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
2 of 5 overall
2 out of 5 stars overall. The home has a 1-star health inspection rating, a recent abuse citation, and $29,153 in fines in the last 24 months; staffing is rated 5 stars, but reported nurse staffing is 3.77 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.7668 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 3.7668.
Staffing detail
- Registered nurses
- 1.09
- Licensed practical nurses
- 0.38
- Nurse aides
- 2.30
- Weekend nursing
- 3.12
Hours per resident per day.
Total staff turnover: 20%
Registered nurse turnover: 26%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
13%Improving
Residents with a fall causing major injury
5.9%Steady
Residents with pressure ulcers (bedsores)
8.3%Improving
Residents with a urinary tract infection
3.5%Improving
Residents who lost too much weight
5.9%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
20.8%Improving
Residents whose ability to walk got worse
17.8%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
15.6%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
1.3%Improving
Residents with new or worsening incontinence
24%Improving
Residents with depressive symptoms
2.8%Worsening
Long-stay residents given the seasonal flu vaccine
98.1%Steady
Long-stay residents given the pneumonia vaccine
70.4%Worsening
Short-stay residents given the seasonal flu vaccine
94.6%Steady
Short-stay residents given the pneumonia vaccine
47.9%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
- 206.7 residents on an average day (82% 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.