Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Manhattanview Ctr For Rehabilitation And Healthcar during CMS and state inspections, most recent first.
The facility failed to conduct monthly drug regimen reviews for several residents in March and April 2024. A resident received an incorrect dosage of Seroquel due to a physician's order error, which was not identified by the Consultant Pharmacist. The absence of reviews was attributed to staffing changes and oversight lapses.
The facility failed to maintain proper kitchen sanitation and food storage, with opened and unlabeled food items in the freezer, unclean steamer tables, and unsanitary conditions in nursing unit pantries. The issues were acknowledged by the FSD, DON, and IP/RN, emphasizing the need for adherence to facility policies to prevent bacteria and illnesses.
A resident with a history of PTSD did not receive appropriate treatment and services in a facility. Despite having PTSD indicated in the Pre-Admission Screening and Resident Review, it was not included in the resident's care plan or addressed in psychiatric evaluations. The facility's records lacked documentation of emotional counseling or interventions for PTSD, and the Monthly Psychotropic Summary did not identify triggers or interventions. The Director of Nursing acknowledged the oversight, stating the diagnosis was not identified or treated appropriately.
The facility failed to maintain accurate reconciliation and accountability of narcotic medications for a resident, with discrepancies in transaction logs and unauthorized access to the electronic back-up machine (EBM). Expired medications were not removed from active inventory, leading to potential administration errors. The Director of Nursing was unaware of these issues, and facility policies on medication management were not effectively implemented.
A resident reported that a nurse threw coffee at them, but the facility's investigation was incomplete, lacking statements from key individuals and details about the alleged nurse. The resident, with a history of diabetes and bipolar disorder, was cognitively intact. The facility's report contained inconsistencies, and the Director of Nursing admitted to not including necessary information in the report.
The facility failed to provide written notification to two residents and/or their representatives regarding the reason for hospital transfers, as required by regulations. The Director of Social Services acknowledged that notifications were not sent, although notices were sent to the ombudsman monthly. The facility's policy requires informing residents and their representatives of transfer reasons and appeal rights, which was not followed.
The facility failed to provide written notification of its bed hold policy to residents or their representatives prior to hospital transfers. This deficiency was identified during a review of medical records for two residents, which lacked the necessary documentation. Interviews revealed that the Admissions Director acknowledged the omission, despite the facility's policy requiring written notification at each transfer.
A facility failed to document a resident's death properly, omitting vital information such as the time of death, physician and family notifications, and changes in clinical condition. The resident, admitted with cancer and chronic kidney disease, had their body pick-up documented, but essential details required by facility policy were missing. The DON confirmed the importance of this documentation for the electronic death registration system.
The facility failed to post an accurate daily Nursing Home Resident Care Staffing Report, as observed by surveyors. The report in the lobby was outdated and showed incorrect census numbers compared to the facility's records. The HR/BOM, responsible for posting the report, acknowledged the need for accuracy and timely updates, especially for weekends. Facility management was informed of the discrepancy but did not provide further information during the exit conference.
The facility failed to offer updated pneumococcal vaccinations to two residents as per CDC and ACIP guidelines. One resident with chronic obstructive pulmonary disease and another with major depressive disorder did not receive the PCV 15 or PCV 20 after having received the Pneumovax. The facility's policy was outdated, leading to this deficiency.
A facility failed to transmit a resident's discharge MDS assessment within the required 14-day period, completing it 99 days late. The MDS Coordinator admitted to missing the deadline, and the facility's policies lacked specific timelines for MDS completion and transmission. The issue was identified during a survey, and management did not provide further information.
The facility staff failed to document the administration of medication in accordance with professional standards and the facility's Medication Administration policy for a resident with anemia. The medication was scheduled to be administered at 6:00 pm but was documented as given at 11:30 am two days later, with no explanation provided. Both the UMLPN and DON were unable to explain the discrepancy.
Failure to Conduct Monthly Drug Regimen Reviews
Penalty
Summary
The facility failed to provide oversight by a licensed Consultant Pharmacist (CP) for several residents during March and April 2024. Specifically, the facility did not conduct a monthly drug regimen review (MRR) for four out of five residents in March and for all five residents in April. This oversight was identified during a survey when the surveyor reviewed the hybrid medical records and found missing MRR reports for the specified months. The Director of Nursing (DON) acknowledged the absence of these reviews and stated that the facility was unaware of the issue until the surveyor's inquiry. One significant irregularity involved a physician's order for Seroquel, an antipsychotic medication, for a resident. The order was for a dosage of 0.5 mg, which was below the usual recommended dose. Despite this, the medication was administered as ordered from March 26 to May 8, 2024. The Progress Notes indicated that the order was outside the recommended dose, but there was no Pharmacy Consultant Note for March 2024. A late entry note dated April 30, 2024, stated that medications were reviewed, but it did not address the irregularity. The surveyor's investigation revealed that the regular CP left in early March 2024, and the designated CP was on leave, leading to a lack of MRRs for the 3rd, 4th, and 5th floors. The facility's Medication Regimen Review Policy requires a monthly review for all residents, which was not adhered to. The DON admitted responsibility for ensuring timely MRRs and confirmed that the resident received the correct dose of Seroquel despite the incorrect order.
Sanitation and Food Storage Deficiencies
Penalty
Summary
The facility failed to maintain proper kitchen sanitation practices and food storage, as observed during a survey. In the kitchen, several opened food items in the walk-in freezer were found unlabeled and exposed, with freezer burn and frost, indicating improper storage. The food preparation area had an uncovered trash can filled with garbage and food debris. Additionally, the steamer tables had opaque water with sediment, which was not cleaned as per policy, as acknowledged by the Food Service Director (FSD). The surveyor also found unsanitary conditions in the nursing unit pantries on the 3rd, 4th, and 5th floors. The 3rd-floor pantry had a build-up of white sediment and a yellowish film on the ice machine, and the ice scoop was sitting in stagnant water with an orange film. The 4th-floor pantry had similar issues, with white sediment, a yellowish/orange film, and black sediment on the ice machine. The ice scoop holder was not equipped with drainage holes, leading to stagnant water and sediment buildup. The sink in the 4th-floor pantry had black sediment around it, which was acknowledged by the Housekeeping Director (HD). The Director of Nursing (DON) and the Infection Preventionist/Registered Nurse (IP/RN) acknowledged the issues in the pantries, emphasizing the importance of maintaining cleanliness to prevent bacteria and possible illnesses. The facility's policies on food storage, steam table cleaning, garbage disposal, and ice machine maintenance were reviewed, highlighting the need for adherence to these protocols to ensure a safe and sanitary environment for residents.
Failure to Address PTSD in Resident Care Plan
Penalty
Summary
The facility failed to provide appropriate treatment and services to a resident with a history of PTSD, as identified during a survey. The resident, who was observed in a fetal position with a monitoring device, had diagnoses including major depressive disorder, psychotic disorder, anxiety disorder, mild cognitive impairment, and unspecified dementia. However, PTSD was not listed in the resident's Admission Record or the most recent quarterly Minimum Data Set. The Pre-Admission Screening and Resident Review indicated PTSD, but the facility did not include it in the resident's care plan or provide related services. The Director of Social Services, a Certified Social Worker, was responsible for scheduling meetings but did not engage in clinical social work services. The psychiatric evaluations conducted by the facility's Psychiatric Mental Health Nurse Practitioner did not address PTSD, despite it being part of the resident's chief complaint. The facility's records, including the electronic Medical Record and Social Services Progress Notes, lacked documentation of emotional counseling or non-pharmacological interventions for PTSD. Additionally, the Monthly Psychotropic Summary did not identify triggers or interventions for PTSD. The facility's policies required that all residents have adequate person-centered care plans, including recommendations from the PASRR Level 2 determination. However, the facility did not develop an individualized care plan for the resident's PTSD, nor did it monitor or assess the resident's behavior related to PTSD. The Director of Nursing acknowledged the oversight, stating that the diagnosis was not identified or treated appropriately. The facility's failure to address the resident's PTSD needs was a significant deficiency in providing the highest practicable mental and psychosocial well-being for the resident.
Deficiencies in Narcotic Medication Management
Penalty
Summary
The facility failed to maintain accurate reconciliation and accountability of controlled substances, specifically narcotic medications, for a resident. The Director of Nursing (DON) admitted that narcotic reconciliation was not conducted daily, particularly on weekends when she was not present. The facility lacked a paper log for the electronic back-up machine (EBM) inventory, and there were discrepancies in the transaction logs, such as missing witness names and unexplained inventory changes. The Controlled Substance by Container Report (CSCR) revealed that morphine tablets were removed and administered without a physician's order, involving multiple nursing staff members. Additionally, the facility did not detect, remove, or dispose of expired narcotic medications from the active inventory stored in the EBM. During an inspection, expired medications such as Oxycontin and Zolpidem were found in the EBM. The DON acknowledged the presence of expired medications and stated that they could not be removed until a letter from the Drug Enforcement Agency was received. The facility's policy required expired medications to be removed from storage, but this was not adhered to, leading to potential medication administration errors. The report highlights the facility's failure to ensure proper tracking and reconciliation of narcotic medications, as well as the failure to remove expired medications from active inventory. The DON was unaware of the unauthorized access to the EBM and the administration of medications without a physician's order. The facility's policies on medication storage and loss or theft of drugs were not effectively implemented, contributing to the deficiencies observed during the survey.
Incomplete Investigation of Abuse Allegation
Penalty
Summary
The facility failed to timely and thoroughly investigate allegations of abuse involving a resident who reported that a nurse threw coffee at them. The incident was reported to the state agency, but the investigation was incomplete and lacked critical information. The resident, who had a history of type 2 diabetes mellitus and bipolar disorder, was cognitively intact and did not exhibit behaviors such as psychosis or rejection of care. The resident alleged that a nurse was verbally abusive and threw coffee at them, prompting the resident to call the police. The facility's investigation was found to be deficient as it did not include statements from key individuals involved, such as the resident, the alleged nurse perpetrator, and other staff members present during the incident. Additionally, the investigation summary did not provide the full name, license information, or background check details of the alleged nurse involved. The facility's report also contained inconsistencies, such as a typographical error in the date of the reported event. The Director of Nursing acknowledged that the alleged nurse's name should have been included in the report and admitted that a background check was not conducted because the allegation was deemed unsubstantiated. The Vice President of Operations noted that the nurse was an agency nurse, but could not explain why education on behavior and abuse prevention was not maintained in the file. The facility's policy on abuse prevention required detailed reporting and investigation protocols, which were not fully adhered to in this case.
Failure to Provide Written Notification for Hospital Transfers
Penalty
Summary
The facility failed to provide written notification to residents and/or their representatives regarding the reason for hospital transfers, as required by regulations. This deficiency was identified for two residents who were transferred to the hospital on multiple occasions. A review of Resident #93's electronic and hybrid medical records showed that there was no written notification provided for the transfers that occurred on specific dates. Similarly, Resident #97's closed medical record also lacked written notification for hospital transfers. During interviews, the Director of Social Services admitted that the facility did not send written notifications to residents or their representatives when transfers occurred, although notices were sent to the ombudsman monthly. The facility's policy on Transfer/Discharge Notification, last reviewed in February 2024, outlines the requirement to inform residents and their representatives of transfer reasons and appeal rights, which was not adhered to in these cases.
Failure to Provide Bed Hold Policy Notification
Penalty
Summary
The facility failed to provide written notification of its bed hold policy to residents or their representatives prior to hospital transfers, as required by their own policy and state regulations. This deficiency was identified during a review of the medical records for two residents who were transferred to the hospital. The records for both residents did not include the necessary written notification of the bed hold policy, which should have been provided at the time of each transfer. Interviews with facility staff revealed that the Admissions Director acknowledged that residents received the bed hold policy upon admission but did not receive written notification at the time of transfer. The facility's policy mandates that a written notification, signed and dated by the resident or their representative, must be given at each transfer for hospitalization or therapeutic leave. Despite this requirement, the facility did not adhere to its policy, resulting in the deficiency noted by the surveyors.
Deficient Documentation of Resident's Death
Penalty
Summary
The facility failed to adhere to acceptable standards of nursing practice regarding the documentation of a resident's death. This deficiency was identified for a resident who was admitted with diagnoses including malignant neoplasm of the bladder and chronic kidney disease. The electronic medical record lacked documentation of a change in the resident's clinical condition, vital signs, time of death, physician notification, and family notification. The nurse documented the body pick-up but omitted critical information such as the time of death and notifications, which are essential for the electronic death registration system. During an interview, the Director of Nursing (DON) confirmed the missing documentation and acknowledged its importance. The facility's policies on Nurse's Notes and Death of a Resident/Patient require detailed documentation upon a resident's death, including the time of death, physician and family notifications, and post-mortem care details. The facility management admitted that the electronic medical record did not provide sufficient information to determine the resident's death, who pronounced it, and whether the physician and family were informed.
Inaccurate Posting of Daily Staffing Report
Penalty
Summary
The facility failed to post an accurate Nursing Home Resident Care Staffing Report (NHRCSR) daily, as required. On a Tuesday, surveyors observed that the NHRCSR posted in the front lobby was dated from the previous Thursday, indicating a discrepancy in the census numbers. The posted report showed a census of 120 residents, while the facility's submitted Nurse Staffing Report for that week indicated a census of 119 on the same date. This inconsistency was brought to the attention of the facility management, including the Licensed Nursing Home Administrator (LNHA) and Director of Nursing (DON), during meetings with the survey team. The Human Resource and Business Office Manager (HR/BOM) was responsible for posting the NHRCSR and stated that it should be updated and posted before 8 AM each day. However, the HR/BOM acknowledged that the report should have been accurate and updated, especially for weekends when it is prepared in advance. The facility's policy requires the NHRCSR to include the facility name, current date, census, and staffing details, but the failure to update the report as per policy led to the deficiency. The facility management did not provide additional information during the exit conference with the surveyors.
Failure to Offer Updated Pneumococcal Vaccination
Penalty
Summary
The facility failed to ensure that each resident was offered pneumococcal vaccination according to the current CDC and ACIP recommendations. This deficiency was identified for two residents who were reviewed for immunization status. The surveyor found that the facility did not offer the appropriate pneumococcal conjugate vaccine (PCV 15 or PCV 20) to residents who had previously received the Pneumovax (PPSV 23) vaccine, as per the guidelines. Resident #75, who was admitted with chronic obstructive pulmonary disease and hypertensive heart disease, was found to have not received the pneumococcal vaccine update. The resident's medical records indicated that they received the Pneumovax on a previous date, but there was no record of being offered the PCV 15 or PCV 20. Similarly, Resident #80, with diagnoses including major depressive disorder and mild cognitive impairment, also did not have a record of being offered the updated pneumococcal vaccine, despite having received the Pneumovax. The facility's Infection Preventionist/Registered Nurse acknowledged the oversight and confirmed that the residents should have received the PCV 20 one year after the PPSV 23. The facility's policy, which was supposed to follow CDC guidelines, was outdated and did not reflect the current recommendations for pneumococcal vaccination. This lack of adherence to updated guidelines led to the deficiency noted by the surveyors.
Failure to Timely Transmit MDS Assessment
Penalty
Summary
The facility failed to complete and transmit the discharge Minimum Data Set (MDS) assessment for a resident within the required timeframe. The surveyor identified that the MDS record for a resident was over 120 days old. Upon review, it was found that the discharge return not anticipated (DRNA) MDS was completed and transmitted 99 days after the assessment, which is beyond the 14-day requirement set by the Centers for Medicare & Medicaid Services (CMS). The MDS Coordinator, a Licensed Practical Nurse, acknowledged the delay and stated that the oversight was due to missing the deadline. The facility's policies, including the RAI Process Policy and the Completion of MDS Policy, did not specify the timeline for completing and transmitting the MDS. The MDS Coordinator admitted to not having a report for April 2024, which could have identified the missing MDS. The surveyor noted that the facility's adherence to the RAI manual was insufficient in ensuring timely MDS completion and transmission. The deficiency was discussed with the facility management, who did not provide additional information during the exit conference.
Failure to Document Medication Administration as per Facility Policy
Penalty
Summary
The facility staff failed to document the administration of medication in accordance with professional standards of practice and the facility's Medication Administration policy for one resident. Resident #2, who was admitted with a diagnosis of anemia, had an order for Epoetin Alfa Injection Solution to be administered subcutaneously every Monday, Wednesday, and Friday at 6:00 pm. However, a review of the Medication Administration Record (MAR) for September 2023 showed that the medication was administered on 9/6/23 at 6:00 pm, but the Location of Administration Report (LAR) indicated it was administered on 9/8/23 at 11:30 am by the Unit Manager Licensed Practical Nurse (UMLPN), which was not according to the MAR schedule. There was no documentation in the progress notes explaining why the medication was not administered or documented on 9/6/23 as scheduled. The UMLPN and the Director of Nursing (DON) were unable to provide an explanation for the discrepancy. The facility's policy on Medication Administration, revised in April 2023, states that medication administration should be documented on the MAR as soon as medications are given. The UMLPN stated that the nurse should document the administration of medication immediately before moving to the next resident. Despite this, the UMLPN's signature appeared on the LAR on 9/8/23 at 11:30 am, indicating a failure to follow the facility's protocol. The DON confirmed that the protocol requires the administering nurse to sign the MAR to show that the medication was administered according to the doctor's order but could not explain the discrepancy in the administration times.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Union City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Optima Care Castle Hill | 0.4 mi | ★★★★★ | 2 | 1 |
| Harbour View Senior Living Corp | 1.6 mi | ★★★★★ | 22 | 0 |
| Optima Care Fountains | 1.8 mi | ★★★★★ | 12 | 0 |
| Hoboken University Medical Center Tcu | 2 mi | ★★★★★ | 0 | 0 |
| Optima Care Harborview | 2.3 mi | ★★★★★ | 20 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.