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Epic Rehabilitation And Nursing At White Plains

120 Church Street, White Plains, NY 10601 · For profit - Limited Liability company · 160 certified beds · (914) 350-9010 Medicare & Medicaid certified

Call the home — (914) 350-9010 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Aug 2023Behavioral-health or dementia-care citations — no harm found (F0740, F0744)
Insights

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

In its favor
  • no federal fines or payment denials on record
  • lower-than-typical staff turnover (34% vs 45% nationally) — better care continuity
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Aug 2023
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — 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 facility-reported quality-measure score sits 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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 3 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 — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
14 Mamaroneck Ave Fl 2 · (888) 982-4846 · Call to confirm hours
Pharmacy
Cvs0.3 mi
24 Mamaroneck Ave · (914) 949-0961 · Call to confirm hours
Grocery
Tarun0.2 mi
123 Main St
Park
Typically dawn to dusk
Place of worship

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 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 5 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 2 to 3 stars. From monthly CMS archive snapshots.

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

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased10.4%14.1%15.4%better
Long-stay residents who lose too much weight5.1%5.8%5.4%typical
Long-stay residents with a catheter left in their bladder0.0%0.5%0.9%better
Long-stay residents with a urinary tract infection0.3%1.3%2.0%better
Long-stay residents with depressive symptoms23.0%19.5%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury2.1%3.1%3.3%better
Long-stay residents whose ability to walk worsened5.6%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication14.1%13.2%18.9%better
Long-stay residents given the seasonal flu vaccine99.1%95.3%95.3%typical
Long-stay residents with pressure ulcers5.8%6.5%4.7%worse
Long-stay residents with worsening bladder/bowel control19.3%19.5%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table11.3%13.7%17.1%better
Short-stay residents who newly got an antipsychotic medication0.6%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine93.2%78.8%79.4%better
Short-stay residents rehospitalized after admission24.3%20.6%22.6%typical
Short-stay residents with an outpatient ER visit9.0%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days1.951.701.67worse
Long-stay outpatient ER visits per 1,000 resident days1.491.361.80better

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.

60.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 496 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

60.3%U.S. median 51.5%
Got home and stayed home
11.8%U.S. median 10.7%
Went back to hospital
76.4%U.S. median 56.6%
Met the expected recovery
0.76U.S. median 0.31
Therapy hours / resident / day
0.42hours / resident / day
Physical therapy
0.31hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 76.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 258 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 0.76 therapist hours per resident per day in 2026Q1 — more than 93% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 68% of this home’s weekday level — it runs therapy at close to weekday levels right through 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF60.3%CMS range 55.2–64.651.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.8%CMS range 9.2–15.510.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge76.4%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge75.6%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge84.1%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified99.5%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting97.9%100.0%Oct 2024–Sep 2025CMS 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 discharge99.2%98.7%Oct 2024–Sep 2025CMS 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 stay0.2%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.5%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.5%CMS range 5.5–10.57.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.611.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.62
RN hours/ resident / day
0.82
LPN hours/ resident / day
2.14
Aide hours/ resident / day
3.57
Total nurse hours/ resident / day
0.50
RN hoursweekends
34.5%
Total nursing turnover
31.8%
RN turnover

How full it usually is: this home is certified for 160 beds and averages 151.8 residents a day — about 95% occupied, or roughly 8 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.57 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.62 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 3.26 hrs/resident/day on weekends vs 3.69 on weekdays — 12% thinner on weekends. RN hours go from 0.66 to 0.50 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 34% is below the national median of 45%.

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

Inspection trend

13
deficiencies at the latest standard inspection (2024-10-11)
0
at the previous standard inspection (2022-03-08)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

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 · Ecited beforedisputed · IDR2026-05-26 · tag F0684 — failed to provide proper treatment and quality of care — pattern
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice for two (2) of three (3) residents (Resident #112 and #182) reviewed for change in condition. Specifically, 1) Resident #112 received their daily 9 AM medications at approximately 2:30 PM on 04/13/2026 including the medications Isosorbide Mononitrate and Valsartan (blood pressure pills) for hypertension, Torsemide (water pill) for congestive heart failure, Trelegy Ellipta (inhaler) and Albuterol nebulizer medicine for asthma and 2)for Resident #182 with a history of urinary tract infection and reported complaints of urinary tract symptoms, urine was not collected timely for urinalysis/culture as per the 11/29/2024 physician order. Additionally, there was no documented evidence that the physician was notified when staff were unable to collect the urine on 11/29/2024 and 11/30/2024.The findings include: The July 2019 Policy for Medication Administration Schedule documented that medications shall be administered according to…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ddisputed · IDR2026-05-26 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews, the facility failed to ensure they implemented interventions correctly and consistently including adequate supervision consistent with the Resident's needs, goals, care plan, and physician's orders to prevent accidents for one (1) of five (5) residents (Resident #112) reviewed for accidents. Specifically, there was no documented evidence that every one-hour monitoring when in bed was implemented as per physician order prior to an 8/25/2025 fall, no documented evidence that Resident #112 was always kept in a supervised area when awake as per comprehensive care plan prior to an 8/31/2025 fall, and no documented evidence that Resident #112 was out of bed to their wheelchair on the 11:00 PM to 7:00 AM shift as per comprehensive care plan prior to a 03/27/2026 fall. Additionally, the Director of Nursing did not investigate whether or not interventions were consistently implemented to prevent falls. The findings included: The Policy for Falls-Clinical Protocol dated 7/2019 documented, the physician will help identify individuals with a history of…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-12-22 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and interviews during an abbreviated survey (2686442) the facility did not ensure that residents received treatment and care in accordance with professional standards of practice for one (1) out of three (3) residents (Resident #1) reviewed for consultations. Specifically, Resident #1 had a gastroenterology consult on 08/07/2025 and was recommended to start on the Linzess (a medication for chronic constipation). Licensed Practical Nurse #1 received Resident #1 at the facility following the consultation and documented there were no recommendations. There was no documented evidence that Resident #1 was ever ordered the Linzess (a medication for chronic constipation).The findings are:The facility Orders for Consultants policy dated 07/2019 documented the Attending Physician shall ultimately be responsible for accepting and applying consultation recommendations and orders. All residents who have a consultation will have the consultation report reviewed by the nurse manager/supervisor within…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-22 · tag F0711 — isolated
    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
    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 an abbreviated survey (2686442) the facility did not ensure the physician reviewed the resident's total program of care, including medications and treatments, at each visit for 1 out of 3 residents (Resident #1) reviewed for consultations. Specifically, Resident #1, who had a known history of chronic constipation, had a gastrointestinal consultation on 08/07/2025 and was ordered to start on the medication Linzess (a medication for chronic constipation). Nurse Practitioner #2 saw Resident #1 on 08/17/2025 and documented they reviewed the consultation services, but there was no documented evidence of the medication being ordered for the resident. The facility also did not have the consultation documentation on the resident's record or available for review.The findings are:The facility Orders for Consultants policy dated 07/2019 documented Attending Physicians shall ultimately be responsible for accepting and applying consultant recommendations and orders. The Attending…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-10-11 · tag F0726 — failed to have competent, trained nursing staff — pattern
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    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 the recertification and abbreviated surveys (NY00329183) from 10/3/2024 to 10/11/2024, the facility did not ensure sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain their highest practicable wellbeing in accordance with the facility assessment. This was evident on 2 (5th Floor and 4th Floor) of 4 resident units. Specifically, 6 of 6 Certified Nursing Assistant personnel files contained no evidence of practical competency in basic nursing skills and activities of daily living, and 4 of 4 licensed nursing personnel files did not contain competency assessments of medication management. The findings are: The Facility assessment dated [DATE] documented every staff member had knowledge competency in abuse, resident rights, identification of condition change. Additional training for all staff included dementia/behavioral management. Nursing…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-10-11 · tag F0730 — pattern
    Observe each nurse aide's job performance and give regular training.
    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 the recertification and abbreviated (NY00329183) from 10/3/2024 to 10/11/2024, the facility did not ensure a performance review of every nurse aide at least once every 12 months, and regular in-service education based on the outcome of these reviews. This was evident on 1 (5th Floor) of 4 resident units. Specifically, 6 of 6 Certified Nursing Assistant personnel files contained no evidence of performance evaluations and inservice based on the results of performance evaluations. The findings are: The Facility assessment dated [DATE] documented every staff member had knowledge competency in abuse, resident rights, identification of condition change. Additional training for all staff included dementia/behavioral management. Nursing has additional training for basic nursing skills, activities of daily living, skin and wound care, and medication management. Competencies were based on current standards of practice, may include return demonstration,…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-10-11 · tag F0760 — failed to prevent significant medication errors — pattern
    Ensure that residents are free from significant medication errors.
    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 conducted during the Recertification and Abbreviated Surveys (NY00329183) from 10/03/24 to 10/11/24, the facility did not ensure residents were free of significant medication errors for 2 (Resident #202 and #96) of 9 residents reviewed for Medication Administration. Specifically, 1) Resident #202 was administered Lasix (diuretic) 20 milligrams and Losartan (antihypertensive) 100 milligrams without a physician's order, which resulted in the need for blood pressure monitoring every 30 minutes and intravenous fluids. 2) Resident #96 was about to receive a 4 milligram dose of Tizanidine (muscle relaxant) instead of the physician ordered 2 milligram dose during a medication observation that was stopped by the surveyor. The findings are: The facility policy titled Administering Medications dated 7/2019 documented individual administering the medication must check the label three times to verify the right resident, right medication, right dosage, right time, and right…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-10-11 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews conducted during the Recertification Survey from 10/03/24 to 10/11/24, the facility did not ensure that all drugs and biologicals were stored in accordance with the manufacturer's specifications and professional standard of practice for 2 (Residents #12 and #96) of 8 residents reviewed for Medication Administration; and Medication and Treatment carts were observed unlocked. Specifically, 1.) Resident #12 was found with physicians ordered ipratropium nasal spray and an albuterol sulfate inhaler in their room on their bedside table. 2.) Resident #96 was found with 2 Trelegy inhalers, a Flonase nasal spray, an ipratropium nasal spray, an albuterol sulfate inhaler, and a triamcinolone acetonide ointment, and 3) the 5th Floor Medication Cart and Treatment Carts were left unlocked and open in the hallway accessible to residents, visitors, and unlicensed staff. The findings are: The facility policy titled Storage of Medications dated 7/2019 documented that the…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-10-11 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record review, and interviews conducted during the Recertification Survey from 10/03/24 to 10/11/24, the facility did not ensure that infection control prevention practices and procedures were maintained by 3 of 4 nurses (Registered Nurse #3 and Licensed Practical Nurse #2 and Licensed Practical Nurse #1) during the medication administration observation. Specifically, 1) Registered Nurse #3 did not practice hand hygiene or sanitize vital signs equipment between residents, and touched a resident's eye lid with the eye dropper during administration. 2) Licensed Practical Nurse #2 did not practice hand hygiene or wipe down the blood pressure cuff prior to doing the resident's blood pressure and before placing it back into the vital signs machine basket. 3) Licensed Practical Nurse #1 was observed preparing Resident #98's medications and their long hair was observed going inside the medication cart, medication cups, and the nebulizer treatment box. Findings include: 1) During a medication administration observation on 10/08/24 at 8:38 AM, Registered Nurse #3 went…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-11 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review conducted during the recertification survey from 10/3/2024 to 10/11/2024, the facility did not ensure residents were treated with respect and dignity. Specifically, several nursing staff on the Dementia unit were observed without identification badges. The findings are: The facility policy titled Identification Badge dated 1/20/2020 documented all staff were required to wear an identification badge while in the facility. The facility policy titled Quality of Life - Dignity dated 7/2019 documented staff shall keep the resident informed and oriented to their environment. On 10/03/2024 at 12:10 PM, Certified Nursing Assistant #13 was observed walking from the 5th Floor Nursing Station across the resident lounge area and towards the Dayroom. Certified Nursing Assistant #13 was observed without an identification badge and when approached, stated they forgot their badge in their bag. Certified Nursing Assistant #13 turned around towards the Nursing Station and returned wearing an identification badge. Certified Nursing Assistant #15 was…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
Show the remaining 10 citations
  • Potential for harm · D2024-10-11 · tag F0572 — isolated
    Give residents a notice of rights, rules, services and charges.
    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 from 10/3/24 - 10/10/24, the facility did not ensure residents were informed during their stay of their rights and rules and regulations governing resident conduct and responsibilities. Specifically, the facility did not ensure resident rights were provided or reviewed during monthly Resident Council meetings. Findings include: An undated Policy and Procedure titled Resident Council did not include documentation that a review of residents' rights was conducted at Resident Council meetings. A record review of Resident Council Meeting Minutes dated April 2024 to August 2024 did not include documentation that residents' rights were reviewed. A Resident Council meeting was conducted on 10/4/2024 at 11:00 AM. Eleven members attended, including the President and [NAME] President of Resident Council. Residents stated resident rights were not discussed during resident council meetings. Residents stated they were provided information regarding resident rights upon admission but no further review…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-10-11 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record review, and interviews conducted during the Recertification Survey from 10/03/24 to 10/11/24, the facility did not ensure the development and implementation of comprehensive person-centered care plans to attain or maintain the residents' highest practicable physical, mental, and psychosocial well-being for 1 of 1 resident (Resident #96 ) reviewed for self-administration of medications. Specifically, the facility did not develop a care plan to address Resident #96 carrying and self-administering their albuterol sulfate aerosol inhaler. The findings are: The facility policy titled Care Plans, Comprehensive Person-Centered dated 7/2019 documented the Interdisciplinary Team in conjunction with the resident and his/her family or legal representative, develops and implements a comprehensive, person centered care plan for each resident. The comprehensive, person-centered care plan will describe the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being. Resident #96 was admitted…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-11 · tag F0740 — failed to provide behavioral / mental-health care — isolated
    Ensure each resident must receive and the facility must provide necessary behavioral health care and 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 observation, interview, and record review conducted during the recertification survey from 10/3/2024 to 10/11/2024, the facility did not ensure a resident received the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, in accordance with the comprehensive assessment and plan of care. This was evident for 1 (Resident #107) of 33 sampled residents. Specifically, Resident #107 exhibited behavior without any non-pharmacological intervention or staff interaction to address their behaviors. The findings are: The facility policy titled Behavioral Assessment, Intervention, and Monitoring dated 7/2019 documented the facility will provide behavioral health services provided by qualified staff who have the competencies and skills necessary to provide appropriate services to the residents. The Facility Survey Report dated 10/3/2024 documented each nurse aide was required to receive 6 hours of paid inservice training every 6…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-11 · tag F0744 — failed to care for residents with dementia — isolated
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review conducted during the recertification survey from 10/3/2024 to 10/11/2024, the facility did not ensure a resident diagnosed with dementia, received the appropriate treatment and services to attain or maintain their highest practicable physical, mental, and psychosocial well-being. This was evident for 1 (Resident #24) of 33 total sampled residents. Specifically, Resident #24 was observed sitting in the floor dayroom on multiple occasions without being engaged in meaningful activities. The findings are: The facility policy titled Dementia-Clinical Protocol dated 7/2019 documented recreational activities will be supervised and supported throughout the day as needed. Resident #24 was diagnosed with dementia and anxiety disorder. The Minimum Data Set 3.0 assessment dated [DATE] documented Resident #24 was moderately cognitively impaired. The Comprehensive Care Plan related to Cognitive Patterns initiated 5/3/2024 and last updated 5/8/2024 documented Resident #24 was…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-11 · tag F0791 — failed to provide routine dental services — isolated
    Provide or obtain dental services for each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record review, and interviews conducted during the Recertification Survey from 10/03/24 to 10/11/24, the facility did not ensure that it provided or obtained emergency dental services to meet the needs of each resident for 1 (Resident #56) of 2 residents reviewed for Dental Services. Specifically, Resident #56 was evaluated by the Dentist for a fractured front tooth on 7/25/24 and given a referral to have the tooth extracted. The facility did not schedule the appointment with the oral surgeon until 10/10/2024. The findings are: The facility policy titled Dental Services dated 1/2020 documented that the involved regulation 485.55 Dental Services is that a facility must provide or obtain from an outside resource, in accordance with §483.75(h) of this part routine and emergency dental services to meet the needs of each resident. Resident #56 was admitted with diagnoses including atrial fibrillation, dementia, and hypertension. The 7/9/24 Annual Minimum Data Set documented Resident #56 had moderately impaired cognition and was independent with eating and oral…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-11 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview conducted during the recertification survey from 10/3/24 through 10/11/24 the facility did not ensure food was stored in accordance with professional standards for food safety practice. Specifically, 1. Foods stored in nutrition and storage refrigerators were not labeled and dated. 2. Storage refrigerator meat was observed with Jello on the same shelf; and 3. staff were observed touching unsanitary surfaces and equipment with gloved hands, then preparing food without changing their gloves. Findings include: Undated policy and procedure titled Food Inventory, Receiving and Storage documented each food item must be labeled and dated, and all raw meats must be stored below all other items in the refrigerator. An initial tour of the kitchen was conducted on 10/03/24 at 9:26 AM and the following were observed: - Apple sauce in plastic containers on a tray in the nutrition refrigerator labeled as AS and was not dated. - Slice meats and yellow cheese were together on the same shelf in the storage refrigerator, also small packages of yellow cheese in (3…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-11 · tag F0814 — failed to dispose of garbage properly — isolated
    Dispose of garbage and refuse properly.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review and interview conducted during the recertification survey on 10/03/24 through 10/11/24 the facility did not ensure proper disposal of garbage and refuse. Specifically, the dumpsters/compactors on the exterior of the building was not maintained in a sanitary condition to prevent the harborage and feeding of pests. The findings are: Undated policy titled Waste Management Policy and Procedure revealed the facility should ensure proper management in handling, storage and disposal of all waste generated to protect residents, staff, and visitors. In addition, waste must be in containers that are leak-proof and secured. During an observation on 10/07/24 at 11:55 AM, a mouse was seen running back and forth in the kitchen. During an observation on 10/10/24 at 10:15 AM, the dumpster/compactor was uncovered and the lid was missing. During an observation on 10/10/24 at 10:18 AM, there was a bag with garbage on the ground between the dumpsters. A review of the facility's pest control log dated 5/28/24 through 9/24/24 revealed the kitchen was treated for pest…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-09 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview conducted during an abbreviated survey (NY00321334), the facility did not ensure residents had the right to be free from abuse for 1 of 4 residents (Resident #1) reviewed. Specifically, a Certified Nurse Assistant (CNA# 2) stuck their tongue out at Resident #1 in response to the resident complaints regarding the CNAs care. The findings are: The facility's Abuse policy effective 01/2020 documented all employees are provided with abuse training on hire, periodically, and at least annually. Forms of abuse included mental abuse defined as humiliation, harassment, threats of punishment or deprivation. Resident #1 had diagnoses that included chronic back pain, quadriplegia and dementia. The Minimum Data Set (MDS) dated [DATE] documented the resident's cognition was intact and required total dependence of two for transfers, bed mobility, dressing and toileting. The 07/28/2023 comprehensive care plan (CCP) documented the resident was hard of hearing and was cognitively impaired…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-09 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview conducted during an abbreviated survey (NY00321334), the facility did not ensure that for 1 of 4 residents (Resident #1) all alleged violations involving abuse or neglect were reported immediately to their supervisor, delaying the initiation of an investigation and reporting to the New York State Department of Health (NYSDOH) as required. Specifically, Certified Nursing Assistant (CNA #1) reported witnessing an incidence of abuse 16 hours after the alleged occurrence. The findings are: The facility's Abuse policy effective 01/2020 documented all staff are required to report all occurrences of suspected resident abuse, and occurrences and events that may indicate potential abuse. Any individual, who witnesses, hears about, or suspects resident abuse, mistreatment, neglect, exploitation, or misappropriate of resident property must report it immediately to their supervisor, department manager, Director of Nursing or Administrator immediately. Resident #1 had diagnoses 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-08-09 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview conducted during an abbreviated survey (NY00321334), the facility did not ensure the implementation of a comprehensive person-centered care plan for 1 of 4 residents (Resident #1) reviewed. Specifically, Resident #1 was care planned for two assist for bed mobility and one assist for toileting. The care plan was conflicting and not consistently followed. The findings are: Resident #1 had diagnoses that included chronic back pain, quadriplegia, and dementia. The Minimum Data Set (MDS) dated [DATE] documented the resident's cognition was intact and required total dependence of two for transfers, bed mobility, dressing and toileting. The 07/28/2023 comprehensive care plan (CCP) documented the resident was total dependent for bed mobility, transfer, toileting, dressing, bathing and personal hygiene and the resident was incontinent of bowel and bladder. The 08/01/2023 Resident Nursing Instructions documented the resident was total dependent for bed mobility with assist of two, was…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

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

“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to EPIC HEALTHCARE MANAGEMENT — 5 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 53.4-0.4 vs chain
Health inspection 2 of 52.6-0.6 vs chain
Staffing 3 of 52.4+0.6 vs chain
Quality measures 5 of 54.8+0.2 vs chain
The other 4 homes this chain runs (chain average 3.4★, per CMS)

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

Who owns this facility

Owner / managerTypeRoleShareSince
WESTCHESTER HEALTH CARE PROPERTIES I, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 08/14/2012
JOZEFOVIC, HERBERTIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST50%since 08/14/2012
NEUMAN, MARKIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST50%since 08/14/2012
BRENNAN, MAURAIndividualW-2 MANAGING EMPLOYEEsince 12/16/2019
FEMINELLA, DANIELLEIndividualCORPORATE OFFICERsince 08/14/2012

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.

$31.1M
Net patient revenuemost recent cost report
-3.2%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 50%Medicare 33%Other / private 17%

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

$594per resident / day
operating cost
$18,065per month
≈ monthly operating cost
$576per day
avg. revenue, all payers

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

What families pay in NY

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New York Medicaid page.

Typical monthly cost in New York
$15,528/mo
Nursing home (semi-private)
$16,729/mo
Nursing home (private)
$7,110/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 335878. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-10-11, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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