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Nursing HomeMedicaid Investigative

Mountainside Residential Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

42158 State Highway 28, Margaretville, NY 1245582 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 2 Google reviews

Mountainside Residential Care Center Nursing Home in Margaretville, NY — Street View
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2/ 10
low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)

Below average in NY · Meets national RN staffing standard · $8,512 in fines

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. Registered Nurse hours are only 97% of the national benchmark, which can affect medication management and response times. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.73hrs
97%
Registered nurses for medical care
Total Nursing
3.55hrs
86%
All nurses + aides combined

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

6

measures

Worse Than Avg

9

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
NY
18.9%
Delaware
15.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility86.7%
Worse than Avg
Here
86.7%
US
93.4%
NY
91.3%
Delaware
87.0%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.9%
Mixed vs Avgs
Here
14.9%
US
19.5%
NY
13.3%
Delaware
21.0%
⚠️

Residents who fell and were seriously hurt

↓ Lower is better
This Facility8.8%
Worse than Avg
Here
8.8%
US
3.2%
NY
3.1%
Delaware
4.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility19.5%
Worse than Avg
Here
19.5%
US
15.5%
NY
13.8%
Delaware
15.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility17.2%
Worse than Avg
Here
17.2%
US
14.4%
NY
14.8%
Delaware
12.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility49.0%
Worse than Avg
Here
49.0%
US
81.8%
NY
77.0%
Delaware
67.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility70.0%
Worse than Avg
Here
70.0%
US
79.8%
NY
78.8%
Delaware
74.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
NY
1.2%
Delaware
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
2penalties
Near state avg (7.6)
5 complaint-triggered
$8,512 in fines

This facility has significant safety concerns with repeated problems in fire safety systems, medication management, and resident protection, including families filing abuse reports that triggered government investigations. The facility shows a concerning pattern of deficiencies across multiple surveys spanning five years, with the most recent 2024 inspection revealing serious issues including inadequate protection from abuse and neglect, improper medication practices, and ongoing fire safety violations. While all issues have correction dates listed, the recurring nature of fire safety and medication problems suggests systemic challenges that families should carefully evaluate.

Jul 29, 2024Complaint
3
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0742Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Jul 26, 2024Routine
9
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0531Potential for harm · Pattern

Services Deficiencies

Have elevators that firefighters can control in the event of a fire.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0311Potential for harm · PatternCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 26, 2024Complaint
2
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Nov 18, 2021Routine
3
0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Sep 19, 2019Routine
11
0311Potential for harm · PatternCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0522Potential for harm · PatternCorrected

Services Deficiencies

Have an externally vented heating system.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0921Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0813Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0916Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Federal Penalties

Fine

Jul 26, 2024

$8,512

Payment Denial

Jul 26, 2024

80-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Mountainside Residential Care Center

Organization Type

nonprofit

Ownership & Management

Key personnel

Health Alliance5% or Greater Security InterestAdams, EmilieOfficer / DirectorAllen, CatherineOfficer / DirectorBaker, PatrickOfficer / DirectorCioffi, MichaelOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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