2000 East Main Street, Peekskill, NY 10566 · Westchester County · (914) 737-8400
100 certified beds, about 90 residents a day · For profit - Corporation · Medicare and Medicaid since 1967
CMS Care Compare ratings, data as of September 1, 2026 · CCN 335003 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on November 8, 2024, inspectors cited 9 health deficiencies (the New York average is 8.1, the national average 9.2).
Of 26 health citations since January 2019, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $139,425 in the last three years; the largest was $139,425, and the latest is dated August 28, 2024.
Nurses and nurse aides worked 3.15 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.53 of those hours.
33.3% of nursing staff left within the year CMS measured (New York average 40.3%).
CMS links it to Carerite Centers, an affiliated group of 34 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 26 health citations on file.
Inspectors wroteBased on record review and interview conducted during the recertification survey from 11/4/2024 to 11/8/2024, the facility did not ensure Annual Performance Reviews were completed at least once every 12 months. Specifically, the facility was unable to provide Annual Performance Reviews for 5 of 5 Staff Members ( #11, #12, #13, #14, #15) reviewed.
Inspectors wroteBased on observation, interview, and record review conducted during the recertification survey from 11/4/2024 to 11/8/2024, the facility did not ensure the resident's right to a sanitary environment. This was evident during environmental observation of 1 (3rd Floor) of 2 resident units. Specifically, the shared resident bathrooms between rooms [ROOM NUMBERS] and rooms [ROOM NUMBERS] were observed with a strong odor of urine on multiple occasions.
Inspectors wroteBased on record review and interviews during the Recertification survey from 11/3/2024 to 11/8/24, the facility did not ensure that a complete preadmission screening for individuals with a mental disorder was conducted. This was evident for 1 of 24 residents (Resident #82) reviewed for Preadmission Screening and Resident Review (PASARR) out of 24 sampled residents. Specifically, the SCREEN DOH 695 form was incomplete and a determination of a resident's need for Level II services had not been documented.
Inspectors wroteBased on observation, interview, and record review conducted during the recertification survey from 11/4/2024 to 11/8/2024, the facility did not ensure services provided met professional standards of quality. This was evident for 1 (Resident #20) of 4 residents reviewed for pressure ulcers out of 22 total sampled residents. Specifically, Licensed Practical Nurse #1 discontinued a physician ordered wound care treatment for Resident #20 without notifying the provider for an order to discontinue.
Inspectors wroteBased on observation, interview, and record review conducted during the recertification survey from 11/4/2024 to 11/8/2024, the facility did not ensure a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing. This was evident for 1 (Resident #20) of 4 residents reviewed for pressure ulcers. Specifically, Licensed Practical Nurse #1 discontinued a physician ordered wound care treatment for Resident #20 without notifying the provider and getting an order to discontinue.
Inspectors wroteBased on observation, record review, and interviews conducted during the recertification and abbreviated survey (NY00338157) conducted 11/4/2024 to 11/8/2024, the facility did not ensure they provided medications and/or biologicals, as ordered by the prescriber, to meet the needs of 1 (Residents #184) of 2 residents reviewed for Pharmacy Services. Specifically, Resident #182 did not receive methylprednisolone (a medication used to treat lupus) on 3/30/24 and 3/31/24. The medication was not acquired from the pharmacy and administered as ordered.
Inspectors wroteBased on record review and interviews during a survey from 11/4/24-11/8/24, the facility did not ensure each resident's drug regimen was free from unnecessary drugs, use for 1 (Resident #73) of 5 residents reviewed for unnecessary drugs. Specifically, Resident #73 had an order for Tramadol 50 milligrams three times a day for a pain scale of 5-10 and was administered 12 times from 11/1/24-11/6/24 with a pain scale less than 5.
Inspectors wroteBased on observation and interview conducted during a recertification survey from 11/04/24 to 11/08/2024, the facility failed to provide separately locked, permanently affixed compartments for storage of controlled substances on 1 of 2 facility units (Third Floor) reviewed for drug storage. Specifically, injectable Ativan (a controlled substance) was not stored in a double locked permanently affixed compartment.
Inspectors wroteBased on observation, record review, and interviews conducted during a recertification survey from 11/4/2024 to 11/8/2024, the facility did not ensure infection control and prevention practices were maintained. This was evident for 2 (Resident #11 and #14) residents during a dining observation and 2 (Resident #70 and #38) of 4 residents during medication administration observation. Specifically, 1) Certified Nurse Aide #16 was observed feeding Residents #11 and #14 without performing hand hygiene between residents, and 2) Licensed Practical Nurse #1 was observed administering medication to Residents #70 and #38 without performing hand hygiene after touching other items in the room and administering eye drops.
Inspectors wroteBased on record reviews and interviews during the abbreviated surveys (NY00321069), it was determined the facility failed to ensure each resident received adequate supervision and assistance to prevent accidents for one (1) of three (3) residents (Resident #1) reviewed for accidents. Specifically, Resident # 1 fell from their bed on [DATE] when the plan of care for a 2-person assist with bed mobility was not followed. Resident #1 sustained a subdural hemorrhage (brain bleed) and a lip laceration. The resident expired in the hospital on [DATE]. This resulted in actual harm that was not immediate jeopardy.
Inspectors wroteBased on record review, and interviews during the Abbreviated Survey (NY 00315316) the facility did not ensure that all alleged violations involving abuse were reported immediately, but not later than two hours to the New York State Department of Health. This was identified for one (Resident #2) of 3 residents reviewed for abuse. Specifically, the facility received an accusation of abuse of Resident #2 on 4/24/2023 and did not report the allegation of abuse to the New York State Department of Health.
Inspectors wroteF580 Based on record review and interviews conducted during an abbreviated survey on 3/20/2024 (NY00305021), the facility did not ensure that a resident representative or their physician was informed of the need to alter treatment to gradually reduce a resident's psychotropic medication for 1 of 3 residents reviewed. Specifically, on 9/9/2022 through 10/31/2022 the facility initiated a gradual reduction of Resident #1(who had a diagnosis of schizophrenia) psychotropic medications (Clozapine and Risperdal), despite a recommendation from the psychiatrist to maintain psychotherapy until the next follow up. Resident #1's representative or psychiatrist was not notified of significant alteration in treatment. [...]
Inspectors wroteBased on observations and interviews conducted during a recertification survey, the facility did not ensure food was stored in accordance with professional standards for food service safety in a manner to prevent contamination. Specifically, a 5-pound package of open cheese and 5-pound package of open boloney which were not dated to document date of having been opened were observed in the refrigerator in the kitchen, and 3 boxes frozen apple juice and 3 boxes frozen orange juice were observed sitting on a cart in the kitchen at room temperature.
Inspectors wroteBased on observation, interviews, and record review, the facility did not ensure infection control/infection precautions were maintained to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, hand hygiene was not performed appropriately during wound care. This was evident for 2 of 5 residents reviewed for Pressure Ulcer/Injury. (Resident #4 & #30).
Inspectors wroteBased on observations, record reviews and interviews on a recertification survey, the facility did not ensure the resident's right to a dignified existence for 2 of 2 residents screened for dignity. Specifically, for Resident #30, the privacy curtain was not pulled between the Resident and roommate, Resident #78, during a dressing change, exposing Resident #30 right thigh and legs and Resident #54 was not provided privacy with a drawn privacy curtain during a wound dressing change and uncovered skin was exposed and visible to the resident's roommate, Resident #60.
Inspectors wroteBased on record review and interviews during Recertification Survey and Abbreviated Survey (#272045) the facility did not ensure the Comprehensive Care Plan was implemented to meet the needs for 1 of 6 Residents (#391) reviewed for Nutrition. Specifically, the CCP was not developed to address a resident at risk for weight loss. The CCP did not document frequency of weight monitoring as documented in the physician's order. The CCP also did not document measurable goals or timeframes. The Findings Are: The Policy and Procedure titled Care Plans, Comprehensive Person Centered (Revised December 2016) documented the CCP should meet the resident ' s physical, psychosocial and functional needs and is developed and implemented for each resident. [...]
Inspectors wroteBased on record review and staff interviews during Recertification Survey conducted the facility did not ensure a resident who required dialysis receive services consistent with professional standards of practice for 1 of 2 residents (#81) reviewed for Dialysis. Specifically, the facility did not ensure that for Resident #81 ongoing communication and collaboration with the dialysis facility regarding dialysis care/services and physician orders for the delivery of dialysis. The Finding is: The facility manual titled Dialysis section D; Post Dialysis Monitoring dated 2/11/21 documented a) licensed nurse should obtain blood pressure, pulse, pressure/absence of bruit/thrill as indicated and b) licensed nurse will monitor for signs/symptoms of fluid overload/deficit. Section G: [...]
Inspectors wroteBased on observations, interviews and record review on a recertification survey, the facility did not ensure that residents were free from significant medication errors. Specifically, a resident did not have fingerstick blood sugar (FSBS) performed as ordered and subsequently did not receive insulin to lower elevated blood glucose level. This was evident for 1 of 6 residents reviewed for Unnecessary Medication out of a sample of 24 residents. (Resident # 30) The finding is: The facility policy dated 9/23/21 titled Schedule for Medication Administration documented it is the policy of Emerald Peek Rehabilitation and Nursing Center to have a uniform schedule medication administration. The purpose is to ensure timely and accurate administration of medications by all nursing staff during all shifts. Medications administered four times a day shall be 09:00AM, 01:00PM, 05:00PM, 09:00PM. [...]
Inspectors wroteBased on observation and interview during the recertification survey, the facility did not ensure the safe and secure storage of medications in accordance with currently accepted professional standards. Specifically, a medication cart was observed unattended, with a Novolog insulin pen unattended placed on top of the medication cart. This was evident on one of two units. The finding is: On 12/14/21 at 12:32 PM, on the 3rd floor unit, the medication cart was observed unattended. A Novolog insulin pen was observed on top of the medication cart. During an interview on 12/14/21 at 12:35 PM, an interview was conducted with Licensed Practical Nurse (LPN #1) who stated, I forgot to put the medication into the cart and lock it. I should have locked it up because someone could have come and taken it. 483.45(H)
Inspectors wroteBased on interview and record review the facility did not ensure that written notification of hospital transfers was communicated to the family and to the Ombudsman's office. This was evident for 1 resident reviewed for hospitalization. (Resident #'s 75).
Inspectors wrote2. Resident # 23 was admitted to the facility on [DATE]. The resident's current diagnoses included Cardiovascular Disease, Hemiplegia and Diabetes Mellitus. The annual MDS dated [DATE] revealed that the BIMS (Brief Interview for Mental Status) score was 15 out of a possible 15 indicating no cognitive deficits. Resident # 23 was interviewed on 1/14/19 at 1:00 PM. When the resident was asked if she was invited to care plan meetings she stated she didn't know anything about them. During an interview with the Director of Social Work on 1/15/19 at 10:00 AM she stated that she is responsible for inviting the resident and or representative to the comprehensive care plan (CCP) meeting. She further stated that the resident is overdue for a comprehensive care plan meeting. [...]
Inspectors wroteBased on interview and record review conducted during the recertification survey, the facility did not ensure that 1 of 2 residents (#62) reviewed for quality of care issues related to constipation/diarrhea were provided the necessary care to maintain bowel regularity and skin integrity, and 2 of 2 residents (#5) and (#53) reviewed for position and mobility were provided necessary positioning devices. Specifically, 1) bowel movements were not consistently monitored and recorded in accordance with the plan of care for Resident #62 and the necessary interventions in accordance with the facility's bowel protocol were not implemented for the resident; 2) physician's orders for R#5 use of a left hand palm protector was not consistently implemented and 3) physician's orders for R#53 use of a knee separator when out of bed was not consistently implemented.
Inspectors wroteBased on observation, record review and interview conducted during the recertification survey, the facility did not ensure that a resident received treatment and services to prevent and/or heal pressure ulcers. Specifically, there was no evidence the facility thoroughly implemented interventions to remove risk factors when a resident developed a pressure ulcer. This was evident for 1 of 3 residnets reviewed for pressure ulcers. (Resident #73).
Inspectors wroteBased on observation, interview and record review the facility did not ensure that parameters of nutritional status were maintained for 2 residents. Specifically, two residents experienced a consistent weight loss since admission to the facility that had not been adequately addressed.(Resident #70 and # 88).
Inspectors wroteBased on observation and interview conducted during the recertification survey, the facility did not ensure that the staff followed proper hand hygiene during meals.
Inspectors wroteBased on observation and interviews conducted during the most recent recertification survey, the facility did not ensure that floors in multiple resident rooms and in hallways on 2 of 2 units ( rooms 202, 203, 204, 206, 207, 208, 210, 211, 301, 309, 311, 314, 317, 318, 321 and 325 were maintained in a clean and homelike manner.
36 fire safety citations on file: 14 on November 8, 2024, 13 on December 22, 2021, 9 on January 18, 2019.
| Date | Penalty | Amount or length |
|---|---|---|
| August 28, 2024 | Fine | $139,425 |
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) | 3.15 | 3.63 | 3.86 |
| Registered nurses | 0.53 | 0.71 | 0.69 |
| All nursing staff on weekends | 2.89 | 3.18 | 3.42 |
| Nurse aides | 1.77 | ||
| Licensed practical nurses | 0.84 | ||
| Nursing staff turnover (share who left in a year) | 33.3% | 40.3% | 45.8% |
| Registered nurse turnover | 23.5% | 39.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.69 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 3.25 on weekdays and 2.89 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.27 in April to June 2025 to 3.15 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 | 3.15 | 0.53 | 3.25 | 2.89 | 1.7% | 0 of 90 | 90 |
| Oct to Dec 2025 | 3.15 | 0.48 | 3.26 | 2.86 | 3.1% | 0 of 92 | 91 |
| Jul to Sep 2025 | 3.22 | 0.52 | 3.34 | 2.91 | 3.4% | 0 of 92 | 89 |
| Apr to Jun 2025 | 3.27 | 0.49 | 3.36 | 3.02 | 1.1% | 0 of 91 | 89 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New York, Jan to Mar 2026 | 3.55 | 0.68 | 3.72 | 3.13 | 9.8% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| New York, all employers | |||
| CNAs (nursing assistants) | $23.36 | $21.04 to $24.99 | 87,990 |
| LPNs and LVNs | $32.30 | $29.52 to $37.00 | 39,400 |
| Registered nurses | $52.62 | $45.60 to $62.34 | 205,810 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New York | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 20.7 | 14.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 1.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.1 | 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 | 23.2 | 12.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.1 | 6.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.1 | 13.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.2 | 20.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.4 | 9.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.4 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for The Emerald Peek Rehabilitation and Nursing Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (51.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
51.2% 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. 136 eligible stays.
9.1% 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. 131 eligible stays.
6.5% 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. 80 eligible stays.
71.8% 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. 85 residents counted.
0.9% 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. 116 residents counted.
1.7% 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. 116 residents counted.
100.0% 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. 54 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: WEST LEDGE OP LLC. CMS links this home to Carerite Centers, a group of 34 nursing homes averaging 3.6 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Einhorn, Sharon | 5% or greater direct ownership interest | Individual | 43% | 04/01/2016 |
| Friedman, Devorah | 5% or greater direct ownership interest | Individual | 43% | 04/01/2016 |
| Shur, Shaindl | 5% or greater direct ownership interest | Individual | 04/01/2016 | |
| Einhorn, Sharon | Managing control - governing body | Individual | 04/01/2016 | |
| Friedman, Devorah | Managing control - governing body | Individual | 04/01/2016 | |
| Salem, Anthony | Operational/managerial control | Individual | 10/17/2024 | |
| Stojadinovic, Biljana | Operational/managerial control | Individual | 09/10/2020 | |
| Unterreiner, Sara | Operational/managerial control | Individual | 04/05/2005 | |
| Salem, Anthony | Adp of the SNF | Individual | 10/17/2024 | |
| Stojadinovic, Biljana | Adp of the SNF | Individual | 09/10/2020 | |
| Unterreiner, Sara | Adp of the SNF | Individual | 04/05/2005 | |
| Zucker, Yossie | Adp of the SNF | Individual | 04/01/2016 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
Licensed assisted living homes in the same town or within 5 miles, each with its New York inspection record.
These are the official offices in New York. NursingHomeClear cannot take or act on complaints.