Samaritan Senior Village, INC
22691 Campus Drive, Watertown, NY 13601 · Non profit - Corporation · 168 certified beds · (315) 782-6800 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- no federal fines or payment denials on record
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its independent health-inspection rating is low (2/5)
- its payroll-based staffing rating is low (2/5)
- its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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 | 3 of 5 |
| Long-stay residentspeople who live here | 2 of 5 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 2 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 32.8% | 14.1% | 15.4% | worse |
| Long-stay residents who lose too much weight | 6.2% | 5.8% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 2.4% | 0.5% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 0.7% | 1.3% | 2.0% | better |
| Long-stay residents with depressive symptoms | 1.0% | 19.5% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better |
| Long-stay residents with falls causing major injury | 6.9% | 3.1% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 22.9% | 12.5% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 11.4% | 13.2% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 89.8% | 95.3% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 5.7% | 6.5% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 31.0% | 19.5% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 15.6% | 13.7% | 17.1% | typical |
| Short-stay residents who newly got an antipsychotic medication | 1.7% | 1.2% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 67.6% | 78.8% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 18.3% | 20.6% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 7.4% | 9.6% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.33 | 1.70 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 1.68 | 1.36 | 1.80 | typical |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
33.6% 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 167 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 59.7% 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 72 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 0.19 therapist hours per resident per day in 2026Q1 — more than 19% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 1% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 33.6%CMS range 27.2–40.1 | 51.5% | Oct 2022–Sep 2024 | worse than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.9%CMS range 6.8–13.6 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 59.7% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 41.7% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 59.7% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 98.8% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not 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 discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 2.3% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 3.5% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 5.8%CMS range 3.3–10.3 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.86 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 168 beds and averages 161.0 residents a day — about 96% occupied, or roughly 7 beds 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 3.61 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.37 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.34 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 3.07 hrs/resident/day on weekends vs 3.82 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.45 to 0.17 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.
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 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.
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.
20 citations, most serious first. The 10 most serious are shown; the remaining 10 are one tap away and print in full.
- Potential for harm · Fcited before2024-08-16 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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 interview during the recertification survey conducted 8/12/2024-8/16/2024 the facility did not ensure food was stored and prepared in accordance with professional standards for food service safety in the main kitchen. Specifically, potentially hazardous foods were not cooled properly in the main kitchen, and there was insufficient lighting in the walk-in cooler and walk-in freezer. Findings include: The facility policy, Food Procurement Receiving Handling Storing Preparing, revised 7/12/2024, documented the facility ensured proper cooling of food, and proper sanitation and food handling practices to prevent the outbreak of foodborne illness. 1) Improperly Cooled Potentially Hazardous Foods The facility document Temperature-Time Cooling Log did not document any food products cooled on 8/12/2024. One item was documented as cooled on 8/13/2024, but it did not identify what the food was on the form. The log documented when cooling any stock, sauce, or potentially hazardous food, the use of the log would enable one to monitor and document the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-08-16 · tag F0684 — failed to provide proper treatment and quality of care — patternProvide 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 observations, record review, and interview during the recertification and abbreviated (NY00344344, NY00344487, and NY00347064) surveys conducted 8/12/2024-8/16/2024, the facility did not ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 3 of 3 residents (Residents #59, #67 and #86) reviewed. Specifically, Resident #59 did not have their palm protectors (contracture management device) applied as care planned; Resident #67 did not have their elastic tubular compression bandage (Tubigrip) applied as ordered; and Resident #86 had a skin tear (a wound resulting from separation of the top layer of skin from the second layer) and initial treatment orders were not obtained, and the wound dressing was unclean. Findings include: The facility policy, Rehab-Splints-Upper Extremities-SSV reviewed 3/11/2024 documented the occupational therapist evaluated the resident's upper extremities and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-08-16 · tag F0761 — failed to label and store drugs safely — patternEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview during the recertification survey conducted 8/12/2024-8/16/2024, the facility did not ensure drugs and biologicals were labeled and stored in accordance with currently accepted professional principles for 3 of 5 medication carts (Second floor B side and Fourth floor A and B sides), and 1 of 4 medication rooms (First floor B side). Specifically, the First floor B side medication room was missing medication refrigerator temperatures; the Fourth floor B side medication cart was unlocked and unattended; the Second floor B side and the Fourth floor A side medication carts had eye drops that were not labeled after they were opened. Findings include: The facility policy, Storage of Medication Policy, last reviewed 3/4/2024, documented all medications and biologicals were stored safely, securely, and properly, and followed manufacturer's recommendations or those of the supplier. Medication rooms, carts, and medication supplies were locked when they were not attended by persons 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.
- Potential for harm · E2024-08-16 · tag F0804 — failed to serve food at safe, palatable temperature — patternEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, observation, and interview during the recertification survey conducted 8/12/2024-8/16/2024, the facility did not ensure each resident received and the facility provided food and drink that was palatable, attractive, and at safe and appetizing temperatures for 1 of 2 meal test trays (the 8/13/2024 First floor A side lunch meal); for 2 of 2 residents (Residents #22 and #31) reviewed; and for 7 of 7 anonymous residents present at the Resident Council meeting. Specifically, food was not served at palatable and appetizing temperatures for the First floor A side lunch meal on 8/13/2024; and Residents #22, #31, and the attendees of the Resident Council meeting stated the food did not taste good and was not hot. Findings include: The facility policy, Food Procurement Receiving Handling Storing Preparing, revised and reviewed 7/12/2024 documented food above 41 degrees Fahrenheit and below 135 degrees Fahrenheit allowed the rapid growth of pathogenic microorganisms that could cause foodborne illness. The facility policy, Adequate Diet and Menu Planning to Accommodate…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-16 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review during the recertification and abbreviated (NY00347064) surveys conducted 8/12/2024-8/16/2024, the facility did not ensure each resident had the right to a safe, clean, comfortable, and homelike environment for 1 of 1 resident (Resident #92) reviewed. Specifically, Residents #92's electric wheelchair was unclean. Findings include: The facility policy, Wheelchair/Transport Chair Cleaning Protocol, revised 9/10/2017 documented the facility ensured the resident was provided a sanitary and pleasant environment, equipment was cleaned and disinfected once a month and daily as needed, and each unit had a designated week of cleaning throughout the month. The undated facility document Skilled 4A Side Wheelchairs (wheelchair cleaning log) did not document the resident's chair was cleaned. Resident #92 was admitted to the facility with the diagnoses including left hemiplegia and hemiparesis (weakness and paralysis of the left side of the body) following a cerebral infarction (stroke). The 7/18/2024 Minimum Data Set documented the resident had…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-16 · tag F0585 — failed to handle grievances — isolatedHonor 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 record review and interviews during the recertification and abbreviated (NY00344487) surveys conducted 8/12/2024-8/16/2024, the facility did not ensure that prompt efforts were made to resolve grievances for 1 of 1 resident (Resident # 26) reviewed. Specifically, Resident #26's family member sent an electronic message to the facility's Administrator regarding their concerns and their concerns were not addressed timely. Findings include: The facility's policy, Complaint Grievance and Recommendation, revised 7/28/2024 documented that residents' next of kin or designated representatives were provided a method by which to express complaints and/or recommendations, both verbally and in writing, and that such complaints and/or recommendations would be responded to as soon as possible. Resident #26 was admitted to the facility with diagnoses including transient ischemic attack (mini stroke), abnormalities of gait and mobility, and muscle weakness. The 6/20/2024 Minimum Data Set Assessment documented the resident had intact cognition, did not reject care, and required partial/…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-16 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interviews during the recertification survey conducted 8/12/2024-8/16/2024, the facility did not ensure the development and implementation of a comprehensive person-centered care plan for 1 of 2 residents (Resident #125) reviewed. Specifically, Resident #125's comprehensive care plan did not include a diagnosis of Type 2 diabetes (the body is unable to use insulin properly causing high blood sugar). Findings include: The facility policy, Comprehensive Care Planning, revised 10/1/2023, documented the facility would ensure that an individualized care plan was initiated for all residents, and chronic, active diagnoses would be care planned for. The facility policy, Diabetes Management, revised 2/3/2020 documented staff would identify and report issues that may affect, or be affected by, a patient's diabetes and diabetes management such as foot infections, skin ulceration, increased thirst, or hypoglycemia (low blood sugar). Resident #125 was admitted to the facility with a diagnosis of diabetes mellitus. The 7/19/2024 Minimum Data Set documented…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-08-16 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview during the recertification and abbreviated (NY00344344, NY00344487, and NY00347064) surveys conducted 8/12/2024-8/16/2024, the facility did not ensure residents who were unable to carry out activities of daily living received the necessary services to maintain grooming and personal hygiene for 1 of 8 residents (Resident #26) reviewed. Specifically, Resident #26 was not assisted out of bed as requested. Findings include: The facility policy, Activities of Daily Living, revised 4/2024 documented activity of daily living tasks included personal hygiene, toileting, feeding, bed mobility, transfer, walking in the room and corridor, locomotion on and off the unit and dressing. Certified nurse aides documented activity of daily living support and performance. Resident #26 had diagnoses including transient ischemic attack (mini stroke), abnormalities of gait and mobility, and muscle weakness. The 6/20/2024 Minimum Data Set Assessment documented the resident had intact cognition, did not reject care, and required partial/ moderate assistance…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-16 · tag F0679 — failed to provide activities — isolatedProvide activities to meet all resident's needs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview during the recertification survey conducted 8/12/2024-8/16/2024, the facility did not ensure ongoing provision of programs to support each resident in their choices of activities, designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident for 1 of 2 residents (Resident #137) reviewed. Specifically, Resident #137 was not assisted to attend an activity that was meaningful to them and met their interests and preferences. Findings include: The facility policy, Activities, effective 4/19/2024 documented the activities program appealed to each resident's interests and enhanced the resident's highest practicable level of physical, mental, and psychosocial wellbeing based upon the resident's comprehensive assessment. Activities were relevant to the specific needs, interests, cultural, background, etcetera of the individual. The facility's August 2024 Recreational Therapy Calendar documented on 8/14/2024 at 2:00 PM there was a Petting Zoo activity on the front lawn. Resident #137 had…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-16 · tag F0698 — failed to provide proper dialysis care — isolatedProvide safe, appropriate dialysis care/services for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview during the recertification survey conducted 8/12/2024-8/16/2024, the facility did not ensure that residents who required dialysis (a procedure to remove waste products and excess fluid from the blood when the kidneys stop working properly) services received such services consistent with professional standards of practice for 1 of 1 resident (Resident #37) reviewed. Specifically, Resident #37 received hemodialysis treatments at a community-based dialysis center and did not have ongoing assessments of their condition and monitoring for complications before and after dialysis treatments. Additionally, there was not consistent ongoing communication and collaboration between the facility and the dialysis center. Findings include: The facility policy, Dialysis, effective 4/19/2024 documented the facility maintained proper standards related to dialysis protocol and good communication was maintained with the facility that provided dialysis. A communication book went with the resident each time they went to dialysis. The purpose of the book…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 10 citations
- Potential for harm · D2024-08-16 · tag F0880 — failed to prevent and control infections — isolatedProvide 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, record review, and interview during the recertification survey conducted 8/12/2024-8/16/2024, 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 1 of 4 residents (Resident #54) reviewed. Specifically, Licensed Practical Nurse #23 did not maintain infection control precautions when administering medications to Resident #54 who was on transmission based precautions (contact precautions) and staff were not aware why the precautions were in place. Findings include: The facility policy, Infection Prevention and Control Plan/ Program, revised 2/16/2024 documented transmission-based precautions were additional infection control precautions in health care for residents who were known or suspected to be infected or colonized with infectious agents, including certain epidemiologically important pathogens (highly contagious germs). The infection preventionist was responsible…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2022-06-24 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview during the recertification survey conducted 6/21/22-6/24/22, the facility failed to store food in accordance with professional standards for food service safety for 3 of 5 kitchenettes (1B, 3B, and 4B kitchenettes) reviewed. Specifically, there were undated and outdated foods stored in the 1B, 3B, and 4B kitchenettes. Findings include: The facility policy Foods Brought in for Residents revised 12/17 documented upon receipt of food brought in for residents by family, food items were labeled with resident name and date received. Food refrigerated in the facility kitchenettes must be labeled with resident's name and date received. Food could be held in the facility refrigerator up to 3 days (i.e., received on 12/13/16 must be consumed by the end of 12/15/16) for cold and hot foods, after which foods will be discarded. The 6/2022 Kitchen/Floor Sanitation Inspection form included a section for kitchenettes which documented Resident snack fridge: no outdated items. From 6/20/22 to 6/22/22, this section was initialed as being completed for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-06-24 · tag F0583 — failed to protect personal privacy — isolatedKeep residents' personal and medical records private and confidential.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review during the recertification survey conducted 6/21/22-6/24/22, the facility failed to ensure a resident's right to personal privacy of accommodations and personal care for 1 of 1 resident reviewed (Resident #13). Specifically, Resident #13 had a video monitor in their room which transmitted live video of the resident to the nursing station and the facility did not obtain the resident's or the resident representative's consent for video monitoring. Findings include: The facility policy Photography, Video, and Audio Recording reviewed 12/16/21, documented the facility prohibited the use of any type of recording or photography during procedures or when staff was providing care to residents. Resident #13 was admitted to the facility with diagnoses including diabetes with neuropathy, anxiety, insomnia, and depression. The 3/18/22 Minimum Data Set (MDS) documented the resident had moderately impaired cognition, and required extensive assistance for bed mobility, transfers, dressing, toilet use, and personal hygiene. The resident's admission…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-06-24 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview during the recertification and abbreviated surveys (NY00297453, NY00295650, NY00286645, NY00294873, NY00280209, NY00281251) conducted 6/21/22-6/24/22, the facility failed to ensure residents who were unable to carry out activities of daily living (ADLs) received the necessary services to maintain good nutrition, grooming, personal and oral hygiene for 1 of 6 residents (Resident # 120) reviewed. Specifically, Resident #120 was not provided incontinence care in a timely manner as care planned. Findings include: The facility policy Standards of Care- Activities of Daily Living (ADLs) reviewed 12/14/21, documented each resident shall receive and the facility must provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing, in accordance with the comprehensive assessment and plan of care. Residents would be assisted to keep clean, neat, and well groomed. Resident #120 had diagnoses including traumatic brain injury, quadriplegia (paralysis of all four limbs), and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-06-24 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review during the recertification survey conducted 6/21/22-6/24/22, the facility failed to ensure the resident environment remained free of accident hazards as is possible for 1 of 7 residents (Resident # 120) reviewed. Specifically, Resident #120 was assessed as unable to use bedrails appropriately or safely and was observed with bedrails in the up position. Findings include: The facility policy Bedside Assessment for Siderail Appropriateness reviewed 12/20, documented the resident would be observed at bedside to assess functional abilities including limitations in strength/ROM (range of motion), safety awareness/cognitive function, and appropriate use of assistive devices, and staff would be interviewed from all shifts to obtain a clear picture. Resident #120 had diagnoses including traumatic brain injury, quadriplegia (paralysis of all four limbs), and epilepsy (a disorder of the brain characterized by repeated seizures). The 3/7/22 Minimum Data Set (MDS) assessment documented the resident had severely impaired cognition, was totally…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-10-11 · tag F0554 — isolatedAllow residents to self-administer drugs if determined clinically appropriate.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview during the recertification survey the facility did not ensure that residents were assessed to determine ability to safely self-administer medication, when clinically appropriate, for 2 of 2 residents (Residents #21 and 44) reviewed for self-administration of medications Specifically, Residents #21 and 44 had prescription medications at the bedside without physician orders for self-medication administration or resident assessments to determine their ability to safely self-administer medications. Findings include: The facility's Self-Medication by Resident policy dated 1/2013 documents: - All residents will be evaluated for desire and competency to self-medicate. - The evaluation includes: observe the resident placing medications designated into locked area and locking. The facility's Administration of Medication policy dated 1/2013 documents medications shall not be left with a resident, except with a physician order. 1) Resident #21 was admitted to the facility…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-10-11 · tag F0561 — failed to honor residents' choices — isolatedHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review during the recertification survey, the facility did not ensure that it promoted and facilitated resident self-determination including the resident's right to make choices about aspects of daily life that are significant to the resident for 1 of 2 residents (Resident #83) reviewed for choices. Specifically, Resident #83's chosen waking time was not honored and she was woken in the morning by staff earlier than her preferred time. Findings include: Resident #83 was admitted to the facility on [DATE] and had a diagnosis of dementia. The 5/20/19 Minimum Data Set (MDS) assessment documented the resident's cognition was moderately impaired, she was able to make herself understood, understood others, had clear speech and it was very important to choose her own bedtime. The resident's undated All About Me form (care instructions) documented the resident preferred to wake up on her own between 9:00 AM and 10:00 AM. The 3/11/19 comprehensive care plan (CCP) did not include…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-10-11 · tag F0604 — failed to not use physical restraints improperly — isolatedEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review during the recertification survey the facility did not ensure residents had the right to be free from physical restraints not required to treat the resident's medical symptoms for 2 of 3 residents (Residents #70 and 89) reviewed for restraints. Specifically, Resident #70 had an alarming Velcro seatbelt and there was no medical justification for its continued use. Resident #89 had an alarming seatbelt that was not deemed to be a restraint, and the resident was unable to easily remove the seatbelt. Findings include: The facility's Restraint policy revised 8/2016 documents: - Physical restraints shall be used to treat specific medical symptoms and be the least restrictive means to treat the symptoms. - Physical restraints and safety devices shall be ordered by the physician and used only if the specific medical symptom is identified and recorded and other means to treat have been considered and rejected. - Physician orders for restraints shall contain: appropriate…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-10-11 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review during the recertification survey, the facility did not ensure residents received care consistent with professional standards of practice to prevent pressure ulcers for 1 of 2 residents (Resident #56) reviewed for pressure ulcers. Specifically, Resident #56 had orders for bilateral heel boots to be worn at all times and was observed without them. Findings include: Resident #56 was admitted to the facility on [DATE] and had diagnoses including a Stage 2 (partial-thickness skin loss) pressure ulcer of the left heel. The 8/16/19 Minimum Data Set (MDS) assessment documented the resident had severe cognitive impairment, required extensive assistance of 2 for bed mobility, transfers and dressing, was totally dependent on staff for hygiene, did not have any pressure ulcers and received application of non-surgical dressings. The 9/14/19 nursing progress note documented an open area was found on the resident's right heel. There was partial-thickness loss of dermis, the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2019-10-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review during the recertification survey, the facility did not ensure the resident environment remained as free of accident hazards as possible for 1 of 4 residents (Resident #31) reviewed for accidents. Specifically, Resident #31 had alcohol in her personal refrigerator and there was not a physician order allowing the resident to consume alcohol. Findings include: The facility's Alcohol Consumption policy dated 1/2013 documents: - Alcoholic beverages may be consumed by a resident only with a physician's order. - All alcoholic beverages are to be kept in a locked area on the unit. - Consumption of alcoholic beverages is to be documented and recorded on the Medication Administration Record (MAR). The facility's Resident's Personal Refrigerator policy revised 10/2018 documents: - All refrigerated food items need to be within the resident's ordered diet. - Residents and families will be counseled on items that are within the guidelines for their diet when indicated.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| MANUFACTURERS & TRADERS TRUST COMPANY | Organization | 5% OR GREATER MORTGAGE INTEREST | since 10/01/2012 |
| CARMAN, THOMAS | Individual | W-2 MANAGING EMPLOYEE; CORPORATE OFFICER | since 02/15/2013 |
| MORROW, BARBARA | Individual | W-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR | since 01/01/2018 |
| ALEXANDER, COLLENE | Individual | CORPORATE DIRECTOR | since 12/01/2011 |
| FENLON, KATHLEEN | Individual | CORPORATE DIRECTOR | since 12/01/2011 |
| KELLOGG, COLLINS | Individual | CORPORATE DIRECTOR | since 12/01/2011 |
| TREADWELL-WOODS, JOAN | Individual | CORPORATE DIRECTOR | since 12/01/2011 |
| VARS, ADDISON | Individual | CORPORATE DIRECTOR | since 12/01/2011 |
| VILLA, DANIEL | Individual | CORPORATE DIRECTOR | since 12/01/2011 |
| WALTON, PETER | Individual | CORPORATE DIRECTOR | since 12/01/2011 |
| KRAEGER, PAUL | Individual | CORPORATE OFFICER | since 12/01/2011 |
CMS files one row per role, so the 13 rows in the source record cover these 11 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
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 75% 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 $1.2M paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in NY
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New York Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 335865. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-08-16, 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.