Oneonta, NY

Aurelia Osborn Fox Memorial Hospital

1-star overall rating with 1-star inspections with abuse icon flag with 14 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

One Norton Avenue, Oneonta, NY

(607) 431-5980

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

131

Certified beds

Average residents

101

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1967-03-21

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

0.73

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.78

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.20

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.72

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.52

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

2.94

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.35

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.11

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.81

CMS adjusted RN staffing hours

Adjusted total hours

4.11

CMS adjusted total nurse staffing hours

Case-mix index

1.24

Higher values indicate more complex resident acuity

RN turnover

32%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

39%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,552

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

55.76

Composite VBP score used to determine payment impact.

Payment multiplier

1.0108

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

8.77

Baseline 17.92% · Performance 17.37% · Measure score 8.77 · Achievement 8.77 · Improvement 5.70

Healthcare-associated infections

5.73

Baseline 6.37% · Performance 6.12% · Measure score 5.73 · Achievement 5.73 · Improvement 1.29

Total nurse turnover

5.33

Baseline 46.74% · Performance 41.91% · Measure score 5.33 · Achievement 5.33 · Improvement 1.71

Adjusted total nurse staffing

2.48

Baseline 3.74 hours · Performance 3.78 hours · Measure score 2.48 · Achievement 2.48 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.77%
10.72%
1 pts better
No Different than the National Rate · Eligible stays 127 · Observed rate 7.09% · Lower 95% interval 6.72%
Discharge to community 45.97%
50.57%
4.6 pts worse
No Different than the National Rate · Eligible stays 109 · Observed rate 43.12% · Lower 95% interval 37.61%
Medicare spending per beneficiary 1.12
1.02
0.1 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 86 · Denominator 86
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 86
Discharge self-care score 22.54%
53.69%
31.1 pts worse
Numerator 16 · Denominator 71
Discharge mobility score 38.03%
50.94%
12.9 pts worse
Numerator 27 · Denominator 71
Pressure ulcers or injuries, new or worsened 4.65%
2.29%
2.4 pts worse
Numerator 4 · Denominator 86 · Adjusted rate 4.05%
Healthcare-associated infections requiring hospitalization 6.12%
7.12%
1 pts better
No Different than the National Rate · Eligible stays 90 · Observed rate 3.33% · Lower 95% interval 3.55%
Staff COVID-19 vaccination coverage 14.79%
8.2%
6.6 pts better
Numerator 21 · Denominator 142
Staff flu vaccination coverage 80.95%
42%
39 pts better
Numerator 170 · Denominator 210
Discharge function score 29.58%
56.45%
26.9 pts worse
Numerator 21 · Denominator 71
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to patient 93.33%
96.28%
3 pts worse
Numerator 28 · Denominator 30
Resident COVID-19 vaccinations up to date 28.95%
25.2%
3.8 pts better
Numerator 11 · Denominator 38

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.2
1.7
0.5 pts better
1.9
0.7 pts better
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.1
1.3
0.2 pts better
1.8
0.7 pts better
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.9 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 86.1%
91.2%
5.1 pts worse
93.4%
7.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 84.4% · Q2 79.2% · Q3 89.7% · Q4 90.9% · 4Q avg 86.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.0%
95.3%
2.7 pts better
95.5%
2.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0%
Percentage of long-stay residents experiencing one or more falls with major injury 3.1%
3.0%
0.1 pts worse
3.3%
0.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 4.2% · Q3 3.1% · Q4 2.0% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.0%
18.5%
18.5 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight 3.2%
6.1%
2.9 pts better
5.4%
2.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 1.1% · Q3 1.1% · Q4 3.1% · 4Q avg 3.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 19.3%
13.5%
5.8 pts worse
19.6%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 20.7% · Q3 17.6% · Q4 19.6% · 4Q avg 19.3%
Percentage of long-stay residents who received an antipsychotic medication 24.6%
14.8%
9.8 pts worse
16.7%
7.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 25.3% · Q3 22.7% · Q4 26.9% · 4Q avg 24.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 12.9%
15.1%
2.2 pts better
16.3%
3.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 16.3% · Q3 10.7% · Q4 12.5% · 4Q avg 12.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 11.9%
15.5%
3.6 pts better
14.9%
3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 10.5% · Q3 13.6% · Q4 10.6% · 4Q avg 11.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.2%
0.6%
0.4 pts better
1.0%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 4.1%
1.4%
2.7 pts worse
1.7%
2.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 4.2% · Q3 3.1% · Q4 7.1% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 25.3%
20.8%
4.5 pts worse
19.8%
5.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.4% · Q2 21.4% · Q3 22.9% · Q4 30.1% · 4Q avg 25.3%
Percentage of long-stay residents with pressure ulcers 9.5%
6.9%
2.6 pts worse
5.1%
4.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 9.4% · Q3 12.6% · Q4 9.0% · 4Q avg 9.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 66.2%
76.7%
10.5 pts worse
81.7%
15.5 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 78.9% · Q2 73.9% · Q3 61.9% · Q4 47.1% · 4Q avg 66.2%
Percentage of short-stay residents who had an outpatient emergency department visit 6.5%
9.7%
3.2 pts better
12.0%
5.5 pts better
Short Stay · 20240701-20250630 · Adjusted 6.5% · Observed 5.6% · Expected 9.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 3.3%
1.2%
2.1 pts worse
1.6%
1.7 pts worse
Short Stay · 2024Q4-2025Q3 · Q2 7.7% · Q3 4.3% · Q4 0.0% · 4Q avg 3.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 79.2%
78.8%
0.4 pts better
79.7%
0.5 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 79.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 16.2%
20.6%
4.4 pts better
23.9%
7.7 pts better
Short Stay · 20240701-20250630 · Adjusted 16.2% · Observed 13.9% · Expected 20.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-22 · Fire 2025-04-22

14 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

10 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 2 Health 2022-05-26 · Fire 2022-05-26

7 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2019-10-31 · Fire 2019-10-31

8 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

8 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-22

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2025-06-08

F · Potential for more than minimal harm 2025-04-22

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2025-06-08

F · Potential for more than minimal harm 2025-04-22

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2025-06-08

F · Potential for more than minimal harm 2025-04-22

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-05-16

F · Potential for more than minimal harm 2025-04-22

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2025-06-14

F · Potential for more than minimal harm 2025-04-22

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-05-22

F · Potential for more than minimal harm 2025-04-22

K901 · Electrical Deficiencies

Fire Safety

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2025-05-22

E · Potential for more than minimal harm 2025-04-22

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-05-22

E · Potential for more than minimal harm 2025-04-22

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-05-22

D · Potential for more than minimal harm 2025-04-22

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-05-21

F · Potential for more than minimal harm 2022-05-26

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2022-07-15

F · Potential for more than minimal harm 2022-05-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-07-15

E · Potential for more than minimal harm 2022-05-26

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2022-07-15

F · Potential for more than minimal harm 2019-10-31

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2019-12-30

E · Potential for more than minimal harm 2019-10-31

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2020-01-16

E · Potential for more than minimal harm 2019-10-31

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2019-12-30

E · Potential for more than minimal harm 2019-10-31

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2019-12-30

E · Potential for more than minimal harm 2019-10-31

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2019-12-30

E · Potential for more than minimal harm 2019-10-31

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2020-01-07

E · Potential for more than minimal harm 2019-10-31

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2019-12-30

D · Potential for more than minimal harm 2019-10-31

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2019-12-30

Inspection history

Recent health citations

G · Actual harm 2025-04-22

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-06-09

F · Potential for more than minimal harm 2025-04-22

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-06-09

F · Potential for more than minimal harm 2025-04-22

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-06-09

F · Potential for more than minimal harm 2025-04-22

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-06-09

F · Potential for more than minimal harm 2025-04-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-09

F · Potential for more than minimal harm 2025-04-22

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-06-10

E · Potential for more than minimal harm 2025-04-22

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-06-09

E · Potential for more than minimal harm 2025-04-22

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-06-09

D · Potential for more than minimal harm 2025-04-22

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-06-09

D · Potential for more than minimal harm 2025-04-22

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-04-22

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-06-09

D · Potential for more than minimal harm 2025-04-22

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-05-28

D · Potential for more than minimal harm 2025-04-22

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-06-09

D · Potential for more than minimal harm 2025-04-22

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-06-09

D · Potential for more than minimal harm 2024-04-26

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-06-11

D · Potential for more than minimal harm 2024-04-26

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-06-11

E · Potential for more than minimal harm 2022-05-26

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-07-21

E · Potential for more than minimal harm 2022-05-26

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-07-01

D · Potential for more than minimal harm 2022-05-26

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2022-07-01

C · Minimal harm 2022-05-26

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2022-07-21

C · Minimal harm 2022-05-26

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2022-07-08

E · Potential for more than minimal harm 2019-10-31

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2019-12-20

E · Potential for more than minimal harm 2019-10-31

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2019-12-20

D · Potential for more than minimal harm 2019-10-31

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2019-12-20

D · Potential for more than minimal harm 2019-10-31

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2019-12-20

D · Potential for more than minimal harm 2019-10-31

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2019-12-20

D · Potential for more than minimal harm 2019-10-31

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2019-12-20

D · Potential for more than minimal harm 2019-10-31

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2019-12-20

D · Potential for more than minimal harm 2019-10-31

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2019-12-20

Penalties and ownership

What sits behind the stars

Ownership

Bitterman, Todd

Corporate Director · Individual

0% 1 facilities 2008-04-01
Burns, Brian

Corporate Director · Individual

0% 1 facilities 2007-04-01
Burns, Brian

Corporate Officer · Individual

0% 1 facilities 2011-01-01
Friedell, Benjamin

Corporate Director · Individual

0% 1 facilities 2019-01-01
Haight, Seth

Corporate Director · Individual

0% 1 facilities 2011-01-01
Harris, Martha

Operational/Managerial Control · Individual

0% 1 facilities 2015-06-01
Havener, Jeanne-Marie

Corporate Director · Individual

0% 1 facilities 2011-01-01
Havener, Jeanne-Marie

Corporate Officer · Individual

0% 1 facilities 2015-04-01
Hoffman, Mary Ellen

Corporate Director · Individual

0% 1 facilities 2015-04-01
Holmes, Ashley

Operational/Managerial Control · Individual

0% 1 facilities 2024-10-01
Kleniewski, Nancy

Corporate Director · Individual

0% 1 facilities 2011-01-01
Mirabito, William

Corporate Director · Individual

0% 1 facilities 2011-01-01
Patterson, Sarah

Corporate Director · Individual

0% 1 facilities 2008-04-01
Robinson, Daniel

Corporate Officer · Individual

0% 1 facilities 2012-04-01
Smith, Gary

Operational/Managerial Control · Individual

0% 8 facilities 2011-11-01
Vielkind, James

Corporate Officer · Individual

0% 1 facilities 2024-10-01

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Staffing
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#3

Chasehealth Rehab And Residential Care

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Overall
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