16 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
11 fire-safety deficiencies
Top issue: Egress (4 deficiencies)
Somers, NY
2-star overall rating with 1-star inspections with $46,079 in total fines with 16 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
Route 100, Somers, NY
(914) 232-5101
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
300
Certified beds
Average residents
278
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Carerite Centers
Operator or chain grouping
Approved since
1970-07-01
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
0.52
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.66
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.68
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
2.87
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.18
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.61
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.41
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.46
CMS adjusted RN staffing hours
Adjusted total hours
2.53
CMS adjusted total nurse staffing hours
Case-mix index
1.55
Higher values indicate more complex resident acuity
RN turnover
26%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
1,110
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
59.79
Composite VBP score used to determine payment impact.
Payment multiplier
1.0150
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
10
Baseline 15.58% · Performance 15.31% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
10
Baseline 7.26% · Performance 4.98% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
3.92
Baseline 48.99% · Performance 47.67% · Measure score 3.92 · Achievement 3.92 · Improvement 0.05
Adjusted total nurse staffing
0
Baseline 2.57 hours · Performance 2.59 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.24% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 530 · Observed rate 7.55% · Lower 95% interval 6.92% |
| Discharge to community | 59.47% |
50.57%
8.9 pts better
|
Better than the National Rate · Eligible stays 618 · Observed rate 52.27% · Lower 95% interval 55.12% |
| Medicare spending per beneficiary | 1.3 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 99.54% |
95.27%
4.3 pts better
|
Numerator 431 · Denominator 433 |
| Falls with major injury | 1.85% |
0.77%
1.1 pts worse
|
Numerator 8 · Denominator 433 |
| Discharge self-care score | 61.13% |
53.69%
7.4 pts better
|
Numerator 217 · Denominator 355 |
| Discharge mobility score | 70.42% |
50.94%
19.5 pts better
|
Numerator 250 · Denominator 355 |
| Pressure ulcers or injuries, new or worsened | 0.23% |
2.29%
2.1 pts better
|
Numerator 1 · Denominator 433 · Adjusted rate 0.19% |
| Healthcare-associated infections requiring hospitalization | 4.99% |
7.12%
2.1 pts better
|
No Different than the National Rate · Eligible stays 388 · Observed rate 3.87% · Lower 95% interval 3.41% |
| Staff COVID-19 vaccination coverage | 4.99% |
8.2%
3.2 pts worse
|
Numerator 19 · Denominator 381 |
| Staff flu vaccination coverage | 63.91% |
42%
21.9 pts better
|
Numerator 278 · Denominator 435 |
| Discharge function score | 65.63% |
56.45%
9.2 pts better
|
Numerator 233 · Denominator 355 |
| Transfer of health information to provider | 98.57% |
95.95%
2.6 pts better
|
Numerator 69 · Denominator 70 |
| Transfer of health information to patient | 99.62% |
96.28%
3.3 pts better
|
Numerator 264 · Denominator 265 |
| Resident COVID-19 vaccinations up to date | 25.57% |
25.2%
0.4 pts better
|
Numerator 56 · Denominator 219 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.7
0.8 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.7 · Expected 1.5 · 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 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 79.6% |
91.2%
11.6 pts worse
|
93.4%
13.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 82.9% · Q2 78.6% · Q3 82.6% · Q4 74.1% · 4Q avg 79.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.5% |
95.3%
2.2 pts better
|
95.5%
2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.5% |
3.0%
0.5 pts worse
|
3.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.1% · Q3 3.2% · Q4 5.1% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 12.1% |
18.5%
6.4 pts better
|
11.4%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 13.0% · Q3 7.8% · Q4 15.0% · 4Q avg 12.1% |
| Percentage of long-stay residents who lose too much weight | 5.8% |
6.1%
0.3 pts better
|
5.4%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.5% · Q3 9.3% · Q4 5.5% · 4Q avg 5.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.1% |
13.5%
9.6 pts worse
|
19.6%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 21.5% · Q3 23.4% · Q4 25.5% · 4Q avg 23.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.5% |
14.8%
0.3 pts better
|
16.7%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 16.4% · Q3 13.3% · Q4 12.6% · 4Q avg 14.5% · 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 | 9.9% |
15.1%
5.2 pts better
|
16.3%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 7.9% · Q3 9.1% · Q4 7.3% · 4Q avg 9.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.2% |
15.5%
3.3 pts better
|
14.9%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 9.0% · Q3 13.8% · Q4 10.0% · 4Q avg 12.2% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
1.4%
0.7 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 0.0% · Q4 0.9% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.9% |
20.8%
1.1 pts worse
|
19.8%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.3% · Q2 18.8% · Q3 27.0% · Q4 27.2% · 4Q avg 21.9% |
| Percentage of long-stay residents with pressure ulcers | 3.4% |
6.9%
3.5 pts better
|
5.1%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.8% · Q3 2.4% · Q4 5.0% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 59.9% |
76.7%
16.8 pts worse
|
81.7%
21.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 53.4% · Q2 55.4% · Q3 64.7% · Q4 65.7% · 4Q avg 59.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.0% |
9.7%
3.7 pts better
|
12.0%
6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.0% · Observed 6.2% · Expected 11.5% · 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 0.0% · Q2 0.0% · Q3 0.4% · Q4 0.8% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 64.1% |
78.8%
14.7 pts worse
|
79.7%
15.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 64.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 10.8% |
20.6%
9.8 pts better
|
23.9%
13.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.8% · Observed 12.4% · Expected 27.3% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
11 fire-safety deficiencies
Top issue: Egress (4 deficiencies)
Top issue: Resident Rights (3 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-01-03
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 2024-11-24
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-01-03
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-11-15
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-01-03
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-01-03
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2025-01-03
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-01-06
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-01-03
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-01-03
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-11-08
Fire Safety
Have exits that are accessible at all times.
Corrected 2022-10-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-10-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-10-17
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-10-17
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-10-17
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-10-17
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 2019-04-04
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2019-04-04
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2019-04-04
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2019-04-04
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2019-04-04
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Not marked corrected
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Not marked corrected
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Not marked corrected
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Not marked corrected
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Not marked corrected
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Not marked corrected
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-10-17
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 2025-10-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-15
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-01-15
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-01-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-01-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-15
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-01-15
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 2025-01-15
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 2025-01-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-15
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-09-12
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-09-12
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 2024-09-12
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 2024-09-12
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2024-09-12
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 2024-09-12
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-11-02
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2023-05-05
Health
Provide and implement an infection prevention and control program.
Corrected 2019-04-09
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2019-04-09
Health
Assess the resident when there is a significant change in condition
Corrected 2019-04-09
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-04-09
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2019-04-09
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2019-04-09
Health
Keep all essential equipment working safely.
Corrected 2019-04-09
Penalties and ownership
Fine · fine $46,079
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
Corporate Officer · Individual
Operational/Managerial Control · Individual
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