Deficiency Index

F604 citations in New York

Restraints · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F604 in New York. Pick another state for the same tag.

Against expectation — 2025

New York cites F604 more often than its own record predicts

Versus expected share1.54×

1.54 times the share F604 takes of citations nationally.

Share of New York citations0.59%

Of every deficiency written in New York in 2025, this is the portion that was F604.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What New York surveyors wrote

F604 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.

J · Immediate jeopardy, isolatedDecember 24, 2024

Based on observation, record review, and interviews during an Abbreviated Survey (NY00364046), complaint investigation concluded the facility failed to ensure a resident was treated with respect and dignity including the right to be free from physical or chemical restraints imposed for the purposes of discipline or convenience and that are not required to treat the resident's medical symptoms. This was evident for 1 out of 39 residents (Resident #1). Specifically, on several occasions Resident #1's wrists were tied with bed sheets to the bed rails. Certified Nursing Assistant #6 admitted to placing Resident #1 in these restraints and intentionally not removing them to prevent Resident #1 from removing their brief and smearing feces. …

Schulman and Schachne Institute for Nursing and Re

G · Actual harm, isolatedApril 3, 2025

Based on record review and interviews during an abbreviated survey (NY00375411), the facility did not ensure that a resident is free from physical restraints imposed for purposes of discipline or convenience and that are not required to treat the resident's medical symptoms for one (1) of three (3) residents (Resident #1) reviewed for restraints. Specifically, on 3/15/2025 Resident #1 was seen on Facility Surveillance Camera Footage wandering the hallway to the adjacent unit. Resident #1 was seen going in and out of other resident's rooms. Security Officer #1 was observed grabbing Resident #1 by their wrist to keep the resident in one place. Resident #1 is observed on surveillance camera footage in a wheelchair and trying to propel themselves away from the staff. …

New York State Veterans Home At Montrose

D · No harm, potential for more than minimal, isolatedAugust 21, 2026

Based on record review and interviews conducted during the survey, the facility failed to ensure that residents were free from physical restraints for one of one resident reviewed for physical restraints (Resident #78). Specifically, Resident 78 with an observed chair alarm, there was no documented evidence that the plan of care was reviewed and/or revised to include an assessment with rationale, safety measures, and ongoing monitoring for the use of the chair alarm. There was no documented evidence that education was provided to Resident #78 and/or their Resident Representative and that consent for use was obtained for the use of a char alarm. …

Schervier Pavilion

The short window

Recent years

YearShare of New York citationsvs expected
20230.99%2.58×
20240.67%1.82×
20250.59%1.54×

Shares of citations, not counts: earlier years hold fewer inspections.

What else New York surveyors cite →

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