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 The New Jewish Home, Manhattan during CMS and state inspections, most recent first.
A resident with advanced dementia and severe cognitive impairment was left naked and restrained in a dark dining room for over two hours by a CNA, who pinned the resident's wheelchair with tables. An LPN later took multiple photos of the unclothed resident using a personal cell phone before providing a gown. The incident, which was not promptly reported, resulted in actual harm and violated facility policies prohibiting abuse and neglect.
A resident with advanced dementia and severe cognitive impairment was physically restrained in a wheelchair by a CNA using dining tables and left unclothed in a dark dining room for over two hours. An LPN observed the situation, took photos with a personal cell phone, and did not immediately intervene. The incident was not documented as a restraint in the nursing notes, and the facility's restraint policy was not followed.
A resident with dementia and a history of falls was left on the floor in a public area for over 30 minutes, partially and then fully unclothed, after removing their gown and brief. Multiple staff, including CNAs and an RN, failed to promptly assist, cover, or move the resident, resulting in a prolonged period where the resident's privacy and dignity were not maintained.
The facility failed to store and manage food items according to professional standards, as expired tortillas and canned goods were found in storage. The Food Services Director misunderstood expiration guidelines and lacked a system to track expiration checks, leading to expired items being present.
Two residents experienced unwitnessed falls resulting in injuries, but the incidents were not reported to the New York State Department of Health as required. One resident, with a history of atrial fibrillation and dementia, sustained a femoral neck fracture, while another resident with osteoporosis and Parkinson's disease had a laceration on the eyebrow. The facility's staff did not report these incidents, believing they were not cases of abuse or neglect, and the DON was unaware of the reporting requirements.
A housekeeping cart containing chemical disinfectants and bleach was left unattended and unlocked in a corridor, contrary to facility policy. The housekeeper was mopping inside a resident's room, leaving the cart out of direct view, which could allow unauthorized access to the chemicals. The Assistant Director of Environmental Services confirmed the cart should be locked and kept close to the housekeeper.
A medication cart on the 2nd Floor Sutro Building was found unlocked and unattended, contrary to facility policy. An LPN left the cart unsecured while assisting a resident, which was confirmed as a breach of protocol by the nursing supervisor and DON.
The facility failed to conduct an annual review of its water management plan, last reviewed in 2019, and did not follow Enhanced Barrier Precautions during IV medication administration for a resident with a PICC line. A nurse administered medication without a gown, despite a physician's order and posted signage, acknowledging the mistake due to nervousness. The DON emphasized the need for compliance with infection control measures.
The facility failed to mail the Notice of Medicare Non-Coverage to residents' representatives on the same day as telephone notification, as required by policy. Two residents were affected, with no documented evidence of mailed notices. Staff interviews revealed a lack of adherence to the policy, with the Account Receivable Manager unable to provide proof of mailing.
Resident Left Unclothed, Restrained, and Photographed by Staff
Penalty
Summary
A resident with advanced dementia, severe cognitive impairment, and a history of restlessness and agitation was left unprotected from abuse and neglect. The resident, who had a care plan in place to monitor for signs of abuse and injury, was observed on facility surveillance video being brought into a dark, unlit dining room by a CNA while completely unclothed. The CNA used their hand to restrain the resident's arms across their chest and positioned three dining room tables in front of the resident's wheelchair, pinning the resident against the wall and restricting movement. The resident was left in this state, naked and unable to move, for over two hours. During this period, an LPN entered the dining room, offered the resident a drink, and later returned to take multiple photographs of the resident using a personal cell phone before finally placing a gown on the resident and removing the tables. The LPN and CNA both acknowledged the resident's behavior of removing clothing, but failed to provide appropriate supervision or dignity, and did not immediately address the resident's exposure or restraint. The incident was not promptly reported to supervisory staff, and the nursing supervisor was unaware of the situation until after the fact. The facility's own investigation, prompted by an anonymous call and subsequent review of surveillance footage, confirmed that abuse and neglect had occurred. The resident was found to have a small ecchymosis on the wrist, but due to advanced dementia, was unable to recall the incident. The facility's policy prohibits all forms of abuse, including mental abuse and the use of demeaning photographs, yet staff actions directly violated these standards, resulting in actual harm to the resident.
Resident Restrained and Left Unclothed in Dining Room
Penalty
Summary
A deficiency occurred when a resident with advanced dementia, severe cognitive impairment, and a history of restlessness and agitation was subjected to physical restraint and left unclothed in an unlit dining room for over two hours. Surveillance footage showed a Certified Nursing Assistant (CNA) bringing the resident, who was naked, into the dining room, restraining their hands, and using three dining tables to pin the resident's wheelchair against the wall, restricting movement. The resident was observed struggling to move the tables but was unable to do so, and remained in this position from 3:16 AM to 5:37 AM. During this period, a Licensed Practical Nurse (LPN) entered the dining room, offered the resident a drink, and later took multiple pictures of the resident using a personal cell phone. The LPN did not immediately remove the restraint or clothe the resident, despite observing the situation. The LPN later documented the incident in a nursing progress note but did not mention the use of restraint. The facility's policy states that restraints are only to be used for medical symptoms and after alternatives have failed, with the least restrictive device utilized, but there was no documentation of such justification or alternatives attempted in this case. Interviews with staff revealed that the CNA routinely placed the resident in this position nightly, often without clothing, and that the nursing supervisor was unaware of the incident. The Director of Nursing and Administrator became aware of the situation after an anonymous call and subsequent review of surveillance footage. Medical evaluation after the incident noted a small ecchymosis on the resident's wrist, but the resident, due to dementia, did not recall the event and denied pain.
Resident Left Unattended and Exposed, Dignity Not Maintained
Penalty
Summary
A resident with diagnoses including dementia, cerebrovascular disease, delirium, and a history of falls was admitted to the facility and had not yet completed their Minimum Data Set assessment at the time of the incident. The resident required substantial to maximal assistance with upper body dressing and was dependent for lower body dressing. On the day of the incident, surveillance video showed the resident sitting in a lounge chair in the hallway, removing their gown, and then sliding themselves onto the floor. The resident remained on the floor, wearing only a disposable brief, for approximately 35 minutes. During this time, the resident intermittently removed their covering, and at one point, removed the disposable brief, leaving them completely naked in a public area. Multiple staff members, including CNAs and an RN, were present during this period but did not provide immediate assistance or ensure the resident's privacy and dignity. Certified Nursing Assistants made intermittent attempts to cover the resident, but when the resident refused, staff left the resident exposed. The RN on duty did not assess the resident while they were on the floor and did not instruct staff to maintain the resident's privacy or move them from the floor. The RN stated they were waiting for the Nursing Supervisor to assess the resident and did not realize the resident had been on the floor for an extended period. The Nursing Supervisor arrived after approximately 35 minutes, assessed the resident, and found no visible injuries. Interviews with staff confirmed that the resident was left on the floor for an extended period, exposed and without adequate attention to their dignity or privacy. The Director of Nursing and Assistant Administrator, upon reviewing the surveillance footage, observed that staff failed to assist the resident or maintain their dignity, despite multiple staff passing by. The facility's own investigation determined there was reasonable cause to believe that abuse, neglect, and mistreatment had occurred, as staff did not act to protect the resident's rights to dignity and respect.
Expired Food Items Found in Facility's Storage
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 a recertification survey, it was observed that the walk-in refrigerator and emergency food storage contained expired food items. Specifically, two packets of unfrozen tortillas with an expiration date were found in the refrigerator, and several cans of chili con carne with beans were found in the emergency food storage, both past their expiration dates. Interviews with the Food Services Director revealed that there was a misunderstanding regarding the use of expired food items, as the director believed that certain items could be used up to three months past their expiration date if frozen. Additionally, there was no log or system in place to track the checking of expiration dates, and the responsibility for checking these dates was not clearly defined, leading to expired items being present in the facility's food storage areas.
Failure to Report Unwitnessed Incidents with Injuries
Penalty
Summary
The facility failed to report alleged violations involving abuse, neglect, or injuries of unknown source to the New York State Department of Health within the required time frame. This deficiency was identified during a recertification survey, where it was found that two residents experienced unwitnessed incidents resulting in injuries, but these incidents were not reported as required. The facility's policy mandates reporting such incidents within two hours if they involve serious bodily injury or within 24 hours if they do not, but this protocol was not followed. One resident, who had a history of atrial fibrillation and non-Alzheimer's dementia, experienced an unwitnessed fall resulting in a sub-capital fracture of the right femoral neck. Despite the resident's high risk for falls and the presence of a visible injury, the incident was not reported to the Department of Health. The Assistant Director of Nursing concluded that the plan of care was followed and that the incident was not a case of abuse, which led to the decision not to report the incident. Another resident, diagnosed with age-related osteoporosis, Parkinson's disease, and dementia, was found on the floor with a laceration on the right eyebrow after an unwitnessed fall. The incident was not reported because the staff believed the injury resulted from the fall and not from abuse or neglect. The Director of Nursing was unaware that such incidents should be reported, indicating a lack of understanding of reporting requirements within the facility.
Unattended Housekeeping Cart with Chemicals Poses Hazard
Penalty
Summary
During a recertification survey, it was observed that the facility did not maintain a resident environment free from accident hazards. Specifically, on one of the units, a housekeeping cart containing chemical disinfectants, antiseptic sprays, and bleach was left unattended in the corridor with the cabinet door ajar and the keys hanging from the lock. This was contrary to the facility's policy, which mandates that housekeeping carts should be locked at all times and keys should not be left on the cart or in the lock. The incident occurred while a housekeeper was mopping inside a resident's room, leaving the cart in the hallway corridor out of direct view. The housekeeper acknowledged that the cart should have been locked to prevent unauthorized access to the chemicals. The Assistant Director of Environmental Services confirmed that the cart should be kept close to the housekeeper and locked when not in direct view to prevent residents from accessing potentially harmful chemicals.
Medication Cart Left Unlocked and Unattended
Penalty
Summary
During a recertification survey, it was observed that the facility did not adhere to professional standards for storing drugs and biologicals on the 2nd Floor Sutro Building. Specifically, a medication cart was found unlocked and unattended in the hallway corridor adjacent to the unit dining room. This occurred while the LPN responsible for the cart was attending to a resident in a nearby room. The facility's policy requires that all medications be stored in a locked cabinet, cart, or room inaccessible to residents and visitors, and that the cart should be locked if the nurse steps out of visual range. Interviews with the LPN, the nursing supervisor, and the Director of Nursing confirmed that the medication cart should always be locked when unattended. The LPN acknowledged the oversight, stating that the cart was left unlocked while assisting a resident, which could have allowed unauthorized access to medications. The nursing supervisor and the Director of Nursing reiterated the importance of keeping the medication cart locked to prevent potential harm to residents, staff, or visitors.
Infection Control Deficiencies in Water Management and Barrier Precautions
Penalty
Summary
The facility failed to ensure proper infection prevention and control practices, as evidenced by two main deficiencies. Firstly, the facility did not conduct an annual review of its water management plan, which is crucial for preventing Legionnaire's Disease. The last documented review of the water management plan was signed in July 2019, indicating that the plan had not been reviewed in the past 12 months as required by the facility's policy. This oversight was confirmed during an interview with the Director of Maintenance, who acknowledged the lapse and mentioned that a vendor had been scheduled to review the plan. Secondly, the facility did not adhere to Enhanced Barrier Precautions during intravenous medication administration for a resident with a Peripherally Inserted Central Catheter. The resident, who had diagnoses including Peritoneal Abscess and Pyothorax, was receiving intravenous medications. Despite a physician's order for Enhanced Barrier Precautions, a registered nurse was observed administering medication without wearing a gown, contrary to the facility's policy. The nurse acknowledged the oversight, attributing it to nervousness, and the unit nursing supervisor confirmed that the nurse should have worn a gown during the procedure. The Director of Nursing reiterated the importance of following Enhanced Barrier Precautions to prevent infection transmission.
Failure to Provide Timely Notice of Medicare Non-Coverage
Penalty
Summary
The facility failed to ensure that residents or their designated representatives were provided with appropriate notification at the termination of Medicare Part A benefits. This deficiency was identified during a recertification survey, where it was found that the facility did not mail the Notice of Medicare Non-Coverage to the residents' representatives on the same day that telephone notification was made. Specifically, two residents, who were reviewed for Beneficiary Notification, did not have documented evidence that their representatives received the mailed notice on the same day as the phone call. The facility's policy requires that a copy of the Notice of Medicare Non-Coverage be mailed to the resident's representative on the day telephone contact is made. Interviews with facility staff revealed a lack of adherence to the policy. The Director of Minimum Data Set & Managed Care stated that residents are given at least 48 hours' notice and that their right to appeal is explained. However, for the two residents in question, there was no evidence that the notices were mailed as required. The Account Receivable Manager, responsible for mailing the notices, admitted to having no proof that the notices were sent. The Administrator confirmed that the Minimum Data Set Coordinator should ensure the notices are mailed or sent by other methods on the day of notification and that proof of mailing should be kept, which was not done in these cases.
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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) |
|---|---|---|---|---|
| Amsterdam Nursing Home Corp (1992) | 0.3 mi | ★★★★★ | 0 | 0 |
| Terence Cardinal Cooke Health Care Center | 0.7 mi | ★★★★★ | 0 | 0 |
| The Riverside | 1.1 mi | ★★★★★ | 0 | 0 |
| St Marys Center Inc | 1.1 mi | ★★★★★ | 0 | 0 |
| Henry J. Carter Skilled Nursing Facility | 1.2 mi | ★★★★★ | 2 | 1 |
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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.