Based on observations, interviews, and record review conducted during the extended Recertification Survey from 07/08/2024 to 09/17/2024, it was determined that the facility and governing body failed to assure that the resident received appropriate quality of care by allowing the following deficient practices to exist putting the resident at risk for harm and serious injury: F550, F600, F677, F686, F760, F761, and F837. Specifically, there was inconsistent communication with the facility Administrator to ensure management of the facility and regulatory compliance. Multiple deficiencies were identified during the Recertification Survey and extended survey, including but not limited to, Immediate Jeopardy, Harm, Substandard Quality of Care, and multiple repeat deficiencies. …
F837 citations in New York
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
New York cites F837 more often than its own record predicts
3.36 times the share F837 takes of citations nationally.
Of every deficiency written in New York in 2025, this is the portion that was F837.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What New York surveyors wrote
F837 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, interview and record review, it was determined the Governing Body failed to ensure consistent and responsible management of the facility. Specifically, 1) the facility has had a change in Director of Nursing seven times in the last two (2) years. 2) the facility has had 3 Administrators in the last two years. 3) The facility had 11 repeat deficiencies from the recertification survey of 05/06/2025, and 12 repeat deficiencies from the recertification survey of 09/17/2024. …
The short window
Recent years
| Year | Share of New York citations | vs expected |
|---|---|---|
| 2024 | 0.35% | 3.85× |
| 2025 | 0.18% | 3.36× |
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