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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Situated at 661 North Main Street in Spring Valley, Pine Valley Center for Rehabilitation and Nursing operates 160 beds under for-profit ownership (Pine Valley Center, LLC). Licensed and Medicare/Medicaid certified since 1969, the facility maintains near-full occupancy at 99% with a resident population heavily weighted toward Medicaid beneficiaries (74.7%), supplemented by private-pay (14.9%) and Medicare (10.4%) admissions. Resident council participation and on-site nurse aide training confirm formal engagement structures.
Overall and health inspection each score 3 stars; staffing earns 4 stars (well above average); quality measures score 3 stars.
Across metrics, staffing depth stands out; 4 hours 12 minutes daily nursing/resident (21% above state baseline) reflects above-average licensed practical nurse deployment at 51 minutes daily (11% above state). Registered nurses work 40 minutes (slightly below state). Nursing aides contribute 2 hours 17 minutes. All staff are direct employees (zero contractor deployment as of Q4 2025).
Weekend nursing coverage exceeds state average; weekend registered nurse availability, however, drops 25% below state. Physical therapy runs 43% below state standard at 4 minutes daily.
All five inspections produced citations (against average of 44% citation rate). Eighteen cumulative citations (38% above state) cluster primarily around infection prevention and documentation.
The December 2024 complaint investigation cited 22 deficiencies (at state average); all carried Level 2 designation, none critical or serious. Corrections occurred within 30 days. An October 2025 standard inspection identified one additional abuse/neglect violation.
Zero enforcement actions and zero fines appear in the three-year record. Complaint filings total 47 (29.4/100 beds), tracking 41% below state density.
Long-stay residents benefit from measurable protective advantages: falls with major injury 82% below baseline, depressive symptoms 98% lower, UTI rates 61% better, hospitalizations 22% fewer, and ED visits 39% lower. Yet functional and mobility indicators underperform: activity limitation increase 35% worse than state, walking ability decline 46% worse, and bowel/bladder incontinence 42% worse.
Vaccination compliance at discharge is 14 to 28% below state; re-hospitalization rates run 16% worse; discharge self-care capacity 30% below state; community return 19% worse. Zero falls with major injury represents the single exception.
Services span long-term care, short-term rehabilitation, sub-acute care, hospice, and respite. Kosher meals are included. Physician oversight and 24-hour staffing are staffed.
Walk-score 81 indicates high neighborhood walkability.
Litigation activity is substantial: 34 total cases since 2012, with 8 currently active and next court appearance scheduled April 27, 2026.
Pine Valley Center delivers measurable long-stay safety outcomes, particularly in fall prevention and mental health metrics.
However, deficiencies, litigation, below-average rehabilitation and functional decline trends warrant inquiry before family consideration of placement.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 59th out of 387 homes in New York for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 40m per day | ▼ 5% 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.
| 51m per day | ▲ 11% 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 17m per day | ▲ 5% 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 26m per day | ▲ 8% 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.
| 4m per day | ▼ 43% 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.
| 21m per day | ▼ 25% State avg: 28m per day · National avg: 28m per day |
Higher than the New York average: 88.3%Pine Valley Center for Rehabilitation and Nursing is legally operated by Pine Valley Center, LLC (For Profit).
In New York State, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York State state average. The score below shows how many points this facility sits above or below the typical New York State nursing home score (the benchmark); higher is better.
8 points above the New York State average for nursing homes (83/100)
Inspection score: 91 out of 100. Letter grade A-. 8 points above the New York State average for nursing homes (83/100)
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York State state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 18 | 13 | This facility has 38% more total citations than a typical New York State nursing home (18 vs. NY avg 13).↑ 38% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 15 | 20 | This facility has 25% fewer health citations than a typical New York State nursing home (15 vs. NY avg 20).↓ 25% 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 State nursing home (3 vs. NY avg 4).↓ 25% better |
|
Citations per year
Average citations per year since 2019.
| 2.6 | 1.9 | This facility has 37% more citations per year than a typical New York State nursing home (2.6 vs. NY avg 1.9).↑ 37% worse |
|
Citations per inspection
Average citations per inspection.
| 1.6 | 1.4 | This facility has 14% more citations per inspection than a typical New York State nursing home (1.6 vs. NY avg 1.4).↑ 14% worse |
Inspections
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 11 | 9 | This facility has 22% more total inspections than a typical New York State nursing home (11 vs. NY avg 9).↑ 22% worse |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 7 | 4 | This facility has 75% more inspections with citations than a typical New York State nursing home (7 vs. NY avg 4).↑ 75% worse |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 64% | 44% | This facility has 20 percentage points higher inspection citation rate than a typical New York State nursing home (64% vs. NY avg 44%).↑ 20% worse |
Complaints & Investigations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 45 | 79 | This facility has 43% fewer total complaints than a typical New York State nursing home (45 vs. NY avg 79).↓ 43% better |
|
Complaints per year
Average complaints per year since 2019.
| 6.4 | 11.3 | This facility has 43% fewer complaints per year than a typical New York State nursing home (6.4 vs. NY avg 11.3).↓ 43% better |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 0.28 | 0.50 | This facility has 44% fewer complaints per bed than a typical New York State nursing home (0.28 vs. NY avg 0.5).↓ 44% better |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York State regulators.
| 10 | 15 | This facility has 33% fewer complaint investigations than a typical New York State nursing home (10 vs. NY avg 15).↓ 33% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
New York State average 3.6
Last Health inspection on Oct 2025
New York State average 18.5
New York State average 5.05
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
10 of 15 citations resulted from standard inspections; and 5 of 15 resulted from complaint investigations.
100% better than New York State averageNew York State average: 0.2
100% better than New York State averageNew York State average: 0.2
Corrected
Corrected
Corrected
How this facility protects residents through staff vaccination policies and immunization practices.
Percentage of facility employees vaccinated against influenza.
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.
34
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
8
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
25
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2012
Most recent filing on record. Recent activity means legal disputes are still being raised against this facility.
2026
Next scheduled court appearance on record across active cases.
Apr 27, 2026Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
508% more staff per resident than New York average
0% compared with New York average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 19 RN Staff are full-time employees. No contractors work on this role.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursAssists with medical care and medications.
All 31 LPN Staff are full-time employees. No contractors work on this role.
31
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursHelps with daily care and mobility.
All 80 CNA Staff are full-time employees. No contractors work on this role.
80
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 80 | 0 | 80 | 33,447 | 92 | 100% | 7.2 |
| Licensed Practical Nurse | 31 | 0 | 31 | 11,792 | 92 | 100% | 8.5 |
| Registered Nurse | 19 | 0 | 19 | 6,719 | 92 | 100% | 8.5 |
| Administrator | 4 | 0 | 4 | 1,770 | 66 | 72% | 7.5 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 1,512 | 71 | 77% | 8.1 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,205 | 83 | 90% | 6.9 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 1,033 | 75 | 82% | 7 |
| Occupational Therapy Aide | 3 | 0 | 3 | 1,005 | 68 | 74% | 6.1 |
| Physical Therapy Assistant | 3 | 0 | 3 | 916 | 70 | 76% | 7.3 |
| Mental Health Service Worker | 2 | 0 | 2 | 802 | 64 | 70% | 7.9 |
| Nurse Practitioner | 2 | 0 | 2 | 679 | 62 | 67% | 8 |
| Physical Therapy Aide | 3 | 0 | 3 | 653 | 67 | 73% | 5.3 |
| Qualified Social Worker | 2 | 0 | 2 | 558 | 73 | 79% | 5.3 |
| Dietitian | 1 | 0 | 1 | 456 | 58 | 63% | 7.9 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 449 | 58 | 63% | 7.7 |
| Speech Language Pathologist | 1 | 0 | 1 | 416 | 57 | 62% | 7.3 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.1
23% worse than New York State averageNew York State average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.6
41% worse than New York State averageNew York State 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
22.2%
35% worse than New York State averageNew York State average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
24.3%
46% worse than New York State averageNew York State average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.4%
42% worse than New York State averageNew York State average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
0.5%
82% better than New York State averageNew York State average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
8.8%
23% worse than New York State averageNew York State average: 7.2%
Percent of long-stay residents with a urinary tract infection
0.5%
61% better than New York State averageNew York State average: 1.4%
Percent of long-stay residents who lose too much weight
4.6%
25% better than New York State averageNew York State average: 6.1%
Percent of long-stay residents who have depressive symptoms
0.4%
98% better than New York State averageNew York State average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
10.5%
17% better than New York State averageNew York State average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.4%
In line with New York State averageNew York State average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
In line with New York State averageNew York State average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.34
22% better than New York State averageNew York State average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.82
39% better than New York State averageNew York State 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
55.4%
28% worse than New York State averageNew York State average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.3%
75% better than New York State averageNew York State average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
67.9%
14% worse than New York State averageNew York State average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.8%
16% worse than New York State averageNew York State average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
8.8%
9% better than New York State averageNew York State average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than New York State averageNew York State average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
37.5%
30% worse than New York State averageNew York State average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
41.2%
19% worse than New York State averageNew York State average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
45% of new residents, usually for short-term rehab.
38% of new residents, often for short stays.
17% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
154Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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 Pine Valley Center for Rehabilitation and Nursing based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #212 / 382Payroll — State benchmarkedThis home is ranked 212th out of 382 homes in New York for payroll. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
169.3 miles from city center
Estimated distance in miles from Spring Valley's city center to Pine Valley Center for Rehabilitation and Nursing's address, calculated via Google Maps.
Add your location
Pine Valley Center for Rehabilitation and Nursing is located in Spring Valley, New York.
Here are the financial assistance programs available to residents in New York.
The information below is reported by the New York State Department of Health.
| Job Haines Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Bloomfield (Bloomfield Avenue) | 40 | 97.5% | +27% | 6.31 | -2% | +63% | $0 | 4 | 1.3 | - | 37 | - | 85 | Noreen Haveron | $17.2M | $12.4M | 72.1% | 315392 | ||||
| Angels Nursing Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Los Angeles (Westlake) | 41
Facility
41
CA AVG
103
Rank
#1206 / 1658 | 90.2% | +7% | 4.73 | -54% | +12% | $33.9k | 42 | 3.8 | 4 | 37 | A+ |
92
Facility
92
CA AVG
57
Rank
#137 / 2093 | Aret Akian | $4.5M | $3.8M | 84.8% | 55704 | ||||
| Pine Valley Center for Rehabilitation and 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). | Spring Valley | 160 | 98.8% | +12% | 4.21 | -8% | +18% | $0 | 15 | 3.8 | - | 155 | - | 81 | Pine Valley Center, LLC (For Profit) | $32.0M | $12.8M | 40% | 335285 | ||||
| Horizon Health & Subacute Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Fresno (East Herndon Avenue) | 180
Facility
180
CA AVG
103
Rank
#211 / 1658 | - | - | 4.73 | -29% | +12% | $22.9k | 43 | 3.1 | 2 | 155 | - |
58
Facility
58
CA AVG
57
Rank
#1129 / 2093 | Chad Galley | $4.8M | $3.6M | 74.7% | 55199 | ||||
| Mid-Wilshire Health Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Los Angeles (Westlake) | 80
Facility
80
CA AVG
103
Rank
#917 / 1658 | - | - | 3.66 | +193% | -13% | $54.2k | 44 | 3.7 | 4 | 74 | A+ |
96
Facility
96
CA AVG
57
Rank
#43 / 2093 | Best Health Services LLC | $8.1M | $6.0M | 74.5% | 56174 |
The legal owner and operator of Pine Valley Center for Rehabilitation and Nursing is Pine Valley Center, LLC (For Profit).
Pine Valley Center for Rehabilitation and Nursing has a walk score of 81. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to NY state health department records, Pine Valley Center for Rehabilitation and Nursing's license number is 4353303N.
Pine Valley Center for Rehabilitation and Nursing's occupancy is 99%.
Pine Valley Center for Rehabilitation and Nursing has 160 beds.
Pine Valley Center for Rehabilitation and Nursing has had 18 recently reported deficiencies.
Yes — there are 7 photos of Pine Valley Center for Rehabilitation and Nursing in the photo gallery on this page.
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