Based on observation, record review, and interviews conducted during the Abbreviated Survey and Partial Extended Survey (Complaint NY00362627, NY00363035, NY00363415, and NY00358811), the facility failed to ensure it was administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, the Administrator failed to provide effective leadership and oversight to ensure that comfortable and safe temperature levels were maintained in residents' rooms and common areas. In addition, the Administrator failed to have an effective system in place to ensure the boiler room equipment was maintained in safe operating condition. …
F835 citations in New York
Administration · Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New York cites F835 more often than its own record predicts
3.61 times the share F835 takes of citations nationally.
Of every deficiency written in New York in 2025, this is the portion that was F835.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New York surveyors wrote
F835 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 a survey, the facility did not ensure the facility was administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable well-being of each resident. This was evident for Unit 1, Unit 2, and Unit3 during review of environment and medically related social services. Specifically, 1) the facility reduced the number of daily housekeepers from six to four resulting in environmental issues such as equipment clutter and shower rooms on Unit 1, Unit 2, and Unit 3 that were stained, soiled, and covered with grime, and 2) the Administrator and corporate entity did not adequately staff and supervise the social service department resulting in widespread deficient… …
Entrance conference worksheet documents required for survey were not received timely.Based on record review and interviews during the recertification survey conducted 7/23/2025-7/25/2025, the facility did not make available clinical records on each resident in accordance with accepted professional standards and practices that were complete and accurately documented for all 15 residents of the facility. Specifically, upon survey entrance, resident-identifiable information including form CMS-802 Matrix for Providers, and an alphabetical listing of all residents was not provided to the Department of Health in a timely manner. Additional information needed from the facility within one hour and four hours of entrance was not provided in a timely manner. …
The short window
Recent years
| Year | Share of New York citations | vs expected |
|---|---|---|
| 2023 | 0.31% | 1.08× |
| 2024 | 0.88% | 2.68× |
| 2025 | 1.06% | 3.61× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New York surveyors cite →
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