State assisted-living licensing record · New York DOH · record as pulled October 1, 2026· Not the federal nursing home survey

The Pavilion at Pine Valley

661 North Main Street, Spring Valley, NY 10977 · Rockland County · 56 licensed beds

DOH profile ID 1255228 · licence 620-F-095 · certified, operating certificate in force · first licensed September 2016

The licence

Licensed by DOH · Adult Home · For profit · managed by Tppv, Llc

Certificate details, as listed by DOH
Certified as
Adult Home
Operating certificate
620-F-095
Assisted Living Program (ALP)
56 beds
Respite
5 beds
Opened
September 6, 2016
Ownership
LLC
DOH regional office
Metropolitan Area Regional Office - New York City
9
Citations on file
Since October 2022
4
DOH visits
1 routine inspection
3
Building-related
Physical plant · emergency

Position within New York

9 citations — more than 50% of the 528 licensed assisted living facilities in New York. Compared only within New York: a citation from DOH means what it means in New York, and there is no national assisted living record to compare to. Counted over 4 years, which holds two or three routine inspections. How this is calculated

Not in this record

Fire safety inspection, severity, the regulation text, and enforcement. Fire safety inspections under the state fire code are made by local code enforcement and are not part of DOH's record; what DOH itself cites about the building — its environmental standards and its disaster and emergency planning rules — is here. DOH assigns no severity to a violation and publishes no correction date, only whether the facility's plan of correction was approved, which is not carried here. Violations under dispute through DOH's Inspection Review Process are withheld from its page and so from this one. Civil penalties and other enforcement are published separately and not republished, and an operator that is an individual is not named.

Get an email about The Pavilion at Pine Valley

One email when it happens, from the DOH record as it is pulled each month. No account; stop it any time with one click.

Which alerts

This is the state licensing record, not the federal nursing home survey. Your address is used for these alerts and nothing else.

Building-related citations

The citations about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.

How that compares

Citations on file over 4 years

Compared with the median licensed assisted living facility in New York. Within-state only.

This facility9New York median8
Citations on file over 4 years, compared
MeasureCitations
This facility9
Median facility in New York8

Visit history

Citations at each DOH visit
02023-0402024-0412025-0382025-06
Citations at each DOH visit
VisitTypeCitations
April 26, 2023complaint investigation0
April 24, 2024complaint investigation0
March 25, 2025complaint investigation1
June 23, 2025relicensure inspection, complaint investigation8

What the citations cover

Citations by category (TagProof's grouping)
  • Physical plant 3
  • Food service 3
  • Resident care 1
  • Records and administration 1
  • Other 1
Citations by category
CategoryCitations
Physical plant3
Food service3
Resident care1
Records and administration1
Staffing and training1

Every visit on file since October 2022

As published by DOH, newest first, including visits that cited nothing. The wording is DOH’s own.

June 23, 2025 — relicensure inspection, complaint investigation, 8 citations

Citations from the relicensure inspection, complaint investigation on June 23, 2025
TagWhat DOH checks
10NYCRR-402.9Responsibilities of providers; required notifications
18NYCRR-487.11Environmental standards
18NYCRR-487.11Environmental standards
18NYCRR-487.3General provisions
18NYCRR-487.6Resident funds and valuables
18NYCRR-487.8Food service
18NYCRR-487.8Food service
18NYCRR-487.8Food service

March 25, 2025 — complaint investigation, 1 citation

Citations from the complaint investigation on March 25, 2025
TagWhat DOH checks
18NYCRR-487.11Environmental standards

April 24, 2024 — complaint investigation, nothing cited

April 26, 2023 — complaint investigation, nothing cited

DOH also holds 1 older citation for this facility from before October 2022, outside the 4-year window these pages use. They are on the state’s own record.

Reflects the DOH record as pulled October 1, 2026. A recent visit may not appear yet. This is the New York state licensing record; it is not the federal nursing home survey and the two are never combined.