13 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Valhalla, NY
2-star overall rating with 1-star inspections with $76,339 in total fines with 13 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
61 Grasslands Road, Valhalla, NY
(914) 681-8400
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
160
Certified beds
Average residents
161
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Carerite Centers
Operator or chain grouping
Approved since
1998-06-19
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
34 facilities
Chain averages 3 overall / 3 health / 2 staffing / 5 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
RN hours / resident day
0.53
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.62
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.92
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.07
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.15
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.68
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.36
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.14
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.45
CMS adjusted RN staffing hours
Adjusted total hours
2.58
CMS adjusted total nurse staffing hours
Case-mix index
1.62
Higher values indicate more complex resident acuity
RN turnover
57%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
2,074
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
51.96
Composite VBP score used to determine payment impact.
Payment multiplier
1.0064
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
10
Baseline 15.06% · Performance 16.42% · Measure score 10 · Achievement 10 · Improvement 0
Healthcare-associated infections
3.71
Baseline 6.90% · Performance 6.73% · Measure score 3.71 · Achievement 3.71 · Improvement 0.41
Total nurse turnover
7.07
Baseline 42.68% · Performance 34.78% · Measure score 7.07 · Achievement 7.07 · Improvement 3.93
Adjusted total nurse staffing
0
Baseline 3.03 hours · Performance 2.70 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.77% |
10.72%
2 pts better
|
No Different than the National Rate · Eligible stays 389 · Observed rate 7.46% · Lower 95% interval 6.83% |
| Discharge to community | 59.36% |
50.57%
8.8 pts better
|
Better than the National Rate · Eligible stays 418 · Observed rate 49.52% · Lower 95% interval 54.21% |
| Medicare spending per beneficiary | 1.34 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 99.12% |
95.27%
3.9 pts better
|
Numerator 338 · Denominator 341 |
| Falls with major injury | 0.59% |
0.77%
0.2 pts better
|
Numerator 2 · Denominator 341 |
| Discharge self-care score | 53.98% |
53.69%
0.3 pts better
|
Numerator 122 · Denominator 226 |
| Discharge mobility score | 64.6% |
50.94%
13.7 pts better
|
Numerator 146 · Denominator 226 |
| Pressure ulcers or injuries, new or worsened | 5.28% |
2.29%
3 pts worse
|
Numerator 18 · Denominator 341 · Adjusted rate 4.43% |
| Healthcare-associated infections requiring hospitalization | 6.72% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 231 · Observed rate 7.36% · Lower 95% interval 4.49% |
| Staff COVID-19 vaccination coverage | 0.41% |
8.2%
7.8 pts worse
|
Numerator 1 · Denominator 242 |
| Staff flu vaccination coverage | 55.73% |
42%
13.7 pts better
|
Numerator 219 · Denominator 393 |
| Discharge function score | 60.62% |
56.45%
4.2 pts better
|
Numerator 137 · Denominator 226 |
| Transfer of health information to provider | 85.92% |
95.95%
10 pts worse
|
Numerator 183 · Denominator 213 |
| Transfer of health information to patient | 94.23% |
96.28%
2 pts worse
|
Numerator 49 · Denominator 52 |
| Resident COVID-19 vaccinations up to date | 10.8% |
25.2%
14.4 pts worse
|
Numerator 19 · Denominator 176 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.7
0.2 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.8 · Used in QM five-star |
| 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 · Adjusted 0.7 · Observed 0.6 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 67.3% |
91.2%
23.9 pts worse
|
93.4%
26.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.4% · Q2 49.5% · Q3 93.8% · Q4 95.5% · 4Q avg 67.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 86.7% |
95.3%
8.6 pts worse
|
95.5%
8.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 86.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.2% |
3.0%
0.2 pts worse
|
3.3%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 3.7% · Q3 3.6% · Q4 0.9% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.7% |
18.5%
10.8 pts better
|
11.4%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 3.0% · Q3 9.4% · Q4 16.8% · 4Q avg 7.7% |
| Percentage of long-stay residents who lose too much weight | 8.7% |
6.1%
2.6 pts worse
|
5.4%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 8.8% · Q3 9.5% · Q4 6.9% · 4Q avg 8.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 2.8% |
13.5%
10.7 pts better
|
19.6%
16.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 1.0% · Q3 2.8% · Q4 4.7% · 4Q avg 2.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.0% |
14.8%
1.8 pts better
|
16.7%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 19.8% · Q3 11.0% · Q4 7.3% · 4Q avg 13.0% · 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 | 12.6% |
15.1%
2.5 pts better
|
16.3%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 12.3% · Q3 7.4% · Q4 16.7% · 4Q avg 12.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.0% |
15.5%
1.5 pts better
|
14.9%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.2% · Q2 8.8% · Q3 11.9% · Q4 14.8% · 4Q avg 14.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.6%
0.4 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.7% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.9% |
1.4%
0.5 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.9% · Q3 0.0% · Q4 1.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.0% |
20.8%
10.2 pts worse
|
19.8%
11.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.5% · Q2 34.2% · Q3 35.8% · Q4 26.7% · 4Q avg 31.0% |
| Percentage of long-stay residents with pressure ulcers | 7.9% |
6.9%
1 pts worse
|
5.1%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 10.4% · Q3 6.2% · Q4 8.1% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 62.4% |
76.7%
14.3 pts worse
|
81.7%
19.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 50.2% · Q2 55.5% · Q3 67.0% · Q4 76.6% · 4Q avg 62.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.7% |
9.7%
6 pts better
|
12.0%
8.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.7% · Observed 3.8% · Expected 11.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.2%
0.5 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 1.1% · Q4 0.5% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 66.9% |
78.8%
11.9 pts worse
|
79.7%
12.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 66.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.6% |
20.6%
4 pts better
|
23.9%
7.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.6% · Observed 17.8% · Expected 25.6% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2026-01-12
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 2026-01-12
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 2026-01-12
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-01-12
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2026-01-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-12
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2026-01-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-22
Fire Safety
Meet Health Care Facilities Code mechanical requirements.
Corrected 2023-06-01
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-06-21
Fire Safety
Meet other general requirements.
Corrected 2023-04-21
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-04-19
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-05-03
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-04-24
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-04-18
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2019-09-30
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2019-09-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-09-30
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 2019-09-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-09-30
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-09-30
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-09-30
Fire Safety
Develop a communication plan.
Corrected 2019-09-30
Inspection history
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 2026-01-02
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-01-02
Health
The resident has the right to receive notices in a format and a language he or she understands.
Corrected 2026-01-02
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-01-02
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 2026-01-02
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-01-02
Health
Respond appropriately to all alleged violations.
Corrected 2026-01-02
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-01-02
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2026-01-02
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2026-01-02
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2026-01-02
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2026-01-02
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-02
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 2024-04-23
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-23
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-05-09
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-05-09
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 2023-05-09
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-05-09
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 2023-05-09
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2023-05-09
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-05-09
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-05-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-05-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-09
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-05-09
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-10-04
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2019-10-04
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-10-04
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-10-04
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-10-04
Health
Provide and implement an infection prevention and control program.
Corrected 2019-10-04
Penalties and ownership
Fine · fine $76,339
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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