Nursing Care Index

Houghton Rehabilitation & Nursing Center

Houghton, Allegany County, New York · CCN 335641 · For-profit (LLC) · part of Personal Healthcare Management (21 facilities, chain average 2.9 stars)

CMS rates Houghton Rehabilitation & Nursing Center 2 of 5 overall as of August 2026. 100 certified beds, 93 residents a day on average. 21 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $65,052.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★☆☆☆ 2 of 5
Quality: long-stay / short-stay3 / 2 of 5

Staffing

Total nurse staffing2.6919 hours per resident per day
Registered nurses0.57785 hours per resident per day
Weekend total2.33631 hours per resident per day
Nursing staff turnover57.7% (registered nurses 50%)
Administrators who left1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2025-05-02 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-06-19
2025-05-02 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · tag F0727
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-06-19
2025-05-02 Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Nursing and Physician Services Deficiencies · tag F0728
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-06-19
2025-05-02 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · tag F0835
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-06-19
2025-05-02 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · tag F0561
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-19
2025-05-02 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-19
2025-05-02 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-19
2025-05-02
complaint survey
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-06-19
2024-10-07
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2024-11-29
2024-02-12
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-04
2023-03-31 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.
Resident Rights Deficiencies · tag F0584
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-05-16
2023-03-31 Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Administration Deficiencies · tag F0836
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-05-16
2023-03-31 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies · tag F0568
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-05-16
2023-03-31 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-05-16
2023-03-31 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · tag F0732
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2023-05-16
2023-03-31 Provide bedrooms that don't allow residents to see each other when privacy is needed.
Environmental Deficiencies · tag F0914
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2023-05-16
2019-11-22 Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2020-01-15
2019-11-22 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2020-01-15
2019-11-22 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · tag F0756
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2020-01-15
2019-11-22 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.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2020-01-15
2019-11-22 Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · tag F0638
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2020-01-15

Fines and payment denials

DatePenaltyAmount
2024-10-07Fine$65,052

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Beim, Esther
Individual
5% or greater direct ownership interest35%2017-07-10
Creedon, Teresa
Individual
5% or greater direct ownership interest10%2017-07-10
Walden, Chaya
Individual
5% or greater direct ownership interest15%2017-07-10
Zagelbaum, Batia
Individual
5% or greater direct ownership interest40%2017-07-10
Barth, Alexander
Individual
adp of the snf2023-01-01
Mayhle, Douglas
Individual
adp of the snf2025-03-24
Ostrovitsky, Israel
Individual
adp of the snf2023-01-23
Sawyer, Chelsea
Individual
adp of the snf2023-01-01
Barth, Alexander
Individual
corporate officer2023-01-01
Mayhle, Douglas
Individual
operational/managerial control2023-01-01
Sawyer, Chelsea
Individual
operational/managerial control2023-01-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Allegany County.