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

Excel At Woodbury for Rehabilitation and Nursing,

Woodbury, NY · 123 certified beds · Last Life Safety survey July 22, 2025

CMS Certification Number 335231 · first certified April 1968

Ownership

Operated by PARAGON HEALTHNET · For profit - Limited Liability company

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

10
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within NY

10 citations — more than 29% 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

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 1 citation; 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 opens January 2027 — about 4 months from now. This facility’s last Life Safety survey was July 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

Emergency preparedness

2 of the 10 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 10 Life Safety citations above. The Physical Environment Index

  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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 facility10NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility10
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
82022-0912024-0412025-07
Citations at each Life Safety survey
Survey dateCitations
September 22, 20228
April 23, 20241
July 22, 20251

Most-cited tags

Most-cited tags at this facility
K-03241K-09231K-03531K-03741K-03211K-09151K-09181E-00151
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0324Provide properly protected cooking facilities.12024-04-23
K-0923Have proper medical gas storage and administration areas.12022-09-22
K-0353Inspect, test, and maintain automatic sprinkler systems.12022-09-22
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12025-07-22
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12022-09-22
K-0915Have proper power supply for life support equipment.12022-09-22
K-0918Have generator or other power source capable of supplying service within 10 seconds.12022-09-22
E-0015Address subsistence needs for staff and patients.12022-09-22

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Emergency Preparedness Deficiencies 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies3
Emergency Preparedness Deficiencies2

Every citation on file

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

July 22, 2025 — 1 citation

Citations issued on July 22, 2025
TagWhat the surveyor checksStatus
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (September 10, 2025)

April 23, 2024 — 1 citation

Citations issued on April 23, 2024
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 21, 2024)

September 22, 2022 — 8 citations

Citations issued on September 22, 2022
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (October 20, 2022)
E-0029Develop a communication plan.Deficient, Provider has date of correction (September 23, 2022)
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 (September 23, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 23, 2022)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (September 23, 2022)
K-0915Have proper power supply for life support equipment.Deficient, Provider has date of correction (November 17, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 23, 2022)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (September 23, 2022)

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