Clinton, NY

Katherine Luther Residential Hlth Care & Rehab

1-star overall rating with 1-star inspections with $80,558 in total fines with 11 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle

110 Utica Road, Clinton, NY

(315) 853-5515

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

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

280

Certified beds

Average residents

97

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1967-01-01

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

0.87

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

1.96

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.43

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.47

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

2.92

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.29

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.12

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.64

CMS adjusted RN staffing hours

Adjusted total hours

3.66

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

6,604

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

Performance score

32.28

Composite VBP score used to determine payment impact.

Payment multiplier

0.9870

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.95

Baseline 17.82% · Performance 20.53% · Measure score 1.95 · Achievement 1.95 · Improvement 0

Healthcare-associated infections

5.96

Baseline 4.98% · Performance 6.05% · Measure score 5.96 · Achievement 5.96 · Improvement 0

Total nurse turnover

4.38

Performance 45.79% · Measure score 4.38 · Achievement 4.38 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

0.63

Baseline 2.87 hours · Performance 3.20 hours · Measure score 0.63 · Achievement 0 · Improvement 0.63

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.48%
10.72%
0.8 pts worse
No Different than the National Rate · Eligible stays 155 · Observed rate 11.61% · Lower 95% interval 8.54%
Discharge to community 51.15%
50.57%
0.6 pts better
No Different than the National Rate · Eligible stays 166 · Observed rate 47.59% · Lower 95% interval 44.11%
Medicare spending per beneficiary 1.03
1.02
About the same
Drug regimen review with follow-up 98.23%
95.27%
3 pts better
Numerator 111 · Denominator 113
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 113
Discharge self-care score 62.2%
53.69%
8.5 pts better
Numerator 51 · Denominator 82
Discharge mobility score 76.83%
50.94%
25.9 pts better
Numerator 63 · Denominator 82
Pressure ulcers or injuries, new or worsened 3.54%
2.29%
1.2 pts worse
Numerator 4 · Denominator 113 · Adjusted rate 4.24%
Healthcare-associated infections requiring hospitalization 6.05%
7.12%
1.1 pts better
No Different than the National Rate · Eligible stays 95 · Observed rate 3.16% · Lower 95% interval 3.09%
Staff COVID-19 vaccination coverage 10.75%
8.2%
2.6 pts better
Numerator 23 · Denominator 214
Staff flu vaccination coverage 37.8%
42%
4.2 pts worse
Numerator 96 · Denominator 254
Discharge function score 78.05%
56.45%
21.6 pts better
Numerator 64 · Denominator 82
Transfer of health information to provider 97.87%
95.95%
1.9 pts better
Numerator 46 · Denominator 47
Transfer of health information to patient 92.11%
96.28%
4.2 pts worse
Numerator 35 · Denominator 38
Resident COVID-19 vaccinations up to date 30.36%
25.2%
5.2 pts better
Numerator 17 · Denominator 56

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.6
1.7
0.1 pts better
1.9
0.3 pts better
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.6 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.5
1.3
0.2 pts worse
1.8
0.3 pts better
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.2%
91.2%
5 pts better
93.4%
2.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 95.7% · Q2 93.9% · Q3 97.8% · Q4 97.7% · 4Q avg 96.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.0%
95.3%
3.7 pts better
95.5%
3.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0%
Percentage of long-stay residents experiencing one or more falls with major injury 6.3%
3.0%
3.3 pts worse
3.3%
3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 5.1% · Q3 6.7% · Q4 7.0% · 4Q avg 6.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 1.5%
18.5%
17 pts better
11.4%
9.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 1.2% · Q4 3.8% · 4Q avg 1.5%
Percentage of long-stay residents who lose too much weight 4.8%
6.1%
1.3 pts better
5.4%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 6.2% · Q3 3.4% · Q4 6.1% · 4Q avg 4.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.6%
13.5%
8.1 pts worse
19.6%
2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.8% · Q2 24.5% · Q3 19.1% · Q4 16.3% · 4Q avg 21.6%
Percentage of long-stay residents who received an antipsychotic medication 10.9%
14.8%
3.9 pts better
16.7%
5.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 10.0% · Q3 10.6% · Q4 11.9% · 4Q avg 10.9% · 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 28.0%
15.1%
12.9 pts worse
16.3%
11.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 27.2% · Q2 31.0% · Q3 20.3% · Q4 33.0% · 4Q avg 28.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 27.3%
15.5%
11.8 pts worse
14.9%
12.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 32.2% · Q3 27.2% · Q4 25.9% · 4Q avg 27.3% · 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 3.6%
1.4%
2.2 pts worse
1.7%
1.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 5.2% · Q3 4.5% · Q4 3.7% · 4Q avg 3.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 33.3%
20.8%
12.5 pts worse
19.8%
13.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 34.7% · Q2 35.4% · Q3 33.5% · Q4 29.2% · 4Q avg 33.3%
Percentage of long-stay residents with pressure ulcers 5.2%
6.9%
1.7 pts better
5.1%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 8.3% · Q3 4.3% · Q4 1.1% · 4Q avg 5.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 76.5%
76.7%
0.2 pts worse
81.7%
5.2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 78.5% · Q2 69.2% · Q3 75.3% · Q4 83.0% · 4Q avg 76.5%
Percentage of short-stay residents who had an outpatient emergency department visit 14.4%
9.7%
4.7 pts worse
12.0%
2.4 pts worse
Short Stay · 20240701-20250630 · Adjusted 14.4% · Observed 11.8% · Expected 9.2% · 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 70.0%
78.8%
8.8 pts worse
79.7%
9.7 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 70.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.7%
20.6%
3.1 pts worse
23.9%
0.2 pts better
Short Stay · 20240701-20250630 · Adjusted 23.7% · Observed 20.4% · Expected 20.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-07 · Fire 2024-08-07

11 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

12 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 2 Health 2022-04-19 · Fire 2022-04-19

9 health deficiencies

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

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2019-10-25 · Fire 2019-10-25

13 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-08-07

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 2024-10-13

E · Potential for more than minimal harm 2024-08-07

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-10-13

E · Potential for more than minimal harm 2024-08-07

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-10-13

E · Potential for more than minimal harm 2024-08-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-13

D · Potential for more than minimal harm 2024-08-07

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-10-13

D · Potential for more than minimal harm 2024-08-07

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 2024-10-13

D · Potential for more than minimal harm 2024-08-07

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-10-13

D · Potential for more than minimal harm 2024-08-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-10-13

D · Potential for more than minimal harm 2024-08-07

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2024-10-13

D · Potential for more than minimal harm 2024-08-07

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2024-10-13

D · Potential for more than minimal harm 2024-08-07

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2024-10-13

D · Potential for more than minimal harm 2024-08-07

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-10-13

D · Potential for more than minimal harm 2022-04-19

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2022-06-01

D · Potential for more than minimal harm 2022-04-19

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2022-06-17

D · Potential for more than minimal harm 2022-04-19

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-06-01

E · Potential for more than minimal harm 2019-10-25

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2019-12-15

E · Potential for more than minimal harm 2019-10-25

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2019-12-15

E · Potential for more than minimal harm 2019-10-25

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2019-12-15

E · Potential for more than minimal harm 2019-10-25

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2019-12-15

D · Potential for more than minimal harm 2019-10-25

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-12-15

Inspection history

Recent health citations

G · Actual harm 2025-05-09

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-27

E · Potential for more than minimal harm 2024-08-07

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-10-01

E · Potential for more than minimal harm 2024-08-07

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 2024-10-01

E · Potential for more than minimal harm 2024-08-07

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 2024-10-01

E · Potential for more than minimal harm 2024-08-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-01

D · Potential for more than minimal harm 2024-08-07

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2024-10-01

D · Potential for more than minimal harm 2024-08-07

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-01

D · Potential for more than minimal harm 2024-08-07

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-01

D · Potential for more than minimal harm 2024-08-07

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 2024-10-01

D · Potential for more than minimal harm 2024-08-07

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-01

D · Potential for more than minimal harm 2024-08-07

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-10-01

J · Immediate jeopardy 2024-05-24

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-21

E · Potential for more than minimal harm 2024-05-24

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 2024-06-21

E · Potential for more than minimal harm 2022-04-19

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 2022-06-01

E · Potential for more than minimal harm 2022-04-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-06-01

D · Potential for more than minimal harm 2022-04-19

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 2022-06-01

D · Potential for more than minimal harm 2022-04-19

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 2022-06-01

D · Potential for more than minimal harm 2022-04-19

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 2022-06-01

D · Potential for more than minimal harm 2022-04-19

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-06-01

D · Potential for more than minimal harm 2022-04-19

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2022-06-01

G · Actual harm 2019-10-25

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2020-01-20

G · Actual harm 2019-10-25

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 2019-12-21

E · Potential for more than minimal harm 2019-10-25

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 2019-12-21

E · Potential for more than minimal harm 2019-10-25

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 2020-01-20

D · Potential for more than minimal harm 2019-10-25

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 2019-12-21

D · Potential for more than minimal harm 2019-10-25

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2019-12-21

D · Potential for more than minimal harm 2019-10-25

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 2019-12-21

D · Potential for more than minimal harm 2019-10-25

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 2019-12-21

D · Potential for more than minimal harm 2019-10-25

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2019-12-21

D · Potential for more than minimal harm 2019-10-25

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2019-12-15

D · Potential for more than minimal harm 2019-10-25

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2019-12-21

D · Potential for more than minimal harm 2019-10-25

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2019-12-21

D · Potential for more than minimal harm 2019-10-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-01-20

Penalties and ownership

What sits behind the stars

$54,304 2025-05-09

Fine

Fine · fine $54,304

Fine

$26,254 2024-05-24

Fine

Fine · fine $26,254

Fine

Ownership

Abraham, Marie

Corporate Director · Individual

0% 2 facilities 2018-01-01
Breen, Julianne

Corporate Director · Individual

0% 2 facilities 2020-01-01
Burke, Jerry

Corporate Director · Individual

0% 2 facilities 2018-01-01
Clark, Russell

Corporate Director · Individual

0% 1 facilities 2022-07-01
Connor, Anne

Corporate Officer · Individual

0% 1 facilities 2022-02-13
Kane, Jeff

Corporate Director · Individual

0% 2 facilities 2018-01-01
Mills, Deborah

Corporate Director · Individual

0% 2 facilities 2010-01-01
Ohmann, Robert

Corporate Director · Individual

0% 2 facilities 2018-01-01
Pitcher, Patricia

Corporate Director · Individual

0% 2 facilities 2021-04-01
Rutter, Jeremy

Corporate Officer · Individual

0% 2 facilities 2021-11-01
Rutter, Jeremy

W-2 Managing Employee · Individual

0% 2 facilities 2021-11-01
Voce, Linda

Corporate Director · Individual

0% 2 facilities 2018-01-01
Williams, Jay

Corporate Director · Individual

0% 2 facilities 2019-01-01
Williams, Roger

Corporate Director · Individual

0% 2 facilities 2018-01-01

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