Rye, NY

The Osborn

4-star overall rating with 3-star inspections with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

101 Theall Road, Rye, NY

(914) 967-4100

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

84

Certified beds

Average residents

76

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1996-08-30

CMS approved date

Coverage

Medicare

Participation flags

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

0.85

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.81

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.97

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

4.63

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.66

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

3.90

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.47

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.44

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.83

CMS adjusted RN staffing hours

Adjusted total hours

4.49

CMS adjusted total nurse staffing hours

Case-mix index

1.41

Higher values indicate more complex resident acuity

RN turnover

30%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

42%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,594

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

39.34

Composite VBP score used to determine payment impact.

Payment multiplier

0.9923

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.49

Baseline 21.57% · Performance 20.28% · Measure score 2.49 · Achievement 2.49 · Improvement 2.36

Healthcare-associated infections

3.41

Baseline 6.17% · Performance 6.82% · Measure score 3.41 · Achievement 3.41 · Improvement 0

Total nurse turnover

5.66

Baseline 34.00% · Performance 40.54% · Measure score 5.66 · Achievement 5.66 · Improvement 0

Adjusted total nurse staffing

4.18

Baseline 4.48 hours · Performance 4.27 hours · Measure score 4.18 · Achievement 4.18 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.86%
10.72%
0.9 pts better
No Different than the National Rate · Eligible stays 693 · Observed rate 8.23% · Lower 95% interval 8.4%
Discharge to community 72.16%
50.57%
21.6 pts better
Better than the National Rate · Eligible stays 771 · Observed rate 65.89% · Lower 95% interval 67.98%
Medicare spending per beneficiary 0.91
1.02
0.1 pts better
Drug regimen review with follow-up 94.88%
95.27%
0.4 pts worse
Numerator 389 · Denominator 410
Falls with major injury 0.49%
0.77%
0.3 pts better
Numerator 2 · Denominator 410
Discharge self-care score 73.01%
53.69%
19.3 pts better
Numerator 238 · Denominator 326
Discharge mobility score 72.09%
50.94%
21.2 pts better
Numerator 235 · Denominator 326
Pressure ulcers or injuries, new or worsened 1.71%
2.29%
0.6 pts better
Numerator 7 · Denominator 410 · Adjusted rate 2.11%
Healthcare-associated infections requiring hospitalization 6.82%
7.12%
0.3 pts better
No Different than the National Rate · Eligible stays 461 · Observed rate 6.07% · Lower 95% interval 4.95%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 212
Staff flu vaccination coverage 50.62%
42%
8.6 pts better
Numerator 203 · Denominator 401
Discharge function score 66.56%
56.45%
10.1 pts better
Numerator 217 · Denominator 326
Transfer of health information to provider 99.07%
95.95%
3.1 pts better
Numerator 212 · Denominator 214
Transfer of health information to patient 96.45%
96.28%
0.2 pts better
Numerator 163 · Denominator 169
Resident COVID-19 vaccinations up to date 28.44%
25.2%
3.2 pts better
Numerator 62 · Denominator 218

Quality measures

Resident outcomes and process scores

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 · Adjusted 1.1 · Observed 0.7 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 0.6
1.3
0.7 pts better
1.8
1.2 pts better
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.4 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 88.0%
91.2%
3.2 pts worse
93.4%
5.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 83.3% · Q2 87.1% · Q3 91.2% · Q4 90.0% · 4Q avg 88.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.1%
95.3%
1.2 pts worse
95.5%
1.4 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.1%
Percentage of long-stay residents experiencing one or more falls with major injury 1.6%
3.0%
1.4 pts better
3.3%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.9% · Q4 3.3% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
18.5%
18.5 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight 5.9%
6.1%
0.2 pts better
5.4%
0.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 0.0% · Q3 4.2% · Q4 8.3% · 4Q avg 5.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 6.9%
13.5%
6.6 pts better
19.6%
12.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 3.6% · Q3 4.0% · Q4 8.3% · 4Q avg 6.9%
Percentage of long-stay residents who received an antipsychotic medication 18.3%
14.8%
3.5 pts worse
16.7%
1.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q2 20.8% · Q3 14.3% · 4Q avg 18.3% · 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 need for help with daily activities has increased 26.7%
15.5%
11.2 pts worse
14.9%
11.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 39.1% · Q2 22.7% · Q3 35.0% · Q4 9.5% · 4Q avg 26.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.5%
0.6%
0.1 pts better
1.0%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.6%
1.4%
0.2 pts worse
1.7%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 3.0% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 29.8%
20.8%
9 pts worse
19.8%
10 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.6% · Q2 23.2% · Q3 27.0% · Q4 45.0% · 4Q avg 29.8%
Percentage of long-stay residents with pressure ulcers 7.8%
6.9%
0.9 pts worse
5.1%
2.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 5.7% · Q3 12.1% · Q4 4.9% · 4Q avg 7.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 87.3%
76.7%
10.6 pts better
81.7%
5.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 83.6% · Q2 86.5% · Q3 91.5% · Q4 87.9% · 4Q avg 87.3%
Percentage of short-stay residents who had an outpatient emergency department visit 8.7%
9.7%
1 pts better
12.0%
3.3 pts better
Short Stay · 20240701-20250630 · Adjusted 8.7% · Observed 7.4% · Expected 9.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.3%
1.2%
0.9 pts better
1.6%
1.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88.6%
78.8%
9.8 pts better
79.7%
8.9 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 27.2%
20.6%
6.6 pts worse
23.9%
3.3 pts worse
Short Stay · 20240701-20250630 · Adjusted 27.2% · Observed 21.9% · Expected 19.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-19 · Fire 2025-02-19

8 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2023-02-17 · Fire 2023-02-17

7 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2019-11-14 · Fire 2019-11-14

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-19

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-04-20

F · Potential for more than minimal harm 2025-02-19

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-04-20

E · Potential for more than minimal harm 2025-02-19

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-02-19

K225 · Egress Deficiencies

Fire Safety

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

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-02-19

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-04-20

C · Minimal harm 2025-02-19

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-04-20

E · Potential for more than minimal harm 2023-02-17

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2023-04-14

E · Potential for more than minimal harm 2023-02-17

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-04-14

E · Potential for more than minimal harm 2023-02-17

K928 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.

Corrected 2023-04-14

D · Potential for more than minimal harm 2023-02-17

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-04-14

E · Potential for more than minimal harm 2019-11-14

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 2020-02-05

E · Potential for more than minimal harm 2019-11-14

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2020-02-05

D · Potential for more than minimal harm 2019-11-14

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2020-02-05

C · Minimal harm 2019-11-14

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2020-02-05

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-02-19

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 2025-04-20

D · Potential for more than minimal harm 2025-02-19

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 2025-04-20

D · Potential for more than minimal harm 2025-02-19

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-02-19

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 2025-04-20

D · Potential for more than minimal harm 2025-02-19

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-02-19

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-02-19

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 2025-04-20

D · Potential for more than minimal harm 2025-02-19

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2025-04-20

D · Potential for more than minimal harm 2023-06-26

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 2023-08-25

D · Potential for more than minimal harm 2023-06-26

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-25

F · Potential for more than minimal harm 2023-02-17

F925 · Environmental Deficiencies

Health

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

Corrected 2023-04-18

E · Potential for more than minimal harm 2023-02-17

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 2023-04-18

D · Potential for more than minimal harm 2023-02-17

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-02-17

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-04-18

D · Potential for more than minimal harm 2023-02-17

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2023-04-18

B · Minimal harm 2023-02-17

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 2023-04-18

B · Minimal harm 2023-02-17

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 2023-04-18

E · Potential for more than minimal harm 2019-11-14

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 2020-01-14

D · Potential for more than minimal harm 2019-11-14

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2020-01-14

D · Potential for more than minimal harm 2019-11-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-01-14

B · Minimal harm 2019-11-14

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2020-01-14

Penalties and ownership

What sits behind the stars

Ownership

Anderson, Matthew

Operational/Managerial Control · Individual

0% 1 facilities 2016-02-15
Anderson, Matthew

Corporate Officer · Individual

0% 1 facilities 2016-02-16
Davis, Robert

Operational/Managerial Control · Individual

0% 1 facilities 2015-02-09
Davis, Robert

Corporate Officer · Individual

0% 1 facilities 2015-02-09
Merchant, Zenae

Operational/Managerial Control · Individual

0% 2 facilities 2022-09-19
Pellechi, Thomas

Operational/Managerial Control · Individual

0% 1 facilities 2024-07-12

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