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

THE EMERALD PEEK REHABILITATION AND NURSING CENTER

PEEKSKILL, NY · 100 certified beds · Last Life Safety survey November 8, 2024

CMS Certification Number 335003 · first certified January 1967

Ownership

Operated by CARERITE CENTERS · For profit - Corporation

Ownership changed April 1, 2016 (change of ownership)from WLOP LLC

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 14 citations; the earlier surveys in the window averaged 11. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: May 2026 to December 2026. This facility’s last Life Safety survey was November 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

Get an email about THE EMERALD PEEK REHABILITATION AND NURSING CENTER

One email when it happens. No account; stop it any time with one click.

5 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

2 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)

6 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.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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
January 18, 2019	9
December 22, 2021	13
November 8, 2024	14

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.	3	2024-11-08
K-0281	Install proper backup exit lighting.	3	2024-11-08
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	2	2024-11-08
K-0351	Install an approved automatic sprinkler system.	2	2024-11-08
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2024-11-08
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	2	2024-11-08
K-0712	Have simulated fire drills held at unexpected times.	2	2024-11-08
K-0541	Install properly constructed and protected linen or trash chutes.	2	2024-11-08

What the citations cover

Citations by CMS category

Smoke Deficiencies 12
Egress Deficiencies 9
Gas, Vacuum, and Electrical Systems Deficiencies 7
Miscellaneous Deficiencies 4
Other 4

Citations by CMS category
Category	Citations
Smoke Deficiencies	12
Egress Deficiencies	9
Gas, Vacuum, and Electrical Systems Deficiencies	7
Miscellaneous Deficiencies	4
Emergency Preparedness Deficiencies	2
Services Deficiencies	2

Every citation on file

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

November 8, 2024 — 14 citations

Citations issued on November 8, 2024
Tag	What the surveyor checks	Status
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	Deficient, Provider has date of correction (January 10, 2025)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (January 10, 2025)
K-0311	Have an enclosure around a vertical opening shaft.	Deficient, Provider has date of correction (January 10, 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 (January 10, 2025)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (January 10, 2025)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (January 15, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (January 10, 2025)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (January 10, 2025)
K-0541	Install properly constructed and protected linen or trash chutes.	Deficient, Provider has date of correction (January 10, 2025)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (January 10, 2025)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (January 10, 2025)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (January 10, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (January 10, 2025)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (January 10, 2025)

December 22, 2021 — 13 citations

Citations issued on December 22, 2021
Tag	What the surveyor checks	Status
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 (February 18, 2022)
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 (February 18, 2022)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (February 18, 2022)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (February 18, 2022)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (February 18, 2022)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (February 18, 2022)
K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.	Deficient, Provider has date of correction (February 18, 2022)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (February 18, 2022)
K-0541	Install properly constructed and protected linen or trash chutes.	Deficient, Provider has date of correction (February 18, 2022)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (February 18, 2022)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (February 18, 2022)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (February 18, 2022)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (February 18, 2022)

January 18, 2019 — 9 citations

Citations issued on January 18, 2019
Tag	What the surveyor checks	Status
E-0009	Include a process for Emergency Preparedness collaboration.	Deficient, Provider has date of correction (February 20, 2019)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (February 20, 2019)
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 (February 20, 2019)
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	Deficient, Provider has date of correction (February 20, 2019)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (February 20, 2019)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (February 20, 2019)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (February 20, 2019)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (February 20, 2019)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (February 20, 2019)

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