Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

DELMAR CENTER FOR REHABILITATION AND NURSING

DELMAR, NY · 120 certified beds · Last Life Safety survey March 13, 2026

CMS Certification Number 335735 · first certified December 1991

Ownership

Operated by CENTERS HEALTH CARE · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within NY

27 citations — more than 87% of the 593 certified nursing homes in NY. Compared within NY rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 7 citations; the earlier surveys in the window averaged 6.7. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens September 2027 — about 11 months from now. This facility’s last Life Safety survey was March 2026. Facilities in NY are typically surveyed 18–25 months after the last one (median 22), measured over 523 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

5 of the 27 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

11 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 27 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

How that compares

Citations on file over three years

Compared with the median facility in NY, and nationally. Surveyors differ markedly between states, so the NY figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	27
Median facility in NY	13
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
February 3, 2023	3
November 15, 2023	1
January 23, 2025	16
March 13, 2026	7

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2026-03-13
E-0037	Establish staff and initial training requirements.	2	2025-01-23
K-0920	Ensure proper usage of power strips and extension cords.	2	2026-03-13
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	2	2025-01-23
E-0039	Conduct testing and exercise requirements.	2	2025-01-23
K-0363	Install corridor and hallway doors that block smoke.	2	2026-03-13
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	1	2025-01-23
K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel.	1	2025-01-23

What the citations cover

Citations by CMS category

Smoke Deficiencies 8
Gas, Vacuum, and Electrical Systems Deficiencies 5
Egress Deficiencies 5
Emergency Preparedness Deficiencies 5
Other 4

Citations by CMS category
Category	Citations
Smoke Deficiencies	8
Gas, Vacuum, and Electrical Systems Deficiencies	5
Egress Deficiencies	5
Emergency Preparedness Deficiencies	5
Miscellaneous Deficiencies	2
Services Deficiencies	1
Construction Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 13, 2026 — 7 citations

Citations issued on March 13, 2026
Tag	What the surveyor checks	Status
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (April 30, 2026)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (April 30, 2026)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (April 30, 2026)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (April 30, 2026)
K-0781	Have restrictions on the use of portable space heaters.	Deficient, Provider has date of correction (April 30, 2026)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (April 30, 2026)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (April 30, 2026)

January 23, 2025 — 16 citations

Citations issued on January 23, 2025
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (March 21, 2025)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (March 21, 2025)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (March 21, 2025)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (March 21, 2025)
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (March 21, 2025)
K-0226	Have horizontal exits used in accordance with safety requirements.	Deficient, Provider has date of correction (March 21, 2025)
K-0271	Have exits that are accessible at all times.	Deficient, Provider has date of correction (March 21, 2025)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (March 21, 2025)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (April 9, 2025)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (March 21, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 21, 2025)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (March 21, 2025)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (March 21, 2025)
K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel.	Deficient, Provider has date of correction (March 21, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (March 21, 2025)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (March 21, 2025)

November 15, 2023 — 1 citation

Citations issued on November 15, 2023
Tag	What the surveyor checks	Status
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Waiver has been granted

February 3, 2023 — 3 citations

Citations issued on February 3, 2023
Tag	What the surveyor checks	Status
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (March 29, 2023)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (March 28, 2023)
K-0131	Meet requirements for sections of health care facilities separated by fire resistive construction.	Deficient, Provider has date of correction (March 28, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.