284 Troy Road, Rensselaer, NY 12144 · Rensselaer County · (518) 286-1621
80 certified beds, about 74 residents a day · For profit - Partnership · Medicare and Medicaid since 1988
CMS Care Compare ratings, data as of September 1, 2026 · CCN 335693 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on February 25, 2026, inspectors cited 28 health deficiencies (the New York average is 8.1, the national average 9.2).
Of 45 health citations since December 2021, 3 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 8 fines totaling $175,867 in the last three years; the largest was $145,870, and the latest is dated February 25, 2026.
Nurses and nurse aides worked 2.86 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.25 of those hours.
73.0% 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 45 health citations on file.
Inspectors wroteBased on record review and interviews during a survey, the facility failed to ensure residents were afforded the right to formulate advanced directives including having a physician's order related to their code status (the level of medical interventions a person wishes to have started if their breathing stopped such as cardiopulmonary resuscitation or do not resuscitate), and establishing mechanisms for documentation and communicating the residents' choices to the staff responsible for their care, which had the likelihood to result in serious harm or death for nine (9) (Residents #6, 7, 8, 9, 10, 11, 12, 13, and 14) of 53 residents reviewed for advanced directives. Specifically, (a.) for Resident #'s 6, 7, 9, 10, 11, 12, and 13, there was no documented evidence of a physician's order related to the residents' code status or advanced directive; [...]
Inspectors wroteBased on observation, record review, and interviews during a survey ), the facility failed to ensure the resident environment remained as free of accident hazards as is possible for two (2) (Resident #s 2 and 3) of three (3) residents reviewed. Specifically, on 01/29/2026 at 12:13 PM, Resident #2, who had severe cognitive impairment, had three (3) prescription medications (Sertraline HCl 50 milligram (antidepressant), Eliquis five (5) milligram (blood thinner), and Levetiracetam 500 milligram (antiseizure) in prescription medication bottles inside a plastic bag on their nightstand. Additionally, on 01/29/2026 at 12:01 PM, the front cover of Resident #3's electric baseboard heater in their bathroom was removed and laying on the floor in front of the running heater. [...]
Inspectors wroteBased on observation, record review, and interviews conducted during a survey, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for five (5) (Resident #'s 1, 23, 24, 85, and 87) of 22 residents reviewed. Specifically,(a.) Resident #1 was hospitalized three (3) times between 11/11/2025 and 02/17/2026 related to bowel constipation. Provider instructions for bowel regimen and assessment were not followed by the facility. As a result, Resident #1 required fecal disimpaction under general anesthesia.(b.) Resident #85 had symptoms of urinary tract infection identified on 09/19/2025. The provider ordered a urinalysis (urine test) six (6) days later on 09/25/2025. [...]
Inspectors wroteBased on observation, record reviews and interviews conducted during a surveys, the facility did not ensure that residents were treated with dignity respect throughout the facility for two (2) (Residents #1 and #4) of two (2) residents reviewed for dignity. Specifically, (a.) staff members used derogatory language in the resident hallways of the facility; (b.) Resident #1 was called pet names by the staff, and their personal belongings had been moved by staff without their knowledge; and (c.) Administrator #1preformed a search of Resident #4's personal belongings without their permission. This is evidenced by: Policy: The facility policy titled Quality of Life/Dignity revised dated 12/2019 (unsigned) documented each resident is to be cared for in a manner promoting quality of life, dignity respect, and individuality. [...]
Inspectors wroteBased on observation, record review and interviews conducted during a survey, the facility did not ensure it provided effective housekeeping and maintenance services, and the environment was maintained for two (2) of two (2) units observed. Specifically, the facility did not ensure that resident rooms were clean and in good repair. This is evidenced by: During facility observations on 2/11/2026, 2/12/2026, and 2/19/2026 it was noted: rooms [ROOM NUMBER] air conditioner/heater units were not flush with the wall creating large gaps. In room [ROOM NUMBER], the outside yard was viewable through the gap. rooms [ROOM NUMBERS] had broken privacy curtains and broken window curtain rods causing the drapery to hang incorrectly. room [ROOM NUMBER] had stained bed linens. room [ROOM NUMBER] air conditioner/heater unit had a broken grate. [...]
Inspectors wroteBased on observation, record review, and interviews during a survey, the facility did not ensure that all alleged violations involving abuse, neglect, and injuries of unknown source were reported immediately, but not later than 2 hours after the allegation was made, if the events that cause the allegation involved abuse or resulted in serious bodily injury, or not later than 24 hours if the events that cause the allegation did not involve abuse and did not result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency) for five (5) (Resident #s 75, 34, 43, 54, and 90) of nine (9) residents reviewed. [...]
Inspectors wroteBased on observation, record review, and interviews during a survey, the facility did notensure in response to allegations of abuse/neglect they had evidence that all alleged violations were thoroughly investigated; they prevented further potential abuse/neglect while the investigation was in progress; and reported the results of all investigations to the administrator or their designated representative and to the State Survey Agency, within five (5) working days of the incident, and if the alleged violation was verified appropriate corrective action must be taken for six (6) (Resident #s 34, 43, 54, 75, 87, and 90) of 9 residents reviewed. Specifically, (a.) for Resident #s 75 and 34, the facility did not have documented evidence of an investigation of a resident-to-resident verbal/physical altercation on 6/22/2025, during the night shift; [...]
Inspectors wroteBased on record review and interviews conducted during a survey, the facility did not ensure that written notification was sent to the resident, resident representative, and a representative of the Office of the State Long-Term Care Ombudsman of the resident's transfer or discharge and the reasons for the move for three (3) (Resident #'s 75, 86, and 87) of three (3) residents reviewed. Specifically, (a.) for Resident #'s 75, 86, and 87 there was no documented evidence that the resident, representative, or Ombudsman received a transfer/discharge notice upon discharging from the facility; and (b.) transfer/discharge notices were not provided to the resident, resident representative, or the Ombudsman when a resident discharged home or when admitted to the hospital since December 2025. This is evidenced by: [...]
Inspectors wroteBased on record review and interviews conducted during a survey, the facility did not ensure that comprehensive care plans were developed and implemented for residents according to professional standards for eight (8) (Resident #'s 2, 9, 11, 14, 34, 43,75 and 86) of 22 residents reviewed. Specifically, (a.) Resident #2's comprehensive care plan did not contain care areas that reflected the bowel needs of the resident, the side effects of the psychotropic medications taken by Resident #2 or signs and symptoms of hypertension for which the resident took medications; (b.) Resident #9 receiving an anti-depressant and a corresponding mood or psychiatric care plan was not developed and implemented that indicated its use; [...]
Inspectors wroteBased on observation, record review and interviews conducted during a survey, the facility did not ensure that comprehensive care plans were revised and updated according to professional standards for four (4) (Resident #s 1, 11, 75, and 85) of 22 residents reviewed. Specifically, (a.) for Resident #1, the comprehensive care plan was not updated with new interventions after Resident #1 fell; (b.) for Resident #11, the comprehensive care plan was not updated to reflect the urinary tract infections; (c.) for Resident #75, the comprehensive care plan was not updated to reflect the hospitalization on 11/11/2025,1/09/2026, and 2/17/2026 for repeated issues with constipation; and (d.) for Resident #85, the comprehensive care plan was not updated to reflect the resident's admission to the hospital for urinary tract infection and urosepsis. This is evidenced by: [...]
Inspectors wroteBased on observation, record review and interviews conducted during a recertification survey, the facility did not ensure, based on the comprehensive assessment and care plan and the preferences of each resident, an ongoing program to support residents in their choice of activities, both facility-sponsored group and individual activities for one (1) (Resident #14) out of three (3) residents reviewed. Specifically, Resident #14 was not offered meaningful activities that included their interests and preferences to maintain their highest practicable quality of life. This is evidenced by: The facility policy and procedure titled Activity Program Policy (undated and unsigned) documented facility would provide an individualized, ongoing activity program designed to meet the physical, mental, psychosocial, behavioral, and cognitive needs of all residents. [...]
Inspectors wroteBased on observation, record review and interviews conducted during a survey, the facility did not ensure the provision of sufficient nursing staff to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident throughout the facility. Specifically, residents stated they were not assisted with care when requested; staff stated they were unable to consistently provide and/or document incontinence care, showers, or bed baths due to being short-staffed; and an analysis of the actual staffing schedule showed that on multiple occasions from 11/30/2025 to 2/24/2025, the facility minimum staffing levels were not met based on the facility assessment. This is evidenced by: [...]
Inspectors wroteBased on record review and interviews during a survey, the facility did not ensure licensed nurses and Certified Nurse Aides had the specific competencies and skills necessary to care for residents need. Specifically, based on the facility assessment of required education, (a.) education records reviewed for Certified Nurse Aides #1, 5 and 15 were incomplete; (b.) Licensed Practical Nurses #s1 and 12 education were incomplete; and (c.) there was no official person overseeing education for the facility. This is evidenced by: The Facility Assessment, dated 1/2026, documented under Staff training /education and competencies, the following topics, in addition to others, will be presented to staff: [...]
Inspectors wroteBased on observation, record review and interviews conducted during a survey, the facility did not ensure that drug records were in order, that an account of all controlled drugs was maintained and periodically reconciled in four (4) of four (4) narcotic books reviewed on Units one (1) and two (2), and that nurses were properly documenting narcotic administration. Specifically, (a) for the shift-to-shift staff signature form for controlled drugs, titled Controlled Drugs-Count Record, did not consistently include the signatures of staff members at each shift change, validating the correct narcotic count; (b) Licensed Practical Nurse #8 did not document the administration of narcotics to Resident #5 at the time of administration. This is evidenced by: [...]
Inspectors wroteBased on observation, resident and staff interviews, review of facility policies and procedures, staffing records, resident records, accident and incident reports, and the facility's maintenance records during a survey, it was determined the facility was not administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident. The administration failed to ensure the facility was in compliance with the following regulatory requirements, which affected or had potential to affect all residents in the facility. These failed practices directly impacted 35 of 35 residents sampled (Resident #s 1, 2, 3, 4, 5, 8, 9, 10, 11, 12, 14, 19, 25, 29, 31, 32, 33, 34, 35, 43, 44, 49, 50, 52, 53, 61, 64, 67, 70 , 72, 75, 80, 82, 90). [...]
Inspectors wroteBased on observation, record review, and interviews during the recertification survey, it was determined the governing body did not establish and implement policies regarding the management and operation of the facility. The governing body did not maintain a consistent Administrator who was responsible for the management of the facility to ensure regulatory compliance. Specifically, multiple deficiencies were identified on the recertification survey including repeat deficiencies in the areas of safe/clean/comfortable/homelike environment(F584), develop/implement comprehensive care plan(F656), care plan timing and revision (F657), and Influenza and pneumococcal immunizations (F883). This is evidenced by: Facility was cited for the following on recertification survey:F550 as it pertains to the facility's failure to resident dignity. [...]
Inspectors wroteBased on observation, record review and interviews conducted during a survey, the facility did not ensure a quality assessment and assurance committee developed and implemented appropriate plans of action to correct identified quality deficiencies. Additionally, the facility did not develop written policies and procedures for feedback, data collection systems, and monitoring, including adverse event monitoring. Specifically, (a) the facility had repeat deficiencies in the areas of comprehensive care planning and implementation (F656), evaluation and revision of comprehensive care plans (F657), and providing flu and/pneumococcal immunizations (F883), cited during the recertification survey, completed on 6/23/2023, were implemented as indicated by the same deficiencies being issued on the current survey; [...]
Inspectors wroteBased on observation, record review and interviews conducted during a survey, the facility did not ensure that that it developed, implemented, and maintained an effective training program for all new and existing staff; individuals providing services under a contractual arrangement; and volunteers, consistent with their expected roles. Specifically, for five (5) employees education records reviewed, one (1) employee received a comprehensive orientation with all the required educations. This is evidenced by: The Facility Assessment, dated 1/2026, documented under Staff training/education and competencies, the following topics, in addition to others, will be presented to staff: [...]
Inspectors wroteBased on interview and record review during a recertification and Extended survey, the facility did not ensure that an effective training program for all new and existing staff was developed, implemented, and maintained based on the facility assessment. Specifically, for five (5) of five (5) employee files reviewed, the facility did not provide mandatory training that outlines and informs staff of the elements and goals of the facility's Quality Assurance Performance Improvement program as part of its Quality Assurance Performance Improvement program. This is evidenced by:Cross reference: F726 The Facility Assessment, dated 1/2026, documented under Staff training /education and competencies, the following topics, in addition to others, will be presented to staff: [...]
Inspectors wroteBased on observation, record review and interviews conducted during the survey, the facility did not ensure that each resident received, and the facility must provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, consistent with the resident's comprehensive assessment and plan of care. This was evident for three (3) of 35 residents sampled (Resident #s 75, 85, 87) and residents residing in the facility. Specifically, (a) for Resident #75, the facility did not monitor or medicate the resident, causing multiple admissions to the hospital for constipation; (b) for Resident #85, the facility delayed testing and treatment of a urinary tract infection causing the resident to go to the hospital with urosepsis; [...]
Inspectors wroteBased on record review and interviews conducted during the a survey, the facility did not ensure that physician notes were entered and maintained accurately according to professional standards for ten (10) (Residents #4, 13, 31, 33, 34, 53, 72, 75, 80, and 90) of ten (10) residents reviewed. Specifically, (a.) on 8/12/2025, Residents #4, 13, 31, 33, 34, 53, 72, 75, 80, and 90 dated 08/12/2025 had the same provider encounter note by Medical Director #1 entered into their electronic medical records erroneously;, (b.) Resident #13 had a provider visit encounter by Medical Director #1 in their electronic medical record for Resident #33 dated 12/17/2025 erroneously that was not signed until 01/04/2026; and (c.) Resident #75 had a provider encounter note dated 11/13/2025 was not signed by Nurse Practitioner #1 until 01/12/2026. This is evidenced by: [...]
Inspectors wroteBased on observation and interviews conducted during a survey, the facility did not ensure that food and drink were palatable, attractive, and at a safe and appetizing temperature. Specifically, for three (3) of three (3) meals reviewed (Breakfast meal 02/17/2026, Lunch meals on 2/13/2026 and 2/17/2026). Specifically, food was not served at a palatable and appetizing temperature during the breakfast meal 02/17/2026 and lunch meals on 02/13/2026 and 02/17/2026. This is evidenced by: Observation: During a meal tray sampling on 02/13/2026 at 1:06 PM, Resident #72's lunch tray was tested, and a replacement tray was provided with an extended wait time of 32 minutes from requesting. The lunch tray was tested for taste and temperature, and the results were as follows: [...]
Inspectors wroteBased on observation, record review and interviews conducted during a survey, the facility did not ensure that storage and preparation of food was maintained according to professional standards. Specifically, incidents of potential for contamination of finished food, improperly functioning thermometers, and improperly stored food were identified throughout the kitchen. This is evidenced by: During the initial kitchen tour on 2/11/2026 from 10:24 AM to 11:00 AM and the follow-up visits on 2/19/2026 between 11:00 AM and 2:30 PM, the following observations were made:One (1) of four (4) thermometers tested for accurate calibration was outside of acceptable range. When tested in ice water bath, the thermometer displayed 37 degrees Fahrenheit. Improper storage of food was identified in the following areas:In the walk-in refrigerator open bags of peperoni and hot dogs were found undated. [...]
Inspectors wroteBased on observation, record review, and interviews during a recertification and abbreviated survey (Case #s 598982 and 2586123), the facility did not ensure the resident representative was notified when there was a significant change in the resident's physical, mental, or psychosocial status for two (2) (Resident #'s 52 and 75) of two (2) residents reviewed. Specifically, (a.) for Resident #52, the resident's representative was not notified of a self-reported fall with injury on 8/05/2025; (b.) for Resident #75, the resident's representative was not notified of a resident-to-resident verbal/physical altercation on 6/22/2025, during the night shift. This is evidenced by: Cross-referenced to F609: [...]
Inspectors wroteBased on record review and interview conducted during a recertification survey, 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 for one (1) resident (Resident #52) of three (3) residents reviewed. Specifically, Resident #52, who remained in the facility after receiving covered services, was not provided with timely notification of at least two (2)-day notification of the termination of Medicare Part A services with completion of the required Notice of Medicare Non-coverage and Advance Beneficiary notice of Non-coverage form prior to the of the termination of Medicare Part A services. This is evidenced by: [...]
Inspectors wroteBased on observation, record review, and interviews during a survey, the facility did not ensure the resident's right to be free from abuse and neglect for two (2) (Resident #'s75 and 87) of nine (9) residents reviewed. Specifically, (a.) Resident #75 was not free from abuse on 6/22/2025, during the night shift when Resident #34 entered their room, verbally harassed them and then poured water from their water bottle onto them. No staff responded to Resident #75 when they yelled out for help and Resident #75 called 911; (b.) Resident #87 was not free from neglect when the resident fell on 1/13/2026 and it was not reported to the registered nurse. As a result, the oncoming licensed practical nurse was not informed of the fall. [...]
Inspectors wroteBased on observation, record review and interviews conducted during a recertification survey, the facility did not ensure that resident received respiratory care according to professional standards for one (1) (Resident #43) of three (3) residents reviewed. Specifically, Resident #43's continuous positive airway pressure machine (aka CPAP, used to treat sleep apnea) was not administered on 01/11/2026, 01/12/2026, 01/23/2026, 02/06/2026, or 02/12/2026, and their continuous positive airway pressure machine was not maintained on 01/11/2026, 01/12/2026, 01/23/2026, 02/01/2026, or 02/12/2026. This is evidenced by: [...]
Inspectors wroteBased on record review and interviews conducted during the recertification survey, the facility did not ensure that accurate staffing information based on payroll data was correctly submitted to Centers for Medicare & Medicaid Services. Specifically, during Fiscal Quarter 4 (July 2025 through September 2025), payroll data submitted to Centers for Medicare & Medicaid Services indicated that less than eight (8) hours of consecutive Registered Nurses were available in the facility on 7/19/2025, 7/23/2025, 7/25/2025, 7/28/2025, 7/29/2025, 7/30/2025, 8/02/2025, 8/03/2025, 8/09/2025, 8/10/2025, 8/16/2025, 8/31/2025, 9/01/2025, and 9/13/2025. Inspection of timecards and internal facility reports documented that submitted data did not capture hours worked by Director of Nursing #1. This is evidenced by: [...]
Inspectors wroteBased on record review and interview during a survey, the facility did not ensure each resident was offered pneumococcal and influenza immunizations and received education regarding the benefits and potential side effects of the immunizations for one (1) (Residents #25) of four (4) residents reviewed. Specifically, there was no documented evidence Resident #25 was offered, declined, or educated on the pneumococcal or influenza immunizations, and did not complete the tuberculosis testing required as required. This is evidenced by:A facility policy titled admission policy and dated 8/2018, documented in pertinent part that when a resident was admitted to the nursing unit, the Nurse must record data (as each may apply) in appropriate place in the record (paper) or electronic health record. [...]
Inspectors wroteBased on observation and interviews conducted during a recertification survey, the facility did not maintain all mechanical, electrical, and patient care equipment in safe operating condition. Specifically, the self-closing device on the Walk-in freezer was not functioning as intended. This is evidenced by: During observations on 2/17/2026 at 11:00 AM as part of inspection of the walk-in freezer, the self-closing mechanism on the main entry door was inoperable and not pulling the door closed to ensure a tight seal. During an interview on 2/17/2026 at 2:00 PM, Food Service Director #1 stated that the company was just there several days ago and left several items in disrepair and they would contact them and have it addressed. 10 New York Codes, Rules, and Regulations 415.5(e)(1)(2)
Inspectors wroteBased on record review and interviews conducted during a survey, the facility did not ensure that in-service training for nurse aides was sufficient to ensure the continuing competence of nurse aides and be no less than 12 hours annually to include dementia care and abuse. This was identified for 11 of 14 Certified Nurse Aides (Certified Nurse Aides #'s 1, 3, 4, 5, 7, 8, 9, 10, 11, 12, and 14) reviewed for nurse aide training. Specifically, the facility was unable to provide evidence that Certified Nurse Aide #s 1, 3, 4, 5, 7, 8, 9, 10, 11, 12, and 14 were provided 12 hours of mandatory annual training. This is evidenced by: The facility assessment, dated 1/2026, documented that the following topics, in addition to others, would be presented to staff: [...]
Inspectors wroteBased on observation, record review, and interviews during the recertification and abbreviated survey conducted from 06/26/2023 - 06/30/2023, the facility did not ensure residents were informed both orally and in writing, of their rights and rules and regulations governing resident conduct and responsibilities during the resident's stay for residents on 2 (North and South) of 2 Units reviewed for residents' rights. Specifically, the facility did not ensure resident rights were provided or reviewed during monthly Resident Council meetings. This is evidenced by: An undated Policy and Procedure titled Guidelines: Resident Council provided during the recertification survey on 6/26/2023 documented the following: 1. Every facility will conduct a general monthly resident council meeting as per Centers for Medicare and Medicaid Services (CMS). 2. [...]
Inspectors wroteBased on observation, record review and interviews during the recertification survey, the facility did not ensure comprehensive person-centered care plans were developed and implemented for 5 (Resident #'s 45, 46, 61, 62, and 68) of 18 residents reviewed for Comprehensive Care Plans (CCP). Specifically, for Resident's #45, 46, and 68 the facility did not ensure an antipsychotic medication care plan was developed and implemented for Risperdal (an antipsychotic medication); Specifically, for Resident #61 the facility did not ensure a CCP for dementia with behavioral disturbances that included measurable goals and resident specific interventions was developed and implemented; Specifically, for Resident #62, the facility did not ensure the CCP included resident specific goals and interventions to address dialysis care. This is evidenced by: [...]
Inspectors wroteBased on observations, record review and interviews during a recertification survey, the facility did not ensure Comprehensive Care Plans (CCP) were reviewed after each assessment and revised based on changing goals, preferences and needs of the resident and in response to current interventions for 6 (Resident #'s 25, 27, 30, 45, 46, and #61) of 18 residents reviewed. [...]
Inspectors wroteBased on observation, record review and interviews during the recertification survey, the facility did not ensure residents who have not used psychotropic drugs are not given these drugs unless the medication is necessary to treat a specific condition as diagnosed and documented in the clinical record for 4 (Resident #'s 25, 45, 46, and #68) of 5 residents reviewed for unnecessary medications. [...]
Inspectors wroteBased on observation, interview and record review during a recertification survey, the facility did not ensure it provided separately locked, permanently affixed compartments for storage of controlled drugs listed in Schedule II of the Comprehensive Drug Abuse Prevention and Control Act of 1976 and other drugs subject to abuse, except when the facility used single unit package drug distribution systems in which the quantity stored was minimal and a missing dose could be readily detected for 1 (South Unit) of 2 units reviewed. Specifically, the facility did not ensure that only authorized personnel were permitted access to the locked, permanently affixed narcotic storage box inside the refrigerator of the South Unit medication storage room. This was evidenced by: [...]
Inspectors wroteBased on record review and interview during the recertification survey, the facility did not ensure each resident was offered influenza and/or pneumococcal immunizations and received education regarding the benefits and potential side effects of the immunizations for 2 (Residents #10 and #61) of 5 residents reviewed. Specifically, the facility did not ensure Resident #10 was offered, declined or educated on the influenza and pneumococcal immunizations, and the facility did not ensure Resident #61 was offered, had declined or was educated on the influenza immunization. This was evidenced by: [...]
Inspectors wroteBased on interviews and record review during a recertification survey, the facility did not develop baseline care plans for 12 (Resident #'s 1, 19, 21, 35, 39, 42, 43, 53, 63, 64, 68, and #71) of 12 residents reviewed. Specifically, for Resident #'s 1, 19, 21, 35, 39, 42, 43, 53, 63, 64, 68, and #71 the facility did not ensure a baseline care plan that included instructions needed to provide resident care was developed within 48 hours of the residents' admission. This is evidenced by: The Policy and Procedure (P&P) titled Care Planning Process and Baseline, last reviewed 7/2020, documented the nurse will create from the assessment a baseline care plan. The Interdisciplinary Team (IDT) will review at Clinical Morning Meeting to further enhance and specialize the baseline care plan for all care needs related to the individual resident within 48 hours. [...]
Inspectors wroteBased on observations, record review, and interviews during a recertification survey, the facility did not ensure that licensed nurses had the specific competencies and skill sets necessary to care for residents' needs, as identified through resident assessments, and described in the plan of care; providing care includes but is not limited to assessing, evaluating, planning and implementing resident care plans and responding to resident's needs. Specifically, for Resident #'s 34 & #46, the facility did not ensure two staff members competency in skills and techniques necessary to care for residents' needs for wound care and infection control were demonstrated and evaluated. This is evidenced by:
Inspectors wroteBased on observation and staff interview during the recertification survey the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. Food packages shall be in good condition to protect the integrity of the contents, toxic substances shall be labeled, food temperature thermometers shall be calibrated, equipment is to be in good repair, food contact surfaces shall be cleaned after use, and walls and floors are to be kept clean. Specifically, cans of food were dented; spray bottles were not labeled, food temperature thermometers were not in calibration; equipment was not in good repair; and food contact surfaces, walls, and floors were not clean. This is evidenced as follows. The main kitchen was inspected on 11/29/21 at 6:38 AM. [...]
Inspectors wroteBased on observation, record review and interviews during the recertification survey, the facility did not ensure the development and implementation of comprehensive person-centered care plans (CCP), that included measurable objectives and timeframes to meet the resident's medical, nursing, mental and psychosocial needs for 6 (Resident #s 3, 21, 35, 53, 58, and #67) of 23 residents reviewed for comprehensive care plans. Specifically, the facility did not ensure that CCP's were developed to address Resident #3's urinary catheter; Resident #21's impaired skin integrity; Resident #35's pain; Resident #53's psychotropic medication or hypothyroidism; Resident #58's edema and Resident #67's activities of daily living and pressure ulcers. This is evidenced by: [...]
Inspectors wroteBased on observation, record review and interviews during the recertification survey and abbreviated survey (Case #NY00282450), the facility did not ensure a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice for 2 (Resident #'s 34 and #67) of 4 residents reviewed for pressure ulcers. Specifically, for Resident #34, the facility did not ensure wound care was provided as ordered by the physician and per professional standards of practice, for Resident #67, who did not have skin breakdown upon admission to the facility, the facility did not ensure the resident's risk for skin breakdown was evaluated, did not evaluate the need for preventative interventions to avoid skin breakdown and did not ensure treatment for a newly discovered pressure sore was started until 6 days post discovery on 11/29/2021. [...]
Inspectors wroteBased on observation, record review and interviews during the recertification survey and abbreviated survey (Case #s NY00282450 and NY00278611 and NY00279874), the facility did not maintain medical records in accordance with accepted professional standards and practices that were accurately documented and complete for 7 (Resident #'s 1, 21, 23, 34, 46, 67, and #70) of 23 residents reviewed. [...]
Inspectors wroteBased on observation, interview and record review during a recertification survey, the facility did not ensure it established and maintained an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 (Resident #'s 34 and #46) of 3 residents reviewed for wound care. Specifically, for Resident #34, the facility did not ensure facility staff cleansed scissors after using them to remove a contaminated dressing and prior to using the scissors to cut a wound packing, and did not place a contaminated item in a multi-resident use treatment cart. Additionally, for Resident #46 the facility did not ensure a facility staff member performed hand hygiene after doffing soiled gloves and prior to donning clean gloves, or between wounds.
Inspectors wroteBased on observation, record review, and staff interview during the recertification survey, the facility did not provide effective housekeeping and maintenance services. Specifically, the facility did not ensure that on 2 of 2 resident units and the core area, walls, ceilings, and floors were clean and/or in good repair. This is evidenced as follows. The first-floor unit and second-floor unit were inspected on 12/02/2021 at 12:15 PM. The walls had spaces and were not painted around the new electrical outlets in resident room #'s 103, 105, 108, 109, 112, 123, 125, 127, 200, 206, 211, 215, 217, 222, 224, 226, and #227. The first-floor unit and second-floor unit corridor floors, the floors next to walls and door thresholds, and the janitor closets and electrical panelboards were soiled with old wax build-up, dust, or dirt. [...]
37 fire safety citations on file: 24 on February 25, 2026, 5 on June 30, 2023, 8 on December 3, 2021.
| Date | Penalty | Amount or length |
|---|---|---|
| February 25, 2026 | Fine | $145,870 |
| October 30, 2023 | Fine | $2,727 |
| October 23, 2023 | Fine | $4,545 |
| October 17, 2023 | Fine | $4,545 |
| October 10, 2023 | Fine | $4,545 |
| October 2, 2023 | Fine | $4,545 |
| September 25, 2023 | Fine | $4,545 |
| September 18, 2023 | Fine | $4,545 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 2.86 | 3.63 | 3.86 |
| Registered nurses | 0.25 | 0.71 | 0.69 |
| All nursing staff on weekends | 2.43 | 3.18 | 3.42 |
| Nurse aides | 1.54 | ||
| Licensed practical nurses | 1.07 | ||
| Nursing staff turnover (share who left in a year) | 73.0% | 40.3% | 45.8% |
| Registered nurse turnover | 81.8% | 39.8% | 42.9% |
| Administrators who left | 6 |
CMS expects 3.35 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 3.03 on weekdays and 2.43 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.05 in April to June 2025 to 2.86 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 | 2.86 | 0.25 | 3.03 | 2.43 | 8.2% | 0 of 90 | 74 |
| Oct to Dec 2025 | 3.24 | 0.26 | 3.40 | 2.84 | 0.7% | 0 of 92 | 76 |
| Jul to Sep 2025 | 3.81 | 0.38 | 4.09 | 3.11 | 0.0% | 0 of 92 | 76 |
| Apr to Jun 2025 | 4.05 | 0.30 | 4.38 | 3.24 | 0.0% | 0 of 91 | 74 |
| 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.
| 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 | 17.0 | 14.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.9 | 1.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 24.3 | 12.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.4 | 6.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.8 | 13.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.6 | 20.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.0 | 9.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.4 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Rosewood Rehabilitation and Nursing Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (40.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
40.8% 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. 160 eligible stays.
9.3% 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. 127 eligible stays.
7.5% this home
No different from 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. 91 eligible stays.
59.4% 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. 64 residents counted.
1.0% 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. 101 residents counted.
2.0% 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. 101 residents counted.
86.0% 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. 43 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: ROSEWOOD CARE, LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Inter-Ocean Family, LLC | 5% or greater direct ownership interest | Organization | 38% | 03/12/2012 |
| Fishoff, Abraham | 5% or greater direct ownership interest | Individual | 7% | 10/15/2012 |
| Fishoff, Donald | 5% or greater direct ownership interest | Individual | 7% | 10/15/2012 |
| Gellis, Louis | 5% or greater direct ownership interest | Individual | 25% | 05/12/2012 |
| Gold, Barbara | 5% or greater direct ownership interest | Individual | 7% | 10/15/2012 |
| Maybruch, Meryl | 5% or greater direct ownership interest | Individual | 7% | 10/15/2012 |
| Weinstock, Regina | 5% or greater direct ownership interest | Individual | 7% | 10/15/2012 |
| Gellis, Louis | W-2 managing employee | Individual | 01/12/2012 |
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.
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