01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-07-26 | 5 | 2024-07-26 | 6 |
| Cycle 2 | 2021-11-18 | 1 | 2021-11-18 | 2 |
| Cycle 3 | 2019-09-19 | 8 | 2019-09-19 | 6 |
CMS CCN 3353392026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Mountainside Residential Care Center
42158 State Highway 28 · Margaretville, NY 12455 · Delaware County
Certified beds82CMS provider file
Recent citation rows28current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
28 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-07-29 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-12-16 · complaint2024-07-29 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-12-16 · complaint2024-07-29 · HEALTHF0742Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Correction field: Deficient, Provider has date of correction · 2024-12-16 · complaint2024-07-26 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-12-202024-07-26 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2024-12-20 · complaint2024-07-26 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-12-20 · complaint2024-07-26 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Correction field: Deficient, Provider has date of correction · 2024-12-202024-07-26 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-12-202024-07-26 · FIREK0311Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2025-01-142024-07-26 · FIREK0324Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-01-142024-07-26 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-08-142024-07-26 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-09-082024-07-26 · FIREK0531Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have elevators that firefighters can control in the event of a fire.
Correction field: Waiver has been granted · 2024-11-142024-07-26 · FIREK0712Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2024-08-302021-11-18 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2022-01-242021-11-18 · FIREK0351Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2022-01-172021-11-18 · FIREK0353Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2022-01-172019-09-19 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2019-10-302019-09-19 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2019-10-302019-09-19 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2019-10-302019-09-19 · HEALTHF0813Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Correction field: Deficient, Provider has date of correction · 2019-10-302019-09-19 · HEALTHF0908Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2019-10-302019-09-19 · FIREK0311Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2019-11-182019-09-19 · FIREK0522Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have an externally vented heating system.
Correction field: Deficient, Provider has date of correction · 2019-11-1803 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-07-26 | Fine | $8,512 | 0 |
| 2024-07-26 | Payment Denial | $0 | 80 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- HEALTH ALLIANCEOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 03/11/2009
- ADAMS, EMILIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- ALLEN, CATHERINEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- BAKER, PATRICKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2024
- CIOFFI, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- DIFIGLIA, MARIOIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/11/2023
- FINCH, STEVEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- KURRA, SHANKARIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- MARGULIES, FREDRICIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/10/2012
- MARTIN, COLLEENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- MASON, DIANAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- MUNRO, DIANEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- RAMA, DAVEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- RIEDL, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- SCHWARTZ, ARNIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- SICKLER, CRAIGIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/11/2009
- SIEGEL, RICHARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- WEIR, PATRICKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/01/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.70per resident day
RN hours0.74per resident day
Weekend nurse hours3.51per resident day
Staff turnover90.8%CMS reported field
06 / LOCAL RECORDS
Open the New York ledger →Other published facilities nearby
No second facility in the same city met the directory rule.