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

Northern Metropolitan Res Health Care Facility Inc

Monsey, NY · 120 certified beds · Last Life Safety survey July 30, 2024

CMS Certification Number 335380 · first certified January 1973

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

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

36 citations — more than 95% 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

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 21 citations; the earlier surveys in the window averaged 7.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (January 2026 to September 2026). Most NY facilities have been surveyed by February 2027. This facility’s last Life Safety survey was July 2024. 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

4 of the 36 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)

3 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 36 Life Safety citations above. The Physical Environment Index

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-0880 Provide and implement an infection prevention and control program.

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	36
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
October 18, 2018	6
November 22, 2021	9
July 30, 2024	21

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-0351	Install an approved automatic sprinkler system.	3	2024-07-30
K-0920	Ensure proper usage of power strips and extension cords.	2	2024-07-30
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	2	2024-07-30
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	2	2024-07-30
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	2	2024-07-30
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	2	2024-07-30
K-0281	Install proper backup exit lighting.	2	2024-07-30
K-0712	Have simulated fire drills held at unexpected times.	2	2024-07-30

What the citations cover

Citations by CMS category

Egress Deficiencies 11
Smoke Deficiencies 9
Gas, Vacuum, and Electrical Systems Deficiencies 8
Emergency Preparedness Deficiencies 4
Other 4

Citations by CMS category
Category	Citations
Egress Deficiencies	11
Smoke Deficiencies	9
Gas, Vacuum, and Electrical Systems Deficiencies	8
Emergency Preparedness Deficiencies	4
Miscellaneous Deficiencies	4

Every citation on file

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

July 30, 2024 — 21 citations

Citations issued on July 30, 2024
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (August 23, 2024)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (August 23, 2024)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (August 23, 2024)
K-0224	Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion.	Deficient, Provider has date of correction (August 23, 2024)
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	Deficient, Provider has date of correction (August 23, 2024)
K-0232	Have corridors or aisles that are unobstructed and are at least 8 feet in width.	Deficient, Provider has date of correction (August 23, 2024)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (August 23, 2024)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (August 23, 2024)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (August 23, 2024)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (August 23, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (August 23, 2024)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (August 23, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (August 23, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (August 23, 2024)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (August 23, 2024)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (August 23, 2024)
K-0911	Meet requirements for the installation and maintenance of electrical systems.	Deficient, Provider has date of correction (August 23, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (September 4, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (September 5, 2024)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (August 23, 2024)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (August 23, 2024)

November 22, 2021 — 9 citations

Citations issued on November 22, 2021
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (January 25, 2022)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (January 25, 2022)
K-0271	Have exits that are accessible at all times.	Deficient, Provider has date of correction (January 25, 2022)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (January 25, 2022)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (January 25, 2022)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (January 25, 2022)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (January 25, 2022)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (January 25, 2022)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (January 25, 2022)

October 18, 2018 — 6 citations

Citations issued on October 18, 2018
Tag	What the surveyor checks	Status
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (December 5, 2018)
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	Deficient, Provider has date of correction (December 5, 2018)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (December 5, 2018)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (December 5, 2018)
K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel.	Deficient, Provider has date of correction (December 5, 2018)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (December 5, 2018)

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