SNF

THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER

CCN: 335148 · SUFFERN, NY 10901 · Rockland County

⚠ Inspection > 2 years ago

Overview

Address
30 CRAGMERE ROAD, SUFFERN, NY 10901
Phone
8453571230
Certified beds
203
Avg daily residents
189 (93% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1967-01-01
Setting
Urban
3 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 4/5
Short-Stay Quality Measures ★★★★★ 5/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.22 4.38 2.84 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.39 0.77 0.35 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.90 0.97 0.79 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.94 2.64 1.70 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.29 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.13 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.94
hrs / resident / day
RN (weekend)
0.23
hrs / resident / day
Total nurse (adjusted, weekend)
2.59
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
25.0%
annual
RN turnover
52.4%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.55
higher acuity than avg
Case-Mix Index Ratio
1.13
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2023-11-17 10 6 6 60 1 60
Cycle 2/3 (prior) 2019-04-18 13 12 1 32 1 32
Total weighted health score
53.0
lower is better

Deficiencies (25)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

5 A/B/C No actual harm — minor
19 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G 2025-10-24 2025-12-18
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-10-24 2025-12-18
0880 Provide and implement an infection prevention and control program. D 2025-07-24 2025-11-04
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2025-03-04 2025-04-08
0679 Provide activities to meet all resident's needs. D 2023-11-17 2023-12-30
0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. D 2023-11-17 2023-12-30
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2023-11-17 2023-12-30
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-11-17 2023-12-30
0610 Respond appropriately to all alleged violations. D 2023-11-17 2023-12-30
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2023-11-17 2023-12-30
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2023-11-17 2023-12-30
0577 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. C 2019-04-18 2019-06-14
0578 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. B 2019-04-18 2019-06-14
0625 Notify 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. C 2019-04-18 2019-06-14
0637 Assess the resident when there is a significant change in condition D 2019-04-18 2019-06-14
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2019-04-18 2019-06-14
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. B 2019-04-18 2019-06-14
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2019-04-18 2019-06-14
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2019-04-18 2019-06-14
0758 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. D 2019-04-18 2019-06-14
0759 Ensure medication error rates are not 5 percent or greater. D 2019-04-18 2019-06-14
0814 Dispose of garbage and refuse properly. C 2019-04-18 2019-06-14
0880 Provide and implement an infection prevention and control program. D 2019-04-18 2019-06-14
0279 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2017-07-07 2017-08-11
0314 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. D 2017-07-07 2017-08-11

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 21.3% Medicaid 62.6% Other 16.0%

Operating performance

Operating Margin
4.2%
Total Margin
7.6%
Occupancy Rate
91.8%
Cost per Resident Day
$47

Revenue & costs

Net Patient Revenue
$32.7M
Total Costs
$3.2M
Net Income
$2.6M

Balance sheet

Total Assets
$13.1M
Total Liabilities
$3.9M
Fund Balance
$9.2M
Current Ratio
1.98

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: CARERITE CENTERS

Chain ID
110
Facilities in chain
34
Legal business name
RAMAPO MANOR NURSING CENTER INC
Chain-average star ratings (for peer context)
Overall
3.4
Health
2.7
Staffing
2.0
QM
4.8

Owner / manager individuals (15)

Name Role Association
AHUJA, SANJAY 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/01/2006
EINHORN, NEAL 5% OR GREATER DIRECT OWNERSHIP INTEREST since 07/01/2012
EINHORN, SHARON 5% OR GREATER DIRECT OWNERSHIP INTEREST since 07/01/2012
FRIEDMAN, DEVORAH 5% OR GREATER DIRECT OWNERSHIP INTEREST since 07/01/2012
FRIEDMAN, MARK 5% OR GREATER DIRECT OWNERSHIP INTEREST since 07/01/2012
MOHAN, NAMITA 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/01/2006
MUDGIL, VANITA 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/01/2006
ZIMILES, JOSEPH 5% OR GREATER DIRECT OWNERSHIP INTEREST since 08/01/2006
GREEN-RIVERS, KELLY OPERATIONAL/MANAGERIAL CONTROL since 10/01/2016
HALON, JONATHAN OPERATIONAL/MANAGERIAL CONTROL since 06/02/2016
SHAH, PARAG OPERATIONAL/MANAGERIAL CONTROL since 11/05/2015
FRIEDMAN, MARK CORPORATE DIRECTOR since 07/01/2012
ZIMILES, JOSEPH CORPORATE DIRECTOR since 07/01/2012
AHUJA, SANJAY CORPORATE OFFICER since 07/01/2012
EINHORN, NEAL CORPORATE OFFICER since 07/01/2012

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Both
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $47 metrics.cost_per_resident_day
Cost Report Current Ratio 1.98 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 62.6% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 21.3% metrics.medicare_day_share
Cost Report Net Income ($) $2,596,549 metrics.net_income
Cost Report Net Patient Revenue ($) $32,665,607 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 91.8% metrics.occupancy_rate
Cost Report Operating Margin (%) 4.2% metrics.operating_margin
Cost Report Total Assets ($) $13,108,259 metrics.total_assets
Cost Report Total Costs ($) $3,172,038 metrics.total_costs
Cost Report Total Fund Balances ($) $9,204,467 metrics.fund_balance
Cost Report Total Liabilities ($) $3,903,792 metrics.total_liabilities
Cost Report Total Margin (%) 7.6% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.78930 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.70440 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.34545 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 2.83915 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.59194 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 189.3 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.97308 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.64462 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.76700 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.38470 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.86465 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.7 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.4 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.8 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.0 Chain Average Staffing Rating
Provider Information Chain ID 110 Chain ID
Provider Information Chain Name CARERITE CENTERS Chain Name
Provider Information City/Town SUFFERN City/Town
Provider Information CMS Certification Number (CCN) 335148 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Rockland County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1967-01-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 41.103 Latitude
Provider Information Legal Business Name RAMAPO MANOR NURSING CENTER INC Legal Business Name
Provider Information Location 30 CRAGMERE ROAD,SUFFERN,NY,10901 Location
Provider Information Long-Stay QM Rating 4 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -74.126 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago Y Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 203 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 34 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.55330 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.12750 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 30 CRAGMERE ROAD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 620 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 60 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 6 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 6 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2023-11-17 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 60 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 10 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 12 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2019-04-18 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 32 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 1 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 32 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 13 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.23171 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 52.4 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.28869 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.89638 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.93562 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.13132 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.39232 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.22431 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 2 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State NY State
Provider Information Telephone Number 8453571230 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.94356 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 25.0 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 53.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Both With a Resident and Family Council
Provider Information ZIP Code 10901 ZIP Code