ROSEWOOD HEIGHTS HEALTH CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Rosewood Heights Health Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

ROSEWOOD HEIGHTS HEALTH CENTER
614 SOUTH CROUSE AVENUE
SYRACUSE, NY 13210
(315) 474-4431

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

97%

Number of Residents and Certified Beds

  • Residents: 235
  • Certified Beds: 242

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Rosewood Heights Health Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 0-50.8%
Total Percent:0.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.9%
ADL Index Range: 0-58.6%
Total Percent:9.5%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1617.6%
ADL Index Range: 6-1011.9%
ADL Index Range: 0-530.4%
Total Percent:60.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-164.1%
ADL Index Range: 6-105.1%
ADL Index Range: 0-54.0%
Total Percent:13.2%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Isolation for active infectious disease
0.6%
Total Percent:0.6%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
0.8%
ADL Index Range: 2-5
- No Signs of depression
0.5%
Total Percent:1.3%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
3.1%
ADL Index Range: 11-14
- No Signs of depression
1.7%
ADL Index Range: 6-10
- Signs of depression
3.6%
ADL Index Range: 6-10
- No Signs of depression
2.3%
Total Percent:10.8%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
0.2%
ADL Index Range: 6-10
- Signs of depression
0.5%
ADL Index Range: 2-5
- No Signs of depression
0.4%
ADL Index Range: 0-1
- No Signs of depression
1.9%
Total Percent:2.9%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 0-1
- Less restorative nursing
0.4%
Total Percent:0.4%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
0.5%
ADL Index Range: 0-1
- Less restorative nursing
0.2%
Total Percent:0.6%
 

Rating Details For Rosewood Heights Health Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours18 Minutes1 Hour and 14 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours58 Minutes45 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 5 Minutes2 Hours and 25 Minutes
Total Licensed Nurse Hours1 Hour and 15 Minutes1 Hour and 59 Minutes
Total Nurse Hours3 Hours and 20 Minutes4 Hours and 24 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for New York are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityNew York Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination83%93%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season80%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%3%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder55%53%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores16%13%
Percent of Long-Stay Residents Who Are More Depressed or Anxious9%14%
Percent of Long-Stay Residents Who Were Physically Restrained2%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection8%8%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse11%13%
Percent of Long-Stay Residents Who Lose Too Much Weight12%8%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased12%14%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%4%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season80%87%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination67%87%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores12%15%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain18%16%
Percent of Short-Stay Residents Who Have Delirium1%2%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 01/14/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Inspection Date: 05/06/2009
  • Correction Date: 09/09/2009
1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator.
  • Inspection Date: 05/06/2009
  • Correction Date: 09/09/2009
Choose a Doctor to Be the Medical Director.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009
Keep Temperature Levels Comfortable and Safe.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009
Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/09/2010
  • Correction Date: 05/13/2010
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 01/14/2011
  • Correction Date: 03/25/2011
Keep Temperature Levels Comfortable and Safe.
  • Inspection Date: 01/14/2011
  • Correction Date: 03/25/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 01/14/2011
  • Correction Date: 03/25/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 01/14/2011
  • Correction Date: 03/25/2011

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009
Keep Each Resident Free from Drugs That Restrain Them, Unless Needed for Medical Treatment.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009
Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Inspection Date: 05/06/2009
  • Correction Date: 10/05/2009
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 03/09/2010
  • Correction Date: 05/13/2010
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 01/14/2011
  • Correction Date: 03/25/2011
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 01/14/2011
  • Correction Date: 03/25/2011

Nutrition and Dietary

1) Provide 3 Meals Daily at Regular Times; or 2) Serve Breakfast Within 14 Hours After Dinner; or 3) Offer a Snack at Bedtime Each Day.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 03/09/2010
  • Correction Date: 05/13/2010

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 03/09/2010
  • Correction Date: 05/13/2010
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 01/14/2011
  • Correction Date: 03/25/2011

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 05/06/2009
  • Correction Date: 09/09/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 05/06/2009
  • Correction Date: 09/09/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009
Give Proper Treatment to Residents with Feeding Tubes to Prevent Problems (Such As Aspiration Pneumonia, Diarrhea, Vomiting, Dehydration, Metabolic Abnormalities, Nasal-Pharyngeal Ulcers) and Help Restore Eating Skills, if Possible.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 03/09/2010
  • Correction Date: 05/13/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 03/09/2010
  • Correction Date: 05/13/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 03/09/2010
  • Correction Date: 05/13/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 03/09/2010
  • Correction Date: 05/13/2010
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting.
  • Inspection Date: 03/09/2010
  • Correction Date: 05/13/2010
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 03/09/2010
  • Correction Date: 05/13/2010
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 03/09/2010
  • Correction Date: 05/13/2010
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Inspection Date: 03/09/2010
  • Correction Date: 05/13/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 01/14/2011
  • Correction Date: 03/25/2011

Resident Assessment

Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 05/06/2009
  • Correction Date: 09/09/2009
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 03/09/2010
  • Correction Date: 05/13/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 03/09/2010
  • Correction Date: 05/13/2010
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 01/14/2011
  • Correction Date: 03/25/2011

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)03/09/2010$4,615
Civil Money Penalty (CMP)05/06/2009$5,749
Denial of Payment for New Admission (DPNA)05/06/2009-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Rosewood Heights Health Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Complaint Filed: 07/30/2009
  • Correction Date: 08/20/2009
1) Set Up a Group That is Legally Responsible for Writing and Setting Up Policies for Leading and Running the Nursing Home; or 2) Hire a Properly Licensed Administrator.
  • Complaint Filed: 07/30/2009
  • Correction Date: 08/20/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 08/15/2008
  • Correction Date: 12/02/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 10/16/2008
  • Correction Date: 12/11/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 07/30/2009
  • Correction Date: 08/20/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 02/25/2010
  • Correction Date: 03/15/2010

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 10/07/2009
  • Correction Date: 10/27/2009

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 12/08/2009
  • Correction Date: 01/27/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 10/16/2008
  • Correction Date: 12/11/2008
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 05/06/2009
  • Correction Date: 08/06/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 10/07/2009
  • Correction Date: 10/27/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 12/10/2009
  • Correction Date: 02/15/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 03/09/2010
  • Correction Date: 05/13/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 01/14/2011
  • Correction Date: 03/25/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Complaint Filed: 03/09/2010
  • Correction Date: 05/13/2010
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
  • Complaint Filed: 01/14/2011
  • Correction Date: 03/25/2011
Screen Residents when They Are First Admitted to Send Them to an Area with Special Care for People with Developmental Disabilities or Mental Illness, if Needed.
  • Complaint Filed: 01/14/2011
  • Correction Date: 03/25/2011

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Rosewood Heights Health Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 01/14/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/09/2010
  • Correction Date: 05/13/2010

Building Service Equipment

Restrictions on the Use of Portable Space Heaters.
  • Inspection Date: 03/09/2010
  • Correction Date: 05/13/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 05/06/2009
  • Correction Date: 08/06/2009
Source: Medicare Nursing Home Compare; New York State Department of Health - Retrieved 2011