TEN BROECK COMMONS
ONE COMMONS DRIVE
LAKE KATRINE, NY, 12449
8453366666
CCN: 335765
5
Overall4
Health2
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
CCRN OPERATOR, LLC
1128a2
Excluded 2019-06-20
Ownership
| Name | Role | % |
|---|---|---|
| KINGSTON NH HOLDING LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| GETZ, MORDECHAI | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% |
| GOLD, AVROM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% |
| KLEIN, ESTHER | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 30% |
| KLEIN, SOLOMON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% |
| MENDLOWITS, EUGENE | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% |
| SCHLESINGER, ERNEST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 40% |
| PEREZ, KATHRYN | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Health Deficiencies (20)
2025-09-17 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-09-20 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F557 · Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
2023-06-12 · Health
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2020-01-08 · Health
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
2018-02-13 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F726 · Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F685 · Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
D
F659 · Resident Assessment and Care Planning Deficiencies
Provide care by qualified persons according to each resident's written plan of care.
D
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F636 · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
D
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.28
RN Hrs/Resident/Day0.54
0.52
LPN Hrs/Resident/Day0.81
0.87
CNA Hrs/Resident/Day2.33
1.90
PT Hrs/Resident/Day0.12
0.08
Data as of 2026-03-01