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 Fort Tryon Center For Rehabilitation And Nursing during CMS and state inspections, most recent first.
Surveyors found that necessary housekeeping and maintenance services were not provided on one resident unit, resulting in dust, dirt, and stains on bedside tables, medical equipment, and wheelchairs. Torn armrests and soiled wheelchairs were also observed, despite facility policies assigning daily cleaning responsibilities to housekeeping staff and porters.
Residents Observed Wearing Hospital Gowns: Two residents were repeatedly observed wearing hospital patient gowns instead of regular clothing, including in the dining room and in bed. One resident had severe physical impairment and was dependent on staff for all ADLs, while the other had severe cognitive impairment and a stated preference for choosing clothes to wear. Staff interviews indicated one resident's clothes were in laundry and that the other resident had no clothes in the closet, with a CNA stating the resident was always seen in hospital gowns.
Missing Care Plan for Sleep Pattern Disturbance: A resident with insomnia, anxiety, and depression was receiving nightly Ambien for ongoing difficulty staying asleep, but the record contained no comprehensive care plan for sleep pattern disturbance. The chart showed medication administration and psych consults noting continued sleep problems, while the RN and DON confirmed the care plan only addressed psychoactive medication use and did not include non-pharmacological interventions.
Care plans not reviewed and revised after quarterly assessments. A resident with Alzheimer’s dementia, depression, bipolar disorder, DM, a history of embolism/thrombus, and HTN had care plans for psychoactive medication use, bleeding potential related to anticoagulant use, and DM that were not documented as reviewed and revised after quarterly assessments. The MDS showed moderate cognitive impairment and use of insulin, an antipsychotic, and an anticoagulant. An RN supervisor stated they were responsible for reviewing and revising the care plan but were not sure it was updated at least every quarter, and the DON stated nursing supervisors were responsible for creating and updating care plans and were aware they were not being updated.
A facility failed to accurately assess a resident's vision impairment in the MDS, documenting them as having adequate vision despite being legally blind. The error was confirmed through interviews with the resident and staff, and the MDS Coordinator admitted it was an oversight due to offsite record review.
The facility failed to maintain an effective pest control program, with multiple observations and resident reports of vermin presence, including mice and cockroaches, across various floors. Despite having a pest management plan, the facility's logs documented numerous pest sightings, and staff interviews revealed a lack of awareness and effective communication regarding these issues. The administration expressed dissatisfaction with the current pest control services.
Failure to Maintain Clean and Homelike Environment on Resident Unit
Penalty
Summary
Surveyors observed that the facility failed to provide necessary housekeeping and maintenance services to ensure a safe, clean, comfortable, and homelike environment for residents on the 3rd Floor. Specific deficiencies included accumulation of dust, dirt, and stains on bedside tables, intravenous poles, feeding pumps, oxygen concentrators, and suction machines. Additionally, torn armrests and soiled wheelchairs were found in several resident rooms. These findings were documented over several days and were consistent across multiple rooms, indicating a pattern of inadequate cleaning and maintenance. Interviews with the Director of Housekeeping Services revealed that housekeepers are responsible for daily cleaning and disinfecting of resident equipment and surfaces, while evening porters are tasked with cleaning wheelchairs. The Director of Maintenance stated that a logbook is used for staff to report items needing repair, which is checked multiple times daily, and urgent repairs are addressed immediately. Despite these protocols, the observed conditions demonstrated that the facility did not maintain the required standards for cleanliness and maintenance as outlined in their own policies.
Residents Observed Wearing Hospital Gowns
Penalty
Summary
The facility failed to ensure that residents were treated with respect and dignity and cared for in a manner that promotes maintenance or enhancement of quality of life, recognizing each resident's individuality. This was identified for two residents who were repeatedly observed wearing hospital patient gowns instead of regular clothing. The facility policy stated that residents have the right to retain and use personal possessions, including clothing, as space permits. Resident #42 was admitted with diagnoses including Cerebral Infarction, Hemiplegia, Hypertensive Heart Disease, and Chronic Atrial Fibrillation. The MDS dated 07/21/25 documented severe impairment and dependence on staff for all activities of daily living. From 12/11/2025 through 12/18/2025, Resident #42 was observed on several occasions wearing hospital patient gowns. Staff interviews indicated the resident's clothes were sent to laundry and that the resident had no family member who could bring clothes. Resident #9 had diagnoses of Non-Alzheimer's Dementia and Coronary Artery Disease, with severe cognitive impairment and a preference noted for choosing clothes to wear. Resident #9 was observed in the dining room wearing hospital patient gowns and later in bed wearing a hospital patient gown. A CNA stated they had never seen clothes in the resident's closet and always saw the resident wearing hospital patient gowns, using two gowns together to cover the front and back.
Missing Care Plan for Sleep Pattern Disturbance
Penalty
Summary
The facility failed to ensure that a comprehensive care plan was developed to address Resident #187’s sleep pattern disturbance. Resident #187 had diagnoses of insomnia, generalized anxiety disorder, and depression, and the quarterly MDS documented that the resident was cognitively intact, had primary insomnia, and took a hypnotic medication. The physician ordered Ambien 10 mg by mouth at bedtime for primary insomnia, and psychiatry consults documented that the resident continued to report ongoing difficulty sleeping and remained on Ambien 10 mg nightly. Record review showed that the resident’s MAR documented daily administration of Ambien 10 mg at 9:00 PM during November 2025, but there was no documented evidence of a comprehensive care plan related to sleep pattern disturbance. RN #3 stated that the resident had a care plan for psychoactive medication use but no care plan related to sleep pattern disturbance. The DON reviewed the care plan and stated that while Ambien was documented for insomnia, there were no non-pharmacological interventions to address the resident’s difficulty sleeping, and that the resident should have had a care plan addressing sleep pattern disturbance with both pharmacological and non-pharmacological interventions.
Care plans not reviewed and revised after quarterly assessments
Penalty
Summary
The facility failed to ensure that Resident #4’s comprehensive care plans were reviewed and revised after each assessment to reflect changing needs. Resident #4 was admitted with diagnoses including Alzheimer’s dementia, depression, bipolar disorder, diabetes mellitus, history of embolism and thrombus, and hypertension. The quarterly MDS documented moderate cognitive impairment and indicated that the resident received insulin injections, an antipsychotic, and an anticoagulant medication. However, the comprehensive care plan for psychoactive medication use was last reviewed on 07/16/2025, with no documented evidence that it was reviewed and revised after the quarterly assessment on 10/08/2025. The comprehensive care plan for bleeding potential/anticoagulant/antiplatelet use was also last reviewed on 07/16/2025, with no documented evidence of review and revision after the quarterly assessment on 10/08/2025. The diabetes mellitus care plan was last reviewed on 03/17/2025, with no documented evidence that it was reviewed and revised after the quarterly assessments on 05/05/2025, 07/09/2025, and 10/08/2025. During interview, the RN supervisor for Unit 3 stated they were responsible for reviewing and revising the care plan and were not sure if it was updated at least every quarter. The DON stated the nursing supervisors were responsible for creating and updating the care plans and were aware that the care plans were not being updated.
Inaccurate MDS Assessment of Resident's Vision Impairment
Penalty
Summary
The facility failed to ensure that a resident's Minimum Data Set (MDS) assessment accurately reflected the resident's status, specifically regarding vision impairment. This deficiency was identified during a recertification survey, where it was found that a resident with a diagnosis of legal blindness was inaccurately documented as having adequate vision. The resident, who has diabetes and hypertension, was noted in an optometry evaluation to be legally blind. However, the MDS assessment incorrectly stated that the resident could see fine details. Interviews with a Certified Nursing Assistant and the resident confirmed the resident's blindness. The MDS Coordinator acknowledged the error, attributing it to an oversight due to reviewing medical records offsite and not verifying the resident's condition in person.
Deficient Pest Control Program in LTC Facility
Penalty
Summary
The facility failed to maintain an effective pest control program, as evidenced by multiple observations and resident reports of vermin presence. During a recertification and complaint survey, vermin excrement was found in various locations, including a resident room, shared bathroom, and closet. Residents reported sightings of cockroaches and mice in their rooms and other areas of the facility, such as the rehabilitation department and dining room. These issues were noted on the 2nd and 5th floors, among others. The facility's pest control policy, dated October 2021, outlines an integrated pest management plan to protect the health and safety of residents, staff, and visitors. Despite this, the pest control logs from January to June 2024 documented numerous instances of roaches, mice, and ants across multiple floors. The logs indicated that treatments were conducted, but the persistence of pest sightings suggests that the measures were insufficient. Interviews with staff and the pest control representative revealed a lack of awareness and effective communication regarding pest issues. Some staff members were unaware of the presence of vermin or their droppings, while others acknowledged the health risks posed by such infestations. The pest control representative noted that services were provided twice a week, but they had not observed any droppings. The facility's administration expressed dissatisfaction with the pest control services and planned to switch to a new company, indicating ongoing concerns about the effectiveness of the current pest management efforts.
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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 New York
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Isabella Geriatric Center Inc | 0.4 mi | ★★★★★ | 4 | 0 |
| Hope Center For Hiv And Nursing Care | 1.1 mi | ★★★★★ | 0 | 0 |
| Casa Promesa | 1.7 mi | ★★★★★ | 0 | 0 |
| Highbridge Woodycrest Center | 1.8 mi | ★★★★★ | 0 | 0 |
| University Center For Rehabilitation And Nursing | 1.8 mi | ★★★★★ | 0 | 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.