Nursing home
Mountainside Residential Care Center
42158 State Highway 28, Margaretville, NY 12455 · Map
Non profit - Corporation · 82 certified beds
Mountainside Residential Care Center is a Medicare-certified nursing home in Margaretville, New York. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.55 hours per resident per day, below the New York average of 3.65. Its most recent inspection on Jul 26, 2024 cited 5 deficiencies.
- 1 fine totaling $8,512In 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.
How Mountainside Residential Care 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.
| Metric | This facility | New York avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.55 | 3.65 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.83 | 0.70 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.05 | 2.18 | 2.34 | below avg |
| Nursing staff turnover | —% | 40.5% | 46.4% | — |
| Deficiencies cited, last inspection | 5.0 | 7.6 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the July 29, 2024 inspection was corrected by December 16, 2024
Penalties in CMS records: 1 fine totaling $8,512, 2 total penalties, 1 Medicare payment denial.
What inspectors found at Mountainside Residential Care 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
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Quality of Life and Care Deficiencies · Jul 29, 2024 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 29, 2024 · Full report (PDF) - Potential for harm
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 · Jul 29, 2024 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jul 26, 2024 · Full report (PDF) - Potential for harm
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 · Jul 26, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jul 26, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 26, 2024 · Full report (PDF) - Potential for harm
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 · Jul 26, 2024 · Full report (PDF) - Potential for harm
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 · Nov 18, 2021 - Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Sep 19, 2019 - Potential for harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · Sep 19, 2019 - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Sep 19, 2019
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
- 42158 State Highway 28
Margaretville, NY 12455 - CMS certification #
- 335339
- Ownership
- Non profit - Corporation
- Certified beds
- 82
- Avg residents/day
- 68.1
- Provider type
- Medicare and Medicaid
- First certified
- 1971-11-14
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Mountainside Residential Care Center using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2021, 1 violation cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
DOL also concluded 1 case here with no violations found, most recently for a period ending Feb 17, 2018.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Dec 22, 2021: unprogrammed, related to another inspection inspection, partial (health). Case closed Jul 6, 2022. 1 violation cited (1 other). Penalties: $0 proposed, $0 now. OSHA record. OSHA recorded the employer as Margaretville Nursing Home INC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Other than serious: Respiratory protection (respirators, N95 fit testing) (1910.134(e)(2)(ii)). Penalty $0 proposed, $0 now. To be fixed by Jun 22, 2022.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Margaretville Memorial Hospital, Margaretville. 0.2 miles away, straight line.
- Nearest Medicare nursing home
- Delhi Rehabilitation and Nursing Center, Delhi. 17.4 miles away, straight line.
- Nearest home health agency office
- Sullivan County Public Health Services Chha, Liberty. 24.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 16.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 12455 as rural (rural area).
- Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 12455.
- Nearest geriatric medicine practice
- Medical Associates Of The Hudson Valley, Kingston. 34.9 miles away, straight line. 1 geriatric medicine doctor 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
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively moderate, inland flooding very high, wildfire very low, tornado relatively moderate, heat wave very 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.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| New York State Department of Health kitchen inspections | Oct 15, 2026 | No kitchen matched |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Mountainside Residential Care Center a good nursing home?
CMS gives Mountainside Residential Care Center an overall rating of 2 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Mountainside Residential Care Center staffed?
Mountainside Residential Care Center reports 3.55 total nurse hours per resident per day, compared with the New York average of 3.65.
Has Mountainside Residential Care Center had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Mountainside Residential Care Center have?
Mountainside Residential Care Center is certified for 82 beds.