Livingston Hills Nursing and Rehabilitation Center
2781 Route 9, Livingston, NY 12541 · (518) 851-3041
For profit - Corporation · 120 certified beds
Special Focus Facility candidate Medicare's data lists this home as a candidate for its Special Focus Facility program, which is for homes with a persistent record of serious problems.
Livingston Hills Nursing and Rehabilitation Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in July 2025, found 27 citations (the New York average is 8.1). It was fined 1 time in the last three years, $89,794 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on July 30, 2025 found 27 citations. What an inspection citation means
- Honor the resident's right to manage his or her financial affairs.July 30, 2025 · F0567 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure residents have reasonable access to and privacy in their use of communication methods.July 30, 2025 · F0576 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.July 30, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.July 30, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.July 30, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.July 30, 2025 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.July 30, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.July 30, 2025 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.July 30, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Have a plan that describes the process for conducting QAPI and QAA activities.July 30, 2025 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.July 30, 2025 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.July 30, 2025 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.July 30, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide care and assistance to perform activities of daily living for any resident who is unable.July 30, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide activities to meet all resident's needs.July 30, 2025 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure medication error rates are not 5 percent or greater.July 30, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Allow residents to self-administer drugs if determined clinically appropriate.July 30, 2025 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.July 30, 2025 · F0557 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.July 30, 2025 · F0577 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedJuly 30, 2025 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.July 30, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor each resident's preferences, choices, values and beliefs.July 30, 2025 · F0675 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 30, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.July 30, 2025 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 30, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate dialysis care/services for a resident who requires such services.July 30, 2025 · F0698 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Post nurse staffing information every day.July 30, 2025 · F0732 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 42 citations.
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.June 5, 2026 · F0842 · Level of harm: Potential for minimal harm · Residents affected: Many
- Provide care and assistance to perform activities of daily living for any resident who is unable.July 30, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.July 30, 2025 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.July 30, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.July 14, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.July 14, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have a Compliance and Ethics Program.July 14, 2025 · F0895 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Develop, implement, and/or maintain an effective training program for all new and existing staff members.July 14, 2025 · F0940 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.May 23, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.May 23, 2024 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.May 23, 2024 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.May 23, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.May 23, 2024 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Assess the resident when there is a significant change in conditionMay 23, 2024 · F0637 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedMay 23, 2024 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 23, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.May 23, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 23, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 23, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.May 23, 2024 · F0710 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.May 23, 2024 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.May 23, 2024 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident’s drug regimen must be free from unnecessary drugs.May 23, 2024 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.May 23, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 23, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Dispose of garbage and refuse properly.May 23, 2024 · F0814 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.May 23, 2024 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.May 23, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.May 1, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Allow residents to self-administer drugs if determined clinically appropriate.May 1, 2024 · F0554 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.May 1, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.May 1, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 1, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.May 1, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.May 1, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 1, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 1, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Provide enough food/fluids to maintain a resident's health.May 1, 2024 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.May 1, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.May 1, 2024 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.May 1, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.May 1, 2024 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Fines and payment denials
- Fine of $89,794May 1, 2024
- Medicare payment denial for 39 daysStarting August 1, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | New York average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 1.85 | 3.63 | 3.86 |
| Registered nurses (RN) | 0.26 | 0.71 | 0.69 |
| Licensed practical nurses (LPN) | 0.55 | 0.76 | 0.86 |
| Nurse aides | 1.04 | 2.15 | 2.32 |
| Total nursing staff turnover | 52.9% | 40.3% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 120 |
| Average residents per day | 110.1 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Ghent Rehabilitation & Nursing Center Ghent · ★★★★★ 2 out of 5 stars
- Pine Haven Home Philmont · ★★★★★ 5 out of 5 stars
- The Grand Rehabilitation and Nursing at Barnwell Valatie · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Livingston Hills Nursing and Rehabilitation Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.