4 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
3 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Endicott, NY
2-star overall rating with 1-star inspections with $28,140 in total fines with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
601 High Avenue, Endicott, NY
(607) 786-7300
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
150
Certified beds
Average residents
119
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1976-05-03
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
RN hours / resident day
0.60
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.30
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.50
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.40
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.90
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.79
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.26
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
0.69
CMS adjusted RN staffing hours
Adjusted total hours
5.03
CMS adjusted total nurse staffing hours
Case-mix index
1.20
Higher values indicate more complex resident acuity
RN turnover
24%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
26%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
499
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
68.75
Composite VBP score used to determine payment impact.
Payment multiplier
1.0217
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.66
Baseline 19.02% · Performance 18.35% · Measure score 6.66 · Achievement 6.66 · Improvement 2.88
Healthcare-associated infections
6.66
Baseline 5.13% · Performance 5.84% · Measure score 6.66 · Achievement 6.66 · Improvement 0
Total nurse turnover
8.16
Baseline 57.04% · Performance 30.33% · Measure score 8.16 · Achievement 8.16 · Improvement 7.80
Adjusted total nurse staffing
6.02
Baseline 4.46 hours · Performance 4.79 hours · Measure score 6.02 · Achievement 6.02 · Improvement 1.98
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.44% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 283 · Observed rate 7.77% · Lower 95% interval 7.72% |
| Discharge to community | 61.64% |
50.57%
11.1 pts better
|
Better than the National Rate · Eligible stays 283 · Observed rate 63.96% · Lower 95% interval 55.92% |
| Medicare spending per beneficiary | 0.65 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 98.77% |
95.27%
3.5 pts better
|
Numerator 160 · Denominator 162 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 162 |
| Discharge self-care score | 67.13% |
53.69%
13.4 pts better
|
Numerator 96 · Denominator 143 |
| Discharge mobility score | 66.43% |
50.94%
15.5 pts better
|
Numerator 95 · Denominator 143 |
| Pressure ulcers or injuries, new or worsened | 4.94% |
2.29%
2.7 pts worse
|
Numerator 8 · Denominator 162 · Adjusted rate 6.14% |
| Healthcare-associated infections requiring hospitalization | 5.84% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 145 · Observed rate 2.76% · Lower 95% interval 3.98% |
| Staff COVID-19 vaccination coverage | 2.02% |
8.2%
6.2 pts worse
|
Numerator 5 · Denominator 248 |
| Staff flu vaccination coverage | 86.87% |
42%
44.9 pts better
|
Numerator 258 · Denominator 297 |
| Discharge function score | 73.43% |
56.45%
17 pts better
|
Numerator 105 · Denominator 143 |
| Transfer of health information to provider | 94.26% |
95.95%
1.7 pts worse
|
Numerator 115 · Denominator 122 |
| Transfer of health information to patient | 90% |
96.28%
6.3 pts worse
|
Numerator 18 · Denominator 20 |
| Resident COVID-19 vaccinations up to date | 34.88% |
25.2%
9.7 pts better
|
Numerator 30 · Denominator 86 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.9% |
91.2%
6.7 pts better
|
93.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.7% · Q2 95.6% · Q3 100.0% · Q4 100.0% · 4Q avg 97.9% |
| 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 | 4.3% |
3.0%
1.3 pts worse
|
3.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 4.4% · Q3 5.5% · Q4 4.0% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
18.5%
18.5 pts better
|
11.4%
11.4 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 who lose too much weight | 2.8% |
6.1%
3.3 pts better
|
5.4%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 5.4% · Q3 1.2% · Q4 2.4% · 4Q avg 2.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.4% |
13.5%
6.1 pts better
|
19.6%
12.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 8.3% · Q3 9.2% · Q4 6.3% · 4Q avg 7.4% |
| 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 7.5% · Q2 7.9% · Q3 11.6% · Q4 10.2% · 4Q avg 9.4% · 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 | 12.6% |
15.1%
2.5 pts better
|
16.3%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 12.1% · Q3 11.7% · Q4 10.9% · 4Q avg 12.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.0% |
15.5%
2.5 pts better
|
14.9%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 13.9% · Q3 18.3% · Q4 5.6% · 4Q avg 13.0% · 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 | 0.8% |
1.4%
0.6 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.1% |
20.8%
2.7 pts better
|
19.8%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 12.7% · Q3 12.8% · Q4 24.3% · 4Q avg 18.1% |
| Percentage of long-stay residents with pressure ulcers | 3.8% |
6.9%
3.1 pts better
|
5.1%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 3.9% · Q3 2.4% · Q4 3.3% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
76.7%
22.7 pts better
|
81.7%
17.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 98.7% · Q3 99.6% · Q4 100.0% · 4Q avg 99.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.8% |
9.7%
1.9 pts better
|
12.0%
4.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.8% · Observed 6.5% · Expected 9.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.2% |
1.2%
1 pts better
|
1.6%
1.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.6% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.3% |
78.8%
19.5 pts better
|
79.7%
18.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.9% |
20.6%
2.7 pts better
|
23.9%
6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.9% · Observed 12.9% · Expected 17.2% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (2 deficiencies)
3 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Top issue: Quality of Life and Care (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Pharmacy Service (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2024-05-08
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-05-08
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-03-15
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2022-03-10
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-10-31
Inspection history
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-05-08
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2024-05-08
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-05-08
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2024-05-08
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 2022-03-10
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-03-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-09-30
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 2019-09-30
Penalties and ownership
Fine · fine $28,140
Fine
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Nearby options
Endicott, NY
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5-star overall rating with 5-star inspections with 1 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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