The Highlands at Brighton

Rochester, NY

CMS provider ID 335778CMS source updated July 29, 2026

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CMS overview

CMS rating overview

CMS overall

3 of 5 CMS stars

Health inspection

3 of 5 CMS stars

Staffing

4 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
145
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
5854427960Verified 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
2750306N
License type
Residential Health Care Facility - SNF
State licensed capacity
145 bedsCMS certified beds: 145
Operator
The Meadows at Westfall, IncState-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 4-star staffing rating for this facility.

RN staffing was 0.61 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing 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
The Meadows at Westfall, IncNew 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
  • CMS reports 13 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
13
Organizations shown
0
Individuals shown
13
Latest ownership source update
Jul 1, 2026

CMS-published ownership and control parties

  • MUNIAK, JENNIFER

    Individual · ADP OF THE SNF

    Association date reported to CMS: Mar 11, 2025

    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
  • WINIARCZYK, WALTER

    Individual · ADP OF THE SNF

    Association date reported to CMS: Apr 2, 2025

    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
  • WINIARCZYK, WALTER

    Individual · CORPORATE DIRECTOR

    Association date reported to CMS: Sep 25, 2013

    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
  • GARRETT, ELIZABETH

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Jan 1, 2009

    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
  • GOLDSTEIN, STEVEN

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Sep 1, 1996

    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
  • HALL, WILLIAM

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Jan 1, 2009

    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
  • LATELLA, ROBERT

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Jan 1, 2009

    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
  • MAGEE, ROBBIE

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Jan 1, 2009

    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
  • RIORDAN, MICHAEL

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Jan 1, 2009

    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
  • VANSTRYDONCK, GERALD

    Individual · CORPORATE OFFICER

    Association date reported to CMS: Jan 1, 2009

    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
  • MUNIAK, JENNIFER

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Jan 1, 2023

    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
  • WINIARCZYK, WALTER

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Sep 25, 2013

    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
  • YALE, ELIZABETH

    Individual · OPERATIONAL/MANAGERIAL CONTROL

    Association date reported to CMS: Jul 31, 2023

    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

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 7, 2026
Survey type
Health Complaint
Linked findings
2
Highest linked CMS classification
D — Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy
View source details
Dataset
Inspection Dates
CMS dataset ID
svdt-c123
CMS source updated
Jul 1, 2026
CMS provider ID
335778
Source record locator
csv-row:86284:ccn:335778
View official CMS source
May 7, 2026Health Complaint 2 linked findings
  • F0609Freedom 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 no plan of correction

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335778
    Source record locator
    csv-row:242294:ccn:335778
    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 no plan of correction

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335778
    Source record locator
    csv-row:242295:ccn:335778
    View official CMS source
Aug 13, 2025Fire Safety Standard 0 linked findings

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

Aug 13, 2025Health Standard 7 linked findings
  • F0583Resident Rights Deficiencies

    Keep residents' personal and medical records private and confidential.

    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 (Oct 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335778
    Source record locator
    csv-row:242297:ccn:335778
    View official CMS source
  • F0610Freedom 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 (Oct 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335778
    Source record locator
    csv-row:242298:ccn:335778
    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 (Oct 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335778
    Source record locator
    csv-row:242299:ccn:335778
    View official CMS source
  • F0684Quality 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 (Oct 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335778
    Source record locator
    csv-row:242300:ccn:335778
    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 (Oct 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335778
    Source record locator
    csv-row:242302:ccn:335778
    View official CMS source
  • F0761Pharmacy 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 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 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335778
    Source record locator
    csv-row:242296:ccn:335778
    View official CMS source
  • F0812Nutrition 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 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 (Oct 8, 2025)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335778
    Source record locator
    csv-row:242301:ccn:335778
    View official CMS source
Oct 4, 2023Fire Safety Standard 0 linked findings

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

Oct 4, 2023Health Complaint 1 linked finding
  • 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 (Dec 1, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335778
    Source record locator
    csv-row:242310:ccn:335778
    View official CMS source
Oct 4, 2023Health Standard 5 linked findings
  • F0565Resident Rights Deficiencies

    Honor the resident's right to organize and participate in resident/family groups in the facility.

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

    Correction status: Deficient, Provider has date of correction (Dec 1, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335778
    Source record locator
    csv-row:242304:ccn:335778
    View official CMS source
  • F0610Freedom 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 (Dec 1, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335778
    Source record locator
    csv-row:242305:ccn:335778
    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 (Dec 1, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335778
    Source record locator
    csv-row:242306:ccn:335778
    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 (Dec 1, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335778
    Source record locator
    csv-row:242307:ccn:335778
    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 (Dec 1, 2023)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335778
    Source record locator
    csv-row:242308:ccn:335778
    View official CMS source
Dec 6, 2021Fire Safety Standard 0 linked findings

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

Dec 6, 2021Health Standard 8 linked findings
  • F0578Resident Rights Deficiencies

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    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 31, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335778
    Source record locator
    csv-row:242312:ccn:335778
    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 (Jan 31, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335778
    Source record locator
    csv-row:242317:ccn:335778
    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 (Jan 31, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335778
    Source record locator
    csv-row:242318:ccn:335778
    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 (Jan 31, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335778
    Source record locator
    csv-row:242313:ccn:335778
    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 31, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335778
    Source record locator
    csv-row:242314:ccn:335778
    View official CMS source
  • F0695Quality of Life and Care Deficiencies

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Correction status: Deficient, Provider has date of correction (Jan 31, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335778
    Source record locator
    csv-row:242315:ccn:335778
    View official CMS source
  • F0880Infection 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 (Dec 29, 2021)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335778
    Source record locator
    csv-row:242316:ccn:335778
    View official CMS source
  • F0908Environmental Deficiencies

    Keep all essential equipment working 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 (Jan 31, 2022)

    View source details
    Dataset
    Health Deficiencies
    CMS dataset ID
    r5ix-sfxw
    CMS source updated
    Jul 1, 2026
    CMS provider ID
    335778
    Source record locator
    csv-row:242311:ccn:335778
    View official CMS source

Tags appearing across inspections

  • F0677 appears in 3 linked inspections.
  • F0689 appears in 3 linked inspections.
  • F0610 appears in 2 linked inspections.
  • F0732 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 F0677 in 3 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0689 in 3 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0610 in 2 inspections in the available record. What changes has the facility made to address this issue?
  • CMS records show F0732 in 2 inspections in the available record. What changes has the facility made to address this issue?

Facility history

Facility History

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

What changed recently?

  • Complaint inspection recorded2 deficiencies were recorded.
  • Total nurse staffing decreasedTotal nurse staffing decreased from 5.40 to 5.15 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 2025-12-17.

2026

  1. Complaint inspection recorded

    2 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

  2. Total nurse staffing decreased

    Total nurse staffing decreased from 5.40 to 5.15 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.

    5.405.15

    CMS · Reported in a source release · View related evidence

2025

  1. Total nurse staffing increased

    Total nurse staffing increased from 5.18 to 5.40 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.

    5.185.40

    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 2025-12-17.

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

  3. Total nurse staffing decreased

    Total nurse staffing decreased from 5.42 to 5.18 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.

    5.425.18

    CMS · Reported in a source release · View related evidence

  4. Health inspection completed

    7 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

2024

  1. State complaint inspection recorded

    New York State Department of Health recorded a complaint-related inspection on 2024-03-14.

    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 2024-03-09.

    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 2024-03-08.

    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 2024-03-06.

    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 2024-03-05.

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

2023

  1. Health inspection completed

    5 deficiencies were recorded.

    CMS · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 4 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
5.147
reported hours per resident day
RN categories
0.611
reported hours per resident day
LPN/LVN categories
1.58
reported hours per resident day
CNA
2.956
reported hours per resident day

Weekday and weekend calculations

2026Q1 reported hours per resident day
MeasureMonday–FridaySaturday–Sunday
Total nursing5.4824.314
RN categories0.7440.281

Contract staff accounted for 5% of reported nursing hours included in this quarter calculation.

Reported RN-category hours per resident day were 0.085 higher 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
2025Q25.420.5131.6883.2084%91
2025Q35.1810.4821.6843.0155.9%92
2025Q45.4020.5271.7583.1175.8%92
2026Q15.1470.6111.582.9565%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, 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 3-star overall rating.
  • CMS reports a 3-star health inspection rating.
  • CMS reports a 4-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.

  • Chain / portfolio intelligence

Trust participation

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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
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 2750306N
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

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