| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D28 | E6 | F1 |
| Minimal | A· | B· | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Dec 22, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Dec 22, 2025 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Oct 6, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 2, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Jul 14, 2023 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Jul 14, 2023 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Nov 25, 2019 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Nov 25, 2019 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D28 | E6 | F1 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 22, 2025 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 13, 2026 | |
| Dec 22, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 13, 2026 | |
| Dec 22, 2025 | K-0353 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
17 facilities in 1 states. CMS chain ID 538.
Chain average overall rating (CMS): 2
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Efraim Steif | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Dec 22, 2010 |
| Uri Koenig | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 22% | Dec 22, 2010 |
| Lawrence Koenig | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 17% | Dec 22, 2010 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Efraim Steif | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | Dec 22, 2010 |
| Uri Koenig | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 22% | Dec 22, 2010 |
| Lawrence Koenig | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 17% | Dec 22, 2010 |
| Efraim Steif | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2017 |
| Jack Augenstein | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Beechtree Center for Rehabilitation and Nursing 318 South Albany Street, Ithaca, NY 14850 CCN 335017 | 120 | Aug 29, 2025 | 43 | — | |
| Evergreen Commons Rehabilitation and Nursing Ctr 1070 Luther Road, East Greenbush, NY 12061 CCN 335110 | 240 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Friedwald Center for Rehab and Nursing, L L C 475 New Hempstead Road, New City, NY 10956 CCN 335734 | 1.6 km | 180 | Dec 10, 2025 | 54 | — | |
| Northern Metropolitan Res Health Care Facility Inc 225 Maple Avenue, Monsey, NY 10952 CCN 335380 | 3.3 km | 120 | Mar 9, 2026 | 51 | — | |
| Northern Manor Geriatric Center Inc 199 N Middletown Road, Nanuet, NY 10954 CCN 335046 | 3.4 km | 231 | Dec 10, 2024 | 68 | — | |
| The Willows at Ramapo Rehab and Nursing Center 30 Cragmere Road, Suffern, NY 10901 CCN 335148 | 8.3 km | 203 | Mar 13, 2026 | 551 harm | — | |
| Nyack Ridge Rehabilitation and Nursing Center 476 Christian Herald Road, Valley Cottage, NY 10989 CCN 335365 | 8.4 km | 160 | Jun 4, 2026 | 611 IJ2 harm | — | |
| Helen Hayes Hospital R H C F 51 N Rt 9w, West Haverstraw, NY 10993 CCN 335823 | 9 km | 25 | Feb 7, 2025 | 1 | — | |
| Helen Hayes Hospital T C U 51 N Route 9w, West Haverstraw, NY 10993 CCN 335873 | 9 km | 24 | Mar 20, 2025 | 4 | — | |
| Tolstoy Foundation Rehabilitation and Nrsg Center 100 Lake Road, Valley Cottage, NY 10989 CCN 335311SFF Candidate | 9 km | 96 | Sep 2, 2025 | 882 IJ | $127k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 335285 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 335285 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| New York DOH Health Facility Information NY | 778 | state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN). | Inferred | Oct 23, 2026 | Nov 7, 2026 |
| New York DOH Bed Certifications NY | 778 | capacity, bed_certifications | Verified | Nov 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Feb 13, 2026 |
| Dec 22, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 13, 2026 | IDR |
| Dec 22, 2025 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 3, 2026 |
| Dec 22, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 3, 2026 |
| Dec 22, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 3, 2026 |
| Dec 22, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 3, 2026 |
| Dec 22, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 3, 2026 |
| Dec 22, 2025 | F-0688 | 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. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 3, 2026 |
| Dec 22, 2025 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 3, 2026 |
| Dec 22, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Feb 3, 2026 |
| Oct 6, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 5, 2026 | Complaint |
| Dec 2, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 31, 2025 | Complaint |
| Dec 2, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 31, 2025 | Complaint |
| Dec 2, 2024 | F-0730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jan 31, 2025 | Complaint |
| Dec 2, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 31, 2025 | Complaint |
| Jul 14, 2023 | K-0222 | 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. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 24, 2023 | IDR |
| Jul 14, 2023 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 24, 2023 | IDR |
| Jul 14, 2023 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 8, 2023 | IDR |
| Jul 14, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 24, 2023 | IDR |
| Jul 14, 2023 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 23, 2023 | IDR |
| Jul 14, 2023 | K-0915 | Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 14, 2023 | IDR |
| Jul 14, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 6, 2023 |
| Jul 14, 2023 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 6, 2023 |
| Jul 14, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 6, 2023 |
| Jul 14, 2023 | F-0688 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 6, 2023 |
| Jul 14, 2023 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 6, 2023 |
| Jul 14, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Oct 6, 2023 |
| Jul 14, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 6, 2023 |
| Jul 14, 2023 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 6, 2023 |
| Nov 25, 2019 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 5, 2020 |
| Nov 25, 2019 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 5, 2020 |
| Nov 25, 2019 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 20, 2020 |
| Nov 25, 2019 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 20, 2020 |
| Nov 25, 2019 | E-0029 | Develop a communication plan. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Feb 5, 2020 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.43 (case-mix index 1.28).
| Corporate officer / director |
| CORPORATE DIRECTOR |
| not provided |
| Jan 15, 2015 |
| Jack Augenstein | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 15, 2015 |
| Amy Wuertzer | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 14, 2017 |
| Jul 3, 2026 |
331 harm |
| — |
| Van Duyn Center for Rehabilitation and Nursing 5075 West Seneca Turnpike, Syracuse, NY 13215 CCN 335184SFFAbuse icon | 513 | Not rated | Aug 20, 2026 | 1108 IJ8 harm2 open | $447k |
| Highland Park Rehabilitation and Nursing Center 160 Seneca St, Wellsville, NY 14895 CCN 335210 | 80 | Jul 31, 2026 | 191 harm | — |
| Cortland Park Rehabilitation and Nursing Center 193 Clinton Avenue, Cortland, NY 13045 CCN 335218 | 120 | May 30, 2025 | 30 | — |
| Vestal Park Rehabilitation and Nursing Center 1501 Route 26 South,, Vestal, NY 13850 CCN 335226 | 180 | Jul 10, 2026 | 44 | — |
| Bridgewater Center for Rehab & Nursing L L C 159 163 Front Street, Binghamton, NY 13902 CCN 335228 | 356 | Jun 12, 2026 | 686 open | — |
| Colonial Park Rehabilitation and Nursing Center 950 Floyd Avenue, Rome, NY 13440 CCN 335233 | 80 | Apr 17, 2026 | 791 harm | $59k |