Roscoe Regional Rehab: Staffing Shortages Leave Residents Waiting - NY
Federal inspectors who visited the Sullivan County facility on August 28 and 29, 2025, documented what staff described in their own words: a building running so short on hands that the person responsible for supervising all nursing on a unit was also, on most nights, the one pushing the medication cart and handling treatments, while simultaneously answering call lights and helping with toileting and two-person transfers whenever possible.
That word — whenever — did a lot of work.
The nursing supervisor, identified in inspection records as Registered Nurse Supervisor #6, told inspectors during a 5:48 a.m. interview that this was routine. One night per week, they said, they had to serve as the medication nurse for the unit on top of their supervisory duties. Every other night, a Licensed Practical Nurse handled medications on each unit, but the supervisor was still responsible for administering treatments and stepping in wherever they could. "Helped as they were able" was how inspectors recorded it.
On the day shift, certified nursing aides told inspectors they were each assigned three to four residents every morning. One resident, identified in the report as Resident #79, was listed on a posted assignment sheet at the nurse's station as needing shower assistance every single morning. Nurses, the aides explained, were occupied with medications, treatments, and other tasks. They helped when they could.
Residents waited hours.
That phrase appears in the inspection narrative without qualification. Not "sometimes waited" or "could potentially wait." Residents might wait for hours for assistance. That is what aides told inspectors.
Three residents, identified as Residents #13, #24, and #59, had loose stools routinely on the night shift. Each of them required more time and attention to be cleaned. The inspection record does not describe what those waits looked like in practice for those three people, but the context is not difficult to follow: a supervisor stretched across three roles, LPNs managing medications, and aides who were already at capacity before the night's incontinence care began.
The violation was cited under New York State public health regulations governing nursing staff sufficiency. Inspectors tagged it as affecting many residents, with a harm level of minimal harm or potential for actual harm. That language, in the federal inspection framework, means no documented injury was confirmed, but the conditions were present for one to occur.
What the inspection captured was not a single bad night. Aides described the assignment structure as standard. The supervisor's dual role as both nursing supervisor and medication nurse was described as a recurring weekly occurrence. The posting of Resident #79's shower schedule on the nurse's station assignment list suggests a system that had formalized these expectations, written them down, and put them on the wall.
Nobody interviewed suggested this was unusual. That was the point.
Roscoe Regional is a residential health care facility in a rural part of New York's Catskill region. The inspection was complaint-driven, meaning someone, a resident, a family member, or a staff member, had contacted regulators before inspectors arrived. The report does not identify who filed the complaint or what specifically prompted it.
What inspectors found when they got there was a night supervisor awake before 6 a.m., describing a staffing structure in which the people responsible for the most vulnerable residents on the floor were also responsible for tasks that pulled them in directions those residents could not follow. And residents, some of them incontinent, some requiring two people just to move safely, waiting in the meantime.
The assignment sheet was still posted at the nurse's station when inspectors came through.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Roscoe Regional Rehab & Residential H C F from 2025-08-29 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 27, 2026 · Our methodology
ROSCOE REGIONAL REHAB & RESIDENTIAL H C F in ROSCOE, NY was cited for violations during a health inspection on August 29, 2025.
That word — whenever — did a lot of work.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.