Skilled nursing facility · CMS certification number 335641
HOUGHTON REHABILITATION & NURSING CENTER
HOUGHTON, New York · Medicare and Medicaid · 100 certified beds in Care Compare
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $65,052.00 · Payment denials: 0. The most recent penalty on file: October 7, 2024, Fine, $65,052. Every penalty on file ↓
HOUGHTON REHABILITATION & NURSING CENTER: its citable report, full history — $295 · an email when it changes — $99/month
What stands out
- Its latest cost report on file is for fiscal year 2024, covering January 1, 2024 to December 31, 2024 (365 days), and CMS processed it on August 28, 2025.
- Net patient revenue rose from $7.8M in fiscal year 2023 to $8.2M in fiscal year 2024.
- Its result from service to patients: −$1.4M (2022), −$1.1M (2023), −$549K (2024).
- Its cost reports on file run from fiscal year 1996 to fiscal year 2024.
- Its net patient revenue of $8.2M ranks 485th of the 539 nursing facilities in New York whose latest cost report on file is fiscal year 2024.
- 3 of the 5 nursing facilities in New York closest in size to it, whose latest cost report on file is fiscal year 2024, also report a loss on service to patients.
HOUGHTON REHABILITATION & NURSING CENTER: Medicare cost reports
Form CMS-2540-10: each report covers January 1 to December 31 of its year; every report is settled.
| Form CMS-2540-10 | 2024 · report 1434869 | 2023 · report 1391369 | 2022 · report 1360607 | 2021 · report 1332537 | 2020 · report 1304931 | 2019 · report 1277302 | 2018 · report 1242468 | 2017 · report 1209136 | 2016 · report 1175379 | 2015 · report 1141079 | 2014 · report 1108602 | 2013 · report 1077184 | 2012 · report 1044486 | 2011 · report 1011147 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Processed by CMS | August 28, 2025 | August 7, 2024 | August 1, 2023 | September 16, 2022 | November 18, 2021 | December 23, 2020 | August 27, 2019 | August 21, 2018 | August 31, 2017 | August 12, 2016 | August 24, 2015 | August 27, 2014 | August 1, 2013 | September 21, 2012 |
| Total patient revenue | $13,693,196 | $12,495,161 | $12,383,417 | $11,732,741 | $10,852,274 | $10,701,667 | $7,865,572 | $8,626,204 | $8,824,710 | $8,739,298 | $8,125,280 | $7,158,882 | $6,970,229 | $6,739,912 |
| Contractual allowances and discounts | $5,486,316 | $4,703,776 | $4,525,246 | $4,061,682 | $4,146,852 | $2,568,009 | $1,648,192 | $1,380,322 | $2,269,003 | $1,835,435 | $1,977,464 | $2,249,442 | $2,073,710 | $1,616,365 |
| Net patient revenue | $8,206,880 | $7,791,385 | $7,858,171 | $7,671,059 | $6,705,422 | $8,133,658 | $6,217,380 | $7,245,882 | $6,555,707 | $6,903,863 | $6,147,816 | $4,909,440 | $4,896,519 | $5,123,547 |
| Total operating expenses | $8,755,677 | $8,900,287 | $9,268,512 | $11,590,950 | $7,147,400 | $6,980,827 | $6,038,757 | $7,546,697 | $7,622,088 | $7,146,547 | $6,317,795 | $5,611,746 | $5,401,811 | $5,463,581 |
| Net income from service to patients | −$548,797 | −$1,108,902 | −$1,410,341 | −$3,919,891 | −$441,978 | $1,152,831 | $178,623 | −$300,815 | −$1,066,381 | −$242,684 | −$169,979 | −$702,306 | −$505,292 | −$340,034 |
| Total other income | — | $7,715 | $814,994 | $1,729,067 | $583,812 | $198 | $165,364 | $41,519 | $39,244 | $46,269 | $51,051 | $50,913 | $28,181 | $34,775 |
| Net income after other income | −$548,797 | −$1,101,187 | −$595,347 | −$2,190,824 | $141,834 | $1,153,029 | $343,987 | −$259,296 | −$1,027,137 | −$196,415 | −$118,928 | −$651,393 | −$477,111 | −$305,259 |
| Net income | −$580,937 | −$1,101,187 | −$595,347 | −$2,190,824 | $141,834 | $1,124,684 | $343,937 | −$259,296 | −$1,027,137 | −$196,415 | −$118,928 | −$651,393 | −$477,111 | −$305,259 |
| Total facility beds, all components | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 |
| Bed days available, all components | 36,600 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicare (Title XVIII) patient days | 1,517 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid (Title XIX) patient days | 22,023 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer patient days | 4,684 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total patient days, all components | 28,224 | 30,058 | 32,858 | 30,825 | 31,953 | 32,666 | 28,948 | 30,171 | 30,565 | 31,258 | 29,824 | 26,844 | 27,175 | 28,141 |
| Medicare discharges | 29 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Medicaid discharges | 95 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Other-payer discharges | 71 | — | — | — | — | — | — | — | — | — | — | — | — | — |
| Total discharges, all components | 195 | 228 | 198 | 234 | 228 | 195 | 213 | 109 | 148 | 136 | 99 | 90 | 120 | 122 |
| Average length of stay, Medicare, in days | 52.31 | 45.18 | 35.61 | 35.06 | 41.4 | 46 | 34.08 | 48.23 | 62.9 | 65.32 | 95.63 | 51.33 | 51 | 56.93 |
| Average length of stay, Medicaid, in days | 231.82 | 250.14 | 302.33 | 290.71 | 234.73 | 290.11 | 202.72 | — | — | — | — | — | — | — |
| Average length of stay, all patients, in days | 144.74 | 131.83 | 165.95 | 131.73 | 140.14 | 167.52 | 135.91 | 276.8 | 206.52 | 229.84 | 301.25 | 298.27 | 226.46 | 230.66 |
Net income, fiscal years 2024, 2023, 2022, 2021, 2020, 2019, 2018, 2017, 2016, 2015, 2014, 2013, 2012, 2011. Checked against the form’s own arithmetic: what that check shows.
| Form CMS-2540-96 | 2010 · report 415993 | 2009 · report 386798 | 2008 · report 355878 | 2007 · report 326415 | 2006 · report 310948 | 2005 · report 277445 | 2004 · report 242457 | 2003 · report 231976 | 2002 · report 175065 | 2001 · report 161344 | 2000 · report 161338 | 1999 · report 426638 | 1998 · report 38684 | 1997 · report 38682 | 1996 · report 38681 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Period began | January 1, 2010 | January 1, 2009 | January 1, 2008 | June 7, 2007 | January 1, 2006 | January 1, 2005 | January 1, 2004 | January 1, 2003 | January 1, 2002 | January 1, 2001 | January 1, 2000 | January 1, 1999 | January 1, 1998 | January 1, 1997 | January 1, 1996 |
| Period ended | December 31, 2010 | December 31, 2009 | December 31, 2008 | December 31, 2007 | December 31, 2006 | December 31, 2005 | December 31, 2004 | December 31, 2003 | December 31, 2002 | December 31, 2001 | December 31, 2000 | December 31, 1999 | December 31, 1998 | December 31, 1997 | December 31, 1996 |
| Days, where not a full year | — | — | — | 207 | — | — | — | — | — | — | — | — | — | — | — |
| Report status | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | settled | reopened | settled | settled | settled |
| Processed by CMS | August 19, 2011 | August 30, 2010 | August 30, 2009 | October 15, 2008 | June 2, 2008 | May 1, 2007 | February 7, 2006 | August 30, 2005 | May 4, 2004 | October 28, 2003 | October 28, 2003 | March 26, 2012 | September 5, 2000 | July 21, 1999 | September 17, 1998 |
| Net patient revenue | $5,310,713 | $5,657,374 | $5,384,457 | $3,210,485 | $4,943,774 | $4,560,946 | $4,739,912 | $3,967,945 | $4,210,736 | $4,001,519 | $4,122,016 | $4,206,803 | $4,454,050 | $4,374,081 | $3,971,823 |
| Total operating expenses | $5,612,860 | $5,570,126 | $5,513,107 | $3,074,279 | $4,817,758 | $4,569,997 | $4,608,983 | $4,181,613 | $4,470,746 | $4,164,658 | $3,888,202 | $3,905,208 | $4,235,249 | $4,119,353 | $3,750,319 |
| Net income from service to patients | −$302,147 | $87,248 | −$128,650 | $136,206 | $126,016 | −$9,051 | $130,929 | −$213,668 | −$260,010 | −$163,139 | $233,814 | $301,595 | $218,801 | $254,728 | $221,504 |
| Total other income | $51,933 | $36,450 | $48,750 | $26,239 | $34,582 | $36,750 | $35,203 | $34,309 | $48,788 | $32,341 | $19,713 | $17,448 | $15,923 | $12,905 | $8,607 |
| Net income | −$250,214 | $123,698 | −$79,900 | $162,445 | $160,598 | $27,699 | $166,132 | −$179,359 | −$211,222 | −$130,798 | $253,527 | $319,043 | $234,724 | $267,633 | $230,111 |
| Total facility beds, all components | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 | 100 |
| Total patient days, all components | 30,938 | 32,496 | 32,613 | 20,788 | 34,105 | 33,158 | 35,066 | 34,266 | 33,628 | 34,379 | 34,588 | 33,736 | 34,670 | 35,408 | 34,982 |
| Total discharges, all components | 94 | 75 | 99 | 77 | 63 | 85 | 69 | 97 | 117 | 125 | 95 | 130 | 97 | 63 | 78 |
| Average length of stay, Medicare, in days | 41.18 | 63.4 | 41.05 | 57.14 | 85.92 | 44.91 | 79.88 | 64.47 | 51.9 | 42.6 | 53.49 | 58.6 | 46.18 | 75.07 | 126.62 |
| Average length of stay, all patients, in days | 329.13 | 433.28 | 329.42 | 269.97 | 541.35 | 390.09 | 508.2 | 353.26 | 287.42 | 275.03 | 364.08 | 259.51 | 357.42 | 562.03 | 448.49 |
Net income, fiscal years 2010, 2009, 2008, 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998, 1997, 1996. Checked against the form’s own arithmetic: what that check shows.
HOUGHTON REHABILITATION & NURSING CENTER: nurse staffing hours by quarter →
Who owns HOUGHTON REHABILITATION & NURSING CENTER, as filed with CMS
Care Compare
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: BEIM, ESTHER (individual), 35%%, since 07/10/2017; CREEDON, TERESA (individual), 10%%, since 07/10/2017; WALDEN, CHAYA (individual), 15%%, since 07/10/2017; ZAGELBAUM, BATIA (individual), 40%%, since 07/10/2017
- ADP OF THE SNF: BARTH, ALEXANDER (individual), NOT APPLICABLE, since 01/01/2023; MAYHLE, DOUGLAS (individual), NOT APPLICABLE, since 03/24/2025; OSTROVITSKY, ISRAEL (individual), NOT APPLICABLE, since 01/23/2023; SAWYER, CHELSEA (individual), NOT APPLICABLE, since 01/01/2023
- CORPORATE OFFICER: BARTH, ALEXANDER (individual), NOT APPLICABLE, since 01/01/2023
- OPERATIONAL/MANAGERIAL CONTROL: MAYHLE, DOUGLAS (individual), NOT APPLICABLE, since 01/01/2023; SAWYER, CHELSEA (individual), NOT APPLICABLE, since 01/01/2023
Medicare enrollment
As filed in the CMS file dated October 1, 2026 (Medicare enrollment ownership), under the enrollment of HORNC OPERATING LLC (enrollment ID O20231207003799).
- 5% OR GREATER DIRECT OWNERSHIP INTEREST: BATIA ZAGELBAUM (individual), 40.00%, since 07/10/2017; CHAYA WALDEN (individual), 15.00%, since 07/10/2017; ESTHER BEIM (individual), 35.00%, since 07/10/2017; TERESA CREEDON (individual), 10.00%, since 07/10/2017
- ADP OF THE SNF: ALEXANDER BARTH (individual), since 01/01/2023; CHELSEA SAWYER (individual), since 01/01/2023; DOUGLAS B MAYHLE (individual), since 03/24/2025; ISRAEL OSTROVITSKY (individual), since 01/23/2023; No owner named in the filing (organization), since 03/13/2025
- CORPORATE OFFICER: ALEXANDER BARTH (individual), since 01/01/2023
- OPERATIONAL/MANAGERIAL CONTROL: CHELSEA SAWYER (individual), since 01/01/2023; DOUGLAS B MAYHLE (individual), since 01/01/2023
Paused by CMS: Form CMS-855A, December 11, 2025.
Private equity company, real estate investment trust and holding company: Paused by CMS: BATIA ZAGELBAUM; CHAYA WALDEN; ESTHER BEIM; TERESA CREEDON; ALEXANDER BARTH; CHELSEA SAWYER; DOUGLAS B MAYHLE; ISRAEL OSTROVITSKY; ALEXANDER BARTH; CHELSEA SAWYER; DOUGLAS B MAYHLE.
Private equity company, real estate investment trust and holding company: No: No owner named in the filing.
Changes in ownership
- August 1, 2025, enrollment ownership file; no longer listed: ISRAEL OSTROVITSKY (OPERATIONAL/MANAGERIAL CONTROL); TERESA CREEDON (OPERATIONAL/MANAGERIAL CONTROL); first listed: DOUGLAS B MAYHLE (ADP OF THE SNF), associated since March 24, 2025; DOUGLAS B MAYHLE (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2023; a listing under ADP OF THE SNF with no owner named, associated since March 13, 2025; ISRAEL OSTROVITSKY (ADP OF THE SNF), associated since January 23, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- April 1, 2025, enrollment ownership file; no longer listed: CHELSEA SAWYER (W-2 MANAGING EMPLOYEE); ALEXANDER BARTH (OPERATIONAL/MANAGERIAL CONTROL); first listed: CHELSEA SAWYER (ADP OF THE SNF), associated since January 1, 2023; CHELSEA SAWYER (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2023; ALEXANDER BARTH (ADP OF THE SNF), associated since January 1, 2023; ALEXANDER BARTH (CORPORATE OFFICER), associated since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2024, enrollment ownership file; no longer listed: JENNIFER MAY (W-2 MANAGING EMPLOYEE); ISRAEL SHERMAN (5% OR GREATER DIRECT OWNERSHIP INTEREST); SAMUEL SHERMAN (LIMITED PARTNERSHIP INTEREST); ABSOLUT FACILITIES MANAGEMENT, LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST); first listed: CHELSEA SAWYER (W-2 MANAGING EMPLOYEE), associated since January 1, 2023; CHAYA WALDEN (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since July 10, 2017; BATIA ZAGELBAUM (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since July 10, 2017; ALEXANDER BARTH (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2023; ISRAEL OSTROVITSKY (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2023; ESTHER BEIM (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since July 10, 2017; TERESA CREEDON (OPERATIONAL/MANAGERIAL CONTROL), associated since January 1, 2023; TERESA CREEDON (5% OR GREATER DIRECT OWNERSHIP INTEREST), associated since July 10, 2017. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
Inspections of HOUGHTON REHABILITATION & NURSING CENTER
- Cycle 1: health May 2, 2025 (8 deficiencies), fire safety May 2, 2025 (6)
- Cycle 2: health March 31, 2023 (7 deficiencies), fire safety March 31, 2023 (6)
- Cycle 3: health November 22, 2019 (6 deficiencies), fire safety November 22, 2019 (3)
Deficiencies cited at HOUGHTON REHABILITATION & NURSING CENTER
21 deficiencies on file, by tag, newest citation first
every one from a health inspection; every one marked “Deficient, Provider has date of correction”; 3 cited from a complaint, marked below. Letter after a date: scope and severity grade.
- F 0561, resident rights: May 2, 2025 (D, corrected June 19, 2025).
- F 0658, resident assessment and care planning: May 2, 2025 (D, corrected June 19, 2025).
- F 0690, quality of life and care: May 2, 2025 (D, corrected June 19, 2025).
- F 0725, nursing and physician services: May 2, 2025 (F, corrected June 19, 2025).
- F 0727, nursing and physician services: May 2, 2025 (F, corrected June 19, 2025).
- F 0728, nursing and physician services: May 2, 2025 (F, corrected June 19, 2025).
- F 0835, administration: May 2, 2025 (F, corrected June 19, 2025).
- F 0880, infection control: May 2, 2025 (D, from a complaint, corrected June 19, 2025).
- F 0600, freedom from abuse, neglect, and exploitation: October 7, 2024 (G, from a complaint, corrected November 29, 2024); February 12, 2024 (D, from a complaint, corrected April 4, 2024).
- F 0568, resident rights: March 31, 2023 (D, corrected May 16, 2023).
- F 0584, resident rights: March 31, 2023 (E, corrected May 16, 2023).
- F 0656, resident assessment and care planning: March 31, 2023 (D, corrected May 16, 2023).
- F 0732, nursing and physician services: March 31, 2023 (B, corrected May 16, 2023).
- F 0836, administration: March 31, 2023 (E, corrected May 16, 2023).
- F 0914, environmental: March 31, 2023 (B, corrected May 16, 2023).
- F 0610, freedom from abuse, neglect, and exploitation: November 22, 2019 (D, corrected January 15, 2020).
- F 0638, resident assessment and care planning: November 22, 2019 (B, corrected January 15, 2020).
- F 0677, quality of life and care: November 22, 2019 (D, corrected January 15, 2020).
- F 0756, pharmacy service: November 22, 2019 (D, corrected January 15, 2020).
- F 0758, pharmacy service: November 22, 2019 (D, corrected January 15, 2020).
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| October 7, 2024 | Fine | $65,052 | 22350 |
From the Care Compare penalties file NH_Penalties_Oct2026.csv, processed on October 1, 2026.
HOUGHTON REHABILITATION & NURSING CENTER in Care Compare
- Ownership Type: For profit - Limited Liability company
- Legal Business Name: HORNC OPERATING LLC
- Date First Approved to Provide Medicare and Medicaid Services: 1980-09-15
- Provider Resides in Hospital: N
- Continuing Care Retirement Community: N
- Urban: N
- County/Parish: Allegany
- Telephone Number: 5855672207
- Chain Name: PERSONAL HEALTHCARE MANAGEMENT
- Chain ID: 677
- Provider Changed Ownership in Last 12 Months: N
- With a Resident and Family Council: Resident
- Automatic Sprinkler Systems in All Required Areas: Yes
- Average Number of Residents per Day: 92.9
- Overall Rating: 2
- Health Inspection Rating: 2
- QM Rating: 2
- Long-Stay QM Rating: 4
- Short-Stay QM Rating: 1
Care Compare, October 1, 2026: provider information NH_ProviderInfo_Oct2026.csv · inspections NH_SurveySummary_Oct2026.csv · citations NH_HealthCitations_Oct2026.csv · penalties NH_Penalties_Oct2026.csv · ownership NH_Ownership_Oct2026.csv.
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Report a figure on HOUGHTON REHABILITATION & NURSING CENTER’s record that differs from its CMS file, quoting 335641.