Federal inspection record · CMS data as of October 1, 2026
Northeast Ctr For Rehabilitation And Brain Injury
300 Grant Avenue, Lake Katrine, NY · (845) 336-3500
- Cited for abuse (CMS abuse icon)
- Certified beds
- 280
- Residents per day
- 269
- Ownership
- For-Profit
- Chain
- Upstate Services Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 22, 2004
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New York.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among New York homes
Northeast Ctr For Rehabilitation And Brain Injury carries 225.5 inspection points. That is fewer than 4% of New York's 589 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New York: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–12 pts
- 4★ 12–27 pts
- 3★ 27–46 pts
- 2★ 46–82 pts
- 1★ over 82 pts
Bars show every rated home in New York by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
65 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care18E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
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.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide or obtain dental services for each resident.
- D
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Rights14E
- E
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.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
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.
- D
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.
- D
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.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
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.
- D
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.
Freedom from Abuse, Neglect, and Exploitation9E
- E
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nursing and Physician Services5F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
- D
Observe each nurse aide's job performance and give regular training.
Nutrition and Dietary5E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning4D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service4D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
Administration2E
- E
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- E
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Inspection history
2024-11-21
32 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (12 deficiencies)
2022-05-25
17 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2019-02-07
16 health deficiencies · 6 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 49 min of nursing staff time a day, 32 min of it from a registered nurse.
This home
3 h 49 min
New York average
3 h 41 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 35% of nursing staff and 37% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$38,946 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-11-21 | Fine | $38,946 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.5 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.1 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.3 pts worse | 87.5% | 91.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.1 pts worse | 89.1% | 95.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts worse | 3.4% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms16.7 pts better | 3.4% | 20.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts worse | 6.0% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication14.7 pts worse | 27.9% | 13.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication25.2 pts worse | 38.9% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained1.1 pts worse | 1.3% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.7 pts better | 4.4% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.9 pts better | 5.8% | 13.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.2% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.6 pts better | 9.0% | 18.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts worse | 8.4% | 6.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.6 pts worse | 63.0% | 77.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.6 pts better | 8.8% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts worse | 2.3% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.5 pts better | 85.4% | 78.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2 pts better | 18.6% | 20.6% | 23.4% |
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Who owns and runs it
6 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Koenig, Uri | 5% Or Greater Direct Ownership Interest · Individual | 60% | 17 facilities |
| Steif, Efraim | 5% Or Greater Direct Ownership Interest · Individual | 40% | 17 facilities |
| Augenstein, Jack | Corporate Officer · Individual | 0% | 7 facilities |
| Rinn, Seth | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Steif, Efraim | Operational/Managerial Control · Individual | 0% | 17 facilities |
| Wuertzer, Amy | Corporate Officer · Individual | 0% | 15 facilities |
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Fire safety
22 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6E
- E
Provide properly protected cooking facilities.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Install an approved automatic sprinkler system.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems6E
- E
Have proper power supply for life support equipment.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- D
Ensure proper usage of power strips and extension cords.
- D
Ensure proper usage of power strips and extension cords.
- D
Ensure that testing and maintenance of electrical equipment is performed.
Egress4E
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- D
Install proper backup exit lighting.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services2E
- E
Have elevators that firefighters can control in the event of a fire.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Electrical2E
- E
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
- D
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Miscellaneous1E
- E
Have simulated fire drills held at unexpected times.
Emergency Preparedness1C
- C
Include a process for Emergency Preparedness collaboration.
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Other homes nearby
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Ten Broeck Center for Rehabilitation & Nursing
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
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-
Ferncliff Nursing Home Co Inc
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- Nursing / resident / day
- 3 h 18 min
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-
Golden Hill Nursing And Rehabilitation Center
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