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SUNSET NURSING AND REHABILITATION CENTER, INC.

Company Details

Name: SUNSET NURSING AND REHABILITATION CENTER, INC.
Jurisdiction: New York
Legal type: DOMESTIC BUSINESS CORPORATION
Status: Active
Date of registration: 24 Mar 2003 (22 years ago)
Entity Number: 2885610
ZIP code: 11580
County: Oneida
Place of Formation: New York
Address: 10 E. Merrick Road, suite 304, Valley Stream, NY, United States, 11580
Principal Address: 455 Cayuga Road, Suite 200, Buffalo, NY, United States, 14225

Contact Details

Phone +1 315-942-4301

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SUNSET NURSING AND REHABILITATION CENTER, INC. 2022 161645870 2023-08-03 SUNSET NURSING AND REHABILITATION CENTER, INC. 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 623000
Sponsor’s telephone number 3159424301
Plan sponsor’s address 232 ACADEMY STREET, BOONVILLE, NY, 13309

Signature of

Role Plan administrator
Date 2023-08-03
Name of individual signing JEREMY L BRITTON
Role Employer/plan sponsor
Date 2023-08-03
Name of individual signing JEREMY L BRITTON
SUNSET NURSING HOME, INC. 401(K) PLAN 2016 161645870 2017-07-12 SUNSET NURSING AND REHABILITATION CENTER, INC. 98
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 623000
Sponsor’s telephone number 3159424301
Plan sponsor’s address 232 ACADEMY STREET, BOONVILLE, NY, 13309

Signature of

Role Plan administrator
Date 2017-07-11
Name of individual signing JEREMY L BRITTON
Role Employer/plan sponsor
Date 2017-07-11
Name of individual signing JEREMY L BRITTON
SUNSET NURSING HOME, INC. 401(K) PLAN 2015 161645870 2016-05-20 SUNSET NURSING AND REHABILITATION CENTER, INC. 112
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 623000
Sponsor’s telephone number 3159424301
Plan sponsor’s address 232 ACADEMY STREET, BOONVILLE, NY, 13309

Signature of

Role Plan administrator
Date 2016-05-19
Name of individual signing JEREMY L BRITTON
Role Employer/plan sponsor
Date 2016-05-19
Name of individual signing JEREMY L BRITTON
SUNSET NURSING HOME, INC. 401(K) PLAN 2014 161645870 2015-04-15 SUNSET NURSING AND REHABILITATION CENTER, INC. 113
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 623000
Sponsor’s telephone number 3159424301
Plan sponsor’s address 232 ACADEMY STREET, BOONVILLE, NY, 13309

Signature of

Role Plan administrator
Date 2015-04-15
Name of individual signing JEREMY BRITTON
Role Employer/plan sponsor
Date 2015-04-15
Name of individual signing JEREMY BRITTON
SUNSET NURSING HOME, INC. 401(K) PLAN 2013 161645870 2014-05-09 SUNSET NURSING AND REHABILITATION CENTER, INC. 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 623000
Sponsor’s telephone number 3159424301
Plan sponsor’s address 232 ACADEMY STREET, BOONVILLE, NY, 13309

Signature of

Role Plan administrator
Date 2014-05-09
Name of individual signing JEREMY L. BRITTON
Role Employer/plan sponsor
Date 2014-05-09
Name of individual signing JEREMY L. BRITTON
SUNSET NURSING HOME, INC. 401(K) PLAN 2012 161645870 2013-06-13 SUNSET NURSING AND REHABILITATION CENTER, INC. 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 623000
Sponsor’s telephone number 3159424301
Plan sponsor’s address 232 ACADEMY STREET, BOONVILLE, NY, 13309

Signature of

Role Plan administrator
Date 2013-06-13
Name of individual signing JEREMY BRITTON
Role Employer/plan sponsor
Date 2013-06-13
Name of individual signing JEREMY BRITTON
SUNSET NURSING HOME, INC. 401(K) PLAN 2011 161645870 2012-05-25 SUNSET NURSING AND REHABILITATION CENTER, INC. 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 623000
Sponsor’s telephone number 3159424301
Plan sponsor’s address 232 ACADEMY STREET, BOONVILLE, NY, 13309

Plan administrator’s name and address

Administrator’s EIN 161645870
Plan administrator’s name SUNSET NURSING AND REHABILITATION CENTER, INC.
Plan administrator’s address 232 ACADEMY STREET, BOONVILLE, NY, 13309
Administrator’s telephone number 3159424301

Signature of

Role Plan administrator
Date 2012-05-25
Name of individual signing JEREMY BRITTON
Role Employer/plan sponsor
Date 2012-05-25
Name of individual signing JEREMY BRITTON
SUNSET NURSING HOME, INC. 401(K) PLAN 2010 161645870 2011-05-24 SUNSET NURSING AND REHABILITATION CENTER, INC. 76
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1991-01-01
Business code 623000
Sponsor’s telephone number 3159424301
Plan sponsor’s address 232 ACADEMY STREET, BOONVILLE, NY, 13309

Plan administrator’s name and address

Administrator’s EIN 161645870
Plan administrator’s name SUNSET NURSING AND REHABILITATION CENTER, INC.
Plan administrator’s address 232 ACADEMY STREET, BOONVILLE, NY, 13309
Administrator’s telephone number 3159424301

Signature of

Role Plan administrator
Date 2011-05-24
Name of individual signing JEREMY BRITTON
Role Employer/plan sponsor
Date 2011-05-24
Name of individual signing JEREMY BRITTON

Chief Executive Officer

Name Role Address
EDWARD FARBENBLUM Chief Executive Officer 10 E. MERRICK ROAD, SUITE 304, VALLEY STREAM, NY, United States, 11580

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 10 E. Merrick Road, suite 304, Valley Stream, NY, United States, 11580

History

Start date End date Type Value
2025-03-05 2025-03-05 Address 10 E. MERRICK ROAD, SUITE 304, VALLEY STREAM, NY, 11580, USA (Type of address: Chief Executive Officer)
2025-03-05 2025-03-05 Address 232 ACADEMY STREET, BOONVILLE, NY, 13309, USA (Type of address: Chief Executive Officer)
2025-03-05 2025-03-05 Address 10 E. MERRICK ROAD, SUITE 305, VALLEY STREAM, NY, 11580, USA (Type of address: Chief Executive Officer)
2024-03-13 2025-03-05 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-11-01 2025-03-05 Address 232 ACADEMY STREET, BOONVILLE, NY, 13309, USA (Type of address: Chief Executive Officer)
2023-11-01 2023-11-01 Address 232 ACADEMY STREET, BOONVILLE, NY, 13309, USA (Type of address: Chief Executive Officer)
2023-11-01 2023-11-01 Address 10 E. MERRICK ROAD, SUITE 305, VALLEY STREAM, NY, 11580, USA (Type of address: Chief Executive Officer)
2023-11-01 2025-03-05 Address 10 E. MERRICK ROAD, SUITE 305, VALLEY STREAM, NY, 11580, USA (Type of address: Chief Executive Officer)
2023-11-01 2025-03-05 Address 10 E. Merrick Road, suite 304, Valley Stream, NY, 11580, USA (Type of address: Service of Process)
2023-10-25 2024-03-13 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
250305002797 2025-03-05 BIENNIAL STATEMENT 2025-03-05
231101041361 2023-10-25 CERTIFICATE OF CHANGE BY ENTITY 2023-10-25
230504001147 2023-05-04 BIENNIAL STATEMENT 2023-03-01
190308002010 2019-03-08 BIENNIAL STATEMENT 2019-03-01
120809002848 2012-08-09 BIENNIAL STATEMENT 2011-03-01
090220002208 2009-02-20 BIENNIAL STATEMENT 2009-03-01
070323003138 2007-03-23 BIENNIAL STATEMENT 2007-03-01
050707002543 2005-07-07 BIENNIAL STATEMENT 2005-03-01
030324000063 2003-03-24 CERTIFICATE OF INCORPORATION 2003-03-24

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
337551212 0215800 2012-11-27 232 ACADEMY STREET, BOONVILLE, NY, 13309
Inspection Type Planned
Scope Complete
Safety/Health Health
Close Conference 2012-11-27
Emphasis N: NURSING, P: NURSING
Case Closed 2014-12-05

Violation Items

Citation ID 01001
Citaton Type Serious
Standard Cited 19101030 F02 I
Issuance Date 2013-03-06
Abatement Due Date 2013-03-25
Current Penalty 3100.0
Initial Penalty 4500.0
Final Order 2013-03-28
Nr Instances 1
Nr Exposed 1
Gravity 5
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.1030(f)(2)(i): Hepatitis B vaccination was not made available within 10 working days of initial assignment to all employee(s) with occupational exposure: a) Laundry Area, on or about 11/27/12; The hepatitis B vaccination series was not provided for a laundry aide hired on 3/14/12. Abatement certification must be submitted for this item.
Citation ID 01002A
Citaton Type Serious
Standard Cited 19101030 D04 II A
Issuance Date 2013-03-06
Abatement Due Date 2013-04-01
Current Penalty 1990.0
Initial Penalty 2700.0
Final Order 2013-03-28
Nr Instances 2
Nr Exposed 20
Gravity 1
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.1030(d)(4)(ii)(A): Contaminated work surfaces were not decontaminated with an appropriate disinfectant after completion of procedures: a) B-Wing, on or about 11/27/12: An inappropriate disinfectant was used to clean up blood in that the disinfectant, Prime Source System's Scrubbles Foaming Disinfectant Cleaner, was not approved for use to clean contamination due to mycobacterium tuberculosis, hepatitis B virus and HIV virus. b) C-Wing, on or about 11/27/12: An inappropriate disinfectant was used to clean up blood in that the disinfectant, Prime Source System's Scrubbles Foaming Disinfectant Cleaner, was not approved for use to clean contamination due to mycobacterium tuberculosis, hepatitis B virus and HIV virus. Abatement cerification must be submitted for this item.
Citation ID 01002B
Citaton Type Serious
Standard Cited 19101030 G02 VII F
Issuance Date 2013-03-06
Abatement Due Date 2013-04-01
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2013-03-28
Nr Instances 2
Nr Exposed 20
Gravity 5
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.1030(g)(2)(vii)(F): The bloodborne pathogens training program did not contain an explanation of the use or limitations of methods that would prevent or reduce exposure including appropriate engineering controls, work practices or personal protective equipment: a) B-Wing, on or about 11/27/12: Training was not provided on the proper disinfectant to use for cleaning up blood. An inappropriate disinfectant was used to clean up blood in that the disinfectant, Prime Source System's Scrubbles Foaming Disinfectant Cleaner, was not tuberculocidal. b) C-Wing, on or about 11/27/12: Training was not provided on the proper disinfectant to use for cleaning up blood. An inappropriate disinfectant was used to clean up blood in that the disinfectant, Prime Source System's Scrubbles Foaming Disinfectant Cleaner, was not tuberculocidal. Abatement cerification must be submitted for this item.
Citation ID 01003A
Citaton Type Serious
Standard Cited 19101030 F03
Issuance Date 2013-03-06
Abatement Due Date 2013-04-10
Current Penalty 3100.0
Initial Penalty 4500.0
Final Order 2013-03-28
Nr Instances 1
Nr Exposed 1
Gravity 5
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.1030(f)(3): Following a report of an exposure incident, the employer did not make immediately available to the exposed employee a confidential medical evaluation or follow-up: a) Nursing Dept., on or about 11/3/12: An employee stuck by a needle at or about 4:30 PM was not immediaitely sent to the emergency room. The employee was sent to the emergency room at 11:00 PM after the end of the shift, six and one half hours later. Abatement certification must be submitted for this item.
Citation ID 01003B
Citaton Type Serious
Standard Cited 19101030 G02 II B
Issuance Date 2013-03-06
Abatement Due Date 2013-04-10
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2013-03-28
Nr Instances 1
Nr Exposed 1
Gravity 5
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.1030(g)(2)(ii)(B): The employer did not ensure that the training was provided to employees with occupational exposure at least annually: a) Nursing Department, on or about 11/27/12: An employee stuck by a needle 11/3/12 was not provided with annual training on bloodborne pathogens. Last training was on 9/6/11. Abatement certification must be submitted for this item.
Citation ID 01003C
Citaton Type Serious
Standard Cited 19101030 G02 VII L
Issuance Date 2013-03-06
Abatement Due Date 2013-04-10
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2013-03-28
Nr Instances 1
Nr Exposed 1
Gravity 1
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.1030(g)(2)(vii)(L): The bloodborne pathogens training program did not contain information on the post exposure evaluation or follow-up that the employer was required to provide for the employee following an exposure incident: a) Nursing Dept., on or about 11/3/12: Employees were not trained on post exposure evaluations and follow-ups required to be given by the employer following an exposure incident involving blood. Abatement certification must be submitted for this item.
Citation ID 02001
Citaton Type Other
Standard Cited 19040029 B03
Issuance Date 2013-03-06
Abatement Due Date 2013-03-18
Current Penalty 0.0
Initial Penalty 900.0
Final Order 2013-03-28
Nr Instances 1
Nr Exposed 1
FTA Current Penalty 0.0
Citation text line 29 CFR 1904.29(b)(3): Each recordable injury or illness was not entered on the OSHA 300 Log and/or an incident report (OSHA Form 301or equivalent) within seven (7) calendar days of receiving information that a recordable injury or illness has occurred: a) Throughout the facility, on or about 11/27/12; A needlestick occurring on 11/3/12 was not recorded on the 2012 Log of Work Related Injuries and Illnesses (OSHA's Form 300). Abatement certification must be submitted for this item.
Citation ID 02002
Citaton Type Other
Standard Cited 19100037 B02
Issuance Date 2013-03-06
Abatement Due Date 2013-04-22
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2013-03-28
Nr Instances 1
Nr Exposed 150
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.37(b)(2): Each exit was not clearly visible and marked by a sign reading "Exit": a) Loading dock, on or about 11/27/12: A loading dock exit door at the end of the corridor near dietary area was not labeled with an "EXIT" sign. Abatement certification must be submitted for this item.
Citation ID 02003A
Citaton Type Other
Standard Cited 19101030 C01 II B
Issuance Date 2013-03-06
Abatement Due Date 2013-04-10
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2013-03-28
Nr Instances 1
Nr Exposed 150
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.1030(c)(1)(ii)(B): The employer's Exposure Control Plan did not include the schedule and method of implementation for 29 CFR 1910.1030(f), Hepatitis B Vaccination and Post-Exposure Evaluation and Follow-up: a) Throughout the facility, on or about 11/27/12: The exposure control plan did not include the administration of and schedule for testing for the hepatitis B surface antigen, 1- 2 months following the third shot in the three shot hepatitis B vaccination series. Abatement certification must be submitted for this item.
Citation ID 02003B
Citaton Type Other
Standard Cited 19101030 G02 VII I
Issuance Date 2013-03-06
Abatement Due Date 2013-04-22
Current Penalty 0.0
Initial Penalty 0.0
Final Order 2013-03-28
Nr Instances 1
Nr Exposed 150
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.1030(g)(2)(vii)(I): The bloodborne pathogens training program did not contain information on the hepatitis B vaccine, including information on its efficacy, safety, method of administration, the benefits of being vaccinated, or the fact that the vaccination will be offered free of charge: a) Throughout the facility, on or about 11/27/12: Training was not provided on the requirement to provide testing for the hepatitis B surface antigen, 1-2 months following the third shot in the three shot vaccination series. Abatement certification must be submitted for this item.

Date of last update: 30 Mar 2025

Sources: New York Secretary of State