SNF

CAMPBELL HALL REHABILITATION CENTER INC

CCN: 335657 · CAMPBELL HALL, NY 10916 · Orange County

⚠ SFF Candidate

Overview

Address
23 KIERNAN RD, CAMPBELL HALL, NY 10916
Phone
8452948154
Certified beds
134
Avg daily residents
107 (80% of beds filled)
Ownership
For-profit (individual owner)
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1982-09-01
Setting
Urban
1 /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.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 1/5
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.
★★★★★ 1/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 1/5
Short-Stay Quality Measures ★★★★★ 1/5

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
 3.37 4.11 3.16 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.42 0.72 0.40 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.79 0.91 0.74 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 2.16 2.48 2.03 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.21 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.09 — — —

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)
2.92
hrs / resident / day
RN (weekend)
0.23
hrs / resident / day
Total nurse (adjusted, weekend)
2.74
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
45.0%
annual
RN turnover
54.5%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.46
higher acuity than avg
Case-Mix Index Ratio
1.06
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) 2025-08-05 40 24 22 252 1 252
Cycle 2/3 (prior) 2024-12-22 31 18 18 399 1 399
Total weighted health score
288.8
lower is better
Infection-control citations
0
last cycle

Deficiencies (79)

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).

1 A/B/C No actual harm — minor
75 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0584 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. E 2025-12-10 2026-01-30
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-12-10 2026-01-30
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2025-12-10 —
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2025-12-10 2026-01-30
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-12-10 2026-01-30
0692 Provide enough food/fluids to maintain a resident's health. D 2025-12-10 —
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F 2025-12-10 —
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2025-12-10 2025-11-28
0760 Ensure that residents are free from significant medication errors. D 2025-12-10 2026-01-30
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-12-10 2026-01-30
0584 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. E 2025-08-05 2025-09-19
0585 Honor 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. D 2025-08-05 2025-09-19
0641 Ensure each resident receives an accurate assessment. D 2025-08-05 2025-09-19
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2025-08-05 2025-09-19
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2025-08-05 2025-09-19
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. E 2025-08-05 2025-09-19
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2025-08-05 2025-09-19
0692 Provide enough food/fluids to maintain a resident's health. E 2025-08-05 2025-09-19
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-08-05 2025-09-19
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F 2025-08-05 2025-09-19
0761 Ensure 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. D 2025-08-05 2025-09-19
0790 Provide routine and 24-hour emergency dental care for each resident. D 2025-08-05 2025-09-19
0801 Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. E 2025-08-05 2025-09-19
0803 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. E 2025-08-05 2025-09-19
0868 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly D 2025-08-05 2025-09-19
0880 Provide and implement an infection prevention and control program. D 2025-08-05 2025-09-19
0908 Keep all essential equipment working safely. D 2025-08-05 2025-09-19
0947 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F 2025-08-05 2025-09-19
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-08-05 2025-09-19
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-08-05 2025-09-19
0610 Respond appropriately to all alleged violations. D 2025-08-05 2025-09-19
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. E 2025-08-05 2025-09-19
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-08-05 2025-09-19
0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. D 2025-08-05 2025-09-19
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-04-29 2025-05-28
0610 Respond appropriately to all alleged violations. D 2025-04-29 2025-05-28
0641 Ensure each resident receives an accurate assessment. D 2025-04-29 2025-05-28
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-04-29 2025-05-28
0744 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. D 2025-04-29 2025-05-28
0947 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. D 2025-04-29 2025-05-28
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 2024-12-22 2025-01-24
0584 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. E 2024-12-22 2025-01-24
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. D 2024-12-22 2025-01-24
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2024-12-22 2025-01-24
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F 2024-12-22 2025-01-24
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. E 2024-12-22 2025-01-24
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2024-12-22 2025-01-24
0692 Provide enough food/fluids to maintain a resident's health. D 2024-12-22 2025-01-24
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-12-22 2025-01-24
0710 Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. D 2024-12-22 2025-01-24

Showing 50 most recent of 79. See the All Data CSV for the full list.

Penalties (32)

Fines issued
32
last 3 years
Total fines
$245,508
Date Type Fine amount
2023-03-20 Fine $4,545
2024-01-02 Fine $4,587
2023-11-20 Fine $4,587
2023-11-13 Fine $4,587
2023-11-06 Fine $4,587
2023-10-23 Fine $4,587
2023-10-17 Fine $4,587
2023-10-10 Fine $4,587
2023-10-02 Fine $4,587
2023-09-25 Fine $4,587
2023-09-18 Fine $4,587
2023-09-11 Fine $4,587
2023-10-30 Fine $4,587
2023-09-05 Fine $4,587
2023-08-28 Fine $4,587
2023-08-21 Fine $4,587
2023-08-14 Fine $4,587
2023-08-07 Fine $4,587
2023-06-26 Fine $4,587
2023-06-20 Fine $4,587
2023-06-12 Fine $4,587
2023-06-05 Fine $4,587
2023-05-30 Fine $4,587
2023-05-23 Fine $4,587
2023-05-15 Fine $4,587
2023-05-08 Fine $4,587
2024-01-08 Fine $4,938
2024-07-22 Fine $10,527
2023-12-11 Fine $13,635
2023-07-17 Fine $13,762
2023-04-17 Fine $13,762
2024-12-22 Fine $69,664

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 15.2% Medicaid 78.9% Other 6.0%

Operating performance

Operating Margin
2.2%
Total Margin
3.4%
Occupancy Rate
84.4%
Cost per Resident Day
$24

Revenue & costs

Net Patient Revenue
$13.1M
Total Costs
$984K
Net Income
$455K

Balance sheet

Total Assets
$23.4M
Total Liabilities
$17.2M
Fund Balance
$6.2M
Current Ratio
1.81

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

Ownership & Corporate Structure

Owner / manager individuals (5)

Name Role Association
WOOD, GERALD 5% OR GREATER DIRECT OWNERSHIP INTEREST since 10/26/2001
BAJAJ, RISHI OPERATIONAL/MANAGERIAL CONTROL since 01/14/2025
LEE, YALE OPERATIONAL/MANAGERIAL CONTROL since 01/08/2025
WOOD, GERALD CORPORATE DIRECTOR since 11/01/2013
WOOD, GERALD CORPORATE OFFICER since 11/01/2013

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
Resident
Sprinkler systems
Yes
Special focus status
SFF Candidate
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 ($) $24 metrics.cost_per_resident_day
Cost Report Current Ratio 1.81 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 78.9% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 15.2% metrics.medicare_day_share
Cost Report Net Income ($) $455,423 metrics.net_income
Cost Report Net Patient Revenue ($) $13,073,196 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 84.4% metrics.occupancy_rate
Cost Report Operating Margin (%) 2.2% metrics.operating_margin
Cost Report Total Assets ($) $23,356,394 metrics.total_assets
Cost Report Total Costs ($) $983,833 metrics.total_costs
Cost Report Total Fund Balances ($) $6,179,770 metrics.fund_balance
Cost Report Total Liabilities ($) $17,176,624 metrics.total_liabilities
Cost Report Total Margin (%) 3.4% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.73811 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.02790 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.39693 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.16294 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.74414 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 106.6 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 0.91204 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.47872 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.71889 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.10964 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.62222 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating — Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating — Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating — Chain Average QM Rating
Provider Information Chain Average Staffing Rating — Chain Average Staffing Rating
Provider Information Chain ID — Chain ID
Provider Information Chain Name — Chain Name
Provider Information City/Town CAMPBELL HALL City/Town
Provider Information CMS Certification Number (CCN) 335657 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Orange County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1982-09-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 41.4527 Latitude
Provider Information Legal Business Name CAMPBELL HALL REHABILITATION CENTER, INC. Legal Business Name
Provider Information Location 23 KIERNAN RD,CAMPBELL HALL,NY,10916 Location
Provider Information Long-Stay QM Rating 1 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -74.281 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 134 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 0 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain — Number of Facilities in Chain
Provider Information Number of Fines 32 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.45586 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.05677 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Individual 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 23 KIERNAN RD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name CAMPBELL HALL REHABILITATION CENTER INC Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 540 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 1 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 252 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 22 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 24 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-08-05 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 252 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 40 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 18 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-12-22 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 399 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 18 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 399 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 31 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.23493 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 54.5 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.20815 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.78566 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.15854 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.09383 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.42249 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 3.36669 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status SFF Candidate 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 8452948154 Telephone Number
Provider Information Total Amount of Fines in Dollars 245508.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.92092 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 32 Total Number of Penalties
Provider Information Total nursing staff turnover 45.0 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 288.750 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 10916 ZIP Code