15 health deficiencies
Top issue: Resident Rights (4 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Gloversville, NY
1-star overall rating with 1-star inspections with 15 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
99 East State Street, Gloversville, NY
(518) 773-5622
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
84
Certified beds
Average residents
61
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1972-06-18
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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
RN hours / resident day
0.92
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.14
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.20
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.26
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
2.06
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.61
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.47
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.90
CMS adjusted RN staffing hours
Adjusted total hours
4.20
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
61%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
6,258
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.46
Composite VBP score used to determine payment impact.
Payment multiplier
0.9877
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
3.95
Baseline 5.60% · Performance 6.65% · Measure score 3.95 · Achievement 3.95 · Improvement 0
Total nurse turnover
1.40
Baseline 50.88% · Performance 57.97% · Measure score 1.40 · Achievement 1.40 · Improvement 0
Adjusted total nurse staffing
4.69
Baseline 2.69 hours · Performance 4.29 hours · Measure score 4.69 · Achievement 4.27 · Improvement 4.69
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.41% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 69 · Observed rate 8.7% · Lower 95% interval 7.16% |
| Discharge to community | 52.32% |
50.57%
1.8 pts better
|
No Different than the National Rate · Eligible stays 67 · Observed rate 47.76% · Lower 95% interval 40.89% |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 90.32% |
95.27%
5 pts worse
|
Numerator 28 · Denominator 31 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 31 |
| Discharge self-care score | 40.91% |
53.69%
12.8 pts worse
|
Numerator 9 · Denominator 22 |
| Discharge mobility score | 50% |
50.94%
0.9 pts worse
|
Numerator 11 · Denominator 22 |
| Pressure ulcers or injuries, new or worsened | 3.23% |
2.29%
0.9 pts worse
|
Numerator 1 · Denominator 31 · Adjusted rate 2.37% |
| Healthcare-associated infections requiring hospitalization | 6.65% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 27 · Observed rate 3.7% · Lower 95% interval 3.27% |
| Staff COVID-19 vaccination coverage | 24.62% |
8.2%
16.4 pts better
|
Numerator 16 · Denominator 65 |
| Staff flu vaccination coverage | 55.95% |
42%
14 pts better
|
Numerator 47 · Denominator 84 |
| Discharge function score | 45.45% |
56.45%
11 pts worse
|
Numerator 10 · Denominator 22 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 67.2% |
91.2%
24 pts worse
|
93.4%
26.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 54.2% · Q2 69.4% · Q3 66.7% · Q4 78.7% · 4Q avg 67.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.0% |
95.3%
0.7 pts better
|
95.5%
0.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.2% |
3.0%
1.2 pts worse
|
3.3%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 2.0% · Q3 4.4% · Q4 8.5% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.8% |
18.5%
16.7 pts better
|
11.4%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.4% · Q4 4.9% · 4Q avg 1.8% |
| Percentage of long-stay residents who lose too much weight | 11.2% |
6.1%
5.1 pts worse
|
5.4%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 10.9% · Q3 13.6% · Q4 13.0% · 4Q avg 11.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.0% |
13.5%
2.5 pts worse
|
19.6%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 19.6% · Q3 18.2% · Q4 15.2% · 4Q avg 16.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 23.5% |
14.8%
8.7 pts worse
|
16.7%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 21.6% · Q3 20.5% · Q4 35.9% · 4Q avg 23.5% · 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 | 53.0% |
15.1%
37.9 pts worse
|
16.3%
36.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 53.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 33.1% |
15.5%
17.6 pts worse
|
14.9%
18.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.2% · Q2 29.3% · Q3 28.9% · Q4 34.2% · 4Q avg 33.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.3% |
0.6%
2.7 pts worse
|
1.0%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 5.5% · Q3 2.5% · Q4 3.5% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 11.2% |
1.4%
9.8 pts worse
|
1.7%
9.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 18.4% · Q3 4.4% · Q4 2.1% · 4Q avg 11.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.9% |
20.8%
9.9 pts better
|
19.8%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 27.4% · Q2 9.4% · Q3 0.0% · Q4 7.3% · 4Q avg 10.9% |
| Percentage of long-stay residents with pressure ulcers | 12.3% |
6.9%
5.4 pts worse
|
5.1%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.4% · Q2 11.3% · Q3 15.4% · Q4 10.2% · 4Q avg 12.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 80.4% |
76.7%
3.7 pts better
|
81.7%
1.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 73.3% · Q2 83.3% · Q3 76.5% · Q4 84.8% · 4Q avg 80.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.3% |
9.7%
3.6 pts worse
|
12.0%
1.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.3% · Observed 13.2% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.2%
0.3 pts worse
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q2 3.6% · Q3 2.6% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.8% |
78.8%
11 pts better
|
79.7%
10.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.7% |
20.6%
3.9 pts better
|
23.9%
7.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.7% · Observed 15.8% · Expected 22.5% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (4 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Resident Assessment and Care Planning (2 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Nutrition and Dietary (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-04-18
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-04-30
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2025-04-12
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-04-18
Fire Safety
Install proper backup exit lighting.
Corrected 2025-04-18
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-05-01
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-04-18
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-04-18
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-18
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-18
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-04-18
Fire Safety
Ensure medical gas and vacuum systems have documented maintenance programs.
Corrected 2025-04-30
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-04-30
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Not marked corrected
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-07-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-07-01
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-06-15
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2020-01-23
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2020-01-23
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2020-01-23
Fire Safety
Ensure medical gas and vacuum systems have documented maintenance programs.
Corrected 2020-01-30
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2020-02-01
Inspection history
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-31
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 2025-03-31
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-31
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-03-31
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 2025-03-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-31
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-03-31
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2025-03-31
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-03-31
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-31
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-31
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 2025-03-31
Health
Provide activities to meet all resident's needs.
Corrected 2025-03-31
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-31
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-03-31
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 2022-07-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-07-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-07-01
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-07-01
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2022-07-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-01-23
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 2020-01-23
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2020-01-23
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 2020-01-23
Health
Provide and implement an infection prevention and control program.
Corrected 2020-01-23
Penalties and ownership
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
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