Based on record review, and staff interview during an abbreviated survey (NY00380105), the facility failed to implement Abuse/Neglect policies to prevent, protect and report an incident of physical abuse for one (1) resident (Resident #1) out of three (3) residents reviewed for abuse. Specifically, on 05/04/2025 at 3:59 PM, the facility failed to protect Resident #1 from Certified Nursing Assistant #1 who was observed restraining both hands of Resident #1 and hitting them in the head. This incident was observed by Certified Nursing Assistants #2 and #3 who were in the hallway at the time of the incident and did not identify, correct, intervene or report the occurrence of abuse. …
F607 citations in New York
Abuse-prevention policies · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New York cites F607 less often than its own record predicts
0.33 times the national share — cited less often here than elsewhere.
Of every deficiency written in New York in 2025, this is the portion that was F607.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New York surveyors wrote
F607 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.
Based on observations, interviews, and record review conducted during survey, the facility failed to ensure procedures were developed and maintained to include screening and abuse prevention training of prospective staff. This was evident for five of five facility/agency staff (Certified Nurse Aides #1, #2, and #5, Licensed Practical Nurses #1 and #2) employee files reviewed. Specifically, there was no documented evidence that Certified Nurse Aides #1, #2, #5, and Licensed Practical Nurse #1 and #2 were screened or received training to competently address residents with behaviors and to prevent abuse.The findings are:The Facility assessment dated [DATE] documented a list of their outside contracts that did not include agency nursing staff.The facility policy and procedure titled Abuse,… …
Based on interview and record review during a survey, the facility failed to implement written policies and procedures for screening employees that would prohibit and prevent abuse, neglect, and exploitation of residents, and misappropriation of resident property. Specifically, an employee that worked in the facility and was subject to the New York State Nurse Aide Registry Verification, was not reviewed through the New York State Nurse Aide Registry prior to their employment as required. This affected one (1) (Environmental service Aide #1) of five (5) employees that worked in the facility and were subject to being reviewed through the New York State Nurse Aide Registry prior to their employment as required. …
The short window
Recent years
| Year | Share of New York citations | vs expected |
|---|---|---|
| 2023 | 0.36% | 0.49× |
| 2024 | 0.21% | 0.28× |
| 2025 | 0.22% | 0.33× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New York surveyors cite →
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