Staffing
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 0.61 hours per resident day in 2026Q1, calculated from CMS PBJ records.
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A Holly Patterson Extended Care Facility has 589 certified beds in UNIONDALE, New York. The CMS overall rating is 1 of 5, compared with the New York average of 3.0. The CMS health inspection rating is 1 of 5, compared with the New York average of 2.7. The CMS staffing rating is 3 of 5. The latest standard health survey on Sep 30, 2025 lists 7 deficiencies, compared with the New York average of 5.5. CMS records a fine of $14,777 dated Sep 30, 2025. CMS records a fine of $113,140 dated May 23, 2025. CMS records a fine of $13,348 dated Apr 2, 2024. Total nurse staffing is 2.79 hours per resident day in 2026Q1, compared with the New York average of 3.63.
CMS nursing home
UNIONDALE, NY
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 335023.
At a glance
1 of 5
1 of 5
3 of 5
4 of 5
No attached CMS ownership-change event.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
Ownership change history
No CMS ownership-change event is currently attached to this profile in the Trust Hub research graph. That is not proof that ownership never changed.
Source freshness
Profile generated 2026-11-04. That timestamp is not CMS evidence freshness.
Methodology
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
State regulatory evidence
New York State Department of Health is the state source for this license record. It does not replace CMS federal certification, ratings, or certified-bed counts.
New York State Department of Health
State regulatory data · checked Aug 2026
CMS designations
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS currently applies its abuse-icon designation to this facility. That is CMS's published designation, not a Trust Hub verdict.
CMS field value: Y. Observed Aug 1, 2026.
Enrollment identity
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
MDS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
Fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 0.61 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Sep 30, 2025 cited 7 deficiencies.
View inspection evidenceCMS-published records list 33 ownership or control parties.
View ownership evidenceCMS records show a $14,777 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
Supported by multiple government sources
SeniorTrustHub found evidence connecting this facility to:
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE OFFICER
Association date reported to CMS: Apr 1, 2015
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jun 1, 2015
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Apr 1, 2015
Individual · CORPORATE DIRECTOR
Published ownership percentage: 6.7%
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Published ownership percentage: 6.7%
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Published ownership percentage: 6.7%
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Published ownership percentage: 6.7%
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Published ownership percentage: 6.7%
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Published ownership percentage: 6.7%
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Published ownership percentage: 6.7%
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Published ownership percentage: 6.7%
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Published ownership percentage: 6.7%
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Published ownership percentage: 6.7%
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Published ownership percentage: 6.7%
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Published ownership percentage: 6.7%
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE DIRECTOR
Published ownership percentage: 6.7%
Association date reported to CMS: Jun 1, 2015
Individual · CORPORATE OFFICER
Association date reported to CMS: Apr 1, 2015
Individual · OPERATIONAL/MANAGERIAL CONTROL
Published ownership percentage: 6.2%
Association date reported to CMS: Jun 1, 2015
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Apr 1, 2015
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across NY.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Inspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has no plan of correction
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Allow residents to self-administer drugs if determined clinically appropriate.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 14, 2025)
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 14, 2025)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 14, 2025)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 14, 2025)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 14, 2025)
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 5, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 5, 2025)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jul 2, 2025)
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Jul 2, 2025)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 9, 2024)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 22, 2024)
Reasonably accommodate the needs and preferences of each resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 17, 2024)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 24, 2024)
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 22, 2024)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 24, 2024)
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jun 14, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity K: Pattern; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Apr 29, 2022)
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
CMS scope/severity K: Pattern; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (Apr 29, 2022)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 29, 2022)
Penalties & enforcement
Published fine amount: $14,777.00
Published fine amount: $113,140.00
Payment denial length: 92 days
Published fine amount: $13,348.00
Questions to ask
Facility history
34 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
New York State Department of Health recorded a complaint-related inspection on 2026-04-22.
New York State Department of Health · Recorded event date · View related evidence
New York State Department of Health recorded a complaint-related inspection on 2026-04-22.
New York State Department of Health · Recorded event date · View related evidence
New York State Department of Health recorded a complaint-related inspection on 2026-04-21.
New York State Department of Health · Recorded event date · View related evidence
New York State Department of Health recorded a complaint-related inspection on 2026-04-21.
New York State Department of Health · Recorded event date · View related evidence
New York State Department of Health recorded a complaint-related inspection on 2026-04-21.
New York State Department of Health · Recorded event date · View related evidence
New York State Department of Health recorded a complaint-related inspection on 2026-04-09.
New York State Department of Health · Recorded event date · View related evidence
New York State Department of Health recorded a complaint-related inspection on 2026-04-09.
New York State Department of Health · Recorded event date · View related evidence
Total nurse staffing decreased from 3.01 to 2.79 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
3.01 → 2.79
CMS · Reported in a source release · View related evidence
New York State Department of Health recorded a state fine of $10,000 on 2026-03-16.
New York State Department of Health · Recorded event date · View related evidence
New York State Department of Health recorded a complaint-related inspection on 2026-02-18.
New York State Department of Health · Recorded event date · View related evidence
New York State Department of Health recorded a state fine of $4,000 on 2025-10-10.
New York State Department of Health · Recorded event date · View related evidence
CMS recorded a $14,777 civil monetary penalty.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 3 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 2.945 | 2.401 |
| RN categories | 0.699 | 0.377 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.057 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 2.891 | 0.63 | 0.342 | 1.918 | 0% | 91 |
| 2025Q3 | 2.879 | 0.612 | 0.318 | 1.948 | 0% | 92 |
| 2025Q4 | 3.007 | 0.663 | 0.316 | 2.028 | 0% | 92 |
| 2026Q1 | 2.788 | 0.606 | 0.333 | 1.849 | 0% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Trust participation
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