Utica Rehabilitation & Nursing Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

48.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 61 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 71.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 28 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.30 therapist hours per resident per day in 2026Q1 — more than 48% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 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.

Staffing

How full it usually is: this home is certified for 120 beds and averages 108.5 residents a day — about 90% occupied, or roughly 12 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.32 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.48 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.70 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 2.78 hrs/resident/day on weekends vs 3.53 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.63 to 0.13 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 62% is well above the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

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

Inspection deficiencies

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

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

38 citations, most serious first. The 15 most serious are shown; the remaining 23 are one tap away and print in full.

• Immediate jeopardy · J2025-02-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and interviews during the recertification survey conducted 2/3/2025- 2/11/2025, the facility failed to ensure the resident environment was free of accident hazards for three (3) of eight (8) residents (Residents #72, #75, and #98) reviewed. Specifically, Residents #72, #75, and #98 were served and Residents #72 and #98 consumed a cleaning solution stored in the kitchenette refrigerator in an unlabeled pitcher. This resulted in physical and psychosocial harm to Resident #72 that was Immediate Jeopardy and Substandard Quality of Care with the likelihood of serious harm, serious impairment, serious injury, or death to Residents #72, #75, and #98 and the additional 107 residents in the facility. Findings included: The facility policy, Food Receiving and Storage, dated 6/12/2023, documented foods shall be received and stored in a manner that complies with safe food handling practices. All foods stored in the refrigerator or freezer would be covered, labeled, and dated with use by date. Pesticides and other toxic substances and drugs should not be…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Kcited before2025-01-14 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  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 record review, observation, and interviews during an abbreviated survey (NY00367007), the facility failed to ensure residents were free from abuse for 1 of 6 residents (Resident #1) reviewed. Specifically, Dietary Aide #4 witnessed Certified Nurse Aide #8 abuse Resident #1 and did not report the incident for three days. Additional staff were identified as having knowledge of the incident and failed to report to facility Administration timely. The facility's failure to protect residents from abuse resulted in harm that is Immediate Jeopardy and Substandard Quality of Care for Resident #1 and placed all 104 residents in the facility at risk for the likelihood of serious harm, serious impairment, serious injury, or death. Findings include: The facility policy Seven Components of a Systemic Approach to Abuse Prohibition, effective 8/2020, documented abuse was the willful infliction of injury, unreasonable confinement, intimidation or punishment with resulting physical harm, and pain and/or mental anguish. Some forms of abuse were physical, which included hitting or slapping;…

  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
• Immediate jeopardy · K2025-01-14 · tag F0609 — failed to report abuse allegations — pattern
  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 record review and interviews during an abbreviated survey (NY00367007), the facility failed to ensure an incident of staff abuse toward a resident was reported to the State Agency and to law enforcement for 1 of 3 residents (Resident #1). Specifically, Dietary Aide #4 witnessed Certified Nurse Aide #8 abuse Resident #1 and did not report the incident to Administration for three days. Multiple staff were identified who were made aware of the abuse allegations and did not report to Administration. Upon receipt of the reported incident, the facility did not report the allegation of abuse to the State Agency or law enforcement as required. Additionally, Certified Nurse Aide #8 continued to have access to residents following the witnessed abuse. The facility's failure to report abuse by staff to Administration, the State Agency, and law enforcement resulted in harm that is Immediate Jeopardy and Substandard Quality of Care for Resident #1 and placed all 104 residents in the facility at risk for the likelihood of serious harm, serious impairment, serious injury, or death.…

  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
• Immediate jeopardy · Kcited before2024-10-07 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  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 record review and interviews during the abbreviated survey (NY00330966), the facility failed to ensure that residents were free from sexual abuse and failed to protect residents from further abuse for 1 of 7 residents (Residents #4) reviewed. Specifically, Resident #5 had intact cognitive function, a history of sexually inappropriate behaviors, and continued to exhibit sexually inappropriate behaviors, including making verbal sexual requests to residents. There were no documented interventions to address the resident's ongoing behaviors or to protect other residents from abuse. Resident #4, a cognitively impaired resident, was found in Resident #5's room engaging in a sexual act. Resident #4 was not assessed timely, notifications to their representative, medical provider, and the police were not made timely, and interventions to protect Resident #4 and other vulnerable residents were not implemented timely. The facility's failure to protect residents from sexual abuse resulted in harm that is Immediate Jeopardy and Substantial Quality of Care for Resident #4 which had 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2024-10-07 · 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 interview during the abbreviated survey (NY00340854, NY00335730, NY00340963, NY00330996, and NY00344094), the facility failed to ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 6 of 12 residents reviewed (Residents #1, #2, #3, #4, #5, and #6). -Resident #3, had episodes of vaginal/rectal bleeding, was not assessed by a qualified professional, and the medical provider was not notified timely of the bleeding (8 hours and 15 minutes following onset of bleeding). The provider ordered STAT (immediate) labs, the blood specimen could not be obtained from the resident, and the provider was not notified timely. - Resident #2 had an intact left heel blister and a treatment was ordered. There was no documentation the resident's wound was monitored or assessed after the treatment was ordered, and the care plan was not updated to include interventions. - Resident #1's…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-23 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews, the facility failed to ensure drugs and biologicals were labeled and stored in accordance with currently accepted professional principles for two (2) of four (4) medications carts (Unit 3 South and Unit 4 North) and one (1) of two (2) medications rooms (Unit 4) reviewed. Specifically, the Unit 3 South medication cart had expired eye drops and nasal spray; the Unit 4 North medication cart had opened unlabeled inhalers, expired or unlabeled eye drops, one insulin pen was missing the pharmacy label, the resident's name, and date opened and one insulin pen was not labeled with an opened date; and the Unit 4 medication room refrigerator was not maintained at an appropriate temperature.Findings included:The facility policy Storage and Maintenance of Medications, revised 05/2019 and effective 10/2020, documented the medication refrigerator must maintain a proper temperature of 36-46 degrees Fahrenheit. Medications with shortened expiration dates, such as insulin injections and ophthalmic drops, were to be dated when opened. The overnight medication…

  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 before2026-02-23 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews during the recertification survey (complaint #2738777) the facility failed to honor advance directive wishes for one (1) of one (1) resident (Resident #14) reviewed. Specifically, Resident #14 had a Medical Order for Life-Sustaining Treatment documenting do not resuscitate (do not attempt resuscitation, allow natural death). Cardiopulmonary resuscitation (chest compressions) was initiated, and an automated external defibrillator (a device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock, to help the heart re-establish an effective rhythm) was used when Resident #14 did not have a pulse. Findings included: The facility policy Advance Directives, revised 07/2019, documented Do Not Resuscitate as indicated under New York State law instructs medical professionals not to perform cardiopulmonary resuscitation in cases of cardiac arrest. If a resident was found to be in cardiac arrest (without pulse and respirations), cardiopulmonary resuscitation would not be initiated.Resident #14 had diagnoses including peripheral…

  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 before2026-02-23 · 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 observations, record reviews and interviews during the recertification survey, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development of transmission of communicable diseases and infections for two (2) of five (5) residents (Residents #25 and #56) reviewed. Specifically, Resident #25 was on contact precautions and Activities Aide #14, and Certified Nurse Aides #15 and #16 entered the room without appropriate personal protective equipment; and Resident #56 was on enhanced barrier precautions and Licensed Practical Nurse #7 performed wound care without appropriate personal protective equipment. Findings include:The undated facility policy Contact Precautions for Infection Control, documented contact precautions were used for specific residents that were known or suspected to be infected or colonized with microorganisms that can be transmitted by direct contact. A contact isolation sign was placed on the door; gloves were worn when 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-02-11 · tag F0575 — widespread
  Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews during the recertification survey conducted 2/3/2025-2/11/2025, the facility did not ensure a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups were posted in a form and manner accessible to residents and resident representatives. Specifically, 13 out of 13 anonymous residents present at the resident group meeting stated they did not know where to find the Ombudsman and New York State Nursing Home Complaint Hotline information. Additionally, there were no posted Ombudsman program or New York State Nursing Home Complaint Hotline numbers or posters observed in the facility. The findings include: The facility policy Resident Rights, dated 10/2017, documented the facility posted the names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups which included State Survey Agency, the Ombudsman, and the Medicaid Fraud Control Unit in a manner and form accessible and understandable to all residents and the resident representatives. The posting also contained a statement 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 · F2025-02-11 · tag F0577 — widespread
  Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews during the recertification survey conducted 2/3/2025-2/11/2025, the facility did not ensure the results of the most recent Federal and State surveys were posted in a place readily accessible where individuals who wished to examine the survey results did not have to ask for them. Specifically, the facility state inspection binder located in the front lobby did not include the most recent (3/3023) standard health survey results and any subsequent complaint survey results, and there was no posted notification of the availability of the previous 3 years of survey reports. Findings Include: The facility policy, Resident Rights, dated 10/2017, documented the residents had the right to examine the reports of any surveys, certifications, and complaint investigations made regarding the facility during the 3 proceeding years which included any plans of correction. The results were posted in a place that was readily accessible to residents, family members, and legal representatives. The facility posted the notice of availability of such report in a…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-02-11 · tag F0585 — failed to handle grievances — widespread
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and interviews during the recertification survey conducted 2/3/2025-2/11/2025, the facility did not ensure a process was in place for residents to have their grievances addressed for 13 of 13 anonymous residents present at the resident group meeting. Specifically, all 13 residents stated they did not know who the grievance officer was or how to file a grievance. Findings include: The facility policy, Grievances, revised 2/2020, documented residents had the right to voice their grievances and concerns with the expectation of resolution. The Director of Social Services or the resident's social worker was designated as the Grievance Official. A copy of the grievance policy was provided upon admission. Information on how to file a grievance was given upon admission and was prominently posted in locations throughout the facility. Specific information to be included was the right to file a grievance anonymously, contact information for the grievance official with whom the grievance could be filed, a reasonable timeframe, the right to obtain a written…

  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 · F2025-02-11 · tag F0755 — failed to provide safe pharmacy services — widespread
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and interviews during the recertification survey conducted 2/3/2025 - 2/11/2025, the facility did not ensure a system of records and accounts of all controlled drugs was maintained for 1 of 3 nursing units (Unit 3) reviewed. Specifically, a controlled substance reconciliation (a system of recordkeeping that ensures an accurate inventory by accounting for controlled medications that were received, dispensed, and administered) was not performed between the oncoming and outgoing nurse; the narcotic count log form was completed and signed without a count being performed; narcotic keys were not transferred between nurses in a secured manner; and Resident #65's Controlled Substance Record was not accurately reconciled after the medication was administered to the resident. Findings include: The facility policy, Storage and Maintenance of Medications, revised 5/2019, documented medications and biologicals were stored safely, securely, and properly and the medication supply was accessible only to licensed nursing personnel, pharmacy personnel, or staff…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-02-11 · tag F0880 — failed to prevent and control infections — widespread
  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 observations, record review, and interviews during the recertification survey conducted 2/3/2025-2/11/2025, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 of 2 units (Units 2 and 3) observed. Specifically, Units 2 and 3 floors did not have proper signage for transmission based precautions, and personal protective equipment was not readily accessible. Additionally, Licensed Practical Nurse #37 performed gastrostomy tube (feeding tube) care without wearing required personal protective equipment, and Resident#31's suction equipment was not maintained or stored in a sanitary manner. Findings included: The undated facility policy, Standard Precautions for Infection Control, documented gloves were to be worn when touching blood, body fluids, secretions, excretions, and contaminated items. Gowns were worn to protect skin and prevent soiling of clothing during procedures 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-02-11 · 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

  Based on record review and interviews during the recertification survey conducted 2/3/2025-2/11/2025, the facility did not develop and implement a comprehensive person-centered care plan to meet a resident's medical, nursing, mental, and psychosocial needs identified in the comprehensive assessment for 3 of 5 residents (Residents #59, #88, and #100) reviewed. Specifically, Resident #59's person-centered comprehensive care plan did not include the diagnoses of type 2 diabetes mellitus (the body does not use insulin properly causing high blood sugars) or the use of insulin (used to treat high blood sugars); Resident #88's person-centered comprehensive care plan did not include use of an anticoagulant (blood thinner); and Resident #100's person-centered comprehensive care plan did not include the diagnoses of diabetes or the use of insulin, anticoagulant, or psychotropic (used to treat mood/ behaviors) medications. Findings include: The facility policy, Comprehensive Care Planning, revised 2/2019, documented an individualized or person-centered comprehensive care plan was initiated 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-02-11 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and interviews during the recertification survey conducted 2/3/2025-2/11/2025, the facility did not ensure drugs and biologicals were stored in accordance with currently accepted professional standards for 3 of 4 medication carts (4th floor North, 4th floor South, and 3rd floor North medication carts). Specifically, the 4th floor medication carts (North and South carts) and the 3rd floor North medication cart had expired stock medications and insulin. Findings include: The facility policy, Storage and Maintenance of Medications, dated 10/2020 documented medications with shortened expiration dates, to include insulin and ophthalmic drops, must be dated when opened. Medications must be checked regularly for expiration dates and deterioration. Expired medications were to be removed from use. The overnight nurse was responsible for checking the medication carts, medication cabinets, and the refrigerator weekly for expired medications. During a medication storage observation on 2/4/2025 at 1:04 PM with Licensed Practical Nurse #13, the 3rd floor…

  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

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

Fines & penalties

$197,425 in federal fines across 2 penalties.

• $141,063 — penalty dated 2025-01-14
• $56,362 — penalty dated 2024-10-07

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.

Part of a chain

This home belongs to PERSONAL HEALTHCARE MANAGEMENT — 21 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 11 rows in the source record cover these 7 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.

About 73% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.1M paid to related parties — landlords or management companies under common ownership — equal to about 10% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in NY