Clifton Springs Hospital and Clinic Extended Care

Clifton Springs, NY

CMS provider ID 335361CMS source updated July 29, 2026

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CMS overview

CMS rating overview

CMS overall

4 of 5 CMS stars

Health inspection

4 of 5 CMS stars

Staffing

3 of 5 CMS stars

Quality-measure

3 of 5 CMS stars

No proprietary TrustHub score. These ratings are published separately by CMS.

How CMS describes these ratings
CMS overall rating
The CMS overall rating summarizes health inspections, staffing, and quality measures within Medicare's Five-Star system.
Health inspection rating
The CMS health inspection rating reflects findings from standard and complaint inspections used in Medicare's Five-Star system.
Staffing rating
The CMS staffing rating reflects staffing levels and related measures used in Medicare's Five-Star system.
Quality-measure rating
The CMS quality-measure rating summarizes selected resident assessment and claims-based measures used in Medicare's Five-Star system.
CMS certified beds
108
Ownership descriptor
Non profit - Corporation
Medicare participation
Yes
Medicaid participation
Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone
3154620557CMS Provider Information

State regulatory evidence

State License & Oversight

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

Operating certificate
3421000N
License type
Residential Health Care Facility - SNF
State licensed capacity
108 bedsCMS certified beds: 108
Licensee
Rochester Regional HealthLegal entity holding the state license — not automatically the owner or chain
Operator
Clifton Springs Sanitarium CoState-identified operator — not automatically the owner or chain

State regulatory data · checked Aug 2026

View source details · Official NY source

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

Staffing

CMS publishes a 3-star staffing rating for this facility.

RN staffing was 0.65 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Chain context

CMS groups this facility with a chain covering 5 facilities across 1 states or territories.

View chain evidence

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type
Non profit - CorporationCMS
Operator
Clifton Springs Sanitarium CoNew York State Department of Health
Licensee
Rochester Regional HealthNew York State Department of Health
Chain
ROCHESTER REGIONAL HEALTHCMS identifies this facility as part of the ROCHESTER REGIONAL HEALTH chain.

Supported by multiple government sources

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

  • an operating organization identified by the state regulator
  • a state licensee
  • CMS reports 38 individual ownership interests
  • a CMS chain / common-control group

Ownership

Who CMS records show is connected to this facility

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.

Reported party records
39
Organizations shown
1
Individuals shown
38
Latest ownership source update
Jul 27, 2026

CMS-published ownership and control parties

  • ADAMS, HOLLY

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 24, 2017

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • ADAMS, KERRY

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 24, 2017

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • CRILLY, THOMAS

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Apr 1, 2015

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • DAY, NICHOLAS

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jul 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • IGNACZAK, STEPHEN

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Aug 28, 2008

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • MIRHADI, KAYVAN

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jul 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • MUELLER, SALLY

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 24, 2017

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • SOBEL, SIDNEY

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Feb 26, 2004

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • STUCK, DINA

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jul 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • WOODHOUSE, ROBERT

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Dec 31, 1984

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • YOUNG, WILLIAM

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Mar 3, 1994

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • GLASTONBURY, HOWARD

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Jul 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • MATTOON, LISA

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Jul 1, 2021

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • RICCIO, DUSTIN

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Apr 1, 2015

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • CRILLY, THOMAS

    Individual · W-2 MANAGING EMPLOYEE

    Association date reported to CMS: Apr 1, 2015

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • HAMILTON, YVONNE

    Individual · W-2 MANAGING EMPLOYEE

    Association date reported to CMS: Sep 1, 2021

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • HOLDER, NICHOLE

    Individual · W-2 MANAGING EMPLOYEE

    Association date reported to CMS: Apr 1, 2015

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • HOYT, SHAWN

    Individual · W-2 MANAGING EMPLOYEE

    Association date reported to CMS: Apr 14, 2021

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • REITER, JEAN

    Individual · W-2 MANAGING EMPLOYEE

    Association date reported to CMS: Jan 1, 2022

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • ADAMS, HOLLY

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 24, 2017

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • ADAMS, KERRY

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 24, 2017

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • CRILLY, THOMAS

    Individual · CORPORATE DIRECTOR

    Published ownership percentage: 0%

    Association date reported to CMS: Apr 1, 2015

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • DAY, NICHOLAS

    Individual · CORPORATE DIRECTOR

    Published ownership percentage: 0%

    Association date reported to CMS: Jul 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • IGNACZAK, STEPHEN

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Aug 28, 2008

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • MIRHADI, KAYVAN

    Individual · CORPORATE DIRECTOR

    Published ownership percentage: 0%

    Association date reported to CMS: Jul 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • MUELLER, SALLY

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Jan 24, 2017

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • SOBEL, SIDNEY

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Feb 26, 2004

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • STUCK, DINA

    Individual · CORPORATE DIRECTOR

    Published ownership percentage: 0%

    Association date reported to CMS: Jul 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • WOODHOUSE, ROBERT

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Dec 31, 1984

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • YOUNG, WILLIAM

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Mar 3, 1994

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • GLASTONBURY, HOWARD

    Individual · CORPORATE OFFICER

    Published ownership percentage: 0%

    Association date reported to CMS: Jul 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • MATTOON, LISA

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Jul 1, 2021

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • RICCIO, DUSTIN

    Individual · CORPORATE OFFICER

    Published ownership percentage: 0%

    Association date reported to CMS: Apr 1, 2015

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • CRILLY, THOMAS

    Individual · W-2 MANAGING EMPLOYEE

    Association date reported to CMS: Apr 1, 2015

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • HAMILTON, YVONNE

    Individual · W-2 MANAGING EMPLOYEE

    Association date reported to CMS: Sep 1, 2021

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • HOLDER, NICHOLE

    Individual · W-2 MANAGING EMPLOYEE

    Association date reported to CMS: Apr 1, 2015

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • HOYT, SHAWN

    Individual · W-2 MANAGING EMPLOYEE

    Published ownership percentage: 0%

    Association date reported to CMS: Apr 14, 2021

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • REITER, JEAN

    Individual · W-2 MANAGING EMPLOYEE

    Association date reported to CMS: Jan 1, 2022

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility All Owners
    CMS dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source
  • CLIFTON SPRINGS SANITARIUM CO

    Organization · Medicare-enrolled legal organization

    Other facilities connected through this exact CMS organization identity: 0 across NY.

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Skilled Nursing Facility Enrollments
    CMS dataset identifier
    5f2c306f-3b1c-42cd-b037-187b2ce22126
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    View official CMS source

What this means

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.

Chain context

CMS groups this facility with ROCHESTER REGIONAL HEALTH

Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 454 is a grouping identifier, not a legal organization.

Facilities
5
States and territories
1
Average overall rating
4.2
Average staffing rating
3.8
Average total nurse HPRD
4
Total fines
1
Review CMS chain evidence

CMS-published history

Monthly chain measures
MonthFacilitiesOverall ratingStaffing rating
Wed Jul54.23.8
Mon Jun543.2
Fri May543.2
Wed Apr543.2
Sun Mar543.6
Sun Feb543.6

Questions to ask

  • CMS groups facilities in 1 states or territories under this chain. Which operational policies are set at the chain level?
  • CMS reports 1 fines across the chain in this dataset. What compliance functions are managed centrally?
CMS chain source and methodology

Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.

View official CMS source

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date
Nov 15, 2024
Survey type
Fire Safety Standard
Linked findings
0
Highest linked CMS classification
No linked health-deficiency finding in the loaded record
View source details
Dataset
Inspection Dates
CMS dataset ID
svdt-c123
CMS source updated
Jul 1, 2026
CMS provider ID
335361
Source record locator
csv-row:83679:ccn:335361
View official CMS source
Nov 15, 2024Fire Safety Standard 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Nov 15, 2024Health Standard 5 linked findings
  • F0580Resident Rights Deficiencies

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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 (Jan 14, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335361
    Source record locator
    csv-row:235819:ccn:335361
    View official CMS source
  • F0656Resident Assessment and Care Planning Deficiencies

    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 (Jan 14, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335361
    Source record locator
    csv-row:235820:ccn:335361
    View official CMS source
  • F0658Resident Assessment and Care Planning Deficiencies

    Ensure services provided by the nursing facility meet professional standards of quality.

    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 (Jan 14, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335361
    Source record locator
    csv-row:235821:ccn:335361
    View official CMS source
  • F0689Quality of Life and Care Deficiencies

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    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 (Jan 14, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335361
    Source record locator
    csv-row:235822:ccn:335361
    View official CMS source
  • F0732Nursing and Physician Services Deficiencies

    Post nurse staffing information every day.

    CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.

    Correction status: Deficient, Provider has date of correction (Jan 14, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335361
    Source record locator
    csv-row:235823:ccn:335361
    View official CMS source
Mar 3, 2023Fire Safety Standard 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Mar 3, 2023Health Standard 1 linked finding
  • F0689Quality of Life and Care Deficiencies

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    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 1, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335361
    Source record locator
    csv-row:235824:ccn:335361
    View official CMS source
May 18, 2021Fire Safety Standard 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

May 18, 2021Health Standard 6 linked findings
  • F0580Resident Rights Deficiencies

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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 (Jul 17, 2021)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335361
    Source record locator
    csv-row:235825:ccn:335361
    View official CMS source
  • F0623Resident Rights Deficiencies

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.

    Correction status: Deficient, Provider has date of correction (Jul 17, 2021)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335361
    Source record locator
    csv-row:235829:ccn:335361
    View official CMS source
  • F0625Resident Rights Deficiencies

    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.

    CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.

    Correction status: Deficient, Provider has date of correction (Jul 17, 2021)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335361
    Source record locator
    csv-row:235830:ccn:335361
    View official CMS source
  • F0657Resident Assessment and Care Planning Deficiencies

    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 (Jul 17, 2021)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335361
    Source record locator
    csv-row:235826:ccn:335361
    View official CMS source
  • F0677Quality of Life and Care Deficiencies

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    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 17, 2021)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335361
    Source record locator
    csv-row:235827:ccn:335361
    View official CMS source
  • F0698Quality of Life and Care Deficiencies

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    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 17, 2021)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335361
    Source record locator
    csv-row:235828:ccn:335361
    View official CMS source

Tags appearing across inspections

  • F0580 appears in 2 linked inspections.
  • F0689 appears in 2 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

No penalty records were found for this provider in the currently loaded CMS Penalties dataset.

Questions to ask

Questions generated from the evidence above

  • CMS records show F0580 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0689 in 2 inspections in the available record. What changes has the facility made to address this issue?

Facility history

Facility History

14 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.

What changed recently?

  • Total nurse staffing decreasedTotal nurse staffing decreased from 4.30 to 4.09 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
  • State complaint inspection recordedNew York State Department of Health recorded a complaint-related inspection on 2026-02-02.

2026

  1. Total nurse staffing decreased

    Total nurse staffing decreased from 4.30 to 4.09 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.

    4.304.09

    CMS · Reported in a source release · View related evidence

  2. State complaint inspection recorded

    New York State Department of Health recorded a complaint-related inspection on 2026-02-02.

    New York State Department of Health · Recorded event date · View related evidence

  3. State complaint inspection recorded

    New York State Department of Health recorded a complaint-related inspection on 2026-02-02.

    New York State Department of Health · Recorded event date · View related evidence

2025

  1. Total nurse staffing decreased

    Total nurse staffing decreased from 4.72 to 4.35 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.

    4.724.35

    CMS · Reported in a source release · View related evidence

2024

  1. Health inspection completed

    5 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

  2. State complaint inspection recorded

    New York State Department of Health recorded a complaint-related inspection on 2024-05-18.

    New York State Department of Health · Recorded event date · View related evidence

  3. State complaint inspection recorded

    New York State Department of Health recorded a complaint-related inspection on 2024-05-16.

    New York State Department of Health · Recorded event date · View related evidence

  4. State complaint inspection recorded

    New York State Department of Health recorded a complaint-related inspection on 2024-05-15.

    New York State Department of Health · Recorded event date · View related evidence

  5. State complaint inspection recorded

    New York State Department of Health recorded a complaint-related inspection on 2024-02-09.

    New York State Department of Health · Recorded event date · View related evidence

  6. State complaint inspection recorded

    New York State Department of Health recorded a complaint-related inspection on 2024-02-08.

    New York State Department of Health · Recorded event date · View related evidence

  7. State complaint inspection recorded

    New York State Department of Health recorded a complaint-related inspection on 2024-02-07.

    New York State Department of Health · Recorded event date · View related evidence

  8. State complaint inspection recorded

    New York State Department of Health recorded a complaint-related inspection on 2024-02-06.

    New York State Department of Health · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

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).

Inspect a PBJ quarter
Total nursing
4.09
reported hours per resident day
RN categories
0.654
reported hours per resident day
LPN/LVN categories
1.195
reported hours per resident day
CNA
2.229
reported hours per resident day

Weekday and weekend calculations

2026Q1 reported hours per resident day
MeasureMonday–FridaySaturday–Sunday
Total nursing4.33.57
RN categories0.7420.438

Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.051 lower than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
QuarterTotal nursingRN categoriesLPN/LVNCNAContract shareDays
2025Q24.7180.7461.4282.5281%91
2025Q34.3510.7081.3232.3110.2%92
2025Q44.3020.7051.2362.3310.1%92
2026Q14.090.6541.1952.2290%90

Questions to ask

  • PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
Staffing source and calculation details
Source
Centers for Medicare & Medicaid Services (CMS)
Dataset
Payroll Based Journal Daily Nurse Staffing
CMS dataset ID
7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter
2026Q1
Coverage
Jan 1, 2026Mar 31, 2026
Days represented
90 (90 with positive MDS census)
CMS source updated
Jul 29, 2026
Calculation version
pbj-quarter-ratio-of-sums-v1

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 source

What we can verify today

Current Provider Information facts

These measures come from the current successfully ingested CMS Nursing Home Provider Information release.

  • CMS reports a 4-star overall rating.
  • CMS reports a 4-star health inspection rating.
  • CMS reports a 3-star staffing rating.
  • CMS reports a 3-star quality-measure rating.

Planned evidence layers

Additional public-source research

These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.

    Trust participation

    See something that needs correction?

    Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.

    How corrections work

    Source register

    See where this record came from

    Provider Information
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset identifier
    4pq5-n9py
    Source updated
    Jul 29, 2026
    Retrieved
    Aug 14, 2026
    Supports
    Overview, facility facts, and CMS ratings
    View official CMS source
    Inspection Dates
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset identifier
    svdt-c123
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 14, 2026
    Supports
    Inspections and facility history
    View official CMS source
    Health Deficiencies
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset identifier
    r5ix-sfxw
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 14, 2026
    Supports
    Health deficiencies and facility history
    View official CMS source
    Payroll Based Journal Daily Nurse Staffing
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset identifier
    7e0d53ba-8f02-4c66-98a5-14a1c997c50d
    Coverage
    Apr 1, 2025–Mar 31, 2026
    Source updated
    Jul 29, 2026
    Retrieved
    Aug 15, 2026
    Supports
    PBJ staffing cards, history, and transparent calculations
    View official CMS source
    Ownership
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset identifier
    y2hd-n93e
    Source updated
    Jul 1, 2026
    Retrieved
    Aug 15, 2026
    Supports
    Ownership parties, organization connections, and ownership history
    View official CMS source
    Skilled Nursing Facility All Owners
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset identifier
    afe44b85-cc6d-40d7-b5df-00ae8910d1d2
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    Supports
    Ownership parties, organization connections, and ownership history
    View official CMS source
    Skilled Nursing Facility Enrollments
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset identifier
    5f2c306f-3b1c-42cd-b037-187b2ce22126
    Source updated
    Jul 27, 2026
    Retrieved
    Aug 15, 2026
    Supports
    Ownership parties, organization connections, and ownership history
    View official CMS source
    Nursing Home Chain Performance Measures
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset identifier
    97ecfad1-d3f1-4d42-b774-d74661d830bc
    Coverage
    Wed Jul
    Source updated
    Aug 12, 2026
    Retrieved
    Aug 16, 2026
    Supports
    CMS chain context, performance, and monthly history
    View official CMS source
    Health Facility General Information (HFIS)
    Source organization
    New York State Department of Health
    Dataset identifier
    state-regulator:ny
    Coverage
    Operating certificate 3421000N
    Source updated
    Aug 18, 2026
    Retrieved
    Aug 18, 2026
    Supports
    operating certificate, license type, state licensed capacity, licensee, and operator. Separate from CMS certification, ratings, and ownership.
    View official state source

    No paid placements. Facilities cannot pay to rank higher. We cite. You decide.