Northern Metropolitan Residential Health Care Facility Inc

CMS overall rating

225 Maple Avenue, Monsey, NY 10952 View map

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Northern Metropolitan Residential Health Care Facility Inc accepts Medicare, Medicaid, and private pay.

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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

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 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.

Facility Direct Line (845) 352-9000

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

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

Total nursing care / resident

3h 9m per day

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) 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 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 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 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 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 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

154 days

120-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 69 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

BBB Rating: C (Not Accredited)

An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

Occupancy

Occupancy rate

97%

Higher than the New York average: 88.3%

Occupied beds

116 / 120

Average occupied beds in New York homes 166 beds

Facility TypeNursing Home

StatusActive

CountyRockland

License Number4353301N

CMS Certification Number335380

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)

Rehabilitation Services

Respite Care

Short-Term Rehab

24-Hour Staffing

5 Star Accommodations

Complimentary Bedside Phone

Complimentary Tv Service

Complimentary Wifi

Since 2018 · 8 years of data 0 enforcement actions 5 citations 47 complaints 2 inspections 2 complaint investigations

Inspection score unavailable

Not enough inspection history to generate a score.

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

Inspection Scorecard 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

Latest Inspection July 30, 2024 Complaint Investigation

Citations Citations are formal regulatory issues recorded during state inspections.	This Facility	NY Average	vs. NY Avg
Total citations 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 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 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 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 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 State inspections evaluate whether the facility meets health and safety standards.	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 had 78% fewer total inspections than the New York average (2 vs. NY avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↓ 78% fewer
Inspections with citations 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 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 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 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 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 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 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 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.

Show Inspection Reports

Inspections since 2018

Total health inspections 3

New York average 3.6

Last Health inspection on Jul 2024

Total health citations

New York average 18.5

Citations per inspection

4.33

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

100% better than New York average

New York average: 0.2

Serious health citations

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

Employee Flu Vaccination Rate: 88%

Percentage of facility employees vaccinated against influenza.

Total Cases 8

Active Cases 1

Closed 7

Since 2015

Most Recent 2023

Next Court Date Apr 27, 2026

View full lawsuit report

Total staff 115

Employees 94

Contractors 21

Staff to resident ratio 0.98 : 1

461% more staff per resident than New York average

Avg staff/day 63

Average shift 7.8 hours

0% compared with New York average

Total staff hours (quarter) 45,312

Nursing staff breakdown

7.5 hours

9.6 hours

8 hours

Contractor staffing

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


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%

View All Staffing Data in Chestnut Ridge

No penalties in the past 3 years

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

High-risk clinical events score 5.0

49% better than New York average

New York average: 9.8

Functional decline score 11.5

36% better than New York average

New York average: 18.1

Long-stay resident measures

Above average New York avg: 4.0

Need for Help with Daily Activities Increased 6.4%

61% better than New York average

New York average: 16.4%

Walking Ability Worsened 5.5%

67% better than New York average

New York average: 16.6%

Low Risk Residents with Bowel/Bladder Incontinence 22.6%

6% worse than New York average

New York average: 21.4%

Falls with Major Injury 2.5%

16% better than New York average

New York average: 3.0%

High Risk Residents with Pressure Ulcers 8.1%

13% worse than New York average

New York average: 7.2%

Urinary Tract Infection 0.5%

63% better than New York average

New York average: 1.4%

Lost Too Much Weight 2.7%

56% better than New York average

New York average: 6.1%

Depressive Symptoms 67.0%

270% worse than New York average

New York average: 18.1%

Antipsychotic Use 14.2%

13% worse than New York average

New York average: 12.6%

Pneumococcal Vaccine 99.5%

9% better than New York average

New York average: 91.4%

Influenza Vaccine 99.1%

In line with New York average

New York average: 95.2%

Hospitalizations per 1,000 days 1.96

15% worse than New York average

New York average: 1.71

ED visits per 1,000 days 1.76

30% worse than New York average

New York average: 1.35

Short-stay resident measures

Average New York avg: 3.5

Pneumococcal Vaccine 97.4%

27% better than New York average

New York average: 76.6%

Antipsychotic medication increase 0.0%

100% better than New York average

New York average: 1.3%

Influenza Vaccine 96.3%

22% better than New York average

New York average: 78.8%

Re-hospitalized after SNF stay 20.4%

In line with New York average

New York average: 20.6%

Emergency department visits 6.9%

29% better than New York average

New York average: 9.7%

Falls with major injury 0.8%

In line with New York average

New York average: 0.8%

Ability to care for self at discharge 44.4%

17% worse than New York average

New York average: 53.7%

Successful return to home or community 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

Total residents 117

Medicare

18.8% of residents

Medicaid

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.

Financial Trends

Historical financial and operational data for Northern Metropolitan Residential Health Care Facility Inc from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 95.8% ↓ 0.4pp vs 2022

Net Patient Income $609.5K ↓ ~$1.4M vs 2022

Payroll Costs $10.1M ↓ ~$82.6K vs 2022

Operating Margin 3.0% ↓ 6.3pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	90.9%	89.7%	88.1%	89.4%	92.7%	94.0%	94.8%	95.7%	96.1%	89.0%	94.1%	96.2%	95.8%
Beds	120	120	120	120	120	120	120	120	120	120	120	120	120
Net Income	-$2,469,174	$1,109,477	$2,063,287	$1,557,917	$1,552,123	$1,806,778	$809,162	$787,259	$779,417	$350,328	$1,647,119	$2,135,550	$1,000,012
Gross Revenue	$12,474,204	$14,902,659	$16,209,421	$15,702,141	$15,692,040	$16,308,053	$17,102,258	$17,387,738	$28,788,490	$22,477,949	$18,950,117	$22,510,846	$22,303,658
Operating Expenses	$14,910,295	$14,329,340	$14,259,930	$14,304,159	$14,289,378	$14,643,166	$16,451,902	$16,746,642	$17,806,381	$17,593,698	$17,015,135	$19,330,911	$20,007,014
Net Patient Income	-$2,629,693	$573,319	$1,949,491	$1,397,982	$1,402,662	$1,664,887	$650,356	$641,096	$581,766	-$933,653	$470,873	$1,970,002	$609,512
Net Patient Revenue	$12,280,602	$14,902,659	$16,209,421	$15,702,141	$15,692,040	$16,308,053	$17,102,258	$17,387,738	$18,388,147	$16,660,045	$17,486,008	$21,300,913	$20,616,526
Payroll Costs	$8,466,730	$8,729,248	$8,658,850	$8,380,688	$8,514,998	$8,293,796	$9,390,642	$9,552,289	$10,302,861	$9,830,880	$9,324,461	$10,206,109	$10,123,514
Operating Margin %	-21.4%	3.9%	12.0%	8.9%	8.9%	10.2%	3.8%	3.7%	3.2%	-5.6%	2.7%	9.3%	3.0%
Medicare %	14.0%	13.7%	16.0%	12.5%	11.6%	11.7%	15.7%	13.1%	15.3%	49.5%	13.4%	21.0%	16.5%
Medicaid %	0.0%	74.2%	74.5%	76.2%	71.9%	64.1%	52.9%	49.2%	47.3%	12.2%	61.5%	60.5%	65.1%
Private %	86.0%	12.1%	9.4%	11.4%	16.5%	24.1%	31.5%	37.7%	37.4%	38.3%	25.1%	18.5%	18.4%
Net Patient Revenue/Day	$307	$378	$420	$401	$387	$395	$412	$415	$437	$426	$424	$506	$491
Cost/Day	$373	$364	$370	$365	$352	$355	$396	$400	$423	$450	$413	$459	$477
Avg Length of Stay	101.9 days	155.7 days	105.1 days	107.9 days	160.5 days	181.9 days	139.9 days	123.6 days	144.2 days	141.6 days	133.4 days	136.4 days	154.2 days

Finances and operations

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

Net patient revenue

$20.6M

Net patient income

$609.5K

Nonprofit Nonprofit Corporation

Net patient revenue

$20.6M

Net patient income

$609.5K

Other income

$390.5K

Payroll costs

$10.1M 49.1% of net patient revenue

Other operating costs

$9.9M

Total costs

$20.0M

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.

Coverage residents most often arrive under.

Medicare 45%

Private pay 36%

Medicaid 19%

Coverage residents most often leave under.

Medicare 39%

Private pay 28%

Medicaid 34%

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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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

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

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)

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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Northern Metropolitan Residential Health Care Facility Inc

Overview of Northern Metropolitan Residential Health Care Facility

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Amenities & Lifestyle

Contact Northern Metropolitan Residential Health Care Facility Inc

Inspection History

Inspection Scorecard 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 Citations are formal regulatory issues recorded during state inspections.

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

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

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

Health Inspection History

Inspections since 2018

Breakdown of citation severity (last 8 years)

Citations history (last 8 years)

Infection Prevention & Vaccination

Lawsuit overview for Northern Metropolitan Residential Health Care Facility Inc

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

49 Certified Nursing Assistant

14 Licensed Practical Nurse

18 Registered Nurse

7 Respiratory Therapy Technician

3 Clinical Nurse Specialist

3 Physical Therapy Assistant

2 Other Dietary Services Staff

2 Physical Therapy Aide

2 Nurse Practitioner

1 Administrator

1 Other Social Services Staff

2 Qualified Social Worker

2 Dental Services Staff

1 Speech Language Pathologist

5 Occupational Therapy Aide

2 Mental Health Service Worker

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near Northern Metropolitan Residential Health Care Facility Inc

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Financial Assistance for Nursing Home in New York

Community First Choice Option

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

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Financial Assistance for
Nursing Home in New York