DELMAR CENTER FOR REHABILITATION AND NURSING
125 ROCKEFELLER ROAD, DELMAR, NY 12054 · CCN 335735
SFF Candidate
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★☆ 4
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 113.8
- Phone
- 5184398116
Inspection history vs New York & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | New York avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-23 | 32 | 7.7 | 9.5 | +24.3 worse |
| 2 | 2023-02-03 | 22 | 6.1 | 9.8 | +15.9 worse |
| 3 | 2020-09-16 | 25 | 5.7 | 9.3 | +19.3 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 5 |
| Resident assessment and care planning | 4 |
| Nursing and physician services | 3 |
| Resident rights | 7 |
| Nutrition and dietary | 3 |
| Pharmacy service | 4 |
| Administration | 2 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.65 | — |
| RN staffing (reported) | 0.47 | — |
| Total nurse staffing (adjusted) | 3.37 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (79)
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-01-23 · Health · corrected 2025-04-08
Potential for more than minimal harm
- EF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-01-23 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2025-01-23 · Health · corrected 2025-03-18
Potential for more than minimal harm
- EF0584Honor 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.2025-01-23 · Health · corrected 2025-04-08
Potential for more than minimal harm
- EF0585Honor 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.2025-01-23 · Health · corrected 2025-04-08
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-01-23 · Health · corrected 2025-03-18
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-01-23 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-01-23 · Health · corrected 2025-04-15
Potential for more than minimal harm
- EF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2025-01-23 · Health · corrected 2025-03-19
Potential for more than minimal harm
- DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2025-01-23 · Health · corrected 2025-03-18
Potential for more than minimal harm
- EF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-01-23 · Health · corrected 2025-03-18
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-23 · Health
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-01-23 · Health · corrected 2025-03-18
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2025-01-23 · Health · corrected 2025-03-18
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-23 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-23 · Health · corrected 2025-04-15
Potential for more than minimal harm
- EF0692Provide enough food/fluids to maintain a resident's health.2025-01-23 · Health · corrected 2025-03-18
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-23 · Health · corrected 2025-03-18
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-01-23 · Health · corrected 2025-04-15
Potential for more than minimal harm
- FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-01-23 · Health · corrected 2025-03-18
Potential for more than minimal harm
- EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2025-01-23 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-01-23 · Health · corrected 2025-03-18
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2025-01-23 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-01-23 · Health · corrected 2025-04-15
Potential for more than minimal harm
- EF0761Ensure 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.2025-01-23 · Health · corrected 2025-03-18
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-23 · Health · corrected 2025-03-18
Potential for more than minimal harm
- DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2025-01-23 · Health · corrected 2025-03-18
Potential for more than minimal harm
- EF0814Dispose of garbage and refuse properly.2025-01-23 · Health · corrected 2025-03-18
Potential for more than minimal harm
- EF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-01-23 · Health · corrected 2025-03-18
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-23 · Health · corrected 2025-03-18
Potential for more than minimal harm
- EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2025-01-23 · Health · corrected 2025-03-18
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-01-23 · Health · corrected 2025-03-18
Potential for more than minimal harm
- EF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2025-01-23 · Health · corrected 2025-04-08
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-05-23 · Health · corrected 2024-07-16
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-23 · Health · corrected 2024-07-16
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2024-05-23 · Health · corrected 2024-07-16
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-23 · Health · corrected 2024-07-16
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-23 · Health · corrected 2024-07-16
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-05-23 · Health · corrected 2024-07-16
Potential for more than minimal harm
- DF0761Ensure 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.2024-05-23 · Health · corrected 2024-07-16
Potential for more than minimal harm
- DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2024-05-23 · Health · corrected 2024-07-16
Potential for more than minimal harm
- DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2024-05-23 · Health · corrected 2024-07-16
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-05-23 · Health · corrected 2024-07-16
Potential for more than minimal harm
- EF0584Honor 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.2023-11-30 · Health · corrected 2024-01-16
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-30 · Health · corrected 2023-01-12
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-30 · Health · corrected 2024-01-16
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-11-30 · Health · corrected 2023-01-19
Potential for more than minimal harm
- DF0790Provide routine and 24-hour emergency dental care for each resident.2023-11-30 · Health · corrected 2024-01-16
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-30 · Health · corrected 2024-01-16
Potential for more than minimal harm
- DF0838Conduct 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.2023-11-30 · Health · corrected 2024-01-16
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-11-30 · Health · corrected 2024-01-16
Potential for more than minimal harm
- EF0584Honor 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.2023-02-03 · Health · corrected 2023-03-21
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-02-03 · Health · corrected 2023-03-21
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-02-03 · Health · corrected 2023-03-21
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-02-03 · Health · corrected 2023-03-21
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-02-03 · Health · corrected 2023-03-21
Potential for more than minimal harm
- DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-02-03 · Health · corrected 2023-03-21
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-02-03 · Health · corrected 2023-03-21
Potential for more than minimal harm
- DF0825Provide or get specialized rehabilitative services as required for a resident.2023-02-03 · Health · corrected 2023-03-21
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-02-03 · Health · corrected 2023-03-21
Potential for more than minimal harm
- DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-02-03 · Health · corrected 2023-03-21
Potential for more than minimal harm
- EF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2023-02-03 · Health · corrected 2023-03-21
Potential for more than minimal harm
- CF0584Honor 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.2020-09-16 · Health · corrected 2020-10-29
Potential for minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2020-09-16 · Health · corrected 2020-10-29
Potential for more than minimal harm
- CF0641Ensure each resident receives an accurate assessment.2020-09-16 · Health · corrected 2020-10-29
Potential for minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2020-09-16 · Health · corrected 2020-10-29
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2020-09-16 · Health · corrected 2020-10-29
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2020-09-16 · Health · corrected 2020-10-29
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2020-09-16 · Health · corrected 2020-10-29
Potential for more than minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2020-09-16 · Health · corrected 2020-10-29
Potential for more than minimal harm
- DF0758Implement 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.2020-09-16 · Health · corrected 2020-10-29
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2020-09-16 · Health · corrected 2020-10-29
Potential for more than minimal harm
- EF0761Ensure 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.2020-09-16 · Health · corrected 2020-10-29
Potential for more than minimal harm
- DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2020-09-16 · Health · corrected 2020-10-29
Potential for more than minimal harm
- DF0791Provide or obtain dental services for each resident.2020-09-16 · Health · corrected 2020-10-29
Potential for more than minimal harm
- EF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2020-09-16 · Health · corrected 2020-10-29
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2020-09-16 · Health · corrected 2020-10-29
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2020-09-16 · Health · corrected 2020-10-29
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2020-09-16 · Health · corrected 2020-10-29
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| GOOD SAMARITAN LUTHERAN HEALTH CARE CENTER INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 1975-02-01 |
| THE LUTHERAN CARE NETWORK INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 1972-12-13 |
| FELLEGARA, LARAINE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2010-01-01 |
| ALBANO, LOUIS | Individual | CORPORATE DIRECTOR | — | 2015-09-01 |
| BALL, ANNETTE | Individual | CORPORATE DIRECTOR | — | 2013-12-19 |
| DAVIS, ALEC | Individual | CORPORATE DIRECTOR | — | 1995-01-01 |
| HARTWELL, ROBERT | Individual | CORPORATE DIRECTOR | — | 2015-09-01 |
| JONES, CHRISTOPHER | Individual | CORPORATE DIRECTOR | — | 2013-12-19 |
| KNOWLES, ANNA MAE | Individual | CORPORATE DIRECTOR | — | 2013-12-19 |
| MAZER, PETER | Individual | CORPORATE DIRECTOR | — | 2005-01-01 |
| MCWEENEY, BRIAN | Individual | CORPORATE DIRECTOR | — | 2005-01-01 |
| OLSON, RICHARD | Individual | CORPORATE DIRECTOR | — | 1999-01-01 |
| RACZAK, BARBARA | Individual | CORPORATE DIRECTOR | — | 2013-12-19 |
| ROZENBERG, KENNETH | Individual | CORPORATE DIRECTOR | — | 2020-06-01 |
| RUTH, JOHN | Individual | CORPORATE DIRECTOR | — | 1999-01-01 |
| SHANE, JOHN | Individual | CORPORATE DIRECTOR | — | 2011-01-01 |
| TAYLOR, LYNETTE | Individual | CORPORATE DIRECTOR | — | 1999-01-01 |
| TRIPODI, FRANK | Individual | CORPORATE DIRECTOR | — | 2010-12-15 |
| UPRIGHT, ARTHUR | Individual | CORPORATE DIRECTOR | — | 2000-01-01 |
| FELLEGARA, LARAINE | Individual | CORPORATE OFFICER | — | 2021-01-01 |
| TRIPODI, FRANK | Individual | CORPORATE OFFICER | — | 2010-12-15 |
| UPRIGHT, ARTHUR | Individual | CORPORATE OFFICER | — | 2000-01-01 |
| WOODCOCK, KAREN | Individual | W-2 MANAGING EMPLOYEE | — | 2014-09-05 |
Other facilities in DELMAR
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.