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

THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER

SUFFERN, NY · 203 certified beds · Last Life Safety survey March 13, 2026

CMS Certification Number 335148 · first certified January 1967

Ownership

Operated by CARERITE CENTERS · For profit - Corporation

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

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

25 citations — more than 85% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 8 citations; the earlier surveys in the window averaged 8.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens September 2027 — about 11 months from now. This facility’s last Life Safety survey was March 2026. 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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4 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 25 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)

4 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 25 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-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.

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	25
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
April 18, 2019	7
November 17, 2023	10
March 13, 2026	8

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-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2026-03-13
K-0324	Provide properly protected cooking facilities.	2	2026-03-13
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.	2	2023-11-17
K-0271	Have exits that are accessible at all times.	2	2026-03-13
K-0281	Install proper backup exit lighting.	2	2026-03-13
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	2	2026-03-13
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	2	2026-03-13
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	2	2026-03-13

What the citations cover

Citations by CMS category

Smoke Deficiencies 10
Egress Deficiencies 9
Miscellaneous Deficiencies 2
Emergency Preparedness Deficiencies 2
Other 2

Citations by CMS category
Category	Citations
Smoke Deficiencies	10
Egress Deficiencies	9
Miscellaneous Deficiencies	2
Emergency Preparedness Deficiencies	2
Gas, Vacuum, and Electrical Systems Deficiencies	2

Every citation on file

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

March 13, 2026 — 8 citations

Citations issued on March 13, 2026
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 (April 24, 2026)
K-0271	Have exits that are accessible at all times.	Deficient, Provider has date of correction (April 24, 2026)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (April 24, 2026)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (April 24, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (April 24, 2026)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (April 24, 2026)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (April 24, 2026)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (April 24, 2026)

November 17, 2023 — 10 citations

Citations issued on November 17, 2023
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 (December 28, 2023)
K-0271	Have exits that are accessible at all times.	Deficient, Provider has date of correction (December 28, 2023)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (December 28, 2023)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (December 28, 2023)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (December 28, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (December 28, 2023)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (December 28, 2023)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (December 28, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (December 28, 2023)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (December 28, 2023)

April 18, 2019 — 7 citations

Citations issued on April 18, 2019
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (May 31, 2019)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (May 31, 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 (May 31, 2019)
K-0225	Have stairways and smokeproof enclosures used as exits that meet safety requirements.	Deficient, Provider has date of correction (May 31, 2019)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (May 31, 2019)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (May 31, 2019)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (May 31, 2019)

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