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

Elderwood At Ticonderoga

101 Adirondack Drive, Ticonderoga, NY · (518) 585-6771

CMS overall rating

2 of 5

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Certified beds
84
Residents per day
77
Ownership
For-Profit
Chain
Elderwood
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 1, 1976

1

How this home got 2 stars

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

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among New York homes

Elderwood At Ticonderoga carries 55 inspection points. That is fewer than 34% of New York's 589 rated homes.

5★4★3★2★1★+18 homes above 246.7505102550100200inspection points → fewer is better on the leftThis home · 55 pts · 2★

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

27 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 0 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 18 4 pts
E 5 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 2 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.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Pharmacy Service6D
  1. D

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

    July 15, 2024 · Standard · F755 · Corrected September 10, 2024

  2. D

    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.

    July 15, 2024 · Standard · F761 · Corrected September 10, 2024

  3. D

    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.

    September 23, 2021 · Standard · F761 · Corrected October 22, 2021

  4. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    April 26, 2019 · Standard · F756 · Corrected June 25, 2019

  5. D

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

    April 26, 2019 · Standard · F757 · Corrected June 25, 2019

  6. 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.

    April 26, 2019 · Standard · F758 · Corrected June 25, 2019

Nutrition and Dietary5F
  1. F

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    July 15, 2024 · Standard · F805 · Corrected September 10, 2024

  2. E

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

    July 15, 2024 · Standard · F804 · Corrected September 10, 2024

  3. E

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

    September 23, 2021 · Standard · F812 · Corrected October 20, 2021

  4. C

    Dispose of garbage and refuse properly.

    September 23, 2021 · Standard · F814 · Corrected October 20, 2021

  5. E

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

    April 26, 2019 · Standard · F812 · Corrected June 25, 2019

Resident Rights4D
  1. D

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

    August 20, 2025 · Complaint · F580 · Corrected September 8, 2025

  2. C

    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.

    September 23, 2021 · Standard · F584 · Corrected October 22, 2021

  3. D

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

    April 26, 2019 · Standard · F550 · Corrected June 25, 2019

  4. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    April 26, 2019 · Standard · F582 · Corrected June 25, 2019

Quality of Life and Care4F
  1. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    August 20, 2025 · Complaint · F690 · Corrected September 8, 2025

  2. F

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

    July 15, 2024 · Standard · F692 · Corrected September 6, 2024

  3. D

    Provide activities to meet all resident's needs.

    July 15, 2024 · Standard · F679 · Corrected September 6, 2024

  4. D

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

    April 26, 2019 · Standard · F692 · Corrected June 25, 2019

Resident Assessment and Care Planning3D
  1. D

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

    July 15, 2024 · Standard · F656 · Corrected September 6, 2024

  2. D

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

    April 26, 2019 · Standard · F655 · Corrected June 25, 2019

  3. D

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

    April 26, 2019 · Standard · F656 · Corrected June 25, 2019

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    July 15, 2024 · Standard · F604 · Corrected September 10, 2024

  2. D

    Respond appropriately to all alleged violations.

    July 15, 2024 · Complaint · F610 · Corrected August 14, 2024

Infection Control2E
  1. D

    Provide and implement an infection prevention and control program.

    September 23, 2021 · Standard · F880 · Corrected October 22, 2021

  2. E

    Provide and implement an infection prevention and control program.

    April 26, 2019 · Standard · F880 · Corrected June 25, 2019

Administration1E
  1. E

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

    April 26, 2019 · Standard · F836 · Corrected May 24, 2019

Inspection history

  1. 2024-07-15

    8 health deficiencies · 4 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  2. 2021-09-23

    7 health deficiencies · 3 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  3. 2019-04-26

    12 health deficiencies · 4 fire-safety deficiencies

    Top issue: Pharmacy Service (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 5 min of nursing staff time a day, 39 min of it from a registered nurse.

This home

3 h 5 min

New York average

3 h 41 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 39% of nursing staff and 50% of registered nurses left in the past year, along with 1 administrator.

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

5

Fines and payment denials

$4,516 in federal fines on record over the past three years.

DatePenaltyAmount
2024-01-30Fine$4,516

6

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 days0.9 pts better0.81.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.7 pts worse3.01.31.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.1 pts worse89.7%91.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.1 pts better97.3%95.2%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts worse4.3%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms10.1 pts better10.0%20.1%13.5%
Percentage of long-stay residents who lose too much weight2.8 pts better2.9%5.7%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication12.8 pts worse26.0%13.2%19.5%
Percentage of long-stay residents who received an antipsychotic medication4.6 pts worse18.3%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 worsened9.5 pts worse20.6%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased4.5 pts worse18.2%13.7%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better0.3%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection0.5 pts better0.7%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.9 pts worse24.5%18.6%18.3%
Percentage of long-stay residents with pressure ulcers2.3 pts better4.2%6.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.4 pts worse70.2%77.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit19.2 pts worse28.6%9.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse1.4%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine22.9 pts worse56.0%78.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.7 pts worse21.3%20.6%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
1019 Wicker Street Operating Holdco LLC5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Cole, Warren5% Or Greater Indirect Ownership Interest · Individual50%18 facilities
Cole, WarrenCorporate Officer · Individual0%18 facilities
Cole, WarrenOperational/Managerial Control · Individual0%18 facilities
Cosey, DouglasW-2 Managing Employee · Individual0%1 facilities
Quillard, PhilipCorporate Officer · Individual0%9 facilities
Quillard, PhilipOperational/Managerial Control · Individual0%9 facilities
Rubin, JeffreyCorporate Officer · Individual0%18 facilities
Rubin, JeffreyOperational/Managerial Control · Individual0%18 facilities

·

Fire safety

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

Smoke5E
  1. E

    Install a fire alarm system that can be heard throughout the facility.

    July 15, 2024 · K341 · Corrected May 8, 2024

  2. E

    Have an enclosure around a vertical opening shaft.

    September 23, 2021 · K311 · Corrected November 19, 2021

  3. E

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

    September 23, 2021 · K372 · Corrected October 31, 2021

  4. E

    Have an enclosure around a vertical opening shaft.

    April 26, 2019 · K311 · Corrected June 24, 2019

  5. E

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

    April 26, 2019 · K372 · Corrected June 24, 2019

Egress3F
  1. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    July 15, 2024 · K211 · Corrected March 26, 2024

  2. F

    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.

    September 23, 2021 · K222 · Corrected November 1, 2021

  3. E

    Have exits that are accessible at all times.

    April 26, 2019 · K271 · Corrected June 24, 2019

Emergency Preparedness2F
  1. F

    Establish roles under a Waiver declared by secretary.

    July 15, 2024 · E26 · Corrected May 9, 2024

  2. F

    Address patient/client population and determine types of services needed.

    July 15, 2024 · E7 · Corrected May 9, 2024

Gas, Vacuum, and Electrical Systems1E
  1. E

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

    April 26, 2019 · K926 · Corrected June 24, 2019

·

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    E
    Nursing / resident / day
    3 h 19 min
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  3. Slate Valley Center For Rehabilitation And Nursing

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    Nursing / resident / day
    2 h 58 min
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