Cycle 1
Health 2024-07-26 · Fire 2024-07-26
5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Margaretville, NY
Mountainside Residential Care Center
2-star overall rating with 2-star inspections with $8,512 in total fines with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
42158 State Highway 28, Margaretville, NY
(845) 586-1800
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
82
Certified beds
Average residents
68
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1971-11-14
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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
0.83
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.66
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.05
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.55
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.50
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.26
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.65
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.18
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.93
CMS adjusted RN staffing hours
Adjusted total hours
3.97
CMS adjusted total nurse staffing hours
Case-mix index
1.22
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 11 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 17 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 98.91% |
8.2%
90.7 pts better
|
Numerator 91 · Denominator 92 |
| Staff flu vaccination coverage | 63.22% |
42%
21.2 pts better
|
Numerator 55 · Denominator 87 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
1.7
0.7 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.7 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
1.3
1.1 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.0 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.8% |
91.2%
6.4 pts worse
|
93.4%
8.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 92.6% · Q2 80.7% · Q3 78.7% · Q4 88.1% · 4Q avg 84.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.7% |
95.3%
1.4 pts better
|
95.5%
1.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.2% |
3.0%
5.2 pts worse
|
3.3%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 8.8% · Q3 11.5% · Q4 6.8% · 4Q avg 8.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
18.5%
18.5 pts better
|
11.4%
11.4 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 who lose too much weight | 1.9% |
6.1%
4.2 pts better
|
5.4%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 1.9% · Q4 3.8% · 4Q avg 1.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.3% |
13.5%
1.8 pts worse
|
19.6%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 14.3% · Q3 18.2% · Q4 15.1% · 4Q avg 15.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.0% |
14.8%
8.2 pts worse
|
16.7%
6.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.1% · Q2 25.0% · Q3 15.8% · Q4 16.2% · 4Q avg 23.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 1.7% |
0.2%
1.5 pts worse
|
0.1%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.8% · Q3 1.6% · Q4 1.7% · 4Q avg 1.7% |
| Percentage of long-stay residents whose ability to walk independently worsened | 12.2% |
15.1%
2.9 pts better
|
16.3%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.4% · Q2 15.1% · Q3 8.0% · Q4 13.2% · 4Q avg 12.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.6% |
15.5%
1.9 pts better
|
14.9%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 15.4% · Q3 8.3% · Q4 14.9% · 4Q avg 13.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
0.6%
0.6 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 1.5% · Q3 0.0% · Q4 1.3% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
1.4%
0.1 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.8% · Q3 1.7% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.1% |
20.8%
1.3 pts worse
|
19.8%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 27.0% · Q3 19.8% · Q4 23.9% · 4Q avg 22.1% |
| Percentage of long-stay residents with pressure ulcers | 4.6% |
6.9%
2.3 pts better
|
5.1%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 4.7% · Q3 3.5% · Q4 4.2% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 49.4% |
76.7%
27.3 pts worse
|
81.7%
32.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q2 60.0% · Q3 35.0% · Q4 48.3% · 4Q avg 49.4% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 70.0% |
78.8%
8.8 pts worse
|
79.7%
9.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 70.0% |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-11-18 · Fire 2021-11-18
4 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2019-09-19 · Fire 2019-09-19
5 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-07-26
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-14
F · Potential for more than minimal harm
2024-07-26
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-08
E · Potential for more than minimal harm
2024-07-26
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-01-14
E · Potential for more than minimal harm
2024-07-26
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-01-14
E · Potential for more than minimal harm
2024-07-26
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-11-14
E · Potential for more than minimal harm
2024-07-26
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-30
E · Potential for more than minimal harm
2021-11-18
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-01-17
E · Potential for more than minimal harm
2021-11-18
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-01-17
E · Potential for more than minimal harm
2019-09-19
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2019-11-18
E · Potential for more than minimal harm
2019-09-19
K522 · Services Deficiencies
Fire Safety
Have an externally vented heating system.
Corrected 2019-11-18
E · Potential for more than minimal harm
2019-09-19
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-11-18
E · Potential for more than minimal harm
2019-09-19
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-11-18
E · Potential for more than minimal harm
2019-09-19
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-11-18
C · Minimal harm
2019-09-19
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2019-11-18
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-07-29
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-12-16
D · Potential for more than minimal harm
2024-07-29
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-12-16
D · Potential for more than minimal harm
2024-07-29
F742 · Quality of Life and Care Deficiencies
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2024-12-16
G · Actual harm
2024-07-26
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-20
E · Potential for more than minimal harm
2024-07-26
F584 · Resident Rights Deficiencies
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 2024-12-20
D · Potential for more than minimal harm
2024-07-26
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-12-20
D · Potential for more than minimal harm
2024-07-26
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-12-20
D · Potential for more than minimal harm
2024-07-26
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-20
D · Potential for more than minimal harm
2021-11-18
F756 · Pharmacy Service Deficiencies
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 2022-01-24
D · Potential for more than minimal harm
2019-09-19
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-10-30
D · Potential for more than minimal harm
2019-09-19
F756 · Pharmacy Service Deficiencies
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 2019-10-30
D · Potential for more than minimal harm
2019-09-19
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-10-30
D · Potential for more than minimal harm
2019-09-19
F813 · Nutrition and Dietary Deficiencies
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2019-10-30
D · Potential for more than minimal harm
2019-09-19
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2019-10-30
Penalties and ownership
What sits behind the stars
$8,512
2024-07-26
Fine
Fine · fine $8,512
Fine
$0
2024-07-26
Payment Denial
Payment Denial · denial start 2024-10-26 · 80 days
80 day denial
Ownership
Adams, Emilie
Corporate Director · Individual
Allen, Catherine
Corporate Director · Individual
Baker, Patrick
Corporate Director · Individual
Cioffi, Michael
Corporate Director · Individual
Difiglia, Mario
Corporate Director · Individual
Doyle, Michael
Corporate Director · Individual
Finch, Steve
Corporate Director · Individual
Health Alliance
5% Or Greater Security Interest · Organization
Margulies, Fredric
Corporate Director · Individual
Martin, Colleen
Corporate Director · Individual
Mason, Diana
Corporate Director · Individual
Munro, Diane
Corporate Director · Individual
Rama, Dave
Corporate Director · Individual
Ratner, Joshua
Corporate Director · Individual
Ratner, Joshua
Corporate Officer · Individual
Ratner, Joshua
W-2 Managing Employee · Individual
Riedl, John
Corporate Director · Individual
Schwartz, Arnie
Corporate Director · Individual
Sickler, Craig
Corporate Director · Individual
Siegel, Richard
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Delhi Rehabilitation And Nursing Center
Delhi, NY
2-star overall rating with 2-star inspections with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Robinson Terrace
Stamford, NY
3-star overall rating with 3-star inspections with 3 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Roscoe Regional Rehab & Residential H C F
Roscoe, NY
2-star overall rating with 2-star inspections with 12 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Jump out