Cycle 1
Health 2025-07-03 · Fire 2025-07-03
13 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
8 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Catskill, NY
The Pines At Catskill Center For Nursing & Rehab
2-star overall rating with 1-star inspections with abuse icon flag with $13,247 in total fines with 13 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
154 Jefferson Heights, Catskill, NY
(518) 943-5151
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
136
Certified beds
Average residents
132
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
National Health Care Associates
Operator or chain grouping
Approved since
1972-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
43 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 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
0.29
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.99
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
3.21
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.29
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.62
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.12
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.28
CMS adjusted RN staffing hours
Adjusted total hours
3.01
CMS adjusted total nurse staffing hours
Case-mix index
1.46
Higher values indicate more complex resident acuity
RN turnover
90%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
51%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,770
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.77
Composite VBP score used to determine payment impact.
Payment multiplier
0.9867
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 18.93% · Performance 15.35% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
1.43
Baseline 6.65% · Performance 7.41% · Measure score 1.43 · Achievement 1.43 · Improvement 0
Total nurse turnover
0.62
Baseline 49.19% · Performance 61.15% · Measure score 0.62 · Achievement 0.62 · Improvement 0
Adjusted total nurse staffing
0.66
Baseline 2.86 hours · Performance 3.20 hours · Measure score 0.66 · Achievement 0 · Improvement 0.66
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.48% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 331 · Observed rate 7.55% · Lower 95% interval 7.12% |
| Discharge to community | 47.56% |
50.57%
3 pts worse
|
No Different than the National Rate · Eligible stays 376 · Observed rate 42.29% · Lower 95% interval 41.8% |
| Medicare spending per beneficiary | 1.05 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 98.41% |
95.27%
3.1 pts better
|
Numerator 247 · Denominator 251 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 251 |
| Discharge self-care score | 59.54% |
53.69%
5.9 pts better
|
Numerator 103 · Denominator 173 |
| Discharge mobility score | 64.16% |
50.94%
13.2 pts better
|
Numerator 111 · Denominator 173 |
| Pressure ulcers or injuries, new or worsened | 3.98% |
2.29%
1.7 pts worse
|
Numerator 10 · Denominator 251 · Adjusted rate 4.48% |
| Healthcare-associated infections requiring hospitalization | 7.41% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 257 · Observed rate 7.39% · Lower 95% interval 5.06% |
| Staff COVID-19 vaccination coverage | 1.18% |
8.2%
7 pts worse
|
Numerator 2 · Denominator 169 |
| Staff flu vaccination coverage | 72.08% |
42%
30.1 pts better
|
Numerator 142 · Denominator 197 |
| Discharge function score | 72.83% |
56.45%
16.4 pts better
|
Numerator 126 · Denominator 173 |
| Transfer of health information to provider | 81.01% |
95.95%
14.9 pts worse
|
Numerator 128 · Denominator 158 |
| Transfer of health information to patient | 92.86% |
96.28%
3.4 pts worse
|
Numerator 39 · Denominator 42 |
| Resident COVID-19 vaccinations up to date | 23.97% |
25.2%
1.2 pts worse
|
Numerator 35 · Denominator 146 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.7
0.5 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.2 · Expected 1.9 · 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 0.7 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.2%
8.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.2% |
95.3%
2.9 pts better
|
95.5%
2.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.2% |
3.0%
1.2 pts worse
|
3.3%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 3.9% · Q3 4.1% · Q4 3.9% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 13.4% |
18.5%
5.1 pts better
|
11.4%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 13.5% · Q3 15.1% · Q4 15.9% · 4Q avg 13.4% |
| Percentage of long-stay residents who lose too much weight | 3.1% |
6.1%
3 pts better
|
5.4%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 1.1% · Q3 2.3% · Q4 3.4% · 4Q avg 3.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.5% |
13.5%
4 pts better
|
19.6%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 9.7% · Q3 9.2% · Q4 9.9% · 4Q avg 9.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.1% |
14.8%
8.7 pts better
|
16.7%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 7.5% · Q3 6.2% · Q4 6.1% · 4Q avg 6.1% · 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 | 15.1% |
15.1%
About the same
|
16.3%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 18.4% · Q3 15.2% · Q4 10.8% · 4Q avg 15.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.3% |
15.5%
0.8 pts worse
|
14.9%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 27.0% · Q3 12.6% · Q4 13.1% · 4Q avg 16.3% · 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 | 0.8% |
1.4%
0.6 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 0.0% · Q4 1.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.6% |
20.8%
8.8 pts worse
|
19.8%
9.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.3% · Q2 41.5% · Q3 25.7% · Q4 22.1% · 4Q avg 29.6% |
| Percentage of long-stay residents with pressure ulcers | 8.7% |
6.9%
1.8 pts worse
|
5.1%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 11.9% · Q3 7.5% · Q4 8.1% · 4Q avg 8.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.4% |
76.7%
18.7 pts better
|
81.7%
13.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.6% · Q2 96.1% · Q3 96.8% · Q4 91.5% · 4Q avg 95.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.7% |
9.7%
3 pts better
|
12.0%
5.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.7% · Observed 6.1% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.2%
0.2 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.4% · Q3 0.8% · Q4 0.8% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.3% |
78.8%
10.5 pts better
|
79.7%
9.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.7% |
20.6%
3.9 pts better
|
23.9%
7.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.7% · Observed 16.6% · Expected 23.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-03-18 · Fire 2022-03-18
9 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2019-09-09 · Fire 2019-09-09
3 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-07-03
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-08-21
F · Potential for more than minimal harm
2025-07-03
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2025-08-21
E · Potential for more than minimal harm
2025-07-03
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-08-21
E · Potential for more than minimal harm
2025-07-03
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2025-08-21
E · Potential for more than minimal harm
2025-07-03
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-21
E · Potential for more than minimal harm
2025-07-03
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-08-21
E · Potential for more than minimal harm
2025-07-03
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-08-21
E · Potential for more than minimal harm
2025-07-03
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-08-21
E · Potential for more than minimal harm
2022-03-18
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2022-05-02
E · Potential for more than minimal harm
2019-09-09
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-11-01
E · Potential for more than minimal harm
2019-09-09
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-11-01
E · Potential for more than minimal harm
2019-09-09
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2019-11-01
E · Potential for more than minimal harm
2019-09-09
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2019-11-01
E · Potential for more than minimal harm
2019-09-09
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-11-01
E · Potential for more than minimal harm
2019-09-09
K926 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2019-11-01
Inspection history
Recent health citations
G · Actual harm
2025-07-03
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 2025-08-21
F · Potential for more than minimal harm
2025-07-03
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2025-08-21
E · Potential for more than minimal harm
2025-07-03
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 2025-08-21
E · Potential for more than minimal harm
2025-07-03
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 2025-08-21
E · Potential for more than minimal harm
2025-07-03
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 2025-08-21
E · Potential for more than minimal harm
2025-07-03
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2025-08-21
D · Potential for more than minimal harm
2025-07-03
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 2025-08-21
D · Potential for more than minimal harm
2025-07-03
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-06-14
D · Potential for more than minimal harm
2025-07-03
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 2025-08-21
D · Potential for more than minimal harm
2025-07-03
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 2025-08-21
D · Potential for more than minimal harm
2025-07-03
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-08-21
D · Potential for more than minimal harm
2025-07-03
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-08-21
D · Potential for more than minimal harm
2025-07-03
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-08-21
D · Potential for more than minimal harm
2022-03-18
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 2022-05-02
D · Potential for more than minimal harm
2022-03-18
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 2022-05-02
D · Potential for more than minimal harm
2022-03-18
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 2022-05-02
D · Potential for more than minimal harm
2022-03-18
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 2022-05-02
D · Potential for more than minimal harm
2022-03-18
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-05-02
D · Potential for more than minimal harm
2022-03-18
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-05-02
D · Potential for more than minimal harm
2022-03-18
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 2022-05-02
D · Potential for more than minimal harm
2022-03-18
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2022-05-02
D · Potential for more than minimal harm
2022-03-18
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 2022-05-17
E · Potential for more than minimal harm
2019-09-09
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 2019-11-08
E · Potential for more than minimal harm
2019-09-09
F756 · Pharmacy Service Deficiencies
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 2019-11-08
D · Potential for more than minimal harm
2019-09-09
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2019-11-08
Penalties and ownership
What sits behind the stars
$13,247
2025-07-03
Fine
Fine · fine $13,247
Fine
Ownership
Ostreicher, Susan
5% Or Greater Direct Ownership Interest · Individual
Fuchs, Morris
5% Or Greater Direct Ownership Interest · Individual
Biderman, Nechama
5% Or Greater Direct Ownership Interest · Individual
Cohen, David
5% Or Greater Direct Ownership Interest · Individual
Roberts, Laurence
5% Or Greater Direct Ownership Interest · Individual
Goldenberg, Chaim
5% Or Greater Direct Ownership Interest · Individual
Lipman, Michael
5% Or Greater Direct Ownership Interest · Individual
Manela, Magda
5% Or Greater Direct Ownership Interest · Individual
Roop, Kathleen
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Greene Meadows Nursing And Rehabilitation Center
Catskill, NY
2-star overall rating with 2-star inspections with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Livingston Hills Nursing And Rehabilitation Center
Livingston, NY
1-star overall rating with 1-star inspections with Special Focus status with $89,794 in total fines with 31 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#3
Ghent Rehabilitation & Nursing Center
Ghent, NY
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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