13 health deficiencies
Top issue: Resident Rights (4 deficiencies)
23 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Utica, NY
2-star overall rating with 1-star inspections with Special Focus status with $197,425 in total fines with 13 recent health deficiencies with 23 fire-safety deficiencies in the latest cycle
2535 Genesee Street, Utica, NY
(315) 797-1230
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
112
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Personal Healthcare Management
Operator or chain grouping
Approved since
1976-02-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
19 facilities
Chain averages 3 overall / 3 health / 3 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
0.51
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.08
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.92
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.51
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.59
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
2.89
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.18
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
0.61
CMS adjusted RN staffing hours
Adjusted total hours
4.14
CMS adjusted total nurse staffing hours
Case-mix index
1.16
Higher values indicate more complex resident acuity
RN turnover
73%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
66%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Program rank
5,587
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
35.64
Composite VBP score used to determine payment impact.
Payment multiplier
0.9892
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
7.27
Baseline 18.75% · Performance 18.06% · Measure score 7.27 · Achievement 7.27 · Improvement 3.51
Healthcare-associated infections
1.81
Baseline 7.81% · Performance 7.29% · Measure score 1.81 · Achievement 1.81 · Improvement 1.32
Total nurse turnover
1.79
Baseline 73.53% · Performance 62.41% · Measure score 1.79 · Achievement 0 · Improvement 1.79
Adjusted total nurse staffing
3.39
Baseline 3.40 hours · Performance 4.04 hours · Measure score 3.39 · Achievement 3.39 · Improvement 2.21
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.49% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 59 · Observed rate 13.56% · Lower 95% interval 8.36% |
| Discharge to community | 48.31% |
50.57%
2.3 pts worse
|
No Different than the National Rate · Eligible stays 61 · Observed rate 40.98% · Lower 95% interval 36.51% |
| Medicare spending per beneficiary | 1.38 |
1.02
0.4 pts worse
|
|
| Drug regimen review with follow-up | 86.49% |
95.27%
8.8 pts worse
|
Numerator 32 · Denominator 37 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 37 |
| Discharge self-care score | 73.33% |
53.69%
19.6 pts better
|
Numerator 22 · Denominator 30 |
| Discharge mobility score | 76.67% |
50.94%
25.7 pts better
|
Numerator 23 · Denominator 30 |
| Pressure ulcers or injuries, new or worsened | 2.7% |
2.29%
0.4 pts worse
|
Numerator 1 · Denominator 37 · Adjusted rate 3.49% |
| Healthcare-associated infections requiring hospitalization | 7.3% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 50 · Observed rate 8% · Lower 95% interval 4.31% |
| Staff COVID-19 vaccination coverage | 17.86% |
8.2%
9.7 pts better
|
Numerator 25 · Denominator 140 |
| Staff flu vaccination coverage | 36.42% |
42%
5.6 pts worse
|
Numerator 55 · Denominator 151 |
| Discharge function score | 76.67% |
56.45%
20.2 pts better
|
Numerator 23 · Denominator 30 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.2%
8.8 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.2% |
95.3%
8.1 pts worse
|
95.5%
8.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 87.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.5% |
3.0%
3.5 pts worse
|
3.3%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 3.1% · Q3 9.9% · Q4 8.9% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
18.5%
18.2 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 17.5% |
6.1%
11.4 pts worse
|
5.4%
12.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 13.8% · Q3 20.2% · Q4 18.4% · 4Q avg 17.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.6% |
13.5%
2.1 pts worse
|
19.6%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 16.8% · Q3 13.0% · Q4 13.3% · 4Q avg 15.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 18.9% |
14.8%
4.1 pts worse
|
16.7%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 17.9% · Q3 20.8% · Q4 20.0% · 4Q avg 18.9% · 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 | 11.6% |
15.1%
3.5 pts better
|
16.3%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 13.0% · Q3 10.3% · Q4 9.2% · 4Q avg 11.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.4% |
15.5%
5.1 pts better
|
14.9%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 8.8% · Q3 13.5% · Q4 9.7% · 4Q avg 10.4% · 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 0.9% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
1.4%
0.4 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 3.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.9% |
20.8%
1.9 pts better
|
19.8%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 14.7% · Q3 20.6% · Q4 21.5% · 4Q avg 18.9% |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
6.9%
2.8 pts better
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 4.1% · Q3 5.7% · Q4 5.1% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 77.1% |
76.7%
0.4 pts better
|
81.7%
4.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 77.8% · Q2 65.7% · Q3 80.3% · Q4 84.8% · 4Q avg 77.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.6% |
9.7%
0.1 pts better
|
12.0%
2.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.6% · Observed 10.3% · Expected 11.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.7% |
1.2%
1.5 pts worse
|
1.6%
1.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 3.0% · Q3 3.1% · Q4 2.4% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 39.7% |
78.8%
39.1 pts worse
|
79.7%
40 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 39.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.3% |
20.6%
5.3 pts better
|
23.9%
8.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.3% · Observed 15.4% · Expected 23.9% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (4 deficiencies)
23 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Top issue: Resident Rights (5 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Environmental (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Corrected 2025-04-11
Fire Safety
Use approved construction type or materials.
Corrected 2025-04-22
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-04-11
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-16
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-04-11
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2025-04-11
Fire Safety
Install proper backup exit lighting.
Corrected 2025-04-16
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-04-11
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 2025-04-11
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-04-11
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-04-11
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-04-11
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-04-11
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2025-04-15
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 2025-04-11
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-04-11
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-04-11
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-11
Fire Safety
Install properly constructed windows in hallway walls or doors.
Corrected 2025-04-11
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-04-11
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-04-11
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-11
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-04-11
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2024-04-01
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-05-05
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-05-12
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-17
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-05-01
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-05-08
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-05-12
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-05-01
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 2023-05-11
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-05-11
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-11
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-05-11
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-05-12
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-03-24
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2020-10-01
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2020-09-28
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-24
Health
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Corrected 2025-04-01
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-02-25
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 2025-03-24
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-03-24
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-24
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-21
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 2025-03-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-24
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 2025-03-24
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-03-24
Health
Post nurse staffing information every day.
Corrected 2025-02-25
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2025-03-24
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-03
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-03
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-11-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-30
Health
Respond appropriately to all alleged violations.
Corrected 2024-11-30
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 2024-11-30
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-11-30
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-11-30
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-11-30
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 2023-05-06
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-01
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-05-01
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-05-01
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-05-01
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2023-05-01
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-05-01
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 2023-05-01
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-05-01
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 2023-05-01
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-05-01
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-05-01
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-01
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2020-10-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-10-22
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2020-11-02
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 2020-10-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-10-09
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2020-10-23
Penalties and ownership
Fine · fine $141,063
Fine
Fine · fine $56,362
Fine
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
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Nearby options
Utica, NY
1-star overall rating with 2-star inspections with $8,788 in total fines with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Utica, NY
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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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