F609 in New York. Pick another state for the same tag.
Against expectation — 2025
New York cites F609 more often than its own record predicts
Versus expected share1.87×
1.87 times the share F609 takes of citations nationally.
Share of New York citations4.58%
Of every deficiency written in New York in 2025, this is the portion that was F609.
New York4.58%
National2.45%
Share of all citations that were F609.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New York surveyors wrote
F609 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, isolatedAugust 12, 2026
Based on observations, interviews, and record review, the facility failed to ensure allegations of abuse are reported immediately, but no later than two hours after the allegation is made, to the administrator of the facility and the New York State Department of Health in accordance with State law for three of three incidents of alleged abuse involving Residents #11, #63, and #90. Specifically, on 07/08/2026, Resident #90 filed a grievance stating Certified Nurse Aide #5 was rough with care and on 07/22/2026, during a Resident Council meeting, Resident's #11 and #63 reported Certified Nurse Aide #5 was rough with care. …
Based on observation, record review, and interviews the facility failed to ensure all alleged violations involving injury of unknown source were reported immediately, but not later than two (2) hours after the allegation was made, if the events that cause the allegation involve abuse or result in serious bodily injury to the State Survey Agency. This was evident for one (1) (Resident #7) of four (4) sampled residents. Specifically, on 09/13/2025 Resident #7 was unable to stand on their left leg and was transferred to the hospital. The resident was readmitted to the facility on [DATE] with diagnoses of left femur (thigh bone) fracture (break in the bone). Resident #7 was severely impaired in cognition and was unable to explain how they sustained the fracture. …
D · No harm, potential for more than minimal, isolatedAugust 25, 2026
Number of residents sampled:7Number of residents cited:2Based on observation, record review, and interviews, the facility failed to ensure that an allegation of abuse was reported to the New York State Department of Health immediately, but no later than two hours after the allegation was made, as required. This was evident for one resident (Resident #230) of seven residents reviewed for Abuse out of a sample of 38 residents. Specifically, on 07/30/2026 at 11:45 AM, Resident #230 reported that a certified nursing assistant verbally degraded them, pulled their sheet and physically punched them and the alleged violations were not reported to the New York State Department of Health until 03:34 PM which was more than two hours after the allegation was made The findings include:The facility's… …
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