Livingston Hills Nursing and Rehabilitation Center
2781 Route 9 · Livingston, NY · 12541 · 5188513041
120 certified beds For profit - Corporation
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.10 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.10 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 1.74 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | 1 · $89,794 |
Inspection citations (73 in the current record)
-
Potential for harm · D July 30, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected November 29, 2025 · Resident Rights
-
Potential for harm · D July 30, 2025
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected September 26, 2025 · Resident Rights
-
Potential for harm · F July 30, 2025
Honor the resident's right to manage his or her financial affairs.
Corrected October 30, 2025 · Resident Rights
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Potential for harm · F July 30, 2025
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected September 26, 2025 · Resident Rights
-
Potential for harm · D July 30, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected September 26, 2025 · Resident Rights
-
Potential for harm · E July 30, 2025
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected September 26, 2025 · Resident Rights
-
Potential for harm · D July 30, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · E July 30, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 30, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 30, 2025
Honor each resident's preferences, choices, values and beliefs.
Corrected September 26, 2025 · Quality of Life and Care
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Potential for harm · E July 30, 2025
Provide activities to meet all resident's needs.
Corrected September 26, 2025 · Quality of Life and Care
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Potential for harm · D July 30, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 26, 2025 · Quality of Life and Care
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Potential for harm · D July 30, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected September 26, 2025 · Quality of Life and Care
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Potential for harm · D July 30, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 26, 2025 · Quality of Life and Care
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Potential for harm · D July 30, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected September 26, 2025 · Quality of Life and Care
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Potential for harm · F July 30, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected September 26, 2025 · Nursing and Physician Services
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Potential for harm · F July 30, 2025
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.
Corrected September 26, 2025 · Nursing and Physician Services
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Potential for harm · D July 30, 2025
Post nurse staffing information every day.
Corrected September 26, 2025 · Nursing and Physician Services
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Potential for harm · E July 30, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected September 26, 2025 · Pharmacy Service
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Potential for harm · F July 30, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected November 29, 2025 · Pharmacy Service
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Potential for harm · F July 30, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected September 26, 2025 · Nutrition and Dietary
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Potential for harm · F July 30, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · F July 30, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected November 29, 2025 · Administration
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Potential for harm · F July 30, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected November 24, 2025 · Environmental
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Potential for harm · E July 30, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 26, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 1, 2024 | Fine | $89,794 |
| May 1, 2024 | Payment Denial | 39 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335389 · certified since May 1, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.