Tarrytown Hall Care Center
Tarrytown, New York · CCN 335421
12 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
- 37
- Surveys
- 12
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
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
- PERSONAL HEALTHCARE MANAGEMENT
- County
- Westchester
- Medicare-certified since
- 1974
CMS ratings
- Overall
- 3
- Health inspection
- 3
- Staffing
- 3
- Quality measures
- 3
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=7, floor 20).
Last survey on record
Sep 28, 2024
772 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.55 | 3.37 |
| Registered-nurse hours per resident day | 0.54 | — |
| Annual nurse turnover | 34.8% | 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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D555.6% | E444.4% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F5502×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F6451×
PASARR screening for Mental disorders or Intellectual Disabilities
- F6761×
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- F6861×
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F7251×
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
In the surveyor’s words
From the most serious findings on record at Tarrytown Hall Care Center, in the surveyor’s own words.
- No harm, potential for more than minimal, patternF725Sep 28, 2024
Based on record review and interview conducted during the recertification and abbreviated surveys (NY00352594, NY00352648, NY00348708) from 9/24/24 to 9/28/24, the facility did not ensure there was sufficient nursing staff to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, upon review of the staffing schedule from August 22, 2024 through September 25, 2024 the facility did not consistently provide adequate staffing on all units/shifts, to meet the needs of the resident/s. The findings are: During an interview on 09/25/24 at 11:20 AM, with the Administrator, the Facility Wide Assessment was reviewed and daily resident census information was requested. […]
- No harm, potential for more than minimal, patternF730Sep 28, 2024
Based on record reviews and interviews conducted during the recertification and abbreviated surveys (NY00352594, NY00352648) from 9/24/24 to 9/28/24, the facility did not ensure that annual performance appraisals were performed for Certified Nurse Aides staff. Specifically, the facility was unable to provide evidence that 5 of 5 Certified Nurse Aides (Staff #14, Staff #15, Staff #16, Staff #17 and Staff #18), received an annual performance appraisal. The Facility Policy titled Staff Development Program (dated 11/8/23) documented: Nurses aides (Certified Nurse Assistants) are required to complete no less than 12 hours annually of in-service training that is sufficient to ensure the continuing competency of nurse aides and address any specific areas of weakness identified in performance… […]
- No harm, potential for more than minimal, patternF811Sep 28, 2024
Based on observation, interview and record review conducted during the Recertification Survey and Abbreviated Surveys (NY 00352594, NY 00352648) from 9/24/24-9/28/24, the facility did not ensure two residents (Resident #52 and #22) were fed by staff members who completed a State-approved training course to assist residents in eating or drinking as required by regulations. Specifically, the facility was not able to provide documentation that Resident Assistants successfully completed a State approved training course for two Resident Assistants (Staff #6 and Staff #10) observed feeding Resident # 52 with a diagnosis of dysphagia/receiving a pureed diet and Resident #22 assessed to hold food in the mouth/cheeks or residual food in the mouth after meals and receiving a mechanically altered… […]
- No harm, potential for more than minimal, patternF947Sep 28, 2024
Based on record review and interview conducted during the recertification and abbreviated surveys (NY 00352594, NY 00352648) from 9/24/24 to 9/28/24, the facility did not ensure that Certified Nurse Aides were provided the required 12 hours of training to ensure safe delivery of care. Specifically, the facility was unable to provide evidence that 5 of 5 Certified Nurse Aide #14, #15, #16, #17 and #18), reviewed for Nurse Aide training, were provided 12 hours of mandatory training. […]
- No harm, potential for more than minimal, isolatedF550Sep 28, 2024
Based on observation, record review, and interview conducted during the recertification and abbreviated surveys (NY 00342701) from 9/24/24 to 9/28/24, the facility did not ensure that a resident's right to privacy was respected for 1 of 3 (Resident #80) residents reviewed for Dignity. Specifically, Resident #80's bathroom light was not working and they were told to leave the door open to create light while using the bathroom. The findings are: Resident #80 was admitted to the facility on [DATE] with diagnoses of hyperlipidemia, Alzheimer's Disease, and Non-Alzheimer's Dementia. The Quarterly Minimum Data Set assessment dated [DATE] documented the resident had severe cognitive deficits and needed partial to moderate assist for toileting and showering, and supervision for transfers. […]
Read 20 findings in full →The most serious and the most recent: 20 of 37 on record.
Every survey on record
FindingsAt actual harm or above
- Sep 28, 2024Standard and complaint7 findings
- Mar 20, 2019Standard2 findings
- Feb 7, 2019Complaint1 finding
- Jan 23, 2019Complaint1 finding
- Oct 3, 2018Complaint1 finding
- May 5, 2016Standard2 findings
- Mar 10, 2015Standard4 findings
- Mar 10, 2014Standard4 findings
Show the 4 earlier surveys
- Sep 11, 2013Complaint3 findings
- Jan 17, 2013—5 findings
- Jan 24, 2012—4 findings
- Mar 28, 2011—3 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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