Above 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 Salem Hills Rehabilitation And Nursing Center during CMS and state inspections, most recent first.
A dependent, cognitively impaired resident with Parkinson's disease, functional quadriplegia, and frequent bowel and bladder incontinence was left sitting for an extended period in a wheelchair with a wet, soiled brief. Staff reported that residents should be toileted every two hours and as needed, and that cognitively impaired residents should be checked even if they decline toileting. However, the resident was observed in the same location for several hours, and when prompted by a surveyor, a CNA discovered the resident’s brief was wet and contained a bowel movement, indicating that required ADL and incontinence care had not been provided as planned.
A LTC facility failed to provide adequate supervision and a safe environment for residents, leading to accidents and potential hazards. A resident with dementia was left unsupervised, resulting in a fall. Another resident with impaired cognition had medications left unattended in their room, posing a safety risk. Additionally, a resident with osteoarthritis had medicated creams left in their room without proper assessment for self-administration, exposing them to potential confusion and safety hazards.
The facility failed to maintain resident dignity and privacy for two residents. One resident with Alzheimer Disease was observed wearing socks with visible name labels, contrary to policy, as they did not wear shoes. Another resident with Dementia had photographs depicting them in positioning devices taped above their bed, visible to others, which staff acknowledged should have been placed inside the closet door.
A resident with impairments and specific care needs was found to have their call bell consistently out of reach, despite care plan requirements. Observations showed the call bell placed on the opposite side of the bed or on the floor, making it inaccessible. Staff interviews confirmed the expectation for call bells to be within reach for safety, and the DON acknowledged the deficiency.
A resident with intact cognition and requiring moderate assistance was observed with multiple medicated creams on their nightstand, which they either self-applied or were applied by a nurse. The facility failed to document a care plan for self-medication administration, as confirmed by interviews with nursing staff who acknowledged the absence of such a plan and the need for updates when changes occur.
A resident with depression, dementia, and spinal stenosis did not receive proper care as their wheelchair footrest extender was not applied, despite orders and therapy notes indicating its necessity. Observations showed the resident without the extender, causing discomfort. Staff interviews revealed a lack of awareness and communication about the extender's application, with aides and nurses failing to ensure its use.
Two residents at risk for pressure ulcers did not receive adequate preventive care. One resident was found without necessary positioning devices to offload heels, contrary to physician orders, while another was observed with their heel resting on a metal wheelchair footrest without intervention. Staff interviews revealed a lack of awareness and communication regarding these issues, leading to deficiencies in pressure ulcer prevention.
A resident with limited ROM and mobility was observed without a prescribed right resting hand splint on three occasions. The splint, ordered to prevent further contractures, was removed for cleaning and not replaced. Staff interviews revealed a lack of communication and awareness among the CNA, RN, and Assistant Director of Rehabilitation, leading to the deficiency.
The facility failed to maintain an effective infection prevention and control program, with deficiencies in infection tracking, water management, and hand hygiene. Infection tracking logs lacked documentation from December 2023 to May 2024, and the water management plan had not been updated since 2019. A staff member did not perform proper hand hygiene while assisting a resident with their meal, despite being aware of the facility's policy.
Failure to Provide Timely Toileting and Incontinence Care for Dependent Resident
Penalty
Summary
The facility failed to ensure that a dependent resident received necessary assistance with activities of daily living, specifically toileting and incontinence care, resulting in the resident remaining in a wet, soiled brief. Facility policy on activities of daily living, last reviewed on 11/07/2023, required that residents unable to carry out ADLs independently receive services to maintain grooming and personal hygiene. Resident #25 had Parkinson's disease with dyskinesia, a history of cerebral infarction, functional quadriplegia, impaired cognition, and was frequently incontinent of bowel and bladder. The resident’s MDS and care plan documented dependence on staff for toileting hygiene and a need for extensive assistance of two staff for toileting. On 04/21/2026, the resident was observed sitting in a wheelchair in the dining room at 11:30 AM and again at 3:49 PM in the same spot. At 3:49 PM, CNA #12 stated they would change the resident after dinner, but upon the surveyor’s prompting, took the resident to their room and found at 4:06 PM that the resident’s brief was wet and contained a bowel movement. CNA #11, who had gotten the resident out of bed between 9:30 AM and 10:00 AM that day, reported the resident was in the day room most of the day, had declined toileting around 1:30 PM, and could not recall if they checked the resident after returning from lunch. CNA #11 stated they usually checked residents two to three times per shift and that the resident’s ability to request toileting varied with their cognition. RN #13 and RN Unit Manager #2 both stated that residents should be toileted every two hours and as needed, with cognitively impaired residents being checked even if they declined, but the resident remained in a soiled brief despite these stated expectations.
Inadequate Supervision and Medication Management in LTC Facility
Penalty
Summary
The facility failed to ensure adequate supervision and a safe environment for three residents, leading to accidents and potential hazards. Resident #89, who had a history of falls and was diagnosed with non-Alzheimer's dementia, anxiety disorder, and mood affective disorder, was supposed to be under 1:1 supervision following a fall that resulted in a hematoma. However, the certified nurse aide assigned to supervise the resident stepped away, leaving the resident unsupervised, which led to another fall. Despite being educated on the importance of constant supervision, the aide did not seek assistance or relief when needed. Resident #72, diagnosed with Alzheimer's disease and major depressive disorder, was found with multiple oral medications and eye drops left unattended in their room. The resident, who had severely impaired cognition, was not capable of self-administering medication. The medications were left by a nurse who failed to follow the facility's policy of ensuring safe medication administration. This oversight posed a safety risk, especially in a dementia unit with residents who exhibited wandering behaviors. Resident #3, with diagnoses including bilateral primary osteoarthritis, had medicated creams left in their room without a proper self-medication administration assessment. The resident, who had intact cognition, was not officially assessed to self-apply the creams, and the presence of multiple creams could lead to confusion. The facility's failure to secure these medications and creams in a locked treatment cart exposed residents to potential safety hazards, particularly in a unit with wandering residents.
Deficiency in Resident Dignity and Privacy
Penalty
Summary
The facility failed to ensure that residents were treated with respect and dignity, as evidenced by two specific incidents involving residents. Resident #33, who has Alzheimer Disease, Cancer, and Depression, was observed wearing socks with name labels visible on the outside. This was noted during multiple observations, and staff interviews revealed that the labeling was done by the laundry staff, contrary to the policy that requires name labels to be on the inside of clothing items. Staff acknowledged that the visible name labels were a privacy and dignity issue, especially since Resident #33 did not wear shoes, making the labels visible to others. In another incident, Resident #105, who has Dementia, Major Depression, and Glaucoma, was found to have photographs depicting them in positioning devices taped to the wall above their bed. These photographs were visible from the door and could be seen by the resident's roommate and visitors. Staff interviews indicated that the photographs were intended to guide certified nurse aides in using the positioning devices, but they were improperly placed in a manner that compromised the resident's privacy. The Director of Rehabilitation acknowledged that the photographs should have been placed inside the closet door instead.
Inaccessible Call Bell System for Resident
Penalty
Summary
The facility failed to ensure that the call bell system was accessible for a resident, leading to a deficiency in accommodating the needs and preferences of the resident. The resident, who was admitted with diagnoses including major depressive disorder, overactive bladder, and poly-osteoarthritis, had a care plan that required the call bell to be within reach. Observations during the survey revealed that the call bell was consistently out of reach for the resident, who had impairments in both upper and lower extremities and required assistance with mobility and toileting. On multiple occasions, the resident was observed unable to reach the call bell, which was either placed on the opposite side of the bed or on the floor behind their wheelchair. Interviews with staff, including a Certified Nurse Aide and the Registered Charge Nurse, confirmed that call bells should be within reach for safety. The Director of Nursing also acknowledged that it was unacceptable for call bells to be out of reach, especially for an alert and oriented resident who could communicate their needs.
Lack of Care Plan for Self-Medication Administration
Penalty
Summary
The facility failed to ensure a comprehensive care plan was in place for a resident who was self-administering medicated creams. The resident, who had intact cognition and required moderate assistance with certain activities, was observed with multiple tubes of medicated creams on their nightstand. These included clobetasol, Lotrimin ultra, hemorrhoidal ointment, and miconazole nitrate. The resident stated that the creams were left by the nurse and that they either applied them themselves or the nurse did. There was no documentation in the medical record indicating that a care plan for self-medication administration had been established. Interviews with facility staff revealed a lack of clarity and oversight regarding the resident's ability to self-administer medications. The Assistant Director of Nursing acknowledged that creams should not be left in a resident's room without an order for self-application, and the Director of Nursing confirmed that no care plan was in place prior to a specific date. A Registered Charge Nurse also stated that care plans should be updated when changes occur, indicating that the facility did not adhere to this protocol for the resident in question.
Failure to Apply Footrest Extender for Resident
Penalty
Summary
The facility failed to ensure that a resident received appropriate treatment and care in accordance with professional standards of practice. The resident, who had diagnoses including depression, dementia, and spinal stenosis, required extensive assistance with locomotion in a wheelchair and dependent assistance with transfers. A physician's order and occupational therapy note indicated the need for a footrest extender to keep the resident's feet on the wheelchair footrests. However, during multiple observations, the resident was seen without the footrest extender, causing discomfort as evidenced by grimacing when their feet were repositioned. Interviews with staff revealed a lack of awareness and communication regarding the application of the footrest extender. A registered nurse and a certified nurse aide acknowledged the requirement for the extender but admitted to not applying it or informing others of its absence. Additionally, a certified nurse aide who was not regularly assigned to the unit was unaware of the need for the extender and did not see it in the resident's room. The Assistant Director of Nursing stated that it was the responsibility of the certified nurse aides to apply the extender, with nurses supervising them. The Director of Rehab confirmed the extender's purpose was to prevent the resident's feet from sliding off the footrests.
Deficiencies in Pressure Ulcer Prevention and Care
Penalty
Summary
The facility failed to provide adequate pressure ulcer prevention and care for two residents, leading to deficiencies identified during a recertification survey. Resident #105, who was at moderate risk for pressure ulcers due to conditions such as dementia and impaired cognition, was observed without the necessary positioning devices to offload their heels as ordered by the physician. Despite having a care plan that included specific interventions to prevent skin breakdown, the resident was found lying in bed without the required thigh cushion and abductor pillow, leaving their heels in contact with the mattress. Staff interviews revealed a lack of awareness and communication regarding the resident's tendency to kick off the positioning devices, which contributed to the oversight. Resident #33, assessed as high risk for pressure ulcers, was repeatedly observed with their right heel resting on the metal footrest of their wheelchair, without any cushioning or repositioning attempts by staff. This resident, who had diagnoses including Alzheimer's disease and cancer, was dependent on staff for mobility and had been discharged from physical therapy with instructions to use a knee separator. However, observations showed that the resident's feet were not properly positioned, and staff failed to address or report the issue to nursing or therapy. Interviews with staff indicated a lack of communication and awareness of the resident's positioning needs, which increased the risk of skin breakdown. The facility's policy on skin integrity and pressure ulcer prevention was not effectively implemented for these residents, as evidenced by the lack of appropriate interventions and staff awareness. The Director of Rehabilitation acknowledged the risk posed by the metal footrests and the need for adjustments to the resident's wheelchair positioning. The failure to adhere to physician orders and care plans, combined with inadequate staff communication and intervention, resulted in the identified deficiencies in pressure ulcer prevention and care.
Failure to Provide Prescribed Splint for Resident
Penalty
Summary
The facility failed to ensure that a resident with limited range of motion and mobility received the necessary care and equipment to maintain or improve function. Specifically, the resident, who had diagnoses including primary osteoarthritis and neurocognitive disorders, was observed on three occasions without the prescribed right resting hand splint. This splint was ordered by the physician to prevent further contractures. The resident's care plan and physician's orders required the splint to be worn at all times, except during skin checks and hygiene. The deficiency occurred because the splint was removed for cleaning and not replaced, leaving the resident without the necessary device. Staff interviews revealed that the Certified Nurse Aide did not apply the splint because it was dirty and failed to inform the nurse. The Assistant Director of Rehabilitation removed the splint for washing and did not provide a replacement. The Registered Nurse and Assistant Director of Nursing were unaware of the missing splint, indicating a communication breakdown among staff members responsible for the resident's care.
Infection Control Deficiencies in Facility
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by several deficiencies identified during a recertification survey. Firstly, the facility did not implement an infection surveillance plan based on facility assessment for identifying, tracking, and monitoring infections, communicable diseases, and outbreaks. The infection tracking logs showed no documentation from December 2023 through May 2024, indicating a lack of recorded data on infection onset dates, signs and symptoms, lab tests/results, isolation, and outbreak potential. The Assistant Director of Nursing Infection Preventionist admitted that they had not maintained a line list for infections due to being overwhelmed with other duties, although they acknowledged the importance of such a list for tracking infections within the facility. Additionally, the facility's water management plan, intended to prevent disease and injury associated with potable water systems, had not been reviewed or updated since December 2019. The Facility Engineer, responsible for the program, was unaware of the requirement for annual reviews, and the Administrator confirmed the oversight. Furthermore, a staff member failed to perform proper hand hygiene while assisting a resident with their meal. The staff member, a Physical Therapist, did not wash or sanitize their hands after performing exercises with the resident and before handling the resident's meal items, despite being aware of the facility's infection control policy.
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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 Purdys
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Waterview Hills Rehabilitation And Nursing Center | 0 mi | ★★★★★ | 0 | 0 |
| The Paramount At Somers Rehab And Nursing Center | 1.9 mi | ★★★★★ | 21 | 1 |
| Putnam Ridge | 8.7 mi | ★★★★★ | 6 | 0 |
| Laurel Ridge Center For Health & Rehabilitation | 9.5 mi | ★★★★★ | 0 | 0 |
| Northern Westchester Hospital T C U | 9.8 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.