5 health deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
19 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Massena, NY
2-star overall rating with 2-star inspections with 5 recent health deficiencies with 19 fire-safety deficiencies in the latest cycle
182 Highland Road, Massena, NY
(315) 769-9956
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
140
Certified beds
Average residents
129
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1978-01-01
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
RN hours / resident day
0.87
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.40
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.56
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.83
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.27
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.00
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.69
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.83
CMS adjusted RN staffing hours
Adjusted total hours
3.64
CMS adjusted total nurse staffing hours
Case-mix index
1.44
Higher values indicate more complex resident acuity
RN turnover
34%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
4,355
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
40.29
Composite VBP score used to determine payment impact.
Payment multiplier
0.9932
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.87
Baseline 25.92% · Performance 19.37% · Measure score 6.87 · Achievement 4.45 · Improvement 6.87
Healthcare-associated infections
2.51
Baseline 13.32% · Performance 10.81% · Measure score 2.51 · Achievement 0 · Improvement 2.51
Total nurse turnover
3.35
Baseline 57.14% · Performance 50.00% · Measure score 3.35 · Achievement 3.35 · Improvement 1.71
Adjusted total nurse staffing
3.39
Baseline 2.65 hours · Performance 3.87 hours · Measure score 3.39 · Achievement 2.78 · Improvement 3.39
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.04% |
10.72%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 249 · Observed rate 13.25% · Lower 95% interval 9.7% |
| Discharge to community | 37.72% |
50.57%
12.9 pts worse
|
Worse than the National Rate · Eligible stays 244 · Observed rate 32.38% · Lower 95% interval 31.74% |
| Medicare spending per beneficiary | 1.52 |
1.02
0.5 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 169 · Denominator 169 |
| Falls with major injury | 0.59% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 169 |
| Discharge self-care score | 62.96% |
53.69%
9.3 pts better
|
Numerator 68 · Denominator 108 |
| Discharge mobility score | 77.78% |
50.94%
26.8 pts better
|
Numerator 84 · Denominator 108 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 169 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 10.81% |
7.12%
3.7 pts worse
|
Worse than the National Rate · Eligible stays 177 · Observed rate 12.99% · Lower 95% interval 7.52% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 194 |
| Staff flu vaccination coverage | 92.36% |
42%
50.4 pts better
|
Numerator 133 · Denominator 144 |
| Discharge function score | 66.67% |
56.45%
10.2 pts better
|
Numerator 72 · Denominator 108 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 59 · Denominator 59 |
| Transfer of health information to patient | 98.31% |
96.28%
2 pts better
|
Numerator 58 · Denominator 59 |
| Resident COVID-19 vaccinations up to date | 83.65% |
25.2%
58.5 pts better
|
Numerator 87 · Denominator 104 |
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 1.3 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 5.7 |
1.3
4.4 pts worse
|
1.8
3.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 5.7 · Observed 5.2 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.5% |
91.2%
4.3 pts better
|
93.4%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.5% · Q2 93.4% · Q3 97.4% · Q4 94.9% · 4Q avg 95.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.9% |
95.3%
1.6 pts better
|
95.5%
1.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.2% |
3.0%
0.2 pts worse
|
3.3%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 3.3% · Q3 2.6% · Q4 2.5% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 28.6% |
18.5%
10.1 pts worse
|
11.4%
17.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.8% · Q2 30.1% · Q3 33.3% · Q4 33.3% · 4Q avg 28.6% |
| Percentage of long-stay residents who lose too much weight | 5.3% |
6.1%
0.8 pts better
|
5.4%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 3.5% · Q3 6.4% · Q4 6.9% · 4Q avg 5.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.9% |
13.5%
3.6 pts better
|
19.6%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 11.6% · Q3 9.6% · Q4 9.3% · 4Q avg 9.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.5% |
14.8%
4.3 pts better
|
16.7%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 10.4% · Q3 10.1% · Q4 14.3% · 4Q avg 10.5% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.6% |
0.2%
0.4 pts worse
|
0.1%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 0.9% · Q4 0.8% · 4Q avg 0.6% |
| Percentage of long-stay residents whose ability to walk independently worsened | 6.1% |
15.1%
9 pts better
|
16.3%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 10.3% · Q3 4.5% · Q4 7.6% · 4Q avg 6.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.4% |
15.5%
3.1 pts better
|
14.9%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 19.7% · Q3 13.3% · Q4 8.6% · 4Q avg 12.4% · 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 | 0.2% |
1.4%
1.2 pts better
|
1.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.9% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 1.0% |
20.8%
19.8 pts better
|
19.8%
18.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 1.7% · Q4 1.5% · 4Q avg 1.0% |
| Percentage of long-stay residents with pressure ulcers | 4.3% |
6.9%
2.6 pts better
|
5.1%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 4.9% · Q3 4.0% · Q4 1.9% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 71.2% |
76.7%
5.5 pts worse
|
81.7%
10.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 67.4% · Q2 71.1% · Q3 74.5% · Q4 71.3% · 4Q avg 71.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 27.2% |
9.7%
17.5 pts worse
|
12.0%
15.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.2% · Observed 22.8% · Expected 9.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.2%
0.4 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 1.5% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 45.0% |
78.8%
33.8 pts worse
|
79.7%
34.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 45.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.4% |
20.6%
1.2 pts better
|
23.9%
4.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.4% · Observed 18.6% · Expected 22.9% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (3 deficiencies)
19 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-09-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-30
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-09-30
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2025-09-30
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-09-30
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-09-30
Fire Safety
Install proper backup exit lighting.
Corrected 2025-09-30
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 2025-09-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-11-14
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-09-30
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-09-30
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-09-30
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 2025-09-30
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-09-30
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2025-09-30
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-09-30
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-09-30
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-09-30
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-09-30
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-02-22
Fire Safety
Provide at least two remote exits on each floor or fire section of the building.
Corrected 2024-02-07
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-02-27
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-02-05
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-02-05
Fire Safety
Install proper backup exit lighting.
Corrected 2024-02-13
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 2024-02-05
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-02-05
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-05
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-02-05
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-02-11
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-02-05
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2021-08-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-08-30
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-08-30
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2021-08-30
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-08-30
Inspection history
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-09-18
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-18
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-09-18
Health
Dispose of garbage and refuse properly.
Corrected 2025-09-18
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-09-18
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2024-02-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-05
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-05
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-05
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-02-05
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-02-05
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-02-05
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-02-05
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-02-05
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-08-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-08-13
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 2021-08-13
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2021-08-13
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2021-08-30
Health
Provide and implement an infection prevention and control program.
Corrected 2021-08-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-08-30
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2021-08-30
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-08-30
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2021-08-30
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 2021-08-13
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2021-08-30
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Direct Ownership Interest · Individual
Nearby options
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Malone, NY
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