Watertown, NY

Samaritan Keep Nursing Home Inc

1-star overall rating with 1-star inspections with $62,117 in total fines with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

133 Pratt St, Watertown, NY

(315) 785-4400

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

272

Certified beds

Average residents

249

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1975-01-01

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

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

0.36

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.36

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

0.36

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

0.06

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.06

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.40

CMS adjusted RN staffing hours

Adjusted total hours

0.40

CMS adjusted total nurse staffing hours

Case-mix index

1.24

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

7,363

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

29.94

Composite VBP score used to determine payment impact.

Payment multiplier

0.9857

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.39

Baseline 18.58% · Performance 19.86% · Measure score 3.39 · Achievement 3.39 · Improvement 0

Healthcare-associated infections

2.71

Baseline 5.37% · Performance 7.03% · Measure score 2.71 · Achievement 2.71 · Improvement 0

Total nurse turnover

3.29

Baseline 50.24% · Performance 50.22% · Measure score 3.29 · Achievement 3.29 · Improvement 0

Adjusted total nurse staffing

2.59

Baseline 3.61 hours · Performance 3.81 hours · Measure score 2.59 · Achievement 2.59 · Improvement 0.45

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.74%	10.72% 1 pts better	No Different than the National Rate · Eligible stays 93 · Observed rate 7.53% · Lower 95% interval 6.64%
Discharge to community	35.03%	50.57% 15.5 pts worse	Worse than the National Rate · Eligible stays 81 · Observed rate 24.69% · Lower 95% interval 25.74%
Medicare spending per beneficiary	0.78	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 84 · Denominator 84
Falls with major injury	1.19%	0.77% 0.4 pts worse	Numerator 1 · Denominator 84
Discharge self-care score	34.43%	53.69% 19.3 pts worse	Numerator 21 · Denominator 61
Discharge mobility score	60.66%	50.94% 9.7 pts better	Numerator 37 · Denominator 61
Pressure ulcers or injuries, new or worsened	8.33%	2.29% 6 pts worse	Numerator 7 · Denominator 84 · Adjusted rate 8.12%
Healthcare-associated infections requiring hospitalization	7.03%	7.12% 0.1 pts better	No Different than the National Rate · Eligible stays 63 · Observed rate 6.35% · Lower 95% interval 4.44%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 309
Staff flu vaccination coverage	65.66%	42% 23.7 pts better	Numerator 434 · Denominator 661
Discharge function score	57.38%	56.45% 0.9 pts better	Numerator 35 · Denominator 61
Transfer of health information to provider	48.39%	95.95% 47.6 pts worse	Numerator 15 · Denominator 31
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	36.96%	25.2% 11.8 pts better	Numerator 17 · Denominator 46

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.3	1.7 0.4 pts better	1.9 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.5	1.3 0.2 pts worse	1.8 0.3 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.6 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	60.0%	91.2% 31.2 pts worse	93.4% 33.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 80.9% · Q2 46.8% · Q3 52.5% · Q4 61.0% · 4Q avg 60.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	81.4%	95.3% 13.9 pts worse	95.5% 14.1 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 81.4%
Percentage of long-stay residents experiencing one or more falls with major injury	8.4%	3.0% 5.4 pts worse	3.3% 5.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 9.0% · Q3 9.5% · Q4 6.6% · 4Q avg 8.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.2%	18.5% 18.3 pts better	11.4% 11.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.5% · Q3 0.4% · Q4 0.0% · 4Q avg 0.2%
Percentage of long-stay residents who lose too much weight	4.8%	6.1% 1.3 pts better	5.4% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 7.4% · Q3 3.9% · Q4 5.3% · 4Q avg 4.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.1%	13.5% 4.6 pts worse	19.6% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.8% · Q2 18.1% · Q3 18.5% · Q4 18.1% · 4Q avg 18.1%
Percentage of long-stay residents who received an antipsychotic medication	32.3%	14.8% 17.5 pts worse	16.7% 15.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.8% · Q2 35.4% · Q3 33.0% · Q4 28.2% · 4Q avg 32.3% · 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	12.1%	15.1% 3 pts better	16.3% 4.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 12.3% · Q3 10.0% · Q4 10.0% · 4Q avg 12.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.5%	15.5% 1 pts better	14.9% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 17.3% · Q3 14.9% · Q4 11.1% · 4Q avg 14.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.9%	0.6% 0.3 pts worse	1.0% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.7% · Q3 0.8% · Q4 0.6% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.5%	1.4% 0.1 pts worse	1.7% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.4% · Q3 2.1% · Q4 1.3% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.1%	20.8% 6.3 pts worse	19.8% 7.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 31.5% · Q3 25.1% · Q4 25.9% · 4Q avg 27.1%
Percentage of long-stay residents with pressure ulcers	6.8%	6.9% 0.1 pts better	5.1% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 7.3% · Q3 7.7% · Q4 4.5% · 4Q avg 6.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	59.9%	76.7% 16.8 pts worse	81.7% 21.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 76.5% · Q2 50.0% · Q3 55.4% · Q4 56.2% · 4Q avg 59.9%
Percentage of short-stay residents who had an outpatient emergency department visit	8.8%	9.7% 0.9 pts better	12.0% 3.2 pts better	Short Stay · 20240701-20250630 · Adjusted 8.8% · Observed 8.5% · Expected 10.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	3.8%	1.2% 2.6 pts worse	1.6% 2.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 6.2% · Q3 5.7% · Q4 0.0% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	73.8%	78.8% 5 pts worse	79.7% 5.9 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 73.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	15.9%	20.6% 4.7 pts better	23.9% 8 pts better	Short Stay · 20240701-20250630 · Adjusted 15.9% · Observed 15.5% · Expected 23.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-03-01 · Fire 2024-03-01

7 health deficiencies

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

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2021-09-03 · Fire 2021-09-03

7 health deficiencies

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

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2019-04-26 · Fire 2019-04-26

7 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-03-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-16

D · Potential for more than minimal harm 2024-03-01

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-05-08

D · Potential for more than minimal harm 2024-03-01

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 2024-04-23

D · Potential for more than minimal harm 2024-03-01

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2024-04-27

E · Potential for more than minimal harm 2021-09-03

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2021-09-15

E · Potential for more than minimal harm 2021-09-03

K531 · Services Deficiencies

Fire Safety

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

Corrected 2021-09-30

D · Potential for more than minimal harm 2021-09-03

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2021-09-02

D · Potential for more than minimal harm 2021-09-03

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2021-09-07

D · Potential for more than minimal harm 2021-09-03

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2021-09-21

E · Potential for more than minimal harm 2019-04-26

K133 · Construction Deficiencies

Fire Safety

Install a two-hour-resistant firewall separation.

Not marked corrected

D · Potential for more than minimal harm 2019-04-26

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-06-21

D · Potential for more than minimal harm 2019-04-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2019-04-30

D · Potential for more than minimal harm 2019-04-26

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-06-21

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-04-01

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-05-15

E · Potential for more than minimal harm 2024-03-01

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-18

D · Potential for more than minimal harm 2024-03-01

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 2024-04-18

D · Potential for more than minimal harm 2024-03-01

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 2024-04-18

D · Potential for more than minimal harm 2024-03-01

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 2024-04-18

D · Potential for more than minimal harm 2024-03-01

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 2024-04-18

D · Potential for more than minimal harm 2024-03-01

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-04-18

D · Potential for more than minimal harm 2024-03-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-04-18

J · Immediate jeopardy 2023-08-08

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 2023-09-22

J · Immediate jeopardy 2023-08-08

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2023-09-19

D · Potential for more than minimal harm 2023-08-08

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-09-19

D · Potential for more than minimal harm 2023-08-08

F948 · Nursing and Physician Services Deficiencies

Health

Ensure that paid feeding assistants have the training they need.

Corrected 2023-09-19

E · Potential for more than minimal harm 2021-09-03

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2021-11-02

E · Potential for more than minimal harm 2021-09-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-11-02

D · Potential for more than minimal harm 2021-09-03

F577 · Resident Rights Deficiencies

Health

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

Corrected 2021-11-02

D · Potential for more than minimal harm 2021-09-03

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 2021-09-26

D · Potential for more than minimal harm 2021-09-03

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 2021-11-02

D · Potential for more than minimal harm 2021-09-03

F805 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2021-11-02

E · Potential for more than minimal harm 2019-04-26

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 2019-06-25

D · Potential for more than minimal harm 2019-04-26

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2019-06-25

D · Potential for more than minimal harm 2019-04-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-06-25

Penalties and ownership

What sits behind the stars

$62,117 2023-08-08

Fine

Fine · fine $62,117

Fine

Ownership

Briggs, Maxine

W-2 Managing Employee · Individual

0% 1 facilities 2019-08-01

Calarco, Frances