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Rutland Nursing Home, Inc

585 Schenectady Avenue, Brooklyn, NY 11203 · Kings County · (718) 604-5221

538 certified beds, about 441 residents a day · Non profit - Corporation · Medicare and Medicaid since 1976

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 335537 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 31, 2025, inspectors cited 13 health deficiencies (the New York average is 8.1, the national average 9.2).

Of 29 health citations since August 2021, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $55,231 in the last three years; the largest was $55,231, and the latest is dated June 12, 2025.

Nurses and nurse aides worked 4.41 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 1.24 of those hours.

22.0% 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 29 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
20D
4E
2F
Potential for minimal harm
0A
0B
1C
March 19, 2026Complaint inspection · 1 citation
  1. G
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 12, 2026
    Inspectors wroteBased on observation, record review, and interviews conducted during survey, the facility failed to ensure a resident receiving enteral feeding received appropriate care and was monitored for complications related to tube feeding. This was evident for one (1) out of five (5) residents reviewed for enteral feeding (Resident #1). Specifically, on 02/20/2026, Resident #1 who received feeding and medications through a nasogastric tube (medical tube inserted through the nose into the stomach) had a change in their breathing pattern and was transferred to the hospital. Resident #1 was diagnosed with respiratory failure due to aspiration pneumonitis (an inflammation of the lung, which may lead to infection often presents rapidly with breathing difficulty, cough, and fever, requiring supportive care like oxygen) caused by a misplaced nasogastric tube in the left lung. [...]
July 9, 2025Complaint inspection · 2 citations
  1. F
    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, widespread · found on a complaint visit · Corrected (the home has a date of correction) September 5, 2025
    Inspectors wroteBased on observation, record review, and interviews conducted during the onsite visit for Complaint NY00384371, it was determined that the facility failed to maintain safe and comfortable temperature levels. This was evident on six (6) of the seven (7) resident floors, where 22 out of 34 rooms sampled had temperatures above the Federal and State requirements in accordance with 42 CFR Part 483 and 10 NYCRR: 415.29 range of 71 degrees Fahrenheit to 81 degrees Fahrenheit. Specifically, on 06/23/2025, Resident #1 submitted a complaint to the New York State Department of Health that there was loss of air conditioning on the sixth floor. The temperature on the sixth floor was 86.9 degrees Fahrenheit. [...]
  2. F
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) September 5, 2025
    Inspectors wroteBased on observation, record review, and interviews conducted during an Abbreviated Survey and Partial Extended Survey (NY00384371), the facility failed to ensure it was 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. Specifically, on 06/23/2025 to 06/25/2025, complaints were submitted to the New York State Department of Health regarding high temperatures throughout the facility. The Administrator failed to provide effective leadership and oversight to ensure that comfortable and safe temperature levels were maintained in residents' rooms and common areas in the facility.
June 12, 2025Complaint inspection · 1 citation
  1. G
    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 · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 6, 2025
    Inspectors wroteBased on observation, record review, and interviews conducted during an abbreviated survey (NY00371268), the facility failed to ensure that a resident was free from resident-to-resident abuse. This was evident for one (1) out of five (5) residents (Resident #1) sampled. Specifically, on 01/31/2025 at 2:50 PM, Licensed Practical Nurse #1 witnessed an altercation between Resident #1 and Resident #2 in the elevator at the lobby level . Licensed Practical Nurse #1 separated the residents. Resident #1 and Resident #2 were assessed by Registered Nurse Supervisor #1 and there were no injuries. The facility failed to ensure timely safety measures to prevent further abuse. On 01/31/2025 at 5:25 PM, Resident #1 complained of left side chest pain and stated that Resident #2 entered their room and hit them. [...]
March 31, 2025Standard inspection, Complaint inspection · 14 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) May 30, 2025
    Inspectors wroteBased on observations, record review, and interviews conducted during the onsite survey for the recertification survey from 03/24/2025 to 03/31/2025, the facility did not ensure that food was handled in accordance with professional standards for food service safety and staff did not ensure that infection control practices were maintained in the kitchen. This was evident during the Kitchen task. Specifically, dietary staff with visible facial hair and no beard restraints were observed assisting with food tray preparation on the tray line and removing cleaned items from the dish machine.
  2. 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) May 30, 2025
    Inspectors wroteBased on interviews and record review conducted during the Recertification survey from 03/24/2025 to 03/31/2025, the facility did not ensure residents, or their designated representatives were provided appropriate notification via mail at the termination of Medicare Part A benefits. This was evident for 1 (Resident #129) of 3 residents reviewed for Beneficiary Notification out of 39 total sampled residents. Specifically, the facility did not ensure that Notice of Medicare Non-Coverage were mailed to the residents' representatives on the same day telephone notification was made.
  3. D
    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, isolated · Corrected (the home has a date of correction) May 30, 2025
    Inspectors wroteBased on observation, record review, and interviews conducted during the Recertification Survey and Complaint survey (NY00365250) from 03/24/2025 to 03/31/2025, the facility did not ensure that residents' right to a clean, comfortable, and homelike environment was maintained. This was evident in 1 (7th Floor) out of 2 laundry rooms and in 19 out 38 resident rooms and shower rooms on the 7th floor observed during Environmental Task. Specifically, (1) the dryer on the 7th floor resident laundry room was noted with visible gray colored dust vents in the back, (2) multiple room fans were noted to have dusty front and back areas and dusty blades, and (3) water damage on the ceiling, broken wall tiles, and soiled curtains were observed in the bathrooms on both wings.
  4. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2025
    Inspectors wroteBased on observation, interview, and record review conducted during the Recertification survey from 03/24/2025 to 03/31/2025, the facility did not ensure that a copy of all transfers and discharges were sent to a representative of the Office of the State Long-Term Care Ombudsman in a timely manner. This was evident for 1 (Resident #743) of 1 resident reviewed for Discharge. Specifically, Resident #743 was transferred to the hospital on [DATE] and the discharge notice was not sent to the Office of the State Long-Term Care Ombudsman until 03/25/2025.
  5. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2025
    Inspectors wroteBased on record review and interview during the Recertification Survey conducted from 03/24/2025 to 03/31/2025, the facility did not ensure that Minimum Data Set assessments accurately reflected a resident's status. This was evident for 1 (Resident #743) of 1 resident reviewed for accuracy of assessment out of 39 total sampled residents. Specifically, Resident #743's Minimum Data Set assessments did not accurately reflect the Resident's gender.
  6. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2025
    Inspectors wroteBased on record review and staff interviews conducted during a Recertification Survey between 03/24/2025 and 03/31/2025, the facility did not ensure that the resident and their representative were provided with a written summary of the baseline care plan. This was evident for 1 (Residents #379) of 2 residents reviewed for Care Planning out of 39 residents sampled residents. Specifically, Resident #379 and their representative were not provided with a copy of the baseline care plan.
  7. 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) May 30, 2025
    Inspectors wroteBased on observation, record review and staff interviews conducted during the Recertification survey from 03/24/2025 to 03/31/2025, the facility did not ensure that a person-centered comprehensive care plan was developed and implemented to address the resident's medical, physical, mental, and psychosocial needs. This was evident for 1 (Resident #102) of 2 residents reviewed for Edema out of a sample of 39 residents. Specifically, a person-centered care plan was not developed and implemented for Resident #102 who had edema.
  8. 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) May 30, 2025
    Inspectors wroteBased on record review and interview conducted during the Recertification survey between 03/24/2025 and 03/31/2025, the facility did not ensure that resident's comprehensive care plan was reviewed and revised by the interdisciplinary team after each assessment, including both the episodic, comprehensive, and quarterly review assessments. This was evident for 2 (Resident #376 and Resident #194) of 5 residents reviewed for Unnecessary Medications out of an investigative sample of 39 residents. Specifically, 1). The Comprehensive Care Plan for Infection/Antibiotic Use for Resident #376 was last reviewed on 02/25/2025 and was not updated to reflect use of a Peripheral Intravenous Catheter line to give intravenous antibiotics or after Resident #376 completed a course of intravenous antibiotics, and 2). [...]
  9. 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) May 30, 2025
    Inspectors wroteBased on observation, record review, and interviews conducted during the recertification survey from 03/24/2025 to 03/31/2025 the facility did not ensure residents who are unable to carry out activities of daily living received the necessary services to maintain mobility and function. This was evident for 1 (Resident #120) of 2 residents reviewed for Rehab and Restorative out of a total sample of 39 residents. Specifically, Resident #120 did not receive the Nursing Rehabilitation Standing and Balance Program in March 2025 as recommended by the Rehabilitation Department. The finding is: The facility policy titled Restorative Nursing Programs implemented 01/2000 and last revised 01/2025 states it is the policy of this facility to provide maintenance and restorative services designed to maintain or improve a resident's abilities to the highest practicable level. [...]
  10. 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) May 30, 2025
    Inspectors wroteBased on observation, record review, and interviews conducted during the recertification survey from 03/24/2025 to 03/31/2025, the facility did not ensure a resident who needed respiratory care was provided such care, consistent with professional standards of practice. This was evident for 1 (Resident #17) out of 3 residents reviewed for Respiratory Care out of 39 sampled residents. Specifically, Resident #17 was observed using oxygen via an undated nasal cannula at a rate of 3 liters per minute when the Physician's Order was written for oxygen to be received at a rate of 2 liters per minute.
  11. 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) May 30, 2025
    Inspectors wroteBased on interview and record review during the recertification survey from 03/24/2025 to 03/31/2025, the facility did not ensure that recommendations in the medication regimen reviews were identified and acted upon by the attending physician. This was evident for 1 (Resident #125) of 5 residents reviewed for Unnecessary Medication out of 39 sampled residents. Specifically, four Medication Regimen Reviews which recommended that an order for psychotropic medications for a diagnosis other than an approved chronic psychiatric condition be evaluated, were not addressed.
  12. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 30, 2025
    Inspectors wroteBased on observation, interview, and record review conducted during the Recertification survey from 03/24/2025 to 03/31/2025, the facility did not ensure a resident was given psychotropic medication to treat a specific condition as diagnosed and documented in the clinical record. This was evident for 1 (Resident #12U) of 5 residents reviewed for Unnecessary Medication out of 39 total sampled residents. Specifically,1. Resident #125 was not provided with nonpharmacological interventions to address behavior before an antipsychotic medication was restarted, and 2. Resident #125 was prescribed a psychotropic medication without an appropriate diagnosis.
  13. C
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) May 30, 2025
    Inspectors wroteBased on record review and interviews conducted during the Recertification Survey from 03/24/2025 to 03/31/2025, the facility did not ensure Minimum Data Set assessments were electronically transmitted to the Centers for Medicare and Medicaid Services Data System within 14 days after assessments were completed. This was evident in 5 (Residents #148, #318, #28, #102, #407) of 5 residents reviewed for Resident Assessment. Specifically, Minimum Data Set assessments were not transmitted within 14 days after the assessments were completed.
  14. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 30, 2025
    Inspectors wroteBased on record review and interview conducted during the Recertification and Complaint Survey (NY00369624 and NY00354365) conducted from 03/24/2025 to 03/31/2025, the facility did not ensure residents received adequate supervision and assistance devices consistent with resident's needs, goals, and care plan to prevent accidents. This was evident for 2 (Residents #108 and #260) of 2 residents investigated for Accidents out of 39 total sampled residents. Specifically, (1) Resident #108 fell and hit the back of head causing injury to left eye orbital while being transferred to bed by 2 Certified Nursing Assistants, and 2. (2) Resident #260 who required a harness while out of the crib and in a wheelchair was removed from wheelchair with harness and placed in a Gerichair without any harness causing Resident #260 to move and fall to the floor.
March 26, 2025Complaint inspection · 1 citation
  1. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · 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) May 23, 2025
    Inspectors wroteBased on observation, record review, and interviews, conducted during an Abbreviated Survey (NY00355337) the facility failed to ensure that a resident was treated with respect and dignity and cared for each resident in a manner and in an environment that promotes maintenance or enhancement of their quality of life, recognizing each resident's individuality. The facility must protect and promote the rights of the resident. This was evident for one (1) out of six (6) residents (Resident #6) sampled. Specifically, on 09/24/2024 Licensed Practical Nurse #1 reported when they entered Resident #1's room the Resident immediately started to cry stating Certified Nursing Assistant #1 told them none of the staff members liked them. [...]
October 23, 2023Standard inspection, Complaint inspection · 4 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) December 21, 2023
    Inspectors wroteBased on observation and interview conducted during the Recertification survey 10/16/2023 to 10/23/2023, the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety to prevent foodborne illness. Specifically, 1) a dietary staff did not change contaminated gloves after disposing garbage and proceeding to handle soiled dishes which were scraped before cleaning for the tray line and no hand hygiene between changing gloves. This was observed during the Kitchen facility task.
  2. D
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 21, 2023
    Inspectors wroteBased on observation, record review, and staff interview conducted during the recertification survey 10/16/2023 to 10/23/2023 and complaint NY00315981, the facility did not maintain an effective pest control program so that the facility is free of pests and rodents. This was evident on 2 of 13 units. (8 [NAME] and 10 West). Specifically, a live mouse was observed crawling in a resident's room on 8 [NAME] and in the hallway near the nursing station on the 10th floor. The facility policy and procedure titled Pest Control revised 03/2023 documented the facility is to maintain an effective pest control program that eradicates and contains common household pests and rodents that include roaches, ants, mice, and rats. The finding is: 1. [...]
  3. 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) December 21, 2023
    Inspectors wroteBased on interview and record review conducted during the Recertification/Complaint Survey from 10/16/23 to 10/26/23, the facility did not ensure a comprehensive person-centered care plan (CCP) was reviewed and revised to address a resident's needs (NY00320501). This was evident for 1 of 3 residents (Resident #212) reviewed for Resident-to-Resident Physical Abuse out of 43 total sampled residents. Specifically, Resident #212's CCP related to at risk to be abused/abused others was not reviewed or revised after the Resident-to-Resident Physical Abuse allegation which occurred on 7/20/23.
  4. 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 · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review conducted during a Recertification and Complaint survey (NY00323515) from 10/16/2023 to 10/23/2023, the facility did not ensure a resident received adequate supervision to prevent a resident from eloping. This was evident for 1 (Resident #592) of 3 residents investigated for Accidents out of an investigative sample of 43 residents. Specifically, Resident #592 left unit on 9/3/23 at approximately 10:23 AM to go to the lobby and sit in front of the building and was discovered missing at approximately 2:40 PM. The resident did not return to the unit for lunch served from 12:00 PM to 12:30 PM, and the medication nurse reported resident was not in room at 1:30 PM to receive medication. Resident was able to exit the lobby area undetected by staff by sliding under the fence on the outside of the building.
October 20, 2023Complaint inspection · 1 citation
  1. 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 15, 2023
    Inspectors wroteBased on record review and interviews conducted during an Abbreviated Survey (NY 00319068), the facility failed to ensure that an alleged violations involving abuse were reported immediately, but not later than two hours after the allegation was made, if the event that caused the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause he allegation do not involve abuse and do not result in serious bodily injury, to the State Survey Agency (NYSDOH). This was evident in one of the five residents reviewed for abuse (Resident #1). Specifically, on 04/26/2023 at approximately 5:00 PM, Behavioral Health Associate (BHA) #2 reported that BHA #1 grabbed their personal phone from Resident #1 hand in an aggressive way and bumped Resident #1's forehead. The incident was not reported to the New York State Department of Health (NYSDOH).
August 6, 2021Standard inspection · 5 citations
  1. E
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 24, 2021
    Inspectors wroteBased on observation, record review, and staff interviews conducted during the recertification survey, the facility did not ensure that residents were free from any physical or chemical restraints imposed for purposes of discipline or convenience, and not required to treat the resident's medical symptoms, Specifically, residents were observed with four side rails during multiple observations. This was evident for 3 of 3 residents reviewed for Physical Restraints out of a sample of 38 residents. (Resident #222, Resident # 296, Resident # 297).
  2. 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) September 24, 2021
    Inspectors wroteBased on interview and record review conducted during the recertification Survey the facility did not ensure that it promoted and facilitated resident self-determination through support of resident choice. Specifically, residents bathing preferences were not honored. This was evident for 1 of 3 residents reviewed for Choices out of 38 sampled residents (Resident #45).
  3. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 24, 2021
    Inspectors wroteBased on observation, record review and staff interviews conducted during recertification survey, the facility did not ensure that each portion of the Minimum Data Set (MDS) assessment accurately reflects the resident's status. Specifically, the most recent MDS did not accurately capture that residents were receiving oxygen. This was evident for 2 of 3 residents reviewed for Respiratory Care out of a sample of 38 residents (Resident # 41 and Resident # 222).
  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) September 24, 2021
    Inspectors wroteBased on record review and staff interview conducted during the recertification, the facility did not ensure that a resident's person-centered, comprehensive care plans (CCP) were revised in a timely manner. Specifically, care plans were not revised after the quarterly assessment. This was evident for 1 of 3 residents reviewed for Respiratory Care out of a sample of 38 residents. (Resident #41)
  5. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 24, 2021
    Inspectors wroteBased on observations, record reviews and staff interviews conducted during a recertification survey, the facility did not ensure that the resident's drug regimen was free of unnecessary medications. Specifically, a resident with a diagnosis of Alzheimer's Dementia was prescribed an anti-psychotic medication without documented evidence in the clinical record to support the use of psychotropic medication for the resident. This was evident for 1 of 5 residents reviewed for the Unnecessary Medication out of a sample of 38 residents. (Resident #67)

Fire safety inspections

23 fire safety citations on file: 2 on March 31, 2025, 14 on October 23, 2023, 7 on August 6, 2021.

Every fire safety citation23 citations
  1. E
    Have properly located and lighted "Exit" signs.
    K 293 · March 31, 2025 · Corrected (the home has a date of correction)
  2. C
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 31, 2025 · Corrected (the home has a date of correction)
  3. F
    Address subsistence needs for staff and patients.
    E 15 · October 23, 2023 · Corrected (the home has a date of correction)
  4. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 23, 2023 · Waiver
  5. D
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · October 23, 2023 · Corrected (the home has a date of correction)
  6. D
    Have exits that are accessible at all times.
    K 271 · October 23, 2023 · Corrected (the home has a date of correction)
  7. D
    Install proper backup exit lighting.
    K 281 · October 23, 2023 · Corrected (the home has a date of correction)
  8. D
    Have properly located and lighted "Exit" signs.
    K 293 · October 23, 2023 · Corrected (the home has a date of correction)
  9. D
    Have an enclosure around a vertical opening shaft.
    K 311 · October 23, 2023 · Corrected (the home has a date of correction)
  10. 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 · October 23, 2023 · Corrected (the home has a date of correction)
  11. D
    Install an approved automatic sprinkler system.
    K 351 · October 23, 2023 · Corrected (the home has a date of correction)
  12. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 23, 2023 · Corrected (the home has a date of correction)
  13. D
    Install corridor and hallway doors that block smoke.
    K 363 · October 23, 2023 · Corrected (the home has a date of correction)
  14. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · October 23, 2023 · Corrected (the home has a date of correction)
  15. D
    Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
    K 901 · October 23, 2023 · Corrected (the home has a date of correction)
  16. C
    Establish an Emergency Preparedness Program (EP).
    E 1 · October 23, 2023 · Corrected (the home has a date of correction)
  17. E
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · August 6, 2021 · Corrected (the home has a date of correction)
  18. E
    Have exits that are accessible at all times.
    K 271 · August 6, 2021 · Corrected (the home has a date of correction)
  19. E
    Have properly located and lighted "Exit" signs.
    K 293 · August 6, 2021 · Corrected (the home has a date of correction)
  20. 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 · August 6, 2021 · Corrected (the home has a date of correction)
  21. E
    Have power receptacles that are properly grounded.
    K 912 · August 6, 2021 · Corrected (the home has a date of correction)
  22. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 6, 2021 · Corrected (the home has a date of correction)
  23. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 6, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
June 12, 2025Fine $55,231

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)4.413.633.86
Registered nurses1.240.710.69
All nursing staff on weekends4.033.183.42
Nurse aides2.45
Licensed practical nurses0.73
Nursing staff turnover (share who left in a year)22.0%40.3%45.8%
Registered nurse turnover18.1%39.8%42.9%
Administrators who left1

CMS expects 4.16 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 4.57 on weekdays and 4.03 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 12.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.50 in April to June 2025 to 4.41 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.411.244.574.03 12.6%0 of 90441
Oct to Dec 20254.381.164.504.08 8.7%0 of 92437
Jul to Sep 20254.301.164.443.96 10.1%0 of 92444
Apr to Jun 20254.501.194.644.13 10.6%0 of 91443
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 Rutland Nursing Home, 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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Mandatory overtime?
How did staffing feel on your usual shift?

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
16.114.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.00.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.91.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.43.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.21.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
17.112.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
10.56.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.113.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
10.520.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
1.99.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.61.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.41.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Rutland Nursing Home, Inc's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (40.7% 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

40.7% this home

No different from the national rate

US median of homes 51.5% · New York: 101 better, 157 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 51 eligible stays.

Potentially preventable readmissions

10.8% 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. 67 eligible stays.

Infections that led to a hospital stay

8.5% 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. 43 eligible stays.

Self-care and mobility at discharge

40.0% 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. 30 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. 53 residents counted.

New or worsened pressure ulcers

2.2% 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. 53 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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. 9 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: RUTLAND NURSING HOME INC.

NameRoleTypeShareSince
Ayala, VictorCorporate directorIndividual01/01/2021
Bullock, ReginaldCorporate directorIndividual01/02/2021
Ciuffo, JosephCorporate directorIndividual01/01/2021
Garcia, LisaCorporate directorIndividual01/02/2021
Green, RichardCorporate directorIndividual01/01/2021
Katzin, AryehCorporate directorIndividual01/01/2021
Lanzman, AlexanderCorporate directorIndividual01/01/2024
Marshall, LewisCorporate directorIndividual01/01/2024
Mason, HopeCorporate directorIndividual01/01/2021
Mawere, JonathanCorporate directorIndividual01/01/2024
Nairne, MichaelCorporate directorIndividual01/01/2021
Nelson, HughCorporate directorIndividual01/01/2024
Reid, MauriceCorporate directorIndividual01/01/2021
Rosenfeld, PaulCorporate directorIndividual01/02/2018
Rovt, AlexanderCorporate directorIndividual01/01/2021
Scagnelli, MichaelCorporate directorIndividual01/01/2021
Shelton, MarkCorporate directorIndividual01/01/2021
Shtern, NusinCorporate directorIndividual01/01/2021
Waterman, RobertCorporate directorIndividual01/01/2021
Wells, EdnaCorporate directorIndividual01/01/2021
White, HennaCorporate directorIndividual01/01/2021
Figueroa, MichelleCorporate officerIndividual07/10/2023
Scott, SandraCorporate officerIndividual01/01/2024
One Brooklyn Health System, IncOperational/managerial controlOrganization01/01/2025
Parajuli, SunitaOperational/managerial controlIndividual01/01/2025
Pollack, NeilOperational/managerial controlIndividual01/01/2020
Rosenfeld, PaulOperational/managerial controlIndividual01/02/2018
Scott, SandraOperational/managerial controlIndividual01/01/2021
Ayala, VictorTrustee of the SNFIndividual01/01/2021
Ciuffo, JosephTrustee of the SNFIndividual01/01/2021
Clemenza, AnthonyTrustee of the SNFIndividual01/01/2021
Green, RichardTrustee of the SNFIndividual01/01/2021
Katzin, AryehTrustee of the SNFIndividual01/01/2021
Lanzman, AlexanderTrustee of the SNFIndividual01/01/2024
Marshall, LewisTrustee of the SNFIndividual01/01/2024
Mason, HopeTrustee of the SNFIndividual01/01/2021
Mawere, JonathanTrustee of the SNFIndividual01/01/2024
Nairne, MichaelTrustee of the SNFIndividual01/01/2021
Nelson, HughTrustee of the SNFIndividual01/01/2024
Reid, MauriceTrustee of the SNFIndividual01/01/2021
Rovt, AlexanderTrustee of the SNFIndividual01/01/2021
Scagnelli, MichaelTrustee of the SNFIndividual01/01/2021
Shelton, MarkTrustee of the SNFIndividual01/01/2021
Shtern, NusinTrustee of the SNFIndividual01/01/2021
Waterman, RobertTrustee of the SNFIndividual01/01/2021
Wells, EdnaTrustee of the SNFIndividual01/01/2021
White, HennaTrustee of the SNFIndividual01/01/2021
Essen Medical Associates, PCAdp of the SNFOrganization01/01/2025
One Brooklyn Health System, IncAdp of the SNFOrganization04/29/2025
Figueroa, MichelleAdp of the SNFIndividual01/01/2023
Garcia, LisaAdp of the SNFIndividual03/28/2022
Parajuli, SunitaAdp of the SNFIndividual01/01/2025
Pollack, NeilAdp of the SNFIndividual01/01/2020
Rosenfeld, PaulAdp of the SNFIndividual01/02/2018
Scott, SandraAdp of the SNFIndividual01/01/2024

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. When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on March 31, 2025: "Ensure each resident receives an accurate assessment."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on July 9, 2025: "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."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on March 19, 2026: "Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on June 12, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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New York contacts for a concern about a nursing home

These are the official offices in New York. NursingHomeClear cannot take or act on complaints.

Common questions

What is Rutland Nursing Home, Inc's Medicare star rating?
CMS rates Rutland Nursing Home, Inc 3 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Rutland Nursing Home, Inc get at its last inspection?
13 health deficiencies at the standard inspection on March 31, 2025. The New York average is 8.1.
Has Rutland Nursing Home, Inc been fined?
Yes. CMS lists 1 fine totaling $55,231 in the last three years.
Does Rutland Nursing Home, 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 Rutland Nursing Home, Inc?
CMS lists 55 owners and managers. Legal business name: RUTLAND NURSING HOME INC.

Sources

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