3230 Church Street, Valatie, NY 12184 · Columbia County · (518) 758-6222
236 certified beds, about 229 residents a day · For profit - Partnership · Medicare and Medicaid since 1976
CMS Care Compare ratings, data as of September 1, 2026 · CCN 335565 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 19, 2026, inspectors cited 16 health deficiencies (the New York average is 8.1, the national average 9.2).
Of 74 health citations since April 2024, 4 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).
CMS lists 4 fines totaling $180,573 in the last three years; the largest was $105,846, and the latest is dated May 19, 2026.
Nurses and nurse aides worked 2.54 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
42.5% of nursing staff left within the year CMS measured (New York average 40.3%).
CMS links it to The Grand Healthcare, an affiliated group of 16 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 74 health citations on file.
Inspectors wroteBased on interviews and record review, the facility failed to ensure residents were free from abuse, neglect, misappropriation of resident property and exploitation for one out of three residents reviewed for abuse. Specifically, the Facility Incident Report documented on 05/26/2026, Resident #1 became combative during the provision of care and Resident #1 struck Certified Nurse Aide #1 in the face. Certified Nurse Aide #2 reported that Certified Nurse Aide #1 then struck Resident #1 in the face in response. Care continued to be provided to the resident, and it was documented the resident had a bloody nose. The resident was not reapproached or redirected after striking Certified Nurse Aide #1. This resulted in actual harm to Resident #1 that was not Immediate Jeopardy.
Inspectors wroteBased on record reviews and interviews, the facility failed to ensure that all allegations of abuse or neglect were reported immediately to the facility administrator. Specifically, Certified Nurse Aide #2 stated they witnessed Certified Nurse Aide #1 strike Resident #1 in the face and did not report it until two and a half hours later.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure correct installation, use, and maintenance of bed rails (side rails, safety rails, grab bars, assist bars, enabler bars) to ensure there was no gap between the bed rail and mattress wide enough to entrap a resident's head or body for four of four residents (Residents #3, #10, #12, #101, and #112) reviewed. Specifically, Resident #10's bed rail failed the entrapment zone test in Zone 3 (space between the mattress and the bed rail); Resident #101's bed rail failed the entrapment zone test in Zone 1 (space within the bed rail itself); and Residents #3, #10, #12, #101, and #112 did not have routine inspections of their mattress and/or bed rails for areas of possible entrapment. [...]
Inspectors wroteBased on observations and interviews, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety and to prevent an outbreak of food borne illness in one (1) of one (1) main kitchen. Specifically, the 3-bay sink chemical sanitizer concentration was not within manufacturer range and subsequently the Food Service Director did not monitor chemical sanitizing; Dietary Aide #32 was reusing trays and plate covers without sanitizing them; Cooks #55 and #56 improperly cooled potentially hazardous food on the kitchen counter; Dietary Aide #57 stacked pans that were not air dried; and there were unlabeled items and staff food in the kitchen reach in refrigerator.
Inspectors wroteBased on observations and interviews, the facility failed to ensure residents were provided food and drink that was palatable, flavorful, and at an appetizing temperature for two (2) of two (2) test trays (05/13/2026 breakfast meal and 05/19/2026 lunch meal). Specifically, food was not served at palatable and appetizing temperatures during the breakfast meal on 05/13/2026 and lunch meal on 05/19/2026.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to establish and maintain 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 three (3) of six (6) residents (Residents #2, #5 and #62) reviewed. Specifically, Resident #5's urinary catheter drainage bag was placed directly on the floor; Resident #2 was on enhanced barrier precautions and Licensed Practical Nurse #38 provided medications via a feeding tube without wearing required personal protective equipment; and Resident #62 was on contact precautions for clostridium difficile (a highly infectious bacteria) and Certified Nurse Aide #39 entered and exited their room, removed a food tray wearing only gloves and without performing hand hygiene.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to promote and facilitate resident self-determination including the resident's right to make choices about aspects of daily life that are significant to the resident for one (1) of five (5) residents (Resident #198) reviewed. Specifically, Resident #198 requested to be transferred back into bed and was not assisted timely after their request.
Inspectors wroteBased on observations, record review, and interviews (iQIES intake 2961519), the facility failed to ensure a safe, clean, comfortable, and homelike environment for one (1) of six (six) resident units (Unit 3) and one (1) of six (6) unit dining rooms (Unit 3 dining room). Specifically, room [ROOM NUMBER] on Unit 3 had an unpainted patched wall, a wall with several long areas of scratched sheetrock, and missing and chipped paint on the bathroom door; the Unit 3 main dining room ice dispenser was not working and the basin that caught water was unclean.
Inspectors wroteBased on observations, record review, and interviews (IQIES intake 3011442), the facility failed to ensure all alleged violations involving abuse, neglect, or mistreatment were thoroughly investigated for one (1) of two (2) residents (Resident #46) reviewed. Specifically, Resident #46 was observed with a large bruise covering the left side of their face and there was no documented evidence the injury was thoroughly investigated to rule out abuse.
Inspectors wroteBased on record review, and interviews (iQIES 2579030), the facility failed to ensure that it provided sufficient preparation to residents to ensure a safe and orderly transfer or discharge from the facility for one (1) of three (3) residents (Resident #240) reviewed. Specifically, Resident #240 was discharged from the facility without notification to the receiving social services department, without safe/secure housing, and without ensuring the resident had access to outside services.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to implement a comprehensive person-centered care plan to meet a resident's needs one (1) of two (2) residents (Resident #11) reviewed. Specifically, Resident #11 was not provided with 1:1 assistance with meals as planned.
Inspectors wroteBased on observations, record review, and interviews (iQIES intakes 2697750, 2747995, 279049, 2961519, and 2970887), the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good nutrition, grooming, personal and oral hygiene for two (2) of nine (9) residents (Residents #4 and #46) reviewed. Specifically, Resident #4 was not provided with a shower as planned and was not assisted with shaving per the resident's preference; and Resident #46 was not assisted with feeding as planned.
Inspectors wroteBased on record review and interviews (iQIES Intakes 2747995, 2961519, 2976530), the facility failed to ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for one of 12 residents (Resident #56) reviewed. Specifically, Resident #56 had a fall that was not immediately reported, and diagnostic imaging was not completed as ordered to rule out fracture.
Inspectors wroteBased on observation, record review, and interview the facility failed to ensure that a resident who needed respiratory care was provided such care, consistent with professional standards of practice for one (1) of one (1) resident (Resident #3) reviewed. Specifically, Resident #3 was observed with a BiPAP (bilevel positive airway pressure) machine in their room and did not have a physician order or care plan for the device, and the mask was unclean.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to ensure that residents who required dialysis services (a process that filters blood when the kidneys do not work efficiently) received such services consistent with professional standards of practice for one (1) of one (1) resident (Resident #122) reviewed. Specifically, Resident #122 received dialysis, had a dialysis access and there was no documented evidence pre and post dialysis evaluations were consistently completed. Findings Include:The facility policy Dialysis Communication, last reviewed 01/2026, documented on the days of dialysis the nurse will take vital signs and document relevant labs and pre-dialysis weight in the dialysis communication book. An evaluation of the resident's access site will be completed and all findings documented in the communication book as well as the resident's medical chart. [...]
Inspectors wroteBased on observation, record review, and interviews, the facility failed to ensure a resident who displayed or was diagnosed with a mental disorder received appropriate treatment and services to correct the assessed problem or to attain the highest practicable mental and psychological well-being for one (1) of five (5) residents (Resident #145) reviewed. Specifically, Resident #145 had a history of anxiety and depression, expressed worsening depression symptoms and there was not consistent or timely support provided by the facility addressing the resident's psychosocial well-being.
Inspectors wroteBased on observations and interviews the facility failed to ensure drugs and biologicals were labeled in accordance with currently accepted professional standards and principles for one (1) of six medication carts (Unit 5 B Medication cart) reviewed. Specifically, the Unit 5 B Medication Cart had one (1) undated Humalog insulin vial and one (1) expired Trelogy Inhaler cartridge.
Inspectors wroteBased on observations and interviews, the facility failed to ensure the daily current resident census, the total number, and the actual hours worked by licensed and unlicensed nursing staff directly responsible for resident care per shift was posted in a prominent location readily accessible to residents and visitors for three 3 of 4 days reviewed. Specifically, daily nurse staffing was not posted daily at the beginning of each shift and in a prominent location on 5/9/2026, 5/10/2026, and 5/11/2026 as required.
Inspectors wroteBased on record review and interviews during an abbreviated survey (Case #s NY00376223 and NY00377464), the facility did not ensure it established a system of records of receipt and disposition of all controlled drugs in sufficient detail to enable accurate reconciliation and that it determined that drug records were in order and that an account of all controlled drugs was maintained and periodically reconciled. Specifically, (a) the facility did not ensure narcotics were counted by two (2) licensed staff members on the B-side of unit two (2), on 2/23/2025 at the end of the 3:00 PM to 11:00 PM shift. On 2/24/2025, the 7:00 AM - 3:00 PM nurse discovered twenty (20) Oxycontin extended release 10 milligram (extended-release narcotic pain medication) prescribed for Resident #1 were missing. [...]
Inspectors wroteBased on record review and interviews during an abbreviated survey (Case #s NY00376223 and NY00377464), the facility did not ensure residents were free from significant medication errors for seven (7) (Resident #s 2, 3, 4, 5, 6, 7, and 12) of seven (7) residents reviewed. Specifically, the facility did not ensure accurate medication administration and documentation of controlled substances for a) Clonazepam (treats anxiety) for Resident #s 2, 5, and 12, b) Clonazepam and Tramadol (narcotic pain medication) for Resident #3, c) Alprazolam (treats anxiety) for Resident #4, and d) Oxycodone (narcotic pain medication) for Resident #s 6 and 7. This is evidenced by: [...]
Inspectors wroteBased on observation and interviews conducted during the recertification and abbreviated (Case #'s NY00350251, NY00357834, NY00359849, NY00360717) survey, the facility did not provide effective housekeeping and maintenance services on six (6) of six (6) resident units. Specifically, floors and resident units were not clean and maintained. This is evidenced by: During observations on 6/08/2025 between 1:30 PM and 5:30 PM: • The floors were sticky in the corridors on resident units One (1), Three (3), and Six (6). • The floors were sticky in resident Room #s 305, 605, and 606. • Trash was found in the corridor on Unit One (1). • The bathroom toilet and floor were soiled in resident room [ROOM NUMBER]. • The bathroom floor was littered wads of used toilet paper, and the wallpaper was improperly patched in resident room [ROOM NUMBER]. [...]
Inspectors wroteBased on observation, record review, and interviews during a recertification and abbreviated (Case #s NY00350251, NY00350678, NY00350852, NY00359849, NY00366370, NY00380238, and NY00381177, NY00360717) 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, (a.) staff reported a lack of sufficient staffing, and (b.) residents reported during interviews that the facility was short-staffed at times, and this resulted in call bells not being answered promptly and long wait times for care to be provided. This is evidenced by: Upon entrance to the facility on 6/08/2025, there were 222 residents residing in six (6) units. [...]
Inspectors wroteBased on record review and interview conducted during the recertification and abbreviated survey (Case #'s NY00349022 and NY00368315), the facility did not ensure licensed nurses and Certified Nurse Aides had the specific competencies and skills necessary to care for residents' needs. Specifically, nursing staff did not possess the knowledge needed to complete the tasks assigned to their position regarding the mentally disabled and intellectually disabled residential population. This is evidenced by: The facility assessment dated [DATE] documented the following: - Section 1.1 resident profile numbers documented that they are licensed to care for 236 residents with six nursing units. Units 3,4,5, & 6 are each 40-bed units that are for long-term care. Unit 1 is a 30-bed secured unit for those with Dementia/Alzheimer's. [...]
Inspectors wroteBased on observation, record review, and interviews conducted during the recertification and abbreviated survey (Case #'s NY00349022, NY00360717, NY00368315, NY00369256, NY00374241), the facility did not ensure drugs and biologicals were labeled and stored in accordance with professional standards of practice for one (1) (3rd floor) of three (3) (medication rooms and five (5) of six (6) (2nd floor cart A; 3rd floor cart A; 4th floor (cart A and B; and 5th floor cart A), medication carts reviewed. Specifically, (a.) 1 bottle of purified protein derivative (PPD) solution had no open and or expiration date; (b.) an opened insulin vial had no open and or expiration date; (c.) one (1) inhaler had no open and or expiration date; (d.) a bottle of liquid Metformin had no open or expiration date; (e.) 2 stock medications had expired; (f.) 8 opened stock medications had illegible expiration dates; [...]
Inspectors wroteBased on record review, observations and interviews during the recertification survey and abbreviated survey (Case #'s NY00366370, NY00349022, NY00365338), the facility did not ensure each resident received and the facility provided, food and drink that was palatable, attractive, and at a safe and appetizing temperature of greater than 135 degrees Fahrenheit (F) for warm food and less than 41 degrees Fahrenheit for cold food for four (4) (Resident #s 23,35, 109, and 198) of four (4) residents reviewed. Specifically, (a.) residents complained that the food was cold, appeared uncooked, and was generally unpalatable during the resident council meeting; (b.) Resident #23 complained about cold, undercooked, and unappetizing food; (c) Resident #35's meal was not palatable and not served at a safe and appetizing temperature during lunch service on 6/13/2025; [...]
Inspectors wroteBased on observation, record review, and staff interview conducted during the recertification survey, the facility did not prepare and store food in accordance with professional standards for food service safety in the main kitchen and six (6) of six (6) kitchenettes. Specifically, food was not cooled safely, the automatic dishwashing machine was not operating within specifications, test papers to check sanitizing solution were not available, and equipment was not clean. This is evidenced by: During observations on 6/08/2025 from 1:34 PM through 2:34 PM: Stewed beef labeled as prepared on 6/07/2025 was 47 degrees Fahrenheit: Dietary Supervisor #1 immediately disposed the beef. The automatic dishwashing machine final rinse temperature was 173 degrees Fahrenheit at 5 pounds per square inch water pressure: [...]
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 the recertification survey, it was determined the facility was not administered in a manner to effectively use its resources to attain or maintain the highest practicable well-being of each resident. The administration failed to ensure the facility was in compliance with the following regulatory requirements, which affected or potentially affected all residents in the facility. These failed practices directly impacted 37 of 37 residents sampled (Resident #s 8, 11, 12, 16, 23, 27, 35, 36, 42, 43, 44, 59, 64, 78, 84, 89, 98, 101, 104, 107, 109, 120, 143, 147, 148, 158, 164, 166, 167, 171, 177, 183, 190, 192, 198, 202, 220, 221, 222, 473, 474, 524, and #723). [...]
Inspectors wroteBased on observation, record review, and interviews during an onsite post-survey revisit conducted from 10/29/2025 through 11/05/2025, the facility did not ensure it had an active governing body that was responsible for establishing and implementing policies regarding the management of the facility. Specifically, based on multiple deficient practices that were identified during the onsite Post Survey Revisit and continued deficient practices identified during the post-survey revisit in the areas of (F644), (F804), and (F835), there was inconsistent communication between the facility Administrator and the Governing Body to ensure management of the facility and regulatory compliance. [...]
Inspectors wroteBased on observation, record review, and interviews conducted during the recertification and abbreviated survey, ( Case #s NY00382178, NY00381725, NY00381177, NY00377863, NY00376073, NY00375451, NY00374739, NY00374241, NY00371608, NY00371134, NY00370863, NY00369256, NY00368315, NY00366370, NY00365338, NY00365247, NY00364461, NY00362053, NY00361234, NY00360717, NY00360609, NY00359849, NY00359427, NY00357834, NY00357492, NY00354249, NY00352656, NY00351455, NY00351346, NY00351150, NY00350999, NY00350852, NY00350771, NY00350678, NY00350495, NY00350251, NY00350241, NY00349939, NY00349553, NY00349022), the facility did not ensure a quality assessment and assurance committee developed and implemented appropriate plans of action to correct identified quality deficiencies. [...]
Inspectors wroteBased on observation, record review, and interviews conducted during the recertification and abbreviated survey (Case #'s NY00350852, NY00350999, NY00351150, NY00351346, NY00351455, NY00352656, NY00362053, NY00365247, NY00349022, NY00349553, NY003716080), the facility did not ensure the resident's right to be free from abuse and neglect for four (4) (Resident #s 52, 158, 192, and 208) of ten (10) residents reviewed for abuse and neglect. Specifically, (a.) on 10/16/2024, Resident #192 was injured by Resident #158 after the resident entered their room and hit them in the face causing a laceration to Resident #192's face above and below their left eye requiring an emergency room visit. Resident #158 was sent out for evaluation to the emergency room due to repeated aggressive behaviors; [...]
Inspectors wroteBased on record review and interviews conducted during a recertification and abbreviated (Case #'s NY00349022, NY00349553, NY00350241, NY00350495, NY00351346, NY00357834, NY00368315, NY00369256) survey, the facility did not develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights that includes measurable objectives and timeframe's to meet a resident's medical, nursing, mental, and psychosocial needs that were identified in the comprehensive assessment for seven (7) (Resident #s 59, 98, 104, 167, 171, 198, and 524) of 37 residents reviewed for care plans. Specifically (a.) Resident #104 was a risk for elopement, and their electronic monitoring device was not implemented and continued upon return from the hospital on 5/16/2025; (b.) Resident #171 was assessed to have a small open area to their coccyx area on 2/16/2025. [...]
Inspectors wroteBased on observations, record reviews and interviews conducted during a recertification and abbreviated survey, (Case #'s NY0035099, NY00371608, NY00349022, NY00350241, NY00350495, NY00351346, NY00357492, NY00357834, NY00365247, NY00366370, NY00368315, NY00369256) survey, the facility did not ensure comprehensive care plans were reviewed after each assessment and revised based on changing goals, preferences, and needs of the resident and in response to current interventions for six (6) (Resident #'s 16, 101, 147, 158, 198, and 202) of 37 residents reviewed for comprehensive care plans. Specifically, (a.) for Resident #16 comprehensive care plan for dental care was not revised; (b.) for Resident #101 the comprehensive care plan was not revised for refusal of recommended psychotropic medications; [...]
Inspectors wroteBased on observations, record review, and interviews conducted during the recertification survey, the facility did not ensure that each resident received the necessary respiratory care and services that followed professional standards of practice, for six (6) (Residents #s 8, 35, 78, 98, 147, and 190) of seven (7) residents reviewed for oxygen administration. Specifically, (a.) for Residents #s 8, 78, 98, and 190, supplemental oxygen tubing was not dated and labeled to reflect when the tubing was changed; (b.) for Resident #147 supplemental oxygen was not provided as ordered by the physician; and (c.) Residents # 35 and 98 oxygen delivery devices (BiPAP (bilevel positive airway pressure - noninvasive ventilation) machine were not appropriately cleaned to prevent respiratory infections. This is evidenced by: [...]
Inspectors wroteBased on observation, record review, and interviews conducted during a recertification survey, the facility did not ensure that its medication error rate did not exceed 5% for three (3) (Resident #s 46, 206, and 67) of four (4) residents observed during a medication pass for a total of 27 observations. This resulted in an error rate of 59.26%. This is evidenced by: The Policy and Procedure titled, Administering Medications, reviewed 01/25, documented medications would be administered in a safe and timely manner, and as prescribed. Medications would be administered in accordance with the orders, including any required time frame. Medications would be administered within one (1) hour of the prescribed time, unless otherwise specified (for example, before and after meal orders). Resident #46: [...]
Inspectors wroteBased on observations, record review, and interviews during a recertification survey, the facility did not ensure that there was no more than 14 hours between a substantial evening meal and breakfast the following day, except, when a nourishing snack was served at bedtime, up to 16 hours may elapse between a substantial evening meal and breakfast the following day if a resident group agrees to this meal span. Specifically, a nourishing bedtime snack was provided when there was a greater than 14-hour time span between the evening meal and breakfast. This is evidenced by: The Policy and Procedure titled Food and Nutrition Services revised on 1/2025 documented nourishing snacks are available to the residents 24 hours a day. The resident may request snacks as desired, or snacks may be scheduled between meals to accommodate the resident's typical eating patterns. [...]
Inspectors wroteBased on observation, record review, and interview conducted during the recertification survey, the facility did not maintain medical records in accordance with accepted professional standards and practices, as accurately documented and completed for three (2) (Resident #'s 27 and 120) of the 37 residents reviewed. Specifically (a.), for Resident #27, administration of ceftriaxone sodium solution was not accurately documented on the resident's medication administration record at time of administration; (b.) for Resident #120, the Medication Administration Record was not completed to reflect administration of medications. This is evidenced by: [...]
Inspectors wroteBased on observation and interviews conducted during the recertification survey, the facility did not provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public. Specifically, the exterior of the facility building, and the grounds were not clean and maintained. This is evidenced by: During observations on 6/08/2025 at 4:18 PM, the blocks in the retaining wall on the west end of the property were crumbling, the propane tank area was overgrown with vegetation and the wooden fence in disrepair, brickwork in the loading dock wall was crumbling, the east exterior wall stucco had black water staining, and grounds along the west exterior wall was littered and had a build-up of leaves and overgrown vegetation. [...]
Inspectors wroteBased on observation, record review and interviews conducted during the recertification and abbreviated survey (Case #'s NY00350241, NY00366370, NY00368315, NY00369256, and NY00374241), the facility did not ensure each resident was treated with respect and dignity and care in a manner and in an environment that promotes maintenance or enhancement of their quality of life for three (3) (Resident #s 11, 35, and 89) of 35 residents reviewed. Specifically, (a.) Resident #11 expressed in general that certified nurse aides were rude and or ignored them when asking for help; (b.) Resident #35 expressed they did not get out of bed because they were a two-person mechanical lift and there were not enough staff to assist, and or if they were to get out of bed, they would not be able to go back to bed until late night hours. [...]
Inspectors wroteBased on observation, record review, and interviews conducted during a recertification survey, the facility did not ensure a resident was assessed by the interdisciplinary team to determine a resident's ability to safely administer their own medications if clinically appropriate for one (1) (Resident #35) of 37 residents reviewed. Specifically, Resident #35 was observed with a bottle of prescribed fluticasone steroid inhaler and a bottle of unprescribed Deep Sea Nasal spray (purified salt solution nasal spray) in their room and there was no documented evidence of assessment in the medical record and/or physician order for the resident to self-administer the medications. This is evidenced by: [...]
Inspectors wroteBased on observation, record review, and interviews conducted during a recertification survey, the facility did not ensure residents received services in the facility with reasonable accommodation for one (1) (Resident #42) of 37 residents reviewed. Specifically, the Resident #42 did not have a call bell that was accessible as Resident #42 had a visual impairment and the call bell was not left in a spot they could locate. This is evidenced by: [...]
Inspectors wroteBased on record review and interviews conducted during a recertification and abbreviated (Case #'s NY00350852, NY00360717, NY00362053, NY00365247, NY00374739) survey, the facility did not ensure alleged violations involving abuse were reported immediately, but not later than two (2) hours after the allegation was made, if the events that cause the allegation involve abuse, to the administrator of the facility and to other officials (including to the State Survey Agency) in accordance with State law through established procedures for one (1) (Resident #148) of ten (10) residents reviewed. Specifically, an alleged sexual interaction between a physical therapist and Resident #148 on 10/29/2025 was not reported to the New York State Department of Health within two (2) hours of the allegation being made. This is evidenced by: [...]
Inspectors wroteBased on observation, record review, and interviews during the Recertification and abbreviated (Case #'s NY00350678, NY00350852, NY00362053,365247, NY00374739) survey, the facility did not ensure that all allegations of abuse and neglect were thoroughly investigated for one (1) (Resident #89) of ten (10) residents reviewed. Specifically, Resident #89 reported a staff member was rough with them in September of 2024. The investigation was closed without interviewing and or obtaining statement from resident, other residents, staff, family, visitors and or establishing timeline of event. This is evidenced by: [...]
Inspectors wroteBased on record reviews and interviews conducted during the recertification and abbreviated (Case #'s NY00349022, NY00349553, NY00350241, NY00350495, NY00351346, NY00357492, NY00357834, NY00365247, NY00368315, NY00369256) survey, the facility did not ensure assessments accurately reflected the resident's status for one (1) (Resident #167) of 37 residents reviewed. Specifically, for Resident #167, the Minimum Data Set (an assessment tool) did not reflect a diagnosis of a psychiatric condition and the administration of an ordered anti-depressant medication. This is evidenced by: [...]
Inspectors wroteBased on observations, record review, and interviews conducted during the recertification survey, the facility did not ensure assessments were coordinated with the Pre-admission Screening and Resident Review program under Medicaid for two (2) (Resident #s16 and 167) of 37 residents reviewed. Specifically, for (a.) Resident #16, the facility did not ensure that the Pre-admission Screening and Resident Review accurately reflected the resident's abilities, and the services suggested were appropriate for them. Specifically, for Resident #167, the resident was diagnosed with major depressive disorder after admission and no Level II screen was completed to determine if additional services were necessary. [...]
Inspectors wroteBased on record review and interviews during a recertification and abbreviated survey, the facility did not ensure that a Level II PASARR (Preadmission Screening and Resident Review) assessment was reported to the designated agency for one (1) (Resident # 12) of 37 residents reviewed with a diagnosis of mental illness/intellectual disability. Specifically, Resident #12's the Preadmission Screen and the Resident Review form dated completed prior to admission on [DATE] documented Resident #12 triggered for a Level II referral. There was no documented evidence that a Level II was completed. This is evidenced by: Record review of facility policy and procedure titled, PP Screen and PASRR, last revised 1/2025, documented the following: [...]
Inspectors wroteBased on observation, record review and staff interviews conducted during the Recertification and Abbreviated survey (Case #'s NY00349553, NY00351346, NY00357492, NY00365247, NY00365338, NY00371134, NY00366370), the facility did not provide the necessary care and services to ensure that a resident's abilities in activities of daily living (ADLs) do not diminish unless circumstances of the individual's clinical condition demonstrate that such diminution was unavoidable for one (1) (Resident #35) of ten (10) residents reviewed for activities of daily living. Specifically, Resident #35 was not assisted out of bed during observed dates of 6/09/2025, 6/10/2025, 6/11/2025, 6/12/2025, 6/13/2025, 6/16/2026, and 6/17/2025. Resident #35 stated they did not get out of bed because they were a two - person mechanical lift transfer and there were not enough staff to assist. [...]
Inspectors wroteBased on record review and interview conducted during the recertification survey, the facility did not ensure residents received treatment and care in accordance with professional standards of practice for one (1) (Resident # 8) of 37 residents reviewed. Specifically, Resident #8 who was bed bound was not turned and repositioned every 2 hours as required per facility's policy. This is evidenced by: A review of the Policy titled, Repositioning dated 01/2025 documented that the purpose is to provide guidelines for the evaluation of resident repositioning needs, to aid in the development of an individualized care plan for repositioning, to promote comfort for all bed- or chair-bound residents and to prevent skin breakdown, promote circulation and provide pressure relief for residents. Residents who are in bed should be on at least a two-hour repositioning schedule. [...]
Inspectors wroteBased on observations, record review, and interviews conducted during a recertification survey, the facility did not ensure that a resident with limited range of motion received appropriate treatment and services to increase range of motion and/or prevent further decrease in range of motion for one (1) (Resident #171) of one (1) resident reviewed for range of motion. Specifically, for Resident #171, a hand carrot (a device used to address hand contractures) was not applied to the resident's left hand to help prevent contracture. This is evidenced by: [...]
Inspectors wroteBased on observations and interviews conducted during the recertification and abbreviated survey (Case #s NY00350771 and NY00350999), the facility did not ensure that residents were as free from accidents and hazards as possible for three (3) (Resident #s 143, 158, and 192) of nine (9) residents reviewed for accident hazards. Specifically, (a.) for Resident #143, the corridor door to the resident's room was ajar and was unable to be freely closed or opened; (b.) for Resident #158 there was no adequate supervision to prevent an elopement on two different occasions 8/10/2024 and 8/19/2024 when the resident had been identified as an elopement risk from admission; (c.) Resident # 192 was not provided adequate supervision on 8/08/2024, when the resident eloped (left the facility without staff's knowledge). [...]
Inspectors wroteBased on record review, and interviews conducted during a recertification survey, the facility did not ensure that residents who require dialysis received such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for one (1) (Resident #84) of two (2) residents reviewed for dialysis. Specifically, for Resident #84, the facility did not consistently provide ongoing monitoring for complications after dialysis treatments provided at a certified dialysis facility and did not consistently review the resident's dialysis communication book to provide ongoing communication and collaboration with the dialysis facility regarding dialysis care and services. This is evidenced by: Resident #84: [...]
Inspectors wroteBased on record review and interviews conducted during the recertification survey, the facility did not ensure a resident received behavioral health services to attain their highest practicable well-being, in accordance with the comprehensive assessment and plan of care for one (1) (Resident #120) of seven (7) residents reviewed for Behavioral/Emotional Status. Specifically, Resident #120 was diagnosed with a mental illness, received antipsychotic medication, and did not receive psychiatry follow up as ordered. This is evidenced by: Resident #120: [...]
Inspectors wroteBased on record review and interviews conducted during the recertification survey, the facility did not ensure that residents were free of unnecessary medications for one (1) (Resident #104) out of Five (5) residents reviewed. Specifically, Resident #104's medication of Trazodone (an antidepressant) did not include a correct diagnosis for the intended use. This is evidenced by: Resident #104 was admitted to the facility with the diagnoses of Alzheimer's disease (a progressive brain disorder that gradually destroys memory, thinking skills, and eventually, the ability to carry out the simplest tasks), dementia (a decline in mental ability severe enough to interfere with daily life), and dysphagia (difficulty swallowing). [...]
Inspectors wroteBased on observation and interviews during the recertification survey, the facility did not dispose of garbage and refuse properly. Specifically, the trash compactor was leaking waste. This is evidenced by: During observations on 6/08/2025 at 4:19 PM, a black and white oily substance was dripping from the bottom of the trash compactor, puddles of the oily black and white substance were found on the ground below the compactor, and a pungent composting odor was detected in the area around the compactor. During an interview on 6/09/2025 at 1:02 PM, Administrator #1 stated that they would investigate the cause of the compactor leak, replace the compactor if necessary, and clean the grounds below the compactor. New York Codes Rules and Regulations Title 10 415.14(h)
Inspectors wroteBased on observations, record review and staff interviews conducted during the Recertification and abbreviated Survey (Case #s NY00350999 and NY00371608), the facility did not ensure its Facility Assessment considered specific staffing needs for each resident unit. This was identified for six (6) (Unit1, 2, 3, 4, 5 and Unit 6) of six (6) Units reviewed during the Sufficient Staffing Task. Specifically, (a.) the Facility Assessment, last updated on 1/07/2025, did not include a breakdown of the staffing needs for each resident unit; (b.) Unit 2 and Unit 3 were incorrectly identified in the Facility Assessment. Unit #2 was identified as the Rehabilitation Unit and Short-term care unit. Unit #3 was identified as a Long-term care unit; [...]
Inspectors wroteBased on record review and interviews during an abbreviated survey (Case# NY00338151), the facility did not ensure pain management was provided to residents who required such services, consistent with professional standards of practice and the resident's goals and preferences for 1 (Resident #9) of 3 residents reviewed. Specifically, Licensed Practical Nurse #2 did not notify Registered Nurse Supervisor #1 in a timely manner on 3/31/2024, when Resident #9 was in pain and their scheduled Oxycodone (narcotic pain medication) was not available at 12:00 PM. The resident received the medication at 3:15 PM, over 3 hours past the scheduled time. This is evidenced by: Resident #9: Resident #9 was admitted to the facility with diagnoses of inflammatory spondylopathies, sacral and sacrococcygeal region (bone inflammation in the sacrum or coccyx); [...]
Inspectors wroteBased on observation, record review, and interview during the recertification survey, the facility did not ensure a resident received adequate supervision and assistive device to prevent accidents for 1 (Resident #64) of 6 residents reviewed for accidents. Specifically, Resident #64, who was identified as high risk for falls on admission, had a witnessed fall on 7/01/2023 while ambulating without a walker. There were no interventions initiated or implemented following the fall to prevent further accidents. Subsequently, on 9/26/2023 Resident #64 fell and sustained a cervical 1 vertebrae fracture (broken neck). This resulted in actual harm for Resident #64 that is not immediate jeopardy. This is evidenced by: The Policy and Procedure titled Falls and Fall Risk management dated 10/1997, revision dates; [...]
Inspectors wroteBased on observations, record reviews, and interviews during the recertification and abbreviated survey (Case #NY00341467), the facility did not ensure each resident was treated with respect, dignity, and cared for each resident in a manner and in an environment that promoted maintenance or enhancement of his or her quality of life, recognizing each resident's individuality for 5 (Residents #s 26, 66, 71, 108, and 180) of 37 residents observed in 4 of 6 dining rooms reviewed for respect and dignity. Specifically, Resident #s 26, 66, 71,108, and 180 were served with disposable utensils during meals. This is evidenced by: [...]
Inspectors wroteBased on observations, record review and interviews during a recertification survey, the facility did not ensure a comprehensive person-centered care plan was developed and implemented for each resident consistent with resident rights and that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 3 (Residents #108, 118 and 376) of 37 residents reviewed for comprehensive care plans. Specifically, for (a)Resident #108, a comprehensive care plan addressing oxygen use was not developed; for (b) Resident #118, a care plan to address the diagnosis of post-traumatic stress syndrome and a trauma informed comprehensive care plan were not developed; [...]
Inspectors wroteBased on observations, record review, and interviews conducted during a recertification survey, the facility did not ensure Comprehensive Care Plans were reviewed and revised based on changing goals, preferences, and needs by the interdisciplinary team after each assessment for 3 (Residents #64, 75, and 200) of 37 residents reviewed for care plans. Specifically, (a) Resident #64 was identified as high risk for falls on admission and fell (witnessed) on 7/01/2023 while ambulating without a walker. The comprehensive Care Plan for Falls was not revised to include interventions initiated or implemented to prevent further accidents following the fall. Subsequently, on 9/26/2023, Resident #64 fell and sustained a cervical 1 vertebrae fracture (broken neck); [...]
Inspectors wroteBased on observations, record review, and interviews during a recertification survey, the facility did not ensure that drug records were in order; and that an account of all controlled drugs was maintained and periodically reconciled on 2 (Units #s 5 and 6) of 6 units reviewed. Specifically, the shift-to-shift staff signature form for controlled drugs (untitled) on Units # 5 and Unit #6, did not consistently include the signatures of staff members at each shift change, validating the correct narcotic count. This is evidenced by: A review of the Controlled Substances policy dated 1/2024 documented that nursing staff must count controlled medications at the end of each shift. The nurse coming on duty and the nurse going off duty must make sure they counted together documenting and reporting any discrepancies to the Director of Nursing Services. [...]
Inspectors wroteBased on observation, record review, and interviews conducted during the recertification survey, the facility did not ensure drugs and biologicals were labeled and stored in accordance with professional standards of practice for 6 out of 6 medication carts and 2 of 3 medication storage rooms reviewed. Specifically, (a.) opened medications had no open and/or expiration dates; (b.) controlled substances were not kept secured in a double locked cabinet; (c.) multiple loose pills were found in medication cart, and (d.) medications were found pre-poured on one medication cart. This is evidenced by: The facility's Medication Administration Policy and Procedure, revised 01/2024, documented The expiration / beyond use date on the medication label must be checked prior to administering. When opening a multi-dose container, the date opened should be recorded on the container. [...]
Inspectors wroteBased on observations, record reviews, and interviews during recertification survey, the facility did not ensure that food and drink were palatable and attractive for 10 (Resident #s 26, 53, 59, 71, 75, 86, 107, 108, 111, and 161) of 37 residents reviewed for palatable and attractive food and drink. Specifically, residents complained of food being cold, unattractive, and not palatable in general during resident council meeting. Additionally, 3 floors (2, 3, and 4) of 6 floors served food that was not palatable and was not at appetizing temperature. This is evidenced by: A facility policy titled Food and Nutrition Services dated 1/2024, documented that the facility would provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs, taking into consideration the preferences of each resident. [...]
Inspectors wroteBased on observation and staff interview during the recertification survey, the facility did not prepare and store food in accordance with professional standards for food service safety in the main kitchen and 1 of 6 kitchenettes. Specifically, ground chicken was not cooled safely, and the Unit #1 kitchenette was not clean. This is evidenced by: The document titled (Hazard Analysis Critical Control Points) HACCP Cooling Step by Step Process and dated 6/03/2020 and the document titled Temperatures Cooking and Cooling and dated 4/2024 both documented the cooked food was to be cooled from 140 degrees Fahrenheit to 70 degrees Fahrenheit within 2 hours then to 41 degrees Fahrenheit within 4 hours. During observations on 6/20/2024 at 10:54 AM, ground chicken in hotel pan found in the walk-in refrigerator was 52 degrees Fahrenheit. [...]
Inspectors wroteBased on observation, record review, and interview during the recertification survey, the facility did not ensure food brought for residents by family or visitors (food) was stored safely and in a way that is either separate or easily distinguishable from facility food on 3 of 6 resident units. Specifically, resident and personal food stored in the resident unit kitchenette refrigerators was not properly labeled. This is evidenced by: During an observations on 6/20/2024 at 12:43 PM, in the Unit #1 kitchenette refrigerator, deli sandwiches labeled with the name of Resident #109 and their room number was not dated. During an interview on 6/20/2024 at 12:44 PM, Registered Nurse Unit Manager #1 stated the food brought in for Resident #109 should have been dated by the nursing staff. [...]
Inspectors wroteBased on observation, record review, and interviews during a Recertification and abbreviated survey (Case #NY00335134), the facility did not ensure residents were assessed by an interdisciplinary team to determine their ability to safely self-administer medication when clinically appropriate for 1 (Resident #35) of 1 resident reviewed for medication administration. Specifically, Resident #35 was observed with a cup containing 7 pills and a cup of medicine mixed in water at their bedside, without being evaluated as to whether they could safely self-administer their medication. This is evidenced by: [...]
Inspectors wroteBased on record review and interviews during a recertification and abbreviated survey (Case # NY00333003) , the facility did not ensure that a Level II PASRR (Preadmission Screening and Resident Review) assessment was conducted prior to admission for 1 (Resident # 179) of 37 residents reviewed with a diagnosis of mental illness/intellectual disability. Specifically, Resident #179's preadmission Screen and the Resident Review form was not completed prior to admission on [DATE]. This is evidenced by: Per federal regulations, a Level II PASRR (Preadmission Screening and Resident Review) assessment must be completed for all individuals who are known or suspected of having an intellectual and/or developmental disability prior to skilled nursing facility admission. [...]
Inspectors wroteBased on observations, record review, and interviews conducted during a recertification survey, the facility did not ensure resident with a percutaneous endoscopic gastrostomy tube (a tube placed in the stomach through the abdominal wall to provide a means of feeding when oral intake is not adequate) received the appropriate treatment and services to prevent complications for 1 (Residents # 200) of 1 resident reviewed for tube feeding. Specifically for Resident #200 care and maintenance of the percutaneous endoscopic gastrostomy tube was not provided after enteral feedings were discontinued on 5/02/2024. This is evidenced by: Resident #200 was admitted to the facility with diagnoses of dysphagia following cerebral infarction (stroke), metabolic encephalopathy (brain dysfunctions due to problems with metabolism), and gastrostomy status (feeding tube). [...]
Inspectors wroteBased on record review and interviews during a recertification survey and abbreviated surveys (Case #NY00337074), the facility did not ensure parenteral fluids (delivery of fluid or nutrition through an intravenous (into a vein) route) was administered consistent with professional standards of practice and in accordance with physician orders for 1 (Resident #224) of 1 resident reviewed for parenteral fluids. Specifically, Resident #224's Medical Doctor orders were not followed when their total parenteral nutrition was not started at 5:00 PM on 03/08/2024 stopped on 03/09/2024 at 9:00 AM as ordered. This is evidenced by: Resident #224 was admitted to the facility with diagnoses of pneumonia, severe malnutrition, and a stroke. The Minimum Data Set (an assessment tool) dated 1/14/2024, documented the resident was cognitively intact, could be understood, and could understand others. [...]
Inspectors wroteBased on observation, record review, and interviews during the recertification survey, the facility did not ensure that a resident who needs required respiratory care, including tracheostomy care and tracheal suctioning, was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the resident's goals and preferences were provided by a qualified professional for the assessment, treatment, and monitoring of residents with deficiencies or abnormalities of pulmonary function for 2 (Resident #108 and 473) of 3 residents reviewed for respiratory care. Specifically, for (a) Resident #108 was not provided with oxygen at 4 liters per minutes via nasal cannula every shift as ordered by the physician and interventions for resident's oxygen use were not implemente; [...]
Inspectors wroteBased on record review and interviews during the recertification survey, the facility did not ensure that residents who required dialysis received such services, consistent with professional standards of practice for 1 (Resident #75) of 2 residents reviewed for dialysis care. Specifically, for Resident #75, was not monitored for complications before and after dialysis treatments were not completed consistently completed and communicated to the dialysis center through the dialysis communications log. This is evidenced by: [...]
Inspectors wroteBased on record review and interviews during a recertification survey, the facility did not ensure to it provided medically related social services to attain or maintain the highest practicable, mental, and psychosocial well-being of each resident for 1 (Resident #376) of 37 residents reviewed for medically related Social Services. Specifically, Resident #376 who had a documented history of depression was not assessed by a Social Worker when they were admitted to the facility. This is evidenced by: Resident #376 was admitted to the facility with diagnoses of a fractured neck, fractured back, and depression (a mood disorder that causes a persistent feeling of sadness and loss of interest). The Minimum Data Set (an assessment tool) dated 6/10/2024, documented the resident had moderate cognitive impairment, could be understood, and could understand others. [...]
Inspectors wroteBased on record review and interviews during an abbreviated survey (Case # NY00331916), the facility failed to protect residents' rights to be free from abuse for 2 (Resident #s 1 and 2) of 3 residents reviewed for abuse. Specifically, the facility failed to ensure the residents' safety and provide adequate supervision to prevent abuse on 1/21/2024, when Certified Nurse Aide #1 observed Residents #s 1 and 2, both of whom had severe cognitive impairment, sitting next to each other on Resident #1's bed. Resident #2 was not redirected out of the room and Certified Nurse Aide #1 left the room, with the residents unsupervised. Subsequently, Certified Nurse Aide #1 returned to the room [ROOM NUMBER] to 8 minutes later and observed Resident #s 1 and 2 engaging in inappropriate sexual behavior. [...]
Inspectors wroteBased on record review and interviews during an abbreviated survey (Case# NY00333575), the facility did not ensure it treated each resident with respect and dignity and care for 2 (Resident #s 2 and 6) of 10 residents reviewed. Specifically, Resident #2, who had severe cognitive impairment, and was asking where their room was, was spoken to in a disrespectful and undignified manner by Certified Nurse Aide #8 on 2/10/2024. For Resident #6, they stated during interview on 4/2/2024 at 9:41 AM, they felt scared when they overheard a loud verbal altercation between Certified Nurse Aide #8 and Licensed Practical Nurse #4, during the night shift on 2/6/2024. This is evidenced by: Refer to F609. The Policy and Procedure titled, Resident Rights, reviewed 1/2024, documented employees would treat all residents with kindness, respect, and dignity. [...]
Inspectors wroteBased on record review and interviews during an abbreviated survey (Case# NY00333575), the facility did not ensure that all alleged violations involving abuse were reported immediately, but not later than 2 hours after the allegation was made, if the events that cause the allegation involve abuse, to the Administrator of the facility and to the State Agency for 1 (Resident #2) of 3 residents reviewed. Specifically, on 2/10/2024, the facility did not ensure an allegation of verbal abuse by Certified Nurse Aide #8 towards Resident #2 was reported to the Administrator and to the State Agency within 2 hours after the allegation was made. On 2/14/2024, Resident #12 reported to Licensed Practical Nurse Manager #3 that during the 11:00 PM - 7:00 AM shift on 2/9/2024 or 2/10/2024, Resident #12 heard Certified Nurse Aide #8 yelling and cursing at Resident #2 for about 10 to 15 minutes. [...]
51 fire safety citations on file: 23 on May 19, 2026, 17 on June 17, 2025, 11 on June 28, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| May 19, 2026 | Fine | $20,270 |
| June 17, 2025 | Fine | $17,569 |
| June 28, 2024 | Fine | $105,846 |
| April 8, 2024 | Fine | $36,888 |
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) | 2.54 | 3.63 | 3.86 |
| Registered nurses | 0.49 | 0.71 | 0.69 |
| All nursing staff on weekends | 1.96 | 3.18 | 3.42 |
| Nurse aides | 1.33 | ||
| Licensed practical nurses | 0.72 | ||
| Nursing staff turnover (share who left in a year) | 42.5% | 40.3% | 45.8% |
| Registered nurse turnover | 30.8% | 39.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.49 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 2.77 on weekdays and 1.96 on weekends, 29% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.71 in April to June 2025 to 2.54 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 | 2.54 | 0.49 | 2.77 | 1.96 | 0.0% | 0 of 90 | 229 |
| Oct to Dec 2025 | 2.46 | 0.43 | 2.63 | 2.01 | 0.0% | 0 of 92 | 221 |
| Jul to Sep 2025 | 2.57 | 0.42 | 2.76 | 2.07 | 0.0% | 0 of 92 | 227 |
| Apr to Jun 2025 | 2.71 | 0.42 | 2.87 | 2.28 | 0.0% | 0 of 91 | 227 |
| 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 | 8.2 | 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 | 1.5 | 1.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.0 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.8 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.9 | 12.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.6 | 6.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 37.3 | 13.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 31.3 | 20.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 20.1 | 9.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.3 | 1.4 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for The Grand Rehabilitation and Nursing at Barnwell's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (28.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
28.3% 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. 166 eligible stays.
9.5% 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. 198 eligible stays.
9.3% 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. 121 eligible stays.
42.6% 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. 136 residents counted.
1.2% this home
Median of homes: New York0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 252 residents counted.
6.9% 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. 252 residents counted.
78.4% 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. 37 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: BARNWELL OPERATIONS ASSOCIATES LLC. CMS links this home to The Grand Healthcare, a group of 16 nursing homes averaging 1.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Barnwell Acquisitions LLC | 5% or greater direct ownership interest | Organization | 98% | 12/07/2017 |
| Strauss, Jeremy | 5% or greater indirect ownership interest | Individual | 93% | 12/07/2017 |
| Held, Joshua | W-2 managing employee | Individual | 01/01/2022 | |
| Stern, Samuel | Corporate officer | Individual | 01/01/2021 | |
| Strauss, Jonathan | Corporate officer | Individual | 12/07/2017 | |
| Barnwell Acquisitions LLC | Operational/managerial control | Organization | 12/07/2017 | |
| Strauss, Jonathan | Operational/managerial control | Individual | 12/07/2017 |
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.
These are the official offices in New York. NursingHomeClear cannot take or act on complaints.