Show Inspection Reports
Total health inspections
5
State average N/A
Last Health inspection on Dec 2024
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Assisted Living in USA
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Capstone Center for Rehabilitation and Nursing
Assisted Living in USA
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Capstone Center for Rehabilitation and Nursing
Capstone Center for Rehabilitation and Nursing offers comprehensive long-term and short-term nursing home care, including skilled nursing, sub-acute care, and rehabilitation programs. The facility prioritizes comfort and exceptional service, with dedicated staff ensuring residents feel at ease and well-attended throughout their stay. It aims to create a home-like environment for residents while providing the highest quality of individualized care.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
94.9%
Residents per day (avg)
117
Occupancy rate
94.9%
Residents per day (avg)
117
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
24% of new residents, usually for short-term rehab.
Typical stay
23 days
Private pay
56% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
20% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$20.9M
Operating loss
-$1.6M
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$20.9M
Operating loss
-$1.6M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$18.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$22.6M
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Facility TypeNursing Home
StatusActive
CountyMontgomery
License Number2850301N
CMS Certification Number335543
Inspection Rating2 star rated facility overall with CMS, including 1 star for health inspections, 3 stars for staffing and 5 stars for quality measures.
Owner NameCSRNC, LLC (For Profit)
Safety FeaturesElectronic Security System
Rehabilitation Services
Nursing Services
Skilled Nursing
Religious ServicesYes
Food DescriptionRestaurant Style Dining and Therapeutic Diets with a 'Resident Approved' menu.
Meals IncludedYes
Special DietsYes
Inspection History
In New York, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.
4 inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
4 with citations, 0 without citations
New York average: 9 inspections (5 with citations)
88 complaints
73.3 complaints per 100 occupied beds
New York average: 49.9 complaints per 100 occupied beds
Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.
New York average: 79 complaints
Latest inspection
Date
December 10, 2024
Complaint Investigation32 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
New York average: 29 citations
34 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
New York average: 22 deficiencies
4
enforcement actions
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
October 10, 2024: Stipulation & Order #: NH-25-040
A formal agreement with the state to correct serious or repeated issues.
January 21, 2022: Stipulation & Order #: NH-22-068
A formal agreement with the state to correct serious or repeated issues.
February 24, 2021: Stipulation & Order #: NH-21-184
A formal agreement with the state to correct serious or repeated issues.
December 29, 2020: Stipulation & Order #: NH-21-186
A formal agreement with the state to correct serious or repeated issues.
Inspection Report Summary for Capstone Center for Rehabilitation and Nursing
The most recent inspection on December 10, 2024, identified multiple health and life safety deficiencies, many of which were corrected by January 29, 2025. Earlier inspections showed a pattern of similar issues related to nursing staff sufficiency, resident care including activities of daily living, medication management, and maintaining a safe environment. Complaint investigations did not result in any substantiated cases or enforcement actions, and fines or license suspensions were not listed in the available reports. Prior reports noted deficiencies in infection control, psychotropic medication use, and facility maintenance, with many issues corrected within a few months. The facility’s record shows recurring citations in care and staffing areas, with some improvement as many deficiencies were addressed promptly after inspections.
Health Inspection History
Inspections
Total health citations
30
State average N/A
Citations per inspection
6
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
20 of 30 citations resulted from standard inspections; 4 of 30 resulted from complaint investigations; and 6 of 30 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
In line with State averageState average: N/A
Serious Health citations
1
1
In line with State averageState average: N/A
0 critical citations
1 serious citation
29 moderate citations
0 minor citations
Citations history (last 3 years)
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Dec 10, 2024
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Dec 10, 2024
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Dec 10, 2024
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Dec 10, 2024
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Dec 10, 2024
Issues related to the availability and quality of nursing staff and the care they provide.
Dec 10, 2024
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Dec 10, 2024
Issues related to the availability and quality of nursing staff and the care they provide.
Dec 10, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Assisted Living around Usa The information below is reported by the New York State Department of Health.
Filter by care type
| Capstone Center for Rehabilitation and Nursing |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Amsterdam | 120 | No | - | - | - |
| Job Haines Home |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Bloomfield | 40 | No | - | 85 | Studio / 1 Bed / Private / Semi-Private Rooms |
| Village Care Homes Assisted Living – Stephen F Austin |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Conroe | 16 | No | - | 27 | Private / Semi-Private Suite |
| Countryside Manor Assisted Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Conroe | 12 | No | - | 8 | - |
| Anton’s Assisted Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Boerne | 10 | No | - | - | - |
Places of interest near Capstone Center for Rehabilitation and Nursing
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
140
Employees
106
Contractors
34
Staff to resident ratio
1.19:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
53
Average shift
8.3 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
39,929
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
49
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
61
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
9%
3,598 contractor hours this quarter
Licensed Practical Nurse: 34
Staff by category
| Certified Nursing Assistant | 61 | 0 | 61 | 21,115 | 91 | 100% | 8.3 |
| Licensed Practical Nurse | 15 | 34 | 49 | 7,969 | 91 | 100% | 8.5 |
| Registered Nurse | 8 | 0 | 8 | 2,949 | 89 | 98% | 8.3 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,886 | 70 | 77% | 8.4 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,364 | 91 | 100% | 7.2 |
| Mental Health Service Worker | 2 | 0 | 2 | 945 | 64 | 70% | 7.7 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 755 | 67 | 74% | 7.5 |
| Physical Therapy Aide | 3 | 0 | 3 | 585 | 61 | 67% | 7.5 |
| Physical Therapy Assistant | 2 | 0 | 2 | 523 | 66 | 73% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 500 | 63 | 69% | 7.9 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Dietitian | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Qualified Social Worker | 1 | 0 | 1 | 356 | 60 | 66% | 5.9 |
61 Certified Nursing Assistant
% of Days
100%
49 Licensed Practical Nurse
% of Days
100%
8 Registered Nurse
% of Days
98%
4 Clinical Nurse Specialist
% of Days
77%
3 Other Dietary Services Staff
% of Days
100%
2 Mental Health Service Worker
% of Days
70%
4 Respiratory Therapy Technician
% of Days
74%
3 Physical Therapy Aide
% of Days
67%
2 Physical Therapy Assistant
% of Days
73%
1 Nurse Practitioner
% of Days
69%
1 Administrator
% of Days
68%
1 Dietitian
% of Days
67%
1 Qualified Social Worker
% of Days
66%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
118
Medicare
5
4.2% of residents
Medicaid
93
78.8% of residents
Private pay or other
20
16.9% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.6
32% better than State averageState average: 9.8
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.4
21% better than State averageState average: 18.1
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
10.5%
Percent of long-stay residents whose need for help with daily activities has increased
10.5%
36% better than State averageState average: 16.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
7.6%
Percent of long-stay residents whose ability to move independently worsened
7.6%
54% better than State averageState average: 16.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.0%
17% worse than State averageState average: 21.4%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
Percent of long-stay residents experiencing one or more falls with major injury
2.6%
12% better than State averageState average: 3.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
8.9%
Percent of long-stay high risk residents with pressure ulcers
8.9%
25% worse than State averageState average: 7.2%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than State averageState average: 1.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.4%
Percent of long-stay residents who lose too much weight
3.4%
44% better than State averageState average: 6.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.5%
Percent of long-stay residents who have depressive symptoms
1.5%
92% better than State averageState average: 18.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
11.0%
Percent of long-stay residents who received an antipsychotic medication
11.0%
13% better than State averageState average: 12.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
89.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
89.5%
In line with State averageState average: 91.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
In line with State averageState average: 95.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.5%
8% worse than State averageState average: 76.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
54% better than State averageState average: 1.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.7%
14% better than State averageState average: 78.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$48K
28% lower than State averageState average: $66K
Number of fines
1
51% fewer fines than State averageState average: 2.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than State averageState average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$48K
State average
$66K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 10, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 10, 2024
$48K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Capstone Center for Rehabilitation and Nursing based on CMS SNF Cost Reports.
Occupancy Rate
94.9%
↑ 1.5pp vs 2022
Net Income
-$1.6M
↓ ~$1.2M vs 2022
Total Payroll
$6.2M
↑ ~$460.1K vs 2022
Profit Margin
-7.9%
↓ 5.8pp vs 2022
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