Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
New York State Veterans Home At Montrose
Montrose, NY · 252 certified beds · Last Life Safety survey July 27, 2023
CMS Certification Number 335832 · first certified October 2001
Ownership
Operated by STATE OF NEW YORK COMPTROLLER'S OFFICE · Government - State
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within NY
15 citations — more than 56% 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
The latest survey found 5 citations; the earlier surveys in the window averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Well past the typical window (January 2025 to September 2025), and past the point by which nine in ten NY facilities have been surveyed. This facility’s last Life Safety survey was July 2023. 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
Get an email about New York State Veterans Home At Montrose
One email when it happens. No account; stop it any time with one click.
1 inspection-and-testing tag has 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
3 of the 15 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 15 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in NY, and nationally. Surveyors differ markedly between states, so the NY figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 15 |
| Median facility in NY | 13 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| July 13, 2018 | 6 |
| June 22, 2019 | 4 |
| July 27, 2023 | 5 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0281 | Install proper backup exit lighting. | 2 | 2023-07-27 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 2 | 2019-06-22 |
| K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | 1 | 2019-06-22 |
| K-0363 | Install corridor and hallway doors that block smoke. | 1 | 2019-06-22 |
| K-0351 | Install an approved automatic sprinkler system. | 1 | 2018-07-13 |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 1 | 2023-07-27 |
| E-0039 | Conduct testing and exercise requirements. | 1 | 2018-07-13 |
| K-0915 | Have proper power supply for life support equipment. | 1 | 2019-06-22 |
What the citations cover
- Gas, Vacuum, and Electrical Systems Deficiencies 4
- Smoke Deficiencies 4
- Emergency Preparedness Deficiencies 3
- Egress Deficiencies 3
- Other 1
| Category | Citations |
|---|---|
| Gas, Vacuum, and Electrical Systems Deficiencies | 4 |
| Smoke Deficiencies | 4 |
| Emergency Preparedness Deficiencies | 3 |
| Egress Deficiencies | 3 |
| Miscellaneous Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
July 27, 2023 — 5 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0029 | Develop a communication plan. | Deficient, Provider has date of correction (September 22, 2023) |
| K-0281 | Install proper backup exit lighting. | Deficient, Provider has date of correction (October 13, 2023) |
| 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 (September 19, 2023) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (September 22, 2023) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has date of correction (September 20, 2023) |
June 22, 2019 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0363 | Install corridor and hallway doors that block smoke. | Deficient, Provider has date of correction (August 18, 2019) |
| K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | Deficient, Provider has date of correction (August 18, 2019) |
| K-0915 | Have proper power supply for life support equipment. | Deficient, Provider has date of correction (August 18, 2019) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (August 18, 2019) |
July 13, 2018 — 6 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (September 14, 2018) |
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (September 14, 2018) |
| K-0271 | Have exits that are accessible at all times. | Deficient, Provider has date of correction (September 14, 2018) |
| K-0281 | Install proper backup exit lighting. | Deficient, Provider has date of correction (September 14, 2018) |
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (September 14, 2018) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (September 14, 2018) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.