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2/5
Health inspection rating (on-site)
inspected Mar 12, 2025
1
Serious findings on record
most recent Mar 12, 2025
$12,948
Fines, last 3 years
3.58
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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.
Most serious findings (actual harm or immediate jeopardy)
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Apr 18, 2025 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 14 inspection findings. Open the full record below to read every finding.
G · Actual 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. F-0684
D · Potential for more than minimal harm, isolated
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
D · Potential for more than minimal harm, isolated
The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. F-0558
View all 14 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
Mar 12, 2025
▲ G · Actual 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. · F-0684
Mar 12, 2025
D · Potential for more than minimal harm, isolated
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
Mar 12, 2025
D · Potential for more than minimal harm, isolated
The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558
Mar 12, 2025
D · Potential for more than minimal harm, isolated
The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint · F-0623
Mar 12, 2025
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
Mar 12, 2025
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
Mar 12, 2025
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
Mar 12, 2025
D · Potential for more than minimal harm, isolated
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. · from a complaint · F-0686
Mar 12, 2025
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
Mar 12, 2025
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
Mar 12, 2025
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
Mar 12, 2025
D · Potential for more than minimal harm, isolated
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
Jan 25, 2019
E · Potential for more than minimal harm, pattern
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
Jan 25, 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 by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2019
All citations:
2
Serious citations (G–L):
0
2025
All citations:
12
Serious citations (G–L):
1
All bars start at zero. Exact values and supporting details remain below.
Year
Citations
Serious (G–L)
Worst severity that year
2019
2
0
E
2025
12
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.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
Date
Type
Amount / length
Mar 12, 2025
Fine
$12,948
Nurse staffing (from payroll records, adjusted for how much care residents need)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNew York averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
3.58
New York average:
3.58
U.S. average:
3.95
Registered Nurse hours
This facility:
0.58
New York average:
0.68
U.S. average:
0.69
Weekend total nurse staffing
This facility:
3.15
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)
3.58
3.58
3.95
top 41% in New York; bottom 40% in the U.S.
Registered Nurse hours
0.58
0.68
0.69
top 49% in New York; bottom 49% in the U.S.
Weekend total nurse staffing
3.15
3.13
3.50
top 40% in New York; bottom 39% in the U.S.
Weekend RN hours (not acuity-adjusted)
0.50
0.48
0.48
top 29% in New York; top 33% in the U.S.
Total nursing staff turnover (%)
44.8
40.3
45.8
bottom 37% in New York; top 50% in the U.S.
RN turnover (%)
50.0
39.8
42.9
bottom 27% in New York; bottom 39% 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 4.11, RN 0.66, weekend 3.62.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.11 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
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.
No verified facility-specific private-pay price is available in our data for Taconic Rehabilitation and Nursing at Ulster. 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.
CMS records place this facility in Ulster, NY — 7 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Facility data as of CMS processing date 2026-08-01. CCN 335803.
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The Care File
Visit checklist — Taconic Rehabilitation and Nursing at Ulster
One Wingate Way, Highland, NY 12528 · (845) 691-6800
Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $12,948
Most serious findings on record:
▲ Mar 12, 2025 (F-0684, Actual 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.
Questions for the administrator:
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 45% 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?"
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 335803 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)