Peekskill, NY

The Emerald Peek Rehabilitation And Nursing Center

3-star overall rating with 2-star inspections with $139,425 in total fines with 9 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle

2000 East Main Street, Peekskill, NY

(914) 737-8400

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 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

100

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Carerite Centers

Operator or chain grouping

Approved since

1967-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.52

Registered nurse staffing

LPN hours / resident day

0.89

Licensed practical nurse staffing

Aide hours / resident day

1.81

Nurse aide staffing

Weekend hours

2.91

Weekend nurse staffing

RN turnover

41%

Annual RN turnover

Total nurse turnover

41%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.3	1.7 0.4 pts better	1.9 0.6 pts better	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	0.7	1.3 0.6 pts better	1.8 1.1 pts better	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.3%	91.2% 7.1 pts better	93.4% 4.9 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.8%	95.3% 3.5 pts better	95.5% 3.3 pts better	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	1.0%	3.0% 2 pts better	3.3% 2.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	17.5%	18.5% 1 pts better	11.4% 6.1 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	7.2%	6.1% 1.1 pts worse	5.4% 1.8 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.1%	13.5% 2.6 pts worse	19.6% 3.5 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	9.7%	14.8% 5.1 pts better	16.7% 7 pts better	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	19.9%	15.1% 4.8 pts worse	16.3% 3.6 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	18.1%	15.5% 2.6 pts worse	14.9% 3.2 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.6% 0.6 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	0.4%	1.4% 1 pts better	1.7% 1.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.7%	20.8% 3.1 pts better	19.8% 2.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	6.9%	6.9% About the same	5.1% 1.8 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	73.2%	76.7% 3.5 pts worse	81.7% 8.5 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	7.9%	9.7% 1.8 pts better	12.0% 4.1 pts better	Short Stay · 20240701-20250630
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
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	59.2%	78.8% 19.6 pts worse	79.7% 20.5 pts worse	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	14.6%	20.6% 6 pts better	23.9% 9.3 pts better	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-08 · Fire 2024-11-08

9 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

14 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 2 Health 2021-12-22 · Fire 2021-12-22

10 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

13 fire-safety deficiencies

Top issue: Egress (4 deficiencies)

Cycle 3 Health 2019-01-18 · Fire 2019-01-18

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

9 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-11-08

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2025-01-10

E · Potential for more than minimal harm 2024-11-08

K321 · Smoke Deficiencies

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 2025-01-10

E · Potential for more than minimal harm 2024-11-08

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-01-10

E · Potential for more than minimal harm 2024-11-08

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-01-10

E · Potential for more than minimal harm 2024-11-08

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2025-01-10

E · Potential for more than minimal harm 2024-11-08

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-01-10

E · Potential for more than minimal harm 2024-11-08

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-01-10

E · Potential for more than minimal harm 2024-11-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-01-10

E · Potential for more than minimal harm 2024-11-08

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-01-10

D · Potential for more than minimal harm 2024-11-08

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2025-01-10

D · Potential for more than minimal harm 2024-11-08

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2025-01-10

D · Potential for more than minimal harm 2024-11-08

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-01-15

D · Potential for more than minimal harm 2024-11-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-10

D · Potential for more than minimal harm 2024-11-08

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2025-01-10

E · Potential for more than minimal harm 2021-12-22

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-02-18

E · Potential for more than minimal harm 2021-12-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-02-18

E · Potential for more than minimal harm 2021-12-22

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2022-02-18

E · Potential for more than minimal harm 2021-12-22

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2022-02-18

E · Potential for more than minimal harm 2021-12-22

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2022-02-18

E · Potential for more than minimal harm 2021-12-22

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-02-18

D · Potential for more than minimal harm 2021-12-22

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2022-02-18

D · Potential for more than minimal harm 2021-12-22

K224 · Egress Deficiencies

Fire Safety

Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion.

Corrected 2022-02-18

D · Potential for more than minimal harm 2021-12-22

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2022-02-18

D · Potential for more than minimal harm 2021-12-22

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-02-18

D · Potential for more than minimal harm 2021-12-22

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2022-02-18

D · Potential for more than minimal harm 2021-12-22

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-02-18

D · Potential for more than minimal harm 2021-12-22

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-02-18

E · Potential for more than minimal harm 2019-01-18

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2019-02-20

E · Potential for more than minimal harm 2019-01-18

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2019-02-20

D · Potential for more than minimal harm 2019-01-18

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2019-02-20

D · Potential for more than minimal harm 2019-01-18

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-02-20

D · Potential for more than minimal harm 2019-01-18

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2019-02-20

D · Potential for more than minimal harm 2019-01-18

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2019-02-20

D · Potential for more than minimal harm 2019-01-18

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2019-02-20

C · Minimal harm 2019-01-18

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2019-02-20

C · Minimal harm 2019-01-18

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2019-02-20

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-11-08

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-11-08

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 2024-12-30

D · Potential for more than minimal harm 2024-11-08

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-11-08

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-11-08

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-11-08

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-11-08

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-11-08

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 2024-12-30

D · Potential for more than minimal harm 2024-11-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-30

H · Actual harm 2024-08-28

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 2024-10-01

D · Potential for more than minimal harm 2024-08-28

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 2024-10-01

D · Potential for more than minimal harm 2024-04-22

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-05-13

E · Potential for more than minimal harm 2021-12-22

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 2022-02-05

E · Potential for more than minimal harm 2021-12-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-02-05

D · Potential for more than minimal harm 2021-12-22

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 2022-02-05

D · Potential for more than minimal harm 2021-12-22

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 2022-02-05

D · Potential for more than minimal harm 2021-12-22

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2022-02-05

D · Potential for more than minimal harm 2021-12-22

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2022-02-05

D · Potential for more than minimal harm 2021-12-22

F761 · Pharmacy Service Deficiencies

Health

Corrected 2022-02-05

D · Potential for more than minimal harm 2019-01-18

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2019-03-11

D · Potential for more than minimal harm 2019-01-18

F657 · Resident Assessment and Care Planning Deficiencies

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 2019-03-11

D · Potential for more than minimal harm 2019-01-18

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-03-11

D · Potential for more than minimal harm 2019-01-18

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-03-11

D · Potential for more than minimal harm 2019-01-18

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-03-11

D · Potential for more than minimal harm 2019-01-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-03-11

B · Minimal harm 2019-01-18

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 2019-03-11

Penalties and ownership