Cortland, NY

Crown Park Rehabilitation And Nursing Center

1-star overall rating with 2-star inspections with 9 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

28 Kellogg Road, Cortland, NY

(607) 753-9631

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

200

Certified beds

Average residents

194

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Upstate Services Group

Operator or chain grouping

Approved since

1973-02-21

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

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

0.41

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.78

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.04

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.22

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.18

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

2.57

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.21

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.49

CMS adjusted RN staffing hours

Adjusted total hours

3.87

CMS adjusted total nurse staffing hours

Case-mix index

1.14

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

12,510

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

Performance score

11.89

Composite VBP score used to determine payment impact.

Payment multiplier

0.9810

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 21.12% · Performance 22.05% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.47

Baseline 7.53% · Performance 7.10% · Measure score 2.47 · Achievement 2.47 · Improvement 1.21

Total nurse turnover

Not reported

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

Adjusted total nurse staffing

1.10

Baseline 3.14 hours · Performance 3.39 hours · Measure score 1.10 · Achievement 1.10 · Improvement 0.43

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.44%	10.72% 0.7 pts worse	No Different than the National Rate · Eligible stays 111 · Observed rate 13.51% · Lower 95% interval 7.91%
Discharge to community	38.99%	50.57% 11.6 pts worse	Worse than the National Rate · Eligible stays 114 · Observed rate 32.46% · Lower 95% interval 29.62%
Medicare spending per beneficiary	1	1.02 About the same
Drug regimen review with follow-up	78.48%	95.27% 16.8 pts worse	Numerator 62 · Denominator 79
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 79
Discharge self-care score	34.29%	53.69% 19.4 pts worse	Numerator 24 · Denominator 70
Discharge mobility score	45.71%	50.94% 5.2 pts worse	Numerator 32 · Denominator 70
Pressure ulcers or injuries, new or worsened	5.06%	2.29% 2.8 pts worse	Numerator 4 · Denominator 79 · Adjusted rate 5.49%
Healthcare-associated infections requiring hospitalization	7.1%	7.12% About the same	No Different than the National Rate · Eligible stays 90 · Observed rate 6.67% · Lower 95% interval 4.06%
Staff COVID-19 vaccination coverage	3.76%	8.2% 4.4 pts worse	Numerator 5 · Denominator 133
Staff flu vaccination coverage	99.25%	42% 57.2 pts better	Numerator 132 · Denominator 133
Discharge function score	51.43%	56.45% 5 pts worse	Numerator 36 · Denominator 70
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 35 · Denominator 35
Resident COVID-19 vaccinations up to date	32.5%	25.2% 7.3 pts better	Numerator 13 · Denominator 40

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	1.7 0.1 pts worse	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.4 · Expected 2.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.9	1.3 0.6 pts worse	1.8 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.3 · Expected 2.0 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.6%	91.2% 5.4 pts better	93.4% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 92.2% · Q2 98.2% · Q3 98.2% · Q4 97.8% · 4Q avg 96.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.7%	95.3% 1.4 pts better	95.5% 1.2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.7%
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 3.0% · Q2 3.6% · Q3 3.0% · Q4 4.4% · 4Q avg 3.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.0%	18.5% 13.5 pts better	11.4% 6.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 3.9% · Q3 6.0% · Q4 3.7% · 4Q avg 5.0%
Percentage of long-stay residents who lose too much weight	6.5%	6.1% 0.4 pts worse	5.4% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 8.3% · Q3 4.6% · Q4 5.1% · 4Q avg 6.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.2%	13.5% 1.7 pts worse	19.6% 4.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 21.5% · Q2 17.3% · Q3 11.5% · Q4 11.1% · 4Q avg 15.2%
Percentage of long-stay residents who received an antipsychotic medication	23.0%	14.8% 8.2 pts worse	16.7% 6.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.6% · Q2 23.3% · Q3 21.9% · Q4 22.1% · 4Q avg 23.0% · 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	12.7%	15.1% 2.4 pts better	16.3% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.2% · Q2 12.1% · Q3 14.8% · Q4 9.8% · 4Q avg 12.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	12.7%	15.5% 2.8 pts better	14.9% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 13.8% · Q3 15.3% · Q4 6.4% · 4Q avg 12.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	0.6% 0.1 pts better	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 1.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.6%	1.4% 0.8 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.6% · Q3 0.6% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	21.0%	20.8% 0.2 pts worse	19.8% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 21.6% · Q3 20.4% · Q4 19.1% · 4Q avg 21.0%
Percentage of long-stay residents with pressure ulcers	6.4%	6.9% 0.5 pts better	5.1% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 7.5% · Q3 6.0% · Q4 3.4% · 4Q avg 6.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	71.8%	76.7% 4.9 pts worse	81.7% 9.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 53.5% · Q2 66.9% · Q3 79.7% · Q4 86.3% · 4Q avg 71.8%
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 12.8% · Expected 10.2% · 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 2.5% · Q2 0.0% · Q3 1.6% · Q4 1.8% · 4Q avg 1.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	77.9%	78.8% 0.9 pts worse	79.7% 1.8 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 77.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	16.2%	20.6% 4.4 pts better	23.9% 7.7 pts better	Short Stay · 20240701-20250630 · Adjusted 16.2% · Observed 14.1% · Expected 20.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-17 · Fire 2025-01-17

10 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2023-01-19 · Fire 2023-01-19

6 health deficiencies

Top issue: Resident Rights (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2019-12-18 · Fire 2019-12-18

9 health deficiencies

Top issue: Resident Rights (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-17

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2025-03-05

E · Potential for more than minimal harm 2025-01-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-05

D · Potential for more than minimal harm 2025-01-17

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 2025-03-05

D · Potential for more than minimal harm 2025-01-17

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-03-05

D · Potential for more than minimal harm 2025-01-17

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-03-05

C · Minimal harm 2025-01-17

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2025-03-05

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-28

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-03-10

G · Actual harm 2025-09-04

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-10-30

F · Potential for more than minimal harm 2025-01-17

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-03-05

E · Potential for more than minimal harm 2025-01-17

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 2025-03-05

E · Potential for more than minimal harm 2025-01-17

F585 · Resident Rights Deficiencies

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 2025-03-05

E · Potential for more than minimal harm 2025-01-17

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 2025-03-05

E · Potential for more than minimal harm 2025-01-17

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-03-05

E · Potential for more than minimal harm 2025-01-17

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 2025-03-05

E · Potential for more than minimal harm 2025-01-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-05

D · Potential for more than minimal harm 2025-01-17

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 2025-03-05

E · Potential for more than minimal harm 2023-01-19

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 2023-02-23

D · Potential for more than minimal harm 2023-01-19

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 2023-02-23

D · Potential for more than minimal harm 2023-01-19

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 2023-02-23

D · Potential for more than minimal harm 2023-01-19

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 2023-02-23

D · Potential for more than minimal harm 2023-01-19

F761 · Pharmacy Service Deficiencies

Health

Corrected 2023-02-23

D · Potential for more than minimal harm 2023-01-19