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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
Achieve Rehab and Nursing Facility is dedicated to providing high-quality care in a patient-centered environment. The facility focuses on rehabilitation and specialty care, ensuring residents receive the support they need to regain strength and independence. With a commitment to excellence, Achieve aims to be the facility of choice for patients, employees, and physicians.
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.
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.
This home is ranked 244th out of 347 homes in New York.| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 27m per day | ▼ 36% State avg: 42m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 44m per day | ▼ 4% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 6m per day | ▼ 4% State avg: 2h 11m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 58m per day | ▼ 6% State avg: 3h 10m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 9m per day | ▲ 29% State avg: 7m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 23m per day | ▼ 18% State avg: 28m per day · National avg: 28m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
57% of new residents, usually for short-term rehab.
31% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #205 / 344Payroll — state benchmarkedThis home is ranked 205th out of 344 homes in New York.Shows total annual staff payroll benchmarked to the New York average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the New York average: 88.3%Achieve Rehab and Nursing Facility is legally operated by WMOP, LLC (For Profit).
How this facility protects residents through staff vaccination policies and immunization practices.
Percentage of facility employees vaccinated against influenza.
In New York State, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York State state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations are formal regulatory issues recorded during state inspections.
| Metric | This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 17 | 29 | This facility has 41% fewer total citations than a typical New York State nursing home (17 vs. NY avg 29).↓ 41% better |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 11 | 20 | This facility has 45% fewer health citations than a typical New York State nursing home (11 vs. NY avg 20).↓ 45% better |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 6 | 4 | This facility has 50% more life safety citations than a typical New York State nursing home (6 vs. NY avg 4).↑ 50% worse |
|
Citations per year
Average citations per year since 2019.
| 2.4 | 4.1 | This facility has 41% fewer citations per year than a typical New York State nursing home (2.4 vs. NY avg 4.1).↓ 41% better |
|
Citations per inspection
Average citations per inspection.
| 3.4 | 3.2 | This facility has 6% more citations per inspection than a typical New York State nursing home (3.4 vs. NY avg 3.2).↑ 6% worse |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 5 | 9 | This facility has 44% fewer total inspections than a typical New York State nursing home (5 vs. NY avg 9).↓ 44% better |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 4 | 5 | This facility has 20% fewer inspections with citations than a typical New York State nursing home (4 vs. NY avg 5).↓ 20% better |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 80% | 56% | This facility has 24 percentage points higher inspection citation rate than a typical New York State nursing home (80% vs. NY avg 56%).↑ 24% worse |
Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.
| Metric | This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 40 | 79 | This facility has 49% fewer total complaints than a typical New York State nursing home (40 vs. NY avg 79).↓ 49% better |
|
Complaints per year
Average complaints per year since 2019.
| 5.7 | 11.3 | This facility has 50% fewer complaints per year than a typical New York State nursing home (5.7 vs. NY avg 11.3).↓ 50% better |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 0.30 | 0.50 | This facility has 40% fewer complaints per bed than a typical New York State nursing home (0.3 vs. NY avg 0.5).↓ 40% better |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York State regulators.
| 8 | 15 | This facility has 47% fewer complaint investigations than a typical New York State nursing home (8 vs. NY avg 15).↓ 47% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on January 16, 2025, found one isolated quality of care deficiency that was corrected by March 14, 2025. Earlier inspections showed a pattern of isolated and multiple deficiencies involving areas such as abuse training, care plans, infection control, food safety, accident hazards, and fire safety, all of which were corrected within specified timeframes. Complaint investigations were not noted in the available reports, and no fines, immediate jeopardy findings, or license actions were listed. Prior reports noted issues mainly with health and life safety code compliance and quality of care, but these were addressed promptly. The facility’s record suggests ongoing attention to correcting deficiencies, with no clear trend of worsening or improvement.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNew York State average 3.6
Last Health inspection on Jan 2025
New York State average 18.5
New York State average 5.05
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 24 citations resulted from standard inspections; 4 of 24 resulted from complaint investigations; and 6 of 24 came from combined inspections (standard and complaint).
100% better than New York State averageNew York State average: 0.2
0
100% better than New York State averageNew York State average: 0.2
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 16, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Oct 23, 2024
Corrected
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Oct 23, 2024
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 23, 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.
Achieve Rehab and Nursing Facility is located in Liberty, New York.
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0.0 miles from city center
Estimated distance in miles from Liberty's city center to Achieve Rehab and Nursing Facility's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
836% better than New York averageNew York average ratio: 0.18:1
6% better than New York averageNew York average: 7.7 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursThis role is partially covered by contractors.
Total hours from contractors
5,976 contractor hours this quarter
| Certified Nursing Assistant | 66 | 32 | 98 | 25,275 | 91 | 100% | 8.2 |
| Licensed Practical Nurse | 13 | 18 | 31 | 6,540 | 91 | 100% | 9.5 |
| Clinical Nurse Specialist | 13 | 0 | 13 | 3,695 | 91 | 100% | 8.4 |
| Registered Nurse | 3 | 24 | 27 | 2,596 | 90 | 99% | 9.6 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 1,604 | 91 | 100% | 7.2 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,290 | 89 | 98% | 7.1 |
| Physical Therapy Aide | 3 | 0 | 3 | 1,072 | 70 | 77% | 7.3 |
| Speech Language Pathologist | 3 | 0 | 3 | 908 | 76 | 84% | 7.5 |
| Dental Services Staff | 2 | 0 | 2 | 894 | 66 | 73% | 7.7 |
| RN Director of Nursing | 3 | 0 | 3 | 702 | 57 | 63% | 8.7 |
| Physical Therapy Assistant | 3 | 0 | 3 | 618 | 74 | 81% | 8.1 |
| Dietitian | 1 | 0 | 1 | 480 | 63 | 69% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 462 | 60 | 66% | 7.7 |
| Administrator | 0 | 1 | 1 | 443 | 59 | 65% | 7.5 |
| Qualified Social Worker | 2 | 0 | 2 | 291 | 40 | 44% | 6.9 |
| Other Physician | 0 | 8 | 8 | 157 | 33 | 36% | 2.4 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
125Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.7
9% worse than New York State averageNew York State average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.0
6% better than New York State averageNew York State average: 18.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
17.6%
7% worse than New York State averageNew York State average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
14.9%
10% better than New York State averageNew York State average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.6%
13% better than New York State averageNew York State average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
49% worse than New York State averageNew York State average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
8.1%
12% worse than New York State averageNew York State average: 7.2%
Percent of long-stay residents with a urinary tract infection
0.7%
48% better than New York State averageNew York State average: 1.4%
Percent of long-stay residents who lose too much weight
8.6%
40% worse than New York State averageNew York State average: 6.1%
Percent of long-stay residents who have depressive symptoms
6.4%
65% better than New York State averageNew York State average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
10.0%
21% better than New York State averageNew York State average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
7% better than New York State averageNew York State average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.3%
In line with New York State averageNew York State average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.75
In line with New York State averageNew York State average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.32
72% worse than New York State averageNew York State average: 1.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
71.1%
7% worse than New York State averageNew York State average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
20% worse than New York State averageNew York State average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
69.1%
12% worse than New York State averageNew York State average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.9%
In line with New York State averageNew York State average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.3%
47% worse than New York State averageNew York State average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.4%
47% better than New York State averageNew York State average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
45.8%
15% worse than New York State averageNew York State average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
42.5%
16% worse than New York State averageNew York State average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
The information below is reported by the New York State Department of Health.
| 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 | 45.5% | -41% | 6.31 | -21% | +63% | 0 | 4 | 1.3 | - | 37 | 85 | Noreen Haveron | $17.2M | $10.2M | 59.4% | 315392 | ||||
| Achieve Rehab and Nursing Facility |
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. | Liberty | 140 | 94.3% | +7% | 2.99 | +6% | -16% | 0 | 24 | 4.8 | - | 131 | 76 | Sandra Ostreicher | $39.3M | $8.1M | 20.7% | 335449 |
Historical financial and operational data for Achieve Rehab and Nursing Facility based on CMS SNF Cost Reports.
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The legal owner and operator of Achieve Rehab and Nursing Facility is WMOP, LLC (For Profit).
Achieve Rehab and Nursing Facility has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to NY state health department records, Achieve Rehab and Nursing Facility's license number is 5220303N.
Achieve Rehab and Nursing Facility's occupancy is 94%.
Achieve Rehab and Nursing Facility has 140 beds.
Achieve Rehab and Nursing Facility has had 17 recently reported deficiencies.
Yes — there are 12 photos of Achieve Rehab and Nursing Facility in the photo gallery on this page.
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