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Adira At Riverside Rehabilitation and Nursing

120 Odell Avenue, Yonkers, NY 10701 · For profit - Partnership · 120 certified beds · (914) 964-3333 Medicare & Medicaid certified

Call the home — (914) 964-3333 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
2 actual-harm citations$66,859 in federal fines
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • lower-than-typical staff turnover (25% vs 45% nationally) — better care continuity
Worth asking about
  • it has 2 actual-harm citations
  • 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 $66,859 in federal fines (most recent 2024-08-30)
  • its payroll- and facility-reported staffing and quality-measure scores sit well above its independent inspection score
  • its independent health-inspection rating is low (1/5)
  • its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 1 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 staffing and quality-measure ratings run 4 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself, and staffing on its payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1088 N Broadway · (914) 964-4444 · Call to confirm hours
Pharmacy
967 N Broadway · (914) 999-3199 · Call to confirm hours
Grocery
KeyFood0.8 mi
1233 Nepperhan Ave · (914) 308-3950 · Call to confirm hours
Park
1025 Warburton Ave · Typically dawn to dusk
Place of worship
5 Executive Blvd · (914) 200-4498

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 held steady at 2 stars. From monthly CMS archive snapshots.

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

Overall rating2★
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 increased8.8%14.1%15.4%better
Long-stay residents who lose too much weight3.1%5.8%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.5%0.9%better
Long-stay residents with a urinary tract infection0.0%1.3%2.0%better
Long-stay residents with depressive symptoms57.3%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 injury4.0%3.1%3.3%worse
Long-stay residents whose ability to walk worsened6.3%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication9.9%13.2%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%95.3%95.3%typical
Long-stay residents with pressure ulcers5.7%6.5%4.7%worse
Long-stay residents with worsening bladder/bowel control2.4%19.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table10.8%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 vaccine100.0%78.8%79.4%better
Short-stay residents rehospitalized after admission21.6%20.6%22.6%typical
Short-stay residents with an outpatient ER visit5.4%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days1.831.701.67typical
Long-stay outpatient ER visits per 1,000 resident days1.091.361.80better

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.

47.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 282 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

47.7%U.S. median 51.5%
Got home and stayed home
13.8%U.S. median 10.7%
Went back to hospital
77.1%U.S. median 56.6%
Met the expected recovery
0.64U.S. median 0.31
Therapy hours / resident / day
0.33hours / resident / day
Physical therapy
0.24hours / resident / day
Occupational therapy
0.07hours / resident / day
Speech therapy

Met the expected recovery: 77.1% 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 157 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 0.64 therapist hours per resident per day in 2026Q1 — more than 90% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF47.7%CMS range 39.7–56.451.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF13.8%CMS range 10.6–15.910.7%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 discharge77.1%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 discharge65.6%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 discharge68.8%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 identified100.0%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 setting100.0%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 discharge94.5%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 stay0.3%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 worsened1.7%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 hospitalization11.6%CMS range 8.2–15.87.1%Oct 2023–Sep 2024worse than U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.731.02Oct 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

1.65
RN hours/ resident / day
0.41
LPN hours/ resident / day
2.17
Aide hours/ resident / day
4.24
Total nurse hours/ resident / day
1.29
RN hoursweekends
25.0%
Total nursing turnover
31.1%
RN turnover

How full it usually is: this home is certified for 120 beds and averages 114.5 residents a day — about 95% occupied, or roughly 6 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.24 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.65 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.17 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 3.58 hrs/resident/day on weekends vs 4.50 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 1.80 to 1.29 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 25% 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

11
deficiencies at the latest standard inspection (2024-08-30)
5
at the previous standard inspection (2021-08-18)

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

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

Inspection deficiencies

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

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.

24 citations, most serious first. The 12 most serious are shown; the remaining 12 are one tap away and print in full.

  • Actual harm · Gcited before2025-10-17 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview conducted during the abbreviated survey (2581942), the facility failed to ensure all residents were free of accident hazards and that each resident received assistance to prevent falls for one (1) (Resident #1) of three (3) residents reviewed for accidents. Specifically, Resident #1 sustained a head injury after a fall from their bed on 08/05/2025. This resulted in actual harm to Resident #1 that was not Immediate Jeopardy.Findings include: The policy titled 'Fall Prevention Program' issued 03/28/2021 and reviewed 05/30/2025 documented all residents, by virtue of age, illness/injury and placement, are considered to be at risk for falls. A falls risk assessment will be completed on admission and quarterly to identify specific risk and develop an individualized care plan. The policy titled 'Turn and Positioning in Bed: Proper Technique' effective 01/28/2020 and reviewed 05/29/2025 documented the procedure of turning a resident to side lying position. The procedure 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Actual harm · Gcited before2024-08-30 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, observation and record review during a Recertification Survey conducted from 8/26/2024 through 8/30/2024, the facility failed to ensure that a resident received care, consistent with professional standards of practice, to prevent pressure ulcers and to prevent the development of pressure ulcers unless the individual's clinical condition demonstrates they were unavoidable. This was evident for 1 of 4 residents reviewed for pressure ulcers (Resident #24). Specifically, Resident #24 was assessed as high risk for pressure ulcers and was identified to have left heel redness on 08/24/2024. The resident's care plan and interventions were not promptly updated and implemented to prevent further deterioration of the left heel skin integrity. Subsequently, on 8/29/2024, the resident's left heel was observed and assessed by the facility nurse practitioner and diagnosed to be an unstageable decubitus (damage to a person's skin caused by constant pressure on an area for a long-time) ulcer. This resulted in actual harm to Resident #24 that is not Immediate Jeopardy. 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2026-04-14 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during the abbreviated survey, the facility did not ensure residents received quality care for two (2) (Residents #1 and #6) of five (5) residents reviewed for pressure ulcers. Specifically, 1) Resident #6 was ordered to receive wound treatment more frequently than recommended by the wound care specialist, 2) wound care specialist findings and recommendations for Resident #1 were not accurately transcribed and signs of worsening infection were not thoroughly reviewed and addressed.The findings are:1) Resident #6 had diagnoses of chronic respiratory failure with ventilator dependence and cerebral infarction.The Minimum Data Set 3.0 assessment dated [DATE] documented Resident #6 was severely cognitively impaired and totally dependent on staff to perform activities of daily living. Resident #6 had three unhealed pressure ulcers present on admission to the facility and one unhealed facility-acquired pressure ulcer.The Nursing Note dated 03/23/2026…

    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 · Ecited before2026-04-14 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during an abbreviated survey, the facility did not ensure residents with pressure ulcers received treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing in two (Residents #1 and #3) of five residents reviewed for pressure ulcers. Specifically, there was no documented evidence Resident #1's treatment plan was revised to address stagnant wound progress and serosanguinous ulcer drainage for multiple weeks, and 2) Resident #3 was admitted to the facility at risk for skin breakdown and there was no documented evidence they received devices and repositioning to prevent the development of six new pressure injuries.The findings are:The facility policy titled Pressure Ulcer Policy dated 08/30/2024 documented each resident will be assessed for risk factors on admission and for four consecutive weeks. Care plans will be developed with specific interventions based…

    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 · E2026-04-14 · tag F0711 — pattern
    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 observations, interviews, and record review conducted during an abbreviated survey, the facility did not ensure the physician reviewed the resident's total program of care, including medications and treatments, at each visit for two (Residents #6 and #1) of four ventilator-dependent residents sampled. Specifically, 1) discrepancies in the wound specialist's and the attending physician's ordered treatments were not addressed during physician visits, and 2) there was no evidence the attending physician reviewed labs reporting increasingly abnormal values and wound notes reporting stagnant, unhealing wounds with ongoing drainage.The findings are:1) Resident #6 had diagnoses of chronic respiratory failure with ventilator dependence and cerebral infarction.Resident #6's facesheet documented the Pulmonologist was the resident's Attending Physician.The Minimum Data Set 3.0 assessment dated [DATE] documented Resident #6 was severely cognitively impaired and totally dependent on staff to perform activities 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-14 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure 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 observations, interviews, and record review conducted during an abbreviated survey, the facility did not ensure services provided by the facility met professional standards of quality for two (Residents #1 and #6) of five residents sampled for pressure ulcer review. Specifically, 1) Wound Care Nurse #2 transcribed treatment orders received from the Wound care Physician for Resident #6 to occur more frequently than recommended 2) Wound Care Nurse #2 made changes to treatment orders for Resident #1 that were not recommended by the wound care specialist.The findings are:1) Resident #6 had diagnoses of chronic respiratory failure with ventilator dependence and cerebral infarction.The Minimum Data Set 3.0 assessment dated [DATE] documented Resident #6 was severely cognitively impaired and totally dependent on staff to perform activities of daily living. Resident #6 had three unhealed pressure ulcers present on admission to the facility and one unhealed facility-acquired pressure ulcer.The Nursing Note dated…

    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 · Dcited before2026-04-14 · tag F0880 — failed to prevent and control infections — isolated
    Provide 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, interviews, and record review conducted during an abbreviated survey, the facility did not ensure infection prevention and control standards were maintained during wound care to prevent the spread of infection to other wounds for 1 (Resident #6) of 2 residents observed for wound care. Specifically, Resident #6's uncovered back and buttock wounds were observed having direct contact with a towel soaked with purulent drainage from soiled dressings removed from the resident's infected right buttock ulcer. The findings are:Resident #6 had diagnoses of chronic respiratory failure with ventilator dependence and cerebral infarction.The Minimum Data Set 3.0 assessment dated [DATE] documented Resident #6 was severely cognitively impaired and totally dependent on staff to perform activities of daily living. Resident #6 had three unhealed pressure ulcers present on admission to the facility and one unhealed facility-acquired pressure ulcer.Physician Orders transcribed dated 03/23/2026 documented…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-08-30 · tag F0725 — failed to have enough nursing staff — pattern
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview and record review conducted during the recertification survey from 8/26/24 through 8/30/24 the facility did not ensure that sufficient nursing staff was consistently provided to meet the needs of residents on all shifts. Specifically, 1) multiple residents reported during interviews and the Resident Council Group meeting that the facility was short staffed at times, and this resulted in call bells not being answered timely and residents not getting out of bed; 2) several nursing staff members reported a lack of sufficient staffing; and 3) an analysis of the actual staffing schedule showed that on multiple occasions from 7/25/24 to 8/25/24, the facility was below the minimum levels documented on the Facility Assessment. Findings include: During a Resident Council meeting on 8/27/24, several residents stated that the facility was short staffed at times, especially on various shifts or on weekends. Residents stated that the call lights ring for a while before someone answers them; and some stated they had to stay in bed when they did not want to stay 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-08-30 · 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

    Based on staff interview and review of facility records during the recertification survey from 8/26/24 through 8/30/24, the facility did not ensure Certified Nurse Aides (CNAs) performance reviews were completed at least once every 12 months. Specifically, eight of eight randomly selected certified nurse aides (CNAs) (#3, #6, #14, #16, #17, #18, #19 and #20) did not have a performance review documented at least once every 12 months. Findings include: The Certified Nurse Aides (CNAs) (#3, #6, #14, # 16, #17, #18, #19 and #20) last performance evaluations were not available. Review of Certified Nurse Aides (CNAs) (#3, #6, #14, #16, #17, #18, #19 and #20) hire dates, provided by the facility, revealed all eight of the certified nurse aides had been working at the facility for more than one year, their hire dates ranges from 2002 through 2021. When interviewed on 8/29/24 at 8:49 AM, Certified Nurse Aide (CNA) #3 stated they could not recall when they had a performance evaluation done. When interviewed on 8/29/24 at 8:52 AM, Registered Nurse Unit Supervisor #1 stated they were…

    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 · D2024-08-30 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews and interviews during the recertification and abbreviated survey (NY00325832) from 8/26/24 to 8/30/24 , the facility did not ensure that a resident's representative was promptly notified of a change in ins status For 1 of 28 residents (Resident #38) reviewed for notification of change. Specifically, Resident #38's designated representative was not made aware the resident had pneumonia and antibiotic was initiated. The findings are: Resident #38 had diagnoses including pneumonia, chronic respiratory failure and dementia. The 8/2/23 Quarterly Minimum Data Set (resident assessment tool) documented the resident had severely impaired cognition and was dependent on staff for all activities of daily living. The 2/25/22 Policy and Procedure titled Notification of Change documented the facility will promptly inform the resident representative when there is a change of condition requiring notification. The 10/8/23 chest x-ray results documents left basilar lung infiltrate (pneumonia). The 10/8/23 physician order documented Cefuroxime (antibiotic) one tablet by…

    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 · D2024-08-30 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations record review and interviews, during the recertification survey from 8/25/24 to 8/30/24, the facility did not ensure that the Comprehensive Care Plans were reviewed and revised in a timely manner to reflect the resident's changing needs and current status as evidenced by 1 of 4 residents (Resident #24) reviewed for skin impairments. Specifically, Resident #24 acquired a pressure injury on the left heel and the care plan was not updated with goals and interventions to promote wound healing. The findings are: Resident #24 had diagnoses including type 2 diabetes, Alzheimer's disease, and a history of pressure injuries. The Quarterly Minimum Data Set (an assessment tool) dated 7/15/2024 documented Resident # 24 had severe cognitive impairment, was dependent on staff for chair/bed-to-chair transfers and required substantial to maximal assistance for bed mobility and sitting on the side of the bed. Resident #24 was frequently incontinent of bowel and bladder, was at risk for pressure ulcers, had no pressure ulcers/other skin problems (ulcers, wounds), had a pressure…

    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 · D2024-08-30 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide 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 observation, record review and staff interviews during the recertification survey from 8/26/24-8/30/24, the facility did not ensure that needed services, care and equipment were provided to assure that residents with limited range of motion and mobility maintained or improved function based on the resident's clinical condition for 3 of 3 residents (Residents # 24, #54 and #91) reviewed for position and mobility. Specifically, Residents #24, #54, and #91 were care planned for hand rolls and were observed on multiple occasions without their hand rolls. Findings include: The 2/14/22 policy and Procedure Titled Splints and Bracing documented Splinting and Bracing are provided on order by the resident's primary physician or by the facility Medical Director. The purpose was to improve function and help restore or maintain range of motion. 1. Resident #24 was admitted to the facility with diagnoses including diabetes, Alzheimer's disease, and dysphagia (difficulty swallowing). The Quarterly Minimum Data Set…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 12 citations
  • Potential for harm · D2024-08-30 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interviews during the recertification survey from 8/26/2024 to 8/30/2024, the facility did not ensure that each resident received necessary respiratory care including oxygen therapy that was in accordance with professional standards of practice and as ordered by the practitioner for 1 (Resident #308) of 4 residents reviewed for respiratory care. Specifically, for the Resident #308, the facility did not ensure the physician's order for the prescribed oxygen administration was followed. Findings include: Resident #308 had diagnoses including chronic respiratory failure with hypoxia, shortness of breath, and pneumonia. The admission Minimum Data Set (resident assessment tool) dated 8/26/24 documented, Resident #308 was admitted to the facility on [DATE], had intact cognition, needed maximal assistance with toileting hygiene, shower/bathe self, lower body dressing, sit to lying, chair to bed transfer, and was dependent with toilet transfer. The resident had shortness of breath…

    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 · D2024-08-30 · 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 observations, record review, and interviews conducted during the Recertification Survey and Abbreviated Survey (NY00336677) from (8/26-8/30/24), the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety and food prep equipment was clean and in safe operating condition. Specifically, 1) the walk-in refrigerator contained expired peanut butter and jelly sandwiches, and expired egg salad and peanut butter and jelly sandwiches were observed on prepared lunch trays, 2) Resident's personal food was observed in the resident pantry refrigerator beyond its 3 day limit; and 3) the first floor resident ice machine was not clean and observed with black slime on the inside of the machine which was in close contact with ice cubes. The findings are: During an initial tour of the kitchen on 08/26/24 at 9:28 AM, the walk-in refrigerator was observed with two peanut butter and jelly sandwiches in a large box that were stamped use by 8/25/24. A second observation was made on 8/26/24 11:46 AM on 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-08-30 · tag F0880 — failed to prevent and control infections — isolated
    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 during a Recertification Survey (8/26/24-8/30/24), the facility did not maintain an infection prevention and control program designed to prevent the development and transmission of communicable diseases and infection. Specifically, 1) the facility did not ensure that an infection surveillance plan based on facility assessment was implemented for identifying, tracking, and monitoring infections, communicable diseases, and outbreaks. 2) the facility Water Management Plan for Legionella had not been reviewed annually, 3) the facility did not ensure that 9 of 10 staff members were offered and educated regarding the risks and benefits of the pneumonia vaccination and given the opportunity to decline or receive the vaccination; and 4) did not properly implement Enhanced Barrier Precautions for 4 of 24 residents ( #6,#307,#309 and #24). The findings are: 1) The infection tracking logs documented infections that were being tracked for the month of July 2024. There was no documentation during July 2024, August 2024 that could be reviewed…

    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 · D2024-08-30 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview during the recertification survey conducted 08/26/24 to 08/30/24, the facility did not ensure each resident was offered pneumococcal immunizations and received education regarding the benefits and potential side effects of the immunizations for 1 of 5 residents (Residents #91) reviewed. Specifically, there was no documented evidence Resident #91 was offered, declined, or educated on the pneumococcal immunization. Findings include: The undated facility policy titled Resident Pneumovax Vaccination Program, documented the Pneumovax is to be given to all residents who have no prior evidence of receiving it. All new admissions are to be assessed for the need for this vaccine as part of the admission medical work up. Residents will be provided with instruction and education relative to Pneumovax and aspects of our vaccination program. The education will be given on admissions as well as prior to the implementation of our immunization program and may consist of fliers and fact sheets. All education will be documented on the Resident Consent /Declination…

    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 · D2024-08-30 · tag F0887 — isolated
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview and record review during the recertification survey conducted 08/26/24-8/30/24, the facility did not ensure each staff and resident was screened, offered the COVID-19 vaccine and provided education regarding the benefits, risks and potential side effects associated with the vaccine for 1 of 5 residents and 1 of 10 staff reviewed for COVID vaccines. Specifically, there was no documented evidence of immunization records for COVID vaccines for Resident #91 and Staff #37. Findings include: The facility policy titled COVID-19 Vaccination for Residents and Staff and last revised 5/13/21 documents in order to prevent the spread of infectious disease and to decrease the morbidity and mortality associated with the SARS-Co V-2 virus the facility will offer vaccine to all residents and residents/resident representatives will be provided education. Resident #91 had diagnoses of respiratory failure, seizures and was ventilator dependent. There was no documented evidence that the resident/resident representative received education, was offered the vaccination, or declined 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-28 · 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 conducted during an abbreviated survey (NY00322720), the facility did not ensure adequate supervision was provided and that the residents environment remained as free of accident hazards as possible for 1 of 3 residents (Resident #1) reviewed. Specifically, on 08/24/2023 Certified Nursing Assistant (CNA#5) provided care to Resident #1 who required 2-person assistance for toileting and bed mobility, by themselves without assistance. Resident #1 rolled out of bed and fell sustaining a right tibia and fibula (shin/calf bone) fracture. The findings are: The Facility Policy and Procedure on Accident Policy revision date 2/23/2017 documented to promote an environment that is free from accidents or hazards as is possible, and each resident receives adequate supervision. Fall refers to unintentionally coming to rest on the ground, floor or other lower levels, but not as a result of an overwhelming force (i.e., resident pushes another resident). Resident #1 had diagnoses that included atrial fibrillation, chronic obstructive pulmonary disorder (COPD),…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-08-18 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review conducted during a recertification survey, the facility did not ensure that a dignified experience was maintained forn 2 of 4 residents reviewed for dignity. Specifically, Resident #63 was exposed beyond a wound area during wound care and Resident #10 medical record was visible to hallway traffic during a medication pass. The findings are: Resident # 63 was admitted to the facility on [DATE] with diagnoses Hypertension, Diabetes Mellitus, and Malnutrition. According to the 11/23/2020 admission Minimum Data Set (MDS; a resident assessment and screening tool, the resident had intact cognition, and required extensive assistance with activities of daily living (ADLs). The M-skin section of the MDS coded the resident as at risk for pressure ulcer (PU), and stage 4 PU that was present on admission. During a wound care procedure conducted on Resident #63 on 8/12/2021 at 1:20PM with Registered Nurse (RN #1) and Certified Nursing Assistant (CNA #1), dignity and privacy…

    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 · D2021-08-18 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide 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, interview and record review conducted during a recertification survey, the facility did not ensure that a resident received scheduled showers. Specifically, one of three residents (Resident # 63) reviewed for activities of daily living (ADLs) did not receive twice weekly showers as scheduled. The findings are: Resident # 63 is a [AGE] year-old who was admitted to the facility on [DATE] with diagnoses Hypertension, Diabetes Mellitus, and Malnutrition. In an interview with Resident # 63 on 8/12/2021 at 12:22 PM, h/she stated that h/she received only one shower since admission. H/She indicated one day last week h/she requested a shower and did not receive it. According to the 11/23/2020 admission Minimum Data Set (MDS; a resident assessment and screening tool), the resident had intact cognition, and required extensive staff assistance with activities of daily living (ADLs). The MDS coded the resident's preference as somewhat important to choose between a tub bath, shower, bed bath and sponge…

    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 before2021-08-18 · 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 observation, interview, and record review, conducted during a recertification survey, the facility did not ensure that a resident with bowel irregularity was given bowel medication for constipation problems. Specifically, 1) one of one resident (Resident #63) reviewed for constipation was not given bowel medication according to the facility Bowel Protocol for absence of bowel movement that exceeded three days; 2) the resident's bowel movements were not consistently documented on the scheduled dates to indicate accurate, and consistent bowel movements. The findings are: Resident # 63 is a [AGE] year-old who was admitted to the facility on [DATE] with diagnoses Hypertension, Diabetes Mellitus, and Malnutrition. In an interview with the resident on 8/10/2021 at 11:15AM, the resident stated that h/she had constipation problems with recent episodes a week ago. The resident was asked about the last time h/she had a bowel movement. H/She replied, a while now. The resident said each time the BM tried to come…

    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 before2021-08-18 · tag F0880 — failed to prevent and control infections — isolated
    Provide 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 observation, interview, and record review, conducted during a recertification survey, the facility did not ensure that facility staff followed proper hand hygiene and gloving technique to prevent cross contamination and the spread of infection. Specifically, (1) cross contamination of wounds and wound supplies was observed; and (2) removal of soiled gloves and hand hygiene were not observed during wound care procedures for 3 of 7 residents (Residents #63, #39, and #11) reviewed for pressure ulcer/injury. The findings are: 1. Resident # 63 is a [AGE] year-old who was admitted to the facility on [DATE] with diagnoses Hypertension, Diabetes Mellitus, and Malnutrition. According to the 11/23/2020 admission Minimum Data Set (MDS; a resident assessment and screening tool), the resident had intact cognition, and required extensive staff assistance with activities of daily living (ADLs). The M-skin section of the MDS coded the resident as at risk for pressure ulcer (PU), and stage 4 PU that was present on…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-08-18 · tag F0925 — failed to control pests — isolated
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, documentation review and staff interview, the facility did not ensure that the physical environment was maintained in accordance with 483.90. Specifically, several gnats were noted in the kitchen and on a resident floor. This was noted on 1 of 3 resident floors. During the recertification survey on 8/09/21 and 8/10/21 between the hours of 9:30 AM to 2:00 PM, a tour of the kitchen was conducted. Several gnats were noted by the pot washing station and near the refrigerators. Gnats were also noted on the nursing unit on the lower level during the Life safety tour of the facility. In an interview with the Dietary Director on 8/9/21 at approximately 9:40 AM, the Dietary Director stated that the gnats come in through the window. The Dietary Director further stated that bleach is poured down the sewage pipe to reduce their activity. In a subsequent survey on 8/10/21 at approximately 1:50 PM, the Dietary Director stated that pest control services the kitchen routinely. 483.90(i)(4)

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-08-22 · 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 interview and record review conducted during the most recent recertification survey, the facility did not ensure that the plan of care was implemented consistently to address pre-dialysis assessments for 1 resident (Resident #47) reviewed for dialysis and for 1 of 3 residents (Resident #11) reviewed for activities of daily living (ADLs). Additionally, the plan of care for Resident # 47 did not address post dialysis assessments. The findings are: 1. Resident #47 was admitted with diagnoses of End Stage Renal Disease and Diabetes Mellitus. According to the annual Minimum Data Set (MDS-an assessment instrument) dated 7/20/19, and the current physician's orders, the resident is dialyzed three days weekly, Tuesday, Thursday, and Saturday (in the morning). The care plan that currently addressed dialysis noted that the goals for the resident were to have no bleeding from the dialysis site, no infection due to dialysis treatment and no complications due to dialysis. The interventions to achieve these goals included pre-dialysis assessments(monitoring of weight and vital signs--…

    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.

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

$66,859 in federal fines across 1 penalty.

  • $66,859 — penalty dated 2024-08-30

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 / managerTypeRoleSince
SCHWIMMER, LEOPOLDIndividualDIRECT OWNERSHIP INTEREST; TRUSTEE OF THE SNF; ADP OF THE SNFsince 05/06/2014
STEIN, ALLENIndividualDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; TRUSTEE OF THE SNF; ADP OF THE SNFsince 05/06/2014
STRULOVITCH, LAZERIndividualDIRECT OWNERSHIP INTEREST; TRUSTEE OF THE SNF; ADP OF THE SNFsince 05/06/2014
FISCHBEIN, EPHRAIMIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/16/2025
NSHIEWAT, JOSEPHIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/07/2025

CMS files one row per role, so the 14 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

$29.9M
Net patient revenuemost recent cost report
+5.9%
Operating marginrevenue minus expenses
$3.6M
Related-party expense13% of expenses
Who pays — share of resident-days
Medicaid 45%Medicare 29%Other / private 26%

This home reported $3.6M paid to related parties — landlords or management companies under common ownership — equal to about 13% 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

$664per resident / day
operating cost
$20,176per month
≈ monthly operating cost
$705per 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 335829. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-08-30, 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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