Cycle 1
Health 2024-12-18 · Fire 2024-12-18
6 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
8 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Granville, NY
Granville Center For Rehabilitation And Nursing
1-star overall rating with 2-star inspections with 6 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
17 Madison Street, Granville, NY
(518) 642-2710
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
116
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Centers Health Care
Operator or chain grouping
Approved since
1971-08-22
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
0.39
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.87
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.99
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.26
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.26
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.91
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.28
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.39
CMS adjusted RN staffing hours
Adjusted total hours
3.24
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
47%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
68%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,425
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
16.80
Composite VBP score used to determine payment impact.
Payment multiplier
0.9817
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.22
Baseline 20.37% · Performance 19.01% · Measure score 5.22 · Achievement 5.22 · Improvement 3.57
Healthcare-associated infections
1.50
Baseline 8.13% · Performance 7.50% · Measure score 1.50 · Achievement 1.11 · Improvement 1.50
Total nurse turnover
0
Baseline 56.67% · Performance 65.91% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0
Baseline 2.67 hours · Performance 2.80 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.59% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 91 · Observed rate 7.69% · Lower 95% interval 6.3% |
| Discharge to community | 42.68% |
50.57%
7.9 pts worse
|
No Different than the National Rate · Eligible stays 78 · Observed rate 30.77% · Lower 95% interval 31.57% |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 42 · Denominator 42 |
| Falls with major injury | 2.38% |
0.77%
1.6 pts worse
|
Numerator 1 · Denominator 42 |
| Discharge self-care score | 42.31% |
53.69%
11.4 pts worse
|
Numerator 11 · Denominator 26 |
| Discharge mobility score | 34.62% |
50.94%
16.3 pts worse
|
Numerator 9 · Denominator 26 |
| Pressure ulcers or injuries, new or worsened | 11.9% |
2.29%
9.6 pts worse
|
Numerator 5 · Denominator 42 · Adjusted rate 10.76% |
| Healthcare-associated infections requiring hospitalization | 7.5% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 39 · Observed rate 10.26% · Lower 95% interval 4.3% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 115 |
| Staff flu vaccination coverage | 56% |
42%
14 pts better
|
Numerator 98 · Denominator 175 |
| Discharge function score | 34.62% |
56.45%
21.8 pts worse
|
Numerator 9 · Denominator 26 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 22.73% |
25.2%
2.5 pts worse
|
Numerator 5 · Denominator 22 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.7
0.8 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.3
0.1 pts worse
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.2 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.2%
8.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 4.6% |
3.0%
1.6 pts worse
|
3.3%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 5.6% · Q3 4.1% · Q4 5.1% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 17.9% |
18.5%
0.6 pts better
|
11.4%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 20.6% · Q3 18.1% · Q4 11.3% · 4Q avg 17.9% |
| Percentage of long-stay residents who lose too much weight | 8.4% |
6.1%
2.3 pts worse
|
5.4%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 8.9% · Q3 10.0% · Q4 9.8% · 4Q avg 8.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.6% |
13.5%
5.1 pts worse
|
19.6%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.5% · Q2 21.5% · Q3 18.4% · Q4 19.2% · 4Q avg 18.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.4% |
14.8%
5.4 pts better
|
16.7%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 6.7% · Q3 9.2% · Q4 13.9% · 4Q avg 9.4% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.7% |
0.2%
0.5 pts worse
|
0.1%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 1.0% · Q4 1.0% · 4Q avg 0.7% |
| Percentage of long-stay residents whose ability to walk independently worsened | 16.8% |
15.1%
1.7 pts worse
|
16.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.4% · Q2 24.7% · Q3 15.2% · Q4 13.3% · 4Q avg 16.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.4% |
15.5%
1.1 pts better
|
14.9%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 15.5% · Q3 12.2% · Q4 16.1% · 4Q avg 14.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.6%
0.2 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 0.0% · Q4 0.8% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
1.4%
0.7 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.1% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.2% |
20.8%
10.4 pts worse
|
19.8%
11.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.7% · Q2 33.5% · Q3 27.2% · Q4 27.5% · 4Q avg 31.2% |
| Percentage of long-stay residents with pressure ulcers | 6.6% |
6.9%
0.3 pts better
|
5.1%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 9.4% · Q3 4.9% · Q4 6.1% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.6% |
76.7%
19.9 pts better
|
81.7%
14.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.9% · Q2 97.7% · Q3 96.1% · Q4 99.0% · 4Q avg 96.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.2% |
9.7%
0.5 pts worse
|
12.0%
1.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.2% · Observed 8.7% · Expected 9.6% · 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 | 93.5% |
78.8%
14.7 pts better
|
79.7%
13.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 11.2% |
20.6%
9.4 pts better
|
23.9%
12.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.2% · Observed 10.9% · Expected 23.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-09-23 · Fire 2022-09-23
6 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2020-03-05 · Fire 2020-03-05
11 health deficiencies
Top issue: Nursing and Physician Services (3 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-12-18
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-01-29
F · Potential for more than minimal harm
2024-12-18
E7 · Emergency Preparedness Deficiencies
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2025-01-29
F · Potential for more than minimal harm
2024-12-18
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Not marked corrected
F · Potential for more than minimal harm
2024-12-18
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2025-01-29
F · Potential for more than minimal harm
2024-12-18
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-15
E · Potential for more than minimal harm
2024-12-18
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-01-29
E · Potential for more than minimal harm
2024-12-18
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-01-29
E · Potential for more than minimal harm
2024-12-18
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-01-29
F · Potential for more than minimal harm
2022-09-23
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-11-01
E · Potential for more than minimal harm
2022-09-23
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2022-11-01
D · Potential for more than minimal harm
2022-09-23
K227 · Egress Deficiencies
Fire Safety
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Corrected 2022-11-01
E · Potential for more than minimal harm
2020-03-05
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-05-05
E · Potential for more than minimal harm
2020-03-05
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2020-03-27
E · Potential for more than minimal harm
2020-03-05
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2020-05-05
E · Potential for more than minimal harm
2020-03-05
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2020-05-05
E · Potential for more than minimal harm
2020-03-05
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2020-05-05
E · Potential for more than minimal harm
2020-03-05
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 2020-05-05
D · Potential for more than minimal harm
2020-03-05
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2020-05-05
D · Potential for more than minimal harm
2020-03-05
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2020-05-05
Inspection history
Recent health citations
F · Potential for more than minimal harm
2024-12-18
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 2025-02-10
E · Potential for more than minimal harm
2024-12-18
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-31
E · Potential for more than minimal harm
2024-12-18
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-01-31
D · Potential for more than minimal harm
2024-12-18
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-12-18
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-01-13
D · Potential for more than minimal harm
2024-12-18
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-01-31
D · Potential for more than minimal harm
2024-12-18
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2025-01-13
D · Potential for more than minimal harm
2023-12-19
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-11
E · Potential for more than minimal harm
2022-09-23
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 2022-11-01
E · Potential for more than minimal harm
2022-09-23
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 2022-11-01
D · Potential for more than minimal harm
2022-09-23
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 2022-11-01
D · Potential for more than minimal harm
2022-09-23
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2022-11-02
D · Potential for more than minimal harm
2022-09-23
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 2022-11-02
E · Potential for more than minimal harm
2020-03-05
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 2020-05-05
E · Potential for more than minimal harm
2020-03-05
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 2020-05-05
E · Potential for more than minimal harm
2020-03-05
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2020-05-05
E · Potential for more than minimal harm
2020-03-05
F947 · Nursing and Physician Services Deficiencies
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2020-05-05
D · Potential for more than minimal harm
2020-03-05
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 2020-05-05
D · Potential for more than minimal harm
2020-03-05
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2020-05-05
D · Potential for more than minimal harm
2020-03-05
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 2020-05-05
D · Potential for more than minimal harm
2020-03-05
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2020-05-05
D · Potential for more than minimal harm
2020-03-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-05-05
C · Minimal harm
2020-03-05
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 2020-05-05
Penalties and ownership
What sits behind the stars
Ownership
Rozenberg, Kenneth
5% Or Greater Direct Ownership Interest · Individual
Sicklick, Jeffrey
5% Or Greater Direct Ownership Interest · Individual
Jafri, Mikram
Operational/Managerial Control · Individual
Mailloux, Raymond
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Slate Valley Center For Rehabilitation And Nursing
Granville, NY
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 11 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
Fort Hudson Nursing Center Inc
Fort Edward, NY
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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