475 New Hempstead Road, New City, NY 10956 · Rockland County · (845) 678-2000
180 certified beds, about 172 residents a day · For profit - Individual · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 335734 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 16, 2024, inspectors cited 11 health deficiencies (the New York average is 8.1, the national average 9.2).
None of its 26 health citations since November 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.20 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.89 of those hours.
40.3% of nursing staff left within the year CMS measured (New York average 40.3%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 26 health citations on file.
Inspectors wroteBased on record review and interviews during an abbreviated survey (NY00374854/801166), the facility did not ensure that all participants in the assessment process have the requisite knowledge to complete an accurate assessment. For 4 out of 4 residents (Resident #3, Resident #6, Resident #7, Resident #8) reviewed for assessments. Specifically, (1) Resident #3 who had severe cognitive impairment and was unable to be interviewed had eight trauma informed care assessments completed by the facility Social Worker with a score of zero indicating no evidence of trauma; (2) Resident #6 who had severe cognitive impairment and was unable to be interviewed had eight trauma informed care assessments completed by the facility Social Worker with a score of zero on two assessments and a score of one on six assessment indicating no evidence of trauma; [...]
Inspectors wroteBased on record review and interviews during an abbreviated survey (NY00368065, NY00356980) the facility did not ensure a comprehensive person-centered care plan was implemented for 2 out of 4 residents (Resident #1, Resident #5) reviewed for care planning. Specifically, (1) Resident #1 with a known behavior of refusing care and being non-compliant, had documented refusals of care on three occasions. Review of Resident #1's care plans revealed they did not have a care plan initiated to reflect their refusal behaviors. (2) Resident #5 had a Stage 4 sacral pressure ulcer which resolved on 07/31/2024, the resident was hospitalized on [DATE] and was readmitted to the facility on [DATE] with the Stage 4 sacral pressure ulcer reopened. There was no documented evidence of Resident #5's pressure ulcer care plan being reactivated on readmission.
Inspectors wroteBased on record review and interviews during an abbreviated survey (NY00368065/801164), the facility did not ensure a comprehensive person-centered care plan was implemented for 1 out of 4 residents (Resident #1) reviewed for care planning. Specifically, Resident #1 with a known behavior of refusing care and being non-compliant, had documented refusals of care on three occasions. Review of Resident #1's care plans revealed they did not have a care plan initiated to reflect their refusal behaviors and noncompliance.
Inspectors wroteBased on record review and interviews during an abbreviated survey (NY00368065, NY00374854), 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 for 3 out of 3 residents (Resident #1, Resident #3, Resident #4) reviewed for quality of care. Specifically, (1) Resident #1's representative reported they found Resident #1 covered in urine and feces on multiple occasions. Resident #1 was incontinent and dependent on staff for toileting. Review of Resident #1's certified nurse aide accountability revealed within a 2-month period, there were no signatures indicating toilet use was provided by direct care staff on 37 occasions; (2) Resident #3 is incontinent and dependent on staff for toileting. [...]
Inspectors wroteBased on record review, observations and interviews conducted during an abbreviated survey (NY00349754, NY00348426) the facility did not ensure that each resident was free from abuse for 1 of 4 residents (Resident #1) reviewed for abuse. Specifically, on 7/30/2024 Licensed Practical Nurse #1 was seen on surveillance video picking up a water pitcher with water off their medication cart and throw the pitcher and water in Resident #1's direction. Licensed Practical Nurse #1 then threw a small water bottle at Resident #1. An assessment of Resident #1 was conducted, and no injuries were identified.
Inspectors wroteBased on record review and interviews conducted during an abbreviated survey (NY00349754, NY00348426) the facility did not ensure that the comprehensive care plan was reviewed and revised timely for 2 out of 4 residents (Resident #1, Resident #4) reviewed for abuse. Specifically, (1) Resident # 1 with a history of known behaviors, had an incident on 7/30/2024 with Licensed Practical Nurse #1 and the risk for abuse, behavioral symptoms care plans were not updated to reflect the 7/30/2024 incident. (2) Resident # 4 reported to the Director of Social Services on 7/16/2024 that Registered Nurse # 1 had cursed at them and called them a name. Resident #4's risk for abuse care plan was not updated to reflect the allegation.
Inspectors wroteBased on record review and interviews conducted during an abbreviated survey (NY00349754, NY00348426) the facility did not ensure that nursing staff were in serviced in behavioral health care needs of residents for 1 of 4 residents. Specifically, the facility was unable to provide documented evidence that they provided education on behavioral health to Licensed Practical Nurse #1 before they were assigned to the dementia unit on 7/30/2024. Licensed Practical Nurse #1 engaged in a verbal altercation with Resident #1 with known verbal/physical aggressive behavior, and Licensed Practical Nurse #1 threw a pitcher of water at the resident during the verbal exchange.
Inspectors wroteBased on observation, interview, conducted during the recertification survey from 7/9/2024 to 7/16/2024, the facility did not ensure a resident's right to refuse a room transfer solely for the convenience of staff. This was evident for 1 (Resident #132) of 37 total sampled residents. Specifically, Resident #132 was transferred from the 2nd Floor to the 3rd Floor after a staff member reported they were uncomfortable providing the resident care.
Inspectors wroteBased on observation, interview, and record review conducted during the recertification survey from 7/9/2024 to 7/16/2024, the facility did not ensure the resident's right to a clean, comfortable, and homelike environment. This was evident for 1 (3rd Floor) of 3 resident units. Specifically, the 3rd Floor ad peeling wallpaper in the hallway and a dayroom with walls that were stained and damaged, missing and mismatched wallpaper, and with misshapen and bent window blinds.
Inspectors wroteBased on observation, record review, and interview conducted during a recertification and abbreviated (NY00335338 and NY00341688) survey from 7/9/2024 to 7/16/2024, the facility did not ensure prompt efforts were made to resolve resident grievances for 2 of 2 residents reviewed for grievances (Resident #321 and #136). Specifically, 1) a grievance investigation was not conducted when the Designated Representatives for Resident #321 and Resident #136 expressed care concerns to facility staff.
Inspectors wroteBased on observation, interview, and record review conducted during the recertification and abbreviated (NY00314688) survey from 7/9/2024 to 7/16/2024, the facility did not ensure all alleged violations involving abuse were reported immediately, but not later than 2 hours after the allegation was made, to the New York State Department of Health. This was evident for Resident #136 reviewed for abuse out of 37 total sampled residents. Specifically, an allegation of abuse related to ecchymosis (bruising) found on Resident #136's ear was not reported to the New York State Department of Health.
Inspectors wroteBased on observations, interview, and record review conducted during the recertification and abbreviated (NY00314688) survey from 7/9/2024 to 7/16/2024, the facility did not ensure all alleged violations involving abuse were thoroughly investigated. This was evident for Resident #136 reviewed for abuse out of 37 total sampled residents. Specifically, an allegation of abuse related to ecchymosis found on Resident #136's ear was not thoroughly investigated to include interviews with the Dermatologist who assessed and determined Resident #136 experienced physical trauma.
Inspectors wroteBased on observations, interviews and record review conducted during a recertification survey and abbreviated survey (NY00322156) conducted from 7/08/24-7/16/24 , the facility did not ensure that a comprehensive person-centered care plan was developed for 1 of 1 residents (#127) reviewed for urinary tract infections. Specifically, there were no care plans in place to address prevention of reoccurring urinary tract infections for Resident #127.
Inspectors wroteBased on observation, interview, and record review conducted during the recertification survey from 7/9/2024 to 7/16/2024, the facility did not ensure a resident received treatment and services in accordance with professional standards of practice and their comprehensive person-centered care plan. This was evident for 1 (Resident #65) of 37 total sampled residents. Specifically, Resident #65 was observed out of bed in a reclining back wheelchair seated on a hoyer pad and there was no documented evidence to address the level of assistance and devices required for safe bed-to-chair transfer.
Inspectors wroteBased on observations, interviews, and record review during a recertification survey conducted from 7/9/24-7/16/24, the facility did not ensure residents with limited range of motion received appropriate treatment and services to increase range of motion and/or to prevent further decrease in range of motion for 2 of 8 residents (Resident #21 and #98) reviewed for positioning and mobility. Specifically, the staff did not ensure 1) Resident # 21's bilateral hand splints were worn throughout the day as ordered and care planned and 2) Resident #98's right-hand splint was worn as per physician order. The finding is: A Policy and Procedure dated 2/21 titled Rehabilitation Positioning Devices, documented ensure residents were proper position and body alignment with appropriate positioning devices as needed. [...]
Inspectors wroteBased on staff interview and review of facility records during the recertification survey from 7/9/24 through 7/16/24, the facility did not ensure certified nurse aide performance reviews were completed at least once every 12 months. Specifically, five of seven certified nurse aides did not have performance reviews documented at least once every 12 months.
Inspectors wroteBased on observation, interview, and record review during the recertification survey from 7/9/24 through 7/16/24, the facility did not ensure drugs and biologicals were stored in accordance with currently accepted professional standards for 2 of 26 residents (Resident #378 and #425) reviewed for medication storage and labeling . Specifically, 1. Nystatin-Triamcinolone cream with a 6/14/24 -6/28/24 administration date was observed on Resident # 378's bedside table and 2. Fluticasone and Albuterol metered dose inhalers were observed on Resident # 425's bedside table.
Inspectors wroteBased on observation, record review and interview conducted during a recertification survey conducted from 7/9/24-7/16/24, the facility did not ensure infection control prevention including proper use of personal protective equipment and enhanced barrier precautions were maintained to help prevent the development and transmission of communicable diseases and infections for 2 of 32 residents (#130 and #72). Specifically, 1) contact precautions were not followed when Activity Aide #9 touched an overbed table in Resident #130's room and 2) enhanced barrier precautions were not implemented when Certified Nurse Assistant #10 and Certified Nurse Assistant #11 transferred Resident #72 into bed by Hoyer lift.
Inspectors wroteBased on observation, interviews, and record reviews conducted during a recertification survey, the facility did not ensure that each resident had the right to a dignified existence and each resident was cared for in a manner and environment that promoted maintenance or enhancement of his or her quality of life for 1 of 4 residents (#90) reviewed for dignity. Specifically, resident #90 was observed in the dining room wearing a urinary (foley) catheter drainage bag with no privacy cover.
Inspectors wroteBased on record review and interview during a recertification survey and abbreviated survey (NY00275488), the facility did not exercise care for the protection of resident property from loss or theft. This was evident for 2 of 2 residents (#36, #149) reviewed for personal property. Specifically, (1) resident #36's family complained that a total of 15 pairs of clothing was missing which was reported to the facility; ( 2) during the initial pool process resident #149 stated that the facility lost his/her two blankets two weeks ago which was reported to the Social Worker (SW).
Inspectors wroteBased on observations, record reviews, and interviews conducted during a recertification survey, the facility did not ensure that residents were provided the appropriate treatment and services to improve and/or prevent a further decline in range of motion (ROM). Specifically, on multiple observations a resident did not have a right-hand roll applied as per physician order. This was evident for 1 of 3 residents (#90) reviewed for positioning and limited mobility.
Inspectors wroteBased on observation, interview and record review during a recertification survey the facility failed to ensure that only authorized personnel had access to two of three medication rooms. Specifically, keys to two medication rooms were stored in unsecured drawers at the nurses' stations and the door to one medication room was left ajar while the room was unattended.
Inspectors wroteBased on record review and interview conducted during the recertification and abbreviated survey (Complaint #NY00243944), the facility did not ensure that the resident's legal representative was provided upon written request with a copy of the resident's health care records within 2 working days as per federal regulation. Specifically, on 06/04/19 a mailed and faxed request for the medical records of Resident #215 was sent to the facility. These medical records were not received by the legal representative of the resident until 10/21/19. This was evident for 1 of 1 resident reviewed for access to medical records.
Inspectors wroteBased on interview and record review conducted during a recertification survey, it could not be ensured that the facility completed a discharge summary for a discharged resident. Specifically, there was no evidence that a discharge summary detailing the resident's clinical status, course of treatment and post discharge needs was completed to ensure a safe and effective transition of care. This was evident for 1 of 1 resident (Resident #167) reviewed for discharge.
Inspectors wroteBased on observation, interview and record review during a recertification survey, the facility failed to ensure 1 of 7 residents reviewed for respiratory care (Resident #4) received the required oxygen treatment consistent with professional standards of practice and the resident's comprehensive care plan. Specifically, Resident #4 received more liters per minute (lpm) of oxygen than ordered.
Inspectors wroteBased on interview and record review conducted during the most recent re-certification survey, the facility did not ensure that written notices to family regarding discharge to the hospital included the reasons for the discharge. This was evident for 3 of 4 residents reviewed for hospitalization (Residents #41, #87, and #468).
28 fire safety citations on file: 8 on July 16, 2024, 13 on July 14, 2021, 7 on November 6, 2019.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New York | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.20 | 3.63 | 3.86 |
| Registered nurses | 0.89 | 0.71 | 0.69 |
| All nursing staff on weekends | 3.71 | 3.18 | 3.42 |
| Nurse aides | 2.58 | ||
| Licensed practical nurses | 0.73 | ||
| Nursing staff turnover (share who left in a year) | 40.3% | 40.3% | 45.8% |
| Registered nurse turnover | 52.9% | 39.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 5.11 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.39 on weekdays and 3.71 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.22 in April to June 2025 to 4.20 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.20 | 0.89 | 4.39 | 3.71 | 6.9% | 0 of 90 | 172 |
| Oct to Dec 2025 | 4.51 | 1.05 | 4.78 | 3.84 | 11.1% | 0 of 92 | 165 |
| Jul to Sep 2025 | 4.39 | 0.98 | 4.72 | 3.57 | 6.2% | 0 of 92 | 172 |
| Apr to Jun 2025 | 5.22 | 1.10 | 5.47 | 4.58 | 4.2% | 0 of 91 | 158 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New York, Jan to Mar 2026 | 3.55 | 0.68 | 3.72 | 3.13 | 9.8% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| New York, all employers | |||
| CNAs (nursing assistants) | $23.36 | $21.04 to $24.99 | 87,990 |
| LPNs and LVNs | $32.30 | $29.52 to $37.00 | 39,400 |
| Registered nurses | $52.62 | $45.60 to $62.34 | 205,810 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New York | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 16.0 | 14.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.9 | 1.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.9 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.3 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.4 | 12.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.7 | 6.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.3 | 13.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.7 | 20.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.0 | 9.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.4 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Friedwald Center for Rehab and Nursing, L L C's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (55.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
55.6% this home
No different from the national rate
US median of homes 51.5% · New York: 101 better, 157 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 542 eligible stays.
9.6% this home
No different from the national rate
US median of homes 10.7% · New York: 12 better, 5 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 487 eligible stays.
9.8% this home
Worse than the national rate
US median of homes 7.1% · New York: 7 better, 21 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 365 eligible stays.
69.3% this home
Median of homes: New York60.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 267 residents counted.
0.2% this home
Median of homes: New York0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 437 residents counted.
2.1% this home
Median of homes: New York2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 437 residents counted.
97.6% this home
Median of homes: New York98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 166 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: FRIEDWALD CENTER FOR REHABILITATION AND NURSING, LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Winet, Barry | 5% or greater direct ownership interest | Individual | 100% | 12/19/2003 |
| Braun, Michael | Operational/managerial control | Individual | 03/31/2025 | |
| Carus, Rachel | Operational/managerial control | Individual | 02/04/2025 | |
| Cohnen, Michele | Operational/managerial control | Individual | 07/20/2016 | |
| Conte, Janet | Operational/managerial control | Individual | 07/22/2024 | |
| Ebstein, Ben | Operational/managerial control | Individual | 03/01/2023 | |
| Gan, Sharlyne | Operational/managerial control | Individual | 03/08/2022 | |
| Geller, Adam | Operational/managerial control | Individual | 05/06/2024 | |
| Isabelle, Jim | Operational/managerial control | Individual | 01/01/2018 | |
| Maxwell, Lynn | Operational/managerial control | Individual | 02/10/2025 | |
| Reichman, Yehudis | Operational/managerial control | Individual | 10/23/2012 | |
| Roth, Ben | Operational/managerial control | Individual | 10/24/2016 | |
| Shah, Dev | Operational/managerial control | Individual | 12/11/2018 | |
| Braun, Michael | Adp of the SNF | Individual | 03/31/2025 | |
| Carus, Rachel | Adp of the SNF | Individual | 02/04/2025 | |
| Cohnen, Michele | Adp of the SNF | Individual | 07/20/2016 | |
| Conte, Janet | Adp of the SNF | Individual | 07/22/2024 | |
| Ebstein, Ben | Adp of the SNF | Individual | 03/01/2023 | |
| Gan, Sharlyne | Adp of the SNF | Individual | 03/08/2022 | |
| Geller, Adam | Adp of the SNF | Individual | 05/06/2024 | |
| Isabelle, Jim | Adp of the SNF | Individual | 01/01/2018 | |
| Maxwell, Lynn | Adp of the SNF | Individual | 02/10/2025 | |
| Reichman, Yehudis | Adp of the SNF | Individual | 10/23/2012 | |
| Roth, Ben | Adp of the SNF | Individual | 10/24/2016 | |
| Shah, Dev | Adp of the SNF | Individual | 12/11/2018 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
Licensed assisted living homes in the same town or within 5 miles, each with its New York inspection record.
These are the official offices in New York. NursingHomeClear cannot take or act on complaints.