Oneonta, NY
1-star overall rating with 1-star inspections with abuse icon flag with $7,901 in total fines with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
330 Chestnut Street, Oneonta, NY
(607) 432-8500
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
80
Certified beds
Average residents
75
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Upstate Services Group
Operator or chain grouping
Approved since
1977-05-20
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
17 facilities
Chain averages 2 overall / 2 health / 2 staffing / 3 quality stars
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
0.58
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.92
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.69
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.19
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.50
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.43
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.25
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.20
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.54
CMS adjusted RN staffing hours
Adjusted total hours
3.00
CMS adjusted total nurse staffing hours
Case-mix index
1.45
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
59%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
9,343
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.93
Composite VBP score used to determine payment impact.
Payment multiplier
0.9833
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.51
Baseline 18.18% · Performance 18.88% · Measure score 5.51 · Achievement 5.51 · Improvement 0
Healthcare-associated infections
4.06
Baseline 6.25% · Performance 6.62% · Measure score 4.06 · Achievement 4.06 · Improvement 0
Total nurse turnover
0
Baseline 73.63% · Performance 71.21% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.33 hours · Performance 2.51 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.76% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 145 · Observed rate 11.03% · Lower 95% interval 7.72% |
| Discharge to community | 45.58% |
50.57%
5 pts worse
|
No Different than the National Rate · Eligible stays 147 · Observed rate 37.41% · Lower 95% interval 37.23% |
| Medicare spending per beneficiary | 1.41 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 99.34% |
95.27%
4.1 pts better
|
Numerator 150 · Denominator 151 |
| Falls with major injury | 1.99% |
0.77%
1.2 pts worse
|
Numerator 3 · Denominator 151 |
| Discharge self-care score | 34.74% |
53.69%
18.9 pts worse
|
Numerator 33 · Denominator 95 |
| Discharge mobility score | 52.63% |
50.94%
1.7 pts better
|
Numerator 50 · Denominator 95 |
| Pressure ulcers or injuries, new or worsened | 3.97% |
2.29%
1.7 pts worse
|
Numerator 6 · Denominator 151 · Adjusted rate 3.81% |
| Healthcare-associated infections requiring hospitalization | 6.62% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 111 · Observed rate 5.41% · Lower 95% interval 3.96% |
| Staff COVID-19 vaccination coverage | 1.01% |
8.2%
7.2 pts worse
|
Numerator 1 · Denominator 99 |
| Staff flu vaccination coverage | 78.46% |
42%
36.5 pts better
|
Numerator 102 · Denominator 130 |
| Discharge function score | 46.32% |
56.45%
10.1 pts worse
|
Numerator 44 · Denominator 95 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 52 · Denominator 52 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 53 · Denominator 53 |
| Resident COVID-19 vaccinations up to date | 38.55% |
25.2%
13.3 pts better
|
Numerator 32 · Denominator 83 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.7
0.2 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.8 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.1 |
1.3
2.8 pts worse
|
1.8
2.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.1 · Observed 4.7 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
91.2%
8.4 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.3% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.9% |
95.3%
1.6 pts better
|
95.5%
1.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.8% |
3.0%
1.8 pts worse
|
3.3%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 4.7% · Q3 4.5% · Q4 6.7% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.4% |
18.5%
10.1 pts better
|
11.4%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 3.3% · Q3 7.8% · Q4 14.0% · 4Q avg 8.4% |
| Percentage of long-stay residents who lose too much weight | 5.6% |
6.1%
0.5 pts better
|
5.4%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 5.9% · Q3 5.2% · Q4 3.8% · 4Q avg 5.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.4% |
13.5%
1.1 pts better
|
19.6%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 11.7% · Q3 13.1% · Q4 14.3% · 4Q avg 12.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.1% |
14.8%
6.3 pts worse
|
16.7%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 20.5% · Q3 20.0% · Q4 19.0% · 4Q avg 21.1% · 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 | 17.3% |
15.1%
2.2 pts worse
|
16.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.3% · Q2 20.2% · Q3 13.8% · Q4 15.1% · 4Q avg 17.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.4% |
15.5%
5.9 pts worse
|
14.9%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 22.6% · Q3 17.9% · Q4 27.3% · 4Q avg 21.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.7% |
0.6%
1.1 pts worse
|
1.0%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 2.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.6% |
1.4%
1.2 pts worse
|
1.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 0.0% · Q3 1.6% · Q4 3.6% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 36.6% |
20.8%
15.8 pts worse
|
19.8%
16.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.8% · Q2 50.3% · Q3 29.7% · Q4 33.8% · 4Q avg 36.6% |
| Percentage of long-stay residents with pressure ulcers | 7.7% |
6.9%
0.8 pts worse
|
5.1%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 10.6% · Q3 6.0% · Q4 2.8% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.0% |
76.7%
18.3 pts better
|
81.7%
13.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 87.7% · Q2 96.3% · Q3 98.8% · Q4 96.7% · 4Q avg 95.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.9% |
9.7%
5.2 pts worse
|
12.0%
2.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.9% · Observed 15.1% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.2%
0.2 pts worse
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 1.8% · Q4 1.7% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 63.9% |
78.8%
14.9 pts worse
|
79.7%
15.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 63.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.5% |
20.6%
1.1 pts better
|
23.9%
4.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.5% · Observed 20.6% · Expected 25.3% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Pharmacy Service (4 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Top issue: Quality of Life and Care (3 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-21
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-07-21
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-07-21
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2021-09-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-09-14
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-09-14
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2019-07-22
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-07-22
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-08-07
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-07-22
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2019-07-22
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-07-22
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-07-22
Fire Safety
Provide family notifications of emergency plan.
Corrected 2019-07-22
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-11-28
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-11-28
Health
Respond appropriately to all alleged violations.
Corrected 2025-11-28
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-11-28
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-21
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-07-31
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-07-31
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-07-21
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 2023-07-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-07-21
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-07-21
Health
Respond appropriately to all alleged violations.
Corrected 2023-07-21
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 2023-07-21
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-08-26
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2021-08-26
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-08-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-08-26
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 2021-08-26
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2021-08-26
Health
Report COVID19 data to residents and families.
Corrected 2021-08-26
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2019-07-20
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-08-13
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 2019-08-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-07-20
Health
Provide and implement an infection prevention and control program.
Corrected 2019-07-20
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2019-07-20
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-07-20
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-07-20
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2019-07-20
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-07-20
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2019-08-07
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2019-07-20
Penalties and ownership
Fine · fine $7,901
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Nearby options
Oneonta, NY
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
Delhi, NY
2-star overall rating with 2-star inspections with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Cooperstown, NY
2-star overall rating with 2-star inspections with $24,586 in total fines with 2 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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