Northern Manor Geriatric Center INC

Name: Northern Manor Geriatric Center INC
Address: 199 N Middletown Road, Nanuet, NY, 10954, US
Telephone: 8456233904

199 N Middletown Road, Nanuet, NY 10954 · Rockland County · 231 certified beds · avg 228 residents/day · certified since Jan 1, 1967

1/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.73

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

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.

All citations in the current public record (43)

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
Dec 10, 2024	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Dec 10, 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. · from a complaint
Dec 10, 2024	E · Potential for harm, repeated	The facility did not observe each nurse aide's job performance or provide regular training as required. · from a complaint
Dec 10, 2024	E · Potential for harm, repeated	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Dec 10, 2024	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Dec 10, 2024	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · from a complaint
Dec 10, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Dec 10, 2024	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.
Dec 10, 2024	D · Potential for harm, one-off	The facility did not designate a physician to serve as medical director — the doctor responsible for overseeing resident care policies and coordinating medical care across the facility. · from a complaint
Dec 10, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Oct 31, 2024	F · Potential for harm, facility-wide	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Oct 31, 2024	E · Potential for harm, repeated	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Oct 31, 2024	E · Potential for harm, repeated	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Oct 31, 2024	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Oct 31, 2024	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Oct 31, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
May 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
May 29, 2024	D · Potential for harm, one-off	The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint
May 29, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
May 21, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint
May 21, 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
May 21, 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
May 21, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
May 21, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Apr 1, 2024	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint
Apr 1, 2024	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Nov 1, 2023	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
Nov 1, 2023	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
Aug 24, 2023	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint
Aug 24, 2023	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Aug 24, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jul 6, 2022	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jul 6, 2022	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.
Jul 6, 2022	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Jan 9, 2019	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Jan 9, 2019	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jan 9, 2019	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jan 9, 2019	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 9, 2019	D · Potential for harm, one-off	The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving.
Jan 9, 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.
Jan 9, 2019	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jan 9, 2019	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jan 9, 2019	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 10).

Year	Citations	Worst severity that year
2019	9	D
2022	3	D
2023	5	D
2024	26	F

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)

No fines or payment denials in the published 3-year window.

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)	2.73	3.58	3.95	bottom 10% in New York; bottom 7% in the U.S.
Registered Nurse hours	0.39	0.68	0.69	bottom 13% in New York; bottom 21% in the U.S.
Weekend total nurse staffing	2.53	3.13	3.50	bottom 18% in New York; bottom 10% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.39	0.48	0.48	top 43% in New York; top 50% in the U.S.
Total nursing staff turnover (%)	27.5	40.3	45.8	top 21% in New York; top 10% in the U.S.
RN turnover (%)	57.1	39.8	42.9	bottom 17% in New York; bottom 26% 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 3.62, RN 0.52, weekend 3.36. Staffing rating: 2/5.

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: 5/5 · short-stay residents: 3/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Ginsberg, Hindi	Individual	Corporate Director	NOT APPLICABLE	01/01/2008
Hager, Hershel	Individual	Corporate Director	NOT APPLICABLE	01/01/2008
Kenny, Charles	Individual	Corporate Director	NOT APPLICABLE	01/01/2009
Klein, Morris	Individual	Corporate Director	NOT APPLICABLE	10/20/2015
Klein, Morris	Individual	Operational/Managerial Control	NOT APPLICABLE	10/20/2015
Lauber, Simon	Individual	Corporate Director	NOT APPLICABLE	01/01/2010
Orzel, Israel	Individual	Corporate Director	NOT APPLICABLE	01/01/2010
Silbermintz, Saul	Individual	W-2 Managing Employee	NOT APPLICABLE	10/21/2020
Silbermintz, Saul	Individual	Corporate Director	NOT APPLICABLE	10/21/2020
Steinmetz, Leon	Individual	Corporate Director	NOT APPLICABLE	01/01/2008
Zacharaish, Abraham	Individual	Corporate Director	NOT APPLICABLE	01/01/2008

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How often do you evaluate your nurse aides and what ongoing training do they receive?"
"How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"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
Pine Valley Center for Rehabilitation and Nursing	2.1 mi	Spring Valley, NY	★★☆☆☆	2/5
Friedwald Center for Rehab and Nursing, L L C	2.8 mi	New City, NY	★★★☆☆	2/5
Northern Metropolitan Res Health Care Facility INC	2.9 mi	Monsey, NY	★★☆☆☆	2/5
Nyack Ridge Rehabilitation and Nursing Center	3.7 mi	Valley Cottage, NY	★☆☆☆☆	1/5
Tolstoy Foundation Rehabilitation and Nrsg Center	4.3 mi	Valley Cottage, NY	★☆☆☆☆	1/5	SFF
Family of Caring at Park Ridge LLC	5.3 mi	Park Ridge, NJ	★☆☆☆☆	1/5
Woodcliff Lake Health & Rehabilitation Center	5.6 mi	Woodcliff Lake, NJ	★★★★★	5/5
The Willows at Ramapo Rehab and Nursing Center	6.0 mi	Suffern, NY	★★★☆☆	2/5
Northern Riverview Health Care, INC	6.3 mi	Haverstraw, NY	★★☆☆☆	1/5
Helen Hayes Hospital R H C F	6.6 mi	West Haverstraw, NY	★★★★★	5/5
Helen Hayes Hospital T C U	6.6 mi	West Haverstraw, NY	★★★★★	5/5
Allendale Rehabilitation and Healthcare Center	7.3 mi	Allendale, NJ	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Nanuet →

Facility data as of CMS processing date 2026-08-01. CCN 335046.

The Care File

Visit checklist — Northern Manor Geriatric Center INC

199 N Middletown Road, Nanuet, NY 10954 · 8456233904

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How often do you evaluate your nurse aides and what ongoing training do they receive?"
☐ "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 335046 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)