Deficiency Index

Woodland Pond At New Paltz

New Paltz, New York · CCN 335858

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
49
Surveys
10
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
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 file8/10

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

The facility

Certified beds
40
Ownership
Non profit - Other
Chain
Independent
County
Ulster
Medicare-certified since
2010

CMS ratings

Overall
4
Health inspection
3
Staffing
5
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=5, floor 20).

Last survey on record

Apr 24, 2025

564 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 day5.374.69
Registered-nurse hours per resident day1.21—
Annual nurse turnover31.4%36.0%

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

Enforcement

Fines
$13,099 across 3 penalties

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 harmG—H—I—
No harm, potential for more than minimalD440.0%E330.0%F330.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 10 of the 49 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • 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.

  • F5851×

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

  • F6771×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • 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 Woodland Pond At New Paltz, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF725Apr 24, 2025

    Based on observation, interview, and record review during the abbreviated (NY00370838 and NY00371165) and recertification surveys from 4/21/2025-4/24/2025, the facility did not ensure sufficient nursing staff to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. Specifically, 1). multiple residents and family members complained about long wait times after initiating the call bell, 2). Resident #28 had to wait 66 minutes on 2/1/2025 to receive incontinence care, 3) Resident Council attendees reported long wait times to receive assistance from staff for activity of daily living, and 4) Resident #6 was observed waiting an extended period of time for assistance with morning care due to staff inability to manage… […]

  • No harm, potential for more than minimal, patternF585Apr 24, 2025

    Based on observation, interview, and record review conducted during the recertification survey from 4/21/2025 to 4/24/2025, the facility did not ensure the resident's right to be notified of facility's grievance official and of their right to obtain a copy of their grievance decision in writing. This was evident for 7 (Resident #30, #15, #4, #12, #18, #9 and #7) Resident Council attendees out of 38 total residents. Specifically, Resident #30, #15, #4, #12, #18, #9, and Resident #7's Family Representative did not know the Grievance Official for the facility and were unaware of their right to receive written copy of grievance investigation decisions. […]

  • No harm, potential for more than minimal, patternF677Apr 24, 2025

    Based on observation, interview, and record review conducted during the recertification and abbreviated (NY00371165 and NY00370838) survey from 4/21/2025 to 4/24/2025, the facility did not ensure a resident unable to carry out activities of daily living received the necessary services to maintain good personal hygiene. This was evident for 2 (Resident #6 and #28) of 3 residents reviewed for activities of daily living. Specifically, 1) Resident #6 reported long wait times to receive assistance with incontinence care and personal hygiene, and 2) Resident #28 was dependent on assistance for activities of daily living and had to wait 66 minutes on 2/1/2025 to receive incontinence care. […]

  • No harm, potential for more than minimal, isolatedF812Apr 24, 2025

    Based on observation and interview conducted during the recertification survey from 4/21/25-4/24/25, the facility did not ensure food was stored in accordance with professional standards for food service safety. Specifically, food items were not properly sealed and dated in the main kitchen walk in refrigerator, clean wet pots were stacked on a drying rack and dietary staff were observed without hair nets or beard covers while in the kitchen and while serving food in the dining room at the steam table. The findings include: The policy titled Hygiene Guidelines dated 6/1/2022 documented hair could be both a direct and indirect vehicle of contamination. A hair restraint keeps dislodged hair from ending up in the food. […]

  • No harm, potential for more than minimal, isolatedF880Apr 24, 2025

    Based on observation, record review, and interview conducted during a recertification survey from 4/21/2025 to 4/24/2025, the facility did not ensure infection control and prevention practices were maintained. Specifically, Licensed Practical Nurse #1 was observed administering medication to Residents #20 and #28 without performing hand hygiene during administration of eye drops and preparation of medications via gastrostomy tube. The findings include: The facility policy titled Medication Administration last reviewed on 11/2024 documented administer medications safely and appropriately by a licensed nurse to treat, prevent and alleviate symptoms of a disease. […]

Read 20 findings in full →The most serious and the most recent: 20 of 49 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 24, 2025Standard and complaint5 findings
  • Feb 28, 2020Standard5 findings
  • Apr 25, 2018Standard2 findings
  • Jan 17, 2017Standard4 findings
  • Mar 1, 2016Standard3 findings
  • Feb 11, 2015Standard1 finding
  • Feb 26, 2014—3 findings
  • Dec 31, 2012—4 findings
Show the 2 earlier surveys
  • Feb 22, 2012—13 findings
  • Mar 22, 2011—9 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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