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THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER

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THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER is a for profit - corporation facility in SUFFERN, NY with 203 certified beds and a 3-star overall CMS rating. The facility has 25 deficiency records on file.

30 CRAGMERE ROAD, SUFFERN, NY 10901

Phone: 8453571230

Overall Rating

3/5

Health Inspection

2/5

Staffing

2/5

Quality Measures

5/5

Long-Stay Quality

4/5

Facility Information

Provider Number
335148
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
203
Residents
189
In Hospital
No
County
Rockland
Last Inspection
Nov 17, 2023

Staffing Data

RN Hours
0.39 (nat'l avg: 0.68)
LPN Hours
0.90
CNA Hours
1.94
Total Nursing Hours
3.22 (nat'l avg: 3.89)
PT Hours
0.13
Nursing Turnover
25.0%
RN Turnover
52.4%

What the CMS Record Reveals About THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER

THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER operates 203 certified beds in SUFFERN, NY with approximately 189 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (2★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 25 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.22 total nursing hours per resident day (national average 3.89), with RN coverage at 0.39 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 25.0%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (25 most recent)

D — Isolated - Minimal harm Oct 24, 2025 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 18, 2025

G — Isolated - Actual harm Oct 24, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 18, 2025

D — Isolated - Minimal harm Jul 24, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 4, 2025

D — Isolated - Minimal harm Mar 4, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 8, 2025

D — Isolated - Minimal harm Nov 17, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Dec 30, 2023

D — Isolated - Minimal harm Nov 17, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 30, 2023

D — Isolated - Minimal harm Nov 17, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Dec 30, 2023

E — Pattern - Minimal harm Nov 17, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 30, 2023

D — Isolated - Minimal harm Nov 17, 2023 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 30, 2023

D — Isolated - Minimal harm Nov 17, 2023 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 30, 2023

D — Isolated - Minimal harm Nov 17, 2023 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 30, 2023

D — Isolated - Minimal harm Apr 18, 2019 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 14, 2019

C — Widespread - No harm Apr 18, 2019 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 14, 2019

D — Isolated - Minimal harm Apr 18, 2019 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jun 14, 2019

D — Isolated - Minimal harm Apr 18, 2019 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Jun 14, 2019

D — Isolated - Minimal harm Apr 18, 2019 Tag: 0756

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Category: Pharmacy Service Deficiencies

Corrected: Jun 14, 2019

D — Isolated - Minimal harm Apr 18, 2019 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 14, 2019

B — Pattern - No harm Apr 18, 2019 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 14, 2019

D — Isolated - Minimal harm Apr 18, 2019 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 14, 2019

D — Isolated - Minimal harm Apr 18, 2019 Tag: 0637

Assess the resident when there is a significant change in condition

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 14, 2019

C — Widespread - No harm Apr 18, 2019 Tag: 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.

Category: Resident Rights Deficiencies

Corrected: Jun 14, 2019

B — Pattern - No harm Apr 18, 2019 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Jun 14, 2019

C — Widespread - No harm Apr 18, 2019 Tag: 0577

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Category: Resident Rights Deficiencies

Corrected: Jun 14, 2019

D — Isolated - Minimal harm Jul 7, 2017 Tag: 0314

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 11, 2017

D — Isolated - Minimal harm Jul 7, 2017 Tag: 0279

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 11, 2017

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 18.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 8.5% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.7% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 6.8% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.3% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 80.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 54.7% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 16.1% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 21.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 83.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 50.6% No
Percentage of long-stay residents with pressure ulcers Long Stay 5.8% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 27.0% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 10.8% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER?
THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (2★), staffing levels (2★), and quality measures (5★).
What are the staffing levels at THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER?
THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER reports 3.22 total nursing hours per resident day (national average: 3.89). RN hours are 0.39 per resident day (national average: 0.68). Nursing staff turnover is 25.0%.
How many beds does THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER have?
THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER has 203 certified beds with approximately 189 residents. The facility is located at 30 CRAGMERE ROAD, SUFFERN, NY 10901.
Does THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER have any deficiencies on record?
Yes, THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER has 25 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER received any fines or penalties?
No, THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER has no fines or penalties on record.
Who owns THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER?
THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER last inspected?
The most recent health inspection for THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER was on Nov 17, 2023. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER?
THE WILLOWS AT RAMAPO REHAB AND NURSING CENTER is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial