Henry J Carter Skilled Nursing Facility
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 60 Google reviews
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What this means for your family
While the facility is modern and physically clean, the overwhelming number of reports regarding patient neglect and unresponsive staff makes this a high-risk choice. If you must consider this facility, we strongly advise you to perform daily, unannounced visits to monitor your loved one's hygiene and medical care, as communication from the staff is frequently cited as non-existent.
Google Reviews
Google Reviews
60 reviews on Google“Henry J. Carter Skilled Nursing Facility receives overwhelming negative feedback from families, with frequent reports of severe neglect, poor hygiene, and unresponsive nursing staff. While the facility is physically modern and clean, reviewers consistently describe a culture of indifference, chronic understaffing, and a lack of basic communication with families. Many families report that their loved ones' health deteriorated significantly during their stay, leading to urgent hospital transfers.”
Quality Themes
Tap a score for detailsStrengths
- Modern, clean, and well-maintained facility
- Visually appealing building and rooms
- Occasional helpful individual staff members
Concerns
- Severe understaffing and slow response times to call buttons (mentioned by 18 reviewers)
- Poor hygiene and failure to change soiled diapers/linens (mentioned by 12 reviewers)
- Rude, dismissive, or unprofessional nursing and administrative staff (mentioned by 15 reviewers)
- Lack of communication with families and inability to reach staff by phone (mentioned by 9 reviewers)
- Inadequate medical oversight and failure to address patient health declines (mentioned by 8 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 63 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the size of the facility, what is the current process for ensuring call buttons are answered promptly, especially during shift changes?
- 2How does the nursing team coordinate with families to provide regular updates on a resident's health status and any changes in their care plan?
- 3I noticed the facility is modern and well-maintained; what steps are taken to ensure that high standards of hygiene and room cleanliness are consistently met throughout the day?
- 4What protocols are in place to ensure that residents receive timely assistance with personal care and hygiene needs, particularly regarding incontinence care?
- 5Could you walk me through how your team manages medication administration and monitors for potential health declines to ensure residents remain stable?
- 6What kind of daily activities or social engagement programs are available to help residents feel connected and active within the community?
Personalized based on this facility's data
Key Review Excerpts
“Patients are left for hours with diapers full of feces, and when you bring it to the staff's attention they make you wait a couple of more hours.”
“The nurses were rude, dismissive, and completely unapproachable. Any time I tried to ask a question or get clarification from a doctor, it felt like I was being scolded just for wanting to understand what was going on.”
“My father was admitted on Wednesday of this week...I came to see him and the Head Nurse on duty Roy Thomas....had an atrocious attitude....He needs to learn to have more compassion”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
3
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents with pressure sores (bedsores)
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Henry J Carter has concerning complaint-triggered deficiencies including families reporting issues with resident safety supervision, respiratory care, and alleged violations response. The facility shows recurring problems with safety supervision, medication management, and fire safety systems across multiple surveys. While the facility has correction dates for all deficiencies, the pattern of complaint-driven investigations suggests families have had serious enough concerns to file formal reports with regulators.
Aug 20, 2025Complaint2
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 23, 2024Routine16
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper power supply for life support equipment.
Pharmacy Service Deficiencies
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.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Give residents a notice of rights, rules, services and charges.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous Deficiencies
Provide properly sized and located linen or trash receptacles.
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Dec 29, 2023Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Federal Penalties
Fine
Aug 20, 2025
$17,345
Ownership & Operations
Who Operates This Facility
Henry J Carter Skilled Nursing Facility
government
Chain Affiliation
New York City Health + Hospitals
5 facilities nationwide
Chain avg rating: 4.6/5 · Rank 5 of 5 (Worst)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
60 reviews from families & visitors
Official Website
Visit nychealthandhospitals.org
Medicare data downloads
Original nursing home datasets
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