10 health deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Rome, NY
1-star overall rating with 1-star inspections with $31,285 in total fines with 10 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
801 North James Street, Rome, NY
(315) 337-0550
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
160
Certified beds
Average residents
148
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
The Grand Healthcare
Operator or chain grouping
Approved since
1976-08-01
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
0.39
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.93
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.88
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.20
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.32
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.60
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.10
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.38
CMS adjusted RN staffing hours
Adjusted total hours
3.11
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
57%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
11,527
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
16.44
Composite VBP score used to determine payment impact.
Payment multiplier
0.9816
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.68
Baseline 23.99% · Performance 21.08% · Measure score 3.68 · Achievement 0.77 · Improvement 3.68
Healthcare-associated infections
0
Baseline 8.04% · Performance 9.08% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.89
Baseline 58.97% · Performance 51.85% · Measure score 2.89 · Achievement 2.89 · Improvement 1.59
Adjusted total nurse staffing
0
Baseline 3.14 hours · Performance 2.67 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.12% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 102 · Observed rate 8.82% · Lower 95% interval 6.55% |
| Discharge to community | 34.29% |
50.57%
16.3 pts worse
|
Worse than the National Rate · Eligible stays 130 · Observed rate 25.38% · Lower 95% interval 24.25% |
| Medicare spending per beneficiary | 1.45 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 154 · Denominator 154 |
| Falls with major injury | 1.3% |
0.77%
0.5 pts worse
|
Numerator 2 · Denominator 154 |
| Discharge self-care score | 24.42% |
53.69%
29.3 pts worse
|
Numerator 21 · Denominator 86 |
| Discharge mobility score | 25.58% |
50.94%
25.4 pts worse
|
Numerator 22 · Denominator 86 |
| Pressure ulcers or injuries, new or worsened | 14.29% |
2.29%
12 pts worse
|
Numerator 22 · Denominator 154 · Adjusted rate 12.2% |
| Healthcare-associated infections requiring hospitalization | 9.08% |
7.12%
2 pts worse
|
No Different than the National Rate · Eligible stays 81 · Observed rate 13.58% · Lower 95% interval 5.42% |
| Staff COVID-19 vaccination coverage | 0.92% |
8.2%
7.3 pts worse
|
Numerator 2 · Denominator 217 |
| Staff flu vaccination coverage | 54.13% |
42%
12.1 pts better
|
Numerator 118 · Denominator 218 |
| Discharge function score | 30.23% |
56.45%
26.2 pts worse
|
Numerator 26 · Denominator 86 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 73 · Denominator 73 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 22.45% |
25.2%
2.8 pts worse
|
Numerator 22 · Denominator 98 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
1.7
0.1 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.5 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.0 |
1.3
1.7 pts worse
|
1.8
1.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.8 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 72.0% |
91.2%
19.2 pts worse
|
93.4%
21.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 72.6% · Q2 68.7% · Q3 73.6% · Q4 73.2% · 4Q avg 72.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.0% |
95.3%
0.3 pts worse
|
95.5%
0.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.5% |
3.0%
0.5 pts worse
|
3.3%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 4.1% · Q3 4.2% · Q4 3.5% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 16.2% |
18.5%
2.3 pts better
|
11.4%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 14.2% · Q3 12.4% · Q4 18.8% · 4Q avg 16.2% |
| Percentage of long-stay residents who lose too much weight | 5.5% |
6.1%
0.6 pts better
|
5.4%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 7.1% · Q3 7.0% · Q4 2.9% · 4Q avg 5.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.2% |
13.5%
5.7 pts worse
|
19.6%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 19.7% · Q3 17.4% · Q4 21.3% · 4Q avg 19.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 35.5% |
14.8%
20.7 pts worse
|
16.7%
18.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.2% · Q2 37.2% · Q3 33.9% · Q4 32.7% · 4Q avg 35.5% · 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 | 12.0% |
15.1%
3.1 pts better
|
16.3%
4.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 12.6% · Q3 15.2% · Q4 16.9% · 4Q avg 12.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.2% |
15.5%
2.3 pts better
|
14.9%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 13.6% · Q3 13.8% · Q4 16.7% · 4Q avg 13.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% |
0.6%
0.9 pts worse
|
1.0%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.5% · Q3 1.6% · Q4 0.5% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.5% |
1.4%
0.9 pts better
|
1.7%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.7% · Q3 0.0% · Q4 0.7% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.8% |
20.8%
7 pts worse
|
19.8%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 34.0% · Q3 29.7% · Q4 23.4% · 4Q avg 27.8% |
| 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 7.9% · Q2 11.2% · Q3 7.3% · Q4 3.7% · 4Q avg 7.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 38.1% |
76.7%
38.6 pts worse
|
81.7%
43.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 32.4% · Q2 42.7% · Q3 41.2% · Q4 37.3% · 4Q avg 38.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 25.0% |
9.7%
15.3 pts worse
|
12.0%
13 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.0% · Observed 26.4% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.2% |
1.2%
1 pts worse
|
1.6%
0.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 2.2% · Q3 2.6% · Q4 2.6% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 52.7% |
78.8%
26.1 pts worse
|
79.7%
27 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 52.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.0% |
20.6%
1.4 pts worse
|
23.9%
1.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.0% · Observed 26.4% · Expected 28.6% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (3 deficiencies)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2024-08-26
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-08-26
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-08-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-26
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-26
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 2024-08-26
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-08-26
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-08-26
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-08-26
Fire Safety
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.
Corrected 2024-08-26
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-26
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-04-19
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-09-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-10-04
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-09-30
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2022-09-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-09-30
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-09-30
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-09-30
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-09-30
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-03-13
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2020-03-13
Inspection history
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-12-02
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-13
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 2024-08-27
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-08-27
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-08-27
Health
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
Corrected 2024-08-27
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-08-27
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-08-27
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-08-27
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-08-27
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-08-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-15
Health
Respond appropriately to all alleged violations.
Corrected 2023-11-15
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-11-15
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 2022-10-07
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-10-07
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 2022-10-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-10-07
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-10-07
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2022-10-07
Health
Respond appropriately to all alleged violations.
Corrected 2022-10-07
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-10-07
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-10-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-10-07
Health
Provide or obtain dental services for each resident.
Corrected 2022-10-07
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 2022-10-07
Health
Provide and implement an infection prevention and control program.
Corrected 2022-09-19
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 2020-03-16
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2020-03-16
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2020-03-16
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-03-16
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2020-03-16
Health
Provide and implement an infection prevention and control program.
Corrected 2020-03-16
Penalties and ownership
Fine · fine $31,285
Fine
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Nearby options
Rome, NY
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Rome, NY
1-star overall rating with 1-star inspections with $58,988 in total fines with 13 recent health deficiencies with 21 fire-safety deficiencies in the latest cycle
Rome, NY
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
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