What is The Knolls's Medicare star rating?

CMS rates The Knolls 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did The Knolls get at its last inspection?

0 health deficiencies at the standard inspection on October 16, 2023. The New York average is 8.1.

Has The Knolls been fined?

CMS lists no fines in the last three years.

Does The Knolls 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.

CMS lists 3 owners and managers. Legal business name: THE BETHEL METHODIST HOME.

The Knolls: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on October 16, 2023, inspectors cited 0 health deficiencies (the New York average is 8.1, the national average 9.2).

None of its 8 health citations since September 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.70 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 1.78 of those hours.

24.0% 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.

009/19

807/21

010/23

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 8 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

October 16, 2023Standard inspection · 0 citations

July 6, 2021Standard inspection · 8 citations

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) September 6, 2021

Inspectors wroteBased on observation, interview and record review conducted during a recertification survey, the facility did not ensure proper storage of food in accordance with professional standards for food safety. Specifically, 1) perishable foods were not labeled and dated, 2) foods were not discarded by use by date, and 3) dry goods were not stored in closed containers. .A facility policy and procedure titled Labeling and Dating, dated 2/5/11 and last revised on 11/4/20202, included but was not limited to: All food items must be labeled with either a manufacturers label or handwritten label. Twice a day the dining services manager on duty will check all perishables for proper covering, labeling, and dating .It is also the responsibility of other production staff and employees to discard outdated foods and beverages as assigned or noted by management.
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 6, 2021

Inspectors wroteBased on observation, interview, and record review conducted during a recertification survey, the facility did not ensure that comprehensive person-centered care plans with measurable goals and interventions were reviewed and revised for 1 of 5 Residents (Resident #63) reviewed for unnecessary medications. Specifically, (1) A Pharmacy Drug Review was conducted for Resident #63 and revealed a drug-drug interaction of concurrent use of Aspirin and Fluoxetine medication may increase the risk of bleeding and to monitor the resident; (2) There was no documented evidence the residents' care plans were reviewed and revised to reflect the drug-drug interactions as identified by the Pharmacist; (3) There was no evidence these changes were communicated among the nursing staff for ongoing monitoring; [...]
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2021

Inspectors wroteBased on interview and observation conducted during a recertification survey, it could not be ensured that the facility provided care and treatment in accordance with professional standards of practice. Specifically, the facility did not ensure that a change in skin condition was reported and treated timely for 1 of 1 resident (Resident #7) reviewed for skin conditions (non-pressure). The finding is: The facility policy and procedure titled Skin Care/Personal Grooming, dated 1/15/2002 and revised 12/2014 documented: Certified Nursimg Assistant (CNA) responsibility during AM bed bath, shower, or tub bath, inspects resident's skin for any redness, dryness, cracking, etc. Report any finding to Nurse. Licensed Nurse responsibility: Checks and cleans skin as necessary .Report any changes to the Nurse Manager/Supervisor, MD/Nurse Practitioner. [...]
D

Provide enough food/fluids to maintain a resident's health.

F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2021

Inspectors wroteBased on observation, interview and record review conducted during a recertification survey, the facility did not ensure that facility staff accurately measured a resident's fluid intake to maintain proper hydration and health. Specifically,fluid restriction related to abnormal lab values was not followed for one of one resident (Resident #64) reviewed for hydration. Facility staff members did not accurately measure the resident's fluid intake during a recent lunch observation.
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) September 6, 2021

Inspectors wroteBased on record review and interviews conducted during the Recertification survey, the facility did not ensure that the irregularities identified by the Pharmacist were communicated to the resident's primary medical doctor and acted upon. Specifically, monitoring of the Resident's blood levels of Lithium did not occur in accordance with the physician's orders. This was evident for 1 (Resident #7) out of 5 residents reviewed for Unnecessary Medications. The finding is: An undated facility policy and procedure titled Drug Regimen Review revealed: The consultant pharmacist reviews the physician's orders, lab test result, nurse's notes, physician's notes, and resident's background in performing drug regimen reviews of each resident on a monthly basis; identifies a possible irregularity during the resident's monthly drug regimen review; [...]
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 6, 2021

Inspectors wroteBased on observation, interview and record review conducted during a recertification survey, the facility did not ensure that facility staff provided ongoing monitoring of a resident for medication effect, side effects, adverse reaction, or any associated behavioral effects of the medication. Specifically, 1of 5 residents (Resident # 63) reviewed for unnecessary medication revealed no evidence of ongoing monitoring for the use of an antipsychotic medication, Abilify, used to treat Anxiety Disorder. Additionally, a Pharmacy Drug Review revealed a drug-drug interaction of increased bleeding between Aspirin and Fluoxetine (anti-depressive medication). There was no evidence that the resident was monitored for bleeding as recommended by the pharmacist.
D

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

F836 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2021

Inspectors wroteBased on observation and staff interview during the Life Safety Recertification survey, the facility did not ensure all applicable state codes were met. Specifically, the facility did not install a carbon monoxide detector in accordance with section 915 of the 2015 edition of the International Fire Code, as adopted by New York State and contained in the NYS Uniform Code Supplement Section 915.3, which requires carbon monoxide detection in buildings with fuel-burning appliances. The finding is On 06/29/21 at approximately 11:10 AM, a tour of the nursing unit revealed one gas dryer located in a closet at the end of the corridor near resident room F213. Further observation at this time revealed a carbon monoxide detector was not installed in the closet where the gas dryer was located or throughout the corridor near the gas dryer. [...]
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 6, 2021

Inspectors wroteBased on record review and staff interview, the facility did not ensure that a Legionella Risk Assessment and Water Management Plan was provided in accordance with Section 483.80. Specifically, the facility did not ensure that the Legionella Program was assessed at least annually.

September 12, 2019Standard inspection · 0 citations

Fire safety inspections

8 fire safety citations on file: 3 on October 16, 2023, 2 on July 6, 2021, 3 on September 12, 2019.

Every fire safety citation8 citations

E
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · October 16, 2023 · Corrected (the home has a date of correction)
D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · October 16, 2023 · Corrected (the home has a date of correction)
D
Have proper power supply for life support equipment.

K 915 · October 16, 2023 · Corrected (the home has a date of correction)
E
Have restrictions on the use of portable space heaters.

K 781 · July 6, 2021 · Corrected (the home has a date of correction)
C
Establish emergency prep training and testing.

E 36 · July 6, 2021 · Corrected (the home has a date of correction)
E
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · September 12, 2019 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · September 12, 2019 · Corrected (the home has a date of correction)
D
Have simulated fire drills held at unexpected times.

K 712 · September 12, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

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

Staffing

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

Measure	This home	New York	United States
All nursing staff (RN, LPN and aides)	4.70	3.63	3.86
Registered nurses	1.78	0.71	0.69
All nursing staff on weekends	4.28	3.18	3.42
Nurse aides	2.90
Licensed practical nurses	0.03
Nursing staff turnover (share who left in a year)	24.0%	40.3%	45.8%
Registered nurse turnover	12.5%	39.8%	42.9%
Administrators who left	0

CMS expects 3.55 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 4.87 on weekdays and 4.28 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.10 in April to June 2025 to 4.70 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	4.70	1.78	4.87	4.28	1.4%	0 of 90	19
Oct to Dec 2025	5.65	1.71	5.85	5.14	12.2%	0 of 92	18
Jul to Sep 2025	4.84	1.97	5.03	4.35	12.3%	0 of 92	17
Apr to Jun 2025	5.10	2.04	5.42	4.30	7.2%	0 of 91	16
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.

Quality measures

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	0.0	0.5	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	3.1	1.3	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	14.7	3.1	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.6	1.2	1.6
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	2.7	6.5	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	24.0	13.7	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	15.1	20.6	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	6.5	9.6	12.0

Owners and operators

Legal business name: THE BETHEL METHODIST HOME.

Name	Role	Type	Since
Alexander, Jennifer	W-2 managing employee	Individual	11/01/2016
Goldstein, Beth	Corporate officer	Individual	08/22/2011
Markopoulos, Anastasios	Corporate officer	Individual	11/01/2016

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.

Questions to ask on a visit

Chosen from this home's own inspection record.

How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on July 6, 2021: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on July 6, 2021: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on July 6, 2021: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on July 6, 2021: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."

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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.

Inspections and complaints: New York State Department of Health, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
State inspection reports: NYS Health Profiles: Nursing Homes, where New York publishes its own records on licensed homes.

Common questions

What is The Knolls's Medicare star rating?: CMS rates The Knolls 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Knolls get at its last inspection?: 0 health deficiencies at the standard inspection on October 16, 2023. The New York average is 8.1.
Has The Knolls been fined?: CMS lists no fines in the last three years.
Does The Knolls 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 The Knolls?: CMS lists 3 owners and managers. Legal business name: THE BETHEL METHODIST HOME.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.