Albany, NY

Hudson Park Rehabilitation And Nursing Center

1-star overall rating with 1-star inspections with $9,750 in total fines with 12 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

325 Northern Boulevard, Albany, NY

(518) 449-1100

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

169

Certified beds

Average residents

187

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Upstate Services Group

Operator or chain grouping

Approved since

1999-01-30

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

17 facilities

Chain averages 2 overall / 2 health / 2 staffing / 3 quality stars

Changed ownership

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

0.82

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

1.67

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

2.91

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.24

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

2.39

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.18

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.48

CMS adjusted RN staffing hours

Adjusted total hours

3.31

CMS adjusted total nurse staffing hours

Case-mix index

1.20

Higher values indicate more complex resident acuity

RN turnover

25%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

54%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,179

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

Performance score

33.75

Composite VBP score used to determine payment impact.

Payment multiplier

0.9879

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.10

Baseline 19.89% · Performance 20.00% · Measure score 3.10 · Achievement 3.10 · Improvement 0

Healthcare-associated infections

7.14

Baseline 8.37% · Performance 5.79% · Measure score 7.14 · Achievement 6.84 · Improvement 7.14

Total nurse turnover

2.74

Baseline 37.84% · Performance 52.48% · Measure score 2.74 · Achievement 2.74 · Improvement 0

Adjusted total nurse staffing

0.52

Baseline 3.83 hours · Performance 3.23 hours · Measure score 0.52 · Achievement 0.52 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11%	10.72% 0.3 pts worse	No Different than the National Rate · Eligible stays 100 · Observed rate 14% · Lower 95% interval 7.47%
Discharge to community	38.82%	50.57% 11.8 pts worse	Worse than the National Rate · Eligible stays 81 · Observed rate 27.16% · Lower 95% interval 26.19%
Medicare spending per beneficiary	0.71	1.02 0.3 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 97 · Denominator 97
Falls with major injury	1.03%	0.77% 0.3 pts worse	Numerator 1 · Denominator 97
Discharge self-care score	38.03%	53.69% 15.7 pts worse	Numerator 27 · Denominator 71
Discharge mobility score	36.62%	50.94% 14.3 pts worse	Numerator 26 · Denominator 71
Pressure ulcers or injuries, new or worsened	4.12%	2.29% 1.8 pts worse	Numerator 4 · Denominator 97 · Adjusted rate 4.1%
Healthcare-associated infections requiring hospitalization	5.79%	7.12% 1.3 pts better	No Different than the National Rate · Eligible stays 69 · Observed rate 4.35% · Lower 95% interval 3.32%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 341
Staff flu vaccination coverage	50.52%	42% 8.5 pts better	Numerator 145 · Denominator 287
Discharge function score	49.3%	56.45% 7.2 pts worse	Numerator 35 · Denominator 71
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 24 · Denominator 24
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	14.06%	25.2% 11.1 pts worse	Numerator 9 · Denominator 64

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 1.9 · Expected 3.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.9	1.3 0.4 pts better	1.8 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 1.3 · Expected 2.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	82.2%	91.2% 9 pts worse	93.4% 11.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 84.1% · Q2 83.5% · Q3 81.4% · Q4 79.9% · 4Q avg 82.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	79.2%	95.3% 16.1 pts worse	95.5% 16.3 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 79.2%
Percentage of long-stay residents experiencing one or more falls with major injury	6.5%	3.0% 3.5 pts worse	3.3% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 7.9% · Q3 6.0% · Q4 5.9% · 4Q avg 6.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.9%	18.5% 15.6 pts better	11.4% 8.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 3.8% · Q3 0.7% · Q4 3.2% · 4Q avg 2.9%
Percentage of long-stay residents who lose too much weight	6.0%	6.1% 0.1 pts better	5.4% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 11.4% · Q3 3.1% · Q4 5.6% · 4Q avg 6.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.4%	13.5% 2.9 pts worse	19.6% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 16.2% · Q3 16.7% · Q4 13.3% · 4Q avg 16.4%
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	20.3%	15.1% 5.2 pts worse	16.3% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.5% · Q2 23.0% · Q3 17.1% · Q4 10.9% · 4Q avg 20.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	21.2%	15.5% 5.7 pts worse	14.9% 6.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.3% · Q2 20.1% · Q3 20.3% · Q4 11.6% · 4Q avg 21.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.1%	0.6% 0.5 pts worse	1.0% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.5% · Q2 1.3% · Q3 1.6% · Q4 1.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.4% 1.4 pts better	1.7% 1.7 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 new or worsened bowel or bladder incontinence	24.4%	20.8% 3.6 pts worse	19.8% 4.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.5% · Q2 20.6% · Q3 21.8% · Q4 24.0% · 4Q avg 24.4%
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 5.9% · Q2 6.2% · Q3 8.5% · Q4 5.8% · 4Q avg 6.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	62.1%	76.7% 14.6 pts worse	81.7% 19.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 65.1% · Q2 61.3% · Q3 63.0% · Q4 59.2% · 4Q avg 62.1%
Percentage of short-stay residents who had an outpatient emergency department visit	6.4%	9.7% 3.3 pts better	12.0% 5.6 pts better	Short Stay · 20240701-20250630 · Adjusted 6.4% · Observed 7.1% · Expected 12.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.0%	1.2% 0.2 pts better	1.6% 0.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.2% · Q3 0.0% · Q4 1.4% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	60.0%	78.8% 18.8 pts worse	79.7% 19.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 60.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.2%	20.6% 0.6 pts worse	23.9% 2.7 pts better	Short Stay · 20240701-20250630 · Adjusted 21.2% · Observed 22.4% · Expected 25.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-12 · Fire 2024-06-12

12 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2021-11-05 · Fire 2021-11-05

14 health deficiencies

Top issue: Resident Rights (4 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2019-06-28 · Fire 2019-06-28

15 health deficiencies

Top issue: Nutrition and Dietary (4 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 2024-06-12

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2024-07-30

F · Potential for more than minimal harm 2024-06-12

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-07-10

F · Potential for more than minimal harm 2024-06-12

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-07-30

F · Potential for more than minimal harm 2024-06-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-07-30

E · Potential for more than minimal harm 2021-11-05

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-12-28

E · Potential for more than minimal harm 2021-11-05

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2021-12-28

E · Potential for more than minimal harm 2019-06-28

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-08-10

E · Potential for more than minimal harm 2019-06-28

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2019-08-10

E · Potential for more than minimal harm 2019-06-28

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-08-10

E · Potential for more than minimal harm 2019-06-28

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2019-08-10

E · Potential for more than minimal harm 2019-06-28

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2019-08-10

D · Potential for more than minimal harm 2019-06-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-08-10

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-06-12

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 2024-07-30

E · Potential for more than minimal harm 2024-06-12

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 2024-07-30

E · Potential for more than minimal harm 2024-06-12

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-07-30

E · Potential for more than minimal harm 2024-06-12

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 2024-07-30

E · Potential for more than minimal harm 2024-06-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-07-30

E · Potential for more than minimal harm 2024-06-12

F924 · Environmental Deficiencies

Health

Put firmly secured handrails on each side of hallways.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-12

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-12

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-12

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 2024-07-30

D · Potential for more than minimal harm 2024-06-12

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-12

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2024-07-30

D · Potential for more than minimal harm 2024-06-12

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-07-30

E · Potential for more than minimal harm 2024-04-25

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2023-10-13

E · Potential for more than minimal harm 2024-04-23

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 2024-06-11

D · Potential for more than minimal harm 2024-04-23

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-06-11

D · Potential for more than minimal harm 2024-04-23

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-06-11

D · Potential for more than minimal harm 2023-09-01

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 2023-10-31

E · Potential for more than minimal harm 2023-08-31

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2023-10-10

E · Potential for more than minimal harm 2023-03-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-04-25

E · Potential for more than minimal harm 2021-11-05

F655 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2021-12-28

D · Potential for more than minimal harm 2021-11-05

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 2021-12-28

D · Potential for more than minimal harm 2021-11-05

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 2021-12-28

D · Potential for more than minimal harm 2021-11-05

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 2021-12-28

D · Potential for more than minimal harm 2021-11-05

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2021-12-28

D · Potential for more than minimal harm 2021-11-05

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 2021-12-28

D · Potential for more than minimal harm 2021-11-05

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2021-12-28

D · Potential for more than minimal harm 2021-11-05

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 2021-12-28

D · Potential for more than minimal harm 2021-11-05

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 2021-12-28

D · Potential for more than minimal harm 2021-11-05

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 2021-12-28

E · Potential for more than minimal harm 2019-06-28

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-08-10

E · Potential for more than minimal harm 2019-06-28

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 2019-08-10

E · Potential for more than minimal harm 2019-06-28

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2019-08-10

E · Potential for more than minimal harm 2019-06-28

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2019-08-10

D · Potential for more than minimal harm 2019-06-28

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 2019-08-10

D · Potential for more than minimal harm 2019-06-28

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2019-08-10

D · Potential for more than minimal harm 2019-06-28

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2019-08-10

D · Potential for more than minimal harm 2019-06-28

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2019-08-10

D · Potential for more than minimal harm 2019-06-28

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2019-08-10

D · Potential for more than minimal harm 2019-06-28

F836 · Administration Deficiencies

Health

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.

Corrected 2019-08-10

D · Potential for more than minimal harm 2019-06-28

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2019-08-10

C · Minimal harm 2019-06-28

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 2019-08-10

Penalties and ownership