Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Bethel Nursing Home Company Inc
Ossining, NY · 43 certified beds · Last Life Safety survey June 18, 2026
CMS Certification Number 335490 · first certified April 1976
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.
Position within NY
12 citations — more than 38% of the 592 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 1 citation; the earlier surveys on file averaged 5.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens December 2027 — about 13 months from now. This facility’s last Life Safety survey was June 2026. Facilities in NY are typically surveyed 18–25 months after the last one (median 21), measured over 520 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 about three years in Virginia. How the window is measured
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Emergency preparedness
5 of the 12 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)
5 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 12 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 | 12 |
| Median facility in NY | 14 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| August 8, 2023 | 4 |
| March 21, 2025 | 7 |
| June 18, 2026 | 1 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 1 | 2025-03-21 |
| K-0351 | Install an approved automatic sprinkler system. | 1 | 2023-08-08 |
| K-0311 | Have an enclosure around a vertical opening shaft. | 1 | 2023-08-08 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2025-03-21 |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 1 | 2023-08-08 |
| E-0024 | Establish policies and procedures for volunteers. | 1 | 2025-03-21 |
| E-0015 | Address subsistence needs for staff and patients. | 1 | 2023-08-08 |
| 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 | 2025-03-21 |
What the citations cover
- Emergency Preparedness Deficiencies 5
- Smoke Deficiencies 4
- Services Deficiencies 1
- Miscellaneous Deficiencies 1
- Other 1
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 5 |
| Smoke Deficiencies | 4 |
| Services Deficiencies | 1 |
| Miscellaneous Deficiencies | 1 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
June 18, 2026 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0039 | Conduct testing and exercise requirements. | Deficient, Provider has date of correction (August 14, 2026) |
March 21, 2025 — 7 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0024 | Establish policies and procedures for volunteers. | Deficient, Provider has date of correction (May 24, 2025) |
| E-0035 | Provide family notifications of emergency plan. | Deficient, Provider has date of correction (May 24, 2025) |
| E-0037 | Establish staff and initial training requirements. | Deficient, Provider has date of correction (May 24, 2025) |
| 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 (May 24, 2025) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (May 24, 2025) |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Deficient, Provider has date of correction (May 24, 2025) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (May 24, 2025) |
August 8, 2023 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (November 10, 2023) |
| K-0311 | Have an enclosure around a vertical opening shaft. | Deficient, Provider has date of correction (November 10, 2023) |
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (November 10, 2023) |
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (November 10, 2023) |
Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.