Mountainside Residential Care Center
42158 State Highway 28 · Margaretville, NY · 12455 · 8455861800
82 certified beds Non profit - Corporation Hospital-based
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
Red flags
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.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.55 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.73 | 0.55–0.75 |
| Weekend hours / resident-day | 3.34 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $8,512 |
Inspection citations (14 in the current record)
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Potential for harm · D July 29, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 16, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 29, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 16, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 29, 2024 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected December 16, 2024 · Quality of Life and Care
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Actual harm · G July 26, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 20, 2024 · Quality of Life and Care
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Potential for harm · E July 26, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected December 20, 2024 · Resident Rights
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Potential for harm · D July 26, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected December 20, 2024 · Pharmacy Service
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Potential for harm · D July 26, 2024
Provide and implement an infection prevention and control program.
Corrected December 20, 2024 · Infection Control
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Potential for harm · D July 26, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 18, 2021
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected January 24, 2022 · Pharmacy Service
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Potential for harm · D September 19, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 30, 2019 · Quality of Life and Care
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Potential for harm · D September 19, 2019
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 30, 2019 · Pharmacy Service
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Potential for harm · D September 19, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 30, 2019 · Nutrition and Dietary
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Potential for harm · D September 19, 2019
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected October 30, 2019 · Nutrition and Dietary
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Potential for harm · D September 19, 2019
Keep all essential equipment working safely.
Corrected October 30, 2019 · Environmental
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 26, 2024 | Fine | $8,512 |
| July 26, 2024 | Payment Denial | 80 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335339 · certified since November 14, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.