The Willows at Ramapo Rehab and Nursing Center

30 Cragmere Road · Suffern, NY · 10901 · 8453571230

203 certified beds For profit - Corporation Chain: Carerite Centers

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 56
Serious harm & abuse 20% 94
Staffing 20% 61
Federal penalties 15% 100
Trend 10% 43
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.203.48 min · 4.1 strong
RN hours / resident-day0.390.55–0.75
Weekend hours / resident-day2.93≈ weekday level
Nursing turnover / year23%median 45%
Fines (3-yr window)none

Inspection citations (30 in the current record)

  • Potential for harm · D March 13, 2026

    Honor the resident's right to manage his or her financial affairs.

    Corrected April 22, 2026 · Resident Rights

  • Potential for harm · D March 13, 2026

    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 April 22, 2026 · Resident Rights

  • Potential for harm · D March 13, 2026

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 22, 2026 · Quality of Life and Care

  • Potential for harm · D March 13, 2026

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 22, 2026 · Quality of Life and Care

  • Potential for harm · D March 13, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected April 22, 2026 · Quality of Life and Care

  • Potential for harm · D March 13, 2026

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected April 22, 2026 · Quality of Life and Care

  • Potential for harm · D March 13, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 22, 2026 · Nutrition and Dietary

  • Actual harm · G October 24, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 18, 2025 · Quality of Life and Care

  • Potential for harm · D October 24, 2025 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected December 18, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 24, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected November 4, 2025 · Infection Control

  • Potential for harm · D March 4, 2025 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected April 8, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 17, 2023

    Provide activities to meet all resident's needs.

    Corrected December 30, 2023 · Quality of Life and Care

  • Potential for harm · D November 17, 2023

    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 December 30, 2023 · Quality of Life and Care

  • Potential for harm · D November 17, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected December 30, 2023 · Quality of Life and Care

  • Potential for harm · E November 17, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected December 30, 2023 · Nutrition and Dietary

  • Potential for harm · D November 17, 2023 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected December 30, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 17, 2023 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 30, 2023 · Quality of Life and Care

  • Potential for harm · D November 17, 2023 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 30, 2023 · Resident Rights

  • Potential for harm · D April 18, 2019

    Assess the resident when there is a significant change in condition

    Corrected June 14, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D April 18, 2019

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected June 14, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D April 18, 2019

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected June 14, 2019 · Quality of Life and Care

  • Potential for harm · D April 18, 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 June 14, 2019 · Pharmacy Service

  • Potential for harm · D April 18, 2019

    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 June 14, 2019 · Pharmacy Service

  • Potential for harm · D April 18, 2019

    Ensure medication error rates are not 5 percent or greater.

    Corrected June 14, 2019 · Pharmacy Service

  • Potential for harm · D April 18, 2019

    Provide and implement an infection prevention and control program.

    Corrected June 14, 2019 · Infection Control

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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 335148 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.