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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.
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.
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.
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 | 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.
| 37m per day | ▼ 12% 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.
| 43m per day | ▼ 7% 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 14m per day | ■ Avg 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.
| 3h 16m per day | ▲ 3% 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.
| 8m per day | ▲ 14% 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.
45% of new residents, usually for short-term rehab.
36% of new residents, often for short stays.
19% 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 #210 / 350Payroll — state benchmarkedThis home is ranked 210th out of 350 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%Northern Metropolitan Residential Health Care Facility Inc is legally operated by Northern Metropolitan Residential Health Care Facility Inc (Not for Profit).
How this facility protects residents through staff vaccination policies and immunization practices.
Percentage of facility employees vaccinated against influenza.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York 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.
| 5 | 29 | This facility has 83% fewer total citations than a typical New York assisted living residence (5 vs. NY avg 29).↓ 83% better |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 2 | 20 | This facility has 90% fewer health citations than a typical New York assisted living residence (2 vs. NY avg 20).↓ 90% better |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 3 | 4 | This facility has 25% fewer life safety citations than a typical New York assisted living residence (3 vs. NY avg 4).↓ 25% better |
|
Citations per year
Average citations per year since 2018.
| 0.6 | 3.6 | This facility has 83% fewer citations per year than a typical New York assisted living residence (0.6 vs. NY avg 3.6).↓ 83% better |
|
Citations per inspection
Average citations per inspection.
| 2.5 | 3.2 | This facility has 22% fewer citations per inspection than a typical New York assisted living residence (2.5 vs. NY avg 3.2).↓ 22% better |
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.
| 2 | 9 | This facility has 78% fewer total inspections than a typical New York assisted living residence (2 vs. NY avg 9).↓ 78% better |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 1 | 5 | This facility has 80% fewer inspections with citations than a typical New York assisted living residence (1 vs. NY avg 5).↓ 80% better |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 50% | 56% | This facility has 6 percentage points lower inspection citation rate than a typical New York assisted living residence (50% vs. NY avg 56%).↓ 6% better |
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.
| 47 | 79 | This facility has 41% fewer total complaints than a typical New York assisted living residence (47 vs. NY avg 79).↓ 41% better |
|
Complaints per year
Average complaints per year since 2018.
| 5.9 | 9.9 | This facility has 40% fewer complaints per year than a typical New York assisted living residence (5.9 vs. NY avg 9.9).↓ 40% better |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 0.40 | 0.50 | This facility has 20% fewer complaints per bed than a typical New York assisted living residence (0.4 vs. NY avg 0.5).↓ 20% better |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York regulators.
| 2 | 15 | This facility has 87% fewer complaint investigations than a typical New York assisted living residence (2 vs. NY avg 15).↓ 87% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsState average N/A
Last Health inspection on Jul 2024
State average N/A
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).
In line with State averageState average: N/A
0
In line with State averageState average: N/A
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 30, 2024
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 30, 2024
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Jul 30, 2024
Corrected
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.
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.
8
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
1
1 active
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
7
7 Disposed
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2015
Year of the most recent filing. Recent activity means legal disputes are still being raised against this facility.
2023
Next scheduled court appearance on record across active cases.
Apr 27, 2026
0.0 miles from city center
Estimated distance in miles from Monsey's city center to Northern Metropolitan Residential Health Care Facility Inc's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
0% compared with State averageState average ratio: 0:0
0% compared with State averageState average: 0 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Total hours from contractors
4,807 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
117Residents meet regularly to discuss policies, care quality, and activities
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.
5.0
49% better than State averageState average: 9.8
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
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
6.4%
61% better than State averageState average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
5.5%
67% better than State averageState average: 16.6%
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%
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
16% better than State averageState average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
8.1%
13% worse than State averageState average: 7.2%
Percent of long-stay residents with a urinary tract infection
0.5%
63% better than State averageState average: 1.4%
Percent of long-stay residents who lose too much weight
2.7%
56% better than State averageState average: 6.1%
Percent of long-stay residents who have depressive symptoms
67.0%
270% worse than State averageState average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
14.2%
13% worse than State averageState average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.5%
9% better than State averageState average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
In line with State averageState average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.96
15% worse than State averageState average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.76
30% worse than State averageState 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
97.4%
27% better than State averageState average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than State averageState average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
22% better than State averageState average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.4%
In line with State averageState average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.9%
29% better than State averageState average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
In line with State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
44.4%
17% worse than State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
46.5%
8% worse than State averageState 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.
| Northern Metropolitan Residential Health Care Facility Inc |
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. | Monsey (Town Of Ramapo) | - | 120 | C | 69 | - |
| Friedwald Center for Rehabilitation & 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). | New City (Diablo Road) | - | 180 | - | 71 | - |
Historical financial and operational data for Northern Metropolitan Residential Health Care Facility Inc based on CMS SNF Cost Reports.
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Northern Metropolitan Residential Health Care Facility Inc is in the Town of Ramapo neighborhood of Monsey.
The legal owner and operator of Northern Metropolitan Residential Health Care Facility Inc is Northern Metropolitan Residential Health Care Facility Inc (Not for Profit).
Northern Metropolitan Residential Health Care Facility Inc has a walk score of 69. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to NY state health department records, Northern Metropolitan Residential Health Care Facility Inc's license number is 4353301N.
Northern Metropolitan Residential Health Care Facility Inc's occupancy is 97%.
Northern Metropolitan Residential Health Care Facility Inc has 120 beds.
Northern Metropolitan Residential Health Care Facility Inc has had 5 recently reported deficiencies.
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