The Willows at Ramapo Rehab and Nursing Center
30 Cragmere Road, Suffern, NY 10901 · Rockland County · 203 certified beds · avg 186 residents/day · certified since Jan 1, 1967
Part of chain: CARERITE CENTERS (34 facilities, chain avg rating 3.6★)
2/5
Health inspection rating (on-site)
1
Serious findings on record
$0
Fines, last 3 years
3.02
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: 3/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Oct 24, 2025 · F-0684 · triggered by a complaint
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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 18, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (30)
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 |
|---|---|---|
| Mar 13, 2026 | D · Potential for harm, one-off | The facility did not honor residents' right to manage their own money and financial affairs. |
| Mar 13, 2026 | 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. |
| Mar 13, 2026 | 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. |
| Mar 13, 2026 | 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. |
| Mar 13, 2026 | 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. |
| Mar 13, 2026 | 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. |
| Mar 13, 2026 | 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. |
| Oct 24, 2025 | ▲ G · Actual 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 |
| Oct 24, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Jul 24, 2025 | 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 |
| Mar 4, 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. · from a complaint |
| Nov 17, 2023 | E · Potential for harm, repeated | 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. |
| Nov 17, 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. · from a complaint |
| Nov 17, 2023 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Nov 17, 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 |
| Nov 17, 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. |
| Nov 17, 2023 | 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. |
| Nov 17, 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. · from a complaint |
| Apr 18, 2019 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Apr 18, 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. |
| Apr 18, 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. |
| Apr 18, 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. |
| Apr 18, 2019 | 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. |
| Apr 18, 2019 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Apr 18, 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. |
| Apr 18, 2019 | C · Minimal risk, facility-wide | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| Apr 18, 2019 | C · Minimal risk, facility-wide | 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. |
| Apr 18, 2019 | C · Minimal risk, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Apr 18, 2019 | B · Minimal risk, repeated | 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. |
| Apr 18, 2019 | B · Minimal risk, repeated | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 12 | 0 | D |
| 2023 | 7 | 0 | E |
| 2025 | 4 | 1 | G ▲ |
| 2026 | 7 | 0 | D |
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) | 3.02 | 3.58 | 3.95 | bottom 27% in New York; bottom 14% in the U.S. |
| Registered Nurse hours | 0.37 | 0.68 | 0.69 | bottom 10% in New York; bottom 18% in the U.S. |
| Weekend total nurse staffing | 2.72 | 3.13 | 3.50 | bottom 31% in New York; bottom 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.48 | 0.48 | bottom 26% in New York; bottom 21% in the U.S. |
| Total nursing staff turnover (%) | 27.7 | 40.3 | 45.8 | top 21% in New York; top 11% in the U.S. |
| RN turnover (%) | 43.5 | 39.8 | 42.9 | bottom 38% in New York; bottom 46% 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 3.24, RN 0.40, weekend 2.93. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ahuja, Sanjay | Individual | 5% or Greater Direct Ownership Interest | 15% | 08/01/2006 |
| Einhorn, Neal | Individual | 5% or Greater Direct Ownership Interest | 9% | 07/01/2012 |
| Einhorn, Sharon | Individual | 5% or Greater Direct Ownership Interest | 9% | 07/01/2012 |
| Friedman, Devorah | Individual | 5% or Greater Direct Ownership Interest | 9% | 07/01/2012 |
| Friedman, Mark | Individual | 5% or Greater Direct Ownership Interest | 9% | 07/01/2012 |
| Mohan, Namita | Individual | 5% or Greater Direct Ownership Interest | 15% | 08/01/2006 |
| Mudgil, Vanita | Individual | 5% or Greater Direct Ownership Interest | 15% | 08/01/2006 |
| Zimiles, Joseph | Individual | 5% or Greater Direct Ownership Interest | 15% | 08/01/2006 |
| Zucker, Yossie | Individual | Direct Ownership Interest | NOT APPLICABLE | 07/01/2012 |
| Ahuja, Sanjay | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2012 |
| Ahuja, Sanjay | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2006 |
| Einhorn, Neal | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2012 |
| Einhorn, Neal | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2012 |
| Einhorn, Neal | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2012 |
| Einhorn, Sharon | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2012 |
| Friedman, Devorah | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2012 |
| Friedman, Mark | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/01/2012 |
| Friedman, Mark | Individual | Corporate Director | NOT APPLICABLE | 07/01/2012 |
| Friedman, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2012 |
| Green-Rivers, Kelly | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2016 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How are residents' personal funds handled here, and what records can families review?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What mental health services do you provide on-site, and who delivers them?"
- "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 |
|---|---|---|---|---|---|
| Northern Metropolitan Res Health Care Facility INC | 3.2 mi | Monsey, NY | ★★☆☆☆ | 2/5 | |
| Allendale Rehabilitation and Healthcare Center | 4.0 mi | Allendale, NJ | ★★★★☆ | 3/5 | |
| Woodcliff Lake Health & Rehabilitation Center | 4.9 mi | Woodcliff Lake, NJ | ★★★★★ | 5/5 | |
| Pine Valley Center for Rehabilitation and Nursing | 5.2 mi | Spring Valley, NY | ★★☆☆☆ | 2/5 | |
| Friedwald Center for Rehab and Nursing, L L C | 5.9 mi | New City, NY | ★★★☆☆ | 2/5 | |
| Northern Manor Geriatric Center INC | 6.0 mi | Nanuet, NY | ★☆☆☆☆ | 1/5 | |
| Family of Caring at Park Ridge LLC | 6.6 mi | Park Ridge, NJ | ★☆☆☆☆ | 1/5 | |
| Ridgewood Center | 7.7 mi | Ridgewood, NJ | ★☆☆☆☆ | 1/5 | |
| Christian Health Care Center | 8.5 mi | Wyckoff, NJ | ★★★☆☆ | 2/5 | |
| Bergen New Bridge Medical Center | 9.2 mi | Paramus, NJ | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 335148.