Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Charles T Sitrin Health Care Center Inc during CMS and state inspections, most recent first.
A resident with dementia and recent facial trauma was not assessed by a qualified professional after family reported choking on liquids. Despite facility policy requiring RN assessment and possible therapy referral for changes in condition, only an LPN checked the resident's mouth, and no further action, care plan update, or therapy referral was documented. The resident later developed aspiration pneumonia and died, with the autopsy confirming aspiration pneumonia complicating facial trauma as the cause.
A resident with stroke-related hemiplegia and osteoporosis, requiring extensive assistance for transfers, sustained a left arm fracture after being transferred by family members who had not received training in safe transfer techniques. Facility staff were aware of family involvement in transfers, but there was no documentation of education or referral for training prior to the injury. The facility's policies and care plan did not address non-staff transfers or provide guidance for family participation.
A resident with Huntington's disease was physically removed from the dining room by an LPN, resulting in multiple falls and injuries. The LPN's actions were aggressive and not in line with facility protocols, as the resident was not exhibiting behaviors warranting removal. Surveillance footage confirmed the LPN's misconduct, and staff interviews revealed inadequate training for handling residents with neurodegenerative disorders.
A facility failed to report an incident of staff abuse towards a resident in a timely manner, resulting in Immediate Jeopardy. The resident, with severe cognitive impairment, was handled roughly by an LPN, leading to multiple falls. Despite several staff witnessing the incident, it was not reported to authorities or administration for seven days, allowing the LPN continued access to residents.
The facility failed to serve food and beverages at safe and palatable temperatures, as observed during a survey. Meals were served cold, and beverages were left on tables before residents arrived, leading to unacceptable temperature readings. Residents expressed dissatisfaction with the food quality, citing cold and bland meals. The dietary staff did not adhere to the facility's policies on temperature control, and there was a lack of temperature logs for meals served.
The facility failed to maintain professional standards for food service safety, with unclean surfaces and undated food items observed in the main kitchen and several house kitchenettes. Staff interviews revealed non-compliance with food safety policies, including improper dating and storage of food, leading to potential safety and contamination risks.
A resident with severe cognitive impairment lost their right hearing aid, and the facility failed to resolve the grievance. Despite policies for addressing grievances and missing property, the hearing aid was not recovered or replaced. The facility concluded they were not responsible, citing documentation inconsistencies, leading to family dissatisfaction.
A resident with Alzheimer's, heart failure, and diabetes experienced a 6% weight loss over a month, but the facility failed to conduct a timely nutritional assessment. Despite policies requiring assessments based on risk, the dietetic technician did not reassess the resident after the weight loss. Observations showed fluctuating meal intakes and frequent meal refusals, with no effective intervention adjustments made.
A facility failed to complete a PASARR Level I screening for a resident admitted from another state, as required by policy. The resident, diagnosed with dementia and behavioral disturbances, was admitted without the necessary preadmission screening to determine the presence of serious mental disorders or intellectual disabilities. The Director of Social Services noted that screenings are typically received from in-state hospitals, but this was not done for out-of-state admissions.
A facility failed to include anticoagulant therapy in a resident's care plan, despite the resident being prescribed Eliquis for atrial fibrillation. The facility's policy required documentation of anticoagulant therapy in care plans, but this was not done, as confirmed by the RN Unit Manager. The omission was identified during a recertification survey, indicating a lapse in policy adherence.
A resident with dementia did not receive appropriate care as the facility failed to follow their individualized care plan. The resident's preferences, such as sleeping in and having fidget items to manage restlessness, were not respected. Staff interviews revealed inconsistencies in reviewing and adhering to behavior plans, leading to the deficiency.
Two residents received psychotropic medications without proper documentation or care plans. One resident was given an antipsychotic without a clear indication, and another had an as-needed Haldol order not limited to 14 days. Staff interviews revealed a lack of adherence to medication policies.
A medication security deficiency was identified when an LPN left a medicine cup full of pills on a resident's tray table, contrary to facility policy. The resident, with conditions including dementia and chronic kidney disease, was unsure of the pills' identity and could not take them all at once. The LPN admitted to leaving the pills with the resident, intending to check back until all were taken, but acknowledged this was against protocol. The RN Unit Manager confirmed the resident did not have an order to self-administer medications, highlighting the risk of leaving medications unattended in a unit with many dementia residents.
The facility failed to maintain effective infection control practices for two residents on transmission-based precautions. One resident on enhanced barrier precautions did not receive proper care as a CNA entered their room without a gown. Another resident with MRSA was not placed on contact precautions due to staff unawareness of an active order. These lapses indicate a need for improved adherence to infection control protocols.
The facility failed to maintain an effective pest control program, resulting in the presence of fruit flies, drain flies, and an unidentified insect in various areas, including the main kitchen and neurology unit. Additionally, resident family members reported mice in the Sequoia house, with ineffective pest control measures in place. The Director of Facilities admitted to not regularly reviewing pest control logs, and the absence of a Housekeeping Manager contributed to the deficiency.
The facility did not deliver mail to residents on Saturdays, affecting all 182 residents. The mail was delivered to the front desk by the post office and sorted by the accounting office, but no staff were available to distribute it on weekends. Residents reported not receiving mail on Saturdays, and staff interviews confirmed this practice, which denied residents their rights to receive mail like other citizens.
The facility failed to maintain an effective pest control program, leading to a mouse infestation in four nursing units. Observations revealed mouse droppings and evidence of infestation in resident rooms and storage areas. Staff and residents reported ongoing issues, with the Director of Facilities acknowledging the challenge due to the facility's location near open fields. Despite regular pest control efforts, the problem persisted, with residents expressing concerns about mouse sightings and droppings.
Failure to Assess and Respond to Choking Incident Following Change in Condition
Penalty
Summary
A deficiency occurred when a resident with dementia and a history of severe cognitive impairment was not assessed by a qualified professional after family reported the resident was choking on liquids. The facility's policy required staff to identify and report changes in a resident's condition, with licensed nurses responsible for initiating communication forms and registered nurses required to assess, notify providers, and document findings. Despite these protocols, there was no documented evidence that a registered nurse or other qualified professional assessed the resident following the family's report of choking, nor was there a referral to speech therapy or an update to the care plan addressing swallowing concerns. The resident had recently returned from the hospital with facial trauma, including multiple nasal fractures, and was experiencing decreased oral intake and difficulty breathing. Progress notes indicated ongoing issues with oral intake and complaints of sore throat, but when the family reported choking on liquids, the LPN checked the resident's mouth but did not document notifying a supervisor or initiating further assessment. No physician orders for diet modification or therapy screenings were completed during this period, and the comprehensive care plan was not updated to reflect the new swallowing concerns. Subsequent documentation showed the resident developed pneumonia and increased lethargy, ultimately leading to death. The autopsy report identified aspiration pneumonia complicating facial trauma as the cause of death. Interviews with staff confirmed that the expected protocol was not followed, as a registered nurse assessment and therapy referral should have occurred after the report of choking, regardless of the family's prior refusal of a modified diet.
Failure to Ensure Safe Transfers by Family Led to Resident Fracture
Penalty
Summary
A deficiency occurred when a resident with a history of stroke, left-sided hemiplegia, osteoporosis, and dementia sustained a left arm fracture of unknown origin. The resident required extensive assistance for transfers, as documented in their care plan and physical therapy assessments. Despite these needs, the facility's policy on transferring and ambulation did not address the involvement of non-staff, such as family members, in resident transfers. Family members were known to have transferred the resident between the bathroom, recliner, and bed without staff present or supervision. There was no evidence that the family received any training or education on safe transfer techniques prior to the injury. Multiple staff, including CNAs and LPNs, were aware that the family was assisting with transfers, but there was no documentation of this being communicated to therapy or administration, nor was there a referral for family education before the incident. The resident began complaining of left arm and shoulder pain, which was noted by nursing staff, but there was no documented assessment by a qualified professional on the day of the initial complaint. An x-ray later confirmed an acute fracture of the proximal humerus. The facility's investigation found that both staff and family had transferred the resident, and that the family had not been trained in safe transfer methods prior to the injury. The care plan and facility policies did not address or provide guidance for family involvement in transfers.
Resident Abuse and Mishandling by LPN
Penalty
Summary
The facility failed to protect a resident from abuse, resulting in Immediate Jeopardy and Substandard Quality of Care. The incident involved a resident with Huntington's disease, who was physically removed from the dining room against their will by an LPN. The LPN engaged in an altercation with the resident in the hallway, leading to the resident falling multiple times. The resident sustained multiple abrasions and a large hematoma as a result of the incident. The facility's policy on abuse prevention was not adhered to, as the LPN's actions were aggressive and unwarranted. The resident, who had severe cognitive impairment and a history of agitation and impulsivity, was not exhibiting behaviors that warranted removal from the dining room. Despite this, the LPN physically moved the resident in a manner that was not consistent with the facility's protocols for handling residents with behavioral issues. The incident was reported by a CNA, and surveillance footage confirmed the LPN's aggressive behavior. The LPN continued to have access to residents after the incident, indicating a failure in the facility's response to the situation. Interviews with staff revealed a lack of specialized training for handling residents with neurodegenerative disorders, contributing to the mishandling of the situation.
Removal Plan
- 100% of staff were educated on abuse, responding to abuse, signs of abuse, steps to take to protect residents, and reporting abuse.
- 100% staff currently working on the neuro unit were trained in Strategies for Crisis Intervention and Prevention. The remaining staff will be educated prior to the start of their next shift or would be removed from the schedule until completed.
- All residents present in the dining room or the hallway for the incident were assessed by a licensed social worker for any harm.
- 87% of all facility staff, including float and ancillary staff were trained on an overview of the Strategies for Crisis Intervention and Prevention.
Failure to Report Abuse Incident Timely
Penalty
Summary
The facility failed to report an incident of staff abuse towards a resident to the State Agency, law enforcement, and the Administrator in a timely manner. Specifically, a Licensed Practical Nurse (LPN) was witnessed abusing a resident, but the incident was not reported for seven days. During this time, the LPN continued to have access to residents, which posed a risk to all residents in the facility. The resident involved had diagnoses including Huntington's disease, chorea, and ataxia, and was documented to have severely impaired cognition. On the day of the incident, the LPN was seen handling the resident roughly, resulting in the resident falling multiple times. Despite several staff members witnessing or being aware of the incident, it was not reported immediately to the appropriate authorities or facility administration. Staff statements revealed that the LPN informed a Registered Nurse Supervisor about the incident, but it was not escalated further. Other staff members either did not perceive the incident as reportable or assumed it had already been reported. This lack of communication and failure to follow protocol resulted in the incident not being addressed promptly, leading to Immediate Jeopardy and Substandard Quality of Care for the resident involved.
Removal Plan
- 100% of staff were educated on abuse, responding to abuse, signs of abuse, steps to take to protect residents, and reporting abuse.
- Staff education sign in sheets were reviewed and compared to the current staff list and no discrepancies were identified.
- Staff education was verified during an onsite visit. Multiple interdisciplinary staff were interviewed.
- Staff were able to report content of education and confirmed the facility staff who presented the education.
Deficiency in Food Temperature Management
Penalty
Summary
The facility failed to ensure that food and beverages were served at palatable and safe temperatures, as observed during a recertification survey. Specifically, during the Rehabilitation Unit lunch and the [NAME] House breakfast, food items such as scrambled eggs, home-fried potatoes, toast, applesauce, mixed fruit, corn, milk, orange juice, and cranberry juice were not served at appropriate temperatures. The facility's policies on meal service and temperature control, which require hot foods to be served at 135 degrees Fahrenheit or higher and cold foods at 40 degrees Fahrenheit or lower, were not adhered to. Observations revealed that food temperatures were not checked prior to serving, and beverages were left on tables before residents arrived, leading to unacceptable temperature readings. Resident interviews and council meeting minutes further highlighted dissatisfaction with the food quality, with complaints about cold, mushy, and bland-tasting meals. Several residents reported that food was often served cold, and some relied on family members to bring meals. During the survey, it was noted that the dietary staff did not follow proper procedures for maintaining food temperatures, and there was a lack of temperature logs for the meals served. Interviews with the dietary supervisor and food service director confirmed the discrepancies in food temperature management, acknowledging that the temperatures recorded were not acceptable and posed a risk for food-borne illnesses.
Deficiencies in Food Storage and Cleanliness
Penalty
Summary
The facility failed to ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. During the recertification survey, multiple deficiencies were observed in the main kitchen and four of the nine house kitchenettes. In the main kitchen, there were unclean surfaces, including food debris on the dairy cooler floor, dark stains on the walls surrounding the dish machine, and ice buildup in the meat freezer. Additionally, a metal scoop was found inside a dry flour container, and a frying pan on the clean rack had dried thick, black debris. In the house kitchenettes, several instances of opened and undated food items were noted. The Magnolia house kitchenette freezer contained opened and undated plastic bags of frozen chicken breasts, hamburgers, hot dogs, and English muffins, with ice buildup on the frozen meat. The Cypress house kitchenette refrigerator had an undated plastic container of green beans, while the [NAME] house kitchenette freezer had undated frozen hamburgers. The Sycamore house kitchenette cabinets contained two opened and undated 5-pound containers of peanut butter. Interviews with staff revealed a lack of adherence to the facility's food safety policies. Food Service Worker #28 admitted to not dating food items in the freezer, relying on personal judgment to determine when food should be discarded. Operations Manager #15 and Food Service Director #14 both emphasized the importance of dating food items and maintaining cleanliness, yet the observations indicated these standards were not consistently met. The presence of ice buildup, undated food, and unclean equipment posed potential safety and contamination risks, highlighting significant lapses in the facility's food service operations.
Failure to Resolve Grievance for Missing Hearing Aid
Penalty
Summary
The facility failed to promptly resolve a grievance regarding a missing hearing aid for a resident with severe cognitive impairment and multiple neurological conditions. The resident, who required substantial assistance with daily activities, was reported to have lost their right hearing aid. Despite the facility's policy to address grievances and missing property, the hearing aid was neither recovered nor replaced, and the facility concluded they were not responsible for the loss. The resident's care plan included the use of bilateral hearing aids, which were to be verified every shift. However, documentation inconsistencies were noted, as the hearing aids were recorded as present even after the right hearing aid was reported missing. Staff interviews revealed that the resident could not manage their hearing aids independently, and the responsibility for placing and removing the hearing aids fell on the nursing staff. Despite this, the facility's administration determined they were not liable for the missing hearing aid, citing documentation that indicated the hearing aid was present earlier in the day. The grievance process involved communication with the resident's family, who expected reimbursement for the lost hearing aid. However, the facility's administration maintained their stance of non-liability, leading to dissatisfaction from the family. The facility's investigation into the missing hearing aid did not result in a resolution that satisfied the grievance, highlighting a failure to adhere to their grievance policy and effectively address the resident's needs.
Failure to Assess Significant Weight Loss in Resident
Penalty
Summary
The facility failed to ensure that a resident maintained acceptable nutritional status, as evidenced by the lack of assessment following a significant weight loss. Resident #73, who had diagnoses including Alzheimer's disease, heart failure, and diabetes, experienced a 6% weight loss from 153.8 pounds to 144.6 pounds between October and November 2024. Despite this significant change, there was no documented evidence that the clinical nutrition staff assessed the resident after the weight loss. The facility's policy required nutrition assessments to be conducted at least every 90 days or more frequently based on the resident's condition or nutritional risk level. However, Dietetic Technician #21 admitted that they had not assessed Resident #73 since the last assessment on October 1, 2024, and were unaware of the resident's weight loss until it was pointed out during the survey. The technician acknowledged that a resident with significant weight loss should be assessed immediately to adjust calorie needs and implement higher calorie interventions if necessary. Observations and interviews revealed that Resident #73 had fluctuating meal intakes and often refused meals, consuming only a small portion of their food. The resident's care plan included interventions such as providing fortified foods and monitoring intake, but these measures were not effectively implemented or adjusted in response to the resident's declining nutritional status. The physician noted the resident's overall clinical decline and diminished oral intake, but there was no coordination with the nutrition staff to address the weight loss and nutritional needs.
Failure to Complete PASARR Screening for Out-of-State Resident
Penalty
Summary
The facility failed to ensure that a Preadmission Screening and Resident Review (PASARR) Level I was completed for a resident prior to their admission. This deficiency was identified during a recertification survey, where it was found that there was no documented evidence of a PASARR Level I screening for a resident who was admitted from another state. The facility's policy required that all residents, including those from out of state, have a PASARR Level I screening to determine if they have a serious mental disorder, intellectual disability, or related condition before admission. The resident in question had diagnoses including dementia with behavioral disturbances and was admitted from an acute hospital. The facility's Director of Social Services indicated that they typically receive the necessary screening forms from hospitals or transferring nursing homes within New York State. However, since the resident came from another state, the screening was not completed. The Director of Social Services also mentioned that they did not believe other states conducted such screenings, and if a resident required more care, a screening would be completed post-admission, which would not be accurate.
Failure to Include Anticoagulant Therapy in Resident Care Plan
Penalty
Summary
The facility failed to develop and implement a comprehensive person-centered care plan for a resident receiving anticoagulant therapy. Specifically, the resident, who had diagnoses including dementia and atrial fibrillation, was prescribed Eliquis, an anticoagulant, but this medication was not included in their care plan. The facility's policy required that any resident receiving anticoagulant therapy have the reason for the therapy documented in their care plan, whether the therapy was initiated upon admission or after. However, there was no documented evidence that the use of Eliquis was included in the resident's care plan, despite the medication being administered as ordered. During the survey, it was revealed that the Registered Nurse Unit Manager acknowledged the absence of a care plan for the resident's anticoagulant therapy and admitted responsibility for updating care plans with medications and any changes to care. The nurse was unable to explain why the resident's care plan was not updated to include Eliquis, which is crucial as anticoagulants pose a risk for bleeding, necessitating specific interventions to ensure resident safety. The deficiency was identified during a recertification survey, highlighting a lapse in adherence to the facility's anticoagulation therapy policy.
Failure to Follow Dementia Care Plan for Resident
Penalty
Summary
The facility failed to ensure that a resident diagnosed with dementia received appropriate treatment and services to maintain their highest practicable well-being. Specifically, the facility did not adhere to the individualized care plan interventions for the resident, which included their customary routines, interests, preferences, and choices. The care plan was designed to enhance the resident's well-being and guide staff in managing their care, but it was not followed as observed during the survey. Resident #40, who had diagnoses including Alzheimer's disease, dementia with behavioral disturbances, and major depressive disorder, was observed multiple times without the necessary interventions in place. The resident's care plan included specific preferences such as sleeping in and not being disturbed for breakfast and medication administration, which were not respected as the resident was placed on the early get-up list. Additionally, the resident's behavior plan required staff to provide items to fidget with to manage restlessness, but these items were not consistently provided. Interviews with staff revealed a lack of adherence to the behavior and care plans. Social Worker #27 and other staff members acknowledged that the behavior plans were not consistently followed, and the resident was not provided with the necessary items to manage their restlessness. The Assistant Director of Nursing and other staff members confirmed that the task binder, which included behavior plans, should be reviewed prior to each shift, but this was not consistently done. The oversight in following the care plan and behavior plan led to the deficiency identified during the survey.
Deficiencies in Psychotropic Medication Management
Penalty
Summary
The facility failed to ensure that residents received psychotropic drugs only when necessary and with appropriate documentation and care plans. Specifically, Resident #17 was administered an antipsychotic medication without a documented indication for its use and lacked a person-centered care plan addressing potential behavioral symptoms related to their diagnosis of delusions and psychosis. Despite the resident's history of delusional thinking and fixed false beliefs, there was no evidence of a behavioral modification care plan, and the reasons for the antipsychotic prescription were unclear to the staff. Resident #62 had an as-needed order for Haldol, an antipsychotic medication, which was not limited to 14 days as required by the facility's policy. The medication was administered multiple times over several months without documented reassessment every 14 days. The resident, diagnosed with Huntington's disease and exhibiting behaviors such as agitation and yelling, did not have a documented rationale for the continued use of Haldol beyond the initial 14-day period. Interviews with facility staff revealed a lack of understanding and adherence to the policy regarding the use of psychotropic medications. The staff were unsure about the necessity of reviewing as-needed psychotropic medications every 14 days, and there was a failure to document non-pharmacological interventions in the care plans. The facility's oversight in managing psychotropic medication orders and care plans contributed to the deficiencies identified during the survey.
Medication Security Deficiency
Penalty
Summary
During a recertification survey, it was observed that a medicine cup full of pills was left on a resident's tray table during breakfast, which was against the facility's medication policy. The policy required that medications be administered by a licensed nurse and not left at the resident's discretion. The resident, who had diagnoses including dementia, chronic kidney disease, and anxiety disorder, was unsure of the pills' identity and stated they could not take all the pills at once. The Licensed Practical Nurse (LPN) responsible for administering the medication admitted to leaving the pills with the resident, intending to check back until all were taken, but acknowledged this was against protocol. The LPN verified the identity of the 21 pills with the electronic record and blister packs, which included medications for dementia, heart conditions, hypertension, depression, and other health issues. The LPN updated the electronic record to reflect the time the medications were taken. The Registered Nurse Unit Manager confirmed that the resident did not have an order to self-administer medications and emphasized the risk of leaving medications unattended, especially in a unit with a high number of dementia residents. This practice was deemed unsafe as it could lead to other residents taking the medication, potentially causing harm.
Inadequate Infection Control Practices for Residents on Precautions
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by two specific incidents involving residents on transmission-based precautions. Resident #475, who was on enhanced barrier precautions due to a surgical wound and an indwelling catheter, did not receive appropriate care from Certified Nurse Aide #31. The aide entered the resident's room without wearing a gown, despite the presence of a sign indicating the need for enhanced barrier precautions. The aide admitted to forgetting to wear the gown due to being busy, although they had received training on the importance of wearing personal protective equipment to prevent infection spread. Resident #17, diagnosed with methicillin-resistant Staphylococcus aureus (MRSA) in their right great toe, was supposed to be on contact precautions. However, there were no signs or personal protective equipment available outside the resident's room, and staff were unaware of the active order for contact precautions. Interviews with staff revealed a lack of awareness regarding the resident's precautionary status, with some staff believing the resident was no longer on precautions. The Assistant Director of Nursing confirmed that the resident should have been on contact precautions due to a positive test for MRSA, but the order had not been discontinued when the resident was previously taken off precautions. These deficiencies highlight lapses in the facility's infection control practices, particularly in ensuring that staff adhere to established protocols for transmission-based precautions. The failure to properly implement and maintain these precautions for residents with known infections or vulnerabilities poses a risk of spreading infections within the facility. Staff interviews indicated a need for improved communication and adherence to infection control policies to ensure resident safety.
Ineffective Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program, as evidenced by the presence of fruit flies, drain flies, and an unidentified insect in various areas, including the main kitchen, neurology unit, and corridors. Observations during the recertification survey revealed multiple instances of these pests in the kitchen and neurology unit, indicating a lack of adequate pest management. The facility's pest control policy, last revised in July 2024, outlined a system for reporting and addressing pest issues, but the implementation was insufficient, as evidenced by the continued presence of pests. Additionally, there were complaints from resident family members about mice in the Sequoia house, with reports of ineffective pest control measures such as mouse traps and sticky strips. The Director of Facilities acknowledged oversight of pest control but admitted to not regularly reviewing monthly logs unless issues were raised by staff. The absence of a Housekeeping Manager further contributed to the lack of effective pest management, as the responsibility for reviewing logs and addressing pest issues was not adequately covered.
Failure to Deliver Resident Mail on Saturdays
Penalty
Summary
The facility failed to protect and promote the rights of its residents by not delivering mail on Saturdays, affecting all 182 residents. The facility's policy on resident rights, revised in September 2024, stated that residents should be encouraged and assisted to exercise their rights as citizens. However, the facility's mail delivery process did not include weekend service, as confirmed by multiple staff interviews. The mail was delivered to the front desk by the post office, sorted by the accounting office, and then distributed to residents by unit secretaries from Monday to Friday only. During a resident group interview, all seven residents reported not receiving mail on Saturdays, and staff interviews corroborated this, indicating no one was available to deliver mail on weekends. The administrator confirmed that mail was not delivered from the post office on weekends, resulting in residents not receiving mail until Monday. This practice denied residents the same rights as other citizens, as they were unable to receive mail on Saturdays.
Persistent Mouse Infestation in Nursing Units
Penalty
Summary
The facility failed to maintain an effective pest control program, resulting in a mouse infestation across four of its nursing units: Sequoia, Sycamore, Chestnut, and Aspen. Observations during the survey revealed mouse droppings and evidence of infestation in various locations, including resident rooms, storage areas, and pantries. The facility's pest control policy was undated, and records indicated ongoing issues with mice, with multiple sightings and requests for traps documented over several months. Interviews with staff and residents highlighted the persistent nature of the problem. The Director of Facilities acknowledged the ongoing issue with mice, particularly in units near open fields, and mentioned that bait stations had not been installed outside the skilled nursing units. The Housekeeping Supervisor and other staff members confirmed that mice sightings were reported in a work order system, and the pest control vendor was called for treatment as needed. However, the problem persisted, with residents and their families expressing concerns about mouse droppings and sightings in their rooms. The facility's pest control efforts included regular visits from a pest control vendor and attempts to seal breaches around the buildings. Despite these efforts, the infestation continued, with residents and staff reporting sightings and evidence of mice. The facility's location near open fields was noted as a contributing factor to the challenge of controlling the mouse population, and the lack of bait stations outside the units was identified as a potential area for improvement.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 169 citations issued within 25 miles in the last 12 months — including the 3 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near New Hartford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Pines At Utica Center For Nursing And Rehab | 2.6 mi | ★★★★★ | 1 | 0 |
| Oneida Center For Rehabilitation And Nursing | 2.7 mi | ★★★★★ | 1 | 0 |
| The Grand Rehabilitation And Nursing At Utica | 2.9 mi | ★★★★★ | 0 | 0 |
| Utica Rehabilitation & Nursing Center | 2.9 mi | ★★★★★ | 9 | 0 |
| Masonic Care Community Of New York | 3.2 mi | ★★★★★ | 35 | 1 |
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