Plattsburgh, NY

Clinton County Nursing Home

2-star overall rating with 3-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

16 Flynn Avenue, Plattsburgh, NY

(518) 563-0950

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1977-01-29

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

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

0.50

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.47

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

1.47

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

2.45

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

0.98

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

2.00

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.43

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.53

CMS adjusted RN staffing hours

Adjusted total hours

2.58

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

25%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

32%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,003

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

Performance score

37.79

Composite VBP score used to determine payment impact.

Payment multiplier

0.9910

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

4.57

Baseline 47.17% · Performance 45.00% · Measure score 4.57 · Achievement 4.57 · Improvement 0.47

Adjusted total nurse staffing

2.99

Baseline 3.45 hours · Performance 3.93 hours · Measure score 2.99 · Achievement 2.99 · Improvement 1.56

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 5 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 2 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 1 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	100%	8.2% 91.8 pts better	Numerator 75 · Denominator 75
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

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 1.8 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.6	1.3 0.3 pts worse	1.8 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.5 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	66.3%	91.2% 24.9 pts worse	93.4% 27.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 82.5% · Q2 80.6% · Q3 61.9% · Q4 48.1% · 4Q avg 66.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.4%	95.3% 2.1 pts better	95.5% 1.9 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.4%
Percentage of long-stay residents experiencing one or more falls with major injury	4.1%	3.0% 1.1 pts worse	3.3% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.8% · Q3 2.4% · Q4 7.4% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.9%	18.5% 14.6 pts better	11.4% 7.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 6.2% · Q3 2.6% · Q4 2.1% · 4Q avg 3.9%
Percentage of long-stay residents who lose too much weight	10.4%	6.1% 4.3 pts worse	5.4% 5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 12.5% · Q3 4.8% · Q4 15.4% · 4Q avg 10.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	9.5%	13.5% 4 pts better	19.6% 10.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 5.9% · Q3 4.8% · Q4 14.8% · 4Q avg 9.5%
Percentage of long-stay residents who received an antipsychotic medication	25.5%	14.8% 10.7 pts worse	16.7% 8.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 22.2% · Q3 31.6% · Q4 26.2% · 4Q avg 25.5% · 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	32.0%	15.1% 16.9 pts worse	16.3% 15.7 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 32.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	20.8%	15.5% 5.3 pts worse	14.9% 5.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 32.0% · Q3 24.2% · Q4 22.2% · 4Q avg 20.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	3.1%	0.6% 2.5 pts worse	1.0% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 2.3% · Q3 2.8% · Q4 5.1% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.6%	1.4% 2.2 pts worse	1.7% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.9% · Q3 2.4% · Q4 5.8% · 4Q avg 3.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	20.7%	20.8% 0.1 pts better	19.8% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 26.3% · Q3 23.9% · Q4 26.4% · 4Q avg 20.7%
Percentage of long-stay residents with pressure ulcers	7.1%	6.9% 0.2 pts worse	5.1% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 7.6% · Q3 7.8% · Q4 6.8% · 4Q avg 7.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	11.1%	76.7% 65.6 pts worse	81.7% 70.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q3 0.0% · 4Q avg 11.1%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	33.3%	78.8% 45.5 pts worse	79.7% 46.4 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 33.3%

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-07-21 · Fire 2023-07-21

6 health deficiencies

Top issue: Resident Rights (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

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

12 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)

6 fire-safety deficiencies

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

Cycle 3 Health 2019-02-28 · Fire 2019-02-28

17 health deficiencies

Top issue: Nutrition and Dietary (5 deficiencies)

10 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-07-21

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-10-30

E · Potential for more than minimal harm 2023-07-21

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-09-18

E · Potential for more than minimal harm 2023-07-21

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-09-18

E · Potential for more than minimal harm 2023-07-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-09-18

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

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2021-07-27

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

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2021-07-27

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

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2021-07-27

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

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 2021-07-27

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

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2021-08-26

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

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 2021-07-27

E · Potential for more than minimal harm 2019-02-28

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2019-04-29

E · Potential for more than minimal harm 2019-02-28

K223 · Egress Deficiencies

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 2019-04-29

E · Potential for more than minimal harm 2019-02-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-04-29

E · Potential for more than minimal harm 2019-02-28

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-04-29

E · Potential for more than minimal harm 2019-02-28

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2019-04-29

E · Potential for more than minimal harm 2019-02-28

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2019-04-29

E · Potential for more than minimal harm 2019-02-28

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 2019-04-29

D · Potential for more than minimal harm 2019-02-28

E23 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for medical documentation.

Corrected 2019-04-29

D · Potential for more than minimal harm 2019-02-28

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2019-04-29

C · Minimal harm 2019-02-28

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2019-04-29

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-02-05

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 2025-04-17

D · Potential for more than minimal harm 2025-02-05

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 2025-04-17

D · Potential for more than minimal harm 2025-02-05

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-04-17

D · Potential for more than minimal harm 2023-07-21

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 2023-09-18

D · Potential for more than minimal harm 2023-07-21

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-09-18

D · Potential for more than minimal harm 2023-07-21

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 2023-09-18

D · Potential for more than minimal harm 2023-07-21

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 2023-09-18

D · Potential for more than minimal harm 2023-07-21

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 2023-09-18

D · Potential for more than minimal harm 2023-07-21

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 2023-09-18

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

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 2021-07-27

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

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2021-07-27

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

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-07-27

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

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2021-07-27

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

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2021-07-27

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

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2021-07-27

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

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2021-07-27

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

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2021-07-27

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

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2021-07-27

E · Potential for more than minimal harm 2019-02-28

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 2019-04-29

E · Potential for more than minimal harm 2019-02-28

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 2019-04-29

E · Potential for more than minimal harm 2019-02-28

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 2019-04-29

E · Potential for more than minimal harm 2019-02-28

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 2019-04-29

E · Potential for more than minimal harm 2019-02-28

F813 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2019-04-29

D · Potential for more than minimal harm 2019-02-28

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2019-04-29

D · Potential for more than minimal harm 2019-02-28

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2019-04-29

D · Potential for more than minimal harm 2019-02-28

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2019-04-29

D · Potential for more than minimal harm 2019-02-28

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 2019-04-29

D · Potential for more than minimal harm 2019-02-28

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 2019-04-29

D · Potential for more than minimal harm 2019-02-28

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-04-29

D · Potential for more than minimal harm 2019-02-28

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 2019-04-29

D · Potential for more than minimal harm 2019-02-28

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2019-04-29

D · Potential for more than minimal harm 2019-02-28

F790 · Quality of Life and Care Deficiencies

Health

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2019-04-29

D · Potential for more than minimal harm 2019-02-28

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2019-04-29

D · Potential for more than minimal harm 2019-02-28

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2019-04-29

D · Potential for more than minimal harm 2019-02-28

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2019-04-29

Penalties and ownership

What sits behind the stars

$0 2023-07-21

Payment Denial

Payment Denial · denial start 2023-10-26 · 4 days

4 day denial

Ownership

Clinton County

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 1978-01-01

Bezio, David