Plattsburgh, NY

Meadowbrook Healthcare

2-star overall rating with 2-star inspections with 14 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

154 North Prospect Avenue, Plattsburgh, NY

(518) 563-5440

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 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

287

Certified beds

Average residents

231

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Center Management Group

Operator or chain grouping

Approved since

1975-05-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

17 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 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

0.62

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.73

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.05

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.39

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.34

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

2.99

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.43

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.54

CMS adjusted RN staffing hours

Adjusted total hours

2.98

CMS adjusted total nurse staffing hours

Case-mix index

1.56

Higher values indicate more complex resident acuity

RN turnover

32%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

43%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,354

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

Performance score

20.68

Composite VBP score used to determine payment impact.

Payment multiplier

0.9824

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.61

Baseline 18.79% · Performance 20.69% · Measure score 1.61 · Achievement 1.61 · Improvement 0

Healthcare-associated infections

0.94

Baseline 5.42% · Performance 7.55% · Measure score 0.94 · Achievement 0.94 · Improvement 0

Total nurse turnover

5.72

Baseline 40.28% · Performance 40.30% · Measure score 5.72 · Achievement 5.72 · Improvement 0

Adjusted total nurse staffing

Baseline 3.27 hours · Performance 2.62 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.25%	10.72% 1.5 pts better	No Different than the National Rate · Eligible stays 449 · Observed rate 7.8% · Lower 95% interval 7.12%
Discharge to community	46.86%	50.57% 3.7 pts worse	No Different than the National Rate · Eligible stays 476 · Observed rate 40.34% · Lower 95% interval 43.32%
Medicare spending per beneficiary	1.69	1.02 0.7 pts worse
Drug regimen review with follow-up	99.49%	95.27% 4.2 pts better	Numerator 393 · Denominator 395
Falls with major injury	0.76%	0.77% About the same	Numerator 3 · Denominator 395
Discharge self-care score	54.81%	53.69% 1.1 pts better	Numerator 131 · Denominator 239
Discharge mobility score	56.9%	50.94% 6 pts better	Numerator 136 · Denominator 239
Pressure ulcers or injuries, new or worsened	1.27%	2.29% 1 pts better	Numerator 5 · Denominator 395 · Adjusted rate 1.02%
Healthcare-associated infections requiring hospitalization	7.55%	7.12% 0.4 pts worse	No Different than the National Rate · Eligible stays 328 · Observed rate 7.62% · Lower 95% interval 5.32%
Staff COVID-19 vaccination coverage	6.27%	8.2% 1.9 pts worse	Numerator 19 · Denominator 303
Staff flu vaccination coverage	73.65%	42% 31.7 pts better	Numerator 341 · Denominator 463
Discharge function score	53.56%	56.45% 2.9 pts worse	Numerator 128 · Denominator 239
Transfer of health information to provider	97.56%	95.95% 1.6 pts better	Numerator 120 · Denominator 123
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 165 · Denominator 165
Resident COVID-19 vaccinations up to date	49.5%	25.2% 24.3 pts better	Numerator 99 · Denominator 200

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.1	1.7 0.4 pts worse	1.9 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.9 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.7	1.3 1.4 pts worse	1.8 0.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.4 · Expected 1.5 · 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 99.5% · Q2 98.5% · Q3 98.5% · Q4 99.0% · 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	5.0%	3.0% 2 pts worse	3.3% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 4.1% · Q3 6.6% · Q4 6.4% · 4Q avg 5.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	27.8%	18.5% 9.3 pts worse	11.4% 16.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 27.2% · Q3 25.9% · Q4 30.7% · 4Q avg 27.8%
Percentage of long-stay residents who lose too much weight	8.7%	6.1% 2.6 pts worse	5.4% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 8.6% · Q3 9.3% · Q4 6.2% · 4Q avg 8.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	15.1%	13.5% 1.6 pts worse	19.6% 4.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.4% · Q2 13.3% · Q3 14.5% · Q4 18.1% · 4Q avg 15.1%
Percentage of long-stay residents who received an antipsychotic medication	15.1%	14.8% 0.3 pts worse	16.7% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 16.8% · Q3 13.2% · Q4 12.9% · 4Q avg 15.1% · 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	8.5%	15.1% 6.6 pts better	16.3% 7.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 11.2% · Q3 7.0% · Q4 4.3% · 4Q avg 8.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.3%	15.5% 7.2 pts better	14.9% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 10.1% · Q3 7.6% · Q4 6.6% · 4Q avg 8.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.6%	0.6% About the same	1.0% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.4% · Q3 0.8% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.4%	1.4% 1 pts better	1.7% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.5% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	31.0%	20.8% 10.2 pts worse	19.8% 11.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.9% · Q2 26.9% · Q3 31.7% · Q4 33.0% · 4Q avg 31.0%
Percentage of long-stay residents with pressure ulcers	6.0%	6.9% 0.9 pts better	5.1% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 4.5% · Q3 7.0% · Q4 3.9% · 4Q avg 6.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	79.2%	76.7% 2.5 pts better	81.7% 2.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 81.2% · Q2 80.1% · Q3 83.1% · Q4 72.0% · 4Q avg 79.2%
Percentage of short-stay residents who had an outpatient emergency department visit	19.1%	9.7% 9.4 pts worse	12.0% 7.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 19.1% · Observed 19.0% · Expected 11.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.4%	1.2% 0.2 pts worse	1.6% 0.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.8% · Q3 0.8% · Q4 3.6% · 4Q avg 1.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	91.9%	78.8% 13.1 pts better	79.7% 12.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 91.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.1%	20.6% 2.5 pts worse	23.9% 0.8 pts better	Short Stay · 20240701-20250630 · Adjusted 23.1% · Observed 24.4% · Expected 25.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-25 · Fire 2024-10-25

14 health deficiencies

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

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2021-07-30 · Fire 2021-07-30

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

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

Cycle 3 Health 2019-02-28 · Fire 2019-02-28

11 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

8 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 2024-10-25

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-12-18

E · Potential for more than minimal harm 2024-10-25

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-12-18

E · Potential for more than minimal harm 2024-10-25

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-12-18

E · Potential for more than minimal harm 2021-07-30

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2021-09-10

E · Potential for more than minimal harm 2019-02-28

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2019-04-29

E · Potential for more than minimal harm 2019-02-28

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-04-29

E · Potential for more than minimal harm 2019-02-28

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2019-04-29

E · Potential for more than minimal harm 2019-02-28

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2019-04-29

E · Potential for more than minimal harm 2019-02-28

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2019-04-29

D · Potential for more than minimal harm 2019-02-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-04-29

D · Potential for more than minimal harm 2019-02-28

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2019-04-29

D · Potential for more than minimal harm 2019-02-28

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2019-04-29

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-10-25

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 2024-12-18

E · Potential for more than minimal harm 2024-10-25

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 2024-12-18

E · Potential for more than minimal harm 2024-10-25

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-12-20

E · Potential for more than minimal harm 2024-10-25

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-12-18

E · Potential for more than minimal harm 2024-10-25

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 2024-12-18

E · Potential for more than minimal harm 2024-10-25

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 2024-12-20

E · Potential for more than minimal harm 2024-10-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-21

D · Potential for more than minimal harm 2024-10-25

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 2024-12-18

D · Potential for more than minimal harm 2024-10-25

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 2024-12-18

D · Potential for more than minimal harm 2024-10-25

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-12-18

D · Potential for more than minimal harm 2024-10-25

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-21

D · Potential for more than minimal harm 2024-10-25

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-18

D · Potential for more than minimal harm 2024-10-25

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-11-21

C · Minimal harm 2024-10-25

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-10-25

E · Potential for more than minimal harm 2019-02-28

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 2019-04-28

E · Potential for more than minimal harm 2019-02-28

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2019-04-28

E · Potential for more than minimal harm 2019-02-28

F813 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2019-04-28

E · Potential for more than minimal harm 2019-02-28

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 2019-04-28

E · Potential for more than minimal harm 2019-02-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-04-28

D · Potential for more than minimal harm 2019-02-28

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 2019-04-28

D · Potential for more than minimal harm 2019-02-28

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2019-04-28

D · Potential for more than minimal harm 2019-02-28

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2019-04-28

D · Potential for more than minimal harm 2019-02-28