Cycle 1
Health 2023-11-20 · Fire 2023-11-20
3 health deficiencies
Top issue: Resident Rights (2 deficiencies)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Warsaw, NY
East Side Nursing Home
3-star overall rating with 4-star inspections with $8,990 in total fines with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
62 Prospect St, Warsaw, NY
(585) 786-8151
Overall
3 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
80
Certified beds
Average residents
78
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1976-06-01
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
0.47
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.74
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.45
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
2.66
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.21
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
1.95
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.22
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.49
CMS adjusted RN staffing hours
Adjusted total hours
2.76
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
42%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,202
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.16
Composite VBP score used to determine payment impact.
Payment multiplier
0.9825
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.77
Baseline 23.20% · Performance 21.80% · Measure score 1.77 · Achievement 0 · Improvement 1.77
Healthcare-associated infections
4.94
Baseline 6.58% · Performance 6.36% · Measure score 4.94 · Achievement 4.94 · Improvement 0.91
Total nurse turnover
1.31
Baseline 49.28% · Performance 58.33% · Measure score 1.31 · Achievement 1.31 · Improvement 0
Adjusted total nurse staffing
0.45
Baseline 2.79 hours · Performance 3.07 hours · Measure score 0.45 · Achievement 0 · Improvement 0.45
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.85% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 65 · Observed rate 6.15% · Lower 95% interval 6.33% |
| Discharge to community | 38.92% |
50.57%
11.6 pts worse
|
Worse than the National Rate · Eligible stays 56 · Observed rate 32.14% · Lower 95% interval 28.53% |
| Medicare spending per beneficiary | 0.92 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 57 · Denominator 57 |
| Falls with major injury | 3.51% |
0.77%
2.7 pts worse
|
Numerator 2 · Denominator 57 |
| Discharge self-care score | 39.53% |
53.69%
14.2 pts worse
|
Numerator 17 · Denominator 43 |
| Discharge mobility score | 46.51% |
50.94%
4.4 pts worse
|
Numerator 20 · Denominator 43 |
| Pressure ulcers or injuries, new or worsened | 5.26% |
2.29%
3 pts worse
|
Numerator 3 · Denominator 57 · Adjusted rate 6.12% |
| Healthcare-associated infections requiring hospitalization | 6.36% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 37 · Observed rate 2.7% · Lower 95% interval 2.45% |
| Staff COVID-19 vaccination coverage | 17.02% |
8.2%
8.8 pts better
|
Numerator 16 · Denominator 94 |
| Staff flu vaccination coverage | 76.52% |
42%
34.5 pts better
|
Numerator 101 · Denominator 132 |
| Discharge function score | 46.51% |
56.45%
9.9 pts worse
|
Numerator 20 · Denominator 43 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 37.93% |
25.2%
12.7 pts better
|
Numerator 11 · Denominator 29 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
1.7
0.7 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.9 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.3
0.2 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% |
91.2%
6.9 pts better
|
93.4%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.9% · Q2 95.7% · Q3 100.0% · Q4 100.0% · 4Q avg 98.1% |
| 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 | 5.3% |
3.0%
2.3 pts worse
|
3.3%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 4.3% · Q3 6.2% · Q4 6.3% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 21.2% |
18.5%
2.7 pts worse
|
11.4%
9.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 18.8% · Q3 14.3% · Q4 41.0% · 4Q avg 21.2% |
| Percentage of long-stay residents who lose too much weight | 6.2% |
6.1%
0.1 pts worse
|
5.4%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 4.8% · Q3 5.3% · Q4 4.0% · 4Q avg 6.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.2% |
13.5%
3.7 pts worse
|
19.6%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 17.2% · Q3 19.7% · Q4 13.7% · 4Q avg 17.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.3% |
14.8%
8.5 pts better
|
16.7%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 8.8% · Q3 7.3% · Q4 3.7% · 4Q avg 6.3% · 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 | 11.3% |
15.1%
3.8 pts better
|
16.3%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 4.0% · Q3 10.7% · Q4 10.1% · 4Q avg 11.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.5% |
15.5%
8 pts better
|
14.9%
7.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 4.9% · Q3 8.3% · Q4 5.9% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
0.6%
0.4 pts worse
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.7% · Q3 1.3% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
1.4%
0.2 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 0.0% · Q4 3.3% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.8% |
20.8%
1 pts worse
|
19.8%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 19.7% · Q3 22.2% · Q4 25.7% · 4Q avg 21.8% |
| Percentage of long-stay residents with pressure ulcers | 2.8% |
6.9%
4.1 pts better
|
5.1%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 4.7% · Q3 2.5% · Q4 1.9% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 78.6% |
76.7%
1.9 pts better
|
81.7%
3.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 65.8% · Q2 63.5% · Q3 90.6% · Q4 94.7% · 4Q avg 78.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.7% |
9.7%
2 pts worse
|
12.0%
0.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.7% · Observed 12.8% · Expected 12.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.2%
0.7 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 75.4% |
78.8%
3.4 pts worse
|
79.7%
4.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 75.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.8% |
20.6%
6.2 pts worse
|
23.9%
2.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.8% · Observed 27.7% · Expected 24.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-01-28 · Fire 2022-01-28
5 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Cycle 3
Health 2019-05-29 · Fire 2019-05-29
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2023-11-20
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Not marked corrected
E · Potential for more than minimal harm
2023-11-20
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-01-20
E · Potential for more than minimal harm
2022-01-28
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Not marked corrected
D · Potential for more than minimal harm
2022-01-28
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-03-17
F · Potential for more than minimal harm
2019-05-29
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Not marked corrected
C · Minimal harm
2019-05-29
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2019-06-21
Inspection history
Recent health citations
D · Potential for more than minimal harm
2023-11-20
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 2024-01-31
D · Potential for more than minimal harm
2023-11-20
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 2024-01-13
D · Potential for more than minimal harm
2023-11-20
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 2024-01-13
D · Potential for more than minimal harm
2023-08-02
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 2023-09-14
D · Potential for more than minimal harm
2022-01-28
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 2022-03-17
D · Potential for more than minimal harm
2022-01-28
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2022-03-17
D · Potential for more than minimal harm
2022-01-28
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-03-17
D · Potential for more than minimal harm
2022-01-28
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-03-17
D · Potential for more than minimal harm
2022-01-28
F713 · Nursing and Physician Services Deficiencies
Health
Provide or arrange emergency care by a doctor 24 hours a day.
Corrected 2022-03-17
D · Potential for more than minimal harm
2019-05-29
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 2019-06-21
D · Potential for more than minimal harm
2019-05-29
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2019-06-21
Penalties and ownership
What sits behind the stars
$2,659
2024-01-08
Fine
Fine · fine $2,659
Fine
$2,098
2024-01-02
Fine
Fine · fine $2,098
Fine
$4,233
2023-12-11
Fine
Fine · fine $4,233
Fine
Ownership
Cme Jm Opco Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Farkas, Jennifer
5% Or Greater Indirect Ownership Interest · Individual
Brown, Avrohom
5% Or Greater Indirect Ownership Interest · Individual
Gibber, Eliezer
5% Or Greater Indirect Ownership Interest · Individual
Lebovics, Michael
5% Or Greater Indirect Ownership Interest · Individual
Abbasey, Salman
Operational/Managerial Control · Individual
Ajb LLC
Operational/Managerial Control · Organization
Brown, Avrohom
Operational/Managerial Control · Individual
Brown, Avrohom
Corporate Officer · Individual
Marotta, James
Operational/Managerial Control · Individual
Roesch, Burnedette
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Wyoming County Community Hospital S N F
Warsaw, NY
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Livingston County Center for Nursing and Rehabilit
Mount Morris, NY
2-star overall rating with 2-star inspections with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Leroy Village Green Residential Health C F, Inc
Leroy, NY
5-star overall rating with 5-star inspections with 1 recent health deficiencies
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