Cycle 1
Health 2024-11-08 · Fire 2024-11-08
9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
18 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Oriskany, NY
Trustees Of Eastern Star Hall & Home Of The N Y S
1-star overall rating with 2-star inspections with 9 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle
8290 State Rt 69, Oriskany, NY
(315) 736-9311
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
86
Certified beds
Average residents
76
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1979-12-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
Hours and turnover
RN hours / resident day
0.35
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.17
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.37
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.89
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.52
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.72
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.40
CMS adjusted RN staffing hours
Adjusted total hours
4.45
CMS adjusted total nurse staffing hours
Case-mix index
1.20
Higher values indicate more complex resident acuity
RN turnover
73%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
60%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,459
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
49.68
Composite VBP score used to determine payment impact.
Payment multiplier
1.0037
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.50
Baseline 19.52% · Performance 18.88% · Measure score 5.50 · Achievement 5.50 · Improvement 2.07
Healthcare-associated infections
4.65
Baseline 6.77% · Performance 6.45% · Measure score 4.65 · Achievement 4.65 · Improvement 1.32
Total nurse turnover
4.19
Performance 46.55% · Measure score 4.19 · Achievement 4.19 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
5.53
Baseline 3.82 hours · Performance 4.65 hours · Measure score 5.53 · Achievement 5.53 · Improvement 3.74
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.4% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 81 · Observed rate 8.64% · Lower 95% interval 7.43% |
| Discharge to community | 51.53% |
50.57%
1 pts better
|
No Different than the National Rate · Eligible stays 56 · Observed rate 46.43% · Lower 95% interval 40.84% |
| Medicare spending per beneficiary | 0.8 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.78% |
95.27%
3.5 pts better
|
Numerator 81 · Denominator 82 |
| Falls with major injury | 2.44% |
0.77%
1.7 pts worse
|
Numerator 2 · Denominator 82 |
| Discharge self-care score | 60.71% |
53.69%
7 pts better
|
Numerator 34 · Denominator 56 |
| Discharge mobility score | 57.14% |
50.94%
6.2 pts better
|
Numerator 32 · Denominator 56 |
| Pressure ulcers or injuries, new or worsened | 1.23% |
2.29%
1.1 pts better
|
Numerator 1 · Denominator 81 · Adjusted rate 1.18% |
| Healthcare-associated infections requiring hospitalization | 6.45% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 56 · Observed rate 3.57% · Lower 95% interval 3.53% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 130 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 69.64% |
56.45%
13.2 pts better
|
Numerator 39 · Denominator 56 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 20 · Denominator 20 |
| Transfer of health information to patient | 96.43% |
96.28%
0.2 pts better
|
Numerator 27 · Denominator 28 |
| Resident COVID-19 vaccinations up to date | 40.48% |
25.2%
15.3 pts better
|
Numerator 17 · Denominator 42 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
1.7
0.7 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.6 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
1.3
1.1 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.4 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 77.1% |
91.2%
14.1 pts worse
|
93.4%
16.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 85.7% · Q2 97.0% · Q3 72.7% · Q4 57.7% · 4Q avg 77.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 83.6% |
95.3%
11.7 pts worse
|
95.5%
11.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 83.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 8.6% |
3.0%
5.6 pts worse
|
3.3%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 9.1% · Q3 6.1% · Q4 11.3% · 4Q avg 8.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.1% |
18.5%
14.4 pts better
|
11.4%
7.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 6.1% · Q3 1.7% · Q4 1.7% · 4Q avg 4.1% |
| Percentage of long-stay residents who lose too much weight | 10.0% |
6.1%
3.9 pts worse
|
5.4%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 12.1% · Q3 9.5% · Q4 7.5% · 4Q avg 10.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.0% |
13.5%
2.5 pts worse
|
19.6%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 16.9% · Q3 13.8% · Q4 12.7% · 4Q avg 16.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 24.6% |
14.8%
9.8 pts worse
|
16.7%
7.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.1% · Q2 25.6% · Q3 25.5% · Q4 21.1% · 4Q avg 24.6% · 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 | 32.1% |
15.1%
17 pts worse
|
16.3%
15.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 26.9% · Q3 22.7% · Q4 37.5% · 4Q avg 32.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 39.8% |
15.5%
24.3 pts worse
|
14.9%
24.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.4% · Q2 34.9% · Q3 45.1% · Q4 43.3% · 4Q avg 39.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.3% |
0.6%
2.7 pts worse
|
1.0%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 5.1% · Q3 1.4% · Q4 0.0% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.9% |
1.4%
2.5 pts worse
|
1.7%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 3.4% · Q3 1.6% · Q4 3.0% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.7% |
20.8%
10.9 pts worse
|
19.8%
11.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.4% · Q2 23.3% · Q3 32.7% · Q4 38.7% · 4Q avg 31.7% |
| Percentage of long-stay residents with pressure ulcers | 7.1% |
6.9%
0.2 pts worse
|
5.1%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 13.5% · Q3 6.0% · Q4 2.3% · 4Q avg 7.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 69.8% |
76.7%
6.9 pts worse
|
81.7%
11.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 81.0% · Q2 81.5% · Q3 62.8% · Q4 43.6% · 4Q avg 69.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.0% |
9.7%
5.3 pts worse
|
12.0%
3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.0% · Observed 14.8% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 61.1% |
78.8%
17.7 pts worse
|
79.7%
18.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 61.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.5% |
20.6%
9.9 pts worse
|
23.9%
6.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.5% · Observed 30.9% · Expected 24.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-02-23 · Fire 2023-02-23
2 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2020-02-14 · Fire 2020-02-14
2 health deficiencies
Top issue: Infection Control (1 deficiency)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-11-08
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-02-13
F · Potential for more than minimal harm
2024-11-08
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-04
F · Potential for more than minimal harm
2024-11-08
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2025-02-13
F · Potential for more than minimal harm
2024-11-08
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-12-30
F · Potential for more than minimal harm
2024-11-08
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-02-13
F · Potential for more than minimal harm
2024-11-08
K901 · Electrical Deficiencies
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2024-12-30
E · Potential for more than minimal harm
2024-11-08
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-12-30
E · Potential for more than minimal harm
2024-11-08
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-30
E · Potential for more than minimal harm
2024-11-08
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-02-13
D · Potential for more than minimal harm
2024-11-08
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-12-30
D · Potential for more than minimal harm
2024-11-08
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-12-30
D · Potential for more than minimal harm
2024-11-08
K321 · Smoke Deficiencies
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 2024-12-20
D · Potential for more than minimal harm
2024-11-08
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-12-30
C · Minimal harm
2024-11-08
E13 · Emergency Preparedness Deficiencies
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-12-30
C · Minimal harm
2024-11-08
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2024-12-30
C · Minimal harm
2024-11-08
E36 · Emergency Preparedness Deficiencies
Fire Safety
Establish emergency prep training and testing.
Corrected 2024-12-30
C · Minimal harm
2024-11-08
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-12-06
C · Minimal harm
2024-11-08
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-12-30
E · Potential for more than minimal harm
2023-02-23
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-05-11
E · Potential for more than minimal harm
2023-02-23
K901 · Electrical Deficiencies
Fire Safety
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Corrected 2023-05-11
D · Potential for more than minimal harm
2023-02-23
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-05-11
D · Potential for more than minimal harm
2023-02-23
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-05-11
D · Potential for more than minimal harm
2023-02-23
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-05-11
D · Potential for more than minimal harm
2023-02-23
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-11
D · Potential for more than minimal harm
2023-02-23
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-05-11
F · Potential for more than minimal harm
2020-02-14
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2020-04-10
E · Potential for more than minimal harm
2020-02-14
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2020-04-10
D · Potential for more than minimal harm
2020-02-14
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2020-04-10
D · Potential for more than minimal harm
2020-02-14
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2020-04-10
D · Potential for more than minimal harm
2020-02-14
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-04-10
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-11-08
F761 · Pharmacy Service Deficiencies
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 2025-02-26
D · Potential for more than minimal harm
2024-11-08
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-02-26
D · Potential for more than minimal harm
2024-11-08
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-12-12
D · Potential for more than minimal harm
2024-11-08
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-30
D · Potential for more than minimal harm
2024-11-08
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-26
D · Potential for more than minimal harm
2024-11-08
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-30
D · Potential for more than minimal harm
2024-11-08
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-10
D · Potential for more than minimal harm
2024-11-08
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-11-30
B · Minimal harm
2024-11-08
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-12-26
E · Potential for more than minimal harm
2023-02-23
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-21
D · Potential for more than minimal harm
2023-02-23
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-04-21
E · Potential for more than minimal harm
2020-02-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-04-10
D · Potential for more than minimal harm
2020-02-14
F758 · Pharmacy Service Deficiencies
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 2020-04-10
Penalties and ownership
What sits behind the stars
Ownership
Blanchard, Bonnie
Operational/Managerial Control · Individual
Fletcher, Jodelle
Operational/Managerial Control · Individual
French, Jeffrey
Corporate Officer · Individual
French, Jeffrey
W-2 Managing Employee · Individual
Getchell, Mary
Corporate Officer · Individual
Getchell, Mary
W-2 Managing Employee · Individual
Moravia, Sylvia
Operational/Managerial Control · Individual
Rhebergen, Keri
Operational/Managerial Control · Individual
Schmitt, Lynne
Operational/Managerial Control · Individual
Walter, George
Operational/Managerial Control · Individual
Whitmore, Bruce
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
MVHS Rehabilitation and Nursing Center
Utica, NY
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#2
Presbyterian Home For Central New York Inc
New Hartford, NY
2-star overall rating with 2-star inspections with 12 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
The Grand Rehabilitation And Nursing At Utica
Utica, NY
1-star overall rating with 1-star inspections with Special Focus status with $189,803 in total fines with 16 recent health deficiencies with 31 fire-safety deficiencies in the latest cycle
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