16 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Mamaroneck, NY
2-star overall rating with 1-star inspections with abuse icon flag with $163,020 in total fines with 16 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
845 Palmer Avenue, Mamaroneck, NY
(914) 698-6005
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
300
Certified beds
Average residents
278
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1969-12-16
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.71
Registered nurse staffing
LPN hours / resident day
0.43
Licensed practical nurse staffing
Aide hours / resident day
2.01
Nurse aide staffing
Weekend hours
2.69
Weekend nurse staffing
RN turnover
16%
Annual RN turnover
Total nurse turnover
18%
Annual nurse turnover
Quality measures
| 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 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.3
0.4 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.3% |
91.2%
0.1 pts better
|
93.4%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.0% |
95.3%
2.7 pts better
|
95.5%
2.5 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.1% |
3.0%
1.1 pts worse
|
3.3%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 2.3% |
18.5%
16.2 pts better
|
11.4%
9.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 6.9% |
6.1%
0.8 pts worse
|
5.4%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.2% |
13.5%
3.3 pts better
|
19.6%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 17.6% |
14.8%
2.8 pts worse
|
16.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.1% |
15.1%
2 pts better
|
16.3%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.7% |
15.5%
1.8 pts better
|
14.9%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
0.6%
About the same
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
1.4%
0.8 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.4% |
20.8%
1.6 pts worse
|
19.8%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 4.8% |
6.9%
2.1 pts better
|
5.1%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 52.0% |
76.7%
24.7 pts worse
|
81.7%
29.7 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.2% |
9.7%
0.5 pts better
|
12.0%
2.8 pts better
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.2%
0.3 pts worse
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 49.8% |
78.8%
29 pts worse
|
79.7%
29.9 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.7% |
20.6%
0.1 pts worse
|
23.9%
3.2 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
7 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-03-29
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2025-03-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-29
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-03-17
Fire Safety
Install proper backup exit lighting.
Corrected 2025-03-29
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-03-29
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 2025-03-29
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-03-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-18
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-03-18
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2025-03-29
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-03-29
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-07-28
Fire Safety
Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion.
Corrected 2022-07-28
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-07-28
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-07-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-07-28
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-07-28
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-07-28
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-07-28
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-07-28
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2022-07-28
Fire Safety
Have exits that are accessible at all times.
Corrected 2022-07-28
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-07-28
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2022-07-28
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-07-28
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2019-02-17
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2019-02-17
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-02-17
Fire Safety
Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion.
Corrected 2019-02-17
Fire Safety
Install proper backup exit lighting.
Corrected 2019-02-17
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-02-17
Fire Safety
Implement emergency and standby power systems.
Corrected 2019-01-25
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-29
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2026-01-29
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-07-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-31
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-04-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-24
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-24
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 2025-03-24
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-03-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-24
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-03-24
Health
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.
Corrected 2025-03-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-24
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-03-24
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-03-24
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-03-24
Health
Post nurse staffing information every day.
Corrected 2025-03-24
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-24
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-03-24
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-03-24
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-15
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-15
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-09-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-14
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 2019-02-17
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 2019-02-17
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-02-17
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2019-02-17
Health
Ensure that residents are free from significant medication errors.
Corrected 2019-02-17
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2019-02-17
Penalties and ownership
Fine · fine $163,020
Fine
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