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F
Critical

LIVINGSTON HILLS NURSING AND REHABILITATION CENTER

2781 ROUTE 9 · LIVINGSTON, NY 12541

5188513041 · For profit - Corporation

120 beds109.6 residents91 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
F
Critical
Total Staff
D
Poor
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

LIVINGSTON HILLS NURSING AND REHABILITATION CENTER receives an overall staffing grade of F (Critical). With 1.9987 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3431 HPRD, below the recommended 0.75. It is 1.90 HPRD below the national average.

Weekend staffing drops significantly — dropping 27.37% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (4)

⚠️Had 3 days with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 1.9987 HPRD — needs 1.48 more hours per resident per day.
⚠️RN staffing (0.3431 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 27.37% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ Strengths (1)

✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
1.9987hrs/resident/day▼ 1.90
CMS benchmark: 3.48
RN HPRD
0.3431hrs/resident/day▼ 0.34
Recommended: 0.75
Weekend Drop-off
27.37%
2.1662 weekday → 1.5734 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
3days this quarter
4+ days = auto 1-star
CNA HPRD
1.135hrs/resident/day
Direct care aides
LPN HPRD
0.5206hrs/resident/day
Licensed practical nurses
Consistency
0.341std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Columbia County Average-0.69 HPRD
2.69
02.00 HPRD
vs. New York State Average-1.65 HPRD
3.65
02.00 HPRD
vs. National Average-1.90 HPRD
3.90
02.00 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
LIVINGSTON HILLS NURSING AND REHABILITATION CENTER ★
LIVINGSTON · This facility
—
F
1.99870.3431★☆☆☆☆
THE PINES AT CATSKILL CENTER FOR NURSING & REHAB
CATSKILL
8 mi
D
3.20870.2936★★☆☆☆
THE ELEANOR NURSING CARE CENTER
HYDE PARK
24.2 mi
D
2.80230.3522★☆☆☆☆
NEW PALTZ CENTER FOR REHABILITATION AND NURSING
NEW PALTZ
32.9 mi
D
3.53810.3753★☆☆☆☆
EVERGREEN COMMONS REHABILITATION AND NURSING CTR
EAST GREENBUSH
33.3 mi
C
3.02940.4045★★☆☆☆
ST PETERS NURSING AND REHABILITATION CENTER
ALBANY
35.3 mi
A
4.24360.7962★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
74
Total Deficiencies
$89,794
Fines Assessed
Jul 30, 2025Health
27 deficiencies cited
▼
Jul 14, 2025Health
4 deficiencies cited
▼
May 23, 2024Health
21 deficiencies cited
▼
May 1, 2024Health
14 deficiencies cited· Includes actual harm
▼
May 10, 2023Health
8 deficiencies cited
▼

Penalty History

May 1, 2024Fine
$89,794
May 1, 2024Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.