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Eddy Memorial Geriatric Center

2256 Burdett Avenue, Troy, NY 12180 · Non profit - Corporation · 80 certified beds · (518) 274-9890 Medicare & Medicaid certified

Call the home — (518) 274-9890 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0609, F0610) — most recent May 2022
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
2231 Burdett Ave · (518) 272-7191 · Call to confirm hours
Pharmacy
549 Hoosick St · (518) 274-5080 · Call to confirm hours
Grocery
XV Street0.2 mi
2300 15th St · (518) 274-1521 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship

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

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 3 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased7.1%14.1%15.4%better
Long-stay residents who lose too much weight2.3%5.8%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.5%0.9%better
Long-stay residents with a urinary tract infection1.0%1.3%2.0%better
Long-stay residents with depressive symptoms0.0%19.5%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury6.7%3.1%3.3%worse
Long-stay residents whose ability to walk worsened10.6%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication15.9%13.2%18.9%better
Long-stay residents given the seasonal flu vaccine98.7%95.3%95.3%typical
Long-stay residents with pressure ulcers1.8%6.5%4.7%better
Long-stay residents with worsening bladder/bowel control23.0%19.5%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table17.4%13.7%17.1%typical
Long-stay hospitalizations per 1,000 resident days1.391.701.67better
Long-stay outpatient ER visits per 1,000 resident days1.301.361.80better

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

0.25U.S. median 0.31
Therapy hours / resident / day
0.09hours / resident / day
Physical therapy
0.14hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.25 therapist hours per resident per day in 2026Q1 — more than 34% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.261.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.57
RN hours/ resident / day
1.02
LPN hours/ resident / day
2.16
Aide hours/ resident / day
3.75
Total nurse hours/ resident / day
0.23
RN hoursweekends
44.7%
Total nursing turnover
40.0%
RN turnover

How full it usually is: this home is certified for 80 beds and averages 76.7 residents a day — about 96% occupied, or roughly 3 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 3.75 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.57 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.16 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 3.43 hrs/resident/day on weekends vs 3.88 on weekdays — 12% thinner on weekends. RN hours go from 0.71 to 0.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 45% is about the same as the national median of 45%. 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

9
deficiencies at the latest standard inspection (2024-08-09)
4
at the previous standard inspection (2022-05-17)

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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

ABCDEFGHIJKL

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 · E2024-08-09 · tag F0641 — pattern
    Ensure each resident receives an accurate assessment.
    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 reviews and interviews during the recertification survey, the facility did not ensure that each resident received an accurate assessment reflective of the resident's status at the time of the assessment including the correct coding for anticoagulants for 7 (Residents #s #12, 25, 52, 53, 57, 62, and 72) of 24 residents reviewed. Specifically, for (a.) Resident #s 12, 25, 52, 53, 57, and 62 antiplatelet medications were coded as anticoagulants in the Minimum Data Set (an assessment tool). (b.) for Resident #72, there was not documented evidence that the resident was on anticoagulant, but it was documented in the Minimum Data Set that Resident #72 was on anticoagulant. This is evidenced by: The Minimum Data Set 3.0 Resident Assessment Instrument Manual (v1.08) Errata (v2) effective 4/1/2012 stated the coding instructions in Section N had been amended to include N0410 E. Anticoagulant. Specifically, the coding instructions stated that antiplatelet medications such as Aspirin were not to be coded as…

    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 · Dcited before2024-08-09 · tag F0656 — failed to write and follow a full care plan — isolated
    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

    Based on record review and interviews during a recertification survey, the facility did not ensure it developed and implemented a comprehensive person-centered care plan that included measurable objectives and timeframe to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 1 (Resident # 57) of 24 residents reviewed for comprehensive person-centered care plans. Specifically, Resident #57 was diagnosed with a urinary tract infection and prescribed an antibiotic. There was no documented evidence that a care plan was written that addressed the change in condition. This is evidenced by: The Policy and Procedure titled, Interdisciplinary Care Conference and Care Planning dated 6/27/2023, documented it was the facility's policy to develop a comprehensive resident centered plan of care within 14 days of admission. The care plan was to be updated quarterly and with any significant change thereafter. Resident #57 was admitted to the facility with the diagnoses of dementia, type 2 diabetes mellitus, and hypertension. The Minimum Data Set (an…

    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 · D2024-08-09 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record review, and interviews conducted during a recertification survey, the facility did not ensure Comprehensive Care Plans were reviewed after each assessment and revised based on changing goals, preferences, and needs of the resident and in response to current interventions for 2 (Resident #'s 27, and 180) of 24 residents reviewed. Specifically, (a.) for Resident #27, Comprehensive Care Plan for medications was not reviewed and revised for a resident who required Guaifenesin cough medication, daily Aspirin for blood thinning, and Cepacol lozenge as needed for sore throat. (b.) for Resident #180, Comprehensive Care Plan for nutrition was not reviewed and revised to account for discontinuation of the weekly weights that were to be done on Mondays. This is evidenced by: A review of the policy titled Interdisciplinary Care Conference and Care Planning dated 11/28/2016 and last revised 11/2019, documented the facility would develop a baseline interdisciplinary, resident centered plan of care within 48 hours of admission, and a comprehensive resident centered…

    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 · D2024-08-09 · 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 observations, record review and interviews during a Recertification Survey, the facility did not provide needed care and services that were resident centered and in accordance with professional standards of practice to meet each resident's physical, mental, and psychosocial needs for 1 (Resident #11) of 24 residents reviewed. Specifically, the facility did not identify, document, investigate or monitored bruises to Resident #11's bilateral upper extremities. Resident #11 was prescribed an anticoagulant (blood thinning) medication and was at risk for bruising. The is evidenced by: The Policy and Procedure titled, Skin and Wound Care, effective 5/13/2024, documented it was the policy of the facility to assess/inspect the resident's skin, to monitor closely for changes and to document any new skin issues promptly and accurately. Resident #11 admitted to facility with diagnoses which included dementia, facial weakness following cerebral infarction (a pathologic process that results in an area of necrotic tissue in the brain), and anemia. The Minimum Data Set (as assessment…

    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 · D2024-08-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record review, and interviews during a recertification survey, the facility did not ensure the resident environment remained as free of accident hazards as possible for 1 (Resident # 19) of 3 residents reviewed for accident hazards. Specifically, on 6/10/2024 and 7/26/2024 Resident #19 was injured while nursing staff attempted to cut the resident's fingernails; there was no documented evidence completed incident and accident reports/investigations following the incidents and no interventions implemented to prevent recurrence after the first time the resident was injured. This is evidenced by: The Policy and Procedure titled Patient Safety Event Reporting effective 1/22/2021 documented the intent of the policy was to inform staff of the type of events and/or concerns about patient safety or quality of care to report, to achieve consistency in process and format for investigation, review, analysis and trending of patient events, and to identify opportunities to improve the quality of patient care and safety, systems/processes, and security practices. An Adverse…

    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 · D2024-08-09 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    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, the facility did not ensure that a resident who needs required respiratory care, was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the resident's goals and preferences were provided by a qualified professional for the assessment, treatment, and monitoring of residents with deficiencies or abnormalities of pulmonary function for 1 (Resident #58) of 3 residents reviewed for respiratory care. Specifically, Resident #58's oxygen tubing was not labeled with the date and time it was changed in accordance with professional standards and facility policy. This is evidenced by: Resident #58 was admitted to the facility with the diagnoses of traumatic subarachnoid hemorrhage (bleeding on the brain), chronic respiratory failure with hypoxia (repeated shortness of breath), and type 2 diabetes mellitus (endocrine dysfunction causing issues controlling blood sugar levels). The Minimum Data Set (an assessment tool) dated 7/19/2024 documented…

    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 · D2024-08-09 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews 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 pens had no open and/or expiration dates written on them. This was evident for 1 medication cart on [NAME] Unit out of 2 medication carts reviewed in the facility for medication storage. This is evidenced by: The facility's Medication Administration Policy and Procedure, effective [DATE] documented, the expiration date on the medication label must be checked prior to administering. When opening a multi-dose container, the date should be recorded on the container. Facility staff should record the date opened on the medication container when the medication has a shortened expiration date once opened. Facility staff may record the calculated expiration date based on date opened on the medication container. During an observation on [DATE] at 11:36 AM of a medication…

    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 · Dcited before2024-08-09 · 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 observations, record review, and staff interviews, the facility failed to ensure food was stored and served under safe and sanitary conditions to prevent the potential contamination of food and the spread of food-borne illness in one of one kitchen. Specifically, expired foods were not disposed of in a timely manner, the kitchen was not clean and sanitary, and dented canned foods were not removed from common stock. This is evidenced by: The Policy and Procedure titled Food Supply and Storage, last revised January 2024, documented that food, non-food items and supplies used in food preparation should be stored in such a manner as to prevent contamination to maintain the safety and wholesomeness of the food for human consumption. The procedure included that most products had an expiration date. The words sell-by, best-by, enjoy-by or use-by should precede the date. Foods past the use-by, sell-by, best-by, or enjoy-by date should be discarded. The dry food storage procedure included that the facility should maintain a designated area for items that were damaged such as dented…

    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 before2024-08-09 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews during a recertification survey, the facility did not ensure to maintain an infection control program designed to provide a safe, sanitary, and comfortable environment to help prevent the possible development and transmission of communicable diseases/illnesses. Specifically, the facility did not ensure staff completed hand hygiene when indicated during meal service. This is evidenced by: The Policy and Procedure titled Hand Hygiene/Artificial Fingernails, last revised 6/18/2024, documented the purpose of the policy was to prevent the direct or indirect spread of microorganisms via the hands of colleagues and healthcare workers who provided direct patient care. The procedure included that hand washing/hand antisepsis was indicated before and after touching a patient, before and after wearing gloves, before and after touching the patient's surroundings, before, during, and after preparing food, anytime hands were visibly soiled, after bodily fluid exposure risk from a patient…

    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 before2022-05-17 · 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 observation, record review and interviews during the recertification survey, the facility did not develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 7 (Resident #'s 5, 6, 7, 17, 18, 30, and #49) of 23 residents reviewed for comprehensive care plans (CCPs). Specifically, for Resident #5, the facility did not ensure the resident's CCP was implemented, resulting in a resident fall on 1/21/2022; for Resident #6, the facility did not ensure geri-sleeves were implemented and were added to the resident's CCP and [NAME] after documenting these as completed post-incident interventions on an incident report on 5/8/2022; for Resident #7, the facility did not ensure interventions were included in the CCP for Risk of infection of the mouth due to broken root tips, did not…

    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
Show the remaining 7 citations
  • Potential for harm · D2022-05-17 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews during a recertification survey and an abbreviated survey (Case #NY00287716) from 5/11/2022 through 5/17/2022, the facility did not ensure all alleged violations of abuse, neglect, or mistreatment, including injuries of unknown source were immediately reported to the State Agency for 2 (Resident #'s 5 and #274) of 2 residents reviewed for abuse. Specifically, for Resident #5, the facility did not ensure the New York State Department of Health was notified within 2 hours, when a resident injury occurred on 1/21/2022 during a mechanical lift transfer using one staff member to assist when the resident's care plan documented the resident required two staff to assist with transfers and for Resident #274, the facility did not ensure an injury of unknown origin identified on 12/2/2021 was reported to the New York State Department of Health (NYSDOH) in a timely manner. The injury of unknown origin was reported to NYSDOH on 12/8/2021. This was evidenced by: Resident #274: Resident #274 was admitted with diagnoses of dementia without behavioral…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-05-17 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interviews during a recertification survey and an abbreviated survey (Case #NY00287716) from 5/11/2022 through 5/17/2022, the facility did not ensure alleged violations of abuse, mistreatment, and neglect, including an injury of unknown source were thoroughly investigated for 2 (Resident #5 and #274) of 3 residents reviewed for investigations. Specifically, for Resident #5, the facility did not ensure the investigation for the incident dated 1/22/2022 was thorough when the facility's plan for corrective action to prevent reoccurrence was not performed. The facility's corrective action to provide education to agency staff regarding the need to follow resident care cards and the transfer policy by 1/31/2022 had not been provided as of the date of survey (5/17/2022); and for Resident #274, the facility did not ensure a 6.5 centimeter (cm) facial bruise with an unknown origin was thoroughly investigated to rule out abuse, mistreatment, or neglect. The facility investigation did not include evidence regarding the resident's history of leaning on medical…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-05-17 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    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 on 04/11/2022 through 04/17/2022 and an abbreviated survey (Case # NY00273659), the facility did not ensure each resident maintained acceptable parameters of nutritional status, such as usual body weight or desirable body weight range, unless the resident's clinical condition demonstrated that this was not possible or resident preferences indicated otherwise for 1 (Resident #275) of 2 residents reviewed for nutrition. Specifically, the facility did not ensure that the resident's actual intake of food and fluid at meals was monitored and documented and did not identify the resident had refused multiple meals. This was evidenced by: Resident #275: Resident #275 was admitted with the diagnoses of dementia, fracture of left femur, and hypertension. The Minimum Data Set (MDS-an assessment tool) dated 03/11/2021, documented the resident had severely impaired cognition, could make self-understood, could understand others and required extensive assistance of one person for eating. The Comprehensive 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 · Ecited before2019-12-10 · 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 observation and staff interview during the recertification survey, the facility did not store, prepare, distribute or serve food in accordance with professional standards for food service safety. Food packages shall be in good condition and protect the integrity of the contents so that the food is not exposed to adulteration or potential contaminants, and food preparation and serving areas and equipment are to be kept clean. Specifically, cans of food were dented, and non-food contact equipment in the main kitchen was not clean. This is evidenced as follows. The main kitchen was inspected on 12/03/2019 at 10:55 AM. In the storage area two dented cans of food were found with the common stock. The reach in cooler and freezer units were soiled with food particles, and the exhaust fan guards, kitchen fire suppression system nozzles, stovetop, fryers, and the wall behind the grill line were covered in grease. The Senior Director of Dining Services stated in an interview on 12/03/2019 at 11:45 AM, that he will update cleaning schedules to ensure non-food contact surfaces will 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 · Ecited before2019-12-10 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview during the recertification survey, the facility did not maintain an infection control program to prevent the development and transmission of disease and infection determined for 1 of 2 dressing changes for one (1) (Resident #38) of two (2) residents reviewed. Also, the nursing home did not ensure infection control standards were maintained during the medication pass. Specifically; for Resident #38, the facility did not ensure standard precautions were maintained during a dressing change to the resident's unstageable decubitus ulcer on the left great toe and for Resident #70, the resident was not provided LPN with one tissue for each eye after eye drops were instilled. This is evidenced by: Finding #1: Resident #38: This resident was admitted to the facility on [DATE], with diagnoses of unstageable pressure ulcer to left and right great toes, dementia and idiopathic peripheral autonomic neuropathy. The Minimum Data Set (MDS) dated [DATE], documented the 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-12-10 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review during the recertification survey, the facility did not develop and implement a baseline care plan for each resident that included the instructions needed to provide effective and person-centered care of the resident that met professional standards of quality care for 4 (Resident #'s 10, 16, 35, and 38) of 7 residents reviewed for baseline care plans. Specifically, for Resident #'s 10, 16, 35, and 38, the facility did not ensure a baseline care plan was developed within 48 hours of admission. This is evidenced by: Resident #10: The resident was admitted to the facility on [DATE], with diagnoses of dementia, dysphagia, and vertigo. The Minimum Data Set (MDS- an assessment tool) dated 11/23/19, documented the resident had severely impaired cognition, could sometimes understand others, and could make self understood. The resident's baseline care plan was dated 3/15/19 (15 days after admission). Resident #35: The resident was admitted to the facility on [DATE], with diagnoses 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-12-10 · tag F0656 — failed to write and follow a full care plan — isolated
    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 observation, record review and interviews conducted during the recertification survey and abbreviated survey (Case #NY00240461), the facility did not ensure the development and implementation of comprehensive person-centered care plans (CCP), that included measurable objectives and timeframes to meet the resident's medical, nursing, mental and psychosocial needs, for 3 (Residents #'s 1, 31, and #35) of 21 residents reviewed. Specifically: For Resident #1 the facility did not ensure that a CCP was developed to address edema, for Resident #'s 31 and 35, the facility did not ensure the CCP for Communication included person-centered interventions to meet the residents' needs, and for Resident #35, did not ensure the CCP for Altered Mood and Anxiety included person-centered interventions to meet the resident's needs. The findings are: Resident #1: The resident was admitted with diagnosis including Alzheimer's Disease, edema, and peripheral vascular disease. The Minimum Data Set (MDS - an assessment tool)…

    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

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to TRINITY HEALTH — 19 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 →

RatingThis homeChain avg
Overall 4 of 53.3+0.7 vs chain
Health inspection 3 of 53.0≈ chain avg
Staffing 4 of 54.0≈ chain avg
Quality measures 5 of 53.7+1.3 vs chain
The other 18 homes this chain runs (chain average 3.3★, per CMS)

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

Owner / managerTypeRoleShareSince
ST PETERS HEALTH PARTNERSOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF100%since 05/16/2025
BALA, GUHAIndividualCORPORATE DIRECTORsince 10/01/2022
HANKS, STEVENIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 01/01/2023
ISACKSEN, DANIELIndividualCORPORATE DIRECTOR; ADP OF THE SNFsince 10/01/2022
LAPCZYNSKI, PATRICIAIndividualCORPORATE DIRECTORsince 04/01/2025
MCCORMICK, ROBERTIndividualCORPORATE DIRECTORsince 01/01/2021
MEATH, MICHAELIndividualCORPORATE DIRECTORsince 10/01/2022
MYERS, GINAIndividualCORPORATE DIRECTORsince 10/01/2022
POLLARD, MERRIETTEIndividualCORPORATE DIRECTORsince 10/01/2022
SULLIVAN, MARGUERITEIndividualCORPORATE DIRECTORsince 01/01/2025
SWEET ZAVAGLIA, KERRIIndividualCORPORATE DIRECTORsince 10/01/2022
TOFADE, OLUWATOYINIndividualCORPORATE DIRECTORsince 01/01/2024
FARRELL, ERICIndividualCORPORATE OFFICER; ADP OF THE SNFsince 07/01/2023
JIMINO, KATHLEENIndividualCORPORATE OFFICERsince 10/05/2022
MARSHALL, JOHNIndividualCORPORATE OFFICERsince 10/05/2022
SIGNOR, KRISTINIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/01/2017
WILDRIDGE, WILLIAMIndividualCORPORATE OFFICERsince 10/01/2022
TRINITY HEALTH CORPORATIONOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/18/2025
BURKE, MICHAELIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/01/2020
MAZZACCO, MICHELLEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/22/2021
SMITH, ALEXANDRAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/10/2024
ARMAO, TERESAIndividualADP OF THE SNFsince 02/21/2021
BAKAR, MELISSAIndividualADP OF THE SNFsince 01/01/2025
CACHIOLI, FRANKIndividualADP OF THE SNFsince 01/19/2025
LANKENAU, KRISTENIndividualADP OF THE SNFsince 10/01/2023

CMS files one row per role, so the 36 rows in the source record cover these 25 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

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.

$9.2M
Net patient revenuemost recent cost report
-58.1%
Operating marginrevenue minus expenses
$915K
Related-party expense6% of expenses
Who pays — share of resident-days
Medicaid 66%Medicare 4%Other / private 30%

This home reported $915K paid to related parties (affiliated landlords or management companies) in its most recent cost report. 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

$523per resident / day
operating cost
$15,894per month
≈ monthly operating cost
$331per day
avg. revenue, all payers

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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New York Medicaid page.

Typical monthly cost in New York
$15,528/mo
Nursing home (semi-private)
$16,729/mo
Nursing home (private)
$7,110/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 335680. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-08-09, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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