Deficiency Index

North Westchester Restorative Therapy & Nrsg Crt

Mohegan Lake, New York · CCN 335342

10 surveys since 2011, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
42
Surveys
10
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file5/10

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
120
Ownership
For profit - Limited Liability company
Chain
PARAGON HEALTHNET
County
Westchester
Medicare-certified since
1972

CMS ratings

Overall
5
Health inspection
4
Staffing
3
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=15, floor 20).

Last survey on record

Mar 30, 2026

224 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.043.37
Registered-nurse hours per resident day0.85—
Annual nurse turnover45.6%47.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1477.8%E422.2%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 18 of the 42 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6562×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5731×

    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

In the surveyor’s words

From the most serious findings on record at North Westchester Restorative Therapy & Nrsg Crt, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF684May 23, 2025

    Based on record review and interviews during an abbreviated survey (NY00375176) the facility did not ensure that residents receive treatment and care in accordance with professional standards of practice for 2 out of 3 residents (Resident #1, Resident #3) reviewed for medications. Specifically, (1) review of Resident #1's medication administration record for November 2024 revealed their blood pressure medication was not administered on 11/23/2024. There was no documented evidence of any hold parameters for Resident #1's medication and no documented evidence of the Physician being informed of the medication hold. […]

  • No harm, potential for more than minimal, patternF880Jan 27, 2025

    Based on record review and interview during an abbreviated survey (NY00367900), the facility did not ensure a resident with a communicable infection was isolated to prevent further spread of infection for 2 out of 3 (Resident #1, #2) residents reviewed for infection control. Specifically, on [DATE] the facility identified Resident #2 as having a suspected case of Norovirus during a facility outbreak. Resident #2 was the roommate of Resident #1, who did not display any symptoms of the infection on [DATE]. Resident #1 remained in the same room with Resident #2 on the south unit, and Resident #1 subsequently acquired symptoms of the infection on [DATE]. Facility open bed census reviewed revealed available beds on the South unit on [DATE], [DATE] and [DATE]. […]

  • No harm, potential for more than minimal, isolatedF684Mar 30, 2026

    Based on record review and interviews during the recertification and abbreviated surveys (677260 / NY00386237), the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice for one (1) one (1) resident (Resident #124) reviewed for change in condition. Specifically, Resident #124's stool sample was not collected as ordered and there was no documented evidence that the Nurse Practitioner or the Physician were made aware that the stool sample had not been collected.The findings include:The 05/2025 policy for Physician's Notification of Orders, documented that when a physician or other authorized practitioner's order is not carried out as ordered, delayed, modified, or discontinued, the practitioner shall be notified.Resident… […]

  • No harm, potential for more than minimal, isolatedF656May 23, 2025

    Based on record review during an abbreviated survey (NY00370400) the facility did not ensure a comprehensive care plan was developed and implemented for each resident, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs for 1 out of 3 residents (Resident #2) reviewed for care planning. Specifically, Resident #2 who had impairment to one upper extremity and was dependent on staff for toileting, bed mobility and transfers, did not have an at risk for abuse care plan in place. On 1/27/2025 Resident #2 reported to their representative that a certified nurse aide threw a television remote control at them, and it hit them in the face. […]

  • No harm, potential for more than minimal, isolatedF842May 23, 2025

    Based on record review and interviews during an abbreviated survey (NY00370400), the facility did not maintain medical records on each resident that are complete and accurately documented in accordance with accepted professional standards and practices for 1 out of 3 residents (Resident #2) reviewed for documentation. Specifically, on 1/28/2025 Resident #2 reported to their representative that a Certified Nurse Assistant threw a television remote control at them hitting them on the face. […]

Read 20 findings in full →The most serious and the most recent: 20 of 42 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 30, 2026Complaint1 finding
  • May 23, 2025Complaint3 findings
  • Jan 27, 2025Complaint2 findings
  • Aug 7, 2024Standard and complaint9 findings
  • Jan 15, 2019Standard6 findings
  • May 8, 2017Standard1 finding
  • Mar 26, 2014Standard4 findings
  • Mar 6, 2013—3 findings
Show the 2 earlier surveys
  • Feb 10, 2012—7 findings
  • Feb 3, 2011—6 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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