The Center For Nursing And Rehab At Hoosick Falls

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

27.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 45 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 48.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 41 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.06 therapist hours per resident per day in 2026Q1 — more than 3% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 34% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 82 beds and averages 80.2 residents a day — about 98% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.13 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.90 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.56 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.43 hrs/resident/day on weekends vs 4.42 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 1.07 to 0.49 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 56% is about the same as the national median of 45%. 3 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

• Potential for harm · D2025-11-26 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews during an abbreviated survey (Case # 2590765), the facility did not ensure residents received treatment and care in accordance with professional standards of practice that would meet each resident's physical, mental, and psychosocial needs for one (1) (Resident #1) of three (3) residents reviewed. Specifically, the facility did not ensure a physician order for treatment of a new wound on Resident #1's back, identified on 8/04/2025 during a wound care consult. This is evidenced by: Resident #1:Resident #1 was admitted to the facility with diagnoses of spina bifida (a condition that occurs when the spine and spinal cord do not form properly), constipation, and retention of urine with obstructive and reflux uropathy (retention due to a blockage that makes it difficult or impossible to pass urine). The Minimum Data Set (an assessment tool) dated 6/26/2025, documented the resident had severe cognitive impairment. The resident usually made themselves understood (difficulty communicating some words or finishing thoughts but was able if prompted or…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-26 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews during an abbreviated survey (Case # 2590765), the facility did not ensure that a resident with an indwelling catheter (a tube inserted into the bladder to drain urine) received appropriate care and services to prevent urinary tract infections for one (1) (Resident #1) of three (3) residents reviewed. Specifically, for Resident #1, the facility did not ensure daily catheter care for the resident's indwelling Foley catheter in May, June, July, and August 2025. There was no documented physician order for daily catheter care until 8/20/2025.This is evidenced by:Resident #1: Resident #1 was admitted to the facility with diagnoses of spina bifida (a condition that occurs when the spine and spinal cord do not form properly), constipation, and retention of urine with obstructive and reflux uropathy (retention due to a blockage that makes it difficult or impossible to pass urine). The Minimum Data Set (an assessment tool) dated 6/26/2025, documented the resident had sever cognitive impairment. The resident usually made themselves understood (difficulty…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-08 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor 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.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, interviews, and record review conducted during the recertification survey, the facility did not provide effective housekeeping and maintenance services on 2 (Unit A and Unit B) of 2 resident units. Specifically, the carpeting throughout Unit A, Unit B, and the lobby was heavily soiled with dirt. This is evidenced by: During an observation from 10/03/2024 through 10/08/2024, the carpeting in the corridors on Unit A, Unit B, and the lobby area was heavily soiled with ground-in dirt. During an interview on 10/04/2024 at 1:35 PM, Environmental Manager #1 stated the carpeting cleaning machine has recently been repaired and that the facility had begun working on cleaning the carpeting. During an interview on 10/04/2024 at 1:41 PM, Administrator #1 stated the facility ownership was planning to replace the carpeting. 10 New York Codes, Rules, and Regulations 415.5(h)(4)

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-10-08 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview conducted during the recertification survey, the facility did not ensure the development and implementation of comprehensive person-centered care plans that included measurable objectives and time frames to meet the resident's medical, nursing, and mental and psychosocial needs, that were identified in the comprehensive assessment, for 8 (Resident #s 7, 20, 21, 25, 30, 44, 55, and 215) of 19 residents reviewed for comprehensive care plans. Specifically, for (a.) Resident #7 comprehensive care plan was not implemented to provide the resident with a means of communication; (b.) for Resident #20, a comprehensive care plan was not developed for lymphedema, which the resident was receiving treatment for; And (c.) Residents #30 and #215 comprehensive care plan was not developed to be resident centered as to address the specific needs of the residents. This is evidenced by: The Policy and Procedure titled, CNR Care Planning - IDT, revised 9/2013 stated the care…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-10-08 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure 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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview conducted during a recertification survey, the facility did not ensure drugs and biologicals were labeled and stored in accordance with professional standards of practice. Specifically, opened insulin had no open and/or expiration dates written on them. This was evident for 1 (Unit B medication cart) of 2 medication carts reviewed for medication storage. This is evidenced by: The facility's Policy and Procedure, titled Medication Administration and last revised 9/2024 did not address labeling multi-use medications with expiration dates. During a medication cart review on Unit B with Licensed Practical Nurse #1 on [DATE] 9:16 AM, the following was observed: Resident #15's Basaglar KwikPen (insulin) was opened, and had no date opened or date of expiration. Resident #37's Basaglar KwikPen (insulin) was opened, and had no date opened or date of expiration. Resident #165's Humalog KwikPen (insulin) was opened, and had no date opened or date of expiration. Resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-08 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on medical record review and interview during the recertification survey, the facility did not ensure that residents and/or their designated representative were fully informed of their right to an expedited review of a service termination for 1 (Resident #54) of 3 residents reviewed. Specifically, a Notice to Medicare Provider Non-coverage, form CMS-10123 was not issued to Resident #54 prior to the Medicare Part A Service Termination. This is evidenced by: There was no documented evidence that a Notice to Medicare Provider Non-coverage, form CMS-10123 was issued to Resident #54 prior to the Medicare Part A Service Termination. During an interview on 10/08/2024 at 10:21 AM, Social Worker #1 stated they could not find the Notice to Medicare Provider Non-coverage, form CMS-10123 for Resident #54 and issuing this notice could have been overlooked. 10 New York Codes, Rules, and Regulations 415.3 (g)

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-08 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
  Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review and interview conducted during the recertification survey, the facility did not ensure residents were given the appropriate treatment and services to maintain or improve their ability to carry out the activities of daily living including functional communication systems for 1 (Resident #7) of 1 resident reviewed for communication. Specifically, Resident #7 ' s primary language was Japanese, and was care planned for staff to utilize communication boards. Resident #7 was not consistently provided a functional communication system to communicate their needs independently and effectively. This is evidenced by: The undated Policy and Procedure titled, CNR – Communication with Sensory Impaired and Non-English Persons, stated the facility would utilize all available tools including but not limited to communication boards to ensure the sensory-impaired persons were afforded equal opportunity to benefit from the services provided. Resident #7 was admitted to the facility with the diagnoses of Alzheimer ' s disease, cognitive communication deficit, and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-08 · tag F0812 — failed to store, cook, and serve food safely — isolated
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview conducted during the recertification survey, the facility did not store, prepare, distributed, or serve food in accordance with professional standards for food service safety in the main kitchen and 2 (Unit A and Unit B) of 2 nourishment kitchenettes. Specifically, equipment and surfaces were soiled with food particles and plastic single-use articles were stored on the floor. This is evidenced by: During observations on 10/02/2024 at 10:49 AM, single-use plastic tableware and utensils were stored on the floor of the main storeroom and the following items were soiled with food particles or food drips: • Slicer. • Microwave oven. • Table mixer. • Utensil drawers. • Can opener holder. • Cooking line shelving. • K-rated fire extinguisher. • Kitchen mop sink. • Exterior of refrigerator in the Unit A Nourishment Kitchenette. • Microwave oven and refrigerator shelving in the Unit B Nourishment Kitchenette. During an interview on 10/02/2024 at 11:44 AM, Food Service Director #1 stated the items found would be cleaned immediately and that they would speak…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-08 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview conducted during the recertification and abbreviated survey (NY00354719), the facility did not ensure they provided medications and/or biologicals, as ordered by the prescriber, to meet the needs of 1 (Residents #65) of 1 resident reviewed for Pharmacy Services and 1 (Resident #165) of 4 residents reviewed for Medication Administration. Specifically, Resident #65 was admitted to the facility on [DATE] and ordered medications were not available for administration the evening of 9/09/2024 or the morning of 9/10/2024. For Resident #165, ordered medications were not available for administration on 10/07/2024 and 10/08/2024. This is evidenced by: The undated and untitled facility policy provided upon request of a policy addressing unavailable medications documented the following: it was the policy of The Center for Nursing and Rehabilitation at Hoosick Falls to act promptly to notify appropriate practitioners for orders to be followed, and pharmacy to obtain…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2022-08-30 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interviews during the recertification survey dated 08/24/2022 through 08/30/2022, the facility did not ensure food was stored, prepared, distributed, or served in accordance with professional standards for food service safety in the main kitchen, the Servery Kitchen, and one (1) of 2 Nourishment Rooms. Specifically, in the main kitchen, the table mixer, slicer, microwave oven, and table fan were soiled with food particles or dust; one spray bottle was not labeled; an obnoxious (sewer odor) odor was detected; and the correct test kit to measure the concentration of sanitizing solution (test kit) used to manually sanitize food contract equipment, was not provided; in the A-Unit Nourishment room, the refrigerator door gasket was soiled with food particles; and in the Servery Kitchen, the microwave oven and cabinets were soiled with food particles. This is evidenced as follows: During observations on 08/24/2022 at 9:51 AM in the main kitchen, the table mixer, slicer, microwave oven, and table fan were soiled with food particles or dust; one spray…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 9 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 75% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $937K paid to related parties — landlords or management companies under common ownership — equal to about 11% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NY