Cycle 1
Health 2025-07-22 · Fire 2025-07-22
6 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
10 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Utica, NY
MVHS Rehabilitation and Nursing Center
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
1650 Champlin Avenue, Utica, NY
(315) 624-8600
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
202
Certified beds
Average residents
188
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1996-09-04
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
0.54
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.82
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.10
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.46
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.36
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.90
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.20
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.53
CMS adjusted RN staffing hours
Adjusted total hours
3.41
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,594
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
19.83
Composite VBP score used to determine payment impact.
Payment multiplier
0.9822
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.02
Baseline 17.69% · Performance 20.03% · Measure score 3.02 · Achievement 3.02 · Improvement 0
Healthcare-associated infections
2.62
Baseline 5.05% · Performance 7.05% · Measure score 2.62 · Achievement 2.62 · Improvement 0
Total nurse turnover
2.30
Performance 54.29% · Measure score 2.30 · Achievement 2.30 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0
Baseline 2.86 hours · Performance 2.96 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.12% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 242 · Observed rate 12.4% · Lower 95% interval 9.17% |
| Discharge to community | 51.99% |
50.57%
1.4 pts better
|
No Different than the National Rate · Eligible stays 284 · Observed rate 43.31% · Lower 95% interval 45.59% |
| Medicare spending per beneficiary | 0.95 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 96.46% |
95.27%
1.2 pts better
|
Numerator 191 · Denominator 198 |
| Falls with major injury | 0.51% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 198 |
| Discharge self-care score | 60.83% |
53.69%
7.1 pts better
|
Numerator 73 · Denominator 120 |
| Discharge mobility score | 70% |
50.94%
19.1 pts better
|
Numerator 84 · Denominator 120 |
| Pressure ulcers or injuries, new or worsened | 7.11% |
2.29%
4.8 pts worse
|
Numerator 14 · Denominator 197 · Adjusted rate 8.68% |
| Healthcare-associated infections requiring hospitalization | 7.05% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 194 · Observed rate 7.22% · Lower 95% interval 4.78% |
| Staff COVID-19 vaccination coverage | 3.21% |
8.2%
5 pts worse
|
Numerator 6 · Denominator 187 |
| Staff flu vaccination coverage | 58.2% |
42%
16.2 pts better
|
Numerator 110 · Denominator 189 |
| Discharge function score | 66.67% |
56.45%
10.2 pts better
|
Numerator 80 · Denominator 120 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 69 · Denominator 69 |
| Transfer of health information to patient | 97.85% |
96.28%
1.6 pts better
|
Numerator 91 · Denominator 93 |
| Resident COVID-19 vaccinations up to date | 18.92% |
25.2%
6.3 pts worse
|
Numerator 21 · Denominator 111 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.7
0.5 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.5 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.3
0.5 pts worse
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.9 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 80.5% |
91.2%
10.7 pts worse
|
93.4%
12.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 90.9% · Q2 83.6% · Q3 74.5% · Q4 73.8% · 4Q avg 80.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.9% |
95.3%
2.4 pts worse
|
95.5%
2.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.5% |
3.0%
0.5 pts worse
|
3.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 2.2% · Q3 2.9% · Q4 4.1% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.8% |
18.5%
13.7 pts better
|
11.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 4.9% · Q3 4.1% · Q4 3.8% · 4Q avg 4.8% |
| Percentage of long-stay residents who lose too much weight | 7.4% |
6.1%
1.3 pts worse
|
5.4%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 9.6% · Q3 5.9% · Q4 7.9% · 4Q avg 7.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.7% |
13.5%
5.8 pts better
|
19.6%
11.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 9.4% · Q3 5.1% · Q4 7.0% · 4Q avg 7.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.7% |
14.8%
7.9 pts worse
|
16.7%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.6% · Q2 25.5% · Q3 21.0% · Q4 20.3% · 4Q avg 22.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.2% |
0.2%
About the same
|
0.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.7% |
15.1%
3.6 pts worse
|
16.3%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.3% · Q2 13.0% · Q3 10.8% · Q4 22.5% · 4Q avg 18.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.4% |
15.5%
0.1 pts better
|
14.9%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.8% · Q2 9.6% · Q3 12.4% · Q4 17.1% · 4Q avg 15.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.6%
0.2 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.5% · Q4 0.9% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
1.4%
0.3 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 1.5% · Q4 0.7% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 34.8% |
20.8%
14 pts worse
|
19.8%
15 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.7% · Q2 42.7% · Q3 29.8% · Q4 31.4% · 4Q avg 34.8% |
| Percentage of long-stay residents with pressure ulcers | 6.8% |
6.9%
0.1 pts better
|
5.1%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 9.9% · Q3 6.7% · Q4 6.1% · 4Q avg 6.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 75.7% |
76.7%
1 pts worse
|
81.7%
6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 86.7% · Q2 76.5% · Q3 73.9% · Q4 68.8% · 4Q avg 75.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.2% |
9.7%
6.5 pts worse
|
12.0%
4.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.2% · Observed 16.0% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.2%
0.3 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 1.4% · Q4 1.2% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.5% |
78.8%
2.3 pts worse
|
79.7%
3.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 76.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.3% |
20.6%
5.7 pts worse
|
23.9%
2.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.3% · Observed 27.3% · Expected 24.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-10-25 · Fire 2023-10-25
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2021-05-28 · Fire 2021-05-28
6 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-07-22
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2025-09-12
F · Potential for more than minimal harm
2025-07-22
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-11-07
E · Potential for more than minimal harm
2025-07-22
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-10-06
E · Potential for more than minimal harm
2025-07-22
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-06
E · Potential for more than minimal harm
2025-07-22
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-09-12
E · Potential for more than minimal harm
2025-07-22
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-09-12
E · Potential for more than minimal harm
2025-07-22
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-09-12
D · Potential for more than minimal harm
2025-07-22
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-10-01
D · Potential for more than minimal harm
2025-07-22
K132 · Construction Deficiencies
Fire Safety
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Corrected 2025-09-12
D · Potential for more than minimal harm
2025-07-22
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-12
D · Potential for more than minimal harm
2023-10-25
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 2023-11-08
D · Potential for more than minimal harm
2023-10-25
K909 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure gas and vacuum piping is labeled.
Corrected 2023-11-08
E · Potential for more than minimal harm
2021-05-28
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2021-07-16
D · Potential for more than minimal harm
2021-05-28
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Not marked corrected
D · Potential for more than minimal harm
2021-05-28
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2021-05-29
D · Potential for more than minimal harm
2021-05-28
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 2021-06-15
D · Potential for more than minimal harm
2021-05-28
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-06-16
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-07-22
F585 · Resident Rights Deficiencies
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 2025-09-01
E · Potential for more than minimal harm
2025-07-22
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-09-01
E · Potential for more than minimal harm
2025-07-22
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 2025-09-01
D · Potential for more than minimal harm
2025-07-22
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-09-01
D · Potential for more than minimal harm
2025-07-22
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 2025-09-01
D · Potential for more than minimal harm
2025-07-22
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-01
D · Potential for more than minimal harm
2023-11-14
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-01
E · Potential for more than minimal harm
2021-05-28
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2021-07-27
E · Potential for more than minimal harm
2021-05-28
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 2021-07-27
E · Potential for more than minimal harm
2021-05-28
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2021-07-27
D · Potential for more than minimal harm
2021-05-28
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2021-07-27
D · Potential for more than minimal harm
2021-05-28
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 2021-07-27
Penalties and ownership
What sits behind the stars
Ownership
Aiello, Domenic
Corporate Director · Individual
Aiello, Louis
Operational/Managerial Control · Individual
Aiello, Louis
Corporate Officer · Individual
Bowerman, Amy
Operational/Managerial Control · Individual
Brownell, Catherine
Corporate Director · Individual
Cominsky, Catherine
Corporate Director · Individual
Compson, Joan
Corporate Director · Individual
Evans, Gregory
Corporate Director · Individual
Grossi, Belinda
Operational/Managerial Control · Individual
Jeanty, Hamerton
Operational/Managerial Control · Individual
Jeanty, Hamerton
Corporate Officer · Individual
Jensen, Zachary
Operational/Managerial Control · Individual
Jensen, Zachary
Corporate Director · Individual
Kaul, Sushma
Corporate Officer · Individual
Kowalzcyk, Andrew
Corporate Director · Individual
Leach, Karen
Corporate Director · Individual
Mohawk Valley Health System
Operational/Managerial Control · Organization
Siegel, Norman
Corporate Director · Individual
Stromstad, Darlene
Operational/Managerial Control · Individual
Tantillo, Richard
Corporate Director · Individual
Tsoupelis, Symeon
Corporate Director · Individual
White, Cody
Corporate Director · Individual
Zweifel, Richard
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
The Grand Rehabilitation And Nursing At Utica
Utica, NY
1-star overall rating with 1-star inspections with Special Focus status with $189,803 in total fines with 16 recent health deficiencies with 31 fire-safety deficiencies in the latest cycle
#2
Utica Rehabilitation & Nursing Center
Utica, NY
2-star overall rating with 1-star inspections with Special Focus status with $197,425 in total fines with 13 recent health deficiencies with 23 fire-safety deficiencies in the latest cycle
#3
The Pines At Utica Center For Nursing And Rehab
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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