Northern Metropolitan Residential Health Care Facility Inc
CMS overall rating Info 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.

Northern Metropolitan Residential Health Care Facility Inc

CMS overall rating Info 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.
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Northern Metropolitan Residential Health Care Facility Inc accepts Medicare, Medicaid, and private pay.

Overview of Northern Metropolitan Residential Health Care Facility INC

Located on Maple Avenue in Monsey, New York, Northern Metropolitan Residential Health Care Facility is a 120-bed skilled nursing home operated by Northern Metropolitan Residential Health Care Facility INC under the ownership of Northern Metropolitan Residential Health. The facility serves residents who need rehabilitation and ongoing skilled nursing care. Medicare, Medicaid, and private pay are accepted, giving families multiple ways to cover short-term post-hospital recovery and longer-term care.

The community is at a 97% occupancy rate, with an average stay of 154 days. This is a mixture of people recovering after hospitalization, as well as people requiring extended skilled nursing care. Rehabilitation is a big focus, with special programs for cardiac care, pain management, and stroke recovery. The facility also provides rehabilitation services, respite care, and short-term rehabilitation programs.

Nursing staff is available 24 hours a day. Total nurse staffing averages 3 hours and 9 minutes per resident. Registered nurses provide 38 minutes of care each day, nurse aides contribute 2 hours and 16 minutes, and licensed practical or vocational nurses provide another 44 minutes.

State inspections have identified issues related to infection control, care planning, food safety, environmental management, and facility operations. The facility addressed these findings during the required correction periods. Families touring the home should ask how these areas are monitored and managed.

Amenities on-site include a complimentary phone service, television, and Wi-Fi throughout the facility, so residents can stay connected with family and friends. The home also has a Walk Score of 69, so it’s a moderately walkable area where some errands can be accomplished on foot. It is a practical option for residents who are recovering from a cardiac event, stroke, or other medical condition needing skilled nursing and rehabilitation.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 34.9% Below NY avg. ▼ 34.9% Below NY avg.NY average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 29.3% Below NY avg. ▼ 29.3% Below NY avg.NY average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 26.4% Below NY avg. ▼ 26.4% Below NY avg.NY average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 4.8% Above NY avg. ▲ 4.8% Above NY avg.NY average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to New York state averages

Total nursing care / resident Info This home is ranked 247th out of 407 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.
3h 9m per day
Rank #247 / 407Nurse hours — State benchmarkedThis home is ranked 247th out of 407 homes in New York. Shows adjusted nurse hours per resident per day benchmarked to the New York average, with a ranking across 407 New York facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility New York avg (3h 35m per day)
vs New York avg
-12%

3 of 6 metrics below state avg

Standout metric Physical Therapist is +21% above state avg
Staff type Hours / Day / Resident vs state avg
Registered Nurse (RN) Info 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. 38m per day ▼ 9% State avg: 42m per day · National avg: 41m per day
LPN / LVN Info 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 ▼ 5% State avg: 46m per day · National avg: 52m per day
Nurse Aide Info 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 16m per day ▲ 4% State avg: 2h 11m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 9m per day ■ Avg State avg: 3h 10m per day · National avg: 3h 26m per day
Physical Therapist Info 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 ▲ 21% State avg: 7m per day · National avg: 4m per day
Weekend RN Info 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. 24m per day ▼ 16% State avg: 28m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
154 days
Bed community size
120-bed community Rank #412 / 748Bed count — State benchmarkedThis home is ranked 412th out of 748 homes in New York. Shows this facility's certified or reported bed count compared to other New York facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 69 / 100 Rank #619 / 1173Walk Score — State benchmarkedThis home is ranked 619th out of 1173 homes in New York. Shows how walkable this facility's neighborhood is compared to the average Walk Score across New York facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
BBB Rating
BBB Rating: C (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Occupancy

Occupancy rate
97%
Rank #101 / 436Occupancy rate — State benchmarkedThis home is ranked 101st out of 436 homes in New York. Shows this facility's occupancy rate versus the New York average, with its Statewide rank out of 436. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the New York average: 88.3%
Occupied beds
116 / 120
Average occupied beds in New York homes 166 beds

License Details

Facility TypeNursing Home
StatusActive
CountyRockland
License Number4353301N
CMS Certification Number335380

Ownership & Operating Entity

Northern Metropolitan Residential Health Care Facility Inc is legally operated by Northern Metropolitan Residential Health Care Facility Inc (Not for Profit).

Owner NameNorthern Metropolitan Residential Health Care Facility Inc (Not For Profit)

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

5 Star Accommodations
Complimentary Bedside Phone
Complimentary Tv Service
Complimentary Wifi
Specific ProgramsCardiac Care, Pain Management, Stroke Care

Contact Northern Metropolitan Residential Health Care Facility Inc

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.

We don't publish a score for nursing homes with fewer than three inspections on record. This would unfairly reward providers with limited inspection history or those that have not been operating long enough to be cited.

Inspection score unavailable

Not enough inspection history to generate a score.

Average score for New York nursing homes: B 83/100

Inspection score not available. Not enough inspection history to score against the New York benchmark.

Inspection Scorecard Info 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.

Since 2018 vs. New York state average
Overall vs. NY average 2 Worse Metrics worse than New York average:
• Citations per inspection (79% above)
• Inspection citation rate (14% above)
10 Better Metrics better than New York average:
• Total citations (62% below)
• Health citations (90% below)
• Life safety citations (25% below)
• Citations per year (63% below)
• Total inspections (78% below)
• Inspections with citations (75% below)
• Total complaints (41% below)
• Complaints per year (40% below)
• Complaints per bed (20% below)
• Complaint investigations (87% below)
Latest Inspection July 30, 2024 Complaint Investigation

Citations Info Citations are formal regulatory issues recorded during state inspections.

This Facility NY Average vs. NY Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 5 13 This facility has 62% fewer total citations than a typical New York nursing home (5 vs. NY avg 13).↓ 62% better
Health citations Info Citations 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 nursing home (2 vs. NY avg 20).↓ 90% better
Life safety citations Info Citations 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 nursing home (3 vs. NY avg 4).↓ 25% better
Citations per year Info Average citations per year since 2018. 0.6 1.6 This facility has 63% fewer citations per year than a typical New York nursing home (0.6 vs. NY avg 1.6).↓ 63% better
Citations per inspection Info Average citations per inspection. 2.5 1.4 This facility has 79% more citations per inspection than a typical New York nursing home (2.5 vs. NY avg 1.4).↑ 79% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This Facility NY Average vs. NY Avg
Total inspections Info 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 nursing home (2 vs. NY avg 9).↓ 78% better
Inspections with citations Info Inspections that resulted in at least one regulatory citation. 1 4 This facility has 75% fewer inspections with citations than a typical New York nursing home (1 vs. NY avg 4).↓ 75% better
Inspection citation rate Info Percentage of inspections that resulted in at least one citation. 50% 44% This facility has 6 percentage points higher inspection citation rate than a typical New York nursing home (50% vs. NY avg 44%).↑ 6% worse

Complaints & Investigations Info Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

This Facility NY Average vs. NY Avg
Total complaints Info Formal expressions of concern made by residents, families, or staff. 47 79 This facility has 41% fewer total complaints than a typical New York nursing home (47 vs. NY avg 79).↓ 41% better
Complaints per year Info Average complaints per year since 2018. 5.9 9.9 This facility has 40% fewer complaints per year than a typical New York nursing home (5.9 vs. NY avg 9.9).↓ 40% better
Complaints per bed Info 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 nursing home (0.4 vs. NY avg 0.5).↓ 20% better
Complaint investigations Info 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 nursing home (2 vs. NY avg 15).↓ 87% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • July 30, 2024 complaint survey found 31 deficiencies across infection control, care planning, food safety, and environment, all corrected by early September 2024.
  • November 22, 2021 complaint survey cited 11 deficiencies mainly in fire safety and electrical systems, all corrected by early 2022.
  • Deficiency counts increased sharply from 11 in 2021 to 31 in 2024, showing worsening compliance in multiple care and safety areas.

Health Inspection History

Inspections since 2018
Total health inspections 3

New York average 3.6


Last Health inspection on Jul 2024

Total health citations
13 Rank #129 / 414Health citations — State benchmarkedThis home is ranked 129th out of 414 homes in New York. Shows this facility's total health deficiency citations benchmarked to the New York State average, with a ranking across all 414 NY facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

New York average 18.5

Citations per inspection
4.33 Rank #157 / 414Citations per inspection — State benchmarkedThis home is ranked 157th out of 414 homes in New York. Shows average deficiency citations per CMS inspection for this facility versus the New York mean across 414 facilities with citation data. Lower is better.Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

New York average 5.05


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 8 years)
Critical health citations
0
100% better than New York average

New York average: 0.2


Serious health citations
0
100% better than New York average

New York average: 0.2

0 critical citations New York average: 0.2

0 serious citations New York average: 0.2

12 moderate citations New York average: 17.4

1 minor citation New York average: 0.7
Citations history (last 8 years)
Infection Control moderate citation Jul 30, 2024
Corrected

Infection Control moderate citation Jul 30, 2024
Corrected

Nutrition moderate citation Jul 30, 2024
Corrected

Nutrition moderate citation Jul 30, 2024
Corrected

Infection Prevention & Vaccination

How this facility protects residents through staff vaccination policies and immunization practices.

Employee Flu Vaccination Rate: 88%

Percentage of facility employees vaccinated against influenza.

Lawsuit overview for Northern Metropolitan Residential Health Care Facility Inc

Summary of court-record activity tied to this facility, compiled from publicly available case dockets.

Source: State court e-filing records

Total Cases Info Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure. 8
Active Cases Info Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture. 1
Closed Info Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes. 7
Since Info Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure. 2015
Most Recent Info Most recent filing on record. Recent activity means legal disputes are still being raised against this facility. 2023
Next Court Date Info Next scheduled court appearance on record across active cases. Apr 27, 2026

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 115
Employees 94
Contractors 21
Staff to resident ratio 0.98 : 1
461% more staff per resident than New York average
New York average ratio: 0.18 : 1 New York average ratio: 0.18 : 1See full New York ranking
Avg staff/day 63
Average shift 7.8 hours
0% compared with New York average
New York average: 7.7 hours New York average shift: 7.7 hoursSee full New York ranking
Total staff hours (quarter) 45,312

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 18 RN Staff are full-time employees. No contractors work on this role. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 14 LPN Staff are full-time employees. No contractors work on this role. 14
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 49 total: 45 full-time employees and 4 contractors. 49
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

10.5%

4,779 contractor hours this quarter

Respiratory Therapy Technician: 7 Certified Nursing Assistant: 4 Physical Therapy Assistant: 3 Physical Therapy Aide: 2 Qualified Social Worker: 2 Other Dietary Services Staff: 2 Speech Language Pathologist: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant 45 4 49 24,464 92 100% 8
Licensed Practical Nurse 14 0 14 7,805 92 100% 9.6
Registered Nurse 18 0 18 5,296 92 100% 7.5
Respiratory Therapy Technician 0 7 7 1,521 87 95% 7.3
Clinical Nurse Specialist 3 0 3 1,123 79 86% 6.9
Physical Therapy Assistant 0 3 3 991 77 84% 7.1
Other Dietary Services Staff 0 2 2 668 76 83% 7.3
Physical Therapy Aide 0 2 2 492 64 70% 7
Nurse Practitioner 2 0 2 459 61 66% 7
Administrator 1 0 1 456 57 62% 8
Other Social Services Staff 1 0 1 423 56 61% 7.6
Qualified Social Worker 0 2 2 386 64 70% 6
Dental Services Staff 2 0 2 383 79 86% 4.9
Speech Language Pathologist 0 1 1 284 45 49% 6.3
Occupational Therapy Aide 5 0 5 284 77 84% 3.2
Mental Health Service Worker 2 0 2 224 30 33% 7.5
Medical Director 1 0 1 54 27 29% 2
49 Certified Nursing Assistant
% of Days 100%
14 Licensed Practical Nurse
% of Days 100%
18 Registered Nurse
% of Days 100%
7 Respiratory Therapy Technician
% of Days 95%
3 Clinical Nurse Specialist
% of Days 86%
3 Physical Therapy Assistant
% of Days 84%
2 Other Dietary Services Staff
% of Days 83%
2 Physical Therapy Aide
% of Days 70%
2 Nurse Practitioner
% of Days 66%
1 Administrator
% of Days 62%
1 Other Social Services Staff
% of Days 61%
2 Qualified Social Worker
% of Days 70%
2 Dental Services Staff
% of Days 86%
1 Speech Language Pathologist
% of Days 49%
5 Occupational Therapy Aide
% of Days 84%
2 Mental Health Service Worker
% of Days 33%
1 Medical Director
% of Days 29%

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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 Info 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 New York average

New York average: 9.8

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 11.5
36% better than New York average

New York average: 18.1

Long-stay resident measures
Above average New York avg: 4.0 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 6.4%
61% better than New York average

New York average: 16.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 5.5%
67% better than New York average

New York average: 16.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 22.6%
6% worse than New York average

New York average: 21.4%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.5%
16% better than New York average

New York average: 3.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 8.1%
13% worse than New York average

New York average: 7.2%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.5%
63% better than New York average

New York average: 1.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.7%
56% better than New York average

New York average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 67.0%
270% worse than New York average

New York average: 18.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 14.2%
13% worse than New York average

New York average: 12.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.5%
9% better than New York average

New York average: 91.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.1%
In line with New York average

New York average: 95.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.96
15% worse than New York average

New York average: 1.71

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.76
30% worse than New York average

New York average: 1.35

Short-stay resident measures
Average New York avg: 3.5 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.4%
27% better than New York average

New York average: 76.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than New York average

New York average: 1.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 96.3%
22% better than New York average

New York average: 78.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 20.4%
In line with New York average

New York average: 20.6%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 6.9%
29% better than New York average

New York average: 9.7%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.8%
In line with New York average

New York average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 44.4%
17% worse than New York average

New York average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 46.5%
8% worse than New York average

New York average: 50.6%

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

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$20.6M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$609.5K
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$20.6M Rank #268 / 403Revenue — State benchmarkedThis home is ranked 268th out of 403 homes in New York. Shows this facility's annual revenue compared to the New York average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$609.5K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$390.5K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #247 / 403Payroll — State benchmarkedThis home is ranked 247th out of 403 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.Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$10.1M 49.1% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #155 / 403Payroll % — State benchmarkedThis home is ranked 155th out of 403 homes in New York. Shows payroll as a percentage of revenue versus the New York average. Well-run New York facilities typically land around 53–65% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$9.9M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$20.0M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (45% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
277 total

Coverage residents most often arrive under.

Medicare 45%
Private pay 36%
Medicaid 19%
Discharges
272 total

Coverage residents most often leave under.

Medicare 39%
Private pay 28%
Medicaid 34%

Places of interest near Northern Metropolitan Residential Health Care Facility Inc

Address 0.0 miles from city center Info 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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Financial Assistance for
Nursing Home in New York

Northern Metropolitan Residential Health Care Facility Inc is located in Monsey, New York.
Here are the financial assistance programs available to residents in New York.

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Community First Choice Option

NY Medicaid CFCO

Age 65+ or disabled
General New York resident, Medicaid- eligible, care need (not necessarily nursing home level).
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $30,182 individual, higher due to NY Medicaid expansion
NY

Higher asset limit; urban density increases demand.

Benefits
Personal care (5-7 hours/day) Respite care (240 hours/year) Home modifications ($1,500 avg.) Assistive technology ($500 avg.)

Expanded In-Home Services for the Elderly Program (EISEP)

NY EISEP

Age 60+
General New York resident, at risk of decline but not nursing home level.
Income Limits ~$2,500/month individual, varies
Asset Limits $15,000 individual
NY

Cost-sharing required above certain income; urban/rural balance.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Case management Transportation (~5 trips/month)

Senior Citizen Rent Increase Exemption (SCRIE)

NY SCRIE

Age 62+
General NYC resident, live in rent-controlled/stabilized apartment, spend >1/3 of income on rent.
Income Limits (2025) $50,000/year household
Asset Limits No strict asset cap, but income-focused eligibility.
NY

Limited to NYC’s rent-regulated units; high demand in urban areas.

Benefits
Rent freeze (e.g., covers increases of $50-$200+/month); tax credit for landlord

Senior Citizen Homeowners’ Exemption (SCHE)

NY SCHE

Age 65+
General NYC resident, own and live in a 1-3 family home, co-op, or condo.
Income Limits (2025) $58,399/year household
Asset Limits No strict asset cap, income-driven eligibility.
NY

Applies only in NYC; excludes large apartment buildings.

Benefits
Property tax reduction (5-50%, e.g., $500-$5,000/year based on income and property value)

New York Foundation for Senior Citizens (NYFSC) Home Sharing Program

NYFSC Home Sharing

Age One participant must be 60+ (host or guest)
General NYC resident, able to share living space.
Income Limits No strict limit, but targets those needing cost relief.
Asset Limits Not applicable; focus on housing need.
NY

Primarily NYC-focused; limited slots due to demand.

Benefits
Shared housing (reduces rent/living costs by 30-50%, e.g., $500-$1,000/month savings); optional light assistance between housemates

Frequently Asked Questions about Northern Metropolitan Residential Health Care Facility Inc

What neighborhood is Northern Metropolitan Residential Health Care Facility Inc in?

Northern Metropolitan Residential Health Care Facility Inc is in the Town of Ramapo neighborhood of Monsey.

Who is the owner of Northern Metropolitan Residential Health Care Facility Inc?

Northern Metropolitan Residential Health Care Facility Inc is legally operated by Northern Metropolitan Residential Health Care Facility Inc (Not for Profit).

Is Northern Metropolitan Residential Health Care Facility Inc in a walkable area?

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.

What is the license number of Northern Metropolitan Residential Health Care Facility Inc?

According to NY state health department records, Northern Metropolitan Residential Health Care Facility Inc's license number is 4353301N.

What is the occupancy rate at Northern Metropolitan Residential Health Care Facility Inc?

Northern Metropolitan Residential Health Care Facility Inc's occupancy is 97%.

Does Northern Metropolitan Residential Health Care Facility Inc operate as a for-profit or non-profit?

Northern Metropolitan Residential Health Care Facility Inc is registered as a non-profit in NY.

How many beds does Northern Metropolitan Residential Health Care Facility Inc have?

Northern Metropolitan Residential Health Care Facility Inc has 120 beds.

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