Citations Summary
Jun 2022 – May 202611 Inspections Conducted
3
No citations found
27% of all inspections
8
Resulted in citations
73% of all inspections
81 Total Citations — state avg: 41
Issued across those 8 inspections
49Standard Health
32Life Safety Code
Severity of Citations
How serious were those 81 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 11 inspections in the current reporting window, 3 found no citations at all; inspectors issued 81 citations in total.
- Of those, 49 were standard health citations (quality of care) and 32 were related to the Life Safety Code (fire protection).
- The state logged 97 complaints about this facility; 11 led to on-site inspections.
- The state has 2 formal enforcement actions (fines or stipulations) on record.
A citation is a rule violation noted by a state inspector. Most are corrected through a plan of correction; the sections below show each citation, its severity, and how the facility compares with the statewide average.
Provider Information
Type
Nursing Home
Operating Certificate
4350306N
County
Rockland
Phone
(845) 268-6861
Operated By
Nyack Operating, LLC (For Profit)
DOH Regional Office
Hudson Valley
Occupancy Rate
91%
Staff Flu Vaccination
79%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
▼
Standard Health Citations
Antibiotic Stewardship Program
Standard Health Citation — quality of care
Criminal History Record Check Process
Standard Health Citation — quality of care
Discharge Summary
Standard Health Citation — quality of care
Encoding/transmitting Resident Assessments
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Grievances
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Maintains Effective Pest Control Program
Standard Health Citation — quality of care
Medicaid/medicare Coverage/liability Notice
Standard Health Citation — quality of care
Nurse Aide Peform Review-12 Hr/yr In-service
Standard Health Citation — quality of care
Nutrition/hydration Status Maintenance
Standard Health Citation — quality of care
Pasarr Screening For Md & Id
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Respiratory/tracheostomy Care And Suctioning
Standard Health Citation — quality of care
Right To Be Free From Physical Restraints
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Treatment/service For Dementia
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation — NFPA requirements
Means Of Egress - General
Life Safety Code Citation — NFPA requirements
Sprinkler System - Installation
Life Safety Code Citation — NFPA requirements
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Stairways And Smokeproof Enclosures
Life Safety Code Citation — NFPA requirements
Standards Of Construction For New Existing Nh
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Reporting Of Alleged Violations
Standard Health Citation — quality of care
Resident Records - Identifiable Information
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Discharge Summary
Standard Health Citation — quality of care
Entering Into Binding Arbitration Agreements
Standard Health Citation — quality of care
Facility Assessment
Standard Health Citation — quality of care
Free From Unnec Psychotropic Meds/prn Use
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Infection Preventionist Qualifications/role
Standard Health Citation — quality of care
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Menus Meet Resident Nds/prep In Adv/followed
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Resident Rights/exercise Of Rights
Standard Health Citation — quality of care
Treatment/srvcs Mental/psychoscial Concerns
Standard Health Citation — quality of care
Life Safety Code Citations
Develop Ep Plan, Review And Update Annually
Life Safety Code Citation — NFPA requirements
Electrical Systems - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
Electrical Systems - Other
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Hazardous Areas - Enclosure
Life Safety Code Citation — NFPA requirements
Ramps And Other Exits
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Bowel/bladder Incontinence, Catheter, Uti
Standard Health Citation — quality of care
Nurse Aide Registry Verification, Retraining
Standard Health Citation — quality of care
Posted Nurse Staffing Information
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
▼
Standard Health Citations
Notify Of Changes (injury/decline/room, Etc. )
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Severity Scale Reference
Level 0 — No Harm Potential
Level 2 — Minor Potential Harm
Level 3 — Actual Harm
Level 4 — Immediate Jeopardy
Complaints
Jun 2022 – May 2026Above state average. This facility received 65.4 complaints per 100 beds vs. a statewide rate of 57.4. 20 citations resulted from those complaints (13.5 per 100 beds vs. 5.3 statewide).
Total Complaints
97
55,669 statewide
Per 100 Occupied Beds
65.4
57.4 state avg
On-Site Inspections
11
7,566 statewide
Citations Issued
20
13.5 per 100 beds · avg 5.3
Facility-Reported Incidents
65%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 2 |
| Other Services | 2 |
| Physical Environment | 2 |
| Quality of Care | 6 |
| Resident Rights | 5 |
| Total | 18 |
Enforcement & Fines
Jun 2016 – May 20262 enforcement actions totaling $12,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
November 4, 2025
$2,000
Stipulation & Order #NH-26-026 · Signed March 17, 2026
Reason: Physical Environment
Reason: Physical Environment
September 25, 2023
$10,000
Stipulation & Order #NH-24-009 · Signed January 12, 2024
Reason: Quality of Care
Reason: Quality of Care