SNF

HELEN HAYES HOSPITAL T C U

CCN: 335873 · WEST HAVERSTRAW, NY 10993 · Rockland County

ℹ Hospital-based

Overview

Address
51 N ROUTE 9W, WEST HAVERSTRAW, NY 10993
Phone
8457864000
Certified beds
24
Avg daily residents
22 (90% of beds filled)
Ownership
Government (state)
Provider type
Medicare
Medicare/Medicaid since
2016-08-10
Setting
Urban
5 /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.
★★★★★ 5/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 5/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 5/5
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 — Data not available.
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
 6.27 3.47 6.98 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 2.99 0.61 3.32 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.09 0.77 0.10 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 3.20 2.09 3.56 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 3.07 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.89 — — —

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)
5.32
hrs / resident / day
RN (weekend)
2.34
hrs / resident / day
Total nurse (adjusted, weekend)
5.92
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
34.1%
annual
RN turnover
36.4%
annual
Administrators departed
New facility — insufficient data.

Resident acuity

Nursing Case-Mix Index
1.23
higher acuity than avg
Case-Mix Index Ratio
0.89
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) 2025-03-20 0 0 0 0 0 0
Cycle 2/3 (prior) 2022-02-24 0 0 0 0 0 0
Total weighted health score
0.0
lower is better

Deficiencies (2)

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).

2 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. D 2018-05-07 2018-06-27
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 2018-05-07 2018-06-27

Ownership & Corporate Structure

Chain: STATE OF NEW YORK COMPTROLLER'S OFFICE

Chain ID
489
Facilities in chain
6
Legal business name
STATE OF NEW YORK COMPTROLLERS OFFICE
Chain-average star ratings (for peer context)
Overall
4.7
Health
4.7
Staffing
4.3
QM
3.8

Owner / manager organizations (2)

Organization Role Association
STATE OF NEW YORK COMPTROLLERS OFFICE 5% OR GREATER DIRECT OWNERSHIP INTEREST since 04/14/2016
STATE OF NEW YORK COMPTROLLERS OFFICE OPERATIONAL/MANAGERIAL CONTROL since 08/10/2016

Owner / manager individuals (20)

Name Role Association
BEGHO, NATHALIE OPERATIONAL/MANAGERIAL CONTROL since 08/01/2024
BERNARD, FLORA OPERATIONAL/MANAGERIAL CONTROL since 08/01/2016
BORRELLI, DENNIS OPERATIONAL/MANAGERIAL CONTROL since 06/03/2019
DELGARDO, ELISA OPERATIONAL/MANAGERIAL CONTROL since 03/05/2021
DENTON, O'NEIL OPERATIONAL/MANAGERIAL CONTROL since 08/07/2025
EVANS, YVONNE OPERATIONAL/MANAGERIAL CONTROL since 05/12/2025
FICUCELLO, JOHN OPERATIONAL/MANAGERIAL CONTROL since 08/22/2016
FIELACK, LISA OPERATIONAL/MANAGERIAL CONTROL since 10/06/2022
GAGLIARDO, JOHN OPERATIONAL/MANAGERIAL CONTROL since 08/01/2016
GOLUB, CATHERINE OPERATIONAL/MANAGERIAL CONTROL since 11/26/2018
GUARRACINI, MARY OPERATIONAL/MANAGERIAL CONTROL since 08/01/2016
GUEVIN, SCOTT OPERATIONAL/MANAGERIAL CONTROL since 05/12/2025
JEFFREY, LAURELL OPERATIONAL/MANAGERIAL CONTROL since 06/28/2020
KAUR, JANNET OPERATIONAL/MANAGERIAL CONTROL since 09/01/2025
KILKENNY, ANGELA OPERATIONAL/MANAGERIAL CONTROL since 11/30/2023
LEITNER, CARRIE OPERATIONAL/MANAGERIAL CONTROL since 11/19/2019
LUCERO, JULIE OPERATIONAL/MANAGERIAL CONTROL since 11/22/2018
MADELON, FLORISE OPERATIONAL/MANAGERIAL CONTROL since 07/31/2025
RUFFIN-ELLIS, VERONICA OPERATIONAL/MANAGERIAL CONTROL since 02/06/2025
EVANS, YVONNE CORPORATE OFFICER since 09/16/2024

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

Facility Features

CCRC
No
Hospital-based
Yes
Resident / family council
None
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 99 rows
Source Metric Value Raw key
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.09580 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 3.56341 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 3.32414 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 6.98336 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 5.91693 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote 26 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 21.5 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 0.76982 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.09219 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.60679 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.46880 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.05738 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 4.7 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 4.7 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.8 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 4.3 Chain Average Staffing Rating
Provider Information Chain ID 489 Chain ID
Provider Information Chain Name STATE OF NEW YORK COMPTROLLER'S OFFICE Chain Name
Provider Information City/Town WEST HAVERSTRAW City/Town
Provider Information CMS Certification Number (CCN) 335873 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 2016-08-10 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote 22 Geocoding Footnote
Provider Information Health Inspection Rating 5 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 41.2054 Latitude
Provider Information Legal Business Name STATE OF NEW YORK COMPTROLLERS OFFICE Legal Business Name
Provider Information Location 51 N ROUTE 9W,WEST HAVERSTRAW,NY,10993 Location
Provider Information Long-Stay QM Rating — Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote 2 Long-Stay QM Rating Footnote
Provider Information Longitude -73.983 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 — Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 24 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 6 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 1.22884 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.89198 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 5 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type Government - State 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 51 N ROUTE 9W Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name HELEN HAYES HOSPITAL T C U Provider Name
Provider Information Provider Resides in Hospital Y Provider Resides in Hospital
Provider Information Provider SSA County Code 620 Provider SSA County Code
Provider Information Provider Type Medicare 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 0 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 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 0 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 0 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-03-20 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 0 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 0 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 0 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2022-02-24 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 0 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 0 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 0 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 0 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 0 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 2.33993 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 36.4 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 3.07260 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.08607 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 3.20150 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.88524 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 2.98653 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 6.27411 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 5 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State NY State
Provider Information Telephone Number 8457864000 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 5.31599 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 34.1 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 0.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council None With a Resident and Family Council
Provider Information ZIP Code 10993 ZIP Code