6 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Rome, NY
1-star overall rating with 3-star inspections with $32,254 in total fines with 6 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
1 Elsie Street, Rome, NY
(315) 339-2220
Overall
1 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
106
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1992-01-10
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
RN hours / resident day
0.36
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.85
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
3.41
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.21
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.11
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.20
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.34
CMS adjusted RN staffing hours
Adjusted total hours
3.22
CMS adjusted total nurse staffing hours
Case-mix index
1.45
Higher values indicate more complex resident acuity
RN turnover
57%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
12,175
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
13.57
Composite VBP score used to determine payment impact.
Payment multiplier
0.9812
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 19.23% · Performance 25.25% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.74% · Performance 7.87% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.43
Baseline 58.24% · Performance 41.49% · Measure score 5.43 · Achievement 5.43 · Improvement 4.52
Adjusted total nurse staffing
0
Baseline 3.37 hours · Performance 3.08 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.56% |
10.72%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 95 · Observed rate 17.89% · Lower 95% interval 8.97% |
| Discharge to community | 42.24% |
50.57%
8.3 pts worse
|
No Different than the National Rate · Eligible stays 95 · Observed rate 32.63% · Lower 95% interval 32.79% |
| Medicare spending per beneficiary | 1.21 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 144 · Denominator 144 |
| Falls with major injury | 1.39% |
0.77%
0.6 pts worse
|
Numerator 2 · Denominator 144 |
| Discharge self-care score | 27.78% |
53.69%
25.9 pts worse
|
Numerator 15 · Denominator 54 |
| Discharge mobility score | 42.59% |
50.94%
8.3 pts worse
|
Numerator 23 · Denominator 54 |
| Pressure ulcers or injuries, new or worsened | 3.47% |
2.29%
1.2 pts worse
|
Numerator 5 · Denominator 144 · Adjusted rate 2.69% |
| Healthcare-associated infections requiring hospitalization | 7.87% |
7.12%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 73 · Observed rate 9.59% · Lower 95% interval 4.69% |
| Staff COVID-19 vaccination coverage | 60.94% |
8.2%
52.7 pts better
|
Numerator 117 · Denominator 192 |
| Staff flu vaccination coverage | 87.03% |
42%
45 pts better
|
Numerator 255 · Denominator 293 |
| Discharge function score | 40.74% |
56.45%
15.7 pts worse
|
Numerator 22 · Denominator 54 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 70 · Denominator 70 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 40 · Denominator 40 |
| Resident COVID-19 vaccinations up to date | 10.39% |
25.2%
14.8 pts worse
|
Numerator 8 · Denominator 77 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.7
0.3 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.1 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.9 |
1.3
1.6 pts worse
|
1.8
1.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 3.1 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 81.6% |
91.2%
9.6 pts worse
|
93.4%
11.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 84.8% · Q2 81.4% · Q3 78.9% · Q4 81.2% · 4Q avg 81.6% |
| 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 | 3.5% |
3.0%
0.5 pts worse
|
3.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.3% · Q3 4.2% · Q4 3.1% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 9.9% |
18.5%
8.6 pts better
|
11.4%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 15.9% · Q3 4.5% · Q4 1.1% · 4Q avg 9.9% |
| Percentage of long-stay residents who lose too much weight | 6.9% |
6.1%
0.8 pts worse
|
5.4%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 6.0% · Q3 3.4% · Q4 6.7% · 4Q avg 6.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.5% |
13.5%
About the same
|
19.6%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 14.1% · Q3 12.6% · Q4 16.1% · 4Q avg 13.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.0% |
14.8%
2.2 pts worse
|
16.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 13.9% · Q3 21.2% · Q4 22.1% · 4Q avg 17.0% · 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 | 33.1% |
15.1%
18 pts worse
|
16.3%
16.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.6% · Q2 43.6% · Q3 21.1% · Q4 33.7% · 4Q avg 33.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.1% |
15.5%
4.6 pts worse
|
14.9%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 11.5% · Q3 20.5% · Q4 24.1% · 4Q avg 20.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
0.6%
0.3 pts worse
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 2.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.3% |
1.4%
0.9 pts worse
|
1.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 3.6% · Q3 2.2% · Q4 2.2% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.9% |
20.8%
4.1 pts worse
|
19.8%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.8% · Q2 27.4% · Q3 23.8% · Q4 22.1% · 4Q avg 24.9% |
| Percentage of long-stay residents with pressure ulcers | 3.7% |
6.9%
3.2 pts better
|
5.1%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 4.1% · Q3 3.2% · Q4 4.3% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 59.1% |
76.7%
17.6 pts worse
|
81.7%
22.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 50.8% · Q2 58.5% · Q3 62.4% · Q4 68.4% · 4Q avg 59.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 22.0% |
9.7%
12.3 pts worse
|
12.0%
10 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 22.0% · Observed 22.8% · Expected 11.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.0% |
1.2%
2.8 pts worse
|
1.6%
2.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 5.7% · Q3 4.1% · Q4 0.0% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 62.1% |
78.8%
16.7 pts worse
|
79.7%
17.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 62.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.8% |
20.6%
7.2 pts worse
|
23.9%
3.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.8% · Observed 35.0% · Expected 30.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-08-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-29
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-08-29
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-08-29
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-08-29
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-08-29
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-08-29
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-02-06
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-01-29
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-02-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-20
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-01-29
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-01-29
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2024-01-29
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-01-29
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-01-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-02-09
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-02-09
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2021-12-02
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-12-02
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2021-12-02
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2021-12-02
Fire Safety
Have exits that are accessible at all times.
Corrected 2021-11-06
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2021-12-02
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-12-02
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-12-02
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-12-02
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-12-02
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-12-02
Inspection history
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 2025-08-26
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-26
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-26
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-08-26
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-08-26
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-08-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-19
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 2024-01-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-01-25
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-01-25
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-01-25
Health
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2024-01-25
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-01-25
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-29
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-05-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-12-02
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2021-12-02
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-12-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-12-02
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2021-12-02
Health
Provide and implement an infection prevention and control program.
Corrected 2021-12-02
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2021-12-02
Penalties and ownership
Fine · fine $9,318
Fine
Fine · fine $4,587
Fine
Fine · fine $4,587
Fine
Fine · fine $13,762
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Nearby options
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1-star overall rating with 1-star inspections with $31,285 in total fines with 10 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
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