13 health deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Ilion, NY
1-star overall rating with 1-star inspections with $17,604 in total fines with 13 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
99 Sixth Avenue, Ilion, NY
(315) 895-4050
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
115
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Grand Healthcare
Operator or chain grouping
Approved since
1972-11-21
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
0.44
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.06
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.91
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.41
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.50
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.78
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.22
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.41
CMS adjusted RN staffing hours
Adjusted total hours
3.19
CMS adjusted total nurse staffing hours
Case-mix index
1.46
Higher values indicate more complex resident acuity
RN turnover
54%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
11,003
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.35
Composite VBP score used to determine payment impact.
Payment multiplier
0.9819
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.25
Baseline 19.55% · Performance 19.00% · Measure score 5.25 · Achievement 5.25 · Improvement 1.69
Healthcare-associated infections
0
Baseline 6.24% · Performance 9.48% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.09
Baseline 51.40% · Performance 55.14% · Measure score 2.09 · Achievement 2.09 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.10 hours · Performance 2.85 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.6% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 96 · Observed rate 7.29% · Lower 95% interval 6.66% |
| Discharge to community | 39.55% |
50.57%
11 pts worse
|
No Different than the National Rate · Eligible stays 87 · Observed rate 29.89% · Lower 95% interval 28.51% |
| Medicare spending per beneficiary | 1.34 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 97.83% |
95.27%
2.6 pts better
|
Numerator 90 · Denominator 92 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 92 |
| Discharge self-care score | 26.32% |
53.69%
27.4 pts worse
|
Numerator 15 · Denominator 57 |
| Discharge mobility score | 42.11% |
50.94%
8.8 pts worse
|
Numerator 24 · Denominator 57 |
| Pressure ulcers or injuries, new or worsened | 5.43% |
2.29%
3.1 pts worse
|
Numerator 5 · Denominator 92 · Adjusted rate 4.9% |
| Healthcare-associated infections requiring hospitalization | 9.48% |
7.12%
2.4 pts worse
|
No Different than the National Rate · Eligible stays 63 · Observed rate 14.29% · Lower 95% interval 5.6% |
| Staff COVID-19 vaccination coverage | 2.63% |
8.2%
5.6 pts worse
|
Numerator 5 · Denominator 190 |
| Staff flu vaccination coverage | 70.13% |
42%
28.1 pts better
|
Numerator 162 · Denominator 231 |
| Discharge function score | 45.61% |
56.45%
10.8 pts worse
|
Numerator 26 · Denominator 57 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 32 · Denominator 32 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 8.96% |
25.2%
16.2 pts worse
|
Numerator 6 · Denominator 67 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.7
0.3 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.2 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.3 |
1.3
2 pts worse
|
1.8
1.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 3.4 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.3% |
91.2%
0.1 pts better
|
93.4%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 97.8% · Q2 92.0% · Q3 87.8% · Q4 88.2% · 4Q avg 91.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.1% |
95.3%
3.8 pts better
|
95.5%
3.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 99.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
3.0%
0.8 pts worse
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 3.0% · Q3 4.1% · Q4 5.9% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 57.6% |
18.5%
39.1 pts worse
|
11.4%
46.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 52.9% · Q2 47.8% · Q3 54.9% · Q4 74.2% · 4Q avg 57.6% |
| Percentage of long-stay residents who lose too much weight | 6.7% |
6.1%
0.6 pts worse
|
5.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 10.3% · Q3 5.5% · Q4 6.5% · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.3% |
13.5%
8.8 pts worse
|
19.6%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.8% · Q2 19.2% · Q3 21.4% · Q4 25.7% · 4Q avg 22.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 28.3% |
14.8%
13.5 pts worse
|
16.7%
11.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 25.4% · Q3 29.5% · Q4 32.9% · 4Q avg 28.3% · 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 | 15.2% |
15.1%
0.1 pts worse
|
16.3%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 7.3% · Q3 22.7% · Q4 14.9% · 4Q avg 15.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.5% |
15.5%
2 pts worse
|
14.9%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 15.7% · Q3 18.9% · Q4 20.8% · 4Q avg 17.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% |
0.6%
1 pts worse
|
1.0%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.6% · Q3 1.3% · Q4 2.6% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
1.4%
0.8 pts better
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.2% |
20.8%
6.4 pts worse
|
19.8%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.1% · Q2 27.4% · Q3 24.9% · Q4 28.4% · 4Q avg 27.2% |
| Percentage of long-stay residents with pressure ulcers | 11.0% |
6.9%
4.1 pts worse
|
5.1%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 13.4% · Q3 9.8% · Q4 5.7% · 4Q avg 11.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 65.4% |
76.7%
11.3 pts worse
|
81.7%
16.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 87.6% · Q2 68.9% · Q3 62.2% · Q4 46.2% · 4Q avg 65.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.2% |
9.7%
1.5 pts worse
|
12.0%
0.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.2% · Observed 12.3% · Expected 12.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.2%
0.3 pts worse
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 4.2% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 61.9% |
78.8%
16.9 pts worse
|
79.7%
17.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 61.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.2% |
20.6%
5.6 pts worse
|
23.9%
2.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.2% · Observed 28.9% · Expected 26.4% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (8 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-08-26
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2025-11-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-26
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-08-26
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-08-26
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-08-26
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-08-26
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-12-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-29
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-12-29
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-12-29
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2023-12-29
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-12-29
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2023-12-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-01-17
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2021-08-31
Fire Safety
Install properly constructed windows in hallway walls or doors.
Corrected 2021-08-31
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2021-09-01
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-10-06
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2025-10-06
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-10-06
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-08-29
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-29
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-08-29
Health
Assess the resident when there is a significant change in condition
Corrected 2025-08-29
Health
Provide activities to meet all resident's needs.
Corrected 2025-08-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-29
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-08-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-29
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-08-29
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 2025-08-29
Health
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.
Corrected 2024-07-12
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-29
Health
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.
Corrected 2023-12-29
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 2023-12-29
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-12-29
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-12-29
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-12-29
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-12-29
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-12-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-29
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-12-29
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-12-29
Health
Keep all essential equipment working safely.
Corrected 2024-01-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-25
Health
Keep all essential equipment working safely.
Corrected 2023-09-25
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-09-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-10-11
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 2021-10-11
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 2021-10-11
Health
Provide and implement an infection prevention and control program.
Corrected 2021-09-30
Penalties and ownership
Fine · fine $17,604
Fine
Payment Denial · denial start 2025-10-18 · 26 days
26 day denial
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
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