Federal inspection record · CMS data as of October 1, 2026

Samaritan Keep Nursing Home Inc

133 Pratt St, Watertown, NY · (315) 785-4400

  • Cited for abuse (CMS abuse icon)

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
272
Residents per day
260
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 1, 1975

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in New York.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among New York homes

Samaritan Keep Nursing Home Inc carries 60 inspection points. That is fewer than 30% of New York's 589 rated homes.

5★4★3★2★1★+18 homes above 246.7505102550100200inspection points → fewer is better on the leftThis home · 60 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New York: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–12 pts
  • 4★ 12–27 pts
  • 3★ 27–46 pts
  • 2★ 46–82 pts
  • 1★ over 82 pts

Bars show every rated home in New York by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

26 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 21 4 pts
E 4 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. J

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    February 20, 2026 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected March 29, 2024

Everything else, by area of care

Quality of Life and Care11E
  1. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    March 20, 2026 · Complaint · F686 · Corrected May 12, 2026

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 20, 2026 · Complaint · F689 · Corrected May 12, 2026

  3. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    March 20, 2026 · Standard · F690 · Corrected May 12, 2026

  4. D

    Provide enough food/fluids to maintain a resident's health.

    March 20, 2026 · Standard · F692 · Corrected May 12, 2026

  5. D

    Provide safe and appropriate respiratory care for a resident when needed.

    March 20, 2026 · Standard · F695 · Corrected May 12, 2026

  6. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    March 20, 2026 · Standard · F698 · Corrected May 12, 2026

  7. E

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    March 1, 2024 · Standard · F686 · Corrected April 18, 2024

  8. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    March 1, 2024 · Complaint · F677 · Corrected April 18, 2024

  9. D

    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.

    March 1, 2024 · Standard · F688 · Corrected April 18, 2024

  10. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 1, 2024 · Complaint · F689 · Corrected April 18, 2024

  11. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    September 3, 2021 · Standard · F689 · Corrected November 2, 2021

Resident Rights4E
  1. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    March 20, 2026 · Standard · F550 · Corrected May 12, 2026

  2. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    March 20, 2026 · Complaint · F554 · Corrected May 12, 2026

  3. D

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    September 3, 2021 · Standard · F577 · Corrected November 2, 2021

  4. D

    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.

    September 3, 2021 · Standard · F584 · Corrected September 26, 2021

Infection Control3E
  1. D

    Provide and implement an infection prevention and control program.

    March 20, 2026 · Standard · F880 · Corrected May 12, 2026

  2. D

    Provide and implement an infection prevention and control program.

    March 1, 2024 · Standard · F880 · Corrected April 18, 2024

  3. E

    Provide and implement an infection prevention and control program.

    September 3, 2021 · Standard · F880 · Corrected November 2, 2021

Pharmacy Service2D
  1. D

    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.

    March 20, 2026 · Standard · F761 · Corrected May 12, 2026

  2. D

    Ensure that residents are free from significant medication errors.

    March 1, 2024 · Complaint · F760 · Corrected April 18, 2024

Nutrition and Dietary2D
  1. D

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    March 20, 2026 · Standard · F805 · Corrected May 12, 2026

  2. D

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    September 3, 2021 · Standard · F805 · Corrected November 2, 2021

Freedom from Abuse, Neglect, and Exploitation2E
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    April 1, 2024 · Complaint · F609 · Corrected May 15, 2024

  2. E

    Respond appropriately to all alleged violations.

    September 3, 2021 · Standard · F610 · Corrected November 2, 2021

Resident Assessment and Care Planning1D
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    March 1, 2024 · Complaint · F656 · Corrected April 18, 2024

Inspection history

  1. 2026-03-20

    12 health deficiencies · 10 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

  2. 2024-03-01

    7 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  3. 2021-09-03

    7 health deficiencies · 5 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 51 min of nursing staff time a day, 16 min of it from a registered nurse.

This home

3 h 51 min

New York average

3 h 41 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$9,113 in federal fines on record over the past three years.

DatePenaltyAmount
2026-02-20Fine$9,113

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident daysAbout the same1.71.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse1.41.31.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine27.3 pts worse64.5%91.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4 pts better99.2%95.2%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts worse5.0%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms19.8 pts better0.3%20.1%13.5%
Percentage of long-stay residents who lose too much weight1.3 pts worse7.0%5.7%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication9.8 pts worse23.0%13.2%19.5%
Percentage of long-stay residents who received an antipsychotic medication10.1 pts worse23.8%13.7%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3 pts better8.1%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.5 pts better13.2%13.7%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same0.5%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection0.1 pts worse1.3%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.3 pts worse23.9%18.6%18.3%
Percentage of long-stay residents with pressure ulcers2.7 pts better3.8%6.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.6 pts worse65.0%77.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3.1 pts better6.3%9.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better0.0%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3 pts worse75.9%78.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.2 pts better15.4%20.6%23.4%

·

Who owns and runs it

14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Briggs, MaxineW-2 Managing Employee · Individual0%1 facilities
Calarco, FrancesCorporate Director · Individual0%1 facilities
Carman, ThomasCorporate Director · Individual0%2 facilities
Hochgraf, ChrisCorporate Director · Individual0%1 facilities
Mclaughlin, CarlCorporate Director · Individual0%1 facilities
O'connor, LindaCorporate Director · Individual0%1 facilities
Ormsby, BarryCorporate Director · Individual0%1 facilities
Purington, SamCorporate Director · Individual0%1 facilities
Schmitt, MelissaCorporate Director · Individual0%2 facilities
Treadwell-Woods, JoanCorporate Director · Individual0%2 facilities
Valentine, TracyCorporate Director · Individual0%1 facilities
Vars, AddisonCorporate Director · Individual0%2 facilities
Walton, PeterCorporate Director · Individual0%2 facilities
Wardwell Donahue, MaryCorporate Director · Individual0%1 facilities

·

Fire safety

19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke7F
  1. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    March 20, 2026 · K345 · Corrected May 12, 2026

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    March 20, 2026 · K353 · Corrected May 12, 2026

  3. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    March 20, 2026 · K321 · Corrected May 12, 2026

  4. D

    Install corridor and hallway doors that block smoke.

    March 20, 2026 · K363 · Corrected May 12, 2026

  5. E

    Inspect, test, and maintain automatic sprinkler systems.

    March 1, 2024 · K353 · Corrected May 16, 2024

  6. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    March 1, 2024 · K321 · Corrected April 23, 2024

  7. E

    Have an enclosure around a vertical opening shaft.

    September 3, 2021 · K311 · Corrected September 15, 2021

Services3F
  1. F

    Have elevators that firefighters can control in the event of a fire.

    March 20, 2026 · K531 · Not yet marked corrected

  2. E

    Have properly installed electrical wiring and gas equipment.

    March 20, 2026 · K511 · Corrected May 12, 2026

  3. E

    Have elevators that firefighters can control in the event of a fire.

    September 3, 2021 · K531 · Corrected September 30, 2021

Egress3E
  1. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    March 20, 2026 · K211 · Corrected June 12, 2026

  2. D

    Install emergency lighting that can last at least 1 1/2 hours.

    March 20, 2026 · K291 · Corrected May 12, 2026

  3. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    March 1, 2024 · K211 · Corrected May 8, 2024

Gas, Vacuum, and Electrical Systems3D
  1. D

    Ensure proper usage of power strips and extension cords.

    March 20, 2026 · K920 · Corrected May 12, 2026

  2. D

    Ensure proper usage of power strips and extension cords.

    September 3, 2021 · K920 · Corrected September 7, 2021

  3. D

    Ensure that testing and maintenance of electrical equipment is performed.

    September 3, 2021 · K921 · Corrected September 21, 2021

Miscellaneous2D
  1. D

    Have restrictions on the use of portable space heaters.

    March 1, 2024 · K781 · Corrected April 27, 2024

  2. D

    Have simulated fire drills held at unexpected times.

    September 3, 2021 · K712 · Corrected September 2, 2021

Construction1E
  1. E

    Install a two-hour-resistant firewall separation.

    March 20, 2026 · K133 · Corrected June 22, 2026

·

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