Federal inspection record · CMS data as of October 1, 2026

Eddy Heritage House Nursing And Rehabilitation Ctr

2920 Tibbits Avenue, Troy, NY · (518) 274-4125

  • Cited for abuse (CMS abuse icon)
  • Special Focus Facility

CMS overall rating

1 of 5

Compare with a nearby home →
Certified beds
120
Residents per day
106
Ownership
Non-Profit
Chain
Trinity Health
Medicare / Medicaid
Medicare + Medicaid
Certified since
November 12, 1992

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in New York.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among New York homes

Eddy Heritage House Nursing And Rehabilitation Ctr carries 270.25 inspection points. That is fewer than 2% of New York's 589 rated homes.

5★4★3★2★1★+12 homes above 283.7605102550100200inspection points → fewer is better on the leftThis home · 270.25 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New York: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–12 pts
  • 4★ 12–27 pts
  • 3★ 27–46 pts
  • 2★ 46–82 pts
  • 1★ over 82 pts

Bars show every rated home in New York by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

29 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 2 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 19 4 pts
E 8 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (2)

  1. J

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    November 26, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected January 15, 2026

  2. J

    Ensure that residents are free from significant medication errors.

    November 26, 2025 · Complaint inspection · Pharmacy Service · F760 · Corrected January 15, 2026

Everything else, by area of care

Nutrition and Dietary6E
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    February 27, 2024 · Standard · F812 · Corrected May 25, 2024

  2. D

    Dispose of garbage and refuse properly.

    February 27, 2024 · Standard · F814 · Corrected April 22, 2024

  3. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    September 14, 2021 · Standard · F812 · Corrected November 15, 2021

  4. D

    Dispose of garbage and refuse properly.

    September 14, 2021 · Standard · F814 · Corrected October 6, 2021

  5. E

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

    August 1, 2019 · Standard · F813 · Corrected September 30, 2019

  6. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    August 1, 2019 · Standard · F812 · Corrected September 30, 2019

Quality of Life and Care4E
  1. E

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

    November 26, 2025 · Complaint · F684 · Corrected January 15, 2026

  2. D

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

    February 26, 2024 · Complaint · F684 · Corrected May 25, 2024

  3. D

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

    August 1, 2019 · Standard · F692 · Corrected September 30, 2019

  4. D

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

    August 1, 2019 · Standard · F695 · Corrected September 30, 2019

Resident Rights4E
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    November 26, 2025 · Complaint · F550 · Corrected January 15, 2026

  2. D

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

    November 26, 2025 · Complaint · F580 · Corrected January 15, 2026

  3. E

    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.

    February 27, 2024 · Standard · F585 · Corrected May 25, 2024

  4. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    February 27, 2024 · Standard · F550 · Corrected April 18, 2024

Pharmacy Service4E
  1. D

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

    November 26, 2025 · Complaint · F757 · Corrected January 14, 2026

  2. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    February 27, 2024 · Standard · F755 · Corrected May 25, 2024

  3. E

    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.

    February 27, 2024 · Complaint · F761 · Corrected May 25, 2024

  4. D

    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.

    February 27, 2024 · Standard · F758 · Corrected May 25, 2024

Resident Assessment and Care Planning4E
  1. D

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

    February 27, 2024 · Complaint · F655 · Corrected April 18, 2024

  2. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    February 27, 2024 · Standard · F656 · Corrected April 16, 2024

  3. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    February 27, 2024 · Standard · F657 · Corrected April 16, 2024

  4. E

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    August 1, 2019 · Standard · F656 · Corrected September 30, 2019

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    November 26, 2025 · Complaint · F609 · Corrected January 15, 2026

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    February 26, 2024 · Complaint · F609 · Corrected May 25, 2024

  3. D

    Respond appropriately to all alleged violations.

    February 26, 2024 · Complaint · F610 · Corrected May 25, 2024

Nursing and Physician Services1D
  1. D

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

    November 26, 2025 · Complaint · F710 · Corrected January 14, 2026

Administration1D
  1. D

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    November 26, 2025 · Complaint · F835 · Corrected February 6, 2026

Inspection history

  1. 2024-02-27

    18 health deficiencies · 4 fire-safety deficiencies

    Top issue: Pharmacy Service (5 deficiencies)

  2. 2021-09-14

    2 health deficiencies · 3 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  3. 2019-08-01

    9 health deficiencies · 6 fire-safety deficiencies

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

4

Nursing time per resident, per day

Each resident here gets about 4 h 8 min of nursing staff time a day, 47 min of it from a registered nurse.

This home

4 h 8 min

New York average

3 h 41 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 53% of nursing staff and 61% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.2 pts better1.51.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse1.61.31.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.6 pts better99.4%91.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1 pts worse94.2%95.2%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts worse3.4%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms20.1 pts better0.0%20.1%13.5%
Percentage of long-stay residents who lose too much weight0.2 pts better5.5%5.7%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.8 pts worse20.0%13.2%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.3 pts worse14.0%13.7%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened0.7 pts better10.4%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.6 pts better13.1%13.7%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder2.5 pts worse3.0%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection0.8 pts worse2.0%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.5 pts worse19.1%18.6%18.3%
Percentage of long-stay residents with pressure ulcers0.7 pts worse7.2%6.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine19 pts better96.6%77.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit4.7 pts worse14.1%9.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better0.7%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.4 pts worse70.5%78.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.5 pts worse25.1%20.6%23.4%

·

Who owns and runs it

37 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
St Peters Health Partners5% Or Greater Direct Ownership Interest · Organization100%6 facilities
Bakar, MelissaAdp Of The SNF · Individual0%5 facilities
Bala, GuhaCorporate Director · Individual0%6 facilities
Burke, MichaelOperational/Managerial Control · Individual0%7 facilities
Burke, MichaelAdp Of The SNF · Individual0%7 facilities
Dunning, ToddAdp Of The SNF · Individual0%1 facilities
Farrell, EricCorporate Officer · Individual0%6 facilities
Farrell, EricAdp Of The SNF · Individual0%6 facilities
Hanks, StevenCorporate Director · Individual0%6 facilities
Hanks, StevenAdp Of The SNF · Individual0%6 facilities
Isacksen, DanielCorporate Director · Individual0%7 facilities
Isacksen, DanielAdp Of The SNF · Individual0%7 facilities
Jimino, KathleenCorporate Officer · Individual0%6 facilities
Lapczynski, PatriciaCorporate Director · Individual0%6 facilities
Lashwa, Debra JeanAdp Of The SNF · Individual0%1 facilities
Marshall, JohnCorporate Officer · Individual0%6 facilities
Mazzacco, MichelleOperational/Managerial Control · Individual0%6 facilities
Mazzacco, MichelleAdp Of The SNF · Individual0%6 facilities
Mccormick, RobertCorporate Director · Individual0%7 facilities
Meath, MichaelCorporate Director · Individual0%6 facilities
Mier, SherriOperational/Managerial Control · Individual0%1 facilities
Mier, SherriAdp Of The SNF · Individual0%1 facilities
Myers, GinaCorporate Director · Individual0%7 facilities
Pollard, MerrietteCorporate Director · Individual0%6 facilities
Signor, KristinCorporate Officer · Individual0%6 facilities
Signor, KristinOperational/Managerial Control · Individual0%6 facilities
Signor, KristinAdp Of The SNF · Individual0%6 facilities
Spencer, YolandaOperational/Managerial Control · Individual0%1 facilities
Spencer, YolandaAdp Of The SNF · Individual0%1 facilities
St Peters Health PartnersOperational/Managerial Control · Organization0%6 facilities
St Peters Health PartnersAdp Of The SNF · Organization0%6 facilities
Sullivan, MargueriteCorporate Director · Individual0%6 facilities
Sweet Zavaglia, KerriCorporate Director · Individual0%6 facilities
Tofade, OluwatoyinCorporate Director · Individual0%6 facilities
Trinity Health CorporationOperational/Managerial Control · Organization0%6 facilities
Trinity Health CorporationAdp Of The SNF · Organization0%6 facilities
Wildridge, WilliamCorporate Officer · Individual0%6 facilities

·

Fire safety

13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke6F
  1. F

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

    February 27, 2024 · K345 · Corrected April 11, 2024

  2. E

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

    September 14, 2021 · K345 · Corrected October 6, 2021

  3. E

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

    September 14, 2021 · K372 · Corrected October 6, 2021

  4. E

    Inspect, test, and maintain automatic sprinkler systems.

    August 1, 2019 · K353 · Corrected September 23, 2019

  5. D

    Have an enclosure around a vertical opening shaft.

    August 1, 2019 · K311 · Corrected September 23, 2019

  6. D

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

    August 1, 2019 · K372 · Corrected September 23, 2019

Gas, Vacuum, and Electrical Systems5E
  1. E

    Have proper medical gas storage and administration areas.

    February 27, 2024 · K923 · Corrected April 11, 2024

  2. E

    Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

    February 27, 2024 · K929 · Corrected April 11, 2024

  3. E

    Ensure that testing and maintenance of electrical equipment is performed.

    September 14, 2021 · K921 · Corrected October 6, 2021

  4. E

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    August 1, 2019 · K914 · Corrected September 12, 2019

  5. D

    Have proper medical gas storage and administration areas.

    August 1, 2019 · K923 · Corrected September 25, 2019

Construction1F
  1. F

    Use approved construction type or materials.

    February 27, 2024 · K161 · Corrected April 11, 2024

Miscellaneous1E
  1. E

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    August 1, 2019 · K761 · Corrected October 3, 2019

·

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