SENIORTRUST HUB

Facility record

TROY VICTORIAN REHABILITATION & NURSING CARE CNTR has 120 certified beds in TROY, 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 1 of 5. The latest standard health survey on May 18, 2026 lists 12 deficiencies, compared with the New York average of 5.5. CMS records a fine of $82,635 dated Mar 9, 2026. CMS records a fine of $162,434 dated May 9, 2025. CMS records a fine of $24,505 dated Jul 5, 2024. Total nurse staffing is 2.96 hours per resident day in 2026Q1, compared with the New York average of 3.63.

Nearby facilities

CMS nursing homes in New York

CMS nursing home

TROY VICTORIAN REHABILITATION & NURSING CARE CNTR

TROY, NY

CMS CCN 3353775182351410Listed in the current CMS nursing-home directoryCMS source updated August 1, 2026

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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 335377.

At a glance

CMS research snapshot

CMS overall rating

1 of 5

CMS health inspection rating

1 of 5

CMS staffing rating

1 of 5

CMS quality-measure rating

2 of 5

CMS ownership-change history

No attached CMS ownership-change event.

CMS Special Focus Facility

CMS currently identifies Special Focus Facility or candidate status in the loaded Provider Information extract. That is a CMS designation, not a Trust Hub watchlist.

These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.

Quality & care evidence

What CMS reports about quality

  • MDS quality observations are in the CMS extract.
  • PBJ staffing records are in the CMS extract.
  • Inspection evidence is in the CMS extract.
  • Fire-safety evidence is in the CMS extract.

Staffing, inspections, and fire safety are separate CMS evidence families below.

Ownership & management

Who CMS/PECOS connects to this nursing home

Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.

Current owners

  • BSDSNF LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
  • ENGELMAN, NAOMIIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
  • FRIEDMAN, RIFKAIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
  • KAHAN, BENJAMINIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST20% ownership interest
  • KAHAN, PEARLIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST20% ownership interest
  • ROSENFELD, CHAYAIndividual owner5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest

Managers

  • CALIGIURI, JAMESIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
  • JAFRI, MIKRAMIndividual owner · CURRENTCONTRACTED MANAGING EMPLOYEE
  • TRYON, CLARAIndividual owner · CURRENTW-2 MANAGING EMPLOYEE
  • CALIGIURI, JAMESIndividual owner · UNKNOWNW-2 MANAGING EMPLOYEE
  • JAFRI, MIKRAMIndividual owner · UNKNOWNCONTRACTED MANAGING EMPLOYEE
  • TRYON, CLARAIndividual owner · UNKNOWNW-2 MANAGING EMPLOYEE
Ownership observations with UNKNOWN status

These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.

UNKNOWN

  • BSDSNF LLCOrganization · UNKNOWN5% OR GREATER DIRECT OWNERSHIP INTEREST100% ownership interest
  • ENGELMAN, NAOMIIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
  • FRIEDMAN, RIFKAIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest
  • KAHAN, BENJAMINIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST20% ownership interest
  • KAHAN, JEROMEIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST30% ownership interest
  • KAHAN, PEARLIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST20% ownership interest
  • ROSENFELD, CHAYAIndividual owner · UNKNOWN5% OR GREATER INDIRECT OWNERSHIP INTEREST10% ownership interest

Ownership change history

CMS ownership-change records

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

How current each evidence family is

nursing-home-mds-quality-measures
STALE · source as of 2026-08-01
nursing-home-provider-information
STALE · source as of 2026-08-01
skilled-nursing-facility-all-owners
AGING · source as of 2026-08-17
skilled-nursing-facility-change-of-ownership
CURRENT · source as of 2026-08-24

Profile generated 2026-11-04. That timestamp is not CMS evidence freshness.

Methodology

How Trust Hub researches this provider

  • CMS is the source for national nursing-home evidence.
  • Trust Hub does not create the CMS star ratings.
  • Ownership evidence does not measure care quality.
  • CMS CHOW records document reported ownership-change events.
  • Missing evidence is not interpreted as zero.
  • UNKNOWN ownership history is not interpreted as divestiture.
  • Ownership evidence is not a quality measure.
  • Missing evidence is not a zero score.
  • CMS ratings are CMS ratings, not Trust Hub ratings.
  • UNKNOWN ownership does not prove an owner left.
  • CHOW records are CMS transaction records, not Trust Hub judgments or sales.

CMS overview

CMS rating overview

CMS overall

1 of 5

Health inspection

1 of 5

Staffing

1 of 5

Quality measures

2 of 5

No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read

CMS certified beds
120
Ownership descriptor
For profit - Limited Liability company
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
5182351410Verified public information · checked Aug 2026

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
4161000N
License type
Residential Health Care Facility - SNF
State licensed capacity
120 bedsCMS certified beds: 120
Operator
Troy Diamond Operations, LLCState-identified operator — not automatically the owner or chain

State regulatory data · checked Aug 2026

View source details · Official NY source

CMS designations

Special Focus and abuse-icon status

This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.

Special Focus Facility candidate

CMS currently identifies this nursing home as a Special Focus Facility candidate. Candidate status is not the same as being designated a Special Focus Facility.

CMS field value: SFF Candidate. Observed Aug 1, 2026.

CMS abuse-icon designation

CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.

CMS field value: N. Observed Aug 1, 2026.

MDS quality measures

Individual CMS 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.

View individual MDS measures
  • Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (Long Stay): 62.307692
  • Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (Long Stay): 92.452830
  • Percentage of long-stay residents experiencing one or more falls with major injury (Long Stay): 5.897436 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents who have depressive symptoms (Long Stay): 11.684783
  • Percentage of long-stay residents who lose too much weight (Long Stay): 3.878116
  • Percentage of long-stay residents who received an antianxiety or hypnotic medication (Long Stay): 19.047619
  • Percentage of long-stay residents who received an antipsychotic medication (Long Stay): 27.956989 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents who were physically restrained (Long Stay): 0.000000
  • Percentage of long-stay residents whose ability to walk independently worsened (Long Stay): 8.181390 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents whose need for help with daily activities has increased (Long Stay): 13.821138 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with a catheter inserted and left in their bladder (Long Stay): 0.645796 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with a urinary tract infection (Long Stay): 1.340483 · CMS uses this measure in the quality-measure star rating
  • Percentage of long-stay residents with new or worsened bowel or bladder incontinence (Long Stay): 30.372903
  • Percentage of long-stay residents with pressure ulcers (Long Stay): 5.882173 · CMS uses this measure in the quality-measure star rating
  • Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (Short Stay): 62.702703
  • Percentage of short-stay residents who newly received an antipsychotic medication (Short Stay): 1.456311 · CMS uses this measure in the quality-measure star rating
  • Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (Short Stay): 75.789474

Fire-safety citations

CMS fire-safety citations

These are fire-safety citations, not health deficiencies and not a count of fires.

  • 2026-05-18 · tag 0321 · scope/severity F — Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
  • 2026-05-18 · tag 0015 · scope/severity F — Address subsistence needs for staff and patients.
  • 2026-05-18 · tag 0911 · scope/severity F — Meet requirements for the installation and maintenance of electrical systems.
  • 2026-05-18 · tag 0921 · scope/severity F — Ensure that testing and maintenance of electrical equipment is performed.
  • 2026-05-18 · tag 0511 · scope/severity F — Have properly installed electrical wiring and gas equipment.
  • 2026-05-18 · tag 0225 · scope/severity E — Have stairways and smokeproof enclosures used as exits that meet safety requirements.
  • 2026-05-18 · tag 0293 · scope/severity E — Have properly located and lighted "Exit" signs.
  • 2026-05-18 · tag 0781 · scope/severity E — Have restrictions on the use of portable space heaters.
  • 2026-05-18 · tag 0362 · scope/severity D — Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
  • 2026-05-18 · tag 0923 · scope/severity D — Have proper medical gas storage and administration areas.
  • 2026-05-18 · tag 0223 · scope/severity E — Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
  • 2025-05-09 · tag 0324 · scope/severity E — Provide properly protected cooking facilities.

Decision guide

What to review

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

Staffing

CMS publishes a 1-star staffing rating for this facility.

RN staffing was 0.42 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence
Enforcement record

CMS records show a $82,635 fine in the loaded enforcement dataset.

View enforcement 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
For profit - Limited Liability companyCMS
Operator
Troy Diamond Operations, LLCNew York State Department of Health

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

  • an operating organization identified by the state regulator
  • 1 CMS-reported ownership organization
  • CMS reports 10 individual ownership interests

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
11
Organizations shown
1
Individuals shown
10
Latest ownership source update
Aug 1, 2026

CMS-published ownership and control parties

  • BSDSNF LLC

    Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST

    Published ownership percentage: 100%

    Association date reported to CMS: Apr 11, 2019

    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
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • ENGELMAN, NAOMI

    Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 10%

    Association date reported to CMS: Apr 11, 2019

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • FRIEDMAN, RIFKA

    Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 10%

    Association date reported to CMS: Apr 11, 2019

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • KAHAN, BENJAMIN

    Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 20%

    Association date reported to CMS: Apr 11, 2019

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • KAHAN, PEARL

    Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 20%

    Association date reported to CMS: Apr 11, 2019

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • ROSENFELD, CHAYA

    Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Published ownership percentage: 10%

    Association date reported to CMS: Apr 11, 2019

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • JAFRI, MIKRAM

    Individual · CONTRACTED MANAGING EMPLOYEE

    Association date reported to CMS: Dec 29, 2022

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • KAHAN, JEROME

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Dec 29, 2022

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • ROSEMBAUM, JOEL

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Dec 29, 2022

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • CALIGIURI, JAMES

    Individual · W-2 MANAGING EMPLOYEE

    Association date reported to CMS: Feb 4, 2024

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 2026
    View official CMS source
  • TRYON, CLARA

    Individual · W-2 MANAGING EMPLOYEE

    Association date reported to CMS: Mar 1, 2020

    View ownership source details
    Source organization
    Centers for Medicare & Medicaid Services (CMS)
    Dataset
    Ownership
    CMS dataset identifier
    y2hd-n93e
    Source updated
    Aug 1, 2026
    Retrieved
    Aug 26, 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.

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
May 18, 2026
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
Aug 1, 2026
CMS provider ID
335377
Source record locator
csv-row:83942:ccn:335377
View official CMS source
May 18, 2026 — Fire Safety Standard — 0 linked findings

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

May 18, 2026 — Health Complaint — 0 linked findings

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

May 18, 2026 — Health Standard — 12 linked findings
  • F0550 — Resident Rights Deficiencies

    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 (Jun 15, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236407:ccn:335377
    View official CMS source
  • F0554 — Resident Rights Deficiencies

    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 (Jun 15, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236408:ccn:335377
    View official CMS source
  • F0658 — Resident 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 (Jun 15, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236411:ccn:335377
    View official CMS source
  • F0684 — Quality of Life and Care Deficiencies

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

    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 15, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236413:ccn:335377
    View official CMS source
  • F0689 — Quality 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 (Jun 15, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236415:ccn:335377
    View official CMS source
  • F0690 — Quality of Life and Care Deficiencies

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    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 15, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236416:ccn:335377
    View official CMS source
  • F0692 — Quality of Life and Care Deficiencies

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

    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 (Jun 15, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236404:ccn:335377
    View official CMS source
  • F0698 — Quality 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 (Jun 15, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236417:ccn:335377
    View official CMS source
  • F0755 — Pharmacy Service Deficiencies

    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 (Jun 15, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236405:ccn:335377
    View official CMS source
  • F0812 — Nutrition and Dietary Deficiencies

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    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 (Jun 15, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236406:ccn:335377
    View official CMS source
  • F0836 — Administration Deficiencies

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

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

    Correction status: Deficient, Provider has date of correction (Jun 15, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236419:ccn:335377
    View official CMS source
  • F0880 — Infection Control Deficiencies

    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 15, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236418:ccn:335377
    View official CMS source
Mar 9, 2026 — Health Complaint — 3 linked findings
  • F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    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 8, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236421:ccn:335377
    View official CMS source
  • F0656 — Resident 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 (May 8, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236422:ccn:335377
    View official CMS source
  • F0689 — Quality 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 J: Isolated; Immediate jeopardy to resident health or safety.

    Correction status: Deficient, Provider has date of correction (May 8, 2026)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236420:ccn:335377
    View official CMS source
May 9, 2025 — Fire Safety Standard — 0 linked findings

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

May 9, 2025 — Health Complaint — 0 linked findings

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

May 9, 2025 — Health Standard — 15 linked findings
  • F0636 — Resident Assessment and Care Planning Deficiencies

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    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 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236440:ccn:335377
    View official CMS source
  • F0645 — Resident Assessment and Care Planning Deficiencies

    PASARR screening for Mental disorders or Intellectual Disabilities

    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 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236441:ccn:335377
    View official CMS source
  • F0755 — Pharmacy Service Deficiencies

    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 (Jul 7, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236435:ccn:335377
    View official CMS source
  • F0756 — Pharmacy Service Deficiencies

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236427:ccn:335377
    View official CMS source
  • F0759 — Pharmacy Service Deficiencies

    Ensure medication error rates are not 5 percent or greater.

    CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236428:ccn:335377
    View official CMS source
  • F0761 — Pharmacy Service Deficiencies

    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 F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

    Correction status: Deficient, Provider has date of correction (Jul 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236430:ccn:335377
    View official CMS source
  • F0804 — Nutrition and Dietary Deficiencies

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    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 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236443:ccn:335377
    View official CMS source
  • F0812 — Nutrition and Dietary Deficiencies

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    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 (Jul 9, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236436:ccn:335377
    View official CMS source
  • F0814 — Nutrition and Dietary Deficiencies

    Dispose of garbage and refuse properly.

    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, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236444:ccn:335377
    View official CMS source
  • F0836 — Administration Deficiencies

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

    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 11, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236445:ccn:335377
    View official CMS source
  • F0842 — Resident Assessment and Care Planning Deficiencies

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    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 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236446:ccn:335377
    View official CMS source
  • F0880 — Infection Control Deficiencies

    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 (Jul 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236447:ccn:335377
    View official CMS source
  • F0921 — Environmental Deficiencies

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    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 (Aug 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236449:ccn:335377
    View official CMS source
  • F0923 — Environmental Deficiencies

    Have enough outside ventilation via a window or mechanical ventilation, or both.

    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 (Aug 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236450:ccn:335377
    View official CMS source
  • F0924 — Environmental Deficiencies

    Put firmly secured handrails on each side of hallways.

    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 (Jul 11, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236437:ccn:335377
    View official CMS source
Feb 10, 2025 — Health Complaint — 1 linked finding
  • F0689 — Quality 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 (Mar 19, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236451:ccn:335377
    View official CMS source
Aug 14, 2024 — Health Complaint — 1 linked finding
  • F0725 — Nursing and Physician Services Deficiencies

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    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 (Oct 29, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236452:ccn:335377
    View official CMS source
Jul 5, 2024 — Health Complaint — 3 linked findings
  • F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    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 (Aug 13, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236454:ccn:335377
    View official CMS source
  • F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    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 (Aug 4, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236455:ccn:335377
    View official CMS source
  • F0689 — Quality 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 J: Isolated; Immediate jeopardy to resident health or safety.

    Correction status: Deficient, Provider has date of correction (Aug 4, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236453:ccn:335377
    View official CMS source
Mar 25, 2024 — Health Complaint — 3 linked findings
  • F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    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 (Jun 6, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236456:ccn:335377
    View official CMS source
  • F0602 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Protect each resident from the wrongful use of the resident's belongings or money.

    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 6, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236457:ccn:335377
    View official CMS source
  • F0657 — Resident 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 (Jun 6, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236458:ccn:335377
    View official CMS source
Dec 7, 2023 — Health Complaint — 5 linked findings
  • F0550 — Resident Rights Deficiencies

    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 (Jan 25, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236460:ccn:335377
    View official CMS source
  • F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    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 25, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236461:ccn:335377
    View official CMS source
  • F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Respond appropriately to all alleged violations.

    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 25, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236462:ccn:335377
    View official CMS source
  • F0690 — Quality of Life and Care Deficiencies

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    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 25, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236463:ccn:335377
    View official CMS source
  • F0842 — Resident Assessment and Care Planning Deficiencies

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    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 (Jan 25, 2024)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236459:ccn:335377
    View official CMS source
Aug 22, 2023 — Fire Safety Complaint — 0 linked findings

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

Apr 20, 2023 — Fire Safety Standard — 0 linked findings

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

Apr 20, 2023 — Health Standard — 9 linked findings
  • F0584 — Resident Rights Deficiencies

    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.

    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 (Jun 19, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236464:ccn:335377
    View official CMS source
  • F0623 — Resident 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 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 19, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236469:ccn:335377
    View official CMS source
  • F0625 — Resident 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 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 19, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236470:ccn:335377
    View official CMS source
  • F0656 — Resident 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 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 (Jun 19, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236465:ccn:335377
    View official CMS source
  • F0684 — Quality of Life and Care Deficiencies

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

    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 19, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236471:ccn:335377
    View official CMS source
  • F0689 — Quality 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 (Jun 19, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236472:ccn:335377
    View official CMS source
  • F0756 — Pharmacy Service Deficiencies

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    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 (Jun 19, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236466:ccn:335377
    View official CMS source
  • F0759 — Pharmacy Service Deficiencies

    Ensure medication error rates are not 5 percent or greater.

    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 (Jun 19, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236467:ccn:335377
    View official CMS source
  • F0814 — Nutrition and Dietary Deficiencies

    Dispose of garbage and refuse properly.

    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 (Jun 19, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:236468:ccn:335377
    View official CMS source

Tags appearing across inspections

  • F0689 appears in 5 linked inspections.
  • F0609 appears in 3 linked inspections.
  • F0550 appears in 2 linked inspections.
  • F0600 appears in 2 linked inspections.
  • F0656 appears in 2 linked inspections.
  • F0684 appears in 2 linked inspections.
  • F0690 appears in 2 linked inspections.
  • F0755 appears in 2 linked inspections.
  • F0756 appears in 2 linked inspections.
  • F0759 appears in 2 linked inspections.
  • F0812 appears in 2 linked inspections.
  • F0814 appears in 2 linked inspections.
  • F0836 appears in 2 linked inspections.
  • F0842 appears in 2 linked inspections.
  • F0880 appears in 2 linked inspections.

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

  • Fine — Mar 9, 2026

    Published fine amount: $82,635.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:8806:ccn:335377
    View official CMS source
  • Fine — May 9, 2025

    Published fine amount: $162,434.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:8807:ccn:335377
    View official CMS source
  • Fine — Jul 5, 2024

    Published fine amount: $24,505.00

    View source details
    Dataset
    Penalties
    CMS dataset ID
    g6vv-u9sr
    CMS source updated
    Aug 1, 2026
    CMS provider ID
    335377
    Source record locator
    csv-row:8805:ccn:335377
    View official CMS source

Questions to ask

Questions generated from the evidence above

  • CMS records show F0689 in 5 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0609 in 3 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0550 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0600 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0656 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0684 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0690 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0755 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0756 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0759 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0812 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0814 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0836 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0842 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0880 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show a monetary penalty dated Mar 9, 2026. What changes were made after that enforcement action?

Facility history

Facility History

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

What changed recently?

  • Complaint inspection recorded4 deficiencies were recorded.
  • State complaint inspection recordedNew York State Department of Health recorded a complaint-related inspection on 2026-05-15.
  • Civil monetary penalty recordedCMS recorded a $82,635 civil monetary penalty.

2026

  1. Complaint inspection recorded

    4 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 2026-05-15.

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

  3. Civil monetary penalty recorded

    CMS recorded a $82,635 civil monetary penalty.

    CMS · Recorded event date · View related evidence

  4. Complaint inspection recorded

    3 deficiencies were recorded. That includes 1 higher-severity deficiency.

    CMS · Recorded event date · View related evidence

2025

  1. State fine recorded

    New York State Department of Health recorded a state fine of $30,000 on 2025-12-01.

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

  2. State complaint inspection recorded

    New York State Department of Health recorded a complaint-related inspection on 2025-11-28.

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

  3. Total nurse staffing decreased

    Total nurse staffing decreased from 3.03 to 2.80 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.

    3.03 → 2.80

    CMS · Reported in a source release · View related evidence

  4. Civil monetary penalty recorded

    CMS recorded a $162,434 civil monetary penalty.

    CMS · Recorded event date · View related evidence

  5. Complaint inspection recorded

    No linked health-deficiency findings were recorded for this survey.

    CMS · Recorded event date · View related evidence

  6. Health inspection completed

    15 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

  7. State complaint inspection recorded

    New York State Department of Health recorded a complaint-related inspection on 2025-05-08.

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

  8. Complaint inspection recorded

    1 deficiency was recorded.

    CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 1 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
2.961
reported hours per resident day
RN categories
0.422
reported hours per resident day
LPN/LVN categories
0.956
reported hours per resident day
CNA
1.584
reported hours per resident day

Weekday and weekend calculations

2026Q1 reported hours per resident day
MeasureMonday–FridaySaturday–Sunday
Total nursing3.1622.464
RN categories0.4890.255

Contract staff accounted for 5.3% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.020 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
2025Q23.0320.4770.9691.5865.7%91
2025Q32.8040.4370.9081.4596.6%92
2025Q42.9130.4410.9341.5385.2%92
2026Q12.9610.4220.9561.5845.3%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?
  • PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?
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, 2026–Mar 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 1-star overall rating.
  • CMS reports a 1-star health inspection rating.
  • CMS reports a 1-star staffing rating.
  • CMS reports a 2-star quality-measure rating.

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See where this record came from

Provider Information
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
4pq5-n9py
Source updated
Aug 1, 2026
Retrieved
Aug 26, 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
Aug 1, 2026
Retrieved
Aug 26, 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
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Health deficiencies and facility history
View official CMS source
Penalties
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset identifier
g6vv-u9sr
Source updated
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Penalties, enforcement, 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
Aug 1, 2026
Retrieved
Aug 26, 2026
Supports
Ownership parties, organization connections, and ownership history
View official CMS source
Verified public facility information
Source organization
Public facility listing
Dataset identifier
commercial-corroboration:public-listing
Source updated
Aug 18, 2026
Retrieved
Aug 18, 2026
Supports
Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.
How sources work
Health Facility General Information (HFIS)
Source organization
New York State Department of Health
Dataset identifier
state-regulator:ny
Coverage
Operating certificate 4161000N
Source updated
Aug 18, 2026
Retrieved
Aug 18, 2026
Supports
operating certificate, license type, state licensed capacity, and operator. Separate from CMS certification, ratings, and ownership.
View official state source

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