Elderwood At Liverpool

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.

51.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 557 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 59.1% 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 230 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 0.38 therapist hours per resident per day in 2026Q1 — more than 66% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 22% 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 160 beds and averages 141.9 residents a day — about 89% occupied, or roughly 18 beds typically open. It runs fairly full. 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 3.52 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.56 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.92 is below 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 3.03 hrs/resident/day on weekends vs 3.71 on weekdays — 18% thinner on weekends. RN hours go from 0.66 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

1 administrator has left in the past year.

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.

17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.

• Potential for harm · E2026-02-10 · tag F0565 — failed to support the resident council — pattern
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record review during the recertification survey, the facility did not ensure that views, grievances, or recommendations voiced by residents during Resident Council group meetings were considered, acted upon, and responded to with a rationale for nine (9) of nine (9) anonymous residents present at the resident group meeting and one additional resident interviewed (Resident #17). Specifically, nine (9) anonymous residents at the resident group meeting and one additional resident interviewed (Resident #17) stated they did not receive responses to topics or concerns addressed in prior Resident Council meetings. Additionally, there was no documented evidence that the residents' voiced concerns were investigated, and rationales or responses were provided to the residents.Findings include: The facility policy Resident Council Policy, revised 12/15/2025, documented the Director of Activities was the appointed staff member to act as a liaison between the council and the administration staff for reporting problems, issues, and suggestions discussed by the residents at…

  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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-02-10 · 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 — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews during the recertification survey, the facility failed to ensure a safe, clean, comfortable, and homelike environment for one (1) of three (3) resident floors (Second floor) reviewed. Specifically, the Second floor hallway carpet was unclean with stains and dirt debris; room [ROOM NUMBER] smelled of urine; and room [ROOM NUMBER] D's bathroom had a broken light bulb. Findings include: The facility policy Building and Equipment Repairs Reporting, revised 02/02/2018, documented all personnel were informed about responsibilities for reporting malfunctioning equipment, damage to facility structure, or furniture or other items that needed repair. All new staff were educated on the procedure for reporting repairs needed and the safety and well-being of residents and staff were the responsibilities of all staff. Staff reported needed repairs via the electronic maintenance report system. Staff without access to email were to report the repairs needed to a supervisor.…

  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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-10 · 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 observations and interviews during the recertification survey, the facility failed to follow proper sanitation practices to prevent outbreak of illness in one (1) of one (1) main kitchen. Specifically, expired sanitizer testing strips were used to test sanitizer strength in the three-bay sink; and a cloth was used to dry dishes and silverware as they came out of the dish machine. Findings include:The facility policy Dishwashing, Drying, Proper Storage, revised 04/26/2019, documented soiled dishes, trays, glassware, and silverware would be washed and sanitized in the dish machine. The items would then be air-dried on the clean area counters of dish room and never dried with a cloth. A test of the sanitizing solution strength of the dish machine and the third compartment of the three-bay sink was conducted daily by the dietary services supervisor. Pots, pans, and large utensils used in cooking and holding food were washed and dried in the three-bay sink. The first bay contained detergent for soaking and scrubbing pans. The second bay contained water to rinse off the detergent…

  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 · D2026-02-10 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, observations, and record review during the recertification survey, the facility failed to develop and implement a baseline care plan that included the minimum healthcare information necessary to properly care for a resident within 48 hours of their admission for one (1) of one (1) resident (Resident #97) reviewed. Specifically, Resident #97 was admitted from the hospital with an arm sling recommended by a specialist and there was no physician order or care plan for the use of the arm sling. Findings include:Resident #97 had diagnoses including a right upper arm fracture, osteoporosis, and right pelvic fracture. The 12/25/2025 admission Minimum Data Set assessment documented the resident was admitted from the hospital, had moderately impaired cognition, had impairments of one arm and leg, required maximal assistance with upper body dressing, was totally dependent on transfers, and did not receive training on a splint or brace.The 12/17/20205 hospital orthopedic consult documented the right upper arm was to be non-weight bearing and a sling was to be used. The…

  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 · D2026-02-10 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and interviews during the recertification survey, the facility failed to ensure residents received care consistent with professional standards of practice to prevent pressure ulcers and promote healing of pressure ulcers for one (1) of three (3) residents (Residents #16) reviewed. Specifically, Resident #16's wound care was not completed as ordered and a vascular consult was not ordered as recommended by the wound care provider. Findings include: The facility policy, Pressure Ulcer, Pressure Injury, and Other Skin Conditions: Initial Assessment, Care Planning, Ongoing Evaluation, and Management, revised 02/27/2023, documented residents with pressure ulcers, injuries, or skin conditions received timely assessments, evaluation, treatment, and services to promote healing, prevent infection, and prevent new conditions from developing. Ongoing assessments of existing pressure ulcers, injuries, and other skin conditions were to be conducted weekly by facility staff and/or a consultant who specialized in wound management. Progress, treatments, and 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-10 · tag F0761 — failed to label and store drugs safely — isolated
  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

  Based on observations, record review, and interviews, the facility failed to ensure drugs and biologicals were stored in accordance with currently accepted professional standards for one (1) of four (4) medication carts (1st floor North medication cart). Specifically, the 1st floor North medication cart contained an opened lidocaine (anesthetic) vial and opened insulin pens with no documented opened dates.Findings include: The facility policy Medications Administration Methods, revised 01/25/2024 documented responsible staff would pass medications according to techniques and practices in compliance with New York State rules and regulations, and current practice standards. Medication expiration dates were to be checked prior to administration. Refer to manufacturer's guidelines for medications with shortened expiration such as insulin.During a 1st floor North medication cart storage review on 02/05/2026 at 2:55 PM with Licensed Practical Nurse #3, the following was observed in the top drawer of the medication cart:- an opened vial of lidocaine 1% (anesthetic) with no opened date. -…

  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 · D2026-02-10 · tag F0814 — failed to dispose of garbage properly — isolated
  Dispose of garbage and refuse properly.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews during the recertification survey, the facility failed to ensure garbage and refuse was disposed of properly for one (1) of one (1) dumpster observed. Specifically, the area around the dumpster located outside near the kitchen was not maintained to prevent attraction and harborage of pests. Findings include:The facility Assistant Dining Services Manager Evening Checklist procedure form, dated 09/2002, documented food service would observe the dumpster area in the evening to check for food debris and ensure the dumpster lids were closed. During an observation on 02/06/2026 at 11:00 AM, the dumpster located outside the kitchen, had food debris, food wrappers, and used gloves around the dumpster and near the fence that surrounded the dumpster area. During an interview on 02/09/2026 at 3:08 PM, Food Service Manager #5 stated the area around the dumpster should be free of food debris and garbage to prevent rodents and for sanitation. During an interview on 02/09/2026 at 3:35 PM, Food Service Director #6 stated the area around the dumpster should be…

  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 · Dcited before2026-02-10 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and interviews during the recertification survey the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one (1) of four (4) residents (Resident #48) reviewed. Specifically, Resident #48 was on transmission-based precautions (contact precautions) and Registered Nurse #16 was observed not wearing appropriate personal protective equipment while administering medications or practicing hand hygiene to prevent the spread of infection.Findings include:The facility policy Transmission Based Precaution Levels, last reviewed 06/06/2024, documented standard precautions were based on the principle that all blood, body fluids, secretions, excretions except sweat, non-intact skin, and mucous membranes could contain transmissible infectious agents. Standard precautions include a group of infection prevention practices that would apply to all residents, regardless of…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-02-27 · 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 interview during the recertification survey conducted 2/21/2024-2/27/2024, the facility did not ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety in 2 of 3 food preparation and storage areas (the main kitchen and the third floor kitchenette). Specifically, the walls and ceiling in the main kitchen dish machine area were unclean, the walls behind the three bay sink were unclean and there was expired and undated food in the main kitchen dry food storage room and the third floor kitchenette. Findings include: The facility policy Kitchen, Dining and Dietary Equipment Routine Cleaning modified 4/26/2019, documented all kitchen walls were to be cleaned monthly. The facility policy Dietary Food and Supply Orders-Storage modified 10/26/2018, documented if a food item is partially used the item is labeled with the name and the date and covered before being put back in storage. The facility policy Food Brought into Facility from Outside Sources, Reheated Food modified…

  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 · Ecited before2024-02-27 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  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 conducted 2/21/2024 - 2/27/2024, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 4 residents (Resident #82) reviewed and for the facility's Legionella (a bacteria that can cause Legionnaires' disease) water management program. Specifically, staff did not wear required personal protective equipment or take off personal protective equipment appropriately when caring for Resident #82 who was on transmission-based precautions. Additionally, the facility's annual Legionella assessment was not completed in 2022 and the annual review of the Legionella program was not completed in 2021 and 2022. Findings included: The facility policy Infection Prevention Control Program modified 2/5/2018 documented the facility would establish and maintain an infection prevention and control program designed to provide…

  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.

  Infection Control 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

$56,921 in federal fines across 1 penalty.

• $56,921 — penalty dated 2024-04-19

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to ELDERWOOD — 17 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 10 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

This home reported $4.5M paid to related parties — landlords or management companies under common ownership — equal to about 19% 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.

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