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

ROBINSON TERRACE

STAMFORD, NY · 120 certified beds · Last Life Safety survey March 2, 2023

CMS Certification Number 335236 · first certified November 1967

Ownership

Operated by UPSTATE SERVICES GROUP · 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
5
Tags cited more than once
Across separate surveys
11
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 8 citations; the earlier surveys in the window averaged 6.5. 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 (August 2024 to April 2025), and past the point by which nine in ten NY facilities have been surveyed. This facility’s last Life Safety survey was March 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

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Which alerts

3 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 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)

1 physical-environment citation 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-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.

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
82019-0152020-1082023-03
Citations at each Life Safety survey
Survey dateCitations
January 14, 20198
October 20, 20205
March 2, 20238

Most-cited tags

Most-cited tags at this facility
K-09182K-03722K-05312K-09212K-03532K-05111K-03241K-03411
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.22023-03-02
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.22023-03-02
K-0531Have elevators that firefighters can control in the event of a fire.22023-03-02
K-0921Ensure that testing and maintenance of electrical equipment is performed.22023-03-02
K-0353Inspect, test, and maintain automatic sprinkler systems.22023-03-02
K-0511Have properly installed electrical wiring and gas equipment.12019-01-14
K-0324Provide properly protected cooking facilities.12023-03-02
K-0341Install a fire alarm system that can be heard throughout the facility.12023-03-02

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Services Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Gas, Vacuum, and Electrical Systems Deficiencies4
Services Deficiencies3
Miscellaneous Deficiencies2
Emergency Preparedness Deficiencies2

Every citation on file

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

March 2, 2023 — 8 citations

Citations issued on March 2, 2023
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 1, 2023)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (May 1, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 1, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (May 1, 2023)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (May 10, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 1, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 1, 2023)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (May 1, 2023)

October 20, 2020 — 5 citations

Citations issued on October 20, 2020
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (November 20, 2020)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 20, 2020)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (November 20, 2020)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (November 20, 2020)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (November 20, 2020)

January 14, 2019 — 8 citations

Citations issued on January 14, 2019
TagWhat the surveyor checksStatus
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (February 22, 2019)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (February 22, 2019)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (February 19, 2019)
K-0321Ensure 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 (February 22, 2019)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (April 1, 2019)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (March 12, 2019)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (March 12, 2019)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 22, 2019)

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