The Steven And Alexandra Cohen Ped L T C Pavilion
Valhalla, New York · CCN 335874
4 surveys since 2017, 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
- 4
- Surveys
- 4
- 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
- 24
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Westchester
- Medicare-certified since
- 2016
CMS ratings
- Overall
- 5
- Health inspection
- 5
- Staffing
- 5
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=2, floor 20).
Last survey on record
Aug 29, 2024
802 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 | 8.34 | 4.69 |
| Registered-nurse hours per resident day | 5.56 | — |
| Annual nurse turnover | 20.4% | 36.0% |
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 | D2100.0% | E— | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8802×
Provide and implement an infection prevention and control program.
In the surveyor’s words
From the most serious findings on record at The Steven And Alexandra Cohen Ped L T C Pavilion, in the surveyor’s own words.
- No harm, potential for more than minimal, isolatedF880Aug 29, 2024
Based on record review and interview conducted during the recertification survey from 8/26/24 to 8/29/24, the facility did not ensure infection prevention and control standards were maintained. This was evident during the Infection Prevention and Control Program review. Specifically, the facility water management plan was dated May 2022 and there was no documented evidence that it had been reviewed or updated annually. The facility lacked the required facility Risk Assessment. […]
- No harm, potential for more than minimal, isolatedF689Mar 26, 2021
Based on observation, interview and record review, conducted during an abbreviated survey (NY 726), the facility did not maintain an environment free of accident hazards and that each resident received adequate supervision to prevent accidents. Specifically, Resident #1 rolled off the shower bed on 8/18/2020. This was evident for 1 of 3 residents reviewed on accidents. The findings are: Resident is a 7-year old male who was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. […]
Every survey on record
FindingsAt actual harm or above
- Aug 29, 2024Standard1 finding
- Mar 26, 2021Complaint1 finding
- Jul 17, 2019Standard1 finding
- Aug 23, 2017Standard1 finding
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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