Based on observations, interviews and record review conducted during the Extended Recertification Survey and complaint investigations (NY00372404, NY00372850, NY00364319, & NY00372698) from 03/09/2025 to 05/09/2025, the facility failed to ensure sufficient nursing staff to provide nursing services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for residents in the facility (Units South One, South 2, South 3, North One, North Two, [NAME] One and [NAME] Two). Specifically, there was insufficient staff to meet all resident needs including showers, assistance with eating, toileting, personal hygiene, and receiving medications as ordered by the medical team due to lack of licensed nurses and certified nursing assistants. …
F725 citations in New York
Sufficient nursing staff · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New York cites F725 more often than its own record predicts
3.26 times the share F725 takes of citations nationally.
Of every deficiency written in New York in 2025, this is the portion that was F725.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New York surveyors wrote
F725 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 (625460), the facility failed to ensure sufficient nursing staff were available to provide nursing services to attain or maintain the highest practicable physical, mental, and psychosocial wellbeing for each resident. This was evident for one (1) of five (5) residents (Resident #1) sampled. Specifically, on 01/06/2024 at 5:45 AM, Resident #1 complained of pain to their right hip and was assessed by Registered Nurse #1 at 8:23 AM and was observed with swelling to their right leg that was larger than the left. …
Based on observation, record review, and interviews, the facility failed to ensure sufficient nursing staff were available to provide nursing and related services to residents in accordance with their assessed needs and plans of care. This was evidenced by review of facility Daily Staffing Reports and Payroll-Based Journal (PBJ) Staffing Data, which demonstrated recurrent staffing shortages, and by observations and interviews demonstrating delays in residents receiving nursing care and activities of daily living assistance. The findings include but is not limited to: Review of the Payroll Based Journal Staffing Data Report for Quarter 4 2025 (July 1 to September 30) and Quarter 1 2026 (October 1 to December 31) indicated excessively low weekend staffing. …
The short window
Recent years
| Year | Share of New York citations | vs expected |
|---|---|---|
| 2023 | 0.94% | 1.17× |
| 2024 | 2.24% | 2.80× |
| 2025 | 2.53% | 3.26× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New York surveyors cite →
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