Cycle 1
Health 2024-02-27 · Fire 2024-02-27
6 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Liverpool, NY
Elderwood At Liverpool
2-star overall rating with 3-star inspections with $56,921 in total fines with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
4800 Bear Road, Liverpool, NY
(315) 457-9946
Overall
2 / 5
CMS overall stars
Health inspections
3 / 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
160
Certified beds
Average residents
149
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Elderwood
Operator or chain grouping
Approved since
1984-12-31
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
17 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars
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
0.53
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.08
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.61
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
1.61
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.76
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.33
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.53
CMS adjusted RN staffing hours
Adjusted total hours
3.20
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
55%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,492
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
16.61
Composite VBP score used to determine payment impact.
Payment multiplier
0.9816
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.76% · Performance 22.31% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.78
Baseline 5.69% · Performance 7.30% · Measure score 1.78 · Achievement 1.78 · Improvement 0
Total nurse turnover
2.05
Baseline 53.98% · Performance 55.31% · Measure score 2.05 · Achievement 2.05 · Improvement 0
Adjusted total nurse staffing
2.81
Baseline 3.54 hours · Performance 3.88 hours · Measure score 2.81 · Achievement 2.81 · Improvement 1.02
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.78% |
10.72%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 486 · Observed rate 11.32% · Lower 95% interval 10.22% |
| Discharge to community | 51.01% |
50.57%
0.4 pts better
|
No Different than the National Rate · Eligible stays 557 · Observed rate 47.4% · Lower 95% interval 47.33% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.32% |
95.27%
3 pts better
|
Numerator 292 · Denominator 297 |
| Falls with major injury | 0.67% |
0.77%
0.1 pts better
|
Numerator 2 · Denominator 297 |
| Discharge self-care score | 53.57% |
53.69%
0.1 pts worse
|
Numerator 120 · Denominator 224 |
| Discharge mobility score | 70.98% |
50.94%
20 pts better
|
Numerator 159 · Denominator 224 |
| Pressure ulcers or injuries, new or worsened | 3.72% |
2.29%
1.4 pts worse
|
Numerator 11 · Denominator 296 · Adjusted rate 3.91% |
| Healthcare-associated infections requiring hospitalization | 7.3% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 303 · Observed rate 6.27% · Lower 95% interval 5.36% |
| Staff COVID-19 vaccination coverage | 4.5% |
8.2%
3.7 pts worse
|
Numerator 13 · Denominator 289 |
| Staff flu vaccination coverage | 26.63% |
42%
15.4 pts worse
|
Numerator 131 · Denominator 492 |
| Discharge function score | 65.18% |
56.45%
8.7 pts better
|
Numerator 146 · Denominator 224 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 118 · Denominator 118 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 146 · Denominator 146 |
| Resident COVID-19 vaccinations up to date | 24.68% |
25.2%
0.5 pts worse
|
Numerator 38 · Denominator 154 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.7 |
1.7
About the same
|
1.9
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.5 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.7 |
1.3
0.6 pts better
|
1.8
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.9% |
91.2%
1.7 pts better
|
93.4%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 91.1% · Q2 94.8% · Q3 91.3% · Q4 94.3% · 4Q avg 92.9% |
| 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 | 4.9% |
3.0%
1.9 pts worse
|
3.3%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 5.2% · Q3 3.9% · Q4 5.7% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.7% |
18.5%
9.8 pts better
|
11.4%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 8.8% · Q3 7.7% · Q4 7.3% · 4Q avg 8.7% |
| Percentage of long-stay residents who lose too much weight | 8.3% |
6.1%
2.2 pts worse
|
5.4%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 14.8% · Q3 4.4% · Q4 5.2% · 4Q avg 8.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.6% |
13.5%
6.9 pts better
|
19.6%
13 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 6.5% · Q3 7.2% · Q4 4.9% · 4Q avg 6.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.9% |
14.8%
1.1 pts worse
|
16.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 15.4% · Q3 14.3% · Q4 14.3% · 4Q avg 15.9% · 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 | 22.5% |
15.1%
7.4 pts worse
|
16.3%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 31.2% · Q3 21.2% · Q4 20.1% · 4Q avg 22.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 33.4% |
15.5%
17.9 pts worse
|
14.9%
18.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.7% · Q2 37.1% · Q3 28.4% · Q4 39.2% · 4Q avg 33.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.6%
0.4 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.8% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.8% |
1.4%
1.4 pts worse
|
1.7%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 6.1% · Q4 2.0% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.4% |
20.8%
5.6 pts worse
|
19.8%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.5% · Q2 28.5% · Q3 25.8% · Q4 22.4% · 4Q avg 26.4% |
| Percentage of long-stay residents with pressure ulcers | 4.6% |
6.9%
2.3 pts better
|
5.1%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 4.6% · Q3 2.6% · Q4 8.6% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.1% |
76.7%
14.4 pts better
|
81.7%
9.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.5% · Q2 97.0% · Q3 88.2% · Q4 82.3% · 4Q avg 91.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.7% |
9.7%
1 pts worse
|
12.0%
1.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.7% · Observed 9.7% · Expected 10.1% · 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 0.4% · Q2 1.2% · Q3 1.3% · Q4 1.3% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.0% |
78.8%
9.2 pts better
|
79.7%
8.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.5% |
20.6%
5.9 pts worse
|
23.9%
2.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.5% · Observed 24.3% · Expected 21.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-10-21 · Fire 2021-10-21
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2019-05-20 · Fire 2019-05-20
3 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-02-27
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-26
E · Potential for more than minimal harm
2024-02-27
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-04-26
D · Potential for more than minimal harm
2024-02-27
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-04-26
E · Potential for more than minimal harm
2021-10-21
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2021-12-20
D · Potential for more than minimal harm
2021-10-21
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-10-25
D · Potential for more than minimal harm
2021-10-21
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Not marked corrected
D · Potential for more than minimal harm
2019-05-20
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2019-07-16
C · Minimal harm
2019-05-20
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-06-01
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-02-27
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 2024-03-27
E · Potential for more than minimal harm
2024-02-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-27
D · Potential for more than minimal harm
2024-02-27
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-27
D · Potential for more than minimal harm
2024-02-27
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-03-27
D · Potential for more than minimal harm
2024-02-27
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-03-27
D · Potential for more than minimal harm
2024-02-27
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-03-27
D · Potential for more than minimal harm
2021-10-21
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2021-10-28
D · Potential for more than minimal harm
2021-10-21
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2021-12-20
D · Potential for more than minimal harm
2019-05-20
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 2019-07-10
D · Potential for more than minimal harm
2019-05-20
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 2019-07-10
D · Potential for more than minimal harm
2019-05-20
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-07-10
Penalties and ownership
What sits behind the stars
$56,921
2024-04-19
Fine
Fine · fine $56,921
Fine
Ownership
Cole, Warren
5% Or Greater Direct Ownership Interest · Individual
Rubin, Jeffrey
5% Or Greater Direct Ownership Interest · Individual
Cole, Warren
Operational/Managerial Control · Individual
Cole, Warren
Corporate Officer · Individual
Deleonabreu, Cherlyn
W-2 Managing Employee · Individual
Kenworthy, Kimberly
Contracted Managing Employee · Individual
Quillard, Philip
Contracted Managing Employee · Individual
Rubin, Jeffrey
Operational/Managerial Control · Individual
Rubin, Jeffrey
Corporate Officer · Individual
Vinkle, John Paul
Contracted Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Bishop Rehabilitation And Nursing Center
Syracuse, NY
1-star overall rating with 1-star inspections with $699,602 in total fines with 6 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#2
The Cottages At Garden Grove, A Skilled Nrsg Comm
Cicero, NY
2-star overall rating with 2-star inspections with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
St Camillus Residential Health Care Facility
Syracuse, NY
2-star overall rating with 2-star inspections with $39,754 in total fines with 16 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
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