Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Robinson Terrace during CMS and state inspections, most recent first.
Surveyors found that medications and biologicals on multiple medication carts and in a medication room were not labeled or stored according to professional standards and facility policy. Several multi-dose eye drops, insulin pens and vials (including Lantus, Humalog, Humulin R, Novolog, and Insulin Aspart), inhalers, and a vial of Tuberculin PPD lacked open and/or expiration dates, and one insulin vial had no resident name while one insulin pen had two different open dates. A narcotic box had only one of two required locks engaged. During interviews, an LPN reported being unaware of shortened expiration dates after opening medications and another LPN acknowledged administering insulin without knowing when it was opened or when it would expire, while the ADON/Nurse Educator could not locate the posted grid of shortened expiration dates that was supposed to be available in the medication room.
The facility failed to follow required time frames for reporting an allegation of physical abuse and the results of the subsequent investigation. A resident with metabolic encephalopathy, cerebral infarction, right-sided hemiplegia, and moderate cognitive impairment reported to a CNA that an LPN had shoved them in the chest the prior evening. Although facility policy and regulations required suspected abuse involving physical injury to be reported to the state agency within two hours and investigation results within five working days, the initial incident report was not submitted until several hours after the allegation and the investigation report was submitted beyond the five-day requirement. The Administrator later stated that subsequent interviews led the resident to say the nurse had not touched them and a witness confirmed this, and did not recall why reporting was not completed within the mandated time frames.
Surveyors identified that the facility did not develop required person-centered care plans for two residents. One resident with Alzheimer's disease, a fracture, and diabetes was receiving scheduled acetaminophen and had pain assessments documented each shift, but there was no corresponding pain care plan in the record. Another resident with metastatic cancer, hypertension, and diabetes was admitted to hospice services, yet no hospice care plan was developed or implemented, and hospice information was communicated only verbally between hospice staff and facility nurses. Staff and the administrator acknowledged that such care plans should have been in place, but they were absent from the documentation.
A resident with epilepsy and other comorbidities was readmitted from the hospital with discharge orders for carbamazepine and primidone, including specific dosing schedules. The care plan required seizure medications to be given as ordered and monitored. Due to an error during medication reconciliation after readmission, these anti-seizure medications were not entered and therefore were not administered for several days, as reflected on the MAR, until the resident experienced a seizure and the omission was discovered.
Surveyors found that the facility did not consistently follow planned menus or portion standards, resulting in two residents not receiving meals as ordered. One cognitively intact resident with diabetes and other conditions was served a chicken cacciatore meal that lacked the listed mushrooms and peppers, had dry, partially burnt noodles, and contained only a single bite-sized piece of chicken instead of the expected 3–4 oz portion; staff, including a CNA and the Food Director, confirmed the tray did not match the ticket or standard portions. Another cognitively intact resident with CHF, COPD, type 2 DM, and a care plan for fluid deficit was twice not given tomato juice and once not given margarine as specified on the meal ticket, and was served a half-full cup of cranberry juice, despite a care plan intervention to ensure access to thin liquids of choice. Multiple staff and residents reported ongoing complaints about food quality, missing items, and inconsistent tray accuracy.
Surveyors found that the facility failed to consistently provide palatable, properly prepared food and undiluted beverages. Multiple residents reported that meals lacked flavor, were of poor quality, and were sometimes cold, with vegetables described as either overcooked or undercooked, potatoes as too hard to chew, and meat too tough to cut. Observation of a lunch meal showed a chicken cacciatore entrée missing listed ingredients such as mushrooms and peppers, containing only a single bite-sized piece of chicken, and egg noodles that were dry, stuck together, and partially brown or burnt. Residents also reported and surveyors observed inconsistent tray contents and missing condiments, as well as cranberry juice that appeared watered down, with some glasses nearly clear. Staff interviews confirmed frequent resident complaints about food appearance, overcooked vegetables, and inconsistent delivery of all ordered items on meal trays.
Improper Labeling and Storage of Medications and Controlled Drugs
Penalty
Summary
The deficiency involves the facility’s failure to ensure that drugs and biologicals were labeled and stored according to professional standards and facility policy on multiple medication carts and in a medication room. Surveyors observed that several multi-dose eye drop bottles (GenTeal, Systane, Refresh Tears) on Courtyard Unit medication carts lacked open and/or expiration dates. Multiple insulin products on the Courtyard and Bathgate unit medication carts, including Lantus, Admelog Solostar, Humalog, Humalog Kwik, Humulin R, Novolog, and Insulin Aspart, were found without open and/or expiration dates, and one insulin vial lacked a resident name. One insulin pen was labeled with two different open dates. Two inhalers (fluticasone and Ventolin) on a Courtyard cart and one bottle of Tuberculin Purified Protein Derivative in the Courtyard medication room refrigerator also had no open and/or expiration dates. Surveyors further observed that Narcotic box #2 in the Courtyard medication room had only one of two locks in the locked position, leaving the inside lock open, contrary to requirements for locked storage of controlled substances. Interviews with nursing staff revealed knowledge gaps regarding shortened expiration dates after opening medications; one LPN stated they were unaware of shortened expiration dates and only checked the manufacturer’s expiration date on the bottle, and another LPN was unable to identify the expiration date of an opened Humalog insulin pen and reported administering insulin without knowing its open or expiration date. The Assistant DON, who functions as Nurse Educator, stated there should be a grid of medications with shortened expiration dates in each medication room but was unable to locate it in the Courtyard medication room. The DON reported that the Nurse Educator completes medication administration competencies for RNs and LPNs before they administer medications independently, with only one competency item for medication administration.
Failure to Timely Report Alleged Physical Abuse and Investigation Results
Penalty
Summary
The facility failed to ensure timely reporting of an alleged abuse incident and the results of the subsequent investigation, as required by regulation and facility policy. Facility policy, revised in January 2025, required that any alleged violations involving mistreatment, neglect, or abuse, including serious injuries of unknown source, be reported immediately to the Administrator/Designee, DON/Designee, or department director, and that suspected resident abuse involving physical injury be reported to the New York State Department of Health (NYSDOH) no later than two hours after the allegation. The policy also required submission of the Electronic Incident Reporting form to NYSDOH within 24 hours of occurrence/discovery and mandated that the results of the investigation be reported to the relevant authorities within five business days of the incident. Resident #125, who had metabolic encephalopathy, cerebral infarction, right-sided hemiplegia, moderate cognitive impairment, and was usually able to understand and be understood, reported to a CNA on 2/05/2024 at 11:35 AM that an LPN had shoved them in the chest the prior evening. This allegation of physical abuse was not reported to NYSDOH until 7:01 PM that same day, exceeding the two-hour reporting requirement for suspected abuse involving physical injury. Additionally, the investigation report was not submitted to NYSDOH until 2/13/2024, which was beyond the required five working days from the date of the incident. During an interview, the Administrator stated that subsequent interviews led the resident to report that the nurse did not touch them and a witness confirmed this, and acknowledged not recalling why the reporting was not completed within the required time frames.
Failure to Develop Comprehensive Person-Centered Care Plans for Pain and Hospice Services
Penalty
Summary
Surveyors found that the facility failed to develop and implement comprehensive, person-centered care plans with measurable objectives and timeframes for identified needs for two residents. Facility policy required a comprehensive person-centered care plan for each resident, based on the comprehensive assessment, to address physical, psychosocial, and functional needs. For one resident with Alzheimer's disease, a right thigh fracture, and type 2 diabetes, the MDS documented severe cognitive impairment but that the resident was usually able to understand and be understood. A physician order directed scheduled acetaminophen 500 mg, two tablets by mouth twice daily for pain, and the Medication Administration Record showed pain assessments and scores every shift when the resident was awake. Despite the ongoing administration of scheduled pain medication and routine pain monitoring, there was no documented evidence that a pain care plan had been developed for this resident. For another resident with metastasized cancer, hypertension, and type 2 diabetes, the MDS also documented severe cognitive impairment with the resident usually able to understand and be understood. A hospice skilled nursing assessment documented that this resident was admitted to hospice services on 12/29/2025. However, there was no documented evidence that a comprehensive hospice care plan was developed or implemented after hospice admission. Staff interviews confirmed that there was no written communication from the contracted hospice group incorporated into the facility’s documentation, and that hospice information was conveyed verbally after hospice nurse visits. The administrator and nursing staff acknowledged that there should have been a pain care plan for the first resident and a hospice care plan for the second resident, but these care plans were not present in the record, resulting in noncompliance with the requirement to develop and implement comprehensive person-centered care plans.
Omission of Anti-Seizure Medications After Hospital Readmission
Penalty
Summary
The facility failed to ensure that a resident was free from significant medication errors when two prescribed anti-seizure medications, carbamazepine and primidone, were not administered following the resident’s readmission from the hospital. The resident had diagnoses including epilepsy, post-polio syndrome, and schizophrenia, and the MDS documented intact cognition with the ability to understand and be understood. The comprehensive care plan for seizure disorder directed staff to administer medications as ordered and monitor for effectiveness and side effects. A physician/nursing progress note documented active orders for carbamazepine and primidone for seizure control. After the resident was sent to the hospital for shortness of breath and subsequently readmitted, the hospital discharge summary instructed that carbamazepine (in both 200 mg and 100 mg formulations) and primidone 250 mg be started upon discharge with specific dosing times. However, the Medication Administration Record for the month showed that primidone 250 mg was not administered for several consecutive days after readmission, and both carbamazepine 200 mg and 100 mg doses were also not administered for multiple days. The omission of these anti-seizure medications continued until the resident experienced a seizure, at which point the missing medications were identified as having not been reinstated upon return from the hospital. A subsequent medical progress note indicated that the anti-seizure medications were inadvertently omitted during the medication reconciliation process.
Failure to Follow Menus and Portion Standards for Resident Meals
Penalty
Summary
Surveyors identified that the facility failed to ensure resident menus were followed to meet residents’ nutritional needs, as required by facility policy and regulatory standards. The facility’s Dietary Portion Control policy required use of standardized recipes, exact portion sizes verified by food scales for proteins, and tray line accuracy so that plated portions matched tray tickets and production sheets. The Dietary Menu Planning Policy required menus to be planned and approved by a Registered Dietitian, with monitoring through tray audits and review of menu compliance and resident satisfaction. Despite these policies, observations and interviews showed that meals served did not consistently match the planned menus or prescribed portions. For one resident with diagnoses including lumbosacral radiculopathy, age-related physical debility, and type 2 diabetes, surveyors observed a lunch tray that did not match the meal ticket for chicken cacciatore with tomato, peppers, mushrooms, egg noodles, green beans, and mandarin oranges. The plate contained no mushrooms or peppers, some tomatoes that were slightly hard, dry and stuck-together egg noodles with some noodles appearing brown or burnt, and only one bite-sized (approximately one inch) piece of chicken. A CNA who reviewed the tray confirmed that mushrooms and peppers should have been present and that the chicken portion should have been larger. The Food Director later stated that residents should receive 3–4 ounces of protein and that the pictured meal should have included mushrooms, peppers, and a full chicken thigh. Staff interviews also described resident complaints about food appearance, overcooked vegetables, and missing condiments such as butter or creamer. For another resident with congestive heart failure, COPD, type 2 diabetes, and a care plan for fluid deficit related to chronic diarrhea and poor intake, the facility did not follow the resident’s meal tickets or care plan interventions. The care plan directed that the resident have access to thin liquids of choice whenever possible. During two separate lunch observations, the resident’s meal ticket listed tomato juice (and margarine on one occasion), but the resident was not served tomato juice at either meal and did not receive margarine when it was listed. On one of these occasions, the cranberry juice provided was only half full. This resident reported that the food was terrible, that items listed on the ticket were often not served, and that these concerns had been raised with dietary staff and at Resident Council meetings. The Administrator acknowledged that food complaints occurred and referenced prior issues with food service.
Failure to Provide Palatable, Properly Prepared Food and Undiluted Beverages
Penalty
Summary
Surveyors identified a deficiency in the facility’s failure to ensure that food and drink were palatable, flavorful, and served as planned for multiple meals. The facility’s Dietary Menu Planning Policy, revised in January 2026, stated that menus were to be planned and approved by a Registered Dietitian to ensure nutritional adequacy, therapeutic accuracy, and resident satisfaction, with monitoring through tray audits, menu compliance checks, and review of resident satisfaction. Despite this, residents reported that food often lacked taste, was of poor quality, and did not always match what was listed on their meal tickets. Several residents stated that the food was terrible or horrible, that vegetables were either too soft or could be flattened like paste, potatoes were rock hard, meat was too tough to cut, and that juice was watered down. During observations and interviews, surveyors noted specific instances where meals did not meet expectations for palatability and presentation. At a lunch meal on February 2, 2026, a test tray for one resident’s meal of chicken cacciatore with tomato, peppers, mushrooms, egg noodles, green beans, and mandarin oranges was missing the mushrooms and peppers listed on the ticket, contained only one bite-sized piece of chicken, and included egg noodles that were dry, stuck together, and had some noodles that appeared brown or burnt. Some tomatoes were slightly hard. A CNA who reviewed the tray confirmed that mushrooms, peppers, and a larger portion of chicken should have been present. The resident later left the table with the replacement meal largely untouched except for the mandarin oranges. Dining Committee notes from November 2025 documented ongoing issues with vegetables being overcooked or undercooked and some pasta being hard. Additional concerns were identified regarding beverages and overall consistency of meal service. On February 10, 2026, a resident reported that their cranberry juice appeared lighter than another resident’s, and surveyors observed that this resident’s juice was lighter in color, while another nearby resident’s cranberry juice was almost clear, indicating diluted juice. Multiple residents reported that food was often cold, did not look good, and that they sometimes did not receive all items or condiments that should have been on their trays, such as butter or creamer. Staff interviews corroborated that residents complained about the way the food looked, that vegetables were overcooked, and that there was inconsistency in trays not containing all ordered items, requiring frequent calls to the kitchen. The Food Director acknowledged that mushrooms and peppers should have been included on the chicken cacciatore tray and that the brown/burnt noodles had been held improperly, and also stated there had been an issue with the juice machine that caused the cranberry juice to appear watered down.
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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 Stamford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mountainside Residential Care Center | 18.5 mi | ★★★★★ | 0 | 0 |
| Delhi Rehabilitation And Nursing Center | 19.5 mi | ★★★★★ | 0 | 0 |
| Aurelia Osborn Fox Memorial Hospital | 22.9 mi | ★★★★★ | 0 | 0 |
| Chestnut Park Rehabilitation And Nursing Center | 23.4 mi | ★★★★★ | 4 | 1 |
| Cooperstown Center For Rehabilitation And Nursing | 24 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.