Find a nursing home

Home / New York / Suffern

The Willows at Ramapo Rehab and Nursing Center

30 Cragmere Road, Suffern, NY 10901 · Rockland County · (845) 357-1230

203 certified beds, about 186 residents a day · For profit - Corporation · Medicare and Medicaid since 1967

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 335148 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 13, 2026, inspectors cited 7 health deficiencies (the New York average is 8.1, the national average 9.2).

Of 30 health citations since April 2019, 1 was rated as actual harm or immediate jeopardy to residents.

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

Nurses and nurse aides worked 3.24 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.40 of those hours.

27.7% 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.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 30 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
23D
1E
0F
Potential for minimal harm
0A
2B
3C
March 13, 2026Standard inspection · 7 citations
  1. D
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 22, 2026
    Inspectors wroteBased on observation, interview and record review conducted during the recertification survey from 03/08/2026 to 03/13/2026, the facility did not ensure action as a fiduciary (trustee) of the resident's funds and hold, safeguard, manage, and account for the residents' personal funds deposited with the facility for one (1) (Resident #29) of two (2) residents reviewed for personal funds. Specifically, the facility restricted Resident #29 to receiving money on two (2) days a week and in an amount lower than the resident wanted.
  2. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 22, 2026
    Inspectors wroteBased on observations, interviews, and record reviews during the recertification survey, the facility did not ensure the residents' right to a safe, clean, comfortable, and homelike environment for two (2) of eight (8) residents (Resident #126 and Resident #170) reviewed for the environment. Specifically, 1) Resident #126 was observed sitting in a wheelchair that was visibly soiled on the frame, cushion, and protective gauze; 2) Resident #170 was observed sitting in a wheelchair that was visibly soiled on the frame, body, and back of wheelchair.
  3. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 22, 2026
    Inspectors wroteBased on observations, interviews, and record reviews during the recertification survey, the facility did not ensure that residents unable to carry out activities of daily living received the necessary assistance with eating for one (1) of six (6) residents (Resident #128) reviewed for nutrition and one (1) of 19 residents (Resident #140) reviewed for dining. Specifically, 1) Resident #128, who had significant weight loss and required maximal assistance with eating was observed receiving only set up assistance during meals; 2) Resident #140, who had a history of weight loss and required moderate assistance with eating was observed receiving mostly only set up assistance during meals.
  4. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 22, 2026
    Inspectors wroteBased on observations, interviews, and record reviews during the recertification survey, the facility did not ensure that the residents' environment remained as free of accident hazards as possible for one (1) of two (2) residents (Resident #72) reviewed for Accidents. Specifically, Resident #72 had a history of falls and multiple safety interventions in place including keeping the environment well lit and clutter free. Floor mats were determined to be a tripping hazard and not included as an intervention for their safety; however, floor mats were observed in the room and staff reported that they were in use.
  5. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 22, 2026
    Inspectors wroteBased on observation, interview, and record review the facility did not ensure care consistent with professional standards of practice, and the comprehensive person-centered care plan was provided for one (1) of two (2) residents (Resident #69) reviewed for Respiratory Care. Specifically, Resident #69 was administered oxygen at a liter flow greater than the current physician's order.
  6. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 22, 2026
    Inspectors wroteBased on interviews and record review conducted during the recertification survey from [DATE] to [DATE], 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. This was evident for one (1) (Resident #9) of one (1) resident reviewed for Behavioral/Emotional Status. Specifically, Resident #9 had a physician order for a psychiatry and psychology consultation after making an inappropriate sexual comment to another resident on [DATE]. Resident #9 was not evaluated by a psychiatrist or psychologist in accordance with the physician order.
  7. D
    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, isolated · Corrected (the home has a date of correction) April 22, 2026
    Inspectors wroteBased on observations and interviews during a recertification survey from 3/08/2026 to 3/13/2026, the facility did not ensure that food was stored in accordance with professional standards for food service safety. Specifically, six (6) food items were not properly identified in the kitchen refrigerators, freezers, and food storage areas and one dietary cook was not wearing a beard net while actively preparing food.
October 24, 2025Complaint inspection · 2 citations
  1. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on record review, and interviews conducted during the abbreviated Survey #2637567, the facility failed to ensure residents receive treatment and care in accordance with professional standards of practice, and the comprehensive person-centered care plan for one (1) of three (3) residents (Resident #1) reviewed for neglect. Specifically, Certified Nurse Aide #1 did not provide Resident #1 with staff assistance for meeting their activities of daily living needs during the evening shift on 10/06/2025, despite documenting such care was given. Subsequently, Resident #1 was last seen on 10/06/2025 at 9:12 PM in their room sitting fully clothed in their wheelchair and at 11:51 PM, Resident #1 was found in their room lying face down on the floor between the bed and wheelchair, with their head under the bed and their oxygen nasal cannula dislodged. [...]
  2. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 18, 2025
    Inspectors wroteBased on record review and interview during abbreviated survey #2637567, the facility did not ensure accurate documentation of medical records in accordance with accepted professional standard and practice were maintained for one (1) (Resident #1) of three (3) residents reviewed for activity of daily living care. Specifically, Certified Nurse Aide #1 documented in the electronic medical record activity of daily living cares on [DATE] that had not been provided. Additionally, although Resident #1 expired on [DATE] at 12:20 AM and their remains were removed from the facility at approximately 3:00 AM, Licensed Practical Nurse #10 documented hourly rounding was completed for Resident #1 on [DATE] from 11:45 PM-6:45 AM.
July 24, 2025Complaint inspection · 1 citation
  1. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 4, 2025
    Inspectors wroteBased on observations, interviews and record review completed during a complaint investigation (NY00374056) the facility did not maintain infection prevention and control practices in accordance with guidelines for enhanced barrier precautions for one (Resident #2) of three residents reviewed for infection control practices. Specifically, Resident #2 was on enhanced barrier precautions, as indicated by signage posted on the wall outside of their room. On three separate occasions, staff provided hands-on care without wearing gowns. Record review:The facility policy titled Enhanced Barrier Precautions, dated 1/28/25 documented that enhanced barrier precautions are utilized to reduce the transmission of multi-drug-resistant organisms to residents. [...]
March 4, 2025Complaint inspection · 1 citation
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 8, 2025
    Inspectors wroteBased on record review, and interviews conducted during abbreviated survey (NY00331188) the facility did not ensure that the Comprehensive Care Plans were reviewed and revised in a timely manner for 1(Resident #2) of 4 residents reviewed for Abuse. Specifically, Resident #2's Behavior Care Plan initiated 4/22/22 documented that they were two assists with cares due to history of accusatory behaviors and the care plan was not reviewed and revised to populate these interventions onto Certified Nurse Aides tasks/documentation. Certified Nurse Aide #2 was unaware of Resident #2's plan of requiring two person assists and they provided care to Resident #2 without another staff member present. Resident #2 accused Certified Nurse Aide #2 of alleged abuse after cares were provided.
November 17, 2023Standard inspection, Complaint inspection · 7 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 30, 2023
    Inspectors wroteBased on observations and interviews conducted during the recent recertification survey, the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. Specifically, 1. Cold foods were stored in a soiled, unsanitary refrigerated unit, 2. Cold foods to be served at activities events were stored in an unsanitary manner in a refrigerated unit, 3. Unlabeled, defrosted, uncooked, ground beef was stored in a refrigerated unit, 4. cooling logs were being utilized to ensure that foods were cooled in a safe and timely manner, 5. 2 of 7 nourishment refrigerators were not maintained at safe temperatures for food safety, and 5. Two food service staff did not follow safe food handling practices while recording food temperatures.
  2. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 30, 2023
    Inspectors wroteBased on record review and interview during the recertification and abbreviated surveys (NY 309477) conducted from 11/8/2023 through 11/17/2023, the facility did not ensure a thorough and complete investigation was conducted for 1 of 3 residents (Resident #70) reviewed for abuse/neglect. Specifically, for Resident #70 the facility did not conduct a complete and thorough investigation, including a root cause analysis to determine why physician recommended magnesium citrate scheduled for 1/10/2023 and 1/11/2023 was not administered for management of the residents' constipation. Subsequently on 1/12/2023 Resident #70 required manual dis-impaction.
  3. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 30, 2023
    Inspectors wroteBased on observation, record review and interviews conducted during the recertification survey from 11/8/23 to 11/17/23, the facility did not provide an ongoing program of activities for 1 of 4 residents (Resident #39) reviewed for activities. Specifically, Resident #39 was not provided opportunities to consistently participate in independent activities of their choice and to be regularly reassessed for their preferences.
  4. 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 · found on a complaint visit · Corrected (the home has a date of correction) December 30, 2023
    Inspectors wroteBased on observation, record review, and interviews conducted during the recertification and abbreviated surveys (#NY00326212 and NY00309477) from 11/8/23 to 11/17/23, the facility did not ensure 1 of 3 residents (Resident #70) reviewed for abuse/neglect and 1 of 3 (Resident #63) reviewed for medications, received care and treatment in accordance with professional standards. Specifically, 1) Resident #70's medications for constipation was not given timely, the physician and pharmacy were not notified when the medication was unavailable; and 2) Resident #63 was not provided their medication with meals as ordered.
  5. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 30, 2023
    Inspectors wroteBased on observation, record review and interview conducted during the recertification survey, the facility did not ensure that residents were provided the appropriate treatment to improve and/or prevent a further decline in range of motion (ROM) for 1 of 2 residents, (Resident #120) reviewed for positioning and limited mobility. Specifically, Resident # 120 was not provided soft booties as per physical therapy recommendations. Resident #120 was admitted with diagnoses and medical conditions including but not limited to encephalopathy, cerebral vascular accident (Stroke), and generalized muscle weakness. The 11/05/2020 risk for chronic pain related to contractures and impaired mobility care plan, revised 11/10/23, did not include use of soft booties or monitoring the effect(s) of their use. [...]
  6. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 30, 2023
    Inspectors wroteBased on observations, interviews and record reviews conducted during the recertification survey conducted from 11/8/2023 to 11/17/2023, it was determined that for one of four (Resident #82) reviewed for respiratory care, the facility did not ensure that the resident received proper respiratory treatment and care consistent with professional standards of practice, and the comprehensive person-centered care plan. Specifically, Resident #82 did not receive continuous oxygen 3L/min via nasal cannula as per physician order.
  7. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 30, 2023
    Inspectors wroteBased on record review, observation and interview during the 11/8/2023 -11/17/2023 recertification survey, it could not be ensured that for 3 of 3 residents (Resident # 35, #126 and #129) reviewed for dignity that the residents' rights and/or that care was provided in a dignified manner. Specifically, Residents #35, #126 and #129 were not provided a dignified dining experience.
April 18, 2019Standard inspection · 12 citations
  1. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 14, 2019
    Inspectors wroteBased on record review and interview conducted during the recertification survey, the facility did not determine there had been a significant change in the residents mental or physical condition within 14 days for 1 resident (#104) reviewed for decline in Activities of Daily Living (ADLs). Specifically, a significant change Minimum Data Set (MDS: a resident assessment tool) was not completed to ensure all appropriate interventions were in place after a decline from extensive assist to total dependence was identified in two areas of ADLs. Specifically, the resident declined from extensive assistance to total dependence for toilet use and personal hygiene.
  2. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 14, 2019
    Inspectors wroteBased on observation, interview and record review conducted during the recertification survey, the facility did not ensure that comprehensive person-centered care plans with measurable goals and interventions were developed to address the residents' respiratory and diabetic needs. Specifically, 1) 1 resident (Resident #28) reviewed for respiratory care did not have care plans in place to address her respiratory needs; and 2) 1 of 5 residents (Resident # 28) reviewed for unnecessary medications did not have care plans in place to address her diabetic needs.
  3. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 14, 2019
    Inspectors wroteBased on observation, interview and record review conducted during the recertification survey, the facility did not ensure that staff followed protocol for the care of a BI-PAP machine (a device to treat sleep apnea) for 1 resident (Resident # 28) who required respiratory support.
  4. 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) June 14, 2019
    Inspectors wroteBased on interviews and record review conducted during the recertification survey, it was determined that for one of five residents reviewed for unnecessary medications, the facility did not ensure that the resident's drug regimen was reviewed at least once a month by a licensed pharmacist. Specifically, no drug regimen review was completed for Resident #104 for the month of February 2019. (Resident #104).
  5. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 14, 2019
    Inspectors wroteBased on interview and record review conducted during a recertification survey, the facility did not ensure that each residents' medication regimen was free from unnecessary medications. Specifically, the Psychiatrist's recommendation to discontinue Cymbalta (antidepressant) was not communicated to the resident's primary medical doctor concurrent with a new order for a different antidepressant, resulting in the administration of duplicate medication therapies to the resident for a period of 12 days (4/4/19 to 4/15/19). This was evident for 1 of 5 residents reviewed for unnecessary medications (Resident #104). Duplicate therapy refers to multiple medications of the same pharmacological class/category or any medication therapy that substantially duplicates a particular effect of another medication that the individual is taking. The finding is: [...]
  6. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 14, 2019
    Inspectors wroteBased on observation, interview and record review conducted during a recent recertification survey, the facility did not ensure that its medication error rate 5% or less. This was evident for 1 of 5 residents observed during a medication pass (Resident # 4). This resulted in an error rate of 12% out of total of 25 opportunities observed.
  7. 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) June 14, 2019
    Inspectors wroteBased on observation, interview, and record review conducted during a recertification survey, the facility did not ensure that the facility staff followed proper hand hygiene, gloving, and proper cleansing of a blood glucose monitoring device to prevent the spread of infection. This was evident for 1 of 7 residents reviewed for pressure ulcer wound care (Resident #119) and 3 of 5 residents observed during medication administration (Resident #s 4, 98 and 105).
  8. C
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    F577 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) June 14, 2019
    Inspectors wroteBased on observation and interview conducted during the recertification survey it was determined that residents were not aware of the location of the results of the most recent survey. Specifically, the signage indicating the location of the most recent survey and the actual survey results were placed together in an area not readily available to the public.
  9. C
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) June 14, 2019
    Inspectors wroteBased on interview and record review conducted during the recertification survey, the facility did not ensure that for 2 of 2 residents (Resident #119 and #183), reviewed for hospitalization, that the resident and/or their representatives received written notification of the facility bed hold policy.
  10. C
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) June 14, 2019
    Inspectors wroteBased on observation and interviews conducted during the recent recertification survey, the facility did not ensure that garbage and refuse were contained and disposed of in an appropriate manner. Specifically, the area surrounding the trash compactor was not maintained in a sanitary condition.
  11. B
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) June 14, 2019
    Inspectors wroteBased upon observations, interview and record review conducted during the recertification survey, the facility did not ensure that advance directives formulated for one resident (#104) were effectively implemented according to facility policy to identify the residents' written consent for Do Not Resuscitate (DNR). Specifically, an identifier (orange dot) indicating DNR was not found on the resident's identification (ID) band and on the paper chart spine. The facility is required to establish, maintain, and implement written policies and procedures regarding the residents' right to formulate an advance directive, refuse medical or surgical treatment. In addition, the facility management is responsible for ensuring that staff follow those policies and procedures. The finding is: [...]
  12. B
    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 minimal harm, pattern · Corrected (the home has a date of correction) June 14, 2019
    Inspectors wroteBased on record review and interview conducted during the recertification survey, the facility did not ensure that 1 of 6 residents (#62) was consistently invited to care plan meetings. Specifically, Resident # 62 stated during an interview that she attended one care plan meeting soon after admission but has not been invited to any further care plan meetings. Review of the Comprehensive Care Plan (CCP) Policy dated 02/19/2019 revealed that to ensure resident and family participation in the interdisciplinary treatment plan, residents (as they are able to) and families are invited to attend during an initial, annual or significant change CCP meetings.

Fire safety inspections

25 fire safety citations on file: 8 on March 13, 2026, 10 on November 17, 2023, 7 on April 18, 2019.

Every fire safety citation25 citations
  1. F
    Install proper backup exit lighting.
    K 281 · March 13, 2026 · Corrected (the home has a date of correction)
  2. F
    Provide properly protected cooking facilities.
    K 324 · March 13, 2026 · Corrected (the home has a date of correction)
  3. D
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · March 13, 2026 · Corrected (the home has a date of correction)
  4. D
    Have exits that are accessible at all times.
    K 271 · March 13, 2026 · Corrected (the home has a date of correction)
  5. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 13, 2026 · Corrected (the home has a date of correction)
  6. D
    Install corridor and hallway doors that block smoke.
    K 363 · March 13, 2026 · Corrected (the home has a date of correction)
  7. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · March 13, 2026 · Corrected (the home has a date of correction)
  8. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · March 13, 2026 · Corrected (the home has a date of correction)
  9. E
    Have properly located and lighted "Exit" signs.
    K 293 · November 17, 2023 · Corrected (the home has a date of correction)
  10. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · November 17, 2023 · Corrected (the home has a date of correction)
  11. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · November 17, 2023 · Corrected (the home has a date of correction)
  12. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · November 17, 2023 · Corrected (the home has a date of correction)
  13. D
    Have exits that are accessible at all times.
    K 271 · November 17, 2023 · Corrected (the home has a date of correction)
  14. D
    Install proper backup exit lighting.
    K 281 · November 17, 2023 · Corrected (the home has a date of correction)
  15. D
    Provide properly protected cooking facilities.
    K 324 · November 17, 2023 · Corrected (the home has a date of correction)
  16. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 17, 2023 · Corrected (the home has a date of correction)
  17. D
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · November 17, 2023 · Corrected (the home has a date of correction)
  18. D
    Have proper medical gas storage and administration areas.
    K 923 · November 17, 2023 · Corrected (the home has a date of correction)
  19. E
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · April 18, 2019 · Corrected (the home has a date of correction)
  20. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · April 18, 2019 · Corrected (the home has a date of correction)
  21. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 18, 2019 · Corrected (the home has a date of correction)
  22. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · April 18, 2019 · Corrected (the home has a date of correction)
  23. D
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · April 18, 2019 · Corrected (the home has a date of correction)
  24. C
    Address subsistence needs for staff and patients.
    E 15 · April 18, 2019 · Corrected (the home has a date of correction)
  25. C
    Establish roles under a Waiver declared by secretary.
    E 26 · April 18, 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.

MeasureThis homeNew YorkUnited States
All nursing staff (RN, LPN and aides)3.243.633.86
Registered nurses0.400.710.69
All nursing staff on weekends2.933.183.42
Nurse aides1.94
Licensed practical nurses0.91
Nursing staff turnover (share who left in a year)27.7%40.3%45.8%
Registered nurse turnover43.5%39.8%42.9%
Administrators who left0

CMS expects 4.12 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 3.37 on weekdays and 2.93 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.29 in April to June 2025 to 3.24 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.240.403.372.93 1.8%0 of 90186
Oct to Dec 20253.200.393.312.93 1.9%0 of 92190
Jul to Sep 20253.220.393.332.94 2.3%0 of 92189
Apr to Jun 20253.290.393.432.94 2.3%0 of 91186
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
New York, Jan to Mar 20263.550.683.723.139.8%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for New York

JobMedianMiddle halfEmployed
New York, all employers
CNAs (nursing assistants)$23.36$21.04 to $24.9987,990
LPNs and LVNs$32.30$29.52 to $37.0039,400
Registered nurses$52.62$45.60 to $62.34205,810
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For The Willows at Ramapo Rehab and Nursing Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNew YorkUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
15.714.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.40.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.81.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.33.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.41.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
11.412.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.16.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
6.813.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
16.020.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.89.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.41.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for The Willows at Ramapo Rehab 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 (56.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

56.4% 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. 454 eligible stays.

Potentially preventable readmissions

10.3% this home

No different from the national rate

US median of homes 10.7% · New York: 12 better, 5 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 367 eligible stays.

Infections that led to a hospital stay

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. 286 eligible stays.

Self-care and mobility at discharge

62.5% 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. 280 residents counted.

Falls with major injury

0.3% 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. 375 residents counted.

New or worsened pressure ulcers

2.4% 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. 375 residents counted.

Medication list given at discharge

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. 188 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: RAMAPO MANOR NURSING CENTER INC. CMS links this home to Carerite Centers, a group of 34 nursing homes averaging 3.6 stars overall.

NameRoleTypeShareSince
Ahuja, Sanjay5% or greater direct ownership interestIndividual15%08/01/2006
Einhorn, Neal5% or greater direct ownership interestIndividual9%07/01/2012
Einhorn, Sharon5% or greater direct ownership interestIndividual9%07/01/2012
Friedman, Devorah5% or greater direct ownership interestIndividual9%07/01/2012
Friedman, Mark5% or greater direct ownership interestIndividual9%07/01/2012
Mohan, Namita5% or greater direct ownership interestIndividual15%08/01/2006
Mudgil, Vanita5% or greater direct ownership interestIndividual15%08/01/2006
Zimiles, Joseph5% or greater direct ownership interestIndividual15%08/01/2006
Zucker, YossieDirect ownership interestIndividual07/01/2012
Einhorn, NealManaging control - governing bodyIndividual07/01/2012
Friedman, MarkManaging control - governing bodyIndividual07/01/2012
Friedman, MarkCorporate directorIndividual07/01/2012
Zimiles, JosephCorporate directorIndividual07/01/2012
Ahuja, SanjayCorporate officerIndividual07/01/2012
Einhorn, NealCorporate officerIndividual07/01/2012
Green-Rivers, KellyOperational/managerial controlIndividual10/01/2016
Halon, JonathanOperational/managerial controlIndividual06/02/2016
Shah, ParagOperational/managerial controlIndividual11/05/2015
Ahuja, SanjayAdp of the SNFIndividual08/01/2006
Einhorn, NealAdp of the SNFIndividual07/01/2012
Einhorn, SharonAdp of the SNFIndividual07/01/2012
Friedman, DevorahAdp of the SNFIndividual07/01/2012
Friedman, MarkAdp of the SNFIndividual07/01/2012
Green-Rivers, KellyAdp of the SNFIndividual10/01/2016
Halon, JonathanAdp of the SNFIndividual06/02/2016
Mohan, NamitaAdp of the SNFIndividual08/01/2006
Mudgil, VanitaAdp of the SNFIndividual08/01/2006
Shah, ParagAdp of the SNFIndividual11/05/2015
Zimiles, JosephAdp of the SNFIndividual08/01/2006

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on March 13, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on March 13, 2026: "Honor the resident's right to manage his or her financial affairs."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on October 24, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on March 13, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.93 hours per resident per day, below the New York average of 3.18.

Other nursing homes nearby

Assisted living in Suffern

Licensed assisted living homes in the same town or within 5 miles, each with its New York inspection record.

Assisted living in New York

New York contacts for a concern about a nursing home

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

Common questions

What is The Willows at Ramapo Rehab and Nursing Center's Medicare star rating?
CMS rates The Willows at Ramapo Rehab and Nursing Center 3 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Willows at Ramapo Rehab and Nursing Center get at its last inspection?
7 health deficiencies at the standard inspection on March 13, 2026. The New York average is 8.1.
Has The Willows at Ramapo Rehab and Nursing Center been fined?
CMS lists no fines in the last three years.
Does The Willows at Ramapo Rehab and Nursing Center 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 Willows at Ramapo Rehab and Nursing Center?
CMS lists 29 owners and managers, and links the home to Carerite Centers. Legal business name: RAMAPO MANOR NURSING CENTER INC.

Sources

Find a nursing home Read an inspection