Cycle 1
Health 2023-03-02 · Fire 2023-03-02
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Stamford, NY
Robinson Terrace
3-star overall rating with 3-star inspections with 3 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
28652 State Highway 23, Stamford, NY
(607) 652-7521
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
115
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Upstate Services Group
Operator or chain grouping
Approved since
1967-11-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
17 facilities
Chain averages 2 overall / 2 health / 2 staffing / 3 quality stars
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
0.48
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.81
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.78
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.08
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.29
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.40
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.25
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.48
CMS adjusted RN staffing hours
Adjusted total hours
3.08
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
31%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,259
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.26
Composite VBP score used to determine payment impact.
Payment multiplier
0.9834
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.96
Baseline 16.84% · Performance 19.60% · Measure score 3.96 · Achievement 3.96 · Improvement 0
Healthcare-associated infections
1.39
Baseline 7.39% · Performance 7.42% · Measure score 1.39 · Achievement 1.39 · Improvement 0
Total nurse turnover
4.35
Baseline 46.67% · Performance 45.88% · Measure score 4.35 · Achievement 4.35 · Improvement 0
Adjusted total nurse staffing
0
Baseline 2.66 hours · Performance 2.78 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.43% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 111 · Observed rate 9.01% · Lower 95% interval 7% |
| Discharge to community | 33.2% |
50.57%
17.4 pts worse
|
Worse than the National Rate · Eligible stays 109 · Observed rate 25.69% · Lower 95% interval 24.42% |
| Medicare spending per beneficiary | 1.62 |
1.02
0.6 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 129 · Denominator 129 |
| Falls with major injury | 3.1% |
0.77%
2.3 pts worse
|
Numerator 4 · Denominator 129 |
| Discharge self-care score | 42.11% |
53.69%
11.6 pts worse
|
Numerator 32 · Denominator 76 |
| Discharge mobility score | 52.63% |
50.94%
1.7 pts better
|
Numerator 40 · Denominator 76 |
| Pressure ulcers or injuries, new or worsened | 3.88% |
2.29%
1.6 pts worse
|
Numerator 5 · Denominator 129 · Adjusted rate 3.83% |
| Healthcare-associated infections requiring hospitalization | 7.42% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 86 · Observed rate 6.98% · Lower 95% interval 4.65% |
| Staff COVID-19 vaccination coverage | 17.14% |
8.2%
8.9 pts better
|
Numerator 24 · Denominator 140 |
| Staff flu vaccination coverage | 80% |
42%
38 pts better
|
Numerator 128 · Denominator 160 |
| Discharge function score | 48.68% |
56.45%
7.8 pts worse
|
Numerator 37 · Denominator 76 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 54 · Denominator 54 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 31 · Denominator 31 |
| Resident COVID-19 vaccinations up to date | 25.33% |
25.2%
0.1 pts better
|
Numerator 19 · Denominator 75 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
1.7
0.8 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.2 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.8 |
1.3
3.5 pts worse
|
1.8
3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.8 · Observed 4.0 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.3% |
91.2%
2.9 pts worse
|
93.4%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 89.4% · Q2 90.6% · Q3 85.3% · Q4 88.0% · 4Q avg 88.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.5% |
95.3%
2.2 pts better
|
95.5%
2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.5% |
3.0%
2.5 pts worse
|
3.3%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 6.6% · Q3 3.9% · Q4 5.6% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.8% |
18.5%
11.7 pts better
|
11.4%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 5.2% · Q3 5.3% · Q4 6.2% · 4Q avg 6.8% |
| Percentage of long-stay residents who lose too much weight | 9.2% |
6.1%
3.1 pts worse
|
5.4%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 12.9% · Q3 8.6% · Q4 7.5% · 4Q avg 9.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.1% |
13.5%
3.6 pts worse
|
19.6%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 18.8% · Q3 17.3% · Q4 15.4% · 4Q avg 17.1% |
| 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 10.5% · Q2 12.2% · Q3 7.9% · Q4 11.5% · 4Q avg 10.5% · 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 | 7.5% |
15.1%
7.6 pts better
|
16.3%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 6.5% · Q3 7.2% · Q4 9.5% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.0% |
15.5%
3.5 pts better
|
14.9%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 8.2% · Q3 10.4% · Q4 14.9% · 4Q avg 12.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.4% |
0.6%
1.8 pts worse
|
1.0%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.6% · Q3 3.9% · Q4 3.6% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
1.4%
0.1 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 0.0% · Q4 2.9% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.2% |
20.8%
0.4 pts worse
|
19.8%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 25.5% · Q3 17.4% · Q4 22.3% · 4Q avg 21.2% |
| Percentage of long-stay residents with pressure ulcers | 7.9% |
6.9%
1 pts worse
|
5.1%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 7.7% · Q3 7.9% · Q4 7.6% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 70.1% |
76.7%
6.6 pts worse
|
81.7%
11.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 75.7% · Q2 63.4% · Q3 67.1% · Q4 74.6% · 4Q avg 70.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.3% |
9.7%
1.6 pts worse
|
12.0%
0.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.3% · Observed 10.2% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 78.4% |
78.8%
0.4 pts worse
|
79.7%
1.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 78.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.8% |
20.6%
3.2 pts worse
|
23.9%
0.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.8% · Observed 22.4% · Expected 22.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2020-10-20 · Fire 2020-10-20
7 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2019-01-14 · Fire 2019-01-14
15 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-03-02
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-01
F · Potential for more than minimal harm
2023-03-02
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-05-10
E · Potential for more than minimal harm
2023-03-02
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-05-01
E · Potential for more than minimal harm
2023-03-02
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-05-01
E · Potential for more than minimal harm
2023-03-02
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-05-01
E · Potential for more than minimal harm
2023-03-02
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-05-01
E · Potential for more than minimal harm
2023-03-02
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-01
E · Potential for more than minimal harm
2023-03-02
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-05-01
E · Potential for more than minimal harm
2020-10-20
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-11-20
E · Potential for more than minimal harm
2020-10-20
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-11-20
E · Potential for more than minimal harm
2020-10-20
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2020-11-20
E · Potential for more than minimal harm
2020-10-20
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2020-11-20
E · Potential for more than minimal harm
2020-10-20
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2020-11-20
E · Potential for more than minimal harm
2019-01-14
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2019-02-19
E · Potential for more than minimal harm
2019-01-14
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-04-01
E · Potential for more than minimal harm
2019-01-14
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-03-12
E · Potential for more than minimal harm
2019-01-14
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-03-12
D · Potential for more than minimal harm
2019-01-14
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2019-02-22
D · Potential for more than minimal harm
2019-01-14
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 2019-02-22
D · Potential for more than minimal harm
2019-01-14
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-02-22
C · Minimal harm
2019-01-14
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2019-02-22
Inspection history
Recent health citations
E · Potential for more than minimal harm
2023-03-02
F584 · Resident Rights Deficiencies
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 2023-05-11
E · Potential for more than minimal harm
2023-03-02
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 2023-05-01
D · Potential for more than minimal harm
2023-03-02
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 2023-05-01
E · Potential for more than minimal harm
2020-10-20
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2020-12-18
E · Potential for more than minimal harm
2020-10-20
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 2020-12-18
D · Potential for more than minimal harm
2020-10-20
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2020-12-18
D · Potential for more than minimal harm
2020-10-20
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2020-12-18
D · Potential for more than minimal harm
2020-10-20
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2020-12-18
D · Potential for more than minimal harm
2020-10-20
F770 · Administration Deficiencies
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2020-12-18
D · Potential for more than minimal harm
2020-10-20
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2020-12-18
F · Potential for more than minimal harm
2019-01-14
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 2019-02-28
E · Potential for more than minimal harm
2019-01-14
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2019-02-28
E · Potential for more than minimal harm
2019-01-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-02-28
D · Potential for more than minimal harm
2019-01-14
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2019-02-28
D · Potential for more than minimal harm
2019-01-14
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-02-28
D · Potential for more than minimal harm
2019-01-14
F625 · Resident Rights Deficiencies
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 2019-02-28
D · Potential for more than minimal harm
2019-01-14
F688 · Quality of Life and Care Deficiencies
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 2019-02-28
D · Potential for more than minimal harm
2019-01-14
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 2019-02-28
D · Potential for more than minimal harm
2019-01-14
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2019-02-28
D · Potential for more than minimal harm
2019-01-14
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 2019-02-28
D · Potential for more than minimal harm
2019-01-14
F756 · Pharmacy Service Deficiencies
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 2019-02-28
D · Potential for more than minimal harm
2019-01-14
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2019-02-28
D · Potential for more than minimal harm
2019-01-14
F761 · Pharmacy Service Deficiencies
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 2019-02-28
D · Potential for more than minimal harm
2019-01-14
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 2019-02-28
D · Potential for more than minimal harm
2019-01-14
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2019-02-28
Penalties and ownership
What sits behind the stars
Ownership
Koenig, Uri
5% Or Greater Direct Ownership Interest · Individual
Steif, Efraim
5% Or Greater Direct Ownership Interest · Individual
Koenig, Uri
Operational/Managerial Control · Individual
Koenig, Uri
Corporate Officer · Individual
Rogers, Eric
Operational/Managerial Control · Individual
Rogers, Eric
Corporate Officer · Individual
Rogers, Eric
W-2 Managing Employee · Individual
Steif, Efraim
Operational/Managerial Control · Individual
Steif, Efraim
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Mountainside Residential Care Center
Margaretville, NY
2-star overall rating with 2-star inspections with $8,512 in total fines with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Delhi Rehabilitation And Nursing Center
Delhi, NY
2-star overall rating with 2-star inspections with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Aurelia Osborn Fox Memorial Hospital
Oneonta, NY
1-star overall rating with 1-star inspections with abuse icon flag with 14 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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