8 health deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Bath, NY
2-star overall rating with 3-star inspections with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
7009 Rumsey Street Extension, Bath, NY
(607) 776-7651
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
105
Certified beds
Average residents
102
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Centers Health Care
Operator or chain grouping
Approved since
1970-07-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
35 facilities
Chain averages 2 overall / 2 health / 2 staffing / 4 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
RN hours / resident day
0.42
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.87
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.01
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.30
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
2.29
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.20
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.36
CMS adjusted RN staffing hours
Adjusted total hours
2.80
CMS adjusted total nurse staffing hours
Case-mix index
1.61
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
54%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
8,166
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.61
Composite VBP score used to determine payment impact.
Payment multiplier
0.9846
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.73
Baseline 16.45% · Performance 18.77% · Measure score 5.73 · Achievement 5.73 · Improvement 0
Healthcare-associated infections
3.51
Baseline 4.79% · Performance 6.78% · Measure score 3.51 · Achievement 3.51 · Improvement 0
Total nurse turnover
1.60
Baseline 57.28% · Performance 57.14% · Measure score 1.60 · Achievement 1.60 · Improvement 0
Adjusted total nurse staffing
0.20
Baseline 2.93 hours · Performance 3.13 hours · Measure score 0.20 · Achievement 0 · Improvement 0.20
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.03% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 101 · Observed rate 7.92% · Lower 95% interval 6.99% |
| Discharge to community | 52.22% |
50.57%
1.6 pts better
|
No Different than the National Rate · Eligible stays 103 · Observed rate 48.54% · Lower 95% interval 40.6% |
| Medicare spending per beneficiary | 1.22 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 91 · Denominator 91 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 91 |
| Discharge self-care score | 56.67% |
53.69%
3 pts better
|
Numerator 34 · Denominator 60 |
| Discharge mobility score | 60% |
50.94%
9.1 pts better
|
Numerator 36 · Denominator 60 |
| Pressure ulcers or injuries, new or worsened | 3.3% |
2.29%
1 pts worse
|
Numerator 3 · Denominator 91 · Adjusted rate 2.7% |
| Healthcare-associated infections requiring hospitalization | 6.78% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 58 · Observed rate 5.17% · Lower 95% interval 4.23% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 123 |
| Staff flu vaccination coverage | 58.49% |
42%
16.5 pts better
|
Numerator 124 · Denominator 212 |
| Discharge function score | 63.33% |
56.45%
6.9 pts better
|
Numerator 38 · Denominator 60 |
| Transfer of health information to provider | 92% |
95.95%
4 pts worse
|
Numerator 23 · Denominator 25 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 38 · Denominator 38 |
| Resident COVID-19 vaccinations up to date | 22.22% |
25.2%
3 pts worse
|
Numerator 12 · Denominator 54 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.7
0.9 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 1.1 · Expected 2.6 · 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 1.1 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
91.2%
6.8 pts better
|
93.4%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 96.7% · Q3 100.0% · Q4 98.8% · 4Q avg 98.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.1% |
95.3%
1.8 pts better
|
95.5%
1.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.0% |
3.0%
1 pts worse
|
3.3%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 3.3% · Q3 3.7% · Q4 3.7% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 55.9% |
18.5%
37.4 pts worse
|
11.4%
44.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 62.9% · Q2 63.3% · Q3 50.7% · Q4 44.2% · 4Q avg 55.9% |
| Percentage of long-stay residents who lose too much weight | 8.5% |
6.1%
2.4 pts worse
|
5.4%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 5.8% · Q3 6.6% · Q4 11.8% · 4Q avg 8.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.0% |
13.5%
4.5 pts worse
|
19.6%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 19.8% · Q3 18.3% · Q4 17.1% · 4Q avg 18.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.4% |
14.8%
0.6 pts worse
|
16.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 15.8% · Q3 16.2% · Q4 17.1% · 4Q avg 15.4% · 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 | 14.3% |
15.1%
0.8 pts better
|
16.3%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 15.6% · Q3 12.1% · Q4 13.0% · 4Q avg 14.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.6% |
15.5%
0.9 pts better
|
14.9%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 16.3% · Q3 7.4% · Q4 13.2% · 4Q avg 14.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
0.6%
About the same
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 0.0% · Q4 1.3% · 4Q avg 0.6% · 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 1.1% · Q2 0.0% · Q3 1.2% · Q4 3.8% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.6% |
20.8%
7.8 pts worse
|
19.8%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.1% · Q2 29.8% · Q3 22.0% · Q4 41.1% · 4Q avg 28.6% |
| Percentage of long-stay residents with pressure ulcers | 7.1% |
6.9%
0.2 pts worse
|
5.1%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 10.5% · Q3 7.9% · Q4 6.7% · 4Q avg 7.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.6% |
76.7%
15.9 pts better
|
81.7%
10.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 89.7% · Q2 92.9% · Q3 95.7% · Q4 91.5% · 4Q avg 92.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 20.8% |
9.7%
11.1 pts worse
|
12.0%
8.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 20.8% · Observed 19.7% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.2%
0.8 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.2% |
78.8%
9.4 pts better
|
79.7%
8.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.2% |
20.6%
1.4 pts better
|
23.9%
4.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.2% · Observed 21.1% · Expected 26.3% · Used in QM five-star |
Survey summary
Top issue: Nursing and Physician Services (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
No concentrated health issue counts in this cycle.
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
10 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Fire safety
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-07-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-07-15
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-07-15
Fire Safety
Develop a communication plan.
Corrected 2022-05-27
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2022-05-27
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-05-27
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-05-27
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-05-27
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-05-27
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2019-12-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-02-03
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-12-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-12-27
Fire Safety
Ensure gas and vacuum piping is labeled.
Corrected 2019-12-13
Fire Safety
Install proper backup exit lighting.
Corrected 2019-12-24
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 2020-01-17
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2020-01-17
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2020-02-03
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-12-19
Inspection history
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 2024-07-08
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 2024-07-08
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-07-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-08
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-07-08
Health
Post nurse staffing information every day.
Corrected 2024-07-08
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2020-02-10
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2020-02-10
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-02-10
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2020-02-10
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2020-02-10
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2020-02-10
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2020-02-10
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 2020-02-10
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2020-02-10
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
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