Mountainside Residential Care Center
42158 State Highway 28, Margaretville, NY 12455 · Delaware County · 82 certified beds · avg 70 residents/day · certified since Nov 14, 1971
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jul 26, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 20, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (14)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 29, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jul 29, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jul 29, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD). · from a complaint |
| Jul 26, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jul 26, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jul 26, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Jul 26, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jul 26, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Nov 18, 2021 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Sep 19, 2019 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Sep 19, 2019 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Sep 19, 2019 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 19, 2019 | D · Potential for harm, one-off | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. |
| Sep 19, 2019 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 5 | 0 | D |
| 2021 | 1 | 0 | D |
| 2024 | 8 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $8,512, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Jul 26, 2024 | Fine | $8,512 |
| Jul 26, 2024 | Payment Denial | 80 days from Oct 26, 2024 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | New York avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.52 | 3.58 | 3.95 | top 12% in New York; top 23% in the U.S. |
| Registered Nurse hours | 0.90 | 0.68 | 0.69 | top 15% in New York; top 21% in the U.S. |
| Weekend total nurse staffing | 4.29 | 3.13 | 3.50 | top 6% in New York; top 16% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.65 | 0.48 | 0.48 | top 19% in New York; top 19% in the U.S. |
| Total nursing staff turnover (%) | 90.8 | 40.3 | 45.8 | bottom 1% in New York; bottom 1% in the U.S. |
| RN turnover (%) | 88.9 | 39.8 | 42.9 | bottom 1% in New York; bottom 2% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.70, RN 0.74, weekend 3.51. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Adams, Emilie | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Allen, Catherine | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Baker, Patrick | Individual | Corporate Director | NOT APPLICABLE | 03/01/2024 |
| Chessari, Elissa | Individual | Corporate Officer | NOT APPLICABLE | 11/08/2024 |
| Chessari, Elissa | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/08/2024 |
| Cioffi, Michael | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Difiglia, Mario | Individual | Corporate Director | NOT APPLICABLE | 07/11/2023 |
| Finch, Steve | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Finch, Steve | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2023 |
| Health Alliance | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 03/11/2009 |
| Kurra, Shankar | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Kurra, Shankar | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2023 |
| Kurra, Shankar | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Kurra, Shankar | Individual | ADP of the SNF | NOT APPLICABLE | 09/04/2025 |
| Margulies, Fredric | Individual | Corporate Director | NOT APPLICABLE | 03/10/2012 |
| Martin, Colleen | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Mason, Diana | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Munro, Diane | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Rama, Dave | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Riedl, John | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What mental health services do you offer on-site, and how do you care for residents with depression, anxiety, or a history of trauma?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Delhi Rehabilitation and Nursing Center | 17.4 mi | Delhi, NY | ★★☆☆☆ | 2/5 | |
| Robinson Terrace | 18.5 mi | Stamford, NY | ★★★★☆ | 4/5 | |
| Roscoe Regional Rehab & Residential H C F | 19.1 mi | Roscoe, NY | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 335339.