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Nursing home

Livingston Hills Nursing and Rehabilitation Center

2781 Route 9, Livingston, NY 12541 · Map
For profit - Corporation · 120 certified beds

Special Focus Facility candidate
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Livingston Hills Nursing and Rehabilitation Center is a Medicare-certified nursing home in Livingston, New York. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 2.00 hours per resident per day, below the New York average of 3.65. Its most recent inspection on Jul 30, 2025 cited 31 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.

1 out of 5Overall CMS rating
1 out of 5Health inspections
1 out of 5Staffing
120 bedsCertified beds
  • Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
  • 1 fine totaling $89,794In CMS records: 2 total penalties, 1 Medicare payment denial.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating1/5
Health inspections1/5
Staffing1/5
Quality measures2/5
Long-stay quality1/5
Short-stay quality4/5

How Livingston Hills Nursing and Rehabilitation Center compares

This facility vs. the New York and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityNew York avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)2.003.653.89below avg
RN staffing (hrs/resident/day)0.340.700.68below avg
Aide staffing (hrs/resident/day)1.132.182.34below avg
Nursing staff turnover46.6%40.5%46.4%above avg
Deficiencies cited, last inspection31.07.69.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

2.00Total nurse hrs/resident/day
0.34RN hrs/resident/day
0.52LPN hrs/resident/day
1.13Aide hrs/resident/day
1.57Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff46.6%
Registered nurses40.0%
Administrator changes0 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Jul 30, 2025Most recent inspection
31Deficiencies found
450Health inspection score
1Fines

Penalties in CMS records: 1 fine totaling $89,794, 2 total penalties, 1 Medicare payment denial.

What inspectors found at Livingston Hills Nursing and Rehabilitation Center

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Nutrition and Dietary Deficiencies · Jul 30, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Nutrition and Dietary Deficiencies · Jul 30, 2025 · Full report (PDF)
  • Potential for harm

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Environmental Deficiencies · Jul 30, 2025 · Full report (PDF)
  • Potential for harm

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Administration Deficiencies · Jul 30, 2025 · Full report (PDF)
  • Potential for harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Resident Assessment and Care Planning Deficiencies · Jul 30, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Nutrition and Dietary Deficiencies · Jul 30, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Pharmacy Service Deficiencies · Jul 30, 2025 · Full report (PDF)
  • Potential for harm

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Nursing and Physician Services Deficiencies · Jul 30, 2025 · Full report (PDF)
  • Potential for harm

    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 · Jul 30, 2025 · Full report (PDF)
  • Potential for harm

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    Resident Rights Deficiencies · Jul 30, 2025 · Full report (PDF)
  • Potential for harm

    Honor the resident's right to manage his or her financial affairs.

    Resident Rights Deficiencies · Jul 30, 2025 · Full report (PDF)
  • Potential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Quality of Life and Care Deficiencies · Jul 30, 2025 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
2781 Route 9
Livingston, NY 12541
CMS certification #
335389
Ownership
For profit - Corporation
Certified beds
120
Avg residents/day
109.6
Provider type
Medicare and Medicaid
First certified
1973-05-01
Setting
Rural

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Livingston Hills Nursing and Rehabilitation Center using Google Maps.

Other public records

Full public records, with dates and sources

Location and nearby care

Nearest hospital with an emergency room
Columbia Memorial Hospital, Hudson. 7.2 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
Nearest Medicare nursing home
The Pines at Catskill Center for Nursing & Rehab, Catskill. 8.1 miles away, straight line.
Nearest home health agency office
Berkshire Visiting Nurse Association, Pittsfield. 33.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Walgreens. 7.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 12541 as metropolitan (metropolitan low commuting).
Dialysis within 15 miles
Columbia-Greene Dialysis (Catskill Division), Catskill, 8.1 miles away, straight line (CMS rating 1 of 5 stars)
Columbia Greene Dialysis Centers, Ghent, 10.2 miles away, straight line (CMS rating 1 of 5 stars)
Hospice
1 Medicare hospice tells CMS it serves ZIP code 12541.
Nearest geriatric medicine practice
Select Pt, Ot And Slp Rehabilitation Ny, PLLC, Hudson. 7.9 miles away, straight line. 3 geriatric medicine doctors listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
FEMA has a flood map for this community (effective May 11, 1979), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
FEMA National Risk Index
Overall: relatively moderate. By hazard: hurricane relatively moderate, inland flooding relatively high, wildfire relatively low, tornado relatively moderate, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
New York State Department of Health kitchen inspectionsOct 15, 2026No kitchen matched
Hurricane evacuation zone mapsNot in a mapped zone
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here relatively low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record

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Frequently asked questions

Is Livingston Hills Nursing and Rehabilitation Center a good nursing home?

CMS gives Livingston Hills Nursing and Rehabilitation Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Livingston Hills Nursing and Rehabilitation Center staffed?

Livingston Hills Nursing and Rehabilitation Center reports 2.00 total nurse hours per resident per day, compared with the New York average of 3.65.

Has Livingston Hills Nursing and Rehabilitation Center had inspection problems?

Its most recent CMS inspection cited 31 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.

How many beds does Livingston Hills Nursing and Rehabilitation Center have?

Livingston Hills Nursing and Rehabilitation Center is certified for 120 beds.