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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Operating at 51 North Route 9W in West Haverstraw, Helen Hayes Hospital represents a unique institutional asset: a state-owned specialty physical rehabilitation hospital established in 1900 through gubernatorial act, now a 125-year-old cornerstone of American rehabilitation medicine. Chartered by the New York State Department of Health, the facility maintains affiliation with New York-Presbyterian Healthcare System and holds preferred provider status in the Montefiore Health System Skilled Nursing Facility Collaborative. Joint Commission accreditation and the 2025 Press Ganey Human Experience Award (HX NDNQI) underscore institutional standards.
CMS assigns perfect 5-star ratings across health inspection, staffing, and quality measures.
Staffing depth is extraordinary for the rehabilitation specialty: 8 hours 3 minutes daily nursing/resident (ranking #2 in New York, +138% above baseline).
Registered nurses work 2 hours 59 minutes/resident daily; 326% above standard. Nursing aides contribute 3 hours 12 minutes, 47% above state. Weekend nursing maintains 7 hours daily, with registered nurse presence at 2 hours 20 minutes (400% above state). Physical therapy spans 53 minutes/resident daily (657% above average).
The Q4 2025 workforce comprises 54 RNs, 56 CNAs, and 1 LPN; all direct hires, zero contractors.
One May 2018 inspection yielded two Level 2 resident rights citations, since corrected. A September 2025 inspection found no deficiencies. Zero complaints exist in the registry against an average of 79. No enforcement actions or fines appear on record.
The facility operates 28 specialty program tracks, encompassing spinal cord injury, stroke, traumatic brain injury, amputee care, cardiopulmonary, orthopedic, and multi-trauma rehabilitation. Adjunctive services include Parkinson’s, oncology, pediatric, and pulmonary rehabilitation; aquatic therapy; assistive technology consultation; a driving rehabilitation program; lymphedema management; osteoporosis treatment; prosthetics and orthotics fabrication; recreational therapy; dental medicine; and a wellness center. Inpatient and outpatient modalities are both available. An updated pediatric outpatient suite opened in October 2024. U.S.
News & World Report designates short-term rehabilitation performance as High Performing (5/5).
Pneumococcal vaccination rates reach 99.8% (30% above state). Antipsychotic medication initiation is 0% (100% better than state). Influenza vaccination spans 99.5%.
Hospital readmission occurs in 12% of short-stay discharges (42% below state). Emergency department visits are documented in only 4.7% (52% better). Major injury falls total 0%.
Self-care recovery at discharge measures 82% (53% better than state). Community return rates reach 72.2% (43% better).
Occupancy stands at 72% (18 of 130 beds), with current census 100% Medicare-funded.
Litigation activity is documented: 27 total cases since 2012 (25 disposed, 2 active), with next court proceeding scheduled April 24, 2026.
The facility operates car-dependent location (walk score 8).
Helen Hayes Hospital’s is a premier option for intensive inpatient rehabilitation in the lower Hudson Valley, particularly for those prioritizing specialized depth and post-acute recovery outcomes.
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 2nd out of 387 homes in New York for nurse hours. 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.
| Staff type | Hours / Day / Resident | 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.
| 2h 59m per day | ▲ 326% 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.
| 5m per day | ▼ 89% 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.
| 3h 12m per day | ▲ 47% State avg: 2h 11m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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.
| 7h 0m per day | ▲ 121% 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.
| 53m per day | ▲ 657% State avg: 7m per day · National avg: 4m per day |
|
Weekend RN
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.
| 2h 20m per day | ▲ 400% State avg: 28m per day · National avg: 28m per day |
Lower than the New York average: 88.3%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.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York State state average. We don't score profiles with fewer than 3 inspections on record because a small inspection history reads as "below average" on every count-based metric — that would over-reward a facility just for being new.
Limited inspection history. Not enough information to score against the New York State benchmark.
New York State assisted living residences benchmark: B 83/100
Inspection score not available. Not enough information to score against the New York State benchmark.
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.
Inspections
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff.
| 0 | 6 | This facility has 100% fewer complaint visits than a typical New York State assisted living residence (0 vs. NY avg 6).↓ 100% better |
Violations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total violations
Formal regulatory issues recorded by inspectors across all inspection types.
| 2 | 14.5 | This facility has 86% fewer total violations than a typical New York State assisted living residence (2 vs. NY avg 14.5).↓ 86% better |
|
Violations per year
Average violations per year since 2018.
| 0.3 | 1.8 | This facility has 83% fewer violations per year than a typical New York State assisted living residence (0.3 vs. NY avg 1.8).↓ 83% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
New York State average 3.6
Last Health inspection on May 2018
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.
All 2 citations resulted from standard inspections.
100% better than New York State averageNew York State average: 0.2
100% better than New York State averageNew York State average: 0.2
Corrected
Corrected
Summary of court-record activity tied to this facility, compiled from publicly available case dockets.
Source: State court e-filing records
Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure.
27
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
2
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
25
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2012
Most recent filing on record. Recent activity means legal disputes are still being raised against this facility.
2025
Next scheduled court appearance on record across active cases.
Apr 24, 2026Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
5449% more staff per resident than New York average
19% worse than New York average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 54 RN Staff are full-time employees. No contractors work on this role.
54
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursAssists with medical care and medications.
All 1 LPN Staff are full-time employees. No contractors work on this role.
1
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursHelps with daily care and mobility.
All 56 CNA Staff are full-time employees. No contractors work on this role.
56
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 56 | 0 | 56 | 6,500 | 92 | 100% | 7.6 |
| Registered Nurse | 54 | 0 | 54 | 5,231 | 92 | 100% | 8 |
| Physical Therapy Assistant | 20 | 0 | 20 | 1,546 | 82 | 89% | 5.1 |
| Respiratory Therapy Technician | 15 | 0 | 15 | 1,290 | 83 | 90% | 4.6 |
| Speech Language Pathologist | 9 | 0 | 9 | 881 | 72 | 78% | 3.9 |
| Mental Health Service Worker | 3 | 0 | 3 | 652 | 63 | 68% | 6.1 |
| Other Social Services Staff | 3 | 0 | 3 | 551 | 90 | 98% | 3.2 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 449 | 56 | 61% | 8 |
| Physical Therapy Aide | 5 | 0 | 5 | 368 | 62 | 67% | 3.6 |
| Licensed Practical Nurse | 1 | 0 | 1 | 343 | 35 | 38% | 9.8 |
| Occupational Therapy Aide | 4 | 0 | 4 | 287 | 62 | 67% | 3.4 |
| Qualified Social Worker | 4 | 0 | 4 | 183 | 42 | 46% | 3.5 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
99.8%
30% better than New York State averageNew York State average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than New York State averageNew York State average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
99.5%
26% better than New York State averageNew York State average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
12.0%
42% better than New York State averageNew York State average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
4.7%
52% better than New York State averageNew York State average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% 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.
82.0%
53% better than New York State averageNew York State average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
72.2%
43% better 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.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
18State-approved Nurse Aide Training and Competency Evaluation Program on-site
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
1.0 miles from city center
Estimated distance in miles from West Haverstraw's city center to Helen Hayes Hospital's address, calculated via Google Maps.
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Helen Hayes Hospital is located in West Haverstraw, New York.
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The information below is reported by the New York State Department of Health.
| Helen Hayes Hospital |
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). | West Haverstraw | 25 | 72.0% | -18% | 8.29 | +145% | +132% | $0 | 2 | 2.0 | - | 22 | - | 8 | - | - | - | - | 335873 | ||||
| Job Haines Home |
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.
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.
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 | 97.5% | +27% | 6.31 | -2% | +63% | $0 | 4 | 1.3 | - | 37 | - | 85 | Noreen Haveron | $17.2M | $12.4M | 72.1% | 315392 | ||||
| Angels Nursing Center |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Los Angeles (Westlake) | 41
Facility
41
CA AVG
103
Rank
#1206 / 1658 | 90.2% | +7% | 4.73 | -54% | +12% | $33.9k | 42 | 3.8 | 4 | 37 | A+ |
92
Facility
92
CA AVG
57
Rank
#137 / 2093 | Aret Akian | $4.5M | $3.8M | 84.8% | 55704 | ||||
| Horizon Health & Subacute Center |
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). | Fresno (East Herndon Avenue) | 180
Facility
180
CA AVG
103
Rank
#211 / 1658 | - | - | 4.73 | -29% | +12% | $22.9k | 43 | 3.1 | 2 | 155 | - |
58
Facility
58
CA AVG
57
Rank
#1129 / 2093 | Chad Galley | $4.8M | $3.6M | 74.7% | 55199 | ||||
| Mid-Wilshire Health Care Center |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Los Angeles (Westlake) | 80
Facility
80
CA AVG
103
Rank
#917 / 1658 | - | - | 3.66 | +193% | -13% | $54.2k | 44 | 3.7 | 4 | 74 | A+ |
96
Facility
96
CA AVG
57
Rank
#43 / 2093 | Best Health Services LLC | $8.1M | $6.0M | 74.5% | 56174 |
Helen Hayes Hospital has a walk score of 8. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to NY state health department records, Helen Hayes Hospital's license number is 4322000H.
Helen Hayes Hospital's occupancy is 72%.
Helen Hayes Hospital has 25 beds.
Yes — there are 4 photos of Helen Hayes Hospital in the photo gallery on this page.
Helen Hayes Hospital is located at 51 N Route 9w.
(845) 786-4000 will put you in contact with the team at Helen Hayes Hospital.
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