Deficiency Index

Rutland Nursing Home, Inc

Brooklyn, New York · CCN 335537

20 surveys since 2011, 8 of them producing a finding at harm level or worse.

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

Citations on record
109
Surveys
20
Harm or worse
8
Immediate jeopardy
2
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records.

Beyond CMS’s monthly file12/20

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

The facility

Certified beds
538
Ownership
Non profit - Corporation
Chain
Independent
County
Kings
Medicare-certified since
1976

CMS ratings

Overall
3
Health inspection
2
Staffing
5
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 82 not-for-profit facilities with 128 or more beds in New York.

Last survey on record

Mar 19, 2026

235 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 day4.413.67
Registered-nurse hours per resident day1.24—
Annual nurse turnover22.0%37.8%

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

Enforcement

Fines
$55,231 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

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 harmG26.9%H—I—
No harm, potential for more than minimalD2069.0%E413.8%F26.9%
No harm, potential for minimalA—B—C13.4%
CMS’s current file: 29 of the 109 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6573×

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • F5842×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F6892×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F7582×

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

In the surveyor’s words

From the most serious findings on record at Rutland Nursing Home, Inc, in the surveyor’s own words.

  • Actual harm, isolatedF693Mar 19, 2026

    Based on observation, record review, and interviews conducted during survey, the facility failed to ensure a resident receiving enteral feeding received appropriate care and was monitored for complications related to tube feeding. This was evident for one (1) out of five (5) residents reviewed for enteral feeding (Resident #1). Specifically, on 02/20/2026, Resident #1 who received feeding and medications through a nasogastric tube (medical tube inserted through the nose into the stomach) had a change in their breathing pattern and was transferred to the hospital. […]

  • Actual harm, isolatedF600Jun 12, 2025

    Based on observation, record review, and interviews conducted during an abbreviated survey (NY00371268), the facility failed to ensure that a resident was free from resident-to-resident abuse. This was evident for one (1) out of five (5) residents (Resident #1) sampled. Specifically, on 01/31/2025 at 2:50 PM, Licensed Practical Nurse #1 witnessed an altercation between Resident #1 and Resident #2 in the elevator at the lobby level . Licensed Practical Nurse #1 separated the residents. Resident #1 and Resident #2 were assessed by Registered Nurse Supervisor #1 and there were no injuries. The facility failed to ensure timely safety measures to prevent further abuse. […]

  • No harm, potential for more than minimal, widespreadF584Jul 9, 2025

    Based on observation, record review, and interviews conducted during the onsite visit for Complaint NY00384371, it was determined that the facility failed to maintain safe and comfortable temperature levels. This was evident on six (6) of the seven (7) resident floors, where 22 out of 34 rooms sampled had temperatures above the Federal and State requirements in accordance with 42 CFR Part 483 and 10 NYCRR: 415.29 range of 71 degrees Fahrenheit to 81 degrees Fahrenheit. Specifically, on 06/23/2025, Resident #1 submitted a complaint to the New York State Department of Health that there was loss of air conditioning on the sixth floor. The temperature on the sixth floor was 86.9 degrees Fahrenheit. […]

  • No harm, potential for more than minimal, widespreadF835Jul 9, 2025

    Based on observation, record review, and interviews conducted during an Abbreviated Survey and Partial Extended Survey (NY00384371), 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, on 06/23/2025 to 06/25/2025, complaints were submitted to the New York State Department of Health regarding high temperatures throughout the facility. […]

  • No harm, potential for more than minimal, patternF689Mar 31, 2025

    Based on record review and interview conducted during the Recertification and Complaint Survey (NY00369624 and NY00354365) conducted from 03/24/2025 to 03/31/2025, the facility did not ensure residents received adequate supervision and assistance devices consistent with resident's needs, goals, and care plan to prevent accidents. This was evident for 2 (Residents #108 and #260) of 2 residents investigated for Accidents out of 39 total sampled residents. Specifically, (1) Resident #108 fell and hit the back of head causing injury to left eye orbital while being transferred to bed by 2 Certified Nursing Assistants, and 2. […]

Read 26 findings in full →The most serious and the most recent: 26 of 109 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 11, 2026Complaint2 findings
  • Mar 19, 2026Complaint1 finding · 1 harm
  • Jul 9, 2025Complaint2 findings
  • Jun 12, 2025Complaint1 finding · 1 harm
  • Mar 31, 2025Standard and complaint14 findings
  • Mar 26, 2025Complaint1 finding
  • Oct 23, 2023Standard and complaint4 findings
  • Oct 20, 2023Complaint1 finding
Show the 12 earlier surveys
  • Aug 6, 2021Standard and complaint6 findings
  • Feb 10, 2020Standard6 findings
  • May 11, 2018Standard4 findings
  • Feb 27, 2017Standard7 findings
  • Dec 18, 2015Standard9 findings
  • Dec 5, 2014Standard2 findings
  • Feb 10, 2014Standard6 findings
  • Jan 16, 2013—14 findings
  • Mar 27, 2012—1 finding · 1 harm
  • Feb 23, 2012Standard17 findings
  • Sep 1, 2011—2 findings · 2 harm
  • Feb 16, 2011—9 findings · 3 harm

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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