Our Lady Of Consolation Nursing and Rehabilitive C
111 Beach Drive, West Islip, NY 11795 · Non profit - Corporation · 450 certified beds · (631) 587-1600 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a high payroll-based staffing rating (4/5)
- lower-than-typical staff turnover (28% vs 45% nationally) — better care continuity
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — 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 (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $141,980 in federal fines (most recent 2026-03-11)
- its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
- its independent health-inspection rating is low (2/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Worth a closer look. This home's staffing and quality-measure ratings run 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.
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 | 4 of 5 |
| Long-stay residentspeople who live here | 5 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 fell from 4 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 | 17.5% | 14.1% | 15.4% | worse |
| Long-stay residents who lose too much weight | 4.7% | 5.8% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.4% | 0.5% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 1.3% | 1.3% | 2.0% | better |
| Long-stay residents with depressive symptoms | 0.7% | 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 | 1.2% | 3.1% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 19.0% | 12.5% | 16.1% | worse |
| Long-stay residents on antianxiety or hypnotic medication | 15.8% | 13.2% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 99.2% | 95.3% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.4% | 6.5% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 15.6% | 19.5% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 16.1% | 13.7% | 17.1% | typical |
| Short-stay residents who newly got an antipsychotic medication | 1.3% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 98.8% | 78.8% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 23.1% | 20.6% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 4.5% | 9.6% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.95 | 1.70 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 0.62 | 1.36 | 1.80 | better |
‡ 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.
53.1% 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 949 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 48.0% 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 402 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 0.95 therapist hours per resident per day in 2026Q1 — more than 96% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 21% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 53.1%CMS range 50.0–56.0 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.8%CMS range 10.1–13.9 | 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 | 48.0% | 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 | 41.3% | 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 | 49.5% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 99.8% | 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 | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 99.7% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.2% | 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 | 0.7% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.3%CMS range 5.2–9.3 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.11 | 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 450 beds and averages 280.4 residents a day — about 62% occupied, or roughly 170 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.73 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.11 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.14 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 3.40 hrs/resident/day on weekends vs 3.86 on weekdays — 12% thinner on weekends. RN hours go from 1.22 to 0.83 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 28% is below 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 more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
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.
22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.
- Potential for harm · E2026-03-11 · tag F0609 — failed to report abuse allegations — patternTimely 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and interviews during a survey, the facility failed to ensure that alleged violations involving abuse, neglect, exploitation, or mistreatment were reported immediately but no later than two (2) hours to the New York State Department of Health. This was identified for seven (7) residents of seven (7) residents: Resident #1, Resident #2, Resident #3, Resident #4, Resident #5, Resident #6, and Resident #7 reviewed for abuse. Specifically, 1) Resident #1's Designated Representative alleged Resident #1 stated to them that their (Resident #1's) arm was twisted. 2) Resident #2 alleged that a certified nursing assistant was rough during care, violated their dignity and did not follow their plan of care during their transfer. 3) Resident #3 alleged that a certified nursing assistant was rough with them (and tossed them around during care. There was no documented evidence that the abuse allegations for Resident #1, Resident #2 or Resident #3 were reported to the New York State Department of Health…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-03-11 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and interviews during the Abbreviated Complaint Survey (Intake ID 2702583), the facility did not ensure that all alleged violations involving abuse, mistreatment, or neglect were thoroughly investigated. This was identified for seven (7) residents of seven (7) residents: Resident #1, Resident #2, Resident #3, Resident #4, Resident #5, Resident #6, and Resident #7 reviewed for abuse. Specifically, 1) Resident #1's Designated Representative alleged Resident #1 stated their (Resident #1's) arm was twisted and the allegation and the allegation was not thoroughly investigated. 2) Resident #2 alleged that a Certified Nursing Assistant was rough during care, violated their dignity and did not follow their plan of care during transfer and the allegation was not thoroughly investigated. 3) Resident #3 alleged that a Certified Nursing Assistant was rough with them (Resident #3) and tossed them (Resident #3) around during care and the allegation was not thoroughly investigated.The findings are: 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 · D2026-03-11 · tag F0804 — failed to serve food at safe, palatable temperature — isolatedEnsure 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review conducted during an Abbreviated Survey (Intake ID 2702583), the facility did not ensure each resident was served food and drink that was palatable, attractive, and at a safe and appetizing temperature. This was identified for two (2) of nine (9) residents, Resident #1 and Resident #8 who identified hot foods being served cold. Specifically, on 02/27/2026 during the lunch meal service on one unit (DePorres Unit) the lunch entree and vegetable were not served at a safe and appetizing temperature.The finding is: The facility's policy titled, Food Temperatures with a review date of February 2025 documented all hot foods must be cooked to appropriate internal temperatures, held and served at a temperature of at least 140 degrees Fahrenheit. A complaint intake (Intake ID 2702583) dated 12/29/2025 documented since admission all of Resident #1's meals were served cold. Resident #1 was discharged and was not available for interview. During an interview on 02/26/2026 at…
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 · E2025-07-02 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, and record review during the Recertification Survey, the facility did not ensure a comfortable environment for residents, staff, and visitors. This was identified on one ([NAME] Unit) of seven units observed during the Environmental Task. Specifically, during an initial tour on 6/25/2025 between 12:45 PM and 1:00 PM of the [NAME] Unit, elevated environmental temperatures between 81 degrees Fahrenheit (F) to 87 degrees Fahrenheit were noted in resident rooms, hallways, and dining areas. The [NAME] Side corridor of the [NAME] Unit Heating Ventilation Air Conditioning Unit (HVAC) and the Package Terminal Air Conditioners (PTAKS) units in multiple resident rooms and the general use area were not functioning as intended. The finding is:The New York State Department of Health health alert for extreme heat event issued for the period of June 23, 2025 - June 25, 2025, indicated temperatures in the upper 90s with feels-like temperatures to 105 - 110 degrees Fahrenheit for the area…
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 · E2025-07-02 · tag F0725 — failed to have enough nursing staff — patternProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review during the Recertification Survey and Abbreviated Survey (Complaint # NY00359206 ) initiated on 6/24/2025 and completed on 7/2/2025 the facility did not ensure sufficient nursing staff with the appropriate competencies and skill sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial wellbeing. This was identified on four ([NAME], [NAME], Deporres and [NAME]) of eight nursing units. Specifically, on the 3:00 PM to 11:00 PM shift, the [NAME] Unit, the [NAME] Unit, the Deporres Unit, and the [NAME] Unit were not staffed according to the levels specified in the Facility Assessment on 6/27/2025 to 6/29/2025 (Friday, Saturday, and Sunday).The findings are: The facility Departmental Staffing policy and procedure, last reviewed 4/2025, documented all departments will schedule their staff at par levels outlined in the Facility Assessment for all shifts, daily. Staffing may be adjusted per unit based on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2025-07-02 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification Survey initiated on 6/24/2025 and completed on 7/2/2025, the facility did not ensure food was stored, prepared, distributed, and served in accordance with professional standards for food safety. This was evident during the Dining Observation task for one ([NAME] Unit) of seven units. Specifically, during the dining observation on the [NAME] Unit, the temperature of cold food items (tuna sandwich, turkey sandwich, and milk) was above acceptable standards for safe serving temperatures. In addition, there was no system in place to monitor the temperature of cold food items.The finding is:A facility policy and procedure titled Food Temperatures, reviewed 2/2025, documented that the Culinary Department will review and manage food temperatures to ensure the safety of food being served to residents. Any discrepancies in food temperatures will be managed to ensure compliance with regulatory directives. The Culinary Ambassador takes 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 · E2025-07-02 · tag F0908 — failed to keep essential equipment working — patternKeep all essential equipment working safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during the recertification survey, initiated on 6/24/2025 and completed on 7/02/2025, the facility did not maintain the cooling system in proper working conditions to provide a healthy, functional, and comfortable environment for residents, personnel, and the public. This was identified on one ([NAME] Unit) of seven units observed during the Environmental Task. The [NAME] Side corridor of the [NAME] Unit Heating Ventilation Air Conditioning Unit (HVAC) and the Package Terminal Air Conditioners (PTAKS) units in multiple resident rooms and the general use area were not functioning as intended. The finding is: The New York State Department of Health health alert for extreme heat event issued for the period of June 23, 2025 - June 25, 2025, indicated temperatures in the upper 90s with feels-like temperatures to 105 - 110 degrees Fahrenheit for the area where the facility is located. Federal Regulations S483.10(i)(6) Comfortable and safe temperature…
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 · D2025-07-02 · tag F0640 — isolatedEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during the recertification survey initiated on 6/24/2025 and completed on 7/2/2025, the facility did not ensure that all completed Minimum Data Set assessments were electronically transmitted to the Centers for Medicare and Medicaid Services within 14 days of the resident assessment completion date. This was identified for one (Resident #57) of one resident reviewed for the Resident Assessment task. Specifically, Resident #57's two quarterly and one Skilled Nursing Facility Prospective Payment System (PPS) discharge assessment was not transmitted within 14 days of the resident assessment completion date. The finding is: A facility policy and procedure titled Minimum Data Set Assessments, effective 5/1/2025, documented that each resident admitted to the facility will be assessed utilizing the Minimum Data Set tool as a means of improving resident care. The Minimum Data Set tool will be completed in accordance with the Minimum Data Set Resident Assessment Instrument Manual 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 · D2025-07-02 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview during the recertification survey initiated on 6/24/2025 and completed on 7/2/2025, the facility did not ensure the accuracy of Minimum Data Set Assessments.This was identified for one (Resident #187) of four residents reviewed for Accidents. Specifically, based on the Resident #187's Comprehensive Care Plan and Fall Risk assessment, the resident utilized a chair alarm daily. The resident's Quarterly Minimum Data Set assessment, dated 4/11/2025, and a Significant Change Minimum Data Set assessment dated [DATE], did not indicate the use of the chair alarm.The finding is:A facility policy and procedure titled Minimum Data Set Assessments, effective 5/1/2025, documented that each resident admitted to the facility will be assessed utilizing the Minimum Data Set tool as a means of improving resident care. The Minimum Data Set tool will be completed in accordance with the Minimum Data Set Resident Assessment Instrument Manual and regulatory directives. The Minimum Data Set…
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 · D2025-07-02 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification Survey initiated on 6/24/2025 and completed on 7/02/2025, the facility did not develop a comprehensive person-centered care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment. This was identified for one (Resident #51) of two residents reviewed for Abuse. Specifically, Resident #51 was diagnosed with Legal Blindness, and the facility did not develop a visual impairment care plan with person-centered interventions to address the resident's needs. The finding is: The facility policy entitled Comprehensive Care Plan, reviewed on 3/2025, documented the facility must develop and implement a comprehensive, person-centered care plan for each resident that includes measurable objectives and time frames to meet each resident's medical, nursing, mental, and psychosocial needs that are identified in…
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 12 citations
- Potential for harm · D2025-07-02 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification Survey initiated on 6/24/2025 and completed on 07/02/2025, the facility did not ensure that each resident received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and residents' choices. This was identified for one (Resident #40) of five Residents reviewed for Bladder and Bowel Incontinence. Specifically, Resident #40 had a history of diarrhea and constipation, and the staff were administering Imodium (used to treat diarrhea) and Senna (a stimulant laxative to treat constipation) daily to the resident. The finding is:The facility's policy titled Bowel Protocol, last reviewed 4/30/2025, documented that nursing staff will monitor and document the daily bowel function of the residents. The evacuation sheet is to be checked by nurses daily. If no bowel movement in two days, Milk of Magnesia 30 milligrams will be administered at bedtime. If no bowel movement in three…
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 · D2025-07-02 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide 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 record review and staff interviews during the Recertification Survey initiated on 6/24/2025 and completed on 7/2/2025, the facility did not ensure that the resident maintained, to the extent possible, acceptable parameters of nutritional and hydration states. This was identified for one (Resident #10) of one resident reviewed for Nutrition. Specifically, Resident #10 had a 5.3% significant weight loss in one month, from January 2025 to February 2025. The Registered Dietitian documented the resident's significant weight loss on 2/10/2025. On 2/19/2025, a 3-Day Calorie Count was completed and revealed the resident was not meeting their estimated calorie and protein needs; however, the Registered Dietitian did not put any new nutritional interventions into place to prevent the resident from losing further weight.The finding is: The facility's policy titled, Weight Changes, last reviewed in September 2024, documented it is the responsibility of the Dietitian, Medical Services, and Nursing Services that any…
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 · D2025-07-02 · tag F0697 — failed to manage pain — isolatedProvide safe, appropriate pain management for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification Survey, initiated on 6/24/2025 and completed on 7/2/2025, the facility did not ensure that pain management was provided to each resident who requires such services, consistent with professional standards of practice, and the comprehensive person-centered care plan. This was identified for one (Resident #110) of one resident reviewed for Pain management. Specifically, Resident #110 did not receive their pain medication in a timely manner on 6/25/2025.The finding is:The facility's policy titled Pain Management, dated 9/2024, documented the facility will review the resident's level of pain on a daily basis and promote each resident's level of comfort through pharmacological and non-pharmacological interventions.The facility's policy titled Administration of Medications, dated 10/2024, documented to Adhere to the 6 Rights of Medication Administration: Right patient/resident, Right dose, Right route, Right medication, Right form, 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 · D2025-07-02 · tag F0710 — isolatedObtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
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 staff interviews during the Recertification Survey initiated on 6/24/2025 and completed on 7/2/2025, the facility did not ensure that the medical care of each resident was supervised by the Physician, including monitoring changes in the resident's medical status. This was identified for one (Resident #10) of one resident reviewed for Nutrition. Specifically, Resident #10 had a 5.3% significant weight loss in 30 days, from January 2025 to February 2025, which was not addressed by their Physician. The finding is: The facility's policy titled, Weight Changes, last reviewed in September 2024, documented it is the responsibility of the Dietitian, Medical Services, and Nursing Services that any new specific (significant) weight change (gain or loss) of greater than or equal to 10% in 6 months; greater than or equal to 7.5% in 3 months; or greater than or equal to 5% in one month will be addressed with a possible explanation and recommendation for intervention and documented in the Electronic…
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 · D2025-07-02 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure 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 staff interviews during the Recertification Survey initiated on 6/24/2025 and completed on 7/2/2025, the facility did not ensure that the irregularities identified by the Pharmacist were reviewed by the medical provider and documented that the action had been taken to address the irregularities. This was identified for one (Resident #126) of two residents reviewed for Mood and Behavior. Specifically, a Medication Regimen Review form dated 4/8/2025 by the Consultant Pharmacist documented that the co-administration of Seroquel (antipsychotic medication) and Remeron (antidepressant medication) may increase the risk for abnormal electrocardiogram and Serotonin syndrome. The Pharmacist recommended assessing the continued co-administration of Seroquel and Remeron. The Nurse Practitioner agreed with the recommendations; however, there was no documented evidence in the medical record of an assessment for the combined use of Seroquel and Remeron. The finding is: The facility's 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.
- Potential for harm · F2024-04-12 · tag F0813 — widespreadHave a policy regarding use and storage of foods brought to residents by family and other visitors.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interviews conducted during a Recertification Survey initiated on 4/7/2024 and completed on 4/12/2024, the facility did not ensure that their policy regarding the use and storage of foods brought to residents by family and other visitors included to ensure facility staff assists the resident in accessing and consuming the food if the resident is not able to do so on their own. Specifically, the facility did not provide accommodations for heating and storage of food brought to residents from outside the facility. Additionally, the facility Administrator and the Director of Culinary Services stated that residents who were unable to eat on their own would be provided feeding assistance by facility staff only when facility prepared food was consumed. The finding is: The facility provided an additional policy titled Resident who Order Food from an Outside Venue dated 8/21/2022 which documented that residents may order food from an outside venue. When the food is delivered it will be immediately delivered to the resident and the staff will assist the resident as…
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 before2024-04-12 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews conducted during a Recertification Survey initiated on 4/7/2024 and completed on 4/12/2024, the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. This was identified during the Kitchen observation conducted on 4/7/2024. Specifically, the walk-in refrigerator for dairy was observed with multiple trays including eight trays of coconut custard pie and two trays of diet vanilla pudding, the items were not labeled and dated. The walk-in refrigerator adjacent to the freezer was observed with one carton of liquid eggs that was opened and dated 4/18/2024. There was no indication when the egg carton was first opened. The walk-in freezer was observed with one pan of frozen leftover entrée, cornflake chicken, labeled and dated 1/23/2024. The facility staff did not know when to discard leftover perishable foods. The finding is: The facility's policy titled, Food Services: Storage Guidelines dated 2/2024 documented the executive chef and chefs are…
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 · D2024-04-12 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the Recertification Survey initiated on 4/7/2024 and completed on 4/12/2024 the facility did not ensure that each resident was treated with respect and dignity and cared for in a manner that promoted maintenance or enhancement of their quality of life. This was identified for one (Resident #77) of two residents reviewed for dignity. Specifically, during a lunch meal observation on 4/7/2024 Certified Nursing Assistant #1 was observed standing over Resident #77 while they assisted Resident #77 with their lunch meal. The finding is: The facility's policy titled, Feeding a Resident, documented to ensure that all residents receive the assistance required to complete a meal in a comfortable, pleasant, and supportive environment to enhance the experience as well as the resident's overall intake. Residents may require different levels of assistance, from set-up to encouragement, to full feeding. The procedure outlined nursing staff should have a chair available…
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 · D2024-04-12 · tag F0693 — failed to provide proper feeding-tube care — isolatedEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the Recertification Survey initiated on 4/07/2024 and completed on 4/12/2024 the facility did not ensure that a resident who is fed by enteral means receives the appropriate treatment, care, and services to prevent complications of enteral feeding. This was identified for one (Resident #199) of one resident reviewed for Tube Feeding. Specifically, on 4/07/2024 at 10:40 AM and again on 4/07/2024 at 12:40 PM Resident # 199's tube feeding, and hydration bottles were not labeled including the resident's name, flow rate, date, and time the feeding was initiated. The finding is: The facility's policy titled, Gastrostomy Tube Feeding via Enteral Feeding Pump dated 4/2023 documented the feeding product container is labeled with the date, time, rate of flow, and the nurse's initials. Resident #199 was admitted with diagnoses of Epilepsy, Diabetes Mellitus, and Hypertension. The Quarterly Minimum Data Set assessment dated [DATE] documented that Resident #199 had 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.
- Potential for harm · D2024-04-12 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the Recertification Survey initiated on 4/07/2024 and completed on 4/12/2024 the facility did not ensure that a resident who needs respiratory care is provided such care, consistent with professional standards of practice for one (Resident #608) of three residents reviewed for Respiratory Care. Specifically, Resident #608 had a physician's order to administer 3 liters of oxygen via a nasal cannula as needed (PRN); however, on 4/07/2024 at 10:13 AM, the resident was observed receiving 4 liters of oxygen instead of the prescribed 3 liters. Additionally, there was no documented evidence in the medical record that the resident was being administered oxygen therapy as ordered by the physician. The findings are: The facility policy titled, Oxygen Therapy dated 12/2023 documented to check the physician's orders for oxygen therapy and the liter flow rate; Check that the liters ordered are accurate on the oxygen supply source gauge; Sign the 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.
- Potential for harm · Dcited before2022-03-18 · tag F0610 — failed to investigate and act on abuse reports — isolatedRespond appropriately to all alleged violations.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review during the Recertification Survey and Abbreviated Survey (Complaint # NY00274868) initiated on 3/14/2022 and completed on 3/18/2022, the facility did not ensure accidents were thoroughly investigated to rule out abuse, neglect, or mistreatment for one (Resident #394) of three residents reviewed for accidents. Specifically, Resident #394 had an unwitnessed fall in the facility on 4/21/2021; however, the investigation was not thorough and did not address the root cause of the resident's fall. Additionally, the investigation did not address the resident's behavior of disarming the chair and bed alarms. The finding is: The facility's policy titled Accident/Incident Assessment and Report Completion last reviewed in January 2021, documented to assess the status of the resident and document accurately after an accident or incident in order to provide accurate reporting and assessment of accidents/incidents. Resident #394 was admitted to the facility with diagnoses including…
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 · D2022-03-18 · tag F0657 — failed to keep the care plan current — isolatedDevelop 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 interviews and record review during the Recertification Survey and Abbreviated Survey (Complaint # NY00274868) initiated on 3/14/2022 and completed on 3/18/2022, the facility did not ensure that each resident's comprehensive care plan (CCP) was reviewed and revised to meet the needs of the resident. This was identified for one (Resident #394) of three residents reviewed for Accidents. Specifically, Resident #394 who was at risk for falls was identified by the facility staff with behaviors of turning off their bed and chair alarms. The CCP was not updated and revised to reflect the resident's behavior. Subsequently, on 4/21/2021 the resident had an unwitnessed fall with no alarm sounding. The CCP was not revised after the fall to include the resident's behavior of disarming the chair and bed alarms. The finding is: The facility's policy titled Comprehensive Person-Centered Care Planning, dated 3/5/2017, documented the facility must develop a comprehensive, person-centered care plan for each resident 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.
“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
$141,980 in federal fines across 1 penalty.
- $141,980 — penalty dated 2026-03-11
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| RYAN, JAMES | Individual | W-2 MANAGING EMPLOYEE | since 02/01/2015 |
| CELIBERTI, DOUGLAS | Individual | CORPORATE DIRECTOR | since 01/01/2013 |
| CHRISTMAN, THOMAS | Individual | CORPORATE DIRECTOR | since 01/01/2014 |
| DAGHER, PETER | Individual | CORPORATE DIRECTOR | since 01/01/2014 |
| HAIGHT, JOHN | Individual | CORPORATE DIRECTOR | since 01/01/2008 |
| HOFFMAN, JENNIFER | Individual | CORPORATE DIRECTOR | since 01/01/2013 |
| LAMBERT, MICHAEL | Individual | CORPORATE DIRECTOR | since 01/01/2014 |
| MCCARTHY, JUSTIN | Individual | CORPORATE DIRECTOR | since 01/01/2014 |
| O'BRIEN, JOHN | Individual | CORPORATE DIRECTOR | since 01/01/2014 |
| PIETROWSKI, STEPHEN | Individual | CORPORATE DIRECTOR | since 01/01/2014 |
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.
This home reported $2.1M paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
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 335539. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-02, 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.