Cycle 1
Health 2024-02-09 · Fire 2024-02-09
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Baldwinsville, NY
Syracuse Home Association
4-star overall rating with 3-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
7740 Meigs Road, Baldwinsville, NY
(315) 638-2521
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
102
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1990-10-01
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
Staffing
Hours and turnover
RN hours / resident day
0.69
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.26
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.75
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.70
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.95
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.82
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.30
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.15
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.71
CMS adjusted RN staffing hours
Adjusted total hours
4.85
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
22%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
27%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,105
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
51.72
Composite VBP score used to determine payment impact.
Payment multiplier
1.0061
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.78
Baseline 19.43% · Performance 20.61% · Measure score 1.78 · Achievement 1.78 · Improvement 0
Healthcare-associated infections
6.97
Baseline 5.72% · Performance 5.75% · Measure score 6.97 · Achievement 6.97 · Improvement 0
Total nurse turnover
6.98
Baseline 34.82% · Performance 35.16% · Measure score 6.98 · Achievement 6.98 · Improvement 0
Adjusted total nurse staffing
4.95
Baseline 4.40 hours · Performance 4.49 hours · Measure score 4.95 · Achievement 4.95 · Improvement 0.14
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.66% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 281 · Observed rate 9.61% · Lower 95% interval 8.18% |
| Discharge to community | 53.87% |
50.57%
3.3 pts better
|
No Different than the National Rate · Eligible stays 322 · Observed rate 52.17% · Lower 95% interval 49.13% |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 99.09% |
95.27%
3.8 pts better
|
Numerator 218 · Denominator 220 |
| Falls with major injury | 1.36% |
0.77%
0.6 pts worse
|
Numerator 3 · Denominator 220 |
| Discharge self-care score | 57.46% |
53.69%
3.8 pts better
|
Numerator 104 · Denominator 181 |
| Discharge mobility score | 58.01% |
50.94%
7.1 pts better
|
Numerator 105 · Denominator 181 |
| Pressure ulcers or injuries, new or worsened | 1.82% |
2.29%
0.5 pts better
|
Numerator 4 · Denominator 220 · Adjusted rate 2.45% |
| Healthcare-associated infections requiring hospitalization | 5.75% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 204 · Observed rate 3.43% · Lower 95% interval 3.61% |
| Staff COVID-19 vaccination coverage | 15.31% |
8.2%
7.1 pts better
|
Numerator 32 · Denominator 209 |
| Staff flu vaccination coverage | 63.95% |
42%
22 pts better
|
Numerator 204 · Denominator 319 |
| Discharge function score | 64.09% |
56.45%
7.6 pts better
|
Numerator 116 · Denominator 181 |
| Transfer of health information to provider | 99.22% |
95.95%
3.3 pts better
|
Numerator 127 · Denominator 128 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 44 · Denominator 44 |
| Resident COVID-19 vaccinations up to date | 47.17% |
25.2%
22 pts better
|
Numerator 50 · Denominator 106 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.7
0.8 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.3
0.8 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.4% |
91.2%
1.8 pts worse
|
93.4%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 91.1% · Q3 87.5% · Q4 83.8% · 4Q avg 89.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.9% |
95.3%
3.6 pts better
|
95.5%
3.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.8% |
3.0%
0.2 pts better
|
3.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.5% · Q3 2.5% · Q4 3.8% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.4% |
18.5%
16.1 pts better
|
11.4%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.1% · Q3 1.7% · Q4 1.6% · 4Q avg 2.4% |
| Percentage of long-stay residents who lose too much weight | 6.6% |
6.1%
0.5 pts worse
|
5.4%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 6.7% · Q3 6.5% · Q4 5.4% · 4Q avg 6.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.3% |
13.5%
0.2 pts better
|
19.6%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 15.4% · Q3 11.4% · Q4 11.4% · 4Q avg 13.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.1% |
14.8%
2.3 pts worse
|
16.7%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 17.3% · Q3 15.8% · Q4 18.0% · 4Q avg 17.1% · 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 | 26.4% |
15.1%
11.3 pts worse
|
16.3%
10.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.3% · Q2 27.1% · Q3 23.5% · Q4 29.5% · 4Q avg 26.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.4% |
15.5%
6.9 pts worse
|
14.9%
7.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 26.2% · Q3 22.6% · Q4 25.0% · 4Q avg 22.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.6% |
0.6%
2 pts worse
|
1.0%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 1.8% · Q3 3.2% · Q4 2.8% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.6% |
1.4%
0.2 pts worse
|
1.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.7% · Q3 2.6% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.8% |
20.8%
9 pts worse
|
19.8%
10 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.1% · Q2 38.0% · Q3 21.4% · Q4 30.2% · 4Q avg 29.8% |
| Percentage of long-stay residents with pressure ulcers | 7.6% |
6.9%
0.7 pts worse
|
5.1%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 7.3% · Q3 11.9% · Q4 5.4% · 4Q avg 7.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.7% |
76.7%
5 pts better
|
81.7%
About the same
|
Short Stay · 2024Q4-2025Q3 · Q1 76.3% · Q2 83.7% · Q3 79.2% · Q4 87.7% · 4Q avg 81.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.8% |
9.7%
1.9 pts better
|
12.0%
4.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.8% · Observed 6.6% · Expected 9.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.2%
0.2 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 2.1% · Q3 1.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.4% |
78.8%
1.4 pts worse
|
79.7%
2.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.9% |
20.6%
2.7 pts better
|
23.9%
6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.9% · Observed 13.6% · Expected 18.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-11-04 · Fire 2021-11-04
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2019-05-14 · Fire 2019-05-14
2 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-02-09
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-04-08
D · Potential for more than minimal harm
2024-02-09
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 2024-04-08
D · Potential for more than minimal harm
2024-02-09
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-04-08
D · Potential for more than minimal harm
2021-11-04
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2021-12-31
D · Potential for more than minimal harm
2021-11-04
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-12-31
C · Minimal harm
2019-05-14
K909 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure gas and vacuum piping is labeled.
Corrected 2019-05-31
Inspection history
Recent health citations
F · Potential for more than minimal harm
2024-02-09
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-04-05
D · Potential for more than minimal harm
2024-02-09
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-04-05
D · Potential for more than minimal harm
2024-02-09
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 2024-04-05
D · Potential for more than minimal harm
2024-02-09
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 2024-04-05
E · Potential for more than minimal harm
2021-11-04
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 2021-12-31
D · Potential for more than minimal harm
2021-11-04
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-12-31
D · Potential for more than minimal harm
2021-11-04
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 2021-12-31
D · Potential for more than minimal harm
2019-05-14
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2019-06-30
D · Potential for more than minimal harm
2019-05-14
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-06-30
Penalties and ownership
What sits behind the stars
Ownership
Mcharrie Life, Inc.
5% Or Greater Direct Ownership Interest · Organization
Colon, Donald
Corporate Director · Individual
Dodge, Ken
Corporate Director · Individual
Marty, Fred
Corporate Director · Individual
Maxsween, Susan
Corporate Director · Individual
Miller, Fred
Corporate Director · Individual
Murphy, Mark
Corporate Director · Individual
Murphy, Mark
Corporate Officer · Individual
Murphy, Mark
W-2 Managing Employee · Individual
White, Dorothy
Corporate Director · Individual
Wilkinson, Robert
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Elderwood At Liverpool
Liverpool, NY
2-star overall rating with 3-star inspections with $56,921 in total fines with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
St Camillus Residential Health Care Facility
Syracuse, NY
2-star overall rating with 2-star inspections with $39,754 in total fines with 16 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#3
The Cottages At Garden Grove, A Skilled Nrsg Comm
Cicero, NY
2-star overall rating with 2-star inspections with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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