The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
New York State Veterans Home At Montrose
Montrose, NY · Medicare-certified · 252 beds
Needs attention
Abuse citationGovernment-run
Data as of July 1, 2026
2 of 5 overall
New York State Veterans Home At Montrose has a 2-star overall rating, with a 1-star health inspection rating but 5-star staffing and 3-star quality measures. It reports 3.95 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $29,153 in fines in the last 24 months, and has a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.949 hrs/resident/day
Quality measures
Last inspection: March 24, 2026Penalties, last 24 months: $29,153recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.949.
Staffing detail
- Registered nurses
- 1.16
- Licensed practical nurses
- 0.39
- Nurse aides
- 2.40
- Weekend nursing
- 3.38
Hours per resident per day.
Total staff turnover: 27%
Registered nurse turnover: 28%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
16%8.2%Improving
Residents with a fall causing major injury
5.1%4.8%No change
Residents with pressure ulcers (bedsores)
9%7.3%Improving
Residents with a urinary tract infection
4.2%1.5%Improving
Residents who lost too much weight
8.5%7.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
24.2%16.6%Improving
Residents whose ability to walk got worse
17%12.1%Improving
Long-stay residents on antianxiety or sleep medication
14.4%17.9%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
1.5%0.4%Improving
Residents with new or worsening incontinence
25.4%13%Improving
Residents with depressive symptoms
4.4%1.6%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.1%—
Long-stay residents given the pneumonia vaccine
80.3%54.1%Worsening
Short-stay residents given the seasonal flu vaccine
—94.6%—
Short-stay residents given the pneumonia vaccine
50%32.4%Worsening
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to ensure residents were free from physical restraints unless they were needed for medical treatment. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 604 — 42 CFR §483.12 — S/S: G
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: G
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $29,153 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $29,153 in total fines.
- $29,153
Federal fine
Apr 3, 2025
Operator & ownership
- Ownership
- Government - State
- Occupancy
- 200.6 residents on an average day (80% of 252 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 24 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.