Elmira, NY

Chemung County Health Center - Nursing Facility

5-star overall rating with 5-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

103 Washington Street, Elmira, NY

(607) 737-2001

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 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

200

Certified beds

Average residents

154

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1976-03-01

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

0.68

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

1.36

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

3.07

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

5.11

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

2.04

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

3.99

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.24

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.72

CMS adjusted RN staffing hours

Adjusted total hours

5.38

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

28%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

53%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,441

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

Performance score

32.84

Composite VBP score used to determine payment impact.

Payment multiplier

0.9873

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 17.95% · Performance 25.68% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.54

Baseline 5.74% · Performance 7.07% · Measure score 2.54 · Achievement 2.54 · Improvement 0

Total nurse turnover

3.05

Baseline 47.66% · Performance 51.22% · Measure score 3.05 · Achievement 3.05 · Improvement 0

Adjusted total nurse staffing

7.54

Baseline 4.12 hours · Performance 5.22 hours · Measure score 7.54 · Achievement 7.54 · Improvement 6.15

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.6%	10.72% 1.9 pts worse	No Different than the National Rate · Eligible stays 212 · Observed rate 14.15% · Lower 95% interval 9.36%
Discharge to community	45.28%	50.57% 5.3 pts worse	No Different than the National Rate · Eligible stays 215 · Observed rate 38.14% · Lower 95% interval 38.09%
Medicare spending per beneficiary	0.9	1.02 0.1 pts better
Drug regimen review with follow-up	99.46%	95.27% 4.2 pts better	Numerator 185 · Denominator 186
Falls with major injury	0.54%	0.77% 0.2 pts better	Numerator 1 · Denominator 186
Discharge self-care score	35.07%	53.69% 18.6 pts worse	Numerator 47 · Denominator 134
Discharge mobility score	31.34%	50.94% 19.6 pts worse	Numerator 42 · Denominator 134
Pressure ulcers or injuries, new or worsened	3.76%	2.29% 1.5 pts worse	Numerator 7 · Denominator 186 · Adjusted rate 3.13%
Healthcare-associated infections requiring hospitalization	7.07%	7.12% About the same	No Different than the National Rate · Eligible stays 156 · Observed rate 6.41% · Lower 95% interval 4.57%
Staff COVID-19 vaccination coverage	10.18%	8.2% 2 pts better	Numerator 29 · Denominator 285
Staff flu vaccination coverage	41.19%	42% 0.8 pts worse	Numerator 173 · Denominator 420
Discharge function score	44.03%	56.45% 12.4 pts worse	Numerator 59 · Denominator 134
Transfer of health information to provider	95.45%	95.95% 0.5 pts worse	Numerator 42 · Denominator 44
Transfer of health information to patient	98.75%	96.28% 2.5 pts better	Numerator 79 · Denominator 80
Resident COVID-19 vaccinations up to date	34.34%	25.2% 9.1 pts better	Numerator 34 · Denominator 99

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.3	1.7 0.4 pts better	1.9 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.4 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.2	1.3 0.9 pts worse	1.8 0.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.1 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.4%	91.2% 7.2 pts better	93.4% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 97.5% · Q3 99.2% · Q4 100.0% · 4Q avg 98.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.5%	95.3% 3.2 pts better	95.5% 3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.5%
Percentage of long-stay residents experiencing one or more falls with major injury	4.7%	3.0% 1.7 pts worse	3.3% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 5.8% · Q3 5.3% · Q4 4.6% · 4Q avg 4.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.8%	18.5% 17.7 pts better	11.4% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.9% · Q3 0.8% · Q4 0.8% · 4Q avg 0.8%
Percentage of long-stay residents who lose too much weight	7.8%	6.1% 1.7 pts worse	5.4% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 11.3% · Q3 5.9% · Q4 6.7% · 4Q avg 7.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	13.7%	13.5% 0.2 pts worse	19.6% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 12.7% · Q3 12.5% · Q4 10.7% · 4Q avg 13.7%
Percentage of long-stay residents who received an antipsychotic medication	17.5%	14.8% 2.7 pts worse	16.7% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 19.3% · Q3 20.2% · Q4 15.7% · 4Q avg 17.5% · 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	11.5%	15.1% 3.6 pts better	16.3% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 21.9% · Q3 4.6% · Q4 8.3% · 4Q avg 11.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.5%	15.5% 5 pts better	14.9% 4.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 12.0% · Q3 9.1% · Q4 10.0% · 4Q avg 10.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.1%	0.6% 0.5 pts better	1.0% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.6% · 4Q avg 0.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.8%	1.4% 0.6 pts better	1.7% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.7% · Q3 0.0% · Q4 0.8% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	34.7%	20.8% 13.9 pts worse	19.8% 14.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 35.4% · Q3 38.9% · Q4 36.5% · 4Q avg 34.7%
Percentage of long-stay residents with pressure ulcers	5.5%	6.9% 1.4 pts better	5.1% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 6.7% · Q3 5.7% · Q4 2.8% · 4Q avg 5.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	76.7%	76.7% About the same	81.7% 5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 72.0% · Q2 72.4% · Q3 84.0% · Q4 79.5% · 4Q avg 76.7%
Percentage of short-stay residents who had an outpatient emergency department visit	14.1%	9.7% 4.4 pts worse	12.0% 2.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.1% · Observed 12.4% · Expected 9.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.9%	1.2% 0.3 pts better	1.6% 0.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 0.0% · Q4 1.9% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	87.9%	78.8% 9.1 pts better	79.7% 8.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 87.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.6%	20.6% 3 pts worse	23.9% 0.3 pts better	Short Stay · 20240701-20250630 · Adjusted 23.6% · Observed 20.7% · Expected 20.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-09-22 · Fire 2023-09-22

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

5 fire-safety deficiencies

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

Cycle 2 Health 2021-05-28 · Fire 2021-05-28

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2018-11-05 · Fire 2018-11-05

6 health deficiencies

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

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2023-09-22

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2023-11-21

E · Potential for more than minimal harm 2023-09-22

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-11-21

D · Potential for more than minimal harm 2023-09-22

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-11-21

D · Potential for more than minimal harm 2023-09-22

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-11-21

C · Minimal harm 2023-09-22

K901 · Electrical Deficiencies

Fire Safety

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

Corrected 2023-11-21

E · Potential for more than minimal harm 2021-05-28

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2021-07-27

E · Potential for more than minimal harm 2021-05-28

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2021-07-27

E · Potential for more than minimal harm 2021-05-28

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2021-07-27

B · Minimal harm 2021-05-28

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-07-27

E · Potential for more than minimal harm 2018-11-05

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2019-01-03

E · Potential for more than minimal harm 2018-11-05

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-01-03

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-02-06

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 2025-02-27

E · Potential for more than minimal harm 2024-10-03

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 2024-10-30

D · Potential for more than minimal harm 2023-09-22

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 2023-11-21

D · Potential for more than minimal harm 2023-09-22

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

D · Potential for more than minimal harm 2021-05-28

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2021-07-27

E · Potential for more than minimal harm 2018-11-05

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 2019-01-03