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Northern Manor Geriatric Center Inc

199 N Middletown Road, Nanuet, NY 10954 · Rockland County · (845) 623-3904

231 certified beds, about 228 residents a day · Non profit - Corporation · Medicare and Medicaid since 1967

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 335046 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 10, 2024, inspectors cited 10 health deficiencies (the New York average is 8.1, the national average 9.2).

None of its 40 health citations since January 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 3.62 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.

27.5% of nursing staff left within the year CMS measured (New York average 40.3%).

Health inspections

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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

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 40 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
29D
10E
1F
Potential for minimal harm
0A
0B
0C
December 10, 2024Standard inspection, Complaint inspection · 10 citations
  1. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 10, 2025
    Inspectors wroteDuring observation and interview during the Recertification Survey conducted from 12/3/24 through 12/10/24 the facility did not ensure each resident was treated with respect and care in a manner and environment that promoted dignity while dining. Specifically, the facility did not avoid daily use of disposable cutlery and/or dishware for residents on [NAME] 1 and North 1. Residents were observed eating meals from styrofoam plates and/or using plastic utensils on 3 separate days.
  2. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 10, 2025
    Inspectors wroteBased on observation and interview conducted during the recertification and abbreviated (NY00340747) surveys from 12/3/24 to 12/10/24, the facility did not ensure residents' rights to a safe, clean, comfortable and homelike environment on 4 units. Specifically, 1) Center 3 Unit, walls were chipped in 3 rooms, holes were observed in 2 rooms, wallpaper was peeling in one room, and paint was peeling in 11 rooms, 2)Resident #578 on the Center 1 Unit stated when showered they sat on a shower chair with a torn seat and wet exposed wood and 3) a dust covered fan was blowing on Resident #42 with a tracheostomy.
  3. E
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 10, 2025
    Inspectors wroteBased on observation, interview, and record review conducted during the recertification and abbreviated (NY00340747) surveys from 12/3/2024 to 12/10/2024, the facility did not ensure each nurse aide received twelve hours of in-service education per year based on their individual performance review. Specifically, 1.) One of five Certified Nurse Aides (#12) did not have the required 12-hour mandatory in service education per year, and 2.) Four of five Certified Nurse Aides (#12, 13, 14 and 15) annual performance reviews were not up to date. Finding Include: Review of Certified Nurse Aides # 12, #13, #14, 15 and #16 in - service records revealed: Certified Nurse Aide #12 was hired 3/30/1998 and there was no documented evidence that inservice was provided in 2023. Review of Certified Nurse Aides # 12, #13, #14, 15 and #16 annual performance evaluations revealed: [...]
  4. E
    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.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 7, 2025
    Inspectors wroteBased on interview and record review during the recertification survey conducted 12/3/24-12/10/24, 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 (Resident # 193) and 10 of 10 staff reviewed for COVID vaccines. Specifically, there was no documented evidence of immunization records for COVID vaccine for Resident #193. Additionally, there was no documented evidence of immunization records for COVID vaccine for the Director of Admissions, Certified Nurse Aide #6/#19/#21, Licensed Practical Nurse #22/#23, Occupational Therapist #24, Registered Nurse #25/#10 and Cook, #20.
  5. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 10, 2025
    Inspectors wroteBased on record review and interview during the recertification survey from 12/3/24 to 12/10/24, the facility did not ensure residents and/or their designated representative were fully informed of their right to an expedited review of a service termination. Specifically, for one of three residents (Resident #300) reviewed for Beneficiary Protection, the facility did not ensure the Notice of Medicare Non-Coverage form (CMS-10123) was provided to the resident and/or representative at a minimum of two days prior to the end of Medicare Part A covered services.
  6. D
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 10, 2025
    Inspectors wroteBased on record review and interview during the recertification and abbreviated (NY00360711) surveys from 12/3/24 to 12/10/24, the facility did not ensure residents or resident representatives were notified in writing of the facility bed hold policy for 4 of 4 residents (Residents #529, #179, #169, and #148) reviewed for hospitalization. Specifically, residents were transferred to the hospital and the facility was unable to provide evidence that written notice of facility bed hold policy was given to the residents or their representatives.
  7. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 10, 2025
    Inspectors wroteBased on observation, record review and interview conducted during the recertification survey from 12/3/24 to 12/10/24, the facility did not ensure all drugs and biologicals in 2 of 4 medication storage rooms were labeled and stored in accordance with professional standards. Specifically, one bottle of over-the-counter medication and two bottles of tube feeding formula had past due expiration dates.
  8. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 10, 2025
    Inspectors wroteBased on observation and interview conducted during the recertification survey from 12/03/24 to 12/10/24, the facility did not ensure food was stored in accordance with professional standards for food safety practice. Specifically, there was undated food stored in the walk-in refrigerator and in 1 of 3 unit food refrigerators.
  9. D
    Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
    F841 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 10, 2025
    Inspectors wroteBased on record reviews and interviews conducted during the recertification and abbreviated (NY00348289, NY00348920) surveys from [DATE] to [DATE], the facility did not ensure the Medical Director fulfilled their responsibility for the implementation of resident care when a resident died. This was evident for 1 of 1 residents (Resident #379) reviewed for death. Specifically, the Medical Director was designated as the individual to sign the death certificate for Resident #379. In accordance with State Public Health Law 4041, this was required within 72 hours of death. Resident #379 died on [DATE] and the Medical Director signed the death certificate on [DATE].
  10. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 15, 2025
    Inspectors wroteBased on record review and interview during the recertification survey conducted 12/3/24 to 12/10/24, 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 #193) reviewed. Specifically, there was no documented evidence Resident #193 was offered, declined, or educated on the pneumococcal immunization.
October 31, 2024Complaint inspection · 6 citations
  1. F
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) November 29, 2024
    Inspectors wroteBased on observations and interviews during an abbreviated survey (NY00343390, NY00339693), the facility did not ensure the environment was functional, sanitary, and comfortable for residents, staff, and the public. Specifically, the kitchen floor by the washing machine had about 2 inches of water pooled, and staff were actively working in the area, multiple areas of the building had chipped paint, scratched paint, scuff marks, visible dirt and stains on the walls and floors, peeling wallpaper and foul odors.
  2. E
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 29, 2024
    Inspectors wroteBased on record reviews and interviews during an abbreviated survey (NY00333515, NY00331035, NY00327139, NY00321114) the facility did not ensure the resident representative was immediately informed of a significant change in the resident's physical status or a need to alter treatment significantly. This was evident for 3 out of 4 residents (Residents #17, #19, #20) reviewed for notification of changes. Specifically, (1) Resident #17 had an electrocardiogram on 12/22/2023 in the facility which revealed a low heart rate, and their anti-hypertension medication was discontinued, Resident #17's guardian was not informed. (2) Resident #19 on 10/05/2023 was discontinued from the tracheostomy collar oxygenation and was placed on a ventilator, Resident 19's daughter was not notified. [...]
  3. E
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 29, 2024
    Inspectors wroteBased on record reviews and interviews during an abbreviated survey (NY00339693, NY00341303, NY00343390, NY00333515,) the facility did not ensure resident's right to be free from misappropriation of resident property. This was evident for 3 out of 3 residents (Resident #14, #16, #17) reviewed for personal property. Specifically, Resident #14's advocate stated the resident's glasses went missing during one of their hospitalizations and they have not been returned yet. 2) Resident #16's cell phone was not returned to the family after they expired in the facility on [DATE]. Resident #16's family stated the cell phone was being used by someone in the facility after they expired, and they have since had the service turned off. 3)Resident #17's guardian stated the resident's wallet was missing after their admission to the facility. [...]
  4. E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 29, 2024
    Inspectors wroteBased on record reviews and interviews during an abbreviated survey (NY00343390, NY00339693, NY00345193, NY00341303, NY00331035, NY00325315) the facility did not ensure that residents receive treatment and care in accordance with professional standards of practice for 6 out of 7 residents (Residents #1, #14, #15, #16, #19, #21) reviewed for quality of care. Specifically, (1) Resident #1's certified nurse assistant accountability documentation revealed that in a 2-month period, there were no signatures for bladder/incontinence care being provided on 9 occasions; (2) On 090/06/2024 Resident #14 was observed lying in bed with a catheter draining leg bag in place Review of Resident #15's certified nurse assistant accountability record revealed that in a 3-month period there were no signatures for bladder/bowel incontinence care being provided on 25 occasions; [...]
  5. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 29, 2024
    Inspectors wroteBased on record review and interviews during an abbreviated survey (NY00343390, NY00345193, NY00341303, NY00339693, NY00333515, NY00331035, NY00327139, NY00321114, NY00325315), the facility did not ensure residents were free from significant medication errors. This was evident for 13 (Residents #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13) out of 19 residents reviewed for medication administration. Specifically, the Residents on the Center 2 Unit did not receive their scheduled medications on 06/09/2024 during the 7:30 AM to 3:30 PM shift. There was no evidence in the Medication Administration record that the scheduled physician prescribed medications were administered to the residents and no notification to the physician the medications were missed or not administered.
  6. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 29, 2024
    Inspectors wroteBased on record review and interviews during an abbreviated survey (NY00341303) the facility did not ensure that services being provided meet professional standards of quality in clinical practice for 1 out of 16 residents (Resident #16) reviewed for medication administration. Specifically, Resident #16 was noted to have an elevated Prothrombin time (which measures the time it takes for liquid portion of blood to clot) and INR (International Normalizing Ratio (a blood test that measures how long it takes the blood to clot) PT/INR of 71.6/7.4(seconds) on [DATE] with a reference range of (PT-9.9-12.7/INR-0.9-1.1) indicating the blood is taking longer than normal to clot. Resident #16 was ordered to receive 10mg Vitamin K (vitamin needed for blood clotting) to be administered intramuscularly by the physician on [DATE] at 4:47PM. The Vitamin K was not readily available in the facility. [...]
May 29, 2024Complaint inspection · 3 citations
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 26, 2024
    Inspectors wroteBased on record review, and interviews conducted during an abbreviated survey (NY00339051), the facility did not ensure residents right to be free from abuse for 2 of 4 residents reviewed for abuse. Specifically, on 4/12/2024, Resident #3 was transferred to a different unit due to verbal aggression with their roommate. The receiving unit was not notified of the incident of verbal aggression with their roommate which prompted the transfer. Resident #3 punched Resident #4 in the face and was transferred to the hospital and was admitted for psychosis.
  2. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 26, 2024
    Inspectors wroteBased on record review, and interviews conducted during the abbreviated surveys (NY00339051), the facility did not ensure that appropriate behavioral care was provided to address the problem of refusals and delusions for 1 of 4 residents (Resident #3) reviewed for the use of psychoactive medications. Specifically, Resident #3 refused their antipsychotic medication Haldol as ordered by the medical provider at 9 AM and 5 PM on 4/11/24, refused to eat, and stated they thought they were being poisoned, and the medical provider was not notified. The following day, Resident #3 punched their roommate in the face, Resident #3 was transferred to the hospital, and was admitted for psychosis.
  3. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 26, 2024
    Inspectors wroteBased on record review and interviews during the abbreviated survey (NY00339051), the facility did not ensure that a resident was free of significant medication errors for 1 of 4 residents (Resident #3) reviewed. Specifically, on 4/11/2024 Resident #3 refused their significant medications that included antipsychotic medication, anticoagulant, cardiovascular, and steroid/bronchodilator. There was no consistent documentation on the Medication Administration Record of the refusal and that the medical provider was notified of the missed medications. Consequently, on 4/12/2024, Resident #3 punched their roommate in the face and was transferred and admitted to the hospital with admitting diagnosis of psychosis.
May 21, 2024Complaint inspection · 5 citations
  1. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 18, 2024
    Inspectors wroteBased on record review and interviews conducted during an abbreviated survey (NY00312813), the facility did not ensure grievances were resolved in a timely manner. This was evident for 1 of 3 resident (Resident # 3) reviewed for grievances/complaints. Specifically, there was no documented evidence that a thorough investigation was completed after Resident #1 and family representative reported missing clothing's.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 18, 2024
    Inspectors wroteBased on record review and interviews during an abbreviated survey (NY0333863), the facility did not ensure that an alleged violation involving abuse was reported to the New York State Department of Health. In addition, the results of all investigation were not reported within 5 working days of the incident with corrective action taken to the New York State Department of Health in accordance with State law. This was evident for 1 (Resident# 1) out of 3 residents reviewed for abuse. Specifically, Resident #1 alleged they reported that they were sexually assaulted 3 times by facility staff on 12/2/23 and 12/3/23, there was no documented evidence that the allegation was reported to the New York State Department of Health.
  3. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 18, 2024
    Inspectors wroteBased on record review and interviews during the an abbreviated survey (NY03333863) , the facility did not ensure that an alleged violation involving abuse was reported to the New York State Department of Health. In addition, the results of all investigation were reported within 5 working days of the incident with corrective action taken to the New York State Department of Health in accordance with State law. This was evident for 1 (Resident# 1) out of 3 residents reviewed for abuse. Specifically, Resident #1 alleged they were sexually assaulted 3 times by facility staff on 12/2/23 and 12/3/23, there was no documented confirmation or receipt of reporting of the allegation or the results of the allegation to the New York State Department of Health.
  4. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 18, 2024
    Inspectors wroteBased on record review and interviews conducted during an abbreviated survey (NY00312813), the facility did not ensure that a resident was given the opportunity to participate in their care plan meeting. This was evident for 1 out of 3 residents (Resident #3) reviewed for care plans. Specifically, there was no documented evidence that the resident and resident representative/family was invited and/or attended a care plan meeting during their stay in the facility.
  5. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 18, 2024
    Inspectors wroteBased on record reviews and interviews conducted during an abbreviated survey (NY0333863), the facility did not ensure a resident that had an indwelling catheter received appropriate treatment and services as evidenced for 1 (Resident #1) out of 3 residents reviewed for indwelling catheter care. Specifically, Resident #1 who had a history neuromuscular dysfunction of the bladder had no documented evidence of receiving indwelling catheter care every day and every shift as ordered on 7 occasions in December 2023 and subsequently was diagnosed with a urinary tract infection.
April 1, 2024Complaint inspection · 2 citations
  1. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 18, 2024
    Inspectors wroteBased on observation, interview and record review conducted during the abbreviated survey (NY00334847), the facility did not ensure sufficient nursing staff to provide nursing care to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being for 7 of 7 residents (Resident #1, Resident #2, Resident #3, Resident #4, Resident #5, Resident #6, and Resident #7). Specifically, on 3/3/2024 during the 11:30 PM to 7:30 AM shift the residents who resided on the third-floor dementia unit did not receive their scheduled medications due to inadequate staffing. The scheduled licensed practical nurse for the unit did not arrive for their shift and the night nursing supervisor was not able to administer the resident's medications, due to being called to other units.
  2. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 18, 2024
    Inspectors wroteBased on record review and interview conducted during an abbreviated survey (NY00334847), the facility did not ensure that residents were free of significant medication errors. This was evident for 7 of 7 Residents (#1, #2, #3, #4, #5, #6 and #7) reviewed for medication administration. Specifically, a registered Nurse did not follow physician orders to administer scheduled medications during the 11:30pm to 7am shift on 2/2/2024, 2/3/2024, 2/4/2024, 2/5/2024, 2/8/2024, 3/2/2024, 3/3/2024, 3/4/2024, and 3/7/2024. There was no evidence in the Medication Administration record that the scheduled physician prescribed medications were administered to the residents.
November 1, 2023Complaint inspection · 2 citations
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2023
    Inspectors wroteBased on record review, and interviews conducted during an abbreviated survey (NY00319194), the facility did not ensure residents rights to be free from neglect for 1 of 4 sampled residents (Resident #1) reviewed. Specifically, Resident #1 had a physician's order for two-person physical assistance with transfers via Hoyer lift that was also documented on the facility Task List and Care Flow Sheet for Certified Nursing Assistant (CNAs). CNA #1 transferred Resident #1 by themselves on 6/28/2023. During the transfer, Resident #1 slid out from the Hoyer lift pad and fell sustaining laceration and bleeding to the left eyebrow and swelling to the left eye. Resident #1 was transferred to the hospital and was diagnosed with intracranial hemorrhage (bleeding in the brain).
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2023
    Inspectors wroteBased on record reviews and interviews conducted during an abbreviated survey (NY00319194), the facility did not ensure that all alleged violations involving abuse, and neglect are reported immediately but no later than 2 hours to the New York State Department of Health (NYSDOH). This was evident for 1 of 4 residents (Residents #1) reviewed for neglect. Specifically, Resident #1 fell out from the Hoyer lift pad during transfer sustaining laceration and bleeding to the left eyebrow and swelling to the left eye on 06/28/2023 at 10:40 AM. The facility reported the incident to the NYSDOH on 06/29/2023 at 11:44 AM.
July 6, 2022Standard inspection · 3 citations
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 24, 2022
    Inspectors wroteBased on observation, interview, and record review conducted during the 6/27/2022-7/6/2022 Recertification Survey, the facility did not ensure residents who were unable to carry out activities of daily living (ADLs) received the necessary services to maintain grooming and personal hygiene for one of three residents (resident #97) reviewed for ADL's. Specifically, resident #97 had long and dirty fingernails during multiple observations.
  2. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 24, 2022
    Inspectors wroteBased on record review, observation and interview conducted during the Recertification Survey started on 6/27/22 and completed on 7/6/22, the facility did not ensure the Consultant Pharmacist reported irregularities to the attending physician and the facilities Medical Director and Director of Nursing (DON) for one (Residents #68) of five residents reviewed for drug regimen reviews. Specifically, the lack of Consultant Pharmacist's identification and recommendation regarding the continued use of Risperdal (antipsychotic medication) without attempt of a gradual dose reduction (GDR) for resident #68.
  3. D
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 24, 2022
    Inspectors wroteBased on record review, observation and interview conducted during the Recertification Survey started on 6/27/22 and completed on 7/6/22, the facility did not meet the nutritional needs of residents in accordance with established national guidelines and follow the prepared menus. Specifically, three (North 1, Center 1, and South 1) of seven units were not served proper portion size of starch (mashed potatoes) during the lunch meal on 6/29/22. The finding is: The policy and procedure (P&P) titled Portion Control Policy updated 9/2021 documented menu items shall be served according to pre-determined portion size. Portion size on spreadsheet reflects the amount of the menu item required to provide nutrient standards for that item when prepared according to the standardized recipe. Appropriate serving utensil is used to accurately serve designated portion size. [...]
January 9, 2019Standard inspection · 9 citations
  1. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 9, 2019
    Inspectors wroteBased on interview and record review conducted during the recertification survey, the facility did not ensure that each resident has the right to make choices about aspects of life that are significant to the resident. Specifically, a resident who requested more than one shower a week was not accommodated by the nursing staff. This was evident for 1 resident reviewed for choices.(Resident #86).
  2. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 9, 2019
    Inspectors wroteBased on observations, interviews and record review conducted during the most recertification survey, the facility did not ensure that advance directives regarding Cardiopulmonary Resuscitation (CPR) formulated for 3 of 10 would be honored at all times. Specifically, staff did not consitently implement the system developed by the facility to readily identify each resident status regarding CPR in the event that CPR was indicated.
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 9, 2019
    Inspectors wroteBased on record review and interview conducted during a recertification survey, the facility did not develop and implement a person-centered care plan with measurable objectives and time frames in accordance with comprehensive assessments for 1) one of three residents' (R #4) reviewed for behavioral/emotional problems, 2) one of two residents' (R#113) reviewed for bowel and bladder incontinence, and 3) one of two resident's (R#127) reviewed for dementia care.
  4. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 9, 2019
    Inspectors wroteBased on observation, record review, and interview conducted during the recertification survey, the facility did not ensure that care plans were reviewed and revised based on the comprehensive assessment for 1 of 1 residents (Resident #214) reviewed for tube feeding, 1 of 3 residents (#30) reviewed for respiratory care, and 1 of 5 residents (R#74) reviewed for pressure ulcers. Specifically, no new interventions were initiated to address the 1. care and placement of a g-tube for R#214, 2. to address tracheostomy care for R#30 and 3. to prevent further skin breakdown for R#74.
  5. D
    Plan the resident's discharge to meet the resident's goals and needs.
    F660 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 9, 2019
    Inspectors wroteBased on interview and record review conducted during the recertification survey, the facility did not ensure discharge planning needs were addressed for one of two residents (Resident #87) reviewed for discharge. Specifically, the resident's discharge plan, which noted that he would reside in the facility long term was not updated to address the resident's desire to leave the facility.
  6. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 9, 2019
    Inspectors wroteBased on observations, record review and interview conducted during a recertification survey, the facility did not ensure that safe and effective assistive devices were provided to each resident when indicated to prevent accidents. Specifically, one of three residents reviewed for accidents (Resident #33) reported a fall that occurred 12/4/2018 during transfer out of bed to wheelchair with a mechanical (Hoyer) lift utilizing a sling. The facility did not ensure that 1) the sling was laundered according to the manufacture's instructions, 2) staff was trained on how to check the sling for functionality and durability before use, 3) and that a system was in place to routinely inspect all slings. [...]
  7. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 9, 2019
    Inspectors wroteBased on observation, interviews and record review conducted during the re-certification survey, the facility did not ensure that one of two residents reviewed for urinary incontinence (resident #113) was provided the necessary care to decrease his level of urinary incontinence. Specifically, the nursing staff did not develop and implement a person-centered toileting program for the resident who is cognitively impaired and had multiple episodes of incontinence in order to attempt to decrease the frequency of incontinence.
  8. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 9, 2019
    Inspectors wroteBased on observations, record review and interview conducted during the recertification survey, it was determined that for one of three residents reviewed for respiratory care, the facility did not provide care consistent with professional standards of practice and the comprehensive person-centered care plan. Specifically, the resident was performing self suctioning without physician's orders and without a Comprehensive Care Plan. (Resident #30).
  9. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 9, 2019
    Inspectors wroteBased on observation and interview conducted during the most recent recertification survey, the facility did not ensure that nursing staff followed proper hand hygiene while administering medications.

Fire safety inspections

28 fire safety citations on file: 10 on December 10, 2024, 11 on July 6, 2022, 7 on January 9, 2019.

Every fire safety citation28 citations
  1. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · December 10, 2024 · Corrected (the home has a date of correction)
  2. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 10, 2024 · Corrected (the home has a date of correction)
  3. E
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · December 10, 2024 · Corrected (the home has a date of correction)
  4. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · December 10, 2024 · Corrected (the home has a date of correction)
  5. D
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · December 10, 2024 · Corrected (the home has a date of correction)
  6. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · December 10, 2024 · Corrected (the home has a date of correction)
  7. D
    Install corridor and hallway doors that block smoke.
    K 363 · December 10, 2024 · Corrected (the home has a date of correction)
  8. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · December 10, 2024 · Corrected (the home has a date of correction)
  9. D
    Ensure proper usage of power strips and extension cords.
    K 920 · December 10, 2024 · Corrected (the home has a date of correction)
  10. D
    Have proper medical gas storage and administration areas.
    K 923 · December 10, 2024 · Corrected (the home has a date of correction)
  11. E
    Use approved construction type or materials.
    K 161 · July 6, 2022 · Corrected (the home has a date of correction)
  12. E
    Have exits that are accessible at all times.
    K 271 · July 6, 2022 · Corrected (the home has a date of correction)
  13. E
    Have properly located and lighted "Exit" signs.
    K 293 · July 6, 2022 · Corrected (the home has a date of correction)
  14. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 6, 2022 · Corrected (the home has a date of correction)
  15. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · July 6, 2022 · Corrected (the home has a date of correction)
  16. E
    Have proper power supply for life support equipment.
    K 915 · July 6, 2022 · Corrected (the home has a date of correction)
  17. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 6, 2022 · Corrected (the home has a date of correction)
  18. D
    Install proper backup exit lighting.
    K 281 · July 6, 2022 · Corrected (the home has a date of correction)
  19. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · July 6, 2022 · Corrected (the home has a date of correction)
  20. D
    Install an approved automatic sprinkler system.
    K 351 · July 6, 2022 · Corrected (the home has a date of correction)
  21. D
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · July 6, 2022 · Corrected (the home has a date of correction)
  22. E
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · January 9, 2019 · Corrected (the home has a date of correction)
  23. E
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · January 9, 2019 · Corrected (the home has a date of correction)
  24. D
    Install proper backup exit lighting.
    K 281 · January 9, 2019 · Corrected (the home has a date of correction)
  25. D
    Install an approved automatic sprinkler system.
    K 351 · January 9, 2019 · Corrected (the home has a date of correction)
  26. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 9, 2019 · Corrected (the home has a date of correction)
  27. D
    Have simulated fire drills held at unexpected times.
    K 712 · January 9, 2019 · Corrected (the home has a date of correction)
  28. B
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · January 9, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeNew YorkUnited States
All nursing staff (RN, LPN and aides)3.623.633.86
Registered nurses0.520.710.69
All nursing staff on weekends3.363.183.42
Nurse aides2.21
Licensed practical nurses0.90
Nursing staff turnover (share who left in a year)27.5%40.3%45.8%
Registered nurse turnover57.1%39.8%42.9%
Administrators who left0

CMS expects 5.09 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

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 3.73 on weekdays and 3.36 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.74 in April to June 2025 to 3.62 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.620.523.733.36 1.0%0 of 90228
Oct to Dec 20253.580.533.723.23 0.8%0 of 92227
Jul to Sep 20253.720.553.893.28 1.0%0 of 92224
Apr to Jun 20253.740.583.963.21 1.1%0 of 91224
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
New York, Jan to Mar 20263.550.683.723.139.8%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

Staff pay at this home

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.

Official wage estimates for New York

JobMedianMiddle halfEmployed
New York, all employers
CNAs (nursing assistants)$23.36$21.04 to $24.9987,990
LPNs and LVNs$32.30$29.52 to $37.0039,400
Registered nurses$52.62$45.60 to $62.34205,810
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

Work here? Share your pay anonymously

For Northern Manor Geriatric Center Inc. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNew YorkUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
1.814.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.03.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
2.512.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.96.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
17.013.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.720.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.89.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.51.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.41.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Northern Manor Geriatric Center Inc's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (36.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

36.0% this home

Worse than 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. 106 eligible stays.

Potentially preventable readmissions

10.3% 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. 95 eligible stays.

Infections that led to a hospital stay

11.8% 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. 68 eligible stays.

Self-care and mobility at discharge

60.0% 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. 100 residents counted.

Falls with major injury

0.0% 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. 200 residents counted.

New or worsened pressure ulcers

2.4% 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. 200 residents counted.

Medication list given at discharge

84.8% 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. 46 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.

Owners and operators

Legal business name: NORTHERN MANOR MULTICARE CENTER INC.

NameRoleTypeShareSince
Silbermintz, SaulW-2 managing employeeIndividual10/21/2020
Ginsberg, HindiCorporate directorIndividual01/01/2008
Hager, HershelCorporate directorIndividual01/01/2008
Kenny, CharlesCorporate directorIndividual01/01/2009
Klein, MorrisCorporate directorIndividual10/20/2015
Lauber, SimonCorporate directorIndividual01/01/2010
Orzel, IsraelCorporate directorIndividual01/01/2010
Silbermintz, SaulCorporate directorIndividual10/21/2020
Steinmetz, LeonCorporate directorIndividual01/01/2008
Zacharaish, AbrahamCorporate directorIndividual01/01/2008
Klein, MorrisOperational/managerial controlIndividual10/20/2015

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.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on December 10, 2024: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on October 31, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 6 problems in this area, most recently on October 31, 2024: "Protect each resident from the wrongful use of the resident's belongings or money."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on December 10, 2024: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."

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Common questions

What is Northern Manor Geriatric Center Inc's Medicare star rating?
CMS rates Northern Manor Geriatric Center Inc 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Northern Manor Geriatric Center Inc get at its last inspection?
10 health deficiencies at the standard inspection on December 10, 2024. The New York average is 8.1.
Has Northern Manor Geriatric Center Inc been fined?
CMS lists no fines in the last three years.
Does Northern Manor Geriatric Center Inc accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Northern Manor Geriatric Center Inc?
CMS lists 11 owners and managers. Legal business name: NORTHERN MANOR MULTICARE CENTER INC.

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