Cycle 1
Health 2024-10-10 · Fire 2024-10-10
8 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
1 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Purdy Station, NY
Waterview Hills Rehabilitation And Nursing Center
4-star overall rating with 3-star inspections with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
537 Route 22, Purdy Station, NY
(914) 277-3691
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
130
Certified beds
Average residents
116
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Epic Healthcare Management
Operator or chain grouping
Approved since
1971-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 3 overall / 2 health / 2 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
0.70
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.48
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.15
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.33
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
2.89
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.59
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.61
CMS adjusted RN staffing hours
Adjusted total hours
2.91
CMS adjusted total nurse staffing hours
Case-mix index
1.57
Higher values indicate more complex resident acuity
RN turnover
8%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
26%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,973
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.9
Composite VBP score used to determine payment impact.
Payment multiplier
0.9948
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.76
Baseline 22.61% · Performance 18.56% · Measure score 6.76 · Achievement 6.20 · Improvement 6.76
Healthcare-associated infections
0
Baseline 7.55% · Performance 7.96% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
10
Baseline 18.18% · Performance 21.95% · Measure score 10 · Achievement 10 · Improvement 0
Adjusted total nurse staffing
0
Baseline 2.95 hours · Performance 2.62 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.33% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 296 · Observed rate 8.11% · Lower 95% interval 7.54% |
| Discharge to community | 63.18% |
50.57%
12.6 pts better
|
Better than the National Rate · Eligible stays 305 · Observed rate 59.34% · Lower 95% interval 58.16% |
| Medicare spending per beneficiary | 1.41 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 256 · Denominator 256 |
| Falls with major injury | 0.39% |
0.77%
0.4 pts better
|
Numerator 1 · Denominator 256 |
| Discharge self-care score | 55.63% |
53.69%
1.9 pts better
|
Numerator 84 · Denominator 151 |
| Discharge mobility score | 60.93% |
50.94%
10 pts better
|
Numerator 92 · Denominator 151 |
| Pressure ulcers or injuries, new or worsened | 1.95% |
2.29%
0.3 pts better
|
Numerator 5 · Denominator 256 · Adjusted rate 1.48% |
| Healthcare-associated infections requiring hospitalization | 7.97% |
7.12%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 209 · Observed rate 7.18% · Lower 95% interval 5.62% |
| Staff COVID-19 vaccination coverage | 2.94% |
8.2%
5.3 pts worse
|
Numerator 5 · Denominator 170 |
| Staff flu vaccination coverage | 47.66% |
42%
5.7 pts better
|
Numerator 112 · Denominator 235 |
| Discharge function score | 62.91% |
56.45%
6.5 pts better
|
Numerator 95 · Denominator 151 |
| Transfer of health information to provider | 87.67% |
95.95%
8.3 pts worse
|
Numerator 64 · Denominator 73 |
| Transfer of health information to patient | 92.48% |
96.28%
3.8 pts worse
|
Numerator 123 · Denominator 133 |
| Resident COVID-19 vaccinations up to date | 17.72% |
25.2%
7.5 pts worse
|
Numerator 28 · Denominator 158 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
1.7
0.7 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 1.8 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.3
0.3 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.7 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 87.6% |
91.2%
3.6 pts worse
|
93.4%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 94.4% · Q2 85.9% · Q3 85.1% · Q4 85.3% · 4Q avg 87.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.9% |
95.3%
2.4 pts worse
|
95.5%
2.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.7% |
3.0%
1.7 pts worse
|
3.3%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 6.5% · Q3 4.6% · Q4 2.1% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 51.7% |
18.5%
33.2 pts worse
|
11.4%
40.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 66.7% · Q2 49.4% · Q3 43.5% · Q4 47.8% · 4Q avg 51.7% |
| Percentage of long-stay residents who lose too much weight | 5.7% |
6.1%
0.4 pts better
|
5.4%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 5.6% · Q3 3.5% · Q4 5.4% · 4Q avg 5.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.2% |
13.5%
1.7 pts worse
|
19.6%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 15.2% · Q3 13.8% · Q4 14.9% · 4Q avg 15.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.1% |
14.8%
2.7 pts better
|
16.7%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 11.0% · Q3 12.7% · Q4 12.8% · 4Q avg 12.1% · 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 | 19.2% |
15.1%
4.1 pts worse
|
16.3%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 29.9% · Q3 10.7% · Q4 7.2% · 4Q avg 19.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.4% |
15.5%
1.1 pts better
|
14.9%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 22.4% · Q3 4.9% · Q4 9.3% · 4Q avg 14.4% · 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 | 0.0% |
1.4%
1.4 pts better
|
1.7%
1.7 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 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 48.9% · Q2 33.1% · Q3 16.1% · Q4 21.2% · 4Q avg 29.6% |
| Percentage of long-stay residents with pressure ulcers | 4.3% |
6.9%
2.6 pts better
|
5.1%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 4.5% · Q3 3.1% · Q4 5.2% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 72.8% |
76.7%
3.9 pts worse
|
81.7%
8.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 68.8% · Q2 70.4% · Q3 76.4% · Q4 75.3% · 4Q avg 72.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.6% |
9.7%
1.1 pts better
|
12.0%
3.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.6% · Observed 6.7% · Expected 8.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.2%
0.7 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 69.9% |
78.8%
8.9 pts worse
|
79.7%
9.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 69.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.1% |
20.6%
1.5 pts better
|
23.9%
4.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.1% · Observed 18.0% · Expected 22.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-08-12 · Fire 2022-08-12
0 health deficiencies
No concentrated health issue counts in this cycle.
9 fire-safety deficiencies
Top issue: Egress (4 deficiencies)
Cycle 3
Health 2019-05-01 · Fire 2019-05-01
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-10-10
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-12-13
E · Potential for more than minimal harm
2022-08-12
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-09-23
E · Potential for more than minimal harm
2022-08-12
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-09-23
E · Potential for more than minimal harm
2022-08-12
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2022-09-23
D · Potential for more than minimal harm
2022-08-12
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-09-23
D · Potential for more than minimal harm
2022-08-12
K224 · Egress Deficiencies
Fire Safety
Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion.
Corrected 2022-09-23
D · Potential for more than minimal harm
2022-08-12
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2022-09-23
D · Potential for more than minimal harm
2022-08-12
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-09-23
D · Potential for more than minimal harm
2022-08-12
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-09-23
C · Minimal harm
2022-08-12
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-09-23
E · Potential for more than minimal harm
2019-05-01
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 2019-06-29
D · Potential for more than minimal harm
2019-05-01
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-06-29
D · Potential for more than minimal harm
2019-05-01
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-06-29
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-06-04
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 2025-08-01
D · Potential for more than minimal harm
2025-06-04
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 2025-08-01
D · Potential for more than minimal harm
2025-06-04
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 2025-08-01
E · Potential for more than minimal harm
2024-10-10
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-12-02
D · Potential for more than minimal harm
2024-10-10
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-12-02
D · Potential for more than minimal harm
2024-10-10
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-12-02
D · Potential for more than minimal harm
2024-10-10
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 2024-12-02
D · Potential for more than minimal harm
2024-10-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-02
E · Potential for more than minimal harm
2019-05-01
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 2019-06-14
D · Potential for more than minimal harm
2019-05-01
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 2019-06-14
D · Potential for more than minimal harm
2019-05-01
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2019-06-14
Penalties and ownership
What sits behind the stars
Ownership
Jozefovic, Herbert
5% Or Greater Direct Ownership Interest · Individual
Neuman, Mark
5% Or Greater Direct Ownership Interest · Individual
Singer, Baruch
5% Or Greater Direct Ownership Interest · Individual
Jozefovic, Herbert
Corporate Officer · Individual
Maniscalco, Vincent
Operational/Managerial Control · Individual
Maniscalco, Vincent
W-2 Managing Employee · Individual
Neuman, Mark
Corporate Officer · Individual
Singer, Baruch
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Salem Hills Rehabilitation And Nursing Center
Purdys, NY
3-star overall rating with 3-star inspections with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
The Paramount At Somers Rehab And Nursing Center
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
#3
Putnam Ridge
Brewster, NY
1-star overall rating with 1-star inspections with 25 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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