The Knolls

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.

62.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 96 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 86.2% 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 58 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 0.60 therapist hours per resident per day in 2026Q1 — more than 88% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 29% 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 20 beds and averages 19.2 residents a day — about 96% occupied, or roughly 1 bed typically open. It runs essentially full — expect a waiting list. 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 4.70 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.78 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.90 is at or above 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 4.28 hrs/resident/day on weekends vs 4.87 on weekdays — 12% thinner on weekends. RN hours go from 1.94 to 1.38 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 24% is below the national median of 45%.

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

Inspection trend

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

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

• Potential for harm · E2021-07-06 · 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, interview and record review conducted during a recertification survey, the facility did not ensure proper storage of food in accordance with professional standards for food safety. Specifically, 1) perishable foods were not labeled and dated, 2) foods were not discarded by use by date, and 3) dry goods were not stored in closed containers. .A facility policy and procedure titled Labeling and Dating, dated 2/5/11 and last revised on 11/4/20202, included but was not limited to: All food items must be labeled with either a manufacturers label or handwritten label. Twice a day the dining services manager on duty will check all perishables for proper covering, labeling, and dating .It is also the responsibility of other production staff and employees to discard outdated foods and beverages as assigned or noted by management. The findings are: Observations and interviews conducted during the initial tour of the kitchen on 06/29/21 at 10:04 AM revealed: 1) The following unlabeled, undated, and expired dairy foods were stored in the walk-in produce refrigerator: An…

  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 · D2021-07-06 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review conducted during a recertification survey, the facility did not ensure that comprehensive person-centered care plans with measurable goals and interventions were reviewed and revised for 1 of 5 Residents (Resident #63) reviewed for unnecessary medications. Specifically, (1) A Pharmacy Drug Review was conducted for Resident #63 and revealed a drug-drug interaction of concurrent use of Aspirin and Fluoxetine medication may increase the risk of bleeding and to monitor the resident; (2) There was no documented evidence the residents' care plans were reviewed and revised to reflect the drug-drug interactions as identified by the Pharmacist; (3) There was no evidence these changes were communicated among the nursing staff for ongoing monitoring; and (4) There was no documented evidence that Resident #63 was monitored for bleeding, side effects/adverse effects of the medications. The findings are: 1. Resident # 63 is a [AGE] year-old who was admit to the facility on…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-07-06 · 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 interview and observation conducted during a recertification survey, it could not be ensured that the facility provided care and treatment in accordance with professional standards of practice. Specifically, the facility did not ensure that a change in skin condition was reported and treated timely for 1 of 1 resident (Resident #7) reviewed for skin conditions (non-pressure). The finding is: The facility policy and procedure titled Skin Care/Personal Grooming, dated 1/15/2002 and revised 12/2014 documented: Certified Nursimg Assistant (CNA) responsibility during AM bed bath, shower, or tub bath, inspects resident's skin for any redness, dryness, cracking, etc. Report any finding to Nurse. Licensed Nurse responsibility: Checks and cleans skin as necessary .Report any changes to the Nurse Manager/Supervisor, MD/Nurse Practitioner. Resident #7 was admitted on [DATE] with diagnoses including Bipolar disorder, Major Depressive Disorder, and Alzheimer's disease. The significant change Minimum Data Set (MDS:…

  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 · D2021-07-06 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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 conducted during a recertification survey, the facility did not ensure that facility staff accurately measured a resident's fluid intake to maintain proper hydration and health. Specifically,fluid restriction related to abnormal lab values was not followed for one of one resident (Resident #64) reviewed for hydration. Facility staff members did not accurately measure the resident's fluid intake during a recent lunch observation. The findings are: Resident #64 was admitted to the facility on [DATE] with diagnoses including Major Depression, Diabetes Mellitus, and Renal Insufficiency. According to the 6/16/2021 admission Minimum Data Set (MDS; a resident assessment and screening tool), the resident had moderate impaired cognition and required extensive staff assistance with activities of daily living (ADLs). A Medical Nutrition Therapy Care Plan initiated 6/16/2021 and updated on 6/23/2021, documented the resident was at risk for altered nutrition/hydration status.…

  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 · D2021-07-06 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews conducted during the Recertification survey, the facility did not ensure that the irregularities identified by the Pharmacist were communicated to the resident's primary medical doctor and acted upon. Specifically, monitoring of the Resident's blood levels of Lithium did not occur in accordance with the physician's orders. This was evident for 1 (Resident #7) out of 5 residents reviewed for Unnecessary Medications. The finding is: An undated facility policy and procedure titled Drug Regimen Review revealed: The consultant pharmacist reviews the physician's orders, lab test result, nurse's notes, physician's notes, and resident's background in performing drug regimen reviews of each resident on a monthly basis; identifies a possible irregularity during the resident's monthly drug regimen review; reports irregularity on a two-part drug regimen review form; completes the upper portion of the form supplying the following information: Date drug regimen review written, Resident's…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-07-06 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  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 conducted during a recertification survey, the facility did not ensure that facility staff provided ongoing monitoring of a resident for medication effect, side effects, adverse reaction, or any associated behavioral effects of the medication. Specifically, 1of 5 residents (Resident # 63) reviewed for unnecessary medication revealed no evidence of ongoing monitoring for the use of an antipsychotic medication, Abilify, used to treat Anxiety Disorder. Additionally, a Pharmacy Drug Review revealed a drug-drug interaction of increased bleeding between Aspirin and Fluoxetine (anti-depressive medication). There was no evidence that the resident was monitored for bleeding as recommended by the pharmacist. The findings are: Resident # 63 is a [AGE] year-old who was admit to the facility on 6/14/2021 with diagnoses and conditions including Depression, Anxiety Disorder, Schizophrenia, and Heart Failure. Physician Orders dated 6/14/2021 included medication orders for…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-07-06 · tag F0836 — isolated
  Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and staff interview during the Life Safety Recertification survey, the facility did not ensure all applicable state codes were met. Specifically, the facility did not install a carbon monoxide detector in accordance with section 915 of the 2015 edition of the International Fire Code, as adopted by New York State and contained in the NYS Uniform Code Supplement Section 915.3, which requires carbon monoxide detection in buildings with fuel-burning appliances. The finding is On 06/29/21 at approximately 11:10 AM, a tour of the nursing unit revealed one gas dryer located in a closet at the end of the corridor near resident room F213. Further observation at this time revealed a carbon monoxide detector was not installed in the closet where the gas dryer was located or throughout the corridor near the gas dryer. In an interview at this time, the Maintenance Director stated carbon monoxide detection will be installed in the corridor. 10 NYCRR: 415.29 (a)(2), 711.2 (a)(1); 42 CFR: 483.70 (b), 2015 IFC: Section 915, 915.1, 915.1.4, Section 1103.9

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-07-06 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and staff interview, the facility did not ensure that a Legionella Risk Assessment and Water Management Plan was provided in accordance with Section 483.80. Specifically, the facility did not ensure that the Legionella Program was assessed at least annually. The findings are Record review of the facility's Legionella Program revealed a document titled Water Management Plan - The Knolls 1/15/2020 Prepared by Sound Water Treatment, Inc. Revised January 2020. Additional record review at this time revealed the DOH-5222 document was also dated January 15,2020. In an interview on 06/30/21 at approximately 12:40 PM, the Maintenance Director stated that the Legionella Program should be reviewed annually. 483.80(a)(1)(2)(4)(e)(f)

  Infection Control Deficiencies · Deficient, Provider has date of correction

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

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

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