Pine Valley Center for Rehabilitation and Nursing

Name: Pine Valley Center for Rehabilitation and Nursing
Address: 661 N Main St, Spring Valley, NY, 10977, US
Telephone: 8453560567

661 N Main St, Spring Valley, NY 10977 · Rockland County · 160 certified beds · avg 155 residents/day · certified since May 14, 1969

Part of chain: UPSTATE SERVICES GROUP (17 facilities, chain avg rating 2.0★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.11

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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 (23)

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 22, 2025	F · Potential for harm, facility-wide	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 22, 2025	E · Potential for harm, repeated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Dec 22, 2025	E · Potential for harm, repeated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Dec 22, 2025	D · Potential for harm, one-off	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Dec 22, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Dec 22, 2025	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.
Dec 22, 2025	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.
Dec 22, 2025	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.
Oct 6, 2025	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
Dec 2, 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
Dec 2, 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
Dec 2, 2024	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required. · from a complaint
Dec 2, 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. · from a complaint
Jul 14, 2023	D · Potential for harm, one-off	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.
Jul 14, 2023	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.
Jul 14, 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.
Jul 14, 2023	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Jul 14, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jul 14, 2023	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.
Jul 14, 2023	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.
Jul 14, 2023	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.
Nov 25, 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.
Nov 25, 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 stayed about the same across the last two inspection cycles (8 → 8).

Year	Citations	Worst severity that year
2019	2	D
2023	8	D
2024	4	D
2025	9	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)	4.11	3.58	3.95	top 21% in New York; top 35% in the U.S.
Registered Nurse hours	0.64	0.68	0.69	top 39% in New York; top 43% in the U.S.
Weekend total nurse staffing	3.65	3.13	3.50	top 20% in New York; top 35% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.43	0.48	0.48	top 36% in New York; top 43% in the U.S.
Total nursing staff turnover (%)	28.4	40.3	45.8	top 24% in New York; top 12% in the U.S.
RN turnover (%)	61.5	39.8	42.9	bottom 11% in New York; bottom 20% 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 3.82, RN 0.60, weekend 3.39. Staffing rating: 4/5.

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

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Koenig, Lawrence	Individual	5% or Greater Direct Ownership Interest	17%	12/22/2010
Koenig, Uri	Individual	5% or Greater Direct Ownership Interest	22%	12/22/2010
Steif, Efraim	Individual	5% or Greater Direct Ownership Interest	50%	12/22/2010
Augenstein, Jack	Individual	Corporate Director	NOT APPLICABLE	01/15/2015
Augenstein, Jack	Individual	Corporate Officer	NOT APPLICABLE	01/15/2015
Steif, Efraim	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2017
Wuertzer, Amy	Individual	Corporate Officer	NOT APPLICABLE	09/14/2017

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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"How do you track that every resident's quarterly assessment happens on time?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"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
Friedwald Center for Rehab and Nursing, L L C	1.0 mi	New City, NY	★★★☆☆	2/5
Northern Metropolitan Res Health Care Facility INC	2.1 mi	Monsey, NY	★★☆☆☆	2/5
Northern Manor Geriatric Center INC	2.1 mi	Nanuet, NY	★☆☆☆☆	1/5
The Willows at Ramapo Rehab and Nursing Center	5.2 mi	Suffern, NY	★★★☆☆	2/5
Nyack Ridge Rehabilitation and Nursing Center	5.2 mi	Valley Cottage, NY	★☆☆☆☆	1/5
Helen Hayes Hospital R H C F	5.6 mi	West Haverstraw, NY	★★★★★	5/5
Helen Hayes Hospital T C U	5.6 mi	West Haverstraw, NY	★★★★★	5/5
Tolstoy Foundation Rehabilitation and Nrsg Center	5.6 mi	Valley Cottage, NY	★☆☆☆☆	1/5	SFF
Northern Riverview Health Care, INC	5.7 mi	Haverstraw, NY	★★☆☆☆	1/5
Woodcliff Lake Health & Rehabilitation Center	6.5 mi	Woodcliff Lake, NJ	★★★★★	5/5
Family of Caring at Park Ridge LLC	6.8 mi	Park Ridge, NJ	★☆☆☆☆	1/5
Allendale Rehabilitation and Healthcare Center	7.6 mi	Allendale, NJ	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Spring Valley →

Facility data as of CMS processing date 2026-08-01. CCN 335285.

The Care File

Visit checklist — Pine Valley Center for Rehabilitation and Nursing

661 N Main St, Spring Valley, NY 10977 · 8453560567

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "How do you track that every resident's quarterly assessment happens on time?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "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 335285 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)