Cycle 1
Health 2024-04-12 · Fire 2024-04-12
18 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Oneida, NY
Oneida Health Rehabilitation And Extended Care
1-star overall rating with 1-star inspections with $16,153 in total fines with 18 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
323 Genesee Street, Oneida, NY
(315) 363-6000
Overall
1 / 5
CMS overall stars
Health inspections
1 / 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
160
Certified beds
Average residents
148
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1974-08-05
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
Hours and turnover
RN hours / resident day
0.55
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.84
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.93
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.32
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
2.79
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.32
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
0.47
CMS adjusted RN staffing hours
Adjusted total hours
2.81
CMS adjusted total nurse staffing hours
Case-mix index
1.61
Higher values indicate more complex resident acuity
RN turnover
41%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,870
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.49
Composite VBP score used to determine payment impact.
Payment multiplier
0.9865
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.47
Baseline 19.67% · Performance 18.43% · Measure score 6.47 · Achievement 6.47 · Improvement 4.18
Healthcare-associated infections
0
Baseline 6.32% · Performance 8.17% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.71
Performance 40.34% · Measure score 5.71 · Achievement 5.71 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0.42
Baseline 2.85 hours · Performance 3.12 hours · Measure score 0.42 · Achievement 0 · Improvement 0.42
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.29% |
10.72%
1.4 pts better
|
No Different than the National Rate · Eligible stays 134 · Observed rate 7.46% · Lower 95% interval 6.36% |
| Discharge to community | 58% |
50.57%
7.4 pts better
|
No Different than the National Rate · Eligible stays 161 · Observed rate 50.31% · Lower 95% interval 50.11% |
| Medicare spending per beneficiary | 1.17 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.43% |
95.27%
3.2 pts better
|
Numerator 125 · Denominator 127 |
| Falls with major injury | 0.79% |
0.77%
About the same
|
Numerator 1 · Denominator 127 |
| Discharge self-care score | 47.06% |
53.69%
6.6 pts worse
|
Numerator 32 · Denominator 68 |
| Discharge mobility score | 55.88% |
50.94%
4.9 pts better
|
Numerator 38 · Denominator 68 |
| Pressure ulcers or injuries, new or worsened | 5.51% |
2.29%
3.2 pts worse
|
Numerator 7 · Denominator 127 · Adjusted rate 4.59% |
| Healthcare-associated infections requiring hospitalization | 8.17% |
7.12%
1 pts worse
|
No Different than the National Rate · Eligible stays 114 · Observed rate 9.65% · Lower 95% interval 5.27% |
| Staff COVID-19 vaccination coverage | 0.55% |
8.2%
7.6 pts worse
|
Numerator 1 · Denominator 181 |
| Staff flu vaccination coverage | 75.59% |
42%
33.6 pts better
|
Numerator 161 · Denominator 213 |
| Discharge function score | 52.94% |
56.45%
3.5 pts worse
|
Numerator 36 · Denominator 68 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 35 · Denominator 35 |
| Transfer of health information to patient | 96.97% |
96.28%
0.7 pts better
|
Numerator 64 · Denominator 66 |
| Resident COVID-19 vaccinations up to date | 22.22% |
25.2%
3 pts worse
|
Numerator 16 · Denominator 72 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.7
0.2 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 2.2 · Expected 2.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.6 |
1.3
1.3 pts worse
|
1.8
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 3.0 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 80.0% |
91.2%
11.2 pts worse
|
93.4%
13.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 84.3% · Q2 79.8% · Q3 76.6% · Q4 79.3% · 4Q avg 80.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.9% |
95.3%
0.6 pts better
|
95.5%
0.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.9% |
3.0%
3.9 pts worse
|
3.3%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 8.8% · Q3 6.3% · Q4 5.0% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.5% |
18.5%
18 pts better
|
11.4%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% |
| Percentage of long-stay residents who lose too much weight | 8.5% |
6.1%
2.4 pts worse
|
5.4%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 8.1% · Q3 8.0% · Q4 8.3% · 4Q avg 8.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.8% |
13.5%
10.3 pts worse
|
19.6%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 23.3% · Q3 22.5% · Q4 24.3% · 4Q avg 23.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.0% |
14.8%
3.2 pts worse
|
16.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 19.1% · Q3 16.5% · Q4 18.8% · 4Q avg 18.0% · 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 | 39.6% |
15.1%
24.5 pts worse
|
16.3%
23.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.7% · Q2 50.1% · Q3 40.4% · Q4 30.0% · 4Q avg 39.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 37.5% |
15.5%
22 pts worse
|
14.9%
22.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 43.0% · Q2 41.8% · Q3 29.1% · Q4 35.6% · 4Q avg 37.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.6%
0.4 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.4% |
1.4%
1 pts worse
|
1.7%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.7% · Q3 5.5% · Q4 0.0% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.4% |
20.8%
9.6 pts worse
|
19.8%
10.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.2% · Q2 38.2% · Q3 30.1% · Q4 23.8% · 4Q avg 30.4% |
| Percentage of long-stay residents with pressure ulcers | 4.4% |
6.9%
2.5 pts better
|
5.1%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 5.8% · Q3 4.4% · Q4 2.2% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 63.4% |
76.7%
13.3 pts worse
|
81.7%
18.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 55.0% · Q2 62.1% · Q3 66.4% · Q4 67.9% · 4Q avg 63.4% |
| 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 13.0% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.2%
0.1 pts worse
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.9% · Q3 2.2% · Q4 0.8% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 70.0% |
78.8%
8.8 pts worse
|
79.7%
9.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 70.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.5% |
20.6%
5.1 pts better
|
23.9%
8.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.5% · Observed 15.9% · Expected 24.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-01-25 · Fire 2022-01-25
1 health deficiencies
Top issue: Resident Rights (1 deficiency)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2019-07-01 · Fire 2019-07-01
3 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-04-12
K901 · Electrical Deficiencies
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2024-05-30
E · Potential for more than minimal harm
2024-04-12
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-05-30
E · Potential for more than minimal harm
2024-04-12
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-30
E · Potential for more than minimal harm
2024-04-12
K907 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure medical gas and vacuum systems have documented maintenance programs.
Corrected 2024-05-30
D · Potential for more than minimal harm
2024-04-12
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-05-30
D · Potential for more than minimal harm
2024-04-12
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 2024-05-30
D · Potential for more than minimal harm
2024-04-12
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-05-30
D · Potential for more than minimal harm
2024-04-12
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-25
D · Potential for more than minimal harm
2024-04-12
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-05-30
D · Potential for more than minimal harm
2022-01-25
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-02-25
D · Potential for more than minimal harm
2022-01-25
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-02-25
D · Potential for more than minimal harm
2022-01-25
K904 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a properly installed medical gas master alarm panel.
Corrected 2022-03-18
D · Potential for more than minimal harm
2022-01-25
K909 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure gas and vacuum piping is labeled.
Corrected 2022-02-10
D · Potential for more than minimal harm
2019-07-01
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2019-08-26
C · Minimal harm
2019-07-01
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-08-26
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-27
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 2026-03-20
D · Potential for more than minimal harm
2026-01-27
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 2026-03-20
J · Immediate jeopardy
2025-04-25
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-04-15
E · Potential for more than minimal harm
2024-04-12
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-30
E · Potential for more than minimal harm
2024-04-12
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 2024-05-30
E · Potential for more than minimal harm
2024-04-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-30
E · Potential for more than minimal harm
2024-04-12
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-05-30
D · Potential for more than minimal harm
2024-04-12
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-05-30
D · Potential for more than minimal harm
2024-04-12
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 2024-05-30
D · Potential for more than minimal harm
2024-04-12
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2024-05-30
D · Potential for more than minimal harm
2024-04-12
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-30
D · Potential for more than minimal harm
2024-04-12
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-30
D · Potential for more than minimal harm
2024-04-12
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-30
D · Potential for more than minimal harm
2024-04-12
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-05-30
D · Potential for more than minimal harm
2024-04-12
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2024-05-30
D · Potential for more than minimal harm
2024-04-12
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-05-30
D · Potential for more than minimal harm
2024-04-12
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 2024-05-30
C · Minimal harm
2024-04-12
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-05-30
D · Potential for more than minimal harm
2022-01-25
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-02-18
D · Potential for more than minimal harm
2019-07-01
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2019-08-23
D · Potential for more than minimal harm
2019-07-01
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2019-07-26
D · Potential for more than minimal harm
2019-07-01
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-07-26
Penalties and ownership
What sits behind the stars
$16,153
2025-04-25
Fine
Fine · fine $16,153
Fine
Ownership
Bach, Janice
Corporate Director · Individual
Bell, Nadine
Corporate Director · Individual
Dugan, Chris
Corporate Director · Individual
Hedglon, Peter
Corporate Director · Individual
Kallet, Michael
Corporate Director · Individual
Koernig, Felissa
Operational/Managerial Control · Individual
Koernig, Felissa
Corporate Director · Individual
Koernig, Felissa
Corporate Officer · Individual
Potter, Steven
Corporate Director · Individual
Ratnarajah, Daniel
Corporate Director · Individual
Schaal, Todd
Corporate Director · Individual
Sweet, Jeremiah
Corporate Officer · Individual
Sweet, Jeremiah
W-2 Managing Employee · Individual
Wells, Margaret
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
The Grand Rehabilitation And Nrsg At Chittenango
Chittenango, NY
1-star overall rating with 2-star inspections with $16,448 in total fines with 5 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
#2
Crouse Community Center Inc
Morrisville, NY
4-star overall rating with 3-star inspections with 7 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#3
The Grand Rehabilitation And Nursing At Rome
Rome, NY
1-star overall rating with 1-star inspections with $31,285 in total fines with 10 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
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