and #5) of three (3) residents reviewed. Specifically, (1.) An incident involving Resident #2, who was fed regular chicken consistency by Certified Nurse Aide #3, was not thoroughly investigated to determine where the Certified Nurse Aide retrieved the regular consistency meal; and (2.) Resident #5's injury of unknown origin was not investigated thoroughly. Reference F 600 D and F 609 D This is evidenced by: The facility policy and procedure titled, Abuse/Neglect, revised 4/2025, documented the following: it is the policy of the facility that all residents have the right to be free from neglect, verbal, sexual, physical or mental abuse, corporal punishment, exploitation and involuntary seclusion. Investigate all reported incidents and accidents and resident complaints for potential…

    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 · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-10 · 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

    Based on observation, interview and record review conducted during an Abbreviated survey (Compliant #NY00379178) completed on 6/10/2025, the facility did not ensure that all residents comprehensive person-centered care plans were implemented as planned, consistent with resident's rights and meet their preferences, goals and medical, physical, and psychosocial needs that are identified in the comprehensive assessment for one (1) (Resident #1) of three (3) residents reviewed. Specifically, the resident was not provided with two (2) staff members for incontinent care and bed mobility as care planned. This is evidenced by: The facility policy and procedure titled Care Planning revised date 5/2023 documented that residents will have a comprehensive person-centered care plan identifying resident ' s strengths, goals, life history and preferences in place to guide their care and Certified Nurse Assistant instructions provide detailed information and instructions to meet each resident ' s individual needs. Resident #1 had diagnoses including dementia with agitation, generalized anxiety…

    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 before2025-06-10 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review conducted during an Abbreviated survey (Compliant #NY00379178) completed on 6/10/2025, the facility did not ensure provision of a safe, sanitary, and comfortable environment to help prevent the development and transmission of communicable diseases and infections for one (1) (Resident #1) of one (1) resident reviewed for infection control practices. Specifically, Resident #1 was on Enhanced Barrier Precautions (interventions designed to reduce transmission of multi-drug-resistant organisms including mask, gown and glove use during high contact resident care activities) and staff did not wear proper personal protective equipment while providing incontinent care of urine and feces. Additionally, the facility did not have transmission-based precaution policies to prevent the spread of infections, when and how isolation should be used for a resident; including but not limited to the type and duration of the isolation, depending upon the infectious agent or organism involved. This is evidenced by: The facility policy and procedure titled,…

    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
  • Potential for harm · Dcited before2025-01-31 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and staff interviews during an abbreviated survey (Case # NY00358602), the facility did not ensure the resident's right to be free of abuse for 1 (Residents #2) of 3 residents reviewed for abuse and neglect. Specifically on 10/27/2024, Certified Nurse Aide #1 threw a water bottle toward Resident #2, picked the bottle up and again threw it at the resident, striking them on their back without injury. Additionally, the second throw was witnessed by Certified Nurse Aide #2, and there was a delay in removing Certified Nurse Aide #1 from resident care. This is evidenced by: Facility policy titled, Abuse/Neglect, or Mistreatment, updated 11/04/2024, documented it was the policy of the facility that all residents had the right to be free from neglect, verbal, sexual, physical, or mental abuse, corporal punishment, exploitation, and involuntary seclusion. 1. All abuse would be reported and investigated. 2. All new hires would be educated and reviewed through background checks. 3. It was the responsibility of all staff to notify their immediate supervisor…

    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 · Ecited before2023-05-01 · tag F0656 — failed to write and follow a full care plan — pattern
    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 interviews during a recertification survey dated 4/25/2023 through 5/1/2023, the facility did not ensure comprehensive care plans (CCP) were developed and implemented for each resident consistent with the resident rights and that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs for 6 (Resident #'s 3, 43, 91, 120, 219 and 243) of 35 residents reviewed. Specifically, for Resident #3, the facility did not ensure a comprehensive care plan was in place to address care of a suprapubic urinary catheter; for Resident #43, the facility did not ensure comprehensive care plans were developed and implemented for psychotropic medication monitoring, activities of daily living (ADLs) related to the resident's feeding ability, behavior monitoring, and participation in activities; for Resident #91, the facility did not ensure a CCP was implemented for activities and urinary catheter that was resident specific with goals…

    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 · E2023-05-01 · tag F0679 — failed to provide activities — pattern
    Provide activities to meet all resident's needs.
    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 a recertification survey the facility did not ensure that it provide, based on the comprehensive assessment and care plan and the preferences of each resident, an ongoing program to support residents in their choice of activities, both facility-sponsored group and individual activities and independent activities, designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident, encouraging both independence and interaction in the community for three (Resident #'s 43, 91, and 219) of 3 residents reviewed for activities. Specifically, the facility did not ensure that Resident #'s 43, 91 & 219 were provided with activities on an ongoing basis according to the residents' Comprehensive Care Plans and that activities provided met the residents' preferences. This is evidenced by: Resident #43 Resident #43 was admitted with diagnoses including Alzheimer's Disease, old Cerebral Vascular Accident (CVA) with…

    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 · E2023-05-01 · 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

    Based on observations, interviews and record review during the recertification survey, the facility did not ensure provision of sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident throughout the facility. Specifically, the facility did not ensure the desired staffing levels for Nurses and Certified Nurse's Aides (CNAs) as documented in the Facility Assessment and reported by the Staffing Coordinator, were met 7 of 7 calendar days from 4/24/2023 to 4/30/2023. As a result of the insufficient staffing, the Resident Council and nursing staff reported resident care activities were unable to be completed and specifically, for Resident #92, 98, and 174, the facility did not ensure residents, who were unable to carry out activities of daily living, received their weekly showers to maintain good personal hygiene related to insufficient staffing. This is evidenced by: Refer to 677 Finding #1:…

    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 · Ecited before2023-05-01 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interviews during the recertification survey, the facility did not ensure safe and secure storage of all medications for 3 (Unit # A2, A3, and C3 ) of 7 units for medication storage. Specifically, for Units A2, A3, and C3, the facility did not ensure controlled substances were kept in a separately locked, permanently affixed compartment for storage and for Unit A3, the facility did not ensure that the medication cart was locked when unattended. This is evidenced by: Finding 1: Units A2, A3, and C3 During an observation on 04/27/2023 at 10:01 AM, the A2 medication storage room refrigerator was not permanently affixed to the wall or countertop; maintenance was working on securing it to the countertop with a metal wire. During an observation on 04/27/23 at 10:50 AM, the medication refrigerator in the C3 medication room had an outer lock in place, and a double locked internal medication box with the following controlled substances present: - Dronabinol 2.5 mg x 5 capsules - Dronabinol 10 mg x 31 capsules - Lorazepam 2 mg/ml x 6 vials The…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-05-01 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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 dated 4/25/2023 through 5/01/2023, the facility did not store, prepare, distribute or serve food in accordance with professional standards for food service safety in the main kitchen and six (6) of 7 units kitchenettes. Specifically, in the main kitchen, the final rinse on the automatic dishwashing machine was 183 degrees Fahrenheit (F) at 33 pounds per square inch (psi): the information placard on the dishwashing machine requires the final rinse to be between 20 psi and 25 psi; the chemical test kit used to measure the chemical solution used to sanitize food contact equipment did not provide color graduations to indicate if the solution is at the minimum concentration or is too concentrated: the bottle of chemical concentrate stated the dilution is to be between 150 parts per million (ppm) quaternary ammonium compound (QAC) to 400 ppm QAC; the slicer, floor mixer, and refrigerator door gaskets were soiled with food particles. The microwave ovens and/or refrigerator doors gaskets were soiled with…

    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 · D2023-05-01 · 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

    Based on observation, record review, and interviews during a recertification survey from 4/25/2023 to 5/2/2023, the facility did not ensure residents who were unable to carry out activities of daily living received the necessary services to maintain personal hygiene for 4 (Resident #'s 43 92, 98, and 174) of 4 residents reviewed for Activities of Daily Living related to sufficient staffing. Specifically, for Resident #92, 98, and 174, the facility did not ensure residents, who were unable to carry out activities of daily living, received their weekly showers to maintain good personal hygiene. Additionally, for Resident #43, the facility did not ensure the resident received staff assistance with eating on 4/27/2023 in accordance with the comprehensive care plan. This is evidenced by: Finding #1: Specifically, for Resident #92, 98, and 174, the facility did not ensure the residents, who were unable to carry out activities of daily living, received their weekly showers to maintain good personal hygiene. The Policy and Procedure (P&P) titled Bathing, dated 4/8/2020, documented it 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-05-01 · tag F0744 — failed to care for residents with dementia — isolated
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    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 on 4/25/2023 through 5/1/2023, the facility did not ensure a resident who displayed or was diagnosed with dementia, received the appropriate treatment and services to maintain their highest practicable physical, mental, and psychosocial well-being for 2 (Resident #44 and 244) of 4 residents reviewed for dementia care. Specifically, for Resident #44 and #244, the facility did not ensure the development and implementation of person-centered care plans that included interventions specific to the residents and did not address the residents' customary routines, interests, preferences, or choices to enhance the resident's well-being related to their cognitive status. This is evidenced by: Resident #44: Resident #44 was admitted with diagnoses of dementia with behavioral disturbance, psychotic disorder with delusions due to known physical condition, and cerebral infarction. The Minimum Data Set (MDS-an assessment tool) dated 3/17/2023 documented the resident had severely impaired cognition, could sometimes…

    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 · Ecited before2021-04-02 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview during the recertification survey the facility did not maintain drugs and biologicals labeled in accordance with currently accepted professional standards, and include the appropriate accessory and cautionary instructions for 4 (Medication Carts A1, A3, B2 and C3) of 8 and 2 (B2 and C2) Medication Rooms of 4 inspected. Specifically, the facility did not ensure medication carts and medication rooms on the nursing units did not contain expired or outdated beyond the date listed on the medication container labels. This is evidenced by the following: Inspections of Medication Carts were as follows: - [DATE] at 2:48 PM, a Unit A1 medication cart contained a bottle of Tavavite (multivitamin), 100 tablet bottle was opened and had an expiration date of [DATE] and a bottle of Loratadine (antihistamine), 90 tablet bottle was opened and had an expiration date of 12/2020. - [DATE] at 01:40 PM, the Unit B2, team 2, medication cart contained Magnesium oxide with an expiration date of…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-04-02 · tag F0604 — failed to not use physical restraints improperly — isolated
    Ensure 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and interviews during a recertification survey, the facility did not ensure residents were free from physical or chemical restraints imposed for purposes of discipline or convenience and that were not required to treat the resident's medical symptoms for 2 (Resident #81 and #203) of 2 resident reviewed for restraints. Specifically, for Resident #81, the facility did not ensure the resident's alarmed clip seat belt was released every 2 hours as documented on the comprehensive care plan, that the physician order identified a medical symptom that necessitated the use of the restraint, and that the resident representative was informed of potential risks and benefits of using an alarmed clip seat belt as a restraint, and for Resident #203, the facility did not ensure the Velcro belt, that was not easily removed by the resident, was assessed as a restraint. This is evidenced by: A facility Policy and Procedure (P&P) titled Physical Restraints dated 2/2017, documented 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-04-02 · tag F0625 — isolated
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review during the recertification survey, the facility did not ensure written notice of the facility's bed hold policy was provided to the resident and the resident representative for 3 (Residents #'s 5, 59 and #161) of 3 residents reviewed for hospitalization. Specifically, the facility did not ensure there was documented evidence that the resident and the resident representatives' received written notice of the bed hold policy when the residents' were transferred to the hospital. This was evidenced by: The Administrator stated that the policy and procedure for bed holds was included in the resident admission packet. The resident admission packet provided documented that a written bed hold notification would be provided to residents or their representatives when transferred to the hospital. Resident #5: Resident #5 was admitted to the facility with diagnosis of congestive heart failure (CHF), diabetes mellitus, and hypertension. The Minimum Data Set (MDS- an assessment tool) dated…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-04-02 · tag F0880 — failed to prevent and control infections — isolated
    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 observation, interview and record review during a recertification survey completed on 4/2/2021, the facility failed to 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 infection. Specifically, the facility did not ensure staff on B2, a quarantined unit where all residents were on contact and respiratory precautions, consistently wore gowns and changed them between resident encounters, and performed hand hygiene between resident encounters; further, the facility did not ensure residents were socially distanced while dining, and the facility did not ensure reusable equipment was properly sanitized. This is evidenced by: The Centers for Disease Control and Prevention (CDC) guidance titled, Interim Infection Prevention and Control Recommendations to Prevent SARS-CoV-2 Spread in Nursing Homes, updated on 3/29/21 provides: Because of the high risk of…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2026-04-01 · tag F0732 — widespread
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interviews during the survey, the facility failed to ensure that nurse staff posting data was posted on a daily basis at the beginning of each shift in a prominent place readily accessible to residents and visitors. Specifically, the facility entrance lobby was observed on 04/01/2026 at 11:30 AM without the Daily Staff Posting. Additionally, there were no Daily Staff Posting elsewhere throughout the building.Finding is:During an observation on 04/01/2026 at 11:30 AM, the lobby was without the Daily Staff Posting. Additionally, there were no Daily Staff Posting elsewhere throughout the building.During an interview on 04/01/2026 at 11:40 AM, Staffing Coordinator #1 stated they were not responsible for posting the Daily Staffing and referred to the Administrator.During an interview on 04/01/2026 at 11:45 AM, Administrator #1 stated The Daily Staff Posting was posted in the main lobby but was not posted due to an oversight and said the previous day's posting was taken down. They further stated they were aware that Daily Staffing and census should be posted…

    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
  • No harm found · B2026-04-01 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews conducted during the survey, the facility failed to ensure that residents were free of accident or hazards according to professional standards for three (3) (Resident #94, 132, and 231) of eight (8) residents reviewed. Specifically, Resident #94 had an over-the-counter nasal spray on their bedside table, Resident #132 had a can of unopened beer on their personal storage shelf as well as an unopened single shot of liquor on their dresser, and Resident #231 had a clear plastic bag of prescription medication in their chair located next to the doorway in their room. Findings include:The policy titled Resident Alcohol Use last reviewed 11/12/2025, documented residents could consume alcohol in accordance with their rights, clinical condition, and individualized care plan. Alcohol would be stored in the medication room to prevent misuse or diversion and provided to a resident only by their assigned nurse. The policy titled Medication Administration System, Self…

    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

“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

$21,645 in federal fines across 1 penalty.

  • $21,645 — penalty dated 2025-01-31

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 / managerTypeRoleShareSince
RENSSELAER COUNTY BUREAU OF FINANCEOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; 5% OR GREATER MORTGAGE INTEREST; 5% OR GREATER SECURITY INTEREST100%since 06/30/1994
DALEY, DANAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/16/2023
LIEU, JASONIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/05/2022
WASIELEWSKI, JOHNIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/01/2021

CMS files one row per role, so the 9 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

$26.7M
Net patient revenuemost recent cost report
-66.9%
Operating marginrevenue minus expenses
$1.7M
Related-party expense4% of expenses
Who pays — share of resident-days
Medicaid 86%Medicare 2%Other / private 13%

About 86% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.7M 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

$477per resident / day
operating cost
$14,508per month
≈ monthly operating cost
$286per 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 335265. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-01, 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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