Show Inspection Reports
Total health inspections
3
State average N/A
Last Health inspection on Jul 2024
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Northern Metropolitan Residential Health Care Facility Inc
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.
Northern Metropolitan Residential Health Care Facility Inc
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.
Northern Metropolitan Residential Health Care Facility INC is located in Monsey, NY. It offers specialized programs including cardiac care, dementia care, long-term care, pain management, short-term rehab, stroke care, and wound care. The facility focuses on providing comprehensive nursing and rehabilitation services.
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.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 9m per day
vs avg
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
This home is often near full
That suggests steady demand, but availability may be limited.
Occupancy rate
95.8%
Avg. Length of Stay
154 days
Occupancy rate
95.8%
Avg. Length of Stay
154 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
45% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
36% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
19% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$22.7M
Profit
$1.0M
Privately-owned community
Operated by a business corporation.
Home revenue
$22.7M
Profit
$1.0M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.9M
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.
$13.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$21.7M
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
BBB Rating: C (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community
Facility TypeNursing Home
StatusActive
CountyRockland
License Number4353301N
CMS Certification Number335380
Owner NameNorthern Metropolitan Residential Health Care Facility Inc (Not for Profit)
Rehabilitation Services
Respite Care
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
5 Star Accommodations
Complimentary Bedside Phone
Complimentary Tv Service
Complimentary Wifi
Specific ProgramsCardiac Care, Dementia Care, Long-Term Care, Pain Management, Short-Term Rehab, Stroke Care, Wound Care
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.
2 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.
New York average: 9 inspections
47 complaints
39.2 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
July 30, 2024
Complaint Investigation43 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
New York average: 29 citations
42 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
New York average: 22 deficiencies
0
enforcement actions
No actions on recordPenalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
Inspection Report Summary for Northern Metropolitan Residential Health Care Facility Inc
The most recent inspection on July 30, 2024, found multiple deficiencies related to health and life safety codes, all of which were corrected by early September 2024. Earlier inspections showed similar issues, with a complaint survey on November 22, 2021, also identifying several deficiencies that were corrected by early 2022. The main themes of deficiencies involved infection prevention and control, care planning, food safety, and various environmental and safety system concerns such as electrical equipment, emergency preparedness, and fire safety. No fines, immediate jeopardy findings, or license actions were listed in the available reports, and no substantiated complaints were noted. The facility appears to address identified issues promptly, showing a pattern of correction following inspections.
Health Inspection History
Inspections
Total health citations
13
State average N/A
Citations per inspection
4.33
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 13 citations resulted from standard inspections; and 1 of 13 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
0
0
In line with State averageState average: N/A
0 critical citations
0 serious citations
12 moderate citations
1 minor citation
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 30, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 30, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 30, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 30, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 30, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 30, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 30, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 30, 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 Nursing Homes around Chestnut Ridge The information below is reported by the New York State Department of Health.
Filter by care type
| Northern Metropolitan Residential Health Care Facility Inc |
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.
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). | Monsey (Town Of Ramapo) | 120 | No | C | - | - |
| 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 (Bloomfield Avenue) | 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 (Alden Bridge) | 16 | No | - | 27 | Private / Semi-Private Suite |
| 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 | - | - | - |
| Fenwick Landing Senior Care Community |
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. | Waldorf | - | No | - | - | - |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
115
Employees
97
Contractors
18
Staff to resident ratio
0.98:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
63
Average shift
8 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
45,789
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
20
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
49
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
10.5%
4,807 contractor hours this quarter
Respiratory Therapy Technician: 7
Physical Therapy Assistant: 3
Certified Nursing Assistant: 2
Physical Therapy Aide: 2
Qualified Social Worker: 2
Speech Language Pathologist: 1
Other Dietary Services Staff: 1
Staff by category
| Certified Nursing Assistant | 47 | 2 | 49 | 24,905 | 91 | 100% | 8 |
| Licensed Practical Nurse | 13 | 0 | 13 | 7,855 | 91 | 100% | 9.7 |
| Registered Nurse | 20 | 0 | 20 | 5,188 | 91 | 100% | 7.6 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 1,622 | 89 | 98% | 6.9 |
| Physical Therapy Assistant | 0 | 3 | 3 | 1,016 | 79 | 87% | 6.9 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 992 | 74 | 81% | 6.4 |
| Other Social Services Staff | 1 | 0 | 1 | 578 | 79 | 87% | 7.3 |
| Occupational Therapy Aide | 5 | 0 | 5 | 541 | 63 | 69% | 7.4 |
| Other Dietary Services Staff | 0 | 1 | 1 | 487 | 48 | 53% | 10.1 |
| Physical Therapy Aide | 0 | 2 | 2 | 440 | 63 | 69% | 6.8 |
| Nurse Practitioner | 2 | 0 | 2 | 434 | 62 | 68% | 7 |
| Dental Services Staff | 1 | 0 | 1 | 427 | 61 | 67% | 7 |
| Speech Language Pathologist | 0 | 1 | 1 | 383 | 61 | 67% | 6.3 |
| Mental Health Service Worker | 1 | 0 | 1 | 350 | 50 | 55% | 7 |
| Qualified Social Worker | 0 | 2 | 2 | 293 | 52 | 57% | 5 |
| Administrator | 1 | 0 | 1 | 279 | 36 | 40% | 7.8 |
49 Certified Nursing Assistant
% of Days
100%
13 Licensed Practical Nurse
% of Days
100%
20 Registered Nurse
% of Days
100%
7 Respiratory Therapy Technician
% of Days
98%
3 Physical Therapy Assistant
% of Days
87%
6 Clinical Nurse Specialist
% of Days
81%
1 Other Social Services Staff
% of Days
87%
5 Occupational Therapy Aide
% of Days
69%
1 Other Dietary Services Staff
% of Days
53%
2 Physical Therapy Aide
% of Days
69%
2 Nurse Practitioner
% of Days
68%
1 Dental Services Staff
% of Days
67%
1 Speech Language Pathologist
% of Days
67%
1 Mental Health Service Worker
% of Days
55%
2 Qualified Social Worker
% of Days
57%
1 Administrator
% of Days
40%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
117
Medicare
22
18.8% of residents
Medicaid
95
81.2% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
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.
5.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.0
49% 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.
11.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
11.5
36% 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
6.4%
Percent of long-stay residents whose need for help with daily activities has increased
6.4%
61% better than State averageState average: 16.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
5.5%
Percent of long-stay residents whose ability to move independently worsened
5.5%
67% 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
22.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.6%
6% worse than State averageState average: 21.4%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
16% better than State averageState average: 3.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
8.1%
Percent of long-stay high risk residents with pressure ulcers
8.1%
13% worse than State averageState average: 7.2%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.5%
Percent of long-stay residents with a urinary tract infection
0.5%
63% better than State averageState average: 1.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.7%
Percent of long-stay residents who lose too much weight
2.7%
56% better than State averageState average: 6.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
67.0%
Percent of long-stay residents who have depressive symptoms
67.0%
270% worse than State averageState average: 18.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
14.2%
Percent of long-stay residents who received an antipsychotic medication
14.2%
13% worse than State averageState average: 12.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
9% better than 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
97.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.4%
27% better than State averageState average: 76.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than State averageState average: 1.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
22% 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.
Financial Trends
Historical financial and operational data for Northern Metropolitan Residential Health Care Facility Inc based on CMS SNF Cost Reports.
Occupancy Rate
95.8%
↓ 0.4pp vs 2022
Net Income
$1.0M
↓ ~$1.1M vs 2022
Total Payroll
$11.7M
↑ ~$243.0K vs 2022
Profit Margin
4.5%
↓ 5.0pp vs 2022
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