8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Utica, NY
1-star overall rating with 1-star inspections with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
2150 Bleecker Street, Utica, NY
(315) 798-4800
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
320
Certified beds
Average residents
271
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1976-04-01
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
RN hours / resident day
0.43
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.96
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.27
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.66
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.39
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.29
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.21
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.49
CMS adjusted RN staffing hours
Adjusted total hours
4.20
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
19%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
736
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
64.55
Composite VBP score used to determine payment impact.
Payment multiplier
1.0190
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
8.13
Baseline 18.78% · Performance 17.66% · Measure score 8.13 · Achievement 8.13 · Improvement 5.86
Healthcare-associated infections
7.07
Baseline 4.67% · Performance 5.72% · Measure score 7.07 · Achievement 7.07 · Improvement 0
Total nurse turnover
7.31
Baseline 32.97% · Performance 33.79% · Measure score 7.31 · Achievement 7.31 · Improvement 0
Adjusted total nurse staffing
3.31
Baseline 3.65 hours · Performance 4.02 hours · Measure score 3.31 · Achievement 3.31 · Improvement 1.22
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.64% |
10.72%
2.1 pts better
|
No Different than the National Rate · Eligible stays 229 · Observed rate 4.8% · Lower 95% interval 6.26% |
| Discharge to community | 52.47% |
50.57%
1.9 pts better
|
No Different than the National Rate · Eligible stays 187 · Observed rate 50.8% · Lower 95% interval 46.14% |
| Medicare spending per beneficiary | 0.83 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 88.06% |
95.27%
7.2 pts worse
|
Numerator 118 · Denominator 134 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 134 |
| Discharge self-care score | 50% |
53.69%
3.7 pts worse
|
Numerator 56 · Denominator 112 |
| Discharge mobility score | 65.18% |
50.94%
14.2 pts better
|
Numerator 73 · Denominator 112 |
| Pressure ulcers or injuries, new or worsened | 2.99% |
2.29%
0.7 pts worse
|
Numerator 4 · Denominator 134 · Adjusted rate 3.39% |
| Healthcare-associated infections requiring hospitalization | 5.72% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 143 · Observed rate 2.8% · Lower 95% interval 3.21% |
| Staff COVID-19 vaccination coverage | 4.58% |
8.2%
3.6 pts worse
|
Numerator 28 · Denominator 612 |
| Staff flu vaccination coverage | 55.04% |
42%
13 pts better
|
Numerator 393 · Denominator 714 |
| Discharge function score | 62.5% |
56.45%
6 pts better
|
Numerator 70 · Denominator 112 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 63 · Denominator 63 |
| Resident COVID-19 vaccinations up to date | 62.71% |
25.2%
37.5 pts better
|
Numerator 37 · Denominator 59 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.7
0.3 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.0 · Expected 1.4 · 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 1.0 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% |
91.2%
7.7 pts better
|
93.4%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.6% · Q2 99.6% · Q3 98.4% · Q4 98.0% · 4Q avg 98.9% |
| 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 | 8.4% |
3.0%
5.4 pts worse
|
3.3%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 8.8% · Q3 7.0% · Q4 9.1% · 4Q avg 8.4% · 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 | 3.2% |
6.1%
2.9 pts better
|
5.4%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.7% · Q3 2.4% · Q4 3.3% · 4Q avg 3.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.0% |
13.5%
3.5 pts worse
|
19.6%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.8% · Q2 18.8% · Q3 17.0% · Q4 12.4% · 4Q avg 17.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.0% |
14.8%
1.2 pts worse
|
16.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 17.2% · Q3 15.0% · Q4 15.7% · 4Q avg 16.0% · 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 | 8.3% |
15.1%
6.8 pts better
|
16.3%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 8.1% · Q3 6.9% · Q4 7.9% · 4Q avg 8.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.7% |
15.5%
1.8 pts better
|
14.9%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 13.3% · Q3 11.3% · Q4 14.6% · 4Q avg 13.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
0.6%
0.1 pts worse
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.8% · Q4 2.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.9% |
1.4%
0.5 pts worse
|
1.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.2% · Q3 2.8% · Q4 1.6% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 36.0% |
20.8%
15.2 pts worse
|
19.8%
16.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.9% · Q2 28.6% · Q3 32.6% · Q4 40.9% · 4Q avg 36.0% |
| Percentage of long-stay residents with pressure ulcers | 4.2% |
6.9%
2.7 pts better
|
5.1%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 6.6% · Q3 4.1% · Q4 2.1% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.4% |
76.7%
9.7 pts better
|
81.7%
4.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 86.8% · Q2 91.4% · Q3 83.5% · Q4 84.8% · 4Q avg 86.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.6% |
9.7%
6.9 pts worse
|
12.0%
4.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.6% · Observed 14.3% · Expected 9.6% · 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 | 98.6% |
78.8%
19.8 pts better
|
79.7%
18.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.9% |
20.6%
10.3 pts worse
|
23.9%
7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.9% · Observed 25.2% · Expected 19.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Quality of Life and Care (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2024-07-15
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-07-15
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-07-15
Fire Safety
Install proper backup exit lighting.
Corrected 2024-07-15
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 2024-07-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-15
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2022-02-04
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-02-04
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2022-02-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-02-04
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2022-02-04
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-02-04
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-02-04
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-02-04
Fire Safety
Ensure gas and vacuum piping is labeled.
Corrected 2019-07-30
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-07-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-07-30
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-09
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 2024-07-15
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-07-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-15
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-15
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 2024-07-15
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-07-15
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-15
Health
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2022-02-04
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 2022-02-04
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-02-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-02-04
Health
Post nurse staffing information every day.
Corrected 2022-02-04
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-02-04
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 2022-02-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-02-04
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-07-30
Penalties and ownership
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
W-2 Managing Employee · Individual
Nearby options
Utica, NY
1-star overall rating with 2-star inspections with 10 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
New Hartford, NY
1-star overall rating with 1-star inspections with $171,860 in total fines with 14 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
Utica, NY
1-star overall rating with 2-star inspections with $8,788 in total fines with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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