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

PINE HAVEN HOME

PHILMONT, NY · 128 certified beds · Last Life Safety survey April 1, 2025

CMS Certification Number 335632 · first certified February 1979

Ownership

Operated by JONATHAN BLEIER · For profit - Corporation

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

21
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within NY

21 citations — more than 75% 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 12 citations; the earlier surveys in the window averaged 4.5. 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: September 2026 to May 2027. 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

6 of the 21 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)

2 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 21 Life Safety citations above. The Physical Environment Index

  • 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.

This facility21NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility21
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
62019-1032022-03122025-04
Citations at each Life Safety survey
Survey dateCitations
October 22, 20196
March 30, 20223
April 1, 202512

Most-cited tags

Most-cited tags at this facility
K-02712E-00372K-05112K-03721K-09181K-09261K-03451K-07611
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0271Have exits that are accessible at all times.22025-04-01
E-0037Establish staff and initial training requirements.22025-04-01
K-0511Have properly installed electrical wiring and gas equipment.22022-03-30
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12022-03-30
K-0918Have generator or other power source capable of supplying service within 10 seconds.12019-10-22
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.12019-10-22
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12025-04-01
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12025-04-01

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 6
  • Egress Deficiencies 5
  • Services Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Other 4
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies6
Egress Deficiencies5
Services Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies3
Smoke Deficiencies3
Miscellaneous Deficiencies1

Every citation on file

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

April 1, 2025 — 12 citations

Citations issued on April 1, 2025
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (June 11, 2025)
E-0007Address patient/client population and determine types of services needed.Deficient, Provider has date of correction (June 10, 2025)
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (May 27, 2025)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (June 10, 2025)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (May 27, 2025)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (June 2, 2025)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (June 2, 2025)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (June 2, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 2, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 2, 2025)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (June 2, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (June 6, 2025)

March 30, 2022 — 3 citations

Citations issued on March 30, 2022
TagWhat the surveyor checksStatus
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (May 27, 2022)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (May 27, 2022)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (May 27, 2022)

October 22, 2019 — 6 citations

Citations issued on October 22, 2019
TagWhat the surveyor checksStatus
E-0023Establish policies and procedures for medical documentation.Deficient, Provider has date of correction (December 13, 2019)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (December 13, 2019)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (December 13, 2019)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (January 13, 2020)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 13, 2019)
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.Deficient, Provider has date of correction (December 13, 2019)

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