Elizabethtown, NY

Essex Center For Rehabilitation And Healthcare

2-star overall rating with 3-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

81 Park Street, Elizabethtown, NY

(518) 873-3570

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

94

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Centers Health Care

Operator or chain grouping

Approved since

1975-12-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

35 facilities

Chain averages 2 overall / 2 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

0.30

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.84

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.06

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.20

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.14

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

3.07

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.15

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.17

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.30

CMS adjusted RN staffing hours

Adjusted total hours

3.21

CMS adjusted total nurse staffing hours

Case-mix index

1.36

Higher values indicate more complex resident acuity

RN turnover

63%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

77%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,519

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

Performance score

4.18

Composite VBP score used to determine payment impact.

Payment multiplier

0.9805

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 18.96% · Performance 21.78% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 4.69% · Performance 8.60% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

0.02

Baseline 85.26% · Performance 82.10% · Measure score 0.02 · Achievement 0 · Improvement 0.02

Adjusted total nurse staffing

1.65

Baseline 3.36 hours · Performance 3.55 hours · Measure score 1.65 · Achievement 1.65 · Improvement 0.26

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.54%	10.72% 1.8 pts worse	No Different than the National Rate · Eligible stays 67 · Observed rate 19.4% · Lower 95% interval 8.97%
Discharge to community	36.8%	50.57% 13.8 pts worse	Worse than the National Rate · Eligible stays 64 · Observed rate 21.88% · Lower 95% interval 24.8%
Medicare spending per beneficiary	1.26	1.02 0.2 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 46 · Denominator 46
Falls with major injury	6.52%	0.77% 5.8 pts worse	Numerator 3 · Denominator 46
Discharge self-care score	69.57%	53.69% 15.9 pts better	Numerator 16 · Denominator 23
Discharge mobility score	52.17%	50.94% 1.2 pts better	Numerator 12 · Denominator 23
Pressure ulcers or injuries, new or worsened	2.17%	2.29% 0.1 pts better	Numerator 1 · Denominator 46 · Adjusted rate 1.89%
Healthcare-associated infections requiring hospitalization	8.59%	7.12% 1.5 pts worse	No Different than the National Rate · Eligible stays 49 · Observed rate 14.29% · Lower 95% interval 4.82%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 79
Staff flu vaccination coverage	59.6%	42% 17.6 pts better	Numerator 90 · Denominator 151
Discharge function score	60.87%	56.45% 4.4 pts better	Numerator 14 · Denominator 23
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 21 · Denominator 21
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	3.45%	25.2% 21.8 pts worse	Numerator 1 · Denominator 29

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 1.7 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.3	1.3 2 pts worse	1.8 1.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.3 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	92.6%	91.2% 1.4 pts better	93.4% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 90.2% · Q2 89.4% · Q3 93.4% · Q4 97.6% · 4Q avg 92.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.0%	95.3% 3.7 pts better	95.5% 3.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0%
Percentage of long-stay residents experiencing one or more falls with major injury	5.2%	3.0% 2.2 pts worse	3.3% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 3.5% · Q3 2.6% · Q4 6.1% · 4Q avg 5.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	56.5%	18.5% 38 pts worse	11.4% 45.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 53.8% · Q2 65.8% · Q3 55.4% · Q4 50.7% · 4Q avg 56.5%
Percentage of long-stay residents who lose too much weight	11.9%	6.1% 5.8 pts worse	5.4% 6.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 8.5% · Q3 12.1% · Q4 12.3% · 4Q avg 11.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	17.9%	13.5% 4.4 pts worse	19.6% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.3% · Q2 22.4% · Q3 14.5% · Q4 16.0% · 4Q avg 17.9%
Percentage of long-stay residents who received an antipsychotic medication	8.4%	14.8% 6.4 pts better	16.7% 8.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 4.7% · Q3 5.2% · Q4 7.5% · 4Q avg 8.4% · 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	22.6%	15.1% 7.5 pts worse	16.3% 6.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 20.1% · Q3 16.1% · Q4 26.7% · 4Q avg 22.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	21.8%	15.5% 6.3 pts worse	14.9% 6.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 23.5% · Q3 12.5% · Q4 20.3% · 4Q avg 21.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.6% 0.6 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.3%	1.4% 0.1 pts better	1.7% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 1.3% · Q4 1.3% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	11.6%	20.8% 9.2 pts better	19.8% 8.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 23.4% · Q2 10.6% · Q3 2.4% · Q4 8.9% · 4Q avg 11.6%
Percentage of long-stay residents with pressure ulcers	8.0%	6.9% 1.1 pts worse	5.1% 2.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 11.5% · Q3 6.2% · Q4 7.0% · 4Q avg 8.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	80.5%	76.7% 3.8 pts better	81.7% 1.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 94.3% · Q2 77.8% · Q3 75.0% · Q4 77.3% · 4Q avg 80.5%
Percentage of short-stay residents who had an outpatient emergency department visit	14.5%	9.7% 4.8 pts worse	12.0% 2.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.5% · Observed 14.8% · Expected 11.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.0%	1.2% 0.8 pts worse	1.6% 0.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 2.2% · Q3 0.0% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	85.9%	78.8% 7.1 pts better	79.7% 6.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 85.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.2%	20.6% 0.4 pts better	23.9% 3.7 pts better	Short Stay · 20240701-20250630 · Adjusted 20.2% · Observed 19.7% · Expected 23.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-13 · Fire 2024-11-13

5 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2022-12-19 · Fire 2022-12-19

12 health deficiencies

Top issue: Resident Rights (4 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2020-03-06 · Fire 2020-03-06

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-11-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-02-04

F · Potential for more than minimal harm 2024-11-13

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-12-16

E · Potential for more than minimal harm 2024-11-13

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-12-27

E · Potential for more than minimal harm 2024-11-13

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-12-16

E · Potential for more than minimal harm 2022-12-19

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-02-10

E · Potential for more than minimal harm 2022-12-19

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-03-03

E · Potential for more than minimal harm 2022-12-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-02-10

E · Potential for more than minimal harm 2022-12-19

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-02-10

E · Potential for more than minimal harm 2022-12-19

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-02-10

E · Potential for more than minimal harm 2020-03-06

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2020-05-06

E · Potential for more than minimal harm 2020-03-06

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2020-05-06

E · Potential for more than minimal harm 2020-03-06

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2020-05-06

E · Potential for more than minimal harm 2020-03-06

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2020-05-06

E · Potential for more than minimal harm 2020-03-06

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2020-05-06

D · Potential for more than minimal harm 2020-03-06

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2020-05-06

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-11-13

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 2024-11-24

E · Potential for more than minimal harm 2024-11-13

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 2024-11-13

D · Potential for more than minimal harm 2024-11-13

F582 · Resident Rights Deficiencies

Health

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

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-11-13

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 2024-12-20

D · Potential for more than minimal harm 2024-11-13

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-12-13

D · Potential for more than minimal harm 2024-11-13

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 2024-11-13

D · Potential for more than minimal harm 2024-11-13

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-12-05

E · Potential for more than minimal harm 2024-06-18

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 2024-07-26

D · Potential for more than minimal harm 2024-06-18

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 2024-07-26

D · Potential for more than minimal harm 2024-06-18

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-07-26

D · Potential for more than minimal harm 2024-06-18

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 2024-07-26

E · Potential for more than minimal harm 2022-12-19

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 2023-02-10

E · Potential for more than minimal harm 2022-12-19

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 2023-02-10

D · Potential for more than minimal harm 2022-12-19

F551 · Resident Rights Deficiencies

Health

Give the resident's representative the ability to exercise the resident's rights.

Corrected 2023-02-10

D · Potential for more than minimal harm 2022-12-19

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 2023-02-10

D · Potential for more than minimal harm 2022-12-19

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-02-10

D · Potential for more than minimal harm 2022-12-19

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 2023-02-10

D · Potential for more than minimal harm 2020-03-06

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 2020-05-06

D · Potential for more than minimal harm 2020-03-06