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

Woodland Pond At New Paltz

New Paltz, NY · 40 certified beds · Last Life Safety survey April 24, 2025

CMS Certification Number 335858 · first certified March 2010

Ownership

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

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

8
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within NY

8 citations — more than 20% 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

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

The latest survey found 2 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens October 2026 — about 1 month from now. This facility’s last Life Safety survey was April 2025. 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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Which alerts

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

1 of the 8 citations on file is 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 8 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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.

This facility8NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility8
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
32020-0232023-0322025-04
Citations at each Life Safety survey
Survey dateCitations
February 28, 20203
March 3, 20233
April 24, 20252

Most-cited tags

Most-cited tags at this facility
K-09182K-05211K-03241E-00391K-09211K-03531K-09231
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.22023-03-03
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12025-04-24
K-0324Provide properly protected cooking facilities.12023-03-03
E-0039Conduct testing and exercise requirements.12020-02-28
K-0921Ensure that testing and maintenance of electrical equipment is performed.12020-02-28
K-0353Inspect, test, and maintain automatic sprinkler systems.12023-03-03
K-0923Have proper medical gas storage and administration areas.12025-04-24

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Smoke Deficiencies 2
  • Services Deficiencies 1
  • Emergency Preparedness Deficiencies 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies4
Smoke Deficiencies2
Services Deficiencies1
Emergency Preparedness Deficiencies1

Every citation on file

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

April 24, 2025 — 2 citations

Citations issued on April 24, 2025
TagWhat the surveyor checksStatus
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (May 30, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (May 30, 2025)

March 3, 2023 — 3 citations

Citations issued on March 3, 2023
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (January 13, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 13, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 13, 2023)

February 28, 2020 — 3 citations

Citations issued on February 28, 2020
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (December 19, 2020)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 19, 2020)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (December 19, 2020)

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