Cycle 1
Health 2024-03-15 · Fire 2024-03-15
5 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Cortland, NY
Guthrie Cortland Medical Center
4-star overall rating with 3-star inspections with $70,434 in total fines with 5 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
134 Homer Avenue, Cortland, NY
(607) 756-3909
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
80
Certified beds
Average residents
72
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1993-10-27
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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
1.00
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.33
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.71
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
5.04
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
2.33
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.92
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.37
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
1.00
CMS adjusted RN staffing hours
Adjusted total hours
5.06
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
28%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,382
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
26.93
Composite VBP score used to determine payment impact.
Payment multiplier
0.9844
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 22.30% · Performance 22.06% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 5.88% · Performance 8.09% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.48
Performance 37.21% · Measure score 6.48 · Achievement 6.48 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
4.30
Baseline 3.78 hours · Performance 4.3 hours · Measure score 4.30 · Achievement 4.30 · Improvement 2.1
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.1% |
10.72%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 247 · Observed rate 12.96% · Lower 95% interval 9.24% |
| Discharge to community | 53.3% |
50.57%
2.7 pts better
|
No Different than the National Rate · Eligible stays 290 · Observed rate 46.9% · Lower 95% interval 47.32% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 92.41% |
95.27%
2.9 pts worse
|
Numerator 146 · Denominator 158 |
| Falls with major injury | 0.63% |
0.77%
0.1 pts better
|
Numerator 1 · Denominator 158 |
| Discharge self-care score | 52.85% |
53.69%
0.8 pts worse
|
Numerator 65 · Denominator 123 |
| Discharge mobility score | 69.11% |
50.94%
18.2 pts better
|
Numerator 85 · Denominator 123 |
| Pressure ulcers or injuries, new or worsened | 3.16% |
2.29%
0.9 pts worse
|
Numerator 5 · Denominator 158 · Adjusted rate 3.94% |
| Healthcare-associated infections requiring hospitalization | 8.09% |
7.12%
1 pts worse
|
No Different than the National Rate · Eligible stays 130 · Observed rate 8.46% · Lower 95% interval 5.35% |
| Staff COVID-19 vaccination coverage | 2.3% |
8.2%
5.9 pts worse
|
Numerator 4 · Denominator 174 |
| Staff flu vaccination coverage | 96.46% |
42%
54.5 pts better
|
Numerator 109 · Denominator 113 |
| Discharge function score | 67.48% |
56.45%
11 pts better
|
Numerator 83 · Denominator 123 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 84 · Denominator 84 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 51 · Denominator 51 |
| Resident COVID-19 vaccinations up to date | 39% |
25.2%
13.8 pts better
|
Numerator 39 · Denominator 100 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.7
0.5 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.6 · 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 1.2 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.6% |
91.2%
7.4 pts better
|
93.4%
5.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 94.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 98.6% |
| 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 | 5.2% |
3.0%
2.2 pts worse
|
3.3%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 7.7% · Q3 3.8% · Q4 3.5% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 11.9% |
18.5%
6.6 pts better
|
11.4%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 15.2% · Q3 11.4% · Q4 9.1% · 4Q avg 11.9% |
| Percentage of long-stay residents who lose too much weight | 9.7% |
6.1%
3.6 pts worse
|
5.4%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 8.6% · Q3 10.8% · Q4 7.5% · 4Q avg 9.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.9% |
13.5%
7.4 pts worse
|
19.6%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.9% · Q2 18.9% · Q3 23.7% · Q4 20.0% · 4Q avg 20.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.9% |
14.8%
6.1 pts worse
|
16.7%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 20.0% · Q3 20.8% · Q4 22.4% · 4Q avg 20.9% · 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 | 16.4% |
15.1%
1.3 pts worse
|
16.3%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.2% |
15.5%
4.3 pts better
|
14.9%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 5.6% · Q3 8.1% · Q4 21.1% · 4Q avg 11.2% · 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 | 1.0% |
1.4%
0.4 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.2% |
20.8%
6.4 pts worse
|
19.8%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.6% · Q2 29.1% · Q3 22.0% · Q4 28.3% · 4Q avg 27.2% |
| Percentage of long-stay residents with pressure ulcers | 4.3% |
6.9%
2.6 pts better
|
5.1%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 4.4% · Q3 1.5% · Q4 4.8% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.2% |
76.7%
12.5 pts better
|
81.7%
7.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 78.6% · Q2 85.9% · Q3 96.3% · Q4 97.0% · 4Q avg 89.2% |
| 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 10.0% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.2%
0.9 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.4% |
78.8%
14.6 pts better
|
79.7%
13.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.2% |
20.6%
3.6 pts worse
|
23.9%
0.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.2% · Observed 21.9% · Expected 21.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-12-17 · Fire 2021-12-17
1 health deficiencies
Top issue: Resident Rights (1 deficiency)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2019-08-02 · Fire 2019-08-02
9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-03-15
K133 · Construction Deficiencies
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2024-05-14
E · Potential for more than minimal harm
2024-03-15
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-05-14
E · Potential for more than minimal harm
2024-03-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-14
E · Potential for more than minimal harm
2024-03-15
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-05-14
E · Potential for more than minimal harm
2024-03-15
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-05-14
E · Potential for more than minimal harm
2024-03-15
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-05-14
D · Potential for more than minimal harm
2024-03-15
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-05-14
D · Potential for more than minimal harm
2024-03-15
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-05-14
D · Potential for more than minimal harm
2024-03-15
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-05-15
D · Potential for more than minimal harm
2024-03-15
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-05-14
D · Potential for more than minimal harm
2024-03-15
K907 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure medical gas and vacuum systems have documented maintenance programs.
Corrected 2024-05-14
D · Potential for more than minimal harm
2024-03-15
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-08
E · Potential for more than minimal harm
2021-12-17
K133 · Construction Deficiencies
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2022-02-03
E · Potential for more than minimal harm
2021-12-17
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-02-03
E · Potential for more than minimal harm
2021-12-17
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2022-02-03
D · Potential for more than minimal harm
2021-12-17
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-02-03
D · Potential for more than minimal harm
2021-12-17
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2022-02-03
D · Potential for more than minimal harm
2021-12-17
K901 · Electrical Deficiencies
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2022-02-16
D · Potential for more than minimal harm
2021-12-17
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-02-03
D · Potential for more than minimal harm
2019-08-02
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-09-27
D · Potential for more than minimal harm
2019-08-02
K909 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure gas and vacuum piping is labeled.
Corrected 2019-09-27
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-03-15
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 2024-04-30
D · Potential for more than minimal harm
2024-03-15
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-04-30
D · Potential for more than minimal harm
2024-03-15
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-04-30
D · Potential for more than minimal harm
2024-03-15
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-04-30
C · Minimal harm
2024-03-15
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-04-30
G · Actual harm
2023-09-11
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-03
G · Actual harm
2023-09-11
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2023-11-03
D · Potential for more than minimal harm
2023-09-11
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-11-03
D · Potential for more than minimal harm
2021-12-17
F585 · Resident Rights Deficiencies
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2022-02-14
E · Potential for more than minimal harm
2019-08-02
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2019-09-27
D · Potential for more than minimal harm
2019-08-02
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 2019-09-27
D · Potential for more than minimal harm
2019-08-02
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 2019-09-27
D · Potential for more than minimal harm
2019-08-02
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-09-27
D · Potential for more than minimal harm
2019-08-02
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 2019-09-27
D · Potential for more than minimal harm
2019-08-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-09-27
Penalties and ownership
What sits behind the stars
$70,434
2023-09-11
Fine
Fine · fine $70,434
Fine
Ownership
Ali, Mohammad
Corporate Director · Individual
Hayes, Patrick
Corporate Director · Individual
Johnson, David
Corporate Director · Individual
Johnson, David
Corporate Officer · Individual
Latten, Darlene
Corporate Director · Individual
Macafee, Francis
Corporate Officer · Individual
Macafee, Francis
W-2 Managing Employee · Individual
Neuman, Matthew
Corporate Director · Individual
Parvizi, Nasrin
Corporate Director · Individual
Patel, Darshan
Corporate Director · Individual
Puzo, Joseph
Corporate Director · Individual
Puzo, Joseph
Corporate Officer · Individual
Raymond, Mark
Corporate Director · Individual
Raymond, Mark
Corporate Officer · Individual
Settineri, Marc
Corporate Director · Individual
The Guthrie Clinic
Operational/Managerial Control · Organization
Vangorder, Garry
Corporate Director · Individual
Vangorder, Garry
Corporate Officer · Individual
Vervalin, Paul
Corporate Director · Individual
Wirtz, David
Corporate Director · Individual
Wright, Mary
Corporate Officer · Individual
Wright, Mary
W-2 Managing Employee · Individual
Yartym, Jennifer
Corporate Director · Individual
Yartym, Jennifer
Corporate Officer · Individual
Yartym, Jennifer
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Cortland Park Rehabilitation And Nursing Center
Cortland, NY
3-star overall rating with 3-star inspections with $76,339 in total fines with 3 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#2
Crown Park Rehabilitation And Nursing Center
Cortland, NY
1-star overall rating with 2-star inspections with 9 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Groton Community Health Care Ctr Res Care Fac
Groton, NY
1-star overall rating with 1-star inspections with Special Focus status with $132,948 in total fines with 16 recent health deficiencies with 23 fire-safety deficiencies in the latest cycle
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