3 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Glens Falls, NY
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
170 Warren Street, Glens Falls, NY
(518) 793-5163
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 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
National Health Care Associates
Operator or chain grouping
Approved since
1971-05-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
43 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 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
0.65
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.15
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.62
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.42
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.80
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.81
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.24
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
0.59
CMS adjusted RN staffing hours
Adjusted total hours
3.13
CMS adjusted total nurse staffing hours
Case-mix index
1.50
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
60%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
4,188
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41
Composite VBP score used to determine payment impact.
Payment multiplier
0.9939
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
7.01
Baseline 17.18% · Performance 18.18% · Measure score 7.01 · Achievement 7.01 · Improvement 0
Healthcare-associated infections
7.19
Baseline 5.24% · Performance 5.69% · Measure score 7.19 · Achievement 7.19 · Improvement 0
Total nurse turnover
0.78
Baseline 56.06% · Performance 60.48% · Measure score 0.78 · Achievement 0.78 · Improvement 0
Adjusted total nurse staffing
1.42
Baseline 2.87 hours · Performance 3.43 hours · Measure score 1.42 · Achievement 1.24 · Improvement 1.42
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.55% |
10.72%
2.2 pts better
|
No Different than the National Rate · Eligible stays 253 · Observed rate 5.53% · Lower 95% interval 6% |
| Discharge to community | 55.62% |
50.57%
5 pts better
|
No Different than the National Rate · Eligible stays 257 · Observed rate 51.75% · Lower 95% interval 48.97% |
| Medicare spending per beneficiary | 1.05 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.35% |
95.27%
4.1 pts better
|
Numerator 152 · Denominator 153 |
| Falls with major injury | 1.31% |
0.77%
0.5 pts worse
|
Numerator 2 · Denominator 153 |
| Discharge self-care score | 52.33% |
53.69%
1.4 pts worse
|
Numerator 45 · Denominator 86 |
| Discharge mobility score | 48.84% |
50.94%
2.1 pts worse
|
Numerator 42 · Denominator 86 |
| Pressure ulcers or injuries, new or worsened | 1.97% |
2.29%
0.3 pts better
|
Numerator 3 · Denominator 152 · Adjusted rate 1.9% |
| Healthcare-associated infections requiring hospitalization | 5.69% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 153 · Observed rate 3.27% · Lower 95% interval 3.55% |
| Staff COVID-19 vaccination coverage | 0.5% |
8.2%
7.7 pts worse
|
Numerator 1 · Denominator 200 |
| Staff flu vaccination coverage | 85.33% |
42%
43.3 pts better
|
Numerator 221 · Denominator 259 |
| Discharge function score | 52.33% |
56.45%
4.1 pts worse
|
Numerator 45 · Denominator 86 |
| Transfer of health information to provider | 97.2% |
95.95%
1.2 pts better
|
Numerator 104 · Denominator 107 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 21.74% |
25.2%
3.5 pts worse
|
Numerator 20 · Denominator 92 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.7 |
1.7
1 pts better
|
1.9
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.6 |
1.3
0.7 pts better
|
1.8
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
91.2%
8.5 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.8% · Q3 100.0% · Q4 100.0% · 4Q avg 99.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.5% |
95.3%
1.2 pts better
|
95.5%
1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.5% |
| 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 5.0% · Q2 3.8% · Q3 2.5% · Q4 2.6% · 4Q avg 3.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 35.3% |
18.5%
16.8 pts worse
|
11.4%
23.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.8% · Q2 40.5% · Q3 30.1% · Q4 33.3% · 4Q avg 35.3% |
| Percentage of long-stay residents who lose too much weight | 5.8% |
6.1%
0.3 pts better
|
5.4%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.5% · Q3 8.0% · Q4 10.4% · 4Q avg 5.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.9% |
13.5%
2.4 pts worse
|
19.6%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 15.2% · Q3 16.5% · Q4 18.2% · 4Q avg 15.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.7% |
14.8%
4.9 pts worse
|
16.7%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 18.6% · Q3 20.8% · Q4 20.7% · 4Q avg 19.7% · 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 | 22.1% |
15.1%
7 pts worse
|
16.3%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 29.4% · Q3 27.4% · Q4 24.0% · 4Q avg 22.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.7% |
15.5%
6.2 pts worse
|
14.9%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 30.7% · Q3 23.3% · Q4 16.9% · 4Q avg 21.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.6%
0.4 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.4%
1.4 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 37.2% |
20.8%
16.4 pts worse
|
19.8%
17.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.4% · Q2 29.0% · Q3 43.6% · Q4 39.3% · 4Q avg 37.2% |
| Percentage of long-stay residents with pressure ulcers | 10.7% |
6.9%
3.8 pts worse
|
5.1%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 10.1% · Q3 10.6% · Q4 9.5% · 4Q avg 10.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.1% |
76.7%
13.4 pts better
|
81.7%
8.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.9% · Q2 87.3% · Q3 92.4% · Q4 90.9% · 4Q avg 90.1% |
| 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 7.4% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.2%
0.3 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.9% · Q3 0.7% · Q4 0.8% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.1% |
78.8%
8.3 pts better
|
79.7%
7.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.7% |
20.6%
0.1 pts worse
|
23.9%
3.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.7% · Observed 20.3% · Expected 23.3% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (3 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-05-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-16
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-05-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-16
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-05-16
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-05-16
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-01-06
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2019-05-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-05-13
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-05-13
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-05-13
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2019-05-13
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2019-05-13
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2019-05-13
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-05-13
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-16
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-05-16
Health
Dispose of garbage and refuse properly.
Corrected 2023-05-16
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-01-06
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2021-01-06
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2021-01-06
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 2021-01-06
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-01-06
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2019-05-13
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-05-13
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 2019-05-13
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-05-13
Health
Provide activities to meet all resident's needs.
Corrected 2019-05-13
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-05-13
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2019-05-13
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2019-05-13
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2019-05-13
Health
Provide and implement an infection prevention and control program.
Corrected 2019-05-13
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Individual
Nearby options
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3-star overall rating with 3-star inspections with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Glens Falls, NY
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Queensbury, NY
1-star overall rating with 2-star inspections with $9,318 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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