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Northern Manor Geriatric Center INC
199 N Middletown Road, Nanuet, NY 10954 (opens Google Maps) · Rockland County · (845) 623-3904· 231 certified beds · avg 228 residents/day · certified since Jan 1, 1967 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
1/5
Health inspection rating (on-site)
inspected Dec 10, 2024
0
Serious findings on record
$0
Fines, last 3 years
2.73
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 43 inspection findings. Open the full record below to read every finding.
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. F-0550
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint F-0584
The facility did not observe each nurse aide's job performance or provide regular training as required. · from a complaint F-0730
View all 43 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 10, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0550 |
| Dec 10, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584 |
| Dec 10, 2024 | E · Potential for more than minimal harm, pattern | The facility did not observe each nurse aide's job performance or provide regular training as required. · from a complaint · F-0730 |
| Dec 10, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0887 |
| Dec 10, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0582 |
| Dec 10, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0625 |
| Dec 10, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Dec 10, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0812 |
| Dec 10, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0841 |
| Dec 10, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| Oct 31, 2024 | F · Potential for more than minimal harm, widespread | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint · F-0921 |
| Oct 31, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0580 |
| Oct 31, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0602 |
| Oct 31, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0684 |
| Oct 31, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0760 |
| Oct 31, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0658 |
| May 29, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0600 |
| May 29, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0740 |
| May 29, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0760 |
| May 21, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0585 |
| May 21, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0609 |
| May 21, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0610 |
| May 21, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0657 |
| May 21, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0690 |
| Apr 1, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0725 |
| Apr 1, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0760 |
| Nov 1, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0600 |
| Nov 1, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0609 |
| Aug 24, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0557 |
| Aug 24, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584 |
| Aug 24, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
| Jul 6, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0677 |
| Jul 6, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0756 |
| Jul 6, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0803 |
| Jan 9, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0561 |
| Jan 9, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Jan 9, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Jan 9, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Jan 9, 2019 | D · Potential for more than minimal harm, isolated | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · F-0660 |
| Jan 9, 2019 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jan 9, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0690 |
| Jan 9, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Jan 9, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 10).
All citationsSerious citations (G–L)
2019
All citations: 9
Serious citations (G–L): 0
2022
All citations: 3
Serious citations (G–L): 0
2023
All citations: 5
Serious citations (G–L): 0
2024
All citations: 26
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 9 | 0 | D |
| 2022 | 3 | 0 | D |
| 2023 | 5 | 0 | D |
| 2024 | 26 | 0 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityNew York averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.73
New York average: 3.58
U.S. average: 3.95
Registered Nurse hours
This facility: 0.39
New York average: 0.68
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.53
New York average: 3.13
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.62 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Northern Manor Geriatric Center INC. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 11 owning or managing parties CMS has on file are shown — none excluded.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the New York midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 28% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 135 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 |
Facility data as of CMS processing date 2026-08-01. CCN 335046.
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