Valhalla, NY

The Grove At Valhalla Rehab And Nursing Center

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

Compare this facility

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

Facility snapshot

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

Hours and turnover

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

Value-based purchasing

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

How the VBP score is built

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

Medicare quality reporting measures

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

Resident outcomes and process scores

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

Recent inspection cycles

Cycle 1 Health 2025-11-20 · Fire 2025-11-20

13 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2023-03-30 · Fire 2023-03-30

11 health deficiencies

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

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2019-08-21 · Fire 2019-08-21

9 health deficiencies

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

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-11-20

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2026-01-12

E · Potential for more than minimal harm 2025-11-20

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 2026-01-12

E · Potential for more than minimal harm 2025-11-20

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 2026-01-12

E · Potential for more than minimal harm 2025-11-20

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2026-01-12

D · Potential for more than minimal harm 2025-11-20

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2026-01-12

D · Potential for more than minimal harm 2025-11-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-01-12

D · Potential for more than minimal harm 2025-11-20

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2026-01-12

E · Potential for more than minimal harm 2024-05-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-22

F · Potential for more than minimal harm 2023-03-30

K900 · Miscellaneous Deficiencies

Fire Safety

Meet Health Care Facilities Code mechanical requirements.

Corrected 2023-06-01

E · Potential for more than minimal harm 2023-03-30

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-06-21

D · Potential for more than minimal harm 2023-03-30

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-04-21

D · Potential for more than minimal harm 2023-03-30

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-04-19

D · Potential for more than minimal harm 2023-03-30

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-05-03

D · Potential for more than minimal harm 2023-03-30

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-04-24

D · Potential for more than minimal harm 2023-03-30

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-04-18

E · Potential for more than minimal harm 2019-08-21

K225 · Egress Deficiencies

Fire Safety

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

Corrected 2019-09-30

E · Potential for more than minimal harm 2019-08-21

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2019-09-30

E · Potential for more than minimal harm 2019-08-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2019-09-30

D · Potential for more than minimal harm 2019-08-21

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 2019-09-30

D · Potential for more than minimal harm 2019-08-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-09-30

D · Potential for more than minimal harm 2019-08-21

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-09-30

D · Potential for more than minimal harm 2019-08-21

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2019-09-30

C · Minimal harm 2019-08-21

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2019-09-30

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-11-20

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 2026-01-02

F · Potential for more than minimal harm 2025-11-20

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 2026-01-02

E · Potential for more than minimal harm 2025-11-20

F574 · Resident Rights Deficiencies

Health

The resident has the right to receive notices in a format and a language he or she understands.

Corrected 2026-01-02

E · Potential for more than minimal harm 2025-11-20

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

D · Potential for more than minimal harm 2025-11-20

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 2026-01-02

D · Potential for more than minimal harm 2025-11-20

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 2026-01-02

D · Potential for more than minimal harm 2025-11-20

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-11-20

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-11-20

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-11-20

F744 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-11-20

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-11-20

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-11-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-02

D · Potential for more than minimal harm 2024-02-14

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 2024-04-23

D · Potential for more than minimal harm 2024-02-14

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 2024-04-23

G · Actual harm 2023-03-30

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-09

D · Potential for more than minimal harm 2023-03-30

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 2023-05-09

D · Potential for more than minimal harm 2023-03-30

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 2023-05-09

D · Potential for more than minimal harm 2023-03-30

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 2023-05-09

D · Potential for more than minimal harm 2023-03-30

F625 · Resident Rights Deficiencies

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

D · Potential for more than minimal harm 2023-03-30

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2023-05-09

D · Potential for more than minimal harm 2023-03-30

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 2023-05-09

D · Potential for more than minimal harm 2023-03-30

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-05-09

D · Potential for more than minimal harm 2023-03-30

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-09

D · Potential for more than minimal harm 2023-03-30

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 2023-05-09

D · Potential for more than minimal harm 2023-03-30

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-09

D · Potential for more than minimal harm 2023-03-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-05-09

E · Potential for more than minimal harm 2019-08-21

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 2019-10-04

E · Potential for more than minimal harm 2019-08-21

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2019-10-04

D · Potential for more than minimal harm 2019-08-21

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 2019-10-04

D · Potential for more than minimal harm 2019-08-21

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2019-10-04

D · Potential for more than minimal harm 2019-08-21

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-10-04

D · Potential for more than minimal harm 2019-08-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-10-04

Penalties and ownership

What sits behind the stars

$76,339 2023-03-30

Fine

Fine · fine $76,339

Fine

Ownership

Landa, Judy

5% Or Greater Direct Ownership Interest · Individual

50% 9 facilities 2014-12-01
Einhorn, Sharon

5% Or Greater Direct Ownership Interest · Individual

25% 13 facilities 2014-12-01
Friedman, Devorah

5% Or Greater Direct Ownership Interest · Individual

25% 13 facilities 2014-12-01
Palekar, Shekhar

Operational/Managerial Control · Individual

0% 1 facilities 2023-12-29
Pitogo, Maria

Operational/Managerial Control · Individual

0% 1 facilities 2024-12-30
Thomas, Soumya

Operational/Managerial Control · Individual

0% 1 facilities 2024-09-09

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