Yonkers, NY

Yonkers Gardens Center For Nursing And Rehab

1-star overall rating with 1-star inspections with abuse icon flag with $132,103 in total fines with 11 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

115 South Broadway, Yonkers, NY

(914) 378-7358

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

200

Certified beds

Average residents

179

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Infinite Care

Operator or chain grouping

Approved since

1976-04-05

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

20 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

0.67

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.58

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.07

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

1.26

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

0.39

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

0.63

CMS adjusted RN staffing hours

Adjusted total hours

3.10

CMS adjusted total nurse staffing hours

Case-mix index

1.47

Higher values indicate more complex resident acuity

RN turnover

53%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

40%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,512

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

Performance score

29.55

Composite VBP score used to determine payment impact.

Payment multiplier

0.9855

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 22.09% · Performance 22.13% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

5.46

Baseline 8.58% · Performance 6.44% · Measure score 5.46 · Achievement 4.66 · Improvement 5.46

Total nurse turnover

6.36

Baseline 38.32% · Performance 37.69% · Measure score 6.36 · Achievement 6.36 · Improvement 0

Adjusted total nurse staffing

0

Baseline 3.19 hours · Performance 3.22 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.05%
10.72%
0.3 pts worse
No Different than the National Rate · Eligible stays 74 · Observed rate 12.16% · Lower 95% interval 7.48%
Discharge to community 39.37%
50.57%
11.2 pts worse
No Different than the National Rate · Eligible stays 64 · Observed rate 26.56% · Lower 95% interval 29.05%
Medicare spending per beneficiary 1.6
1.02
0.6 pts worse
Drug regimen review with follow-up 99.21%
95.27%
3.9 pts better
Numerator 126 · Denominator 127
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 127
Discharge self-care score 56.34%
53.69%
2.7 pts better
Numerator 40 · Denominator 71
Discharge mobility score 42.25%
50.94%
8.7 pts worse
Numerator 30 · Denominator 71
Pressure ulcers or injuries, new or worsened 0.79%
2.29%
1.5 pts better
Numerator 1 · Denominator 127 · Adjusted rate 0.64%
Healthcare-associated infections requiring hospitalization 6.44%
7.12%
0.7 pts better
No Different than the National Rate · Eligible stays 79 · Observed rate 5.06% · Lower 95% interval 3.3%
Staff COVID-19 vaccination coverage 1.05%
8.2%
7.1 pts worse
Numerator 2 · Denominator 190
Staff flu vaccination coverage 37.02%
42%
5 pts worse
Numerator 77 · Denominator 208
Discharge function score 53.52%
56.45%
2.9 pts worse
Numerator 38 · Denominator 71
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 51 · Denominator 51
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 1.37%
25.2%
23.8 pts worse
Numerator 1 · Denominator 73

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.3
1.7
1.6 pts worse
1.9
1.4 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 4.1 · Expected 2.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.7
1.3
1.4 pts worse
1.8
0.9 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.8 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 56.5%
91.2%
34.7 pts worse
93.4%
36.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 62.9% · Q2 54.7% · Q3 55.7% · Q4 52.6% · 4Q avg 56.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 83.9%
95.3%
11.4 pts worse
95.5%
11.6 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 83.9%
Percentage of long-stay residents experiencing one or more falls with major injury 1.3%
3.0%
1.7 pts better
3.3%
2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 1.7% · Q4 1.2% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 48.1%
18.5%
29.6 pts worse
11.4%
36.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 40.3% · Q2 56.8% · Q3 42.4% · Q4 52.5% · 4Q avg 48.1%
Percentage of long-stay residents who lose too much weight 7.2%
6.1%
1.1 pts worse
5.4%
1.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 10.8% · Q3 5.4% · Q4 4.5% · 4Q avg 7.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.4%
13.5%
2.9 pts worse
19.6%
3.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 30.0% · Q3 9.8% · Q4 9.9% · 4Q avg 16.4%
Percentage of long-stay residents who received an antipsychotic medication 26.8%
14.8%
12 pts worse
16.7%
10.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.7% · Q2 33.3% · Q3 27.5% · Q4 20.2% · 4Q avg 26.8% · 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 13.2%
15.1%
1.9 pts better
16.3%
3.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 14.2% · Q3 12.6% · Q4 10.5% · 4Q avg 13.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 14.6%
15.5%
0.9 pts better
14.9%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 13.4% · Q2 17.0% · Q3 12.7% · Q4 15.3% · 4Q avg 14.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.3%
0.6%
0.3 pts better
1.0%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · 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 1.9% · Q2 0.6% · Q3 0.6% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 16.9%
20.8%
3.9 pts better
19.8%
2.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.7% · Q2 16.9% · Q3 18.8% · Q4 14.3% · 4Q avg 16.9%
Percentage of long-stay residents with pressure ulcers 6.4%
6.9%
0.5 pts better
5.1%
1.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 7.0% · Q3 4.9% · Q4 3.9% · 4Q avg 6.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 16.6%
76.7%
60.1 pts worse
81.7%
65.1 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 12.6% · Q3 18.2% · Q4 20.5% · 4Q avg 16.6%
Percentage of short-stay residents who had an outpatient emergency department visit 15.2%
9.7%
5.5 pts worse
12.0%
3.2 pts worse
Short Stay · 20240701-20250630 · Adjusted 15.2% · Observed 16.7% · Expected 12.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 2.0%
1.2%
0.8 pts worse
1.6%
0.4 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.4% · Q3 1.9% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 23.0%
78.8%
55.8 pts worse
79.7%
56.7 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 23.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 25.5%
20.6%
4.9 pts worse
23.9%
1.6 pts worse
Short Stay · 20240701-20250630 · Adjusted 25.5% · Observed 28.4% · Expected 26.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-08-15 · Fire 2023-08-15

11 health deficiencies

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

7 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 2 Health 2019-05-22 · Fire 2019-05-22

12 health deficiencies

Top issue: Resident Rights (3 deficiencies)

17 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Cycle 3 Health 2017-09-05 · Fire 2017-09-05

18 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

5 fire-safety deficiencies

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

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2023-08-15

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-11-10

E · Potential for more than minimal harm 2023-08-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-11-02

D · Potential for more than minimal harm 2023-08-15

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-09-13

D · Potential for more than minimal harm 2023-08-15

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 2023-09-13

D · Potential for more than minimal harm 2023-08-15

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-11-09

C · Minimal harm 2023-08-15

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-11-10

C · Minimal harm 2023-08-15

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2023-11-10

F · Potential for more than minimal harm 2019-05-22

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-07-16

E · Potential for more than minimal harm 2019-05-22

K225 · Egress Deficiencies

Fire Safety

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

Corrected 2019-07-16

E · Potential for more than minimal harm 2019-05-22

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 2019-07-16

E · Potential for more than minimal harm 2019-05-22

K521 · Services Deficiencies

Fire Safety

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

Corrected 2019-07-16

E · Potential for more than minimal harm 2019-05-22

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2019-07-16

D · Potential for more than minimal harm 2019-05-22

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2019-07-16

D · Potential for more than minimal harm 2019-05-22

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2019-07-16

D · Potential for more than minimal harm 2019-05-22

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-07-16

D · Potential for more than minimal harm 2019-05-22

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-07-16

D · Potential for more than minimal harm 2019-05-22

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2019-07-16

D · Potential for more than minimal harm 2019-05-22

K901 · Electrical Deficiencies

Fire Safety

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2019-07-16

D · Potential for more than minimal harm 2019-05-22

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-07-16

D · Potential for more than minimal harm 2019-05-22

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2019-07-16

C · Minimal harm 2019-05-22

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2019-07-16

C · Minimal harm 2019-05-22

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2019-07-16

C · Minimal harm 2019-05-22

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2019-07-16

C · Minimal harm 2019-05-22

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2019-07-16

E · Potential for more than minimal harm 2017-09-05

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2017-10-23

E · Potential for more than minimal harm 2017-09-05

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2017-10-23

D · Potential for more than minimal harm 2017-09-05

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2017-10-23

D · Potential for more than minimal harm 2017-09-05

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2017-10-23

D · Potential for more than minimal harm 2017-09-05

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2017-10-23

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-16

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 2025-12-24

J · Immediate jeopardy 2025-05-28

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 2025-06-30

D · Potential for more than minimal harm 2025-05-28

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 2025-06-30

D · Potential for more than minimal harm 2025-05-28

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-05-28

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 2025-06-30

E · Potential for more than minimal harm 2025-01-03

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 2025-03-03

E · Potential for more than minimal harm 2025-01-03

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 2025-03-03

E · Potential for more than minimal harm 2025-01-03

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 2025-03-03

E · Potential for more than minimal harm 2025-01-03

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 2025-03-03

E · Potential for more than minimal harm 2025-01-03

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-03-03

D · Potential for more than minimal harm 2025-01-03

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-03

D · Potential for more than minimal harm 2025-01-03

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 2025-03-03

J · Immediate jeopardy 2024-02-07

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 2024-04-05

E · Potential for more than minimal harm 2024-02-07

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-04-05

E · Potential for more than minimal harm 2024-02-07

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 2024-04-05

E · Potential for more than minimal harm 2024-02-07

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-04-05

E · Potential for more than minimal harm 2024-02-07

F741 · Quality of Life and Care Deficiencies

Health

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-02-07

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 2024-04-05

D · Potential for more than minimal harm 2024-02-07

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 2024-04-05

D · Potential for more than minimal harm 2024-02-07

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-02-07

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-02-07

F850 · Administration Deficiencies

Health

Hire a qualified full-time social worker in a facility with more than 120 beds.

Corrected 2024-04-05

D · Potential for more than minimal harm 2023-08-15

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 2023-10-31

D · Potential for more than minimal harm 2023-08-15

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 2023-10-31

D · Potential for more than minimal harm 2023-08-15

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 2023-10-31

D · Potential for more than minimal harm 2023-08-15

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 2023-10-31

D · Potential for more than minimal harm 2023-08-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-10-31

D · Potential for more than minimal harm 2023-08-15

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2023-10-31

D · Potential for more than minimal harm 2023-08-15

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2023-10-31

D · Potential for more than minimal harm 2023-04-26

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-06-01

D · Potential for more than minimal harm 2023-04-26

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 2023-06-01

D · Potential for more than minimal harm 2023-04-26

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 2023-06-01

D · Potential for more than minimal harm 2019-05-22

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 2019-07-16

D · Potential for more than minimal harm 2019-05-22

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 2019-07-16

D · Potential for more than minimal harm 2019-05-22

F638 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2019-07-16

D · Potential for more than minimal harm 2019-05-22

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 2019-07-16

D · Potential for more than minimal harm 2019-05-22

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 2019-07-16

E · Potential for more than minimal harm 2017-09-05

F253 · Environmental Deficiencies

Health

Provide housekeeping and maintenance services.

Corrected 2017-10-25

E · Potential for more than minimal harm 2017-09-05

F364 · Nutrition and Dietary Deficiencies

Health

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

Corrected 2017-11-06

D · Potential for more than minimal harm 2017-09-05

F282 · Quality of Life and Care Deficiencies

Health

Provide care by qualified persons according to each resident's written plan of care.

Corrected 2017-10-25

D · Potential for more than minimal harm 2017-09-05

F428 · Pharmacy Service Deficiencies

Health

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

Corrected 2017-10-25

Penalties and ownership

What sits behind the stars

$94,825 2025-05-28

Fine

Fine · fine $94,825

Fine

$37,278 2024-02-07

Fine

Fine · fine $37,278

Fine

Ownership

Melnicke, Michael

5% Or Greater Direct Ownership Interest · Individual

68% 9 facilities 2015-12-24
Friedman, Leopold

5% Or Greater Direct Ownership Interest · Individual

20% 27 facilities 2015-12-24
Friedman, Leopold

Corporate Officer · Individual

0% 27 facilities 2015-12-24
Melnicke, Michael

Corporate Officer · Individual

0% 9 facilities 2015-12-24
Skutzka, Alexander

W-2 Managing Employee · Individual

0% 2 facilities 2018-03-08

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