Cycle 1
Health 2025-02-18 · Fire 2025-02-18
5 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
9 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Albany, NY
St Margarets Center
3-star overall rating with 2-star inspections with 5 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
27 Hackett Blvd, Albany, NY
(518) 591-3300
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
92
Certified beds
Average residents
78
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2001-08-03
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
Hours and turnover
RN hours / resident day
2.01
Registered nurse staffing
LPN hours / resident day
1.77
Licensed practical nurse staffing
Aide hours / resident day
5.22
Nurse aide staffing
Weekend hours
7.37
Weekend nurse staffing
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.6% |
91.2%
4.4 pts better
|
93.4%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.1% |
95.3%
0.2 pts worse
|
95.5%
0.4 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.0%
3 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
18.5%
18.5 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 2.0% |
6.1%
4.1 pts better
|
5.4%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents who received an antipsychotic medication | 11.3% |
14.8%
3.5 pts better
|
16.7%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 19.8% |
0.2%
19.6 pts worse
|
0.1%
19.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.2% |
15.1%
1.9 pts better
|
16.3%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.2% |
15.5%
11.3 pts better
|
14.9%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.6%
0.6 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 2.8% |
1.4%
1.4 pts worse
|
1.7%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.9% |
20.8%
14.9 pts better
|
19.8%
13.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 1.8% |
6.9%
5.1 pts better
|
5.1%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-06-29 · Fire 2022-06-29
4 health deficiencies
Top issue: Resident Rights (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2020-02-11 · Fire 2020-02-11
9 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
F · Potential for more than minimal harm
2025-02-18
E29 · Emergency Preparedness Deficiencies
Fire Safety
Develop a communication plan.
Corrected 2025-04-07
F · Potential for more than minimal harm
2025-02-18
E37 · Emergency Preparedness Deficiencies
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-04-07
F · Potential for more than minimal harm
2025-02-18
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-04-07
F · Potential for more than minimal harm
2025-02-18
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-07
E · Potential for more than minimal harm
2025-02-18
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-04-07
E · Potential for more than minimal harm
2025-02-18
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2025-04-07
E · Potential for more than minimal harm
2025-02-18
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-04-07
E · Potential for more than minimal harm
2025-02-18
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-04-07
E · Potential for more than minimal harm
2025-02-18
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-07
F · Potential for more than minimal harm
2022-06-29
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-07-28
E · Potential for more than minimal harm
2022-06-29
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2022-07-22
E · Potential for more than minimal harm
2022-06-29
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-07-29
E · Potential for more than minimal harm
2022-06-29
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2022-07-18
E · Potential for more than minimal harm
2022-06-29
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-07-22
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-02-18
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 2025-04-07
E · Potential for more than minimal harm
2025-02-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-05
D · Potential for more than minimal harm
2025-02-18
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-04-06
D · Potential for more than minimal harm
2025-02-18
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 2025-04-06
D · Potential for more than minimal harm
2025-02-18
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 2025-04-06
D · Potential for more than minimal harm
2023-10-05
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 2023-11-29
D · Potential for more than minimal harm
2023-10-05
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-11-21
E · Potential for more than minimal harm
2023-06-27
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-08-11
D · Potential for more than minimal harm
2023-06-27
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-08-11
D · Potential for more than minimal harm
2023-06-27
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-08-11
E · Potential for more than minimal harm
2022-06-29
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 2022-09-07
D · Potential for more than minimal harm
2022-06-29
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 2022-07-19
D · Potential for more than minimal harm
2022-06-29
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 2022-07-19
D · Potential for more than minimal harm
2022-06-29
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-08-12
D · Potential for more than minimal harm
2020-02-11
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2020-04-03
D · Potential for more than minimal harm
2020-02-11
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 2020-04-03
D · Potential for more than minimal harm
2020-02-11
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 2020-04-03
D · Potential for more than minimal harm
2020-02-11
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2020-04-03
Penalties and ownership
What sits behind the stars
Ownership
Barbara, Joseph
Corporate Director · Individual
Bodner, Frederic
Corporate Director · Individual
Clafin, Ken
Corporate Director · Individual
Clore, Robert
Corporate Director · Individual
Coleman, James
Corporate Director · Individual
Cregin, Brian
Corporate Officer · Individual
Doyle, Cathryn
Corporate Director · Individual
Fancher, Michael
Corporate Director · Individual
Ford, Bradley
Corporate Director · Individual
Gee, Stanley
Corporate Director · Individual
Hall, Milton
Corporate Director · Individual
Harris, Richard
Corporate Director · Individual
Hearst, George
Corporate Director · Individual
Kovacs, Jule
Operational/Managerial Control · Individual
Kovacs, Jule
Corporate Director · Individual
Kovacs, Jule
Contracted Managing Employee · Individual
Kreuter, Charles
Corporate Director · Individual
Lorello, Rosemary
Corporate Officer · Individual
Miller, Robert
Corporate Director · Individual
Morris, James
Corporate Director · Individual
O'connor, Terence
Corporate Director · Individual
Pass, Karen
Corporate Director · Individual
Richmond, William
Corporate Director · Individual
Rosen, Rosemarie
Corporate Director · Individual
Schneider, Anne
Corporate Director · Individual
Sherwood, Robert
Corporate Director · Individual
Sorrentino, Gregory
Operational/Managerial Control · Individual
Sorrentino, Gregory
Corporate Officer · Individual
Trombly, Edward
Corporate Director · Individual
Tucci, Rosemary
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
St Peters Nursing And Rehabilitation Center
Albany, NY
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Delmar Center For Rehabilitation And Nursing
Delmar, NY
1-star overall rating with 1-star inspections with Special Focus status with 32 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
#3
Hudson Park Rehabilitation And Nursing Center
Albany, NY
1-star overall rating with 1-star inspections with $9,750 in total fines with 12 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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