F559 in New York. Pick another state for the same tag.
Against expectation — 2025
New York cites F559 more often than its own record predicts
Versus expected share1.32×
1.32 times the share F559 takes of citations nationally.
Share of New York citations0.15%
Of every deficiency written in New York in 2025, this is the portion that was F559.
New York0.15%
National0.11%
Share of all citations that were F559.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New York surveyors wrote
F559 findings written in New York, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
G · Actual harm, isolatedAugust 21, 2026
Based on observations, interviews, and record review conducted during a survey, the facility failed to ensure the resident's right to receive written notice, including the reason for the change, before the resident's room or roommate in the facility was changed. This was evident for two (Residents #5 and #15) of three residents reviewed for resident rights. Specifically, 1) Resident #5 and their designated representative were not provided with notification nor an opportunity to meet their new roommate prior to receiving one on 02/13/2026, and 2) Resident #15 was cognitively impaired and had their room changed on 02/13/2026 without a documented explanation or plan to address the resident's potential adjustment needs. …
D · No harm, potential for more than minimal, isolatedJuly 14, 2026
Based on record review and interviews, the facility failed to ensure the right to receive written notice, including the reason for the change, before the resident's room in the facility is changed for one of one resident (Resident #98) reviewed for room change. Specifically, there was no documented evidence that Resident #98 and/or their Representative were provided written notification prior to Resident #98's room change from a private room on the third floor to a semi-private room on the second floor. The findings include:The policy titled Room Change revised 01/2022, documented that all changes will be carried out with appropriate communication, coordination, and safety measures to ensure residents' well-being. …
B · No harm, potential for minimal, patternFebruary 10, 2021
Based on interviews and record reviews conducted during an Abbreviated Survey (#NY 925) the facility did not ensure each resident had the right to receive written notification, including the reason for the change, prior to room changes for two (Residents #2 and #5) of three residents reviewed. Specifically, the facility was unable to provide evidence that Residents #2 and #5 or their representative, if applicable received written notification of room changes per the regulations. …
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction