Endicott, NY

Ideal Senior Living Center

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

Compare this facility

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

Facility snapshot

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

Hours and turnover

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

Value-based purchasing

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

How the VBP score is built

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

Medicare quality reporting measures

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

Resident outcomes and process scores

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

Recent inspection cycles

Cycle 1 Health 2024-04-05 · Fire 2024-04-05

4 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

3 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 2 Health 2022-02-04 · Fire 2022-02-04

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2019-08-22 · Fire 2019-08-22

2 health 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 citations

D · Potential for more than minimal harm 2024-04-05

K133 · Construction Deficiencies

Fire Safety

Install a two-hour-resistant firewall separation.

Corrected 2024-05-08

D · Potential for more than minimal harm 2024-04-05

K222 · Egress Deficiencies

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

D · Potential for more than minimal harm 2024-04-05

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-05-08

E · Potential for more than minimal harm 2022-02-04

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-03-15

E · Potential for more than minimal harm 2022-02-04

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2022-03-10

E · Potential for more than minimal harm 2019-08-22

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2019-10-31

Inspection history

Recent health citations

L · Immediate jeopardy 2024-04-05

F578 · Resident Rights Deficiencies

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

F · Potential for more than minimal harm 2024-04-05

F813 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-05-08

D · Potential for more than minimal harm 2024-04-05

F561 · Resident Rights Deficiencies

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

D · Potential for more than minimal harm 2024-04-05

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2024-05-08

D · Potential for more than minimal harm 2022-02-04

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 2022-03-10

D · Potential for more than minimal harm 2022-02-04

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 2022-03-10

D · Potential for more than minimal harm 2019-08-22

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 2019-09-30

D · Potential for more than minimal harm 2019-08-22

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 2019-09-30

Penalties and ownership

What sits behind the stars

$28,140 2024-04-05

Fine

Fine · fine $28,140

Fine

Ownership

Barbieri, Marilyn

Operational/Managerial Control · Individual

0% 1 facilities 2014-10-14
Beckles, Luk

Corporate Officer · Individual

0% 1 facilities 2024-06-01
Boland, Elizabeth

Corporate Officer · Individual

0% 1 facilities 2013-07-01
Eisenberg, Spencer

Operational/Managerial Control · Individual

0% 1 facilities 2024-01-01
Fisher, Justin

Corporate Officer · Individual

0% 1 facilities 2024-06-01
Levy, Lillian

Corporate Officer · Individual

0% 1 facilities 2021-06-01
Moyer, Trevor

Corporate Officer · Individual

0% 1 facilities 2024-06-01
Roma, Christopher

Corporate Officer · Individual

0% 1 facilities 2023-06-01
Shadduck, James

Operational/Managerial Control · Individual

0% 1 facilities 2021-11-19
Stank, Lisa

Operational/Managerial Control · Individual

0% 1 facilities 2019-01-07
Thalacker, Gail

Corporate Officer · Individual

0% 1 facilities 2024-06-01
Thomas, Peggy

Corporate Officer · Individual

0% 1 facilities 2023-06-01
Wiesner, Lawrence

Corporate Officer · Individual

0% 1 facilities 2023-06-01
Yaple, Sharon Lee

Corporate Officer · Individual

0% 1 facilities 2014-07-01

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