15 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Highland, NY
1-star overall rating with 1-star inspections with abuse icon flag with 15 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
260 Vineyard Ave, Rt 44/55, Highland, NY
(845) 691-7201
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
203
Certified beds
Average residents
112
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1973-08-20
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
0.51
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.97
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.27
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.76
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.48
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.14
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.25
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.53
CMS adjusted RN staffing hours
Adjusted total hours
3.93
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
58%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
10,248
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.98
Composite VBP score used to determine payment impact.
Payment multiplier
0.9825
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.99% · Performance 23.32% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.42% · Performance 10.16% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.58
Baseline 42.31% · Performance 40.86% · Measure score 5.58 · Achievement 5.58 · Improvement 0.33
Adjusted total nurse staffing
2.81
Baseline 3.82 hours · Performance 3.88 hours · Measure score 2.81 · Achievement 2.81 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.02% |
10.72%
1.7 pts better
|
No Different than the National Rate · Eligible stays 114 · Observed rate 5.26% · Lower 95% interval 5.99% |
| Discharge to community | 60.34% |
50.57%
9.8 pts better
|
Better than the National Rate · Eligible stays 124 · Observed rate 54.84% · Lower 95% interval 51.5% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 94.79% |
95.27%
0.5 pts worse
|
Numerator 91 · Denominator 96 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 96 |
| Discharge self-care score | 44.64% |
53.69%
9 pts worse
|
Numerator 25 · Denominator 56 |
| Discharge mobility score | 48.21% |
50.94%
2.7 pts worse
|
Numerator 27 · Denominator 56 |
| Pressure ulcers or injuries, new or worsened | 1.04% |
2.29%
1.2 pts better
|
Numerator 1 · Denominator 96 · Adjusted rate 0.84% |
| Healthcare-associated infections requiring hospitalization | 10.16% |
7.12%
3 pts worse
|
No Different than the National Rate · Eligible stays 80 · Observed rate 16.25% · Lower 95% interval 6.19% |
| Staff COVID-19 vaccination coverage | 6.35% |
8.2%
1.8 pts worse
|
Numerator 8 · Denominator 126 |
| Staff flu vaccination coverage | 30.06% |
42%
11.9 pts worse
|
Numerator 52 · Denominator 173 |
| Discharge function score | 58.93% |
56.45%
2.5 pts better
|
Numerator 33 · Denominator 56 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 30 · Denominator 30 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 34 · Denominator 34 |
| Resident COVID-19 vaccinations up to date | 45.45% |
25.2%
20.3 pts better
|
Numerator 25 · Denominator 55 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.7 |
1.7
2 pts worse
|
1.9
1.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.7 · Observed 5.0 · Expected 2.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.3
0.1 pts worse
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.7 · Expected 2.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 67.4% |
91.2%
23.8 pts worse
|
93.4%
26 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 96.6% · Q2 77.6% · Q3 51.0% · Q4 49.0% · 4Q avg 67.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.8% |
95.3%
1.5 pts better
|
95.5%
1.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% |
3.0%
0.3 pts worse
|
3.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 3.5% · Q3 4.1% · Q4 4.1% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.3% |
18.5%
13.2 pts better
|
11.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 7.9% · Q3 4.9% · Q4 5.7% · 4Q avg 5.3% |
| Percentage of long-stay residents who lose too much weight | 8.8% |
6.1%
2.7 pts worse
|
5.4%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 7.4% · Q3 9.3% · Q4 5.1% · 4Q avg 8.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.9% |
13.5%
12.4 pts worse
|
19.6%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.8% · Q2 27.5% · Q3 26.1% · Q4 23.6% · 4Q avg 25.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 33.8% |
14.8%
19 pts worse
|
16.7%
17.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.0% · Q2 33.3% · Q3 34.5% · Q4 30.8% · 4Q avg 33.8% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 19.8% |
15.1%
4.7 pts worse
|
16.3%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.5% · Q2 19.4% · Q3 22.4% · Q4 22.6% · 4Q avg 19.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.0% |
15.5%
1.5 pts worse
|
14.9%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 15.3% · Q3 17.4% · Q4 22.1% · 4Q avg 17.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.9% |
0.6%
2.3 pts worse
|
1.0%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 5.4% · Q3 2.2% · Q4 0.7% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.0% |
1.4%
3.6 pts worse
|
1.7%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 4.9% · Q3 4.1% · Q4 7.5% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 35.1% |
20.8%
14.3 pts worse
|
19.8%
15.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.6% · Q2 41.3% · Q3 30.4% · Q4 38.7% · 4Q avg 35.1% |
| Percentage of long-stay residents with pressure ulcers | 6.2% |
6.9%
0.7 pts better
|
5.1%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 6.0% · Q3 8.0% · Q4 3.8% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.2% |
76.7%
4.5 pts better
|
81.7%
0.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 83.1% · Q2 86.5% · Q3 82.5% · Q4 68.6% · 4Q avg 81.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 17.6% |
9.7%
7.9 pts worse
|
12.0%
5.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 17.6% · Observed 18.0% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.2%
About the same
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.1% · Q4 3.4% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.3% |
78.8%
10.5 pts better
|
79.7%
9.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.9% |
20.6%
12.3 pts worse
|
23.9%
9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.9% · Observed 31.5% · Expected 22.8% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Resident Assessment and Care Planning (6 deficiencies)
8 fire-safety deficiencies
Top issue: Egress (4 deficiencies)
Top issue: Resident Rights (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-02-28
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-02-28
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-02-28
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-02-28
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-02-28
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-02-28
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-02-28
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2019-04-29
Fire Safety
Install proper backup exit lighting.
Corrected 2019-04-29
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-04-29
Fire Safety
Have exits that are accessible at all times.
Corrected 2019-04-29
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2019-04-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-04-29
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-04-29
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2019-04-29
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2017-08-18
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2017-08-18
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2017-08-18
Fire Safety
Provide properly protected cooking facilities.
Corrected 2017-08-18
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2017-08-18
Inspection history
Health
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Not marked corrected
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Not marked corrected
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Not marked corrected
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Not marked corrected
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Not marked corrected
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Not marked corrected
Health
Respond appropriately to all alleged violations.
Not marked corrected
Health
Ensure each resident receives an accurate assessment.
Not marked corrected
Health
Ensure that residents are free from significant medication errors.
Not marked corrected
Health
Provide and implement an infection prevention and control program.
Not marked corrected
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-29
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-10-29
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2024-10-29
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-10-29
Health
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2024-10-29
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-08-29
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 2023-03-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-03-27
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-03-27
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-03-27
Health
Provide and implement an infection prevention and control program.
Corrected 2023-03-27
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 2019-04-29
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2019-04-29
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2019-04-29
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2019-04-29
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-04-29
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-04-29
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-04-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-04-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-04-29
Health
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.
Corrected 2019-04-29
Health
Ensure a qualified health professional conducts resident assessments.
Corrected 2019-04-29
Health
Store, cook, and serve food in a safe and clean way.
Corrected 2017-07-31
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2017-07-31
Health
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
Corrected 2017-07-31
Health
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Corrected 2017-07-31
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
General Partnership Interest · Individual
Operational/Managerial Control · Individual
Nearby options
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New Paltz, NY
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