23 health deficiencies
Top issue: Resident Rights (5 deficiencies)
17 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (5 deficiencies)
Amsterdam, NY
1-star overall rating with 1-star inspections with $3,387 in total fines with 23 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle
100 Sandy Drive, Amsterdam, NY
(518) 843-3503
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
109
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1974-12-01
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
0.48
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.01
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.23
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.72
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.49
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.16
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.19
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
0.51
CMS adjusted RN staffing hours
Adjusted total hours
3.92
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
62%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
61%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
11,619
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
16.05
Composite VBP score used to determine payment impact.
Payment multiplier
0.9816
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.48
Baseline 17.27% · Performance 20.75% · Measure score 1.48 · Achievement 1.48 · Improvement 0
Healthcare-associated infections
0
Baseline 5.83% · Performance 9.92% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.15
Baseline 71.91% · Performance 59.44% · Measure score 2.15 · Achievement 1.04 · Improvement 2.15
Adjusted total nurse staffing
2.79
Baseline 3.09 hours · Performance 3.87 hours · Measure score 2.79 · Achievement 2.79 · Improvement 2.42
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.81% |
10.72%
3.1 pts worse
|
No Different than the National Rate · Eligible stays 140 · Observed rate 20% · Lower 95% interval 9.92% |
| Discharge to community | 35.3% |
50.57%
15.3 pts worse
|
Worse than the National Rate · Eligible stays 150 · Observed rate 26% · Lower 95% interval 27.53% |
| Medicare spending per beneficiary | 1.15 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 144 · Denominator 144 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 144 |
| Discharge self-care score | 35.64% |
53.69%
18 pts worse
|
Numerator 36 · Denominator 101 |
| Discharge mobility score | 45.54% |
50.94%
5.4 pts worse
|
Numerator 46 · Denominator 101 |
| Pressure ulcers or injuries, new or worsened | 0.69% |
2.29%
1.6 pts better
|
Numerator 1 · Denominator 144 · Adjusted rate 1.04% |
| Healthcare-associated infections requiring hospitalization | 9.92% |
7.12%
2.8 pts worse
|
No Different than the National Rate · Eligible stays 100 · Observed rate 14% · Lower 95% interval 6.08% |
| Staff COVID-19 vaccination coverage | 5.93% |
8.2%
2.3 pts worse
|
Numerator 7 · Denominator 118 |
| Staff flu vaccination coverage | 51.67% |
42%
9.7 pts better
|
Numerator 108 · Denominator 209 |
| Discharge function score | 56.44% |
56.45%
About the same
|
Numerator 57 · Denominator 101 |
| Transfer of health information to provider | 95% |
95.95%
1 pts worse
|
Numerator 38 · Denominator 40 |
| Transfer of health information to patient | 86.67% |
96.28%
9.6 pts worse
|
Numerator 39 · Denominator 45 |
| Resident COVID-19 vaccinations up to date | 23.6% |
25.2%
1.6 pts worse
|
Numerator 21 · Denominator 89 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.8 |
1.7
0.1 pts worse
|
1.9
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.4 · Expected 2.5 · 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 2.1 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.2%
8.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.0% |
95.3%
3.7 pts better
|
95.5%
3.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.3% |
3.0%
2.7 pts better
|
3.3%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 17.2% |
18.5%
1.3 pts better
|
11.4%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 26.4% · Q3 9.8% · Q4 20.2% · 4Q avg 17.2% |
| Percentage of long-stay residents who lose too much weight | 0.9% |
6.1%
5.2 pts better
|
5.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.2% |
13.5%
4.7 pts worse
|
19.6%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 16.0% · Q3 17.4% · Q4 20.7% · 4Q avg 18.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.8% |
14.8%
2 pts worse
|
16.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 16.4% · Q3 20.6% · Q4 16.7% · 4Q avg 16.8% · 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 | 11.3% |
15.1%
3.8 pts better
|
16.3%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.6% · Q2 5.7% · Q3 10.6% · Q4 11.6% · 4Q avg 11.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.6% |
15.5%
2.9 pts better
|
14.9%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 10.9% · Q3 14.1% · Q4 9.4% · 4Q avg 12.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.6%
0.3 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
1.4%
1.1 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.1% |
20.8%
7.7 pts better
|
19.8%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 11.1% · Q3 14.8% · Q4 13.2% · 4Q avg 13.1% |
| Percentage of long-stay residents with pressure ulcers | 14.7% |
6.9%
7.8 pts worse
|
5.1%
9.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 15.9% · Q3 13.4% · Q4 13.4% · 4Q avg 14.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
76.7%
22.7 pts better
|
81.7%
17.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.0% · Q2 99.2% · Q3 99.3% · Q4 100.0% · 4Q avg 99.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.2% |
9.7%
0.5 pts better
|
12.0%
2.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 9.2% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.2%
0.9 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.4% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.5% |
78.8%
14.7 pts better
|
79.7%
13.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.2% |
20.6%
1.4 pts better
|
23.9%
4.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.2% · Observed 20.2% · Expected 25.1% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (5 deficiencies)
17 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (5 deficiencies)
Top issue: Nutrition and Dietary (4 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-05-16
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-05-26
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-05-16
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-05-16
Fire Safety
Install proper backup exit lighting.
Corrected 2025-05-16
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-05-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-16
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-05-16
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2025-05-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-11
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-06-17
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-05-16
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2025-05-16
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-12
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-16
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-05-16
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-16
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-02-24
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-03-08
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-02-24
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-03-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-02-24
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2020-11-24
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2020-11-24
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2020-11-24
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2020-11-24
Inspection history
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-05-27
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 2025-05-27
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 2025-05-27
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-05-27
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 2025-05-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-27
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-05-27
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 2025-05-27
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-05-27
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-05-27
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 2025-05-27
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-05-27
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2025-05-27
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-27
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2025-05-27
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-27
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-05-27
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-05-27
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-05-27
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-05-27
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-05-27
Health
Respond appropriately to all alleged violations.
Corrected 2025-05-27
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-05-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-13
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-28
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2023-02-24
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 2023-02-24
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-02-24
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-02-24
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2023-02-25
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-11-24
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2020-11-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-11-24
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2020-11-24
Health
Dispose of garbage and refuse properly.
Corrected 2020-11-24
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2020-11-24
Penalties and ownership
Fine · fine $3,387
Fine
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
W-2 Managing Employee · Individual
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