Cycle 1
Health 2024-12-06 · Fire 2024-12-06
6 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fort Edward, NY
Fort Hudson Nursing Center Inc
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
319 Upper Broadway, Fort Edward, NY
(518) 747-2811
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
196
Certified beds
Average residents
181
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1970-01-12
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
0.42
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.99
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.93
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.35
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.42
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.68
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.14
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.45
CMS adjusted RN staffing hours
Adjusted total hours
3.54
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
2,434
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
49.80
Composite VBP score used to determine payment impact.
Payment multiplier
1.0038
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.18
Baseline 17.59% · Performance 18.57% · Measure score 6.18 · Achievement 6.18 · Improvement 0
Healthcare-associated infections
6.17
Baseline 5.35% · Performance 5.99% · Measure score 6.17 · Achievement 6.17 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
2.59
Baseline 3.98 hours · Performance 3.82 hours · Measure score 2.59 · Achievement 2.59 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.27% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 138 · Observed rate 7.25% · Lower 95% interval 6.72% |
| Discharge to community | 53.53% |
50.57%
3 pts better
|
No Different than the National Rate · Eligible stays 154 · Observed rate 50.65% · Lower 95% interval 45.01% |
| Medicare spending per beneficiary | 1.06 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 93.48% |
95.27%
1.8 pts worse
|
Numerator 86 · Denominator 92 |
| Falls with major injury | 3.26% |
0.77%
2.5 pts worse
|
Numerator 3 · Denominator 92 |
| Discharge self-care score | 70.13% |
53.69%
16.4 pts better
|
Numerator 54 · Denominator 77 |
| Discharge mobility score | 63.64% |
50.94%
12.7 pts better
|
Numerator 49 · Denominator 77 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 92 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.99% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 95 · Observed rate 3.16% · Lower 95% interval 3.36% |
| Staff COVID-19 vaccination coverage | 2.38% |
8.2%
5.8 pts worse
|
Numerator 7 · Denominator 294 |
| Staff flu vaccination coverage | 87.91% |
42%
45.9 pts better
|
Numerator 320 · Denominator 364 |
| Discharge function score | 64.94% |
56.45%
8.5 pts better
|
Numerator 50 · Denominator 77 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 56 · Denominator 56 |
| Resident COVID-19 vaccinations up to date | 41.03% |
25.2%
15.8 pts better
|
Numerator 16 · Denominator 39 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.7
0.6 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.8 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.3
0.1 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.9 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.7% |
91.2%
1.5 pts worse
|
93.4%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 78.0% · Q2 92.3% · Q3 95.6% · Q4 93.4% · 4Q avg 89.7% |
| 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 | 4.7% |
3.0%
1.7 pts worse
|
3.3%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 4.1% · Q3 4.4% · Q4 6.0% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.2% |
18.5%
17.3 pts better
|
11.4%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.0% · Q3 0.7% · Q4 0.0% · 4Q avg 1.2% |
| 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 6.3% · Q2 9.2% · Q3 4.5% · Q4 4.8% · 4Q avg 6.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.2% |
13.5%
6.7 pts worse
|
19.6%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.6% · Q2 19.6% · Q3 20.4% · Q4 17.1% · 4Q avg 20.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.1% |
14.8%
7.7 pts better
|
16.7%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 7.3% · Q3 8.5% · Q4 5.0% · 4Q avg 7.1% · 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 | 28.2% |
15.1%
13.1 pts worse
|
16.3%
11.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.7% · Q2 34.0% · Q3 20.0% · Q4 26.7% · 4Q avg 28.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 31.6% |
15.5%
16.1 pts worse
|
14.9%
16.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.8% · Q2 36.3% · Q3 28.6% · Q4 28.6% · 4Q avg 31.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.9% |
0.6%
0.3 pts worse
|
1.0%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.1% · Q3 1.1% · Q4 0.6% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
1.4%
0.3 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.6% · Q3 0.6% · Q4 1.8% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.9% |
20.8%
10.1 pts worse
|
19.8%
11.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.9% · Q2 37.9% · Q3 30.7% · Q4 26.9% · 4Q avg 30.9% |
| Percentage of long-stay residents with pressure ulcers | 3.0% |
6.9%
3.9 pts better
|
5.1%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 4.5% · Q3 1.1% · Q4 2.7% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.8% |
76.7%
5.1 pts better
|
81.7%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 73.8% · Q2 73.6% · Q3 85.2% · Q4 93.0% · 4Q avg 81.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.4% |
9.7%
0.3 pts better
|
12.0%
2.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.4% · Observed 8.2% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.2% |
78.8%
16.4 pts better
|
79.7%
15.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.3% |
20.6%
0.3 pts better
|
23.9%
3.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.3% · Observed 16.4% · Expected 19.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-12-13 · Fire 2021-12-13
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2019-07-12 · Fire 2019-07-12
6 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-12-06
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-02-03
F · Potential for more than minimal harm
2024-12-06
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-02-03
E · Potential for more than minimal harm
2024-12-06
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-02-03
E · Potential for more than minimal harm
2024-12-06
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-02-03
E · Potential for more than minimal harm
2024-12-06
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-02-14
E · Potential for more than minimal harm
2021-12-13
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2022-01-31
E · Potential for more than minimal harm
2019-07-12
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-09-05
E · Potential for more than minimal harm
2019-07-12
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-09-05
E · Potential for more than minimal harm
2019-07-12
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-09-05
E · Potential for more than minimal harm
2019-07-12
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 2019-09-05
E · Potential for more than minimal harm
2019-07-12
K926 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2019-09-05
E · Potential for more than minimal harm
2019-07-12
K929 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2019-09-05
Inspection history
Recent health citations
F · Potential for more than minimal harm
2024-12-06
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-01-31
D · Potential for more than minimal harm
2024-12-06
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-01-15
D · Potential for more than minimal harm
2024-12-06
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 2025-01-14
D · Potential for more than minimal harm
2024-12-06
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 2025-01-17
D · Potential for more than minimal harm
2024-12-06
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-12-06
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-01-31
E · Potential for more than minimal harm
2021-12-13
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 2022-01-31
D · Potential for more than minimal harm
2021-12-13
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 2022-01-31
E · Potential for more than minimal harm
2019-07-12
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 2019-09-05
D · Potential for more than minimal harm
2019-07-12
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2019-09-05
D · Potential for more than minimal harm
2019-07-12
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-09-05
D · Potential for more than minimal harm
2019-07-12
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-09-05
D · Potential for more than minimal harm
2019-07-12
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2019-09-05
D · Potential for more than minimal harm
2019-07-12
F813 · Nutrition and Dietary Deficiencies
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2019-09-05
Penalties and ownership
What sits behind the stars
Ownership
Coburn, John
Corporate Officer · Individual
Coburn, John
W-2 Managing Employee · Individual
Cruikshank, Andrew
Corporate Officer · Individual
Cruikshank, Andrew
W-2 Managing Employee · Individual
Gara, Philip
Contracted Managing Employee · Individual
Glens Falls National Bank And Trust Company
5% Or Greater Mortgage Interest · Organization
Waite, Amanda
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
The Pines At Glens Falls Ctr For Nursing & Rehab
Glens Falls, NY
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Washington Center For Rehab And Healthcare
Argyle, NY
3-star overall rating with 2-star inspections with abuse icon flag with $29,321 in total fines with 4 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
Glens Falls Center For Rehabilitation And Nursing
Glens Falls, NY
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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