4 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
15 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Poughkeepsie, NY
2-star overall rating with 3-star inspections with 4 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
140 Main Street, Poughkeepsie, NY
(845) 454-7600
Overall
2 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
160
Certified beds
Average residents
154
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Grand Healthcare
Operator or chain grouping
Approved since
2001-04-02
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
16 facilities
Chain averages 2 overall / 2 health / 2 staffing / 3 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
0.29
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
1.99
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.22
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.24
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.64
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.16
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.29
CMS adjusted RN staffing hours
Adjusted total hours
3.31
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
23%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
9,435
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.66
Composite VBP score used to determine payment impact.
Payment multiplier
0.9832
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 21.47% · Performance 23.45% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 8.34% · Performance 8.67% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
9.46
Baseline 42.86% · Performance 25.00% · Measure score 9.46 · Achievement 9.46 · Improvement 9
Adjusted total nurse staffing
0
Baseline 2.86 hours · Performance 2.72 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.9% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 202 · Observed rate 11.88% · Lower 95% interval 7.95% |
| Discharge to community | 35.01% |
50.57%
15.6 pts worse
|
Worse than the National Rate · Eligible stays 182 · Observed rate 24.73% · Lower 95% interval 28.79% |
| Medicare spending per beneficiary | 1.27 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 98.79% |
95.27%
3.5 pts better
|
Numerator 163 · Denominator 165 |
| Falls with major injury | 1.21% |
0.77%
0.4 pts worse
|
Numerator 2 · Denominator 165 |
| Discharge self-care score | 35.45% |
53.69%
18.2 pts worse
|
Numerator 39 · Denominator 110 |
| Discharge mobility score | 43.64% |
50.94%
7.3 pts worse
|
Numerator 48 · Denominator 110 |
| Pressure ulcers or injuries, new or worsened | 3.64% |
2.29%
1.4 pts worse
|
Numerator 6 · Denominator 165 · Adjusted rate 3.06% |
| Healthcare-associated infections requiring hospitalization | 8.67% |
7.12%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 135 · Observed rate 11.85% · Lower 95% interval 5.93% |
| Staff COVID-19 vaccination coverage | 1.65% |
8.2%
6.5 pts worse
|
Numerator 4 · Denominator 242 |
| Staff flu vaccination coverage | 45.33% |
42%
3.3 pts better
|
Numerator 131 · Denominator 289 |
| Discharge function score | 49.09% |
56.45%
7.4 pts worse
|
Numerator 54 · Denominator 110 |
| Transfer of health information to provider | 95.56% |
95.95%
0.4 pts worse
|
Numerator 43 · Denominator 45 |
| Transfer of health information to patient | 97.96% |
96.28%
1.7 pts better
|
Numerator 48 · Denominator 49 |
| Resident COVID-19 vaccinations up to date | 24.69% |
25.2%
0.5 pts worse
|
Numerator 20 · Denominator 81 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.2 |
1.7
1.5 pts worse
|
1.9
1.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 3.6 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.0 |
1.3
0.3 pts better
|
1.8
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 1.0 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 81.1% |
91.2%
10.1 pts worse
|
93.4%
12.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 87.9% · Q2 82.7% · Q3 79.9% · Q4 73.7% · 4Q avg 81.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.6% |
95.3%
3.7 pts worse
|
95.5%
3.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.3% |
3.0%
1.7 pts better
|
3.3%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 1.4% · Q3 0.7% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 29.0% |
18.5%
10.5 pts worse
|
11.4%
17.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.5% · Q2 24.8% · Q3 27.3% · Q4 22.0% · 4Q avg 29.0% |
| Percentage of long-stay residents who lose too much weight | 6.9% |
6.1%
0.8 pts worse
|
5.4%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 10.8% · Q3 6.3% · Q4 3.8% · 4Q avg 6.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.3% |
13.5%
0.8 pts worse
|
19.6%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 14.8% · Q3 12.9% · Q4 14.8% · 4Q avg 14.3% |
| Percentage of long-stay residents who were physically restrained | 0.2% |
0.2%
About the same
|
0.1%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% |
| Percentage of long-stay residents whose ability to walk independently worsened | 17.3% |
15.1%
2.2 pts worse
|
16.3%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 16.3% · Q3 19.6% · Q4 23.0% · 4Q avg 17.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.2% |
15.5%
0.3 pts better
|
14.9%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 17.3% · Q3 15.2% · Q4 15.9% · 4Q avg 15.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
0.6%
0.5 pts worse
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 1.1% · Q4 2.4% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
1.4%
1 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 0.0% · Q4 0.7% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.8% |
20.8%
2 pts worse
|
19.8%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 18.9% · Q3 24.9% · Q4 22.4% · 4Q avg 22.8% |
| Percentage of long-stay residents with pressure ulcers | 8.8% |
6.9%
1.9 pts worse
|
5.1%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 9.2% · Q3 7.8% · Q4 6.9% · 4Q avg 8.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 39.1% |
76.7%
37.6 pts worse
|
81.7%
42.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 44.4% · Q2 41.9% · Q3 41.6% · Q4 28.7% · 4Q avg 39.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.7% |
9.7%
About the same
|
12.0%
2.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.7% · Observed 10.8% · Expected 12.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% |
1.2%
0.6 pts worse
|
1.6%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 0.0% · Q3 1.4% · Q4 2.9% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 50.8% |
78.8%
28 pts worse
|
79.7%
28.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 50.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.5% |
20.6%
1.9 pts worse
|
23.9%
1.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.5% · Observed 27.2% · Expected 28.8% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
15 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
9 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-11-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-27
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-11-27
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-11-27
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-11-27
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-11-27
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-27
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-11-27
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-11-27
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 2023-11-27
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-11-27
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-11-27
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-11-27
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-11-27
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2023-11-27
Fire Safety
Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion.
Corrected 2020-04-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-04-27
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2020-04-27
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2020-04-27
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2020-04-27
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-04-27
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-04-27
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2020-04-27
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2020-04-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-07-19
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2018-07-19
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2018-07-19
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2018-07-19
Fire Safety
Conduct testing and exercise requirements.
Corrected 2018-08-26
Inspection history
Health
Ensure each resident receives an accurate assessment.
Not marked corrected
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-04-28
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-04-28
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-04-28
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-04-28
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-04-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-09
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-11-09
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-11-09
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 2023-11-09
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 2023-06-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-04-09
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2020-04-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-04-09
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2020-04-09
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2020-04-09
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2020-04-09
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2020-04-09
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2018-07-12
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2018-07-12
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-07-12
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2018-07-12
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2018-07-12
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2018-07-12
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 2018-07-12
Penalties and ownership
Payment Denial · denial start 2025-05-19 · 11 days
11 day denial
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Nearby options
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