Cycle 1
Health 2025-01-13 · Fire 2025-01-13
7 health deficiencies
Top issue: Resident Rights (3 deficiencies)
10 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Morrisville, NY
Crouse Community Center Inc
4-star overall rating with 3-star inspections with 7 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
101 South Street, Morrisville, NY
(315) 684-9595
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
111
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
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
0.98
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.20
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.83
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.01
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.19
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.61
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.96
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.98
CMS adjusted RN staffing hours
Adjusted total hours
4.00
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,068
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
51.98
Composite VBP score used to determine payment impact.
Payment multiplier
1.0064
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 16.67% · Performance 22.36% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
10
Baseline 4.96% · Performance 4.97% · Measure score 10 · Achievement 10 · Improvement 0
Total nurse turnover
7.25
Performance 34.03% · Measure score 7.25 · Achievement 7.25 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
3.54
Baseline 4.60 hours · Performance 4.08 hours · Measure score 3.54 · Achievement 3.54 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.49% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 164 · Observed rate 11.59% · Lower 95% interval 8.24% |
| Discharge to community | 40.63% |
50.57%
9.9 pts worse
|
Worse than the National Rate · Eligible stays 188 · Observed rate 35.11% · Lower 95% interval 35.16% |
| Medicare spending per beneficiary | 1.09 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 89.39% |
95.27%
5.9 pts worse
|
Numerator 160 · Denominator 179 |
| Falls with major injury | 2.23% |
0.77%
1.5 pts worse
|
Numerator 4 · Denominator 179 |
| Discharge self-care score | 54.89% |
53.69%
1.2 pts better
|
Numerator 73 · Denominator 133 |
| Discharge mobility score | 60.15% |
50.94%
9.2 pts better
|
Numerator 80 · Denominator 133 |
| Pressure ulcers or injuries, new or worsened | 1.68% |
2.29%
0.6 pts better
|
Numerator 3 · Denominator 179 · Adjusted rate 1.62% |
| Healthcare-associated infections requiring hospitalization | 4.97% |
7.12%
2.2 pts better
|
No Different than the National Rate · Eligible stays 123 · Observed rate 1.63% · Lower 95% interval 3.01% |
| Staff COVID-19 vaccination coverage | 2.21% |
8.2%
6 pts worse
|
Numerator 6 · Denominator 271 |
| Staff flu vaccination coverage | 95.22% |
42%
53.2 pts better
|
Numerator 259 · Denominator 272 |
| Discharge function score | 54.89% |
56.45%
1.6 pts worse
|
Numerator 73 · Denominator 133 |
| Transfer of health information to provider | 97.73% |
95.95%
1.8 pts better
|
Numerator 43 · Denominator 44 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 70 · Denominator 70 |
| Resident COVID-19 vaccinations up to date | 37.5% |
25.2%
12.3 pts better
|
Numerator 36 · Denominator 96 |
Quality measures
Resident outcomes and process scores
| 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 1.4 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.0 |
1.3
0.7 pts worse
|
1.8
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.0 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
91.2%
8.5 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.3%
4.7 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
3.0%
0.4 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 2.0% · Q3 3.2% · Q4 2.0% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
18.5%
18.2 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 7.7% |
6.1%
1.6 pts worse
|
5.4%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 10.3% · Q3 5.5% · Q4 3.2% · 4Q avg 7.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 36.9% |
13.5%
23.4 pts worse
|
19.6%
17.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.8% · Q2 36.4% · Q3 36.8% · Q4 34.7% · 4Q avg 36.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.9% |
14.8%
14.1 pts worse
|
16.7%
12.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.6% · Q2 28.6% · Q3 28.2% · Q4 28.4% · 4Q avg 28.9% · 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 | 26.8% |
15.1%
11.7 pts worse
|
16.3%
10.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.2% · Q2 33.2% · Q3 22.1% · Q4 18.5% · 4Q avg 26.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.7% |
15.5%
13.2 pts worse
|
14.9%
13.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 30.7% · Q3 31.6% · Q4 19.0% · 4Q avg 28.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.6%
0.6 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.9% |
1.4%
1.5 pts worse
|
1.7%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 7.2% · Q3 1.1% · Q4 0.0% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.3% |
20.8%
0.5 pts worse
|
19.8%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.4% · Q2 34.7% · Q3 9.0% · Q4 10.6% · 4Q avg 21.3% |
| Percentage of long-stay residents with pressure ulcers | 2.9% |
6.9%
4 pts better
|
5.1%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 3.1% · Q3 2.3% · Q4 3.1% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.6% |
76.7%
21.9 pts better
|
81.7%
16.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.6% · Q2 97.8% · Q3 100.0% · Q4 100.0% · 4Q avg 98.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.8% |
9.7%
1.1 pts worse
|
12.0%
1.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.8% · Observed 10.2% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.2%
0.2 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 0.0% · Q4 2.1% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.4% |
78.8%
15.6 pts better
|
79.7%
14.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.6% |
20.6%
2 pts better
|
23.9%
5.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.6% · Observed 17.0% · Expected 21.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-03-23 · Fire 2023-03-23
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2021-04-29 · Fire 2021-04-29
2 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-01-13
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-02-10
F · Potential for more than minimal harm
2025-01-13
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-02-10
F · Potential for more than minimal harm
2025-01-13
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-09
E · Potential for more than minimal harm
2025-01-13
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-10
E · Potential for more than minimal harm
2025-01-13
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-02-10
E · Potential for more than minimal harm
2025-01-13
K908 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Corrected 2025-02-28
E · Potential for more than minimal harm
2025-01-13
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-02-10
E · Potential for more than minimal harm
2025-01-13
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-02-10
D · Potential for more than minimal harm
2025-01-13
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-02-10
D · Potential for more than minimal harm
2025-01-13
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-02-10
E · Potential for more than minimal harm
2023-03-23
K909 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure gas and vacuum piping is labeled.
Corrected 2023-03-23
D · Potential for more than minimal harm
2023-03-23
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2023-04-21
D · Potential for more than minimal harm
2023-03-23
K321 · Smoke Deficiencies
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 2023-04-21
D · Potential for more than minimal harm
2023-03-23
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-04-21
D · Potential for more than minimal harm
2023-03-23
K364 · Smoke Deficiencies
Fire Safety
Install properly constructed windows in hallway walls or doors.
Corrected 2023-03-23
E · Potential for more than minimal harm
2021-04-29
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-04-30
D · Potential for more than minimal harm
2021-04-29
K321 · Smoke Deficiencies
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 2021-04-29
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-01-13
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-03-13
D · Potential for more than minimal harm
2025-01-13
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-03-13
D · Potential for more than minimal harm
2025-01-13
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 2025-03-13
D · Potential for more than minimal harm
2025-01-13
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-03-13
D · Potential for more than minimal harm
2025-01-13
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-03-13
D · Potential for more than minimal harm
2025-01-13
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 2025-03-13
D · Potential for more than minimal harm
2025-01-13
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-03-13
D · Potential for more than minimal harm
2023-03-23
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-04-21
D · Potential for more than minimal harm
2023-03-23
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2023-04-21
D · Potential for more than minimal harm
2023-03-23
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 2023-04-21
D · Potential for more than minimal harm
2023-03-23
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-04-21
D · Potential for more than minimal harm
2021-04-29
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-05-28
D · Potential for more than minimal harm
2021-04-29
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 2021-05-28
Penalties and ownership
What sits behind the stars
Ownership
Felton, David
5% Or Greater Direct Ownership Interest · Individual
Abbe, Lisa
Corporate Director · Individual
Abbe, Lisa
Corporate Officer · Individual
Felton, David
Corporate Director · Individual
Felton, David
Corporate Officer · Individual
Highers, Vicki
W-2 Managing Employee · Individual
Kirby, Richard
Operational/Managerial Control · Individual
Kirby, Richard
Corporate Director · Individual
Kirby, Richard
Corporate Officer · Individual
Kirby, Richard
W-2 Managing Employee · Individual
Raux, Dj
Operational/Managerial Control · Individual
Raux, Dj
Corporate Director · Individual
Raux, Dj
W-2 Managing Employee · Individual
Schulz, Warlita
W-2 Managing Employee · Individual
Theleman, David
Corporate Director · Individual
Nearby options
Other facilities in reach
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Oneida Health Rehabilitation And Extended Care
Oneida, NY
1-star overall rating with 1-star inspections with $16,153 in total fines with 18 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#2
Waterville Residential Care Center
Waterville, NY
4-star overall rating with 3-star inspections with 8 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
#3
The Grand Rehabilitation And Nrsg At Chittenango
Chittenango, NY
1-star overall rating with 2-star inspections with $16,448 in total fines with 5 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
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