15 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
New City, NY
3-star overall rating with 2-star inspections with 15 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
475 New Hempstead Road, New City, NY
(845) 678-2000
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
180
Certified beds
Average residents
172
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1991-12-16
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.98
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.77
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.64
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.39
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.76
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.57
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.42
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.75
CMS adjusted RN staffing hours
Adjusted total hours
3.35
CMS adjusted total nurse staffing hours
Case-mix index
1.80
Higher values indicate more complex resident acuity
RN turnover
100%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
100%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
5,669
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
35.36
Composite VBP score used to determine payment impact.
Payment multiplier
0.9890
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.18
Baseline 20.12% · Performance 19.03% · Measure score 5.18 · Achievement 5.18 · Improvement 3.02
Healthcare-associated infections
0
Baseline 9.14% · Performance 9.76% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
8.96
Baseline 20.83% · Performance 27.06% · Measure score 8.96 · Achievement 8.96 · Improvement 0
Adjusted total nurse staffing
0
Baseline 2.69 hours · Performance 2.76 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.58% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 487 · Observed rate 10.27% · Lower 95% interval 7.65% |
| Discharge to community | 55.62% |
50.57%
5 pts better
|
No Different than the National Rate · Eligible stays 542 · Observed rate 41.88% · Lower 95% interval 50.33% |
| Medicare spending per beneficiary | 1.31 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 97.53% |
95.27%
2.3 pts better
|
Numerator 434 · Denominator 445 |
| Falls with major injury | 0.22% |
0.77%
0.6 pts better
|
Numerator 1 · Denominator 445 |
| Discharge self-care score | 70.82% |
53.69%
17.1 pts better
|
Numerator 182 · Denominator 257 |
| Discharge mobility score | 73.54% |
50.94%
22.6 pts better
|
Numerator 189 · Denominator 257 |
| Pressure ulcers or injuries, new or worsened | 2.25% |
2.29%
About the same
|
Numerator 10 · Denominator 445 · Adjusted rate 1.28% |
| Healthcare-associated infections requiring hospitalization | 9.76% |
7.12%
2.6 pts worse
|
Worse than the National Rate · Eligible stays 365 · Observed rate 13.15% · Lower 95% interval 7.72% |
| Staff COVID-19 vaccination coverage | 1.9% |
8.2%
6.3 pts worse
|
Numerator 6 · Denominator 315 |
| Staff flu vaccination coverage | 66.35% |
42%
24.3 pts better
|
Numerator 209 · Denominator 315 |
| Discharge function score | 73.93% |
56.45%
17.5 pts better
|
Numerator 190 · Denominator 257 |
| Transfer of health information to provider | 99.42% |
95.95%
3.5 pts better
|
Numerator 172 · Denominator 173 |
| Transfer of health information to patient | 98.9% |
96.28%
2.6 pts better
|
Numerator 180 · Denominator 182 |
| Resident COVID-19 vaccinations up to date | 22.71% |
25.2%
2.5 pts worse
|
Numerator 52 · Denominator 229 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
1.7
0.7 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 4.3 · Expected 3.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.3
0.1 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.5 · Expected 2.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 78.5% |
91.2%
12.7 pts worse
|
93.4%
14.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 68.0% · Q2 75.0% · Q3 82.6% · Q4 89.7% · 4Q avg 78.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.1% |
95.3%
2.8 pts better
|
95.5%
2.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.6% |
3.0%
2.4 pts better
|
3.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.9% · Q4 0.9% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.7% |
18.5%
9.8 pts better
|
11.4%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 6.9% · Q3 11.7% · Q4 11.5% · 4Q avg 8.7% |
| Percentage of long-stay residents who lose too much weight | 6.6% |
6.1%
0.5 pts worse
|
5.4%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 5.6% · Q3 7.5% · Q4 3.5% · 4Q avg 6.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.4% |
13.5%
6.9 pts worse
|
19.6%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 20.3% · Q3 18.3% · Q4 18.8% · 4Q avg 20.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.9% |
14.8%
0.1 pts worse
|
16.7%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 13.0% · Q3 16.5% · Q4 16.7% · 4Q avg 14.9% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.2% |
0.2%
About the same
|
0.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% |
| Percentage of long-stay residents whose ability to walk independently worsened | 12.7% |
15.1%
2.4 pts better
|
16.3%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 11.8% · Q3 3.1% · Q4 21.3% · 4Q avg 12.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.1% |
15.5%
7.4 pts better
|
14.9%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 5.7% · Q3 10.1% · Q4 13.3% · 4Q avg 8.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.6%
0.3 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 0.0% · Q3 0.0% · Q4 0.7% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.1% |
1.4%
0.7 pts worse
|
1.7%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.6% · Q3 4.7% · Q4 1.8% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.8% |
20.8%
2 pts better
|
19.8%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 18.2% · Q3 17.5% · Q4 25.3% · 4Q avg 18.8% |
| Percentage of long-stay residents with pressure ulcers | 8.0% |
6.9%
1.1 pts worse
|
5.1%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 10.4% · Q3 5.0% · Q4 3.4% · 4Q avg 8.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.6% |
76.7%
4.9 pts better
|
81.7%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 75.2% · Q2 77.2% · Q3 83.6% · Q4 89.4% · 4Q avg 81.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.2% |
9.7%
2.5 pts better
|
12.0%
4.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.2% · Observed 8.1% · Expected 12.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.2%
0.1 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.7% · Q3 1.2% · Q4 1.2% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.1% |
78.8%
11.3 pts better
|
79.7%
10.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.2% |
20.6%
0.6 pts worse
|
23.9%
2.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.2% · Observed 28.4% · Expected 31.9% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (4 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
13 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Top issue: Resident Rights (2 deficiencies)
7 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-09
Fire Safety
Use approved construction type or materials.
Corrected 2024-08-09
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-08-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-18
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-08-09
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-08-09
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-08-09
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2024-08-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-08-31
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2021-08-31
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2021-08-31
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2021-08-31
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2021-08-31
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-08-31
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2021-08-31
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-08-31
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2021-08-31
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2021-08-31
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2021-08-31
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2021-08-31
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2021-08-31
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2020-01-15
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2020-01-15
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2020-01-15
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2020-01-15
Fire Safety
Install proper backup exit lighting.
Corrected 2020-01-15
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2020-01-15
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2020-01-15
Inspection history
Health
Ensure each resident receives an accurate assessment.
Not marked corrected
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Not marked corrected
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Not marked corrected
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Not marked corrected
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-09-30
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-09-30
Health
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Corrected 2024-09-30
Health
Protect a residents' right to refuse some types of non-requested transfers within the nursing home.
Corrected 2024-09-06
Health
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.
Corrected 2024-09-06
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-09-06
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-09-06
Health
Respond appropriately to all alleged violations.
Corrected 2024-09-06
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-06
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-09-06
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-09-06
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-09-06
Health
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.
Corrected 2024-09-06
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-06
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-08-31
Health
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.
Corrected 2021-08-31
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2021-08-31
Health
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.
Corrected 2020-01-01
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2020-01-01
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2020-01-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2020-01-01
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2020-01-01
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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