2/5
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.
2/5
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.
Memory care, Palliative care, nursing home care, and skilled nursing are on offer by Northern Metropolitan Residential Health Care Facility, in Monsey, NY. Licensed nursing stays on duty whatever the clock says. Memory care adds supervision in a secured setting, for the point where a building somebody has lived in for years stops being navigable alone. Palliative care keeps its attention on comfort while a serious illness runs its course.
Four separate situations are answered here. Those being the need for steady nursing, dementia supervision, comfort as the priority, and a brief stay while a usual caregiver is elsewhere. Rehabilitation services plus a short-stay therapy track give somebody recovering from illness or injury a place to do that work. Respite covers the family caregiver who needs a stretch off.
Named programs run to cardiac care, pain management, and stroke care. There are 120 beds under the license. Medicare, Medicaid, and private funds all reach eligible care, or a family pays directly. A day’s nursing per resident is 3 hours and 1 minute.
Walking here rates 69 out of 100, which is nicely in the somewhat walkable range. Some errands close on foot, so a resident without a car can still reach a few nearby destinations alone.
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.
Data period: Q4 2025 (October 1 – December 31, 2025).
This nursing home is ranked 363rd out of 501 nursing homes we track 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 1mStandout metric: Physical therapist is +6% above New York average
5 of 6 metrics below New York average
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. All 18 are the facility's own employees; no agency contractors work in this role.
18 staff · 7.5-hour shifts
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. All 14 are the facility's own employees; no agency contractors work in this role.
14 staff · 9.6-hour shifts
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. 49 total: 45 of the facility's own employees and 4 agency contractors.
49 staff · 8-hour shifts
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.
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.
RN + LPN + aide · Sat–Sun
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.
Sat–Sun
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
115
94 employees · 21 contractors · 63 on an average day
115 total staff / 117 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
0.98 : 1
↓ 25% · NY 1.31This facility: 0.98 staff per resident, 25% below the New York average of 1.31 (among New York facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
115 staff ÷ 117 residents
See full New York ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.8 h
↑ 1% · NY 7.7 hThis facility: 7.8 h, 1% above the New York average of 7.7 h (among New York facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
45,312 staff hours this quarter
See full New York ranking →89.5% of staff hours were worked by the facility's own employees
New York average: 87.9% · Contractors 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)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
88% of staff were vaccinated against the flu
Why it matters: staff move from resident to resident all day. When most of them are vaccinated, the flu is less likely to reach the people it is most dangerous for. Source: state health department data.
A mid-sized community that may balance personal attention with shared amenities and social activities.
120
Rank #339 / 574Bed count — State benchmarked This nursing home is ranked 339th out of 574 nursing homes we track in New York for bed count. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Rank #250 / 450Walk Score — State benchmarked This nursing home is ranked 250th out of 450 nursing homes we track in New York for walk score. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy higher than 95% suggests steady demand, but availability may be limited.
Rank #131 / 513Occupancy rate — State benchmarked This nursing home is ranked 131st out of 513 nursing homes we track in New York for occupancy. Shows this facility's occupancy rate versus the New York average, with its Statewide rank out of 513. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Based on 116 residents and 120 beds. Source: state licensing agency resident count
Higher than the New York average: 85.5%
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
Northern Metropolitan Residential Health Care Facility Inc is legally operated by Northern Metropolitan Residential Health Care Facility Inc (Not for Profit).
4 points above the New York average for CMS-certified facilities (84/100)
Category breakdown
47 severity-weighted points (15 citations) · 9% higher than the typical CMS-certified NY facility (median: 43)
No fines on record · 0 enforcement actions
35 days to fix issues · faster than the typical CMS-certified NY facility (median: 51)
100% corrected
15 of 15 citations corrected Latest inspection: Mar 09, 2026 · 2 citations, all corrected
Most cited category: Resident Rights, 4 of 15 citations · 8 categories in total
Corrected
Corrected
Corrected
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Corrected
Corrected
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Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 15 citations resulted from standard inspections; 2 of 15 resulted from complaint investigations; and 1 of 15 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
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.
Show Inspection ReportsSummary 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.
0
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
8
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 filing on record. Recent activity means legal disputes are still being raised against this facility.
2023
Most recent court appearance scheduled on record. Court dates are captured when the report is compiled and are not updated as dockets move, so later hearings may have been set since.
Sep 18, 2026Federal 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.
How residents at this home fare on health outcomes and preventive care, compared with the New York average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
≈ 0% · NY 4.0This facility: 4.0, level with the NY average of 4.0 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
3
/ 5
Average
↓ 15% · NY 3.5This facility: 3.0, 15% below the NY average of 3.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
4.9
Score · lower is better
↓ 41% · NY 8.4This facility: 4.9, 41% below the NY average of 8.4 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
8.2
Score · lower is better
↓ 46% · NY 15.4This facility: 8.2, 46% below the NY average of 15.4 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 7 better, 5 worse, 1 near NY average
8 short-stay measures: 4 better, 1 near NY average, 3 compared with US only
People who live at the home · 13 measures
Percent of long-stay residents whose need for help with daily activities has increased
4.1%
↓ 71% · NY 14.1This facility: 4.1, 71% below the NY average of 14.1 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
3.7%
↓ 70% · NY 12.5This facility: 3.7, 70% below the NY average of 12.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.9%
↓ 13% · NY 19.5This facility: 16.9, 13% below the NY average of 19.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
0.3%
↓ 79% · NY 1.3This facility: 0.3, 79% below the NY average of 1.3 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
1.3%
↓ 58% · NY 3.1This facility: 1.3, 58% below the NY average of 3.1 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
10.4%
↑ 60% · NY 6.5This facility: 10.4, 60% above the NY average of 6.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
5.3%
↓ 9% · NY 5.8This facility: 5.3, 9% below the NY average of 5.8 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
77.6%
↑ 299% · NY 19.5This facility: 77.6, 299% above the NY average of 19.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
15.1%
↑ 10% · NY 13.7This facility: 15.1, 10% above the NY average of 13.7 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 9% · NY 91.5This facility: 100.0, 9% above the NY average of 91.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
↑ 4% · NY 95.3This facility: 99.1, 4% above the NY average of 95.3 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.96
↑ 15% · NY 1.71This facility: 1.96, 15% above the NY average of 1.71 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.76
↑ 30% · NY 1.35This facility: 1.76, 30% above the NY average of 1.35 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rehab and recovery after a hospital stay · 8 measures
Percentage of residents at or above expected ability to care for themselves at discharge.
44.4%
↓ 17% · US 53.7This facility: 44.4, 17% below the US average of 53.7 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
46.5%
↓ 8% · US 50.6This facility: 46.5, 8% below the US average of 50.6 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.8%
↓ 1% · US 0.8This facility: 0.8, 1% below the US average of 0.8 (among US facilities reporting a recent figure).
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
↓ 35% · NY 1.2This facility: 0.8, 35% below the NY average of 1.2 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.4%
↑ 25% · NY 77.4This facility: 96.4, 25% above the NY average of 77.4 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
↑ 22% · NY 78.8This facility: 96.3, 22% above the NY average of 78.8 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.4%
↓ 1% · NY 20.6This facility: 20.4, 1% below the NY average of 20.6 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
6.9%
↓ 29% · NY 9.7This facility: 6.9, 29% below the NY average of 9.7 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
43% of new residents, usually for short-term rehab.
41% of new residents, often for short stays.
15% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 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.
Historical financial and operational data for Northern Metropolitan Residential Health Care Facility Inc from 2011–2024, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2024.
Based on CMS SNF Cost Report for fiscal year ending in 12/2024.
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."
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."
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."
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."
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.
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 #263 / 464Payroll costs — State benchmarked This nursing home is ranked 263rd out of 464 nursing homes we track in New York. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the New York average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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 #284 / 462Payroll % of net patient revenue — State benchmarked This nursing home is ranked 284th out of 462 nursing homes we track in New York. Shows payroll as a percentage of net patient revenue versus the New York average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (43% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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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Northern Metropolitan Residential Health Care Facility Inc is located in Monsey, New York State.
Here are the financial assistance programs available to residents in New York State.
Northern Metropolitan Residential Health Care Facility Inc is in the Town of Ramapo neighborhood of Monsey.
Northern Metropolitan Residential Health Care Facility Inc is legally operated by Northern Metropolitan Residential Health Care Facility Inc (Not for Profit).
Northern Metropolitan Residential Health Care Facility Inc has a walk score of 69. Somewhat 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 96.7%.
No, Northern Metropolitan Residential Health Care Facility Inc has a no-pet policy.
Northern Metropolitan Residential Health Care Facility Inc is registered as a non-profit in NY.
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