Tupper Lake Center For Nursing And Rehabilitation

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.

43.5% 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 43 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 70.6% 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 34 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 0.11 therapist hours per resident per day in 2026Q1 — more than 7% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% 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 60 beds and averages 56.9 residents a day — about 95% occupied, or roughly 3 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 4.68 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.30 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.83 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 3.39 hrs/resident/day on weekends vs 5.21 on weekdays — 35% thinner on weekends — a notable drop. RN hours go from 1.55 to 0.69 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 34% is below 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.

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.

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.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

• Potential for harm · E2024-01-30 · tag F0727 — failed to provide required RN coverage — pattern
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record review during a recertification survey from 1/22/2024 to 1/30/2024, the facility did not ensure a Registered Nurse was scheduled for at least 8 consecutive hours a day, 7 days a week. Specifically, no registered nurse worked on 1/28/2024. This is evidenced by: Record review of the written working schedule for 1/28/2024 revealed no registered nurse was scheduled to be in the building that day. During an interview on 1/29/2024 at 1:58 PM, Scheduler #1 stated they made sure all the shifts were covered and was aware that a registered nurse needed to be scheduled for eight consecutive hours, seven days a week, per the regulation. The Scheduler could not explain why no registered nurse was scheduled on 1/28/2024, and stated they must have missed that. During an interview on 1/30/2024 at 2:10 PM, Administrator #1 stated they checked the schedule before leaving for the day and didn't notice that no registered nurse was scheduled for 1/28/2024. Administrator #1 stated it did not happen regularly and the facility should have found a registered nurse for that…

  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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-01-30 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews during the recertification survey from 01/22/2024 to 01/30/2024, 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 and two (2) of 2 kitchenettes. Specifically, toxic vapor-emitting fly strips were used in food preparation areas, cleaning equipment was not stored properly, and equipment and floors were not clean. This is evidenced by: During observations of the main kitchen on 01/22/2024 at 11:37 AM, two toxic vapor-emitting fly strips were found near the 3-compartment sink; a broom and dust bin were stored next to the stove; and the can opener and holder, cooking line drawers, wall fan in the dishwashing machine area, and floor under and behind cooking equipment were soiled with food particles. During observations on 01/22/2024 at 12:13 PM in the [NAME] Unit kitchenette, the microwave oven and floor in corners were soiled with food particles; and in…

  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 · D2024-01-30 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews during the recertification survey from 01/22/2024 to 01/30/2024, 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 one (1) of 3 residents reviewed. Specifically, the facility did not ensure Resident #111 received timely notification (2-day notification) of the termination of Medicare Part A services. This is evidenced by: The document titled, Notice of Medicare Non-Coverage, Form CMS 10123-NOMNC and dated 09/08/2023, documented that Resident #111 last received rehabilitative services on 09/08/2023 and was provided the Notice of Medicare Non-Coverage, Form CMS 10123-NOMNC to inform the resident of their right to an expedited review of service termination on 09/18/2023 (date signed), ten days after the termination of services. During an interview on 01/25/2024 at 10:46 AM, Regional Administrator #1 stated that the person responsible for issuing the Notice of Medicare Non-Coverage for Resident #111 was no longer is employed with…

  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 · D2024-01-30 · tag F0623 — isolated
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  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 conducted during the recertification survey from 1/22/2024 to 1/30/2024, the facility did not ensure that written notification was sent to a representative of the Office of the State Long-Term Care Ombudsman of a resident's transfer or discharge for two (2) (Resident #17 and #57) of three (3) residents reviewed for hospitalization. Specifically, the written notice of transfers to the Ombudsman was not provided when Resident #17 and #57 transferred to the hospital. This is evidenced by: The Policy and Procedure titled, Facility Initiated Transfer or Discharge, dated 11/2017, stated if the transfer or discharge was facility initiated, the transfer-discharge notice would be faxed to the county Ombudsman program before or as close to the time of transfer/discharge as possible. The facility Policy and Procedure also stated this would be documented in the resident's medical record. Resident #17 Resident #17 was admitted to the facility with the diagnoses of atrial fibrillation…

  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 · D2024-01-30 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary 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 record review and interviews during the recertification survey conducted from1/22/2024 to 1/30/2024, the facility did not ensure that the residents were free of unnecessary medications for 3 (Resident #'s 5, 16, 42) of 5 residents reviewed. Specifically for Residents #5 and #16, multiple medication orders did not include an indication for use; and for Resident #42, one medication did not have an indication for use, and a second medication with an order to administer as needed did not have parameters indicating what symptoms the as needed medication was for. This is evidenced by: Resident #5 Resident #5 was admitted to the facility with the diagnoses of Parkinson's disease (a progressive disorder that affects the nervous system and the parts of the body controlled by the nerves), hypothyroidism (a condition in which the thyroid gland doesn't produce enough thyroid hormone), and diabetes mellitus (a metabolic disease, involving inappropriately elevated blood glucose levels). 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-01-25 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  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, interview and record review during abbreviated survey (NY00324981, NY00325409, NY00327186, NY00327811, and NY00327951), the facility did not ensure sufficient nursing staff to provide nursing services to attain or maintain the highest practicable physical, mental and psychosocial well-being for all residents in the facility. Specifically, the facility did not ensure there were sufficient staff to meet resident needs, including activities of daily living, meals, medications, and treatments. In addition, five of the complaints investigated onsite had an allegation of insufficient staff and during Residents' interviews on 11/13/2023 - 11/15/2023, multiple residents stated there were long waits for call lights, showers were not given, medications were late, and there were not enough staff to provide care. This is evidenced by: The facility's staffing policy revised on 11/2023, documented staffing numbers and skills requirements of direct care staff were determined by the needs of the resident's…

  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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-01-25 · tag F0760 — failed to prevent significant medication errors — pattern
  Ensure that residents are free from significant medication errors.
  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 an abbreviated survey (Case #s NY00324981 and NY00325409), the facility did not ensure that residents were free from any significant medication errors for 3 (Residents #s 3, 4, and 11) for 4 residents reviewed for not receiving their medications in a timely manner per physician orders. This is evidenced by: The facility Policy and Procedure for Medication Administration dated 12/2018, documented all medications should be administered one hour before or after the prescribed time. Medications should be given per facility's policy for times as well as recommended administration times. Medication Administration Records should be signed after administration. Resident #3: Resident #3 was admitted to the facility with diagnoses of atrial fibrillation, hypertension, and heart disease of native coronary artery. The Minimum Data Set, dated [DATE], documented the resident's Brief Interview for Mental Status score was cognitively intact. The Physician…

  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 · D2024-01-25 · 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 an abbreviated survey (Case# NY00298857), the facility did not ensure that all alleged violations involving neglect were reported immediately-but not later than 24 hours if the events that cause the allegation did not involve abuse and did not result in serious bodily harm-to the Administrator of the facility and to the State Survey Agency for 1 (Resident #1) of 3 residents reviewed. Specifically, on 7/6/2022 at 2:45 PM, Registered Nurse #1 was made aware that Resident #1 rolled out of bed when staff attempted to dry the resident's back. Upon arrival to the facility, Registered Nurse #1 found the resident lying flat on their back with legs partially extended toward the foot of the bed, an icepack on their forehead, a laceration approximately 2 centimeters long on the right forehead with minimal bleeding and significant swelling. Resident #1 was transferred to emergency room for evaluation. The incident was reported to the New York State Department of Health 5 days later on 7/11/2022 at 4:19 PM. This is evidenced by: The facility Policy…

  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 · Dcited before2024-01-25 · 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 record review and interviews during an abbreviated survey (Case #s NY00298857 and NY00324981), the facility did not ensure it developed and implemented a comprehensive, person-centered care plan for each resident that included measurable objectives and timeframes to meet a resident's medical, nursing, mental, and psychosocial needs for 2 (Resident #s 1 and 3) of 3 residents reviewed. Specifically, (A) Resident #1's comprehensive care plan for Self-Performance Deficit documented the resident had limited mobility and required 2 staff to assist with bed mobility. The facility did not ensure the care plan intervention for 2 staff to assist with bed mobility was implemented when, on 7/06/2022, Certified Nurse Aide #1 did not wait for Certified Nurse Aide #2 to assist with bed mobility and turned the resident on their side towards the edge of the bed to dry them. As of result, the resident's legs slipped off the bed, Certified Nurse Aide #1 was unable to stop the resident from falling to the floor, 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 · Dcited before2024-01-25 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interviews during an abbreviated survey (Case # NY00324981), the facility did not ensure acceptable parameters of nutrition were maintained for 1 (Resident #3) of 3 residents reviewed. Specifically, for Resident #3, who was admitted to the hospital by a family member on 9/24/2023 with colitis and acute kidney injury, the facility did not recognize, evaluate, and address the nutritional needs of the resident who was at risk for dehydration. The Hospital Discharge Summary Report, dated 9/27/2023, documented a final diagnosis of prerenal acute kidney injury in the setting of colitis and poor oral intake. This is evidenced by: The undated facility Policy and Procedure titled, Hydration and Prevention of Dehydration, documented the facility would strive to provide adequate hydration and to prevent and treat dehydration. The dietician would assess all residents for hydration as part of the comprehensive assessment, at least quarterly, and more often as necessary per resident need. Minimum…

  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

“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 16 rows in the source record cover these 9 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.

What families pay in NY