White Oaks Rehabilitation and Nursing Center
8565 Jericho Turnpike, Woodbury, NY 11797 · For profit - Partnership · 200 certified beds · (516) 367-3400 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a middle-of-the-pack inspection score (3/5)
- lower-than-typical staff turnover (22% vs 45% nationally) — better care continuity
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604, F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has 1 actual-harm citation
- a high number of inspection citations overall (24) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $8,278 in federal fines (most recent 2025-11-20)
- its facility-reported quality-measure rating is low (2/5)
- about 19% of its spending goes to commonly-owned related companies
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 | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 2 of 5 |
Location & what’s nearby
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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 2 of 5 |
| Long-stay residentspeople who live here | 3 of 5 |
| Short-stay residentsrehab / post-hospital | 2 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.
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 | 20.3% | 14.1% | 15.4% | worse |
| Long-stay residents who lose too much weight | 8.6% | 5.8% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.7% | 0.5% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 0.0% | 1.3% | 2.0% | better |
| Long-stay residents with depressive symptoms | 13.4% | 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 | 1.3% | 3.1% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 10.4% | 12.5% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 20.4% | 13.2% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 80.9% | 95.3% | 95.3% | worse |
| Long-stay residents with pressure ulcers | 10.7% | 6.5% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 21.8% | 19.5% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 23.3% | 13.7% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 2.5% | 1.2% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 70.2% | 78.8% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 25.4% | 20.6% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 14.3% | 9.6% | 12.0% | worse |
| Long-stay hospitalizations per 1,000 resident days | 2.46 | 1.70 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.37 | 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.
39.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 425 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 84.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 189 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 0.46 therapist hours per resident per day in 2026Q1 — more than 77% 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 | 39.0%CMS range 35.2–42.4 | 51.5% | Oct 2022–Sep 2024 | worse than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.5%CMS range 7.2–11.8 | 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 | 84.7% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 72.0% | 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 | 66.7% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 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 | 98.8% | 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 | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.7% | 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 | 1.4% | 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 | 7.4%CMS range 5.3–10.1 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.61 | 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 200 beds and averages 177.2 residents a day — about 89% occupied, or roughly 23 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 3.73 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.54 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.37 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 3.51 hrs/resident/day on weekends vs 3.82 on weekdays — 8% thinner on weekends. RN hours go from 0.59 to 0.44 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 22% is below the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
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.
24 citations, most serious first. The 11 most serious are shown; the remaining 13 are one tap away and print in full.
- Actual harm · Gcited beforedisputed · IDR2025-11-20 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews and record review during an abbreviated survey conducted on 10/28/2025 for case number 2616775, the facility failed to ensure one (1) (Resident #1) of three (3) residents was free from accidents. Specifically, Certified Nursing Assistant #1 failed to follow the care plan for Resident #1 requiring a two-person assist. On 09/11/2025, Certified Nursing Assistant #1 transferred Resident #1 from their wheelchair to their bed alone resulting in a fractured left humerus (upper arm bone). This resulted in actual harm to Resident #1 that is not Immediate Jeopardy.Resident #1 was admitted on [DATE] with diagnosis that include vascular dementia (a decline in thinking skills caused by conditions that damage blood vessels and reduce or block blood flow to the brain,) cerebral vascular accident (stroke,) and osteoarthritis. On 08/21/2025, a Minimum Data Set (a resident assessment tool) Brief Interview of Mental Status was completed for Resident #1 and documented a score of 99 indicating severe…
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 · F2025-09-08 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interviews during the recertification initiated on 09/02/2025 and completed on 09/08/2025, 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 task observation on 09/02/2025 and during the Dining Task on 09/02/2025 at the lunch meal. Specifically, frozen food items (tiramisu, broccoli florets, pizza slices, a tray of diet pudding, regular pudding and peaches, roast beef, Brussel Sprouts) in the walk-in freezer were stored undated and or with opened packaging. Specifically, the facility did not monitor the temperature of cold food items (sandwiches, yogurt, milk) at the time of meal service. Upon request, temperatures were taken and found to be above the standard range (cold food temperatures should be 40 degrees Fahrenheit or below) for food service safety (United States Department of Agriculture). The finding is:A facility policy and procedure titled Food Storage, dated 08/2024, documented all perishable…
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 · D2025-09-08 · tag F0604 — failed to not use physical restraints improperly — isolatedEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and record review during the Recertification Survey initiated on 09/02/2025 and completed on 09/08/2025, the facility did not ensure each resident had the right to be treated with respect and dignity, including the right to be free from any physical restraints imposed for the purposes of discipline or convenience, and not required to treat the resident's medical symptoms. This was identified for one (1) (Resident #36) of one (1) resident reviewed for Physical Restraints. Specifically, on 09/02/2025, Resident #36 was observed sleeping in a bed with the bed positioned between another empty bed on the right side and a Geri chair on the left side, thereby blocking the resident from getting out of the bed. During an interview on 09/05/2025, the resident's assigned Certified Nursing Assistant #5 acknowledged they intentionally placed the resident's bed between another bed and the Geri chair to prevent the resident from getting out of bed.The finding is:The facility policy titled…
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 before2025-09-08 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interviews during the Recertification Survey initiated on 09/02/2025 and completed on 09/08/2025, the facility did not ensure that each resident received adequate supervision and assistance devices to prevent accidents. This was identified for one (Resident #12) of five residents reviewed for Accidents. Specifically, Resident #12 was at risk for elopement and had a physician's order for a Wanderguard (a wearable bracelet for residents at risk for wandering, which causes an alarm when the resident approaches a restricted area). On 08/01/2025, the resident removed the Wanderguard; however, no new interventions were put in place to ensure the resident was appropriately supervised and did not remove the Wanderguard. During an observation on 09/05/2025, Resident #12 was not wearing their Wanderguard, and the assigned staff were not aware that the resident did not have their Wanderguard in place.The finding is:The facility policy titled Code Alert System/Code Alert Bracelet, last reviewed 01/2022, documented Code Alert System is designed to trigger…
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 · D2025-09-08 · 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
Based on observation, record review, and interviews during the Recertification Survey, initiated on 9/2/2025 and completed on 9/8/2025, the facility did not ensure that each resident who required respiratory care was provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences. This was identified for one (1) (Resident #129) of three (3) residents reviewed for Respiratory Care. Specifically, Resident #129 did not receive pulse oximetry (oxygen saturation) monitoring (measures the oxygen saturation in blood) as recommended by the Physician in a progress note dated 09/01/2025; however, the Physician did not write an order for their recommendation. The finding is:Resident #129 was admitted to the facility with diagnoses including Chronic Obstructive Pulmonary Disease, Congestive Heart Failure, and Schizophrenia. The 08/11/2025 quarterly Minimum Data Set assessment documented a Brief Interview for Mental Status score of 12, indicating the resident had moderate cognitive impairment; received…
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 · D2025-09-08 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the Recertification Survey initiated on 09/02/2025 and completed on 09/08/2025 the facility did not ensure that it maintained an infection prevention and control program designed to help prevent the development and transmission of communicable disease and infections for 1) one (Resident #16) of one resident reviewed for Pressure Ulcers and for one (1) (Resident #111) of three (3) residents reviewed for Transmission-Based Precautions. Specifically, 1) during the wound care observation for Resident #16 (bilateral heel wounds) on 09/04/2025, Licensed Practical Nurse #1 did not perform hand hygiene during the various steps of the wound care treatment process, allowed the cleansed heel wounds to come in contact with a dirty surface, and did not re-cleanse the heel wounds. 2) Resident # 111 was placed on Contact Isolation for Klebsiella Pneumoniae (a bacterial infection often spread through person-to-person contact or contaminated surfaces and equipment) 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.
- Potential for harm · D2024-03-09 · tag F0609 — failed to report abuse allegations — isolatedTimely 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 observations, record review and interviews conducted during a Recertification Survey initiated on 3/4/2024 and completed on 3/9/2024, the facility did not ensure that all alleged violations involving abuse, neglect, exploitation, or mistreatment, including injuries of unknown sources, were reported to the New York State Department of Health. This was identified for one (Resident #119) of eight residents reviewed for Accidents. Specifically, Resident #119, with a diagnosis of Dementia and impaired cognition, sustained the following unwitnessed injuries of unknown origin 1a) a laceration to the right arm which required transfer to the hospital and treatment of 16 staples on 12/6/2023, 1b) ecchymotic (bruise) area to the left buttock on 2/27/2024 and 1c) ecchymotic area to left upper inner forearm and right outer arm on 2/29/2024. The facility did not report Resident #119's injuries of unknown origin to the New York State Department of Health. The findings are: The facility's policy titled, Abuse…
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 · D2024-03-09 · 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 observations, record review and interviews conducted during a Recertification Survey initiated on 3/4/2024 and completed on 3/9/2024, the facility did not ensure that all alleged violations were thoroughly investigated in response to allegations of abuse, neglect, exploitation, and misappropriation of resident property, including injuries of unknown source. This was identified for one (Resident #119) of eight residents reviewed for Accidents. Specifically, Resident #119 with a diagnosis of Dementia and impaired cognition sustained the following unwitnessed injuries of unknown origin 1a) a laceration to the right arm which required transfer to the hospital and treatment of 16 staples on 12/6/2023, 1b) ecchymotic (bruise) area to the left buttock on 2/27/2024 and 1c) ecchymotic area to the left upper inner forearm and the right outer arm on 2/29/2024. Resident #119 was observed with injuries of unknown origin on three occasions. The facility did not thoroughly investigate the incidents to identify 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 · D2024-03-09 · tag F0655 — isolatedCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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 3/4/2024 and completed on 3/9/2024 the facility did not ensure that a Baseline Care Plan for each resident was developed that included the instructions needed to provide effective and person-centered care of the resident that meet professional standards of quality care within 48 hours of admission. This was identified for one (Resident #78) of four residents reviewed for skin conditions. Specifically, Resident #78 was admitted with impaired skin integrity, and a baseline care plan was not developed within 48 hours of the resident's admission. The finding is: The facility's policy titled, Care Planning last revised 1/2022 documented that upon admission the baseline care plan will be initiated and completed within 48 hours as per the Centers for Medicare & Medicaid Services guidelines. Resident #78 was admitted with diagnoses that included Alzheimer's Disease, Parkinson's Disease, and a Stage 1 Sacral Pressure Ulcer. The admission…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-03-09 · 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 observations, record review, and interviews during the Recertification Survey initiated on 3/4/2024 and completed on 3/9/2024 the facility did not ensure each resident's Comprehensive Care Plan was reviewed and revised to reflect the current needs of each resident. This was identified for one (Resident #78) of three residents reviewed for pressure ulcers and one (Resident #171) of two residents reviewed for edema. Specifically, 1) Resident #78's Comprehensive Care Plan was not updated to reflect the resident's use of the heel off-loading medical surgical shoe or offloading the heels; and 2) Resident #171's Comprehensive Care Plan was not updated to reflect the use of lower leg compression wraps to treat bilateral lower leg edema (swelling caused by too much fluid trapped in the body's tissues). The findings are: The facility's policy, titled Care Planning, last reviewed in January 2022, documented care planning will be implemented through the integration of assessment findings, consideration of 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 · D2024-03-09 · tag F0658 — failed to meet professional standards of care — isolatedEnsure services provided by the nursing facility meet professional standards of quality.
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 staff interviews during the Recertification Survey initiated on 3/4/2024 and completed on 3/9/2024, the facility did not ensure that services provided or arranged by the facility outlined by the comprehensive plan of care meet professional standards of care. This was identified for one (Resident #169) of eight residents reviewed for medication administration. Specifically, during a medication pass observation on 3/6/2024 at 6:25 AM for Resident #169, Registered Nurse #4 removed a Levothyroxine (medication used to treat underactive thyroid gland) 50 micrograms tablet from a blister pack that had Resident #49's identification label and then administered the medication to Resident #169. The finding is: The facility Medication Administration policy and procedure updated 11/2023 documented medications are administered to residents in a timely and accurate manner by a Licensed nurse who compares the medication name, strength, and dosage schedule on the medication administration…
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 13 citations
- Potential for harm · D2024-03-09 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the Recertification Survey initiated on 3/4/2024 and completed on 3/9/2024, the facility did not ensure that a resident who is unable to carry out activities of daily living receives the necessary services to maintain good grooming and personal hygiene. This was identified for one (Resident #56) of three residents reviewed for activities of daily living. Specifically, on 3/4/2024 and 3/7/2024 Resident #56 was observed with long fingernails to both hands. The resident's right-hand fingernails were resting on the resident's palm and a brown substance was observed under the nails of the left hand. The finding is: The facility's undated policy and procedure for Fingernails and Toenails Care documented nail care includes daily cleaning and regular trimming, and to trim and smooth the resident's nails to prevent the resident from accidentally scratching their skin. Resident#56 was admitted with diagnoses that included Right-hand contracture and Generalized…
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 · D2024-03-09 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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 3/4/2024 and completed on 3/9/2024, the facility did not ensure that a resident with limited range of motion receives appropriate treatment and services to prevent further decrease in range of motion. This was identified for two (Resident #56 and Resident #36) of three residents reviewed for position/mobility. Specifically, Resident #56 and Resident #36 had a Physician's order for a hand roll to be worn at all times. On multiple occasions, Resident #56 and Resident #36 were observed not wearing the physician-ordered hand rolls. The findings are: The facility policy and procedure titled Physician Visits and Medical Orders dated 6/16/2021 documented that members of the interdisciplinary team shall provide care, services, and treatment according to the most recent medical orders. The facility policy and procedure titled, Quality of Care dated 12/2021, documented nursing services based on the comprehensive assessment…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-03-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and interviews conducted during the Recertification Survey initiated on 3/04/2024 and completed on 3/09/2024, the facility did not ensure that each resident's environment remains as free of accident hazards as possible. This was identified for one (Resident # 167) of three residents reviewed for Accidents. Specifically, Resident #167 was not assessed to safely self-administer medications. During multiple observations on 3/04/2024 at 8:48 AM, 3/04/2024 at 11:13 AM, and again on 3/05/2024 at 8:38 AM. Resident #167 was observed with Physician-ordered medication in their room with no staff member in the vicinity. The finding is: The facility policy titled, Medication Administration dated 11/2023 documented that the Nurse ensures medications are not left unattended and to keep medications secured in a locked area or are visible at all times. The facility policy titled, Self Administration of Medications dated 11/2022 documented that residents who desire to self-administer their…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-03-09 · tag F0726 — failed to have competent, trained nursing staff — isolatedEnsure 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, record review, and staff interviews during the Recertification Survey initiated on 3/4/2024 and completed on 3/9/2024, the facility did not ensure that all nurse aides are able to demonstrate competency in skills and techniques necessary to care for residents' needs. This was identified for one (Resident #20) of two residents reviewed for skin conditions (non-pressure). Specifically, Resident #20 was observed with a bruise on the back of the left hand. Certified Nursing Assistant #10 was aware of the bruise on 3/4/2024; however, did not report the change in skin condition to Registered Nurse #3 until the Surveyor identified the bruise on the resident's left hand. The finding is: The facility's policy for Pressure Ulcer-Prevention and Care dated 2019 documented that during all care, all nursing staff are required to report any change in residents/patients' skin condition. In the event of skin integrity issues, a skin assessment will be conducted and interventions are placed to prevent…
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 · D2024-03-09 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interviews during the Recertification Survey initiated on 3/4/2024 and completed on 3/9/2024, the facility did not ensure that the procedure that assure the accurate acquiring, receiving, dispensing and administration of all drugs and biologicals to meet the needs of each resident and the facility did not ensure that drug records are in order and that an account of all controlled drugs are maintained and periodically reconciled. This was identified for one (Resident #169) of eight residents reviewed for medication administration and for one (Unit 2 North) of four units reviewed for the Medication Storage task. Specifically, 1) Resident #169 had a Physician's order for Levothyroxine (Synthroid-thyroid medication) 50 microgram to be administered daily at 6:00 AM. During the medication pass observation on 3/6/2024 at 6:25 AM, the Levothyroxine 50 microgram was not available to be administered to the resident. Registered Nurse #4 borrowed the medication from another resident;…
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 · D2024-03-09 · tag F0802 — failed to prepare enough nourishing food — isolatedProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
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 3/4/2024 and completed on 3/9/2024 the facility did not provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition services. This was identified for one (Unit 1 North) of four Units observed during the initial tour. Specifically, Resident #107 and Resident #171 were observed eating their breakfast meal served on disposable plates, cups, and bowls. During the Resident Council Meeting held on 3/5/2024 eight of eight residents stated they often received disposable plates, cups, bowls, and utensils for meals on the weekend because of short staffing in the kitchen. The finding is: An undated facility policy titled Disposable Dinnerware documented the facility will use single-service items only in extenuating circumstances, such as dish-machine failure, individual resident needs, or other documented reasons. 1a) Resident #107 was admitted with diagnoses that included…
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 · D2022-04-13 · tag F0554 — isolatedAllow residents to self-administer drugs if determined clinically appropriate.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, record review, and interviews during the Recertification Survey initiated on 4/6/2022 and completed on 4/13/2022 the facility did not ensure that the interdisciplinary team had determined that self-administration of medications was clinically appropriate for each resident. This was identified for 1 (Resident # 113) of 8 residents reviewed for Accidents. Specifically, Resident #113 incorrectly self-administered a Physician's prescribed nasal spray medication Fluticasone Propionate (Flonase) during a medication pass observation. The medication was being stored by the resident at their bedside. There was no documented assessment by the interdisciplinary team to determine if the resident could safely self-administer the medication. The finding is: The facility's policy, titled Self-Administration of Medications, revised in November 2020, documented those residents deemed capable, and who desire to self administer their medications, will be permitted to do so, after appropriate counseling/teaching and with the specific order of the resident's physician; and 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 · D2022-04-13 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, observation, and interviews during the Recertification Survey initiated on 4/6/2022 and completed on 4/13/2022 the facility did not ensure that a comprehensive person-centered care plan was developed to meet each resident's medical and nursing needs. This was identified for 1 (Resident #137) of 2 residents reviewed for use of the Urinary catheter. Specifically, Resident #137 was admitted to the facility with an indwelling Foley catheter; however, there was no Comprehensive Care Plan developed for the Foley catheter use. The finding is: The facility's policy, titled Care Planning, last reviewed 1/2022, documented care, treatment, and services are planned to ensure that they are appropriate to the resident's needs to provide an individualized plan of care for all residents. Care planning will be implemented through the integration of assessment findings, consideration of the prescribed treatment plan, and development of goals for the resident that are reasonable and measurable. Resident #137 had diagnoses including Multiple Sclerosis, Urinary Tract Infection,…
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 before2022-04-13 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interviews during the Recertification Survey initiated on 4/6/2022 and completed on 4/13/2022, the facility did not ensure that each resident's environment remained free of accident hazards as is possible. This was identified for 1 (Resident #115) of 8 residents reviewed for Accidents. Specifically, Resident #115 with diagnoses of Dementia and Major Depressive Disorder had an unlocked drawer in their room which contained 2 pairs of scissors, a screwdriver and a medication bottle with Torsemide (diuretic) 20 milligram (mg) Tablets. The facility staff were not knowledgeable of the items in the resident's possession. The finding is: The undated Facility Accident Prevention policy documented the facility staff will ensure that the resident's environment will remain as free from accident hazards as possible, and residents will receive adequate supervision to prevent accidents. The undated Facility Locked Drawer policy documented that the facility staff will take all practicable…
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 · D2022-04-13 · 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 observations, interviews and record review conducted during the Recertification Survey initiated on 4/6/2022 and completed on 4/13/2022, the facility did not ensure a resident who is fed with Enteral means receives the appropriate treatment and services to prevent potential complications of Enteral feeding. This was identified for one (Resident #13) of one resident reviewed for feeding tubes. Specifically, a Certified Nursing Assistant (CNA) was observed providing care to Resident #13 while the resident was lying flat in their bed and the tube feeding was being administered. The finding is: The undated policy and procedure for Enteral tube feedings documented the head of the bed is to remain elevated at 30 to 45 degrees while the feeding is active [running]. Resident #13 was admitted with diagnoses including Cerebral Infarction and Gastrostomy (feeding tube). The Quarterly Minimum Data Set (MDS) assessment dated [DATE] documented the resident had a Brief Interview for Mental Status (BIMS) score of 99…
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 before2022-04-13 · tag F0726 — failed to have competent, trained nursing staff — isolatedEnsure 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, record review, and interviews during the Recertification Survey initiated on 4/6/2022 and completed on 4/13/2022, the facility did not ensure that nurse aides were able to demonstrate competency in skills and techniques necessary to care for resident needs for one (Resident #13) of one resident reviewed for tube feeding. Specifically, a Certified Nurse Assistant (CNA) was observed providing care to Resident #13 while the resident was lying flat in their bed and the tube feeding was being administered. The finding is: The undated policy and procedure for Enteral tube feedings documented the head of the bed is to remain elevated at 30 to 45 degrees while the feeding is active [running]. Resident #13 was admitted with diagnoses including Cerebral Infarction and Gastrostomy (feeding tube). The Quarterly Minimum Data Set (MDS) assessment dated [DATE] documented the resident had a Brief Interview for Mental Status (BIMS) score of 99 which indicated the resident had severely impaired cognition.…
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.
- No harm found · C2025-09-08 · tag F0732 — widespreadPost nurse staffing information every day.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, and record review during the Recertification Survey initiated on 09/02/2025 and completed on 09/08/2025, the facility did not ensure nursing staffing was posted daily and included the actual number of licensed and unlicensed staff working hours per shift. Specifically, the facility's entrance lobby was observed on 09/02/2025 at 09:28 AM with the nursing staffing sheet posted for 08/29/2025. Additionally, the nursing staffing sheets dated 09/02/2025 to 09/03/2025 did not include the actual hours worked by the licensed and unlicensed nursing staff per shift.The finding is:The facility's policy titled Staffing, last revised 11/01/2023, documented the facility will provide sufficient numbers of licensed and non-licensed personnel (Registered Nurse, Licensed Practical Nurse, and Certified Nursing Assistant) on a 24-hour basis to provide nursing care to all residents in accordance with resident care plans. The policy did not include guidance related to nursing staffing posting.The facility did not provide a policy related to the staffing posting…
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.
- No harm found · C2025-09-08 · tag F0838 — failed to assess facility resources and resident needs — widespreadConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
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 09/02/2025 and completed on 09/08/2025, the facility did not ensure the Facility Assessment determined and indicated specific nursing staffing necessary to care for residents during both day-to-day operation (including night and weekends) and emergencies. This was identified during the Sufficient Nursing Staffing Task. Specifically, the facility stated that nursing staffing, specifically the number of Registered Nurses required for the facility's daily operations, was not accurately documented in the Facility Assessment.The finding is:The facility's policy titled Facility Assessment, last revised 5/8/2025, documented the facility will complete and maintain a facility-wide assessment, which will be reviewed and updated quarterly, annually, or whenever there is any change that would require a substantial modification to any part of the assessment. The assessment will address a range of facility staffing to provide competent…
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.
“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.
- 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
$8,278 in federal fines across 1 penalty.
- $8,278 — penalty dated 2025-11-20
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 | Share | Since |
|---|---|---|---|---|
| WHITE, JEFFREY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST; W-2 MANAGING EMPLOYEE; GENERAL PARTNERSHIP INTEREST | 51% | since 01/01/1998 |
CMS files one row per role, so the 3 rows in the source record cover these 1 parties — each is shown once here with every role it holds. Nothing is omitted.
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 $6.6M paid to related parties — landlords or management companies under common ownership — equal to about 19% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
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 335690. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-09-08, 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.