Federal inspection record · CMS data as of October 1, 2026
The Center For Nursing And Rehab At Hoosick Falls
21 Danforth Street, Hoosick Falls, NY · (518) 686-4371
- Cited for abuse (CMS abuse icon)
- Certified beds
- 82
- Residents per day
- 79
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 1, 1977
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New York.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among New York homes
The Center For Nursing And Rehab At Hoosick Falls carries 64 inspection points. That is fewer than 28% of New York's 589 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New York: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–12 pts
- 4★ 12–27 pts
- 3★ 27–46 pts
- 2★ 46–82 pts
- 1★ over 82 pts
Bars show every rated home in New York by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
27 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Resident Rights8E
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- D
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.
- E
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.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- C
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.
Nutrition and Dietary6E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- D
Dispose of garbage and refuse properly.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care4D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Pharmacy Service3E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Freedom from Abuse, Neglect, and Exploitation2E
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Resident Assessment and Care Planning2E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Inspection history
2026-08-24
16 health deficiencies · 11 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
2024-10-08
7 health deficiencies · 8 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2022-08-30
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 12 min of nursing staff time a day, 1 h of it from a registered nurse.
This home
4 h 12 min
New York average
3 h 41 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 59% of nursing staff and 40% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.2 pts better | 0.5 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2 pts worse | 3.3 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine33 pts worse | 58.8% | 91.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine23.4 pts worse | 71.8% | 95.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts better | 1.2% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.9 pts worse | 22.0% | 20.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.6 pts worse | 11.3% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.7 pts better | 12.5% | 13.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.5 pts worse | 20.2% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.3 pts better | 4.8% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.6 pts better | 6.1% | 13.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.0% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence17.7 pts better | 0.9% | 18.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.6 pts better | 2.9% | 6.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine44 pts worse | 33.6% | 77.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.4 pts worse | 14.8% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine69.9 pts worse | 9.0% | 78.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4 pts better | 16.6% | 20.6% | 23.4% |
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Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Anair, Suzanne | Corporate Director · Individual | 0% | 1 facilities |
| Cottrell, William | Corporate Director · Individual | 0% | 1 facilities |
| Davis, Joyce | Corporate Director · Individual | 0% | 1 facilities |
| Greene, Kayla | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Koester, William | Corporate Director · Individual | 0% | 1 facilities |
| Laurin, Gregory | Corporate Director · Individual | 0% | 1 facilities |
| Majetich, Stephen | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Majetich, Stephen | Corporate Director · Individual | 0% | 1 facilities |
| Ryan, Patricia | Corporate Director · Individual | 0% | 2 facilities |
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Fire safety
23 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness7F
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Establish policies and procedures for medical documentation.
- F
Provide family notifications of emergency plan.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Address patient/client population and determine types of services needed.
- F
Establish staff and initial training requirements.
Smoke6F
- F
Install a fire alarm system that can be heard throughout the facility.
- E
Have an enclosure around a vertical opening shaft.
- E
Install an approved automatic sprinkler system.
- E
Provide properly protected cooking facilities.
- E
Have an enclosure around a vertical opening shaft.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Egress5F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Install proper backup exit lighting.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Have exits that are accessible at all times.
- E
Have exits that are accessible at all times.
Gas, Vacuum, and Electrical Systems3F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- C
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Services1C
- C
Have properly installed electrical wiring and gas equipment.
Miscellaneous1F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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