Cycle 1
Health 2025-04-01 · Fire 2025-04-01
4 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
12 fire-safety deficiencies
Top issue: Egress (4 deficiencies)
Philmont, NY
Pine Haven Home
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
Ny Route 217, Philmont, NY
(518) 672-4021
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
128
Certified beds
Average residents
118
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Jonathan Bleier
Operator or chain grouping
Approved since
1979-02-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
18 facilities
Chain averages 3 overall / 2 health / 3 staffing / 4 quality stars
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
Hours and turnover
RN hours / resident day
0.59
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.75
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.30
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
2.64
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.34
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.11
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.43
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.59
CMS adjusted RN staffing hours
Adjusted total hours
2.62
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
26%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,177
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.76
Composite VBP score used to determine payment impact.
Payment multiplier
0.9879
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.35
Baseline 17.92% · Performance 20.34% · Measure score 2.35 · Achievement 2.35 · Improvement 0
Healthcare-associated infections
6.58
Baseline 8.73% · Performance 6.08% · Measure score 6.58 · Achievement 5.86 · Improvement 6.58
Total nurse turnover
4.16
Baseline 40.51% · Performance 46.67% · Measure score 4.16 · Achievement 4.16 · Improvement 0
Adjusted total nurse staffing
0.41
Baseline 2.54 hours · Performance 2.83 hours · Measure score 0.41 · Achievement 0 · Improvement 0.41
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.19% |
10.72%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 103 · Observed rate 15.53% · Lower 95% interval 8.34% |
| Discharge to community | 37.69% |
50.57%
12.9 pts worse
|
Worse than the National Rate · Eligible stays 112 · Observed rate 29.46% · Lower 95% interval 30.8% |
| Medicare spending per beneficiary | 1.35 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 72 · Denominator 72 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 72 |
| Discharge self-care score | 40% |
53.69%
13.7 pts worse
|
Numerator 22 · Denominator 55 |
| Discharge mobility score | 54.55% |
50.94%
3.6 pts better
|
Numerator 30 · Denominator 55 |
| Pressure ulcers or injuries, new or worsened | 1.39% |
2.29%
0.9 pts better
|
Numerator 1 · Denominator 72 · Adjusted rate 1.24% |
| Healthcare-associated infections requiring hospitalization | 6.08% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 63 · Observed rate 3.17% · Lower 95% interval 3.69% |
| Staff COVID-19 vaccination coverage | 2.96% |
8.2%
5.2 pts worse
|
Numerator 4 · Denominator 135 |
| Staff flu vaccination coverage | 63.2% |
42%
21.2 pts better
|
Numerator 158 · Denominator 250 |
| Discharge function score | 49.09% |
56.45%
7.4 pts worse
|
Numerator 27 · Denominator 55 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 29 · Denominator 29 |
| Resident COVID-19 vaccinations up to date | 28% |
25.2%
2.8 pts better
|
Numerator 14 · Denominator 50 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.7
0.6 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.4 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.3
0.7 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.7 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.2%
8.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.3%
4.7 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% |
3.0%
0.5 pts better
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 3.1% · Q3 1.0% · Q4 1.9% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
18.5%
18.2 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 7.0% |
6.1%
0.9 pts worse
|
5.4%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 9.5% · Q3 8.8% · Q4 7.2% · 4Q avg 7.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.0% |
13.5%
7.5 pts worse
|
19.6%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 18.4% · Q3 19.4% · Q4 26.3% · 4Q avg 21.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.3% |
14.8%
4.5 pts worse
|
16.7%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 16.2% · Q3 20.3% · Q4 19.5% · 4Q avg 19.3% · 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 | 17.9% |
15.1%
2.8 pts worse
|
16.3%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.2% · Q2 22.2% · Q3 11.9% · Q4 7.7% · 4Q avg 17.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.0% |
15.5%
0.5 pts better
|
14.9%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 17.1% · Q3 14.6% · Q4 14.4% · 4Q avg 15.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
0.6%
0.4 pts worse
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
1.4%
1.1 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.2% |
20.8%
3.6 pts better
|
19.8%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 13.0% · Q3 24.4% · Q4 23.6% · 4Q avg 17.2% |
| Percentage of long-stay residents with pressure ulcers | 2.3% |
6.9%
4.6 pts better
|
5.1%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 2.0% · Q3 1.8% · Q4 1.7% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
76.7%
23.3 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.5% |
9.7%
5.2 pts better
|
12.0%
7.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.5% · Observed 4.1% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.2%
0.6 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
78.8%
21.2 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.8% |
20.6%
3.8 pts better
|
23.9%
7.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.8% · Observed 15.1% · Expected 21.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-03-30 · Fire 2022-03-30
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2019-10-22 · Fire 2019-10-22
6 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
6 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-04-01
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-06-10
F · Potential for more than minimal harm
2025-04-01
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-06-11
F · Potential for more than minimal harm
2025-04-01
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2025-06-10
F · Potential for more than minimal harm
2025-04-01
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-06-02
F · Potential for more than minimal harm
2025-04-01
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2025-06-02
F · Potential for more than minimal harm
2025-04-01
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-06-02
E · Potential for more than minimal harm
2025-04-01
E31 · Emergency Preparedness Deficiencies
Fire Safety
Provide emergency officials' contact information.
Corrected 2025-05-27
E · Potential for more than minimal harm
2025-04-01
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-05-27
E · Potential for more than minimal harm
2025-04-01
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-06-02
E · Potential for more than minimal harm
2025-04-01
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-06-02
E · Potential for more than minimal harm
2025-04-01
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-06-06
D · Potential for more than minimal harm
2025-04-01
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-06-02
E · Potential for more than minimal harm
2022-03-30
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-05-27
E · Potential for more than minimal harm
2022-03-30
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-05-27
E · Potential for more than minimal harm
2022-03-30
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2022-05-27
E · Potential for more than minimal harm
2019-10-22
E23 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2019-12-13
E · Potential for more than minimal harm
2019-10-22
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2019-12-13
E · Potential for more than minimal harm
2019-10-22
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2019-12-13
E · Potential for more than minimal harm
2019-10-22
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2020-01-13
E · Potential for more than minimal harm
2019-10-22
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-12-13
D · Potential for more than minimal harm
2019-10-22
K926 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2019-12-13
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-04-01
F725 · Nursing and Physician Services Deficiencies
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 2025-06-06
E · Potential for more than minimal harm
2025-04-01
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 2025-06-06
D · Potential for more than minimal harm
2025-04-01
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 2025-06-06
D · Potential for more than minimal harm
2025-04-01
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 2025-06-06
E · Potential for more than minimal harm
2022-03-30
F813 · Nutrition and Dietary Deficiencies
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2022-05-27
D · Potential for more than minimal harm
2022-03-30
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 2022-05-27
D · Potential for more than minimal harm
2022-03-30
F761 · Pharmacy Service Deficiencies
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 2022-05-22
E · Potential for more than minimal harm
2019-10-22
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-12-06
E · Potential for more than minimal harm
2019-10-22
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 2019-12-06
D · Potential for more than minimal harm
2019-10-22
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-12-06
D · Potential for more than minimal harm
2019-10-22
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-12-06
D · Potential for more than minimal harm
2019-10-22
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 2019-12-06
D · Potential for more than minimal harm
2019-10-22
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2019-12-06
Penalties and ownership
What sits behind the stars
Ownership
Bleier, Jonathan
5% Or Greater Direct Ownership Interest · Individual
Sod, Yaakov
5% Or Greater Direct Ownership Interest · Individual
Peckman, Bruce
5% Or Greater Direct Ownership Interest · Individual
Herskowitz, David
W-2 Managing Employee · Individual
Maliangos, Nicolet
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
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3-star overall rating with 3-star inspections with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
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Livingston, NY
1-star overall rating with 1-star inspections with Special Focus status with $89,794 in total fines with 31 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#3
The Grand Rehabilitation And Nursing At Barnwell
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1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $169,289 in total fines with 35 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle
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