Based on record review and interview, the facility failed to ensure that medications ordered by the physician were administered to a resident by a licensed or registered nurse in accordance with regulations for one (Resident #12) of eleven (11) residents reviewed for medications. Specifically, on 03/11/2026, Certified Nurse Aide #20 administered medications to Resident #12. The findings include:The facility Medication Administration policy last reviewed 2/2026 documented that It is the policy of the facility to administer medication to all residents in accordance with physician or nurse practitioner orders to maintain residence optimal health. …
F659 citations in New York
Resident Assessment and Care Planning Deficiencies
Provide care by qualified persons according to each resident's written plan of care.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New York cites F659 less often than its own record predicts
0.94 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 F659.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New York surveyors wrote
F659 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.
The short window
Recent years
| Year | Share of New York citations | vs expected |
|---|---|---|
| 2023 | 0.10% | 2.73× |
| 2025 | 0.04% | 0.94× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New York surveyors cite →
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