Cycle 1
Health 2023-10-24 · Fire 2023-10-24
6 health deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Scotia, NY
Baptist Health Nursing And Rehabilitation Center
1-star overall rating with 2-star inspections with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
297 N Ballston Ave, Scotia, NY
(518) 370-4700
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
262
Certified beds
Average residents
187
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1977-11-09
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
Staffing
Hours and turnover
RN hours / resident day
0.42
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.97
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.95
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.35
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.40
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.88
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.17
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.43
CMS adjusted RN staffing hours
Adjusted total hours
3.41
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
58%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
51%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,243
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
17.55
Composite VBP score used to determine payment impact.
Payment multiplier
0.9818
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.47
Baseline 21.97% · Performance 20.50% · Measure score 2.47 · Achievement 2.01 · Improvement 2.47
Healthcare-associated infections
0
Baseline 5.93% · Performance 8.59% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.75
Baseline 51.15% · Performance 52.43% · Measure score 2.75 · Achievement 2.75 · Improvement 0
Adjusted total nurse staffing
1.80
Baseline 4.12 hours · Performance 3.59 hours · Measure score 1.80 · Achievement 1.80 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.63% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 131 · Observed rate 9.92% · Lower 95% interval 7.35% |
| Discharge to community | 46.39% |
50.57%
4.2 pts worse
|
No Different than the National Rate · Eligible stays 142 · Observed rate 38.03% · Lower 95% interval 36.87% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 90.57% |
95.27%
4.7 pts worse
|
Numerator 96 · Denominator 106 |
| Falls with major injury | 1.89% |
0.77%
1.1 pts worse
|
Numerator 2 · Denominator 106 |
| Discharge self-care score | 59.72% |
53.69%
6 pts better
|
Numerator 43 · Denominator 72 |
| Discharge mobility score | 43.06% |
50.94%
7.9 pts worse
|
Numerator 31 · Denominator 72 |
| Pressure ulcers or injuries, new or worsened | 3.77% |
2.29%
1.5 pts worse
|
Numerator 4 · Denominator 106 · Adjusted rate 3.17% |
| Healthcare-associated infections requiring hospitalization | 8.59% |
7.12%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 80 · Observed rate 12.5% · Lower 95% interval 5.51% |
| Staff COVID-19 vaccination coverage | 14.78% |
8.2%
6.6 pts better
|
Numerator 30 · Denominator 203 |
| Staff flu vaccination coverage | 46.56% |
42%
4.6 pts better
|
Numerator 142 · Denominator 305 |
| Discharge function score | 48.61% |
56.45%
7.8 pts worse
|
Numerator 35 · Denominator 72 |
| Transfer of health information to provider | 93.1% |
95.95%
2.9 pts worse
|
Numerator 27 · Denominator 29 |
| Transfer of health information to patient | 96.77% |
96.28%
0.5 pts better
|
Numerator 30 · Denominator 31 |
| Resident COVID-19 vaccinations up to date | 12.5% |
25.2%
12.7 pts worse
|
Numerator 6 · Denominator 48 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
1.7
0.9 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 3.5 · Expected 2.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.3
0.5 pts worse
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.1 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.4% |
91.2%
6.8 pts worse
|
93.4%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 92.8% · Q2 84.9% · Q3 81.9% · Q4 78.0% · 4Q avg 84.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 88.2% |
95.3%
7.1 pts worse
|
95.5%
7.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 88.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.9% |
3.0%
0.9 pts worse
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 3.0% · Q3 3.0% · Q4 4.2% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.0% |
18.5%
14.5 pts better
|
11.4%
7.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 7.5% · Q3 2.9% · Q4 0.7% · 4Q avg 4.0% |
| Percentage of long-stay residents who lose too much weight | 8.3% |
6.1%
2.2 pts worse
|
5.4%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 8.0% · Q3 7.0% · Q4 7.5% · 4Q avg 8.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.9% |
13.5%
1.6 pts better
|
19.6%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 8.4% · Q3 12.1% · Q4 13.2% · 4Q avg 11.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.9% |
14.8%
3.1 pts worse
|
16.7%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 16.1% · Q3 20.3% · Q4 18.2% · 4Q avg 17.9% · 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 | 21.7% |
15.1%
6.6 pts worse
|
16.3%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 27.2% · Q3 22.6% · Q4 14.6% · 4Q avg 21.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 26.4% |
15.5%
10.9 pts worse
|
14.9%
11.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.2% · Q2 32.7% · Q3 27.0% · Q4 17.7% · 4Q avg 26.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
0.6%
About the same
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.0% · Q3 0.0% · Q4 1.8% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.2% |
1.4%
0.8 pts worse
|
1.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 0.6% · Q3 1.9% · Q4 3.1% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.9% |
20.8%
10.1 pts worse
|
19.8%
11.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.7% · Q2 36.8% · Q3 24.8% · Q4 28.8% · 4Q avg 30.9% |
| Percentage of long-stay residents with pressure ulcers | 6.4% |
6.9%
0.5 pts better
|
5.1%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 6.9% · Q3 7.1% · Q4 6.0% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 39.2% |
76.7%
37.5 pts worse
|
81.7%
42.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 38.4% · Q2 32.2% · Q3 40.0% · Q4 45.9% · 4Q avg 39.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.6% |
9.7%
3.1 pts better
|
12.0%
5.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.6% · Observed 7.3% · Expected 12.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.2%
0.1 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.3% · Q3 0.0% · Q4 1.9% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 26.6% |
78.8%
52.2 pts worse
|
79.7%
53.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 26.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.3% |
20.6%
3.7 pts worse
|
23.9%
0.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.3% · Observed 25.7% · Expected 25.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-08-10 · Fire 2021-08-10
1 health deficiencies
Top issue: Resident Rights (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2019-06-18 · Fire 2019-06-18
12 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-10-24
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-11-24
F · Potential for more than minimal harm
2023-10-24
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-07
E · Potential for more than minimal harm
2023-10-24
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-11-20
E · Potential for more than minimal harm
2023-10-24
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-22
E · Potential for more than minimal harm
2023-10-24
K907 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure medical gas and vacuum systems have documented maintenance programs.
Corrected 2023-11-28
E · Potential for more than minimal harm
2021-08-10
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-08-13
E · Potential for more than minimal harm
2021-08-10
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-09-03
E · Potential for more than minimal harm
2021-08-10
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-08-17
E · Potential for more than minimal harm
2019-06-18
E24 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2019-08-17
E · Potential for more than minimal harm
2019-06-18
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-08-17
E · Potential for more than minimal harm
2019-06-18
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-08-17
D · Potential for more than minimal harm
2019-06-18
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-08-17
D · Potential for more than minimal harm
2019-06-18
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-08-17
D · Potential for more than minimal harm
2019-06-18
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-08-17
D · Potential for more than minimal harm
2019-06-18
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-08-17
Inspection history
Recent health citations
E · Potential for more than minimal harm
2023-10-24
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 2023-11-27
E · Potential for more than minimal harm
2023-10-24
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 2023-11-27
E · Potential for more than minimal harm
2023-10-24
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 2023-11-27
E · Potential for more than minimal harm
2023-10-24
F813 · Nutrition and Dietary Deficiencies
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2023-11-27
D · Potential for more than minimal harm
2023-10-24
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-11-27
D · Potential for more than minimal harm
2023-10-24
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2023-11-27
D · Potential for more than minimal harm
2023-10-12
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 2023-11-03
D · Potential for more than minimal harm
2023-10-12
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-11-21
E · Potential for more than minimal harm
2023-09-28
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 2023-11-13
D · Potential for more than minimal harm
2023-05-19
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-07-14
D · Potential for more than minimal harm
2023-03-08
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-05-07
E · Potential for more than minimal harm
2021-08-10
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 2021-08-17
E · Potential for more than minimal harm
2019-06-18
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 2019-08-17
D · Potential for more than minimal harm
2019-06-18
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2019-08-17
D · Potential for more than minimal harm
2019-06-18
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2019-08-17
D · Potential for more than minimal harm
2019-06-18
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2019-08-17
D · Potential for more than minimal harm
2019-06-18
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-08-17
D · Potential for more than minimal harm
2019-06-18
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2019-08-17
D · Potential for more than minimal harm
2019-06-18
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2019-08-17
Penalties and ownership
What sits behind the stars
Ownership
Alotta, Antonio
Operational/Managerial Control · Individual
Alotta, Antonio
Corporate Director · Individual
Alotta, Antonio
W-2 Managing Employee · Individual
Bartley, Mary
W-2 Managing Employee · Individual
Bush, Claudia
Corporate Director · Individual
Deluke, Debrah
Corporate Director · Individual
Drislane, Mark
W-2 Managing Employee · Individual
Dunham, James
Corporate Officer · Individual
Golding, Richard
Corporate Officer · Individual
Ko, Elaine
Corporate Director · Individual
Traux, Darlene
Corporate Director · Individual
Whitbeck, Kim
Corporate Director · Individual
Wood, Harry
Corporate Officer · Individual
Nearby options
Other facilities in reach
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4-star overall rating with 3-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Schenectady Center For Rehabilitation And Nursing
Schenectady, NY
2-star overall rating with 1-star inspections with 15 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
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4-star overall rating with 4-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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