Federal inspection record · CMS data as of October 1, 2026

Sunset Nursing And Rehabilitation Center, Inc

232 Academy Street, Boonville, NY · (315) 942-4301

  • Cited for abuse (CMS abuse icon)
  • Special Focus Facility

CMS overall rating

1 of 5

Compare with a nearby home →
Certified beds
120
Residents per day
108
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 1, 1977

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in New York.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. 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

Sunset Nursing And Rehabilitation Center, Inc carries 343.25 inspection points. That is fewer than 1% of New York's 589 rated homes.

5★4★3★2★1★+5 homes above 360.4105102550100200inspection points → fewer is better on the leftThis home · 343.25 pts · 1★

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

26 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 3 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 14 4 pts
E 7 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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 (4)

  1. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 10, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected August 31, 2026

  2. K

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    November 12, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected December 3, 2025

  3. K

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    November 12, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F609 · Corrected December 3, 2025

  4. K

    Respond appropriately to all alleged violations.

    November 12, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F610 · Corrected December 3, 2025

Everything else, by area of care

Quality of Life and Care6E
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    August 10, 2026 · Standard · F684 · Corrected August 31, 2026

  2. E

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    November 12, 2025 · Complaint · F744 · Corrected December 3, 2025

  3. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    November 6, 2023 · Standard · F686 · Corrected January 3, 2024

  4. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    November 6, 2023 · Complaint · F689 · Corrected January 3, 2024

  5. D

    Provide enough food/fluids to maintain a resident's health.

    November 6, 2023 · Complaint · F692 · Corrected January 3, 2024

  6. D

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    November 6, 2023 · Complaint · F740 · Corrected January 3, 2024

Nutrition and Dietary4E
  1. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    August 10, 2026 · Complaint · F804 · Corrected August 31, 2026

  2. E

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    August 10, 2026 · Complaint · F806 · Corrected August 31, 2026

  3. D

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    June 27, 2025 · Standard · F804 · Corrected September 19, 2025

  4. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    November 6, 2023 · Standard · F812 · Corrected January 3, 2024

Administration3F
  1. F

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    November 12, 2025 · Complaint · F835 · Corrected December 3, 2025

  2. E

    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

    November 12, 2025 · Complaint · F837 · Corrected December 3, 2025

  3. D

    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.

    November 12, 2025 · Complaint · F836 · Corrected December 3, 2025

Resident Rights3D
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    June 27, 2025 · Standard · F550 · Corrected September 19, 2025

  2. 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.

    June 27, 2025 · Standard · F584 · Corrected September 19, 2025

  3. 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.

    November 6, 2023 · Complaint · F584 · Corrected January 3, 2024

Pharmacy Service2E
  1. E

    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.

    August 10, 2026 · Standard · F761 · Corrected August 31, 2026

  2. E

    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.

    June 27, 2025 · Standard · F761 · Corrected September 19, 2025

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Respond appropriately to all alleged violations.

    August 10, 2026 · Complaint · F610 · Corrected August 31, 2026

Resident Assessment and Care Planning1D
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    August 10, 2026 · Standard · F656 · Corrected August 31, 2026

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    June 27, 2025 · Standard · F880 · Corrected September 19, 2025

Environmental1D
  1. D

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    June 27, 2025 · Standard · F925 · Corrected September 19, 2025

Inspection history

  1. 2026-08-10

    14 health deficiencies · 10 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

  2. 2025-06-27

    6 health deficiencies · 8 fire-safety deficiencies

    Top issue: Resident Rights (2 deficiencies)

  3. 2023-11-06

    6 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 9 min of nursing staff time a day, 15 min of it from a registered nurse.

This home

3 h 9 min

New York average

3 h 41 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 43% of nursing staff and 100% 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

$56,261 in federal fines on record over the past three years.

DatePenaltyAmount
2025-11-12Fine$56,261

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts worse2.01.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse1.61.31.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.2 pts better96.0%91.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.1 pts better96.3%95.2%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts worse4.0%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms13.8 pts better6.3%20.1%13.5%
Percentage of long-stay residents who lose too much weight0.4 pts worse6.1%5.7%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.6 pts worse19.8%13.2%19.5%
Percentage of long-stay residents who received an antipsychotic medication2.9 pts better10.8%13.7%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.5 pts worse12.6%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.7 pts worse16.4%13.7%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better0.4%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection0.2 pts better1.0%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.1 pts better16.5%18.6%18.3%
Percentage of long-stay residents with pressure ulcers1 pts better5.5%6.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine22.8 pts worse54.8%77.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.1 pts better5.3%9.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better0.0%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine28.2 pts worse50.7%78.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.1 pts worse20.7%20.6%23.4%

·

Who owns and runs it

16 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Bleier, Aharon5% Or Greater Direct Ownership Interest · Individual10%4 facilities
Farbenblum, Edward5% Or Greater Direct Ownership Interest · Individual10%14 facilities
Lieberman, Orly5% Or Greater Direct Ownership Interest · Individual10%8 facilities
Newman, Yehudah5% Or Greater Direct Ownership Interest · Individual10%1 facilities
Schwartz, Joel5% Or Greater Direct Ownership Interest · Individual10%9 facilities
Czora, Andrea5% Or Greater Direct Ownership Interest · Individual8%1 facilities
Depinto, Anthony5% Or Greater Direct Ownership Interest · Individual8%1 facilities
Grigg, Susan5% Or Greater Direct Ownership Interest · Individual8%8 facilities
Ingham, Jamie5% Or Greater Direct Ownership Interest · Individual8%4 facilities
Mcfeely, Patrick5% Or Greater Direct Ownership Interest · Individual8%1 facilities
West, Scott5% Or Greater Direct Ownership Interest · Individual8%1 facilities
Bain, LisaW-2 Managing Employee · Individual0%2 facilities
Dimaria, JosephContracted Managing Employee · Individual0%2 facilities
Ingham, JamieCorporate Officer · Individual0%4 facilities
Rosso, RalphCorporate Officer · Individual0%14 facilities
Wood, RyanW-2 Managing Employee · Individual0%2 facilities

·

Fire safety

22 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke9F
  1. F

    Provide properly protected cooking facilities.

    August 10, 2026 · K324 · Not yet marked corrected

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    August 10, 2026 · K353 · Not yet marked corrected

  3. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    August 10, 2026 · K321 · Not yet marked corrected

  4. E

    Have approved installation, maintenance and testing program for fire alarm systems.

    August 10, 2026 · K345 · Not yet marked corrected

  5. D

    Install corridor and hallway doors that block smoke.

    August 10, 2026 · K363 · Not yet marked corrected

  6. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    June 27, 2025 · K345 · Corrected August 26, 2025

  7. F

    Inspect, test, and maintain automatic sprinkler systems.

    June 27, 2025 · K353 · Corrected August 26, 2025

  8. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    November 6, 2023 · K321 · Corrected December 22, 2023

  9. D

    Install an approved automatic sprinkler system.

    November 6, 2023 · K351 · Corrected January 9, 2024

Gas, Vacuum, and Electrical Systems7F
  1. F

    Meet requirements for the installation and maintenance of electrical systems.

    August 10, 2026 · K911 · Not yet marked corrected

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    August 10, 2026 · K918 · Not yet marked corrected

  3. D

    Ensure proper usage of power strips and extension cords.

    August 10, 2026 · K920 · Not yet marked corrected

  4. F

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    June 27, 2025 · K916 · Corrected August 26, 2025

  5. D

    Ensure proper usage of power strips and extension cords.

    June 27, 2025 · K920 · Corrected August 26, 2025

  6. D

    Have proper medical gas storage and administration areas.

    June 27, 2025 · K923 · Corrected August 26, 2025

  7. D

    Ensure proper usage of power strips and extension cords.

    November 6, 2023 · K920 · Corrected December 22, 2023

Egress3E
  1. E

    Install proper backup exit lighting.

    June 27, 2025 · K281 · Corrected August 26, 2025

  2. E

    Have properly located and lighted "Exit" signs.

    June 27, 2025 · K293 · Corrected August 26, 2025

  3. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    June 27, 2025 · K211 · Corrected August 26, 2025

Miscellaneous2F
  1. F

    Have simulated fire drills held at unexpected times.

    August 10, 2026 · K712 · Not yet marked corrected

  2. D

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    November 6, 2023 · K761 · Corrected December 22, 2023

Emergency Preparedness1F
  1. F

    Implement emergency and standby power systems.

    August 10, 2026 · E41 · Not yet marked corrected

·

Other homes nearby

  1. Bethany Gardens Skilled Living Center

    Rome, NY · The Mayer Family

    Worst citation, 3 yrs
    F
    Nursing / resident / day
    3 h 42 min
    Fines
    $0
  2. Worst citation, 3 yrs
    D
    Nursing / resident / day
    3 h 36 min
    Fines
    $0
  3. Worst citation, 3 yrs
    G
    Nursing / resident / day
    3 h 29 min
    Fines
    $9,318