Cycle 1
Health 2024-10-09 · Fire 2024-10-09
2 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Oswego, NY
Seneca Hill Manor Inc
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
20 Manor Drive, Oswego, NY
(315) 349-5300
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
110
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1999-03-04
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
Hours and turnover
RN hours / resident day
0.53
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.95
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.76
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.24
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.48
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.73
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.27
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.56
CMS adjusted RN staffing hours
Adjusted total hours
3.42
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
51%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,561
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.47
Composite VBP score used to determine payment impact.
Payment multiplier
0.9871
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.83
Baseline 17.26% · Performance 19.66% · Measure score 3.83 · Achievement 3.83 · Improvement 0
Healthcare-associated infections
3.43
Baseline 7.09% · Performance 6.81% · Measure score 3.43 · Achievement 3.43 · Improvement 0.86
Total nurse turnover
4.32
Baseline 28.09% · Performance 46.02% · Measure score 4.32 · Achievement 4.32 · Improvement 0
Adjusted total nurse staffing
1.41
Baseline 3.17 hours · Performance 3.48 hours · Measure score 1.41 · Achievement 1.41 · Improvement 0.68
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.18% |
10.72%
2.5 pts worse
|
No Different than the National Rate · Eligible stays 316 · Observed rate 13.61% · Lower 95% interval 9.59% |
| Discharge to community | 57.8% |
50.57%
7.2 pts better
|
Better than the National Rate · Eligible stays 361 · Observed rate 52.63% · Lower 95% interval 52.31% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 96.36% |
95.27%
1.1 pts better
|
Numerator 212 · Denominator 220 |
| Falls with major injury | 0.91% |
0.77%
0.1 pts worse
|
Numerator 2 · Denominator 220 |
| Discharge self-care score | 71.26% |
53.69%
17.6 pts better
|
Numerator 119 · Denominator 167 |
| Discharge mobility score | 77.84% |
50.94%
26.9 pts better
|
Numerator 130 · Denominator 167 |
| Pressure ulcers or injuries, new or worsened | 2.27% |
2.29%
About the same
|
Numerator 5 · Denominator 220 · Adjusted rate 1.9% |
| Healthcare-associated infections requiring hospitalization | 6.81% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 198 · Observed rate 6.06% · Lower 95% interval 4.45% |
| Staff COVID-19 vaccination coverage | 94.03% |
8.2%
85.8 pts better
|
Numerator 189 · Denominator 201 |
| Staff flu vaccination coverage | 82.62% |
42%
40.6 pts better
|
Numerator 233 · Denominator 282 |
| Discharge function score | 77.84% |
56.45%
21.4 pts better
|
Numerator 130 · Denominator 167 |
| Transfer of health information to provider | 91.84% |
95.95%
4.1 pts worse
|
Numerator 45 · Denominator 49 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 130 · Denominator 130 |
| Resident COVID-19 vaccinations up to date | 50.85% |
25.2%
25.7 pts better
|
Numerator 60 · Denominator 118 |
Quality measures
Resident outcomes and process scores
| 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 1.8 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.3
0.4 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.9% |
91.2%
3.7 pts better
|
93.4%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 92.3% · Q2 86.7% · Q3 100.0% · Q4 100.0% · 4Q avg 94.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.0% |
95.3%
1.3 pts worse
|
95.5%
1.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.1% |
3.0%
2.1 pts worse
|
3.3%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 5.3% · Q3 5.0% · Q4 5.1% · 4Q avg 5.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
18.5%
18.2 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 12.0% |
6.1%
5.9 pts worse
|
5.4%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 19.7% · Q3 11.8% · Q4 5.3% · 4Q avg 12.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.0% |
13.5%
2.5 pts better
|
19.6%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 10.7% · Q3 12.8% · Q4 11.5% · 4Q avg 11.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.1% |
14.8%
5.7 pts better
|
16.7%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 8.9% · Q3 7.8% · Q4 12.9% · 4Q avg 9.1% · 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 | 32.6% |
15.1%
17.5 pts worse
|
16.3%
16.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.4% · Q2 39.4% · Q3 37.5% · Q4 23.0% · 4Q avg 32.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.9% |
15.5%
10.4 pts worse
|
14.9%
11 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.7% · Q2 27.4% · Q3 28.4% · Q4 22.4% · 4Q avg 25.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
0.6%
0.2 pts worse
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.1% · Q4 1.1% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.0% |
1.4%
4.6 pts worse
|
1.7%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 5.8% · Q3 7.6% · Q4 6.6% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.3% |
20.8%
11.5 pts worse
|
19.8%
12.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 49.7% · Q2 39.2% · Q3 18.1% · Q4 21.4% · 4Q avg 32.3% |
| Percentage of long-stay residents with pressure ulcers | 7.8% |
6.9%
0.9 pts worse
|
5.1%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.2% · Q2 8.8% · Q3 7.2% · Q4 1.3% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.6% |
76.7%
16.9 pts better
|
81.7%
11.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.5% · Q2 94.3% · Q3 92.5% · Q4 93.0% · 4Q avg 93.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.0% |
9.7%
0.7 pts better
|
12.0%
3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.0% · Observed 8.0% · Expected 9.9% · 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 | 92.7% |
78.8%
13.9 pts better
|
79.7%
13 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.3% |
20.6%
4.7 pts worse
|
23.9%
1.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.3% · Observed 23.0% · Expected 21.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-10-04 · Fire 2022-10-04
2 health deficiencies
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Cycle 3
Health 2020-01-16 · Fire 2020-01-16
7 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-10-09
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 2024-12-03
D · Potential for more than minimal harm
2024-10-09
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2024-12-07
D · Potential for more than minimal harm
2024-10-09
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-12-07
D · Potential for more than minimal harm
2024-10-09
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-07
D · Potential for more than minimal harm
2024-10-09
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-12-07
D · Potential for more than minimal harm
2024-10-09
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2024-12-07
D · Potential for more than minimal harm
2024-10-09
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-07
D · Potential for more than minimal harm
2022-10-04
K133 · Construction Deficiencies
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2022-11-30
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-10-09
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 2024-12-07
D · Potential for more than minimal harm
2024-10-09
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-12-07
D · Potential for more than minimal harm
2023-11-09
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 2024-01-08
D · Potential for more than minimal harm
2023-11-09
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-08
D · Potential for more than minimal harm
2023-05-19
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-07-14
D · Potential for more than minimal harm
2023-05-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-30
D · Potential for more than minimal harm
2022-10-04
F813 · Nutrition and Dietary Deficiencies
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2022-11-21
D · Potential for more than minimal harm
2022-10-04
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-11-30
D · Potential for more than minimal harm
2020-01-16
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2020-03-16
D · Potential for more than minimal harm
2020-01-16
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 2020-03-16
D · Potential for more than minimal harm
2020-01-16
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-03-16
Penalties and ownership
What sits behind the stars
Ownership
Oswego Health Inc
5% Or Greater Direct Ownership Interest · Organization
Alberts, Ed
Corporate Director · Individual
Alberts, Ed
Corporate Officer · Individual
Avery, Atom
Corporate Director · Individual
Backus, Michael
Corporate Director · Individual
Backus, Michael
W-2 Managing Employee · Individual
Barnhart, Timothy
Corporate Director · Individual
Bozeman, Elizabeth
Corporate Director · Individual
Campbell, Eric
Corporate Officer · Individual
Clark, William
Corporate Director · Individual
Cullinan, Peter
Corporate Director · Individual
Dorsey, Daniel
Corporate Director · Individual
Eggert, Marie
Corporate Director · Individual
Furlong, Victoria
Corporate Director · Individual
Gagas, Adam
Corporate Officer · Individual
Holst, Ellen
Corporate Officer · Individual
Sarkar, Paloma
Corporate Director · Individual
Slayton, Mark
Corporate Officer · Individual
Tascarella, Ron
Corporate Director · Individual
Toomey, Katie
Corporate Director · Individual
Tull, Duane
Corporate Director · Individual
Vangorder, Scott
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Pontiac Nursing Home
Oswego, NY
2-star overall rating with 2-star inspections with 12 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle
#2
St Luke Residential Health Care Facility Inc
Oswego, NY
1-star overall rating with 1-star inspections with 11 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Morningstar Residential Care Center
Oswego, NY
1-star overall rating with 1-star inspections with $177,503 in total fines with 13 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle
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