New York State Veterans Home At Montrose
State inspectors recorded 4 citation(s) in the last three years where CMS determined a resident was actually harmed.
CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.
Serious inspection findings
2026-03-24 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2026-03-11 — ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-04-03 — ACTUAL HARM (tag F0604, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
2025-04-03 — ACTUAL HARM (tag F0605, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Staffing, from payroll records
Nursing hours / resident / day
3.58
state median 3.31
Weekend staffing gap
−13%
fewer nursing hours on weekends · state median −11%
RN hours / resident / day
0.80
registered nurses only
Contract (agency) staff
3%
share of all nursing hours
Nursing staff turnover
27%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $29,153 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-04-03 | Fine | $29,153 |
Ownership
Ownership type: Government - State.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-03-24 | F0561 | Resident Rights Deficiencies | D | not recorded |
| 2026-03-24 | F0585 | Resident Rights Deficiencies | D | not recorded |
| 2026-03-24 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2026-03-11 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2025-06-04 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-04 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2025-04-03 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-04-03 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2025-04-03 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2025-04-03 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-04-03 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-07-27 | F0565 | Resident Rights Deficiencies | D | not recorded |
| 2023-07-27 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2023-07-27 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-07-27 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-07-27 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-07-27 | F0812 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2023-07-27 | F0838 | Administration Deficiencies | D | not recorded |
| 2023-07-27 | F0921 | Environmental Deficiencies | D | not recorded |
| 2019-06-22 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2019-06-22 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2018-07-13 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |