Based on observation, interviews and record review conducted during the Recertification/Complaint/Extended survey (N 683) conducted from 02/23/2022 through 03/03/2022, the facility failed to report immediately, but not later than 2 hours after forming a reasonable suspicion of a crime, if the events that cause the suspicion result in serious bodily injury, or not later than 24 hours if the events that cause the suspicion do not result in serious bodily injury. This was evident for 1 (Resident #10) of 12 residents reviewed. Specifically, on 02/23/2022, in the morning, the Medical Director notified the Director of Nursing (DON) #1 that Resident #10 accused Certified Nursing Assistant (CNA) #5 of abuse, potentially causing a fracture to the right elbow. …
F608 citations in New York
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
No F608 citations were recorded in New York for 2025. That means none appear in the CMS file for that year — not that the requirement does not apply.
In the surveyor’s words
What New York surveyors wrote
F608 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 observation, record review, and interviews conducted during an abbreviated survey (NY 96), the facility failed to report immediately, but not later than 2 hours after forming a reasonable suspicion of a crime, if the events that cause the suspicion resulted in serious bodily injury, or not later than 24 hours if the events that cause the suspicion do not result in serious bodily injury. This was evident for 1 out of 3 residents reviewed (Resident #1). Specifically, on 4/15/2022, two staff members: the Assistant Director of Nursing #1 (ADNS #1) and Certified Nursing Assistant #1 (CNA #1) witnessed the Activity Leader #1 repeatedly use his/her left foot to kick Resident #1's right foot. The facility did not report the incident to law enforcement. …
What else New York surveyors cite →
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