All states › New York › Livingston › Livingston Hills Nursing and Rehabilitation Center
2781 Route 9 Livingston, NY 12541 · Columbia County
CMS certification number 335389 · See this home on Medicare Care Compare
Is Livingston Hills Nursing and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Livingston Hills Nursing and Rehabilitation Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the New York average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 1.78 hours per resident per day at Livingston Hills Nursing and Rehabilitation Center, below the New York median of 3.57 (US median: 3.72). About 0.27 of those hours are from registered nurses. On weekends it falls to 1.44 hours, 19% below its all-week average. Ask how weekends are staffed. 45.8% of nursing staff left within a year (New York median 38.3%).
About this nursing home
Paying for care at Livingston Hills Nursing and Rehabilitation Center: Medicare and Medicaid
Livingston Hills Nursing and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet New York's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 30, 2025 and found 24 deficiencies, plus 4 from complaint inspections in the same period. In total, inspectors issued 74 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 74 citations at Livingston Hills Nursing and Rehabilitation Center across 6 inspection dates, 42 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on May 1, 2024 (complaint inspection). The most common areas cited were resident rights (17) and quality of life and care (13). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level K, May 1, 2024). 3 citations were under CMS's abuse, neglect and exploitation rules.
June 5, 2026 · 1 citation · includes complaint inspection
CSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
July 30, 2025 · 27 citations · includes complaint inspection
FHonor the resident's right to manage his or her financial affairs.
FEnsure residents have reasonable access to and privacy in their use of communication methods.
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
FEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
FEnsure 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.
FEnsure 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.
FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
FEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
FSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
FHave a plan that describes the process for conducting QAPI and QAA activities.
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
EHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide activities to meet all resident's needs.
EEnsure medication error rates are not 5 percent or greater.
DAllow residents to self-administer drugs if determined clinically appropriate.
DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
DAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DHonor each resident's preferences, choices, values and beliefs.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide 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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DPost nurse staffing information every day.
July 14, 2025 · 4 citations · includes complaint inspection
FSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
FHave a Compliance and Ethics Program.
DProvide and implement an infection prevention and control program.
DDevelop, implement, and/or maintain an effective training program for all new and existing staff members.
May 23, 2024 · 21 citations · includes complaint inspection
FEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EHonor 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.
EHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
EEnsure 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DHonor 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.
DAssess the resident when there is a significant change in condition
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DObtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DDispose of garbage and refuse properly.
DProvide and implement an infection prevention and control program.
May 1, 2024 · 14 citations, includes immediate jeopardy · includes complaint inspection
KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
FConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EHonor 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.
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProvide enough food/fluids to maintain a resident's health.
EProvide and implement an infection prevention and control program.
DAllow residents to self-administer drugs if determined clinically appropriate.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
May 10, 2023 · 7 citations
EHonor 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.
EProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
ENotify 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EPut firmly secured handrails on each side of hallways.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Livingston Hills Nursing and Rehabilitation Center
- Inspectors cited the home at the immediate-jeopardy level on May 1, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on May 1, 2024. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 19% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $89,794 in fines.
| Date | Type | Amount or length |
|---|---|---|
| May 1, 2024 | Fine | $89,794 |
| May 1, 2024 | Payment Denial | 39 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 4/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 3/5 |
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Location
Hospitals near Livingston Hills Nursing and Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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7.2 mi
Columbia Memorial Hospital HudsonEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 4h 3m for patients treated and sent home
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15.8 mi
Northern Dutchess Hospital RhinebeckEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 24m for patients treated and sent home
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19.0 mi
Healthalliance Hospital Marys Avenue Campus KingstonEmergency room ★☆☆☆☆ Medicare overall 1 of 5Median ER visit 3h 42m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Livingston Hills Nursing and Rehabilitation Center › All nursing homes in Livingston ›
Compare Livingston Hills Nursing and Rehabilitation Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Pine Haven Home · Philmont · 5 stars · 9.9 mi
- Greene Meadows Nursing and Rehabilitation Center · Catskill · 2 stars · 8.1 mi
- The Pines at Catskill Center for Nursing & Rehab · Catskill · 2 stars · 8.1 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.