Queensbury, NY

Warren Center For Rehabilitation And Nursing

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

42 Gurney Lane, Queensbury, NY

(518) 761-6540

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Centers Health Care

Operator or chain grouping

Approved since

1976-09-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

35 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

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

0.70

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.66

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

1.89

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.25

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.36

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

2.63

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.42

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.13

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.64

CMS adjusted RN staffing hours

Adjusted total hours

2.98

CMS adjusted total nurse staffing hours

Case-mix index

1.49

Higher values indicate more complex resident acuity

RN turnover

60%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

68%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,749

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

22.67

Composite VBP score used to determine payment impact.

Payment multiplier

0.9829

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.59

Baseline 21.47% · Performance 19.30% · Measure score 4.59 · Achievement 4.59 · Improvement 4.38

Healthcare-associated infections

0.97

Baseline 6.54% · Performance 7.54% · Measure score 0.97 · Achievement 0.97 · Improvement 0

Total nurse turnover

2.65

Baseline 82.02% · Performance 64.00% · Measure score 2.65 · Achievement 0 · Improvement 2.65

Adjusted total nurse staffing

0.86

Baseline 3.06 hours · Performance 3.32 hours · Measure score 0.86 · Achievement 0.86 · Improvement 0.46

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.53%	10.72% 0.2 pts better	No Different than the National Rate · Eligible stays 46 · Observed rate 8.7% · Lower 95% interval 6.22%
Discharge to community	48.99%	50.57% 1.6 pts worse	No Different than the National Rate · Eligible stays 49 · Observed rate 42.86% · Lower 95% interval 35.05%
Medicare spending per beneficiary	1.08	1.02 0.1 pts worse
Drug regimen review with follow-up	98.25%	95.27% 3 pts better	Numerator 56 · Denominator 57
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 57
Discharge self-care score	57.14%	53.69% 3.5 pts better	Numerator 20 · Denominator 35
Discharge mobility score	57.14%	50.94% 6.2 pts better	Numerator 20 · Denominator 35
Pressure ulcers or injuries, new or worsened	8.77%	2.29% 6.5 pts worse	Numerator 5 · Denominator 57 · Adjusted rate 7.8%
Healthcare-associated infections requiring hospitalization	7.54%	7.12% 0.4 pts worse	No Different than the National Rate · Eligible stays 30 · Observed rate 10% · Lower 95% interval 3.87%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 84
Staff flu vaccination coverage	68.09%	42% 26.1 pts better	Numerator 128 · Denominator 188
Discharge function score	54.29%	56.45% 2.2 pts worse	Numerator 19 · Denominator 35
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to patient	92.59%	96.28% 3.7 pts worse	Numerator 25 · Denominator 27
Resident COVID-19 vaccinations up to date	20.59%	25.2% 4.6 pts worse	Numerator 7 · Denominator 34

Quality measures

Resident outcomes and process scores

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	1.2	1.3 0.1 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.3 · Expected 1.7 · Used in QM five-star
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	98.6%	95.3% 3.3 pts better	95.5% 3.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6%
Percentage of long-stay residents experiencing one or more falls with major injury	2.7%	3.0% 0.3 pts better	3.3% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.0% · Q3 3.2% · Q4 4.5% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	9.6%	18.5% 8.9 pts better	11.4% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 5.2% · Q3 1.8% · Q4 13.8% · 4Q avg 9.6%
Percentage of long-stay residents who lose too much weight	4.7%	6.1% 1.4 pts better	5.4% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 6.2% · Q3 4.9% · Q4 1.6% · 4Q avg 4.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.9%	13.5% 5.4 pts worse	19.6% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 18.2% · Q3 19.0% · Q4 16.7% · 4Q avg 18.9%
Percentage of long-stay residents who received an antipsychotic medication	14.6%	14.8% 0.2 pts better	16.7% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 14.0% · Q3 17.0% · Q4 14.8% · 4Q avg 14.6% · 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	13.9%	15.1% 1.2 pts better	16.3% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 24.7% · Q3 7.3% · Q4 6.5% · 4Q avg 13.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	12.5%	15.5% 3 pts better	14.9% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 14.3% · Q3 9.8% · Q4 7.9% · 4Q avg 12.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.6% 0.6 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.8%	1.4% 0.6 pts better	1.7% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.2%	20.8% 4.4 pts worse	19.8% 5.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 37.0% · Q3 13.8% · Q4 25.7% · 4Q avg 25.2%
Percentage of long-stay residents with pressure ulcers	6.7%	6.9% 0.2 pts better	5.1% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 5.3% · Q3 8.2% · Q4 0.0% · 4Q avg 6.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	92.6%	76.7% 15.9 pts better	81.7% 10.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 91.5% · Q2 92.0% · Q3 91.4% · Q4 96.1% · 4Q avg 92.6%
Percentage of short-stay residents who had an outpatient emergency department visit	11.5%	9.7% 1.8 pts worse	12.0% 0.5 pts better	Short Stay · 20240701-20250630 · Adjusted 11.5% · Observed 11.7% · Expected 11.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	3.8%	1.2% 2.6 pts worse	1.6% 2.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 3.4% · Q3 5.9% · Q4 4.8% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	94.4%	78.8% 15.6 pts better	79.7% 14.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 94.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	22.4%	20.6% 1.8 pts worse	23.9% 1.5 pts better	Short Stay · 20240701-20250630 · Adjusted 22.4% · Observed 26.7% · Expected 28.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-11-06 · Fire 2023-11-06

3 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2021-09-15 · Fire 2021-09-15

12 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2019-09-26 · Fire 2019-09-26

21 health deficiencies

Top issue: Resident Rights (6 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-11-06

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-01-15

F · Potential for more than minimal harm 2023-11-06

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-12-18

E · Potential for more than minimal harm 2023-11-06

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-01-15

E · Potential for more than minimal harm 2021-09-15

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2021-11-02

E · Potential for more than minimal harm 2021-09-15

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 2021-11-02

E · Potential for more than minimal harm 2021-09-15

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2021-11-02

F · Potential for more than minimal harm 2019-09-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-11-25

E · Potential for more than minimal harm 2019-09-26

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2019-11-25

E · Potential for more than minimal harm 2019-09-26

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2019-12-05

E · Potential for more than minimal harm 2019-09-26

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-11-25

E · Potential for more than minimal harm 2019-09-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2019-11-25

D · Potential for more than minimal harm 2019-09-26

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2019-12-04

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-07-09

F657 · Resident Assessment and Care Planning Deficiencies

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 2024-08-23

G · Actual harm 2024-05-31

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-01-16

E · Potential for more than minimal harm 2023-11-06

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 2023-12-13

E · Potential for more than minimal harm 2023-11-06

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 2023-12-13

D · Potential for more than minimal harm 2023-11-06

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-12-13

E · Potential for more than minimal harm 2023-03-27

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-05-15

D · Potential for more than minimal harm 2023-03-27

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-05-15

D · Potential for more than minimal harm 2023-03-27

F585 · Resident Rights Deficiencies

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 2023-05-15

D · Potential for more than minimal harm 2023-03-27

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-05-15

D · Potential for more than minimal harm 2023-03-27

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-05-15

J · Immediate jeopardy 2023-03-14

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 2023-02-15

E · Potential for more than minimal harm 2021-09-15

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2021-11-11

E · Potential for more than minimal harm 2021-09-15

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2021-11-11

E · Potential for more than minimal harm 2021-09-15

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2021-11-11

E · Potential for more than minimal harm 2021-09-15

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 2021-11-11

E · Potential for more than minimal harm 2021-09-15

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2021-11-11

D · Potential for more than minimal harm 2021-09-15

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2021-11-17

D · Potential for more than minimal harm 2021-09-15

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2021-11-11

D · Potential for more than minimal harm 2021-09-15

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 2021-11-11

D · Potential for more than minimal harm 2021-09-15

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2021-11-11

D · Potential for more than minimal harm 2021-09-15

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 2021-11-11

E · Potential for more than minimal harm 2019-09-26

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2019-11-25

E · Potential for more than minimal harm 2019-09-26

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2019-11-25

E · Potential for more than minimal harm 2019-09-26

F657 · Resident Assessment and Care Planning Deficiencies

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 2019-11-25

E · Potential for more than minimal harm 2019-09-26

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2019-11-25

E · Potential for more than minimal harm 2019-09-26

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 2019-11-25

E · Potential for more than minimal harm 2019-09-26

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2019-11-25

E · Potential for more than minimal harm 2019-09-26

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2019-11-25

D · Potential for more than minimal harm 2019-09-26

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2019-11-25

D · Potential for more than minimal harm 2019-09-26

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2019-11-25

D · Potential for more than minimal harm 2019-09-26

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2019-11-25

D · Potential for more than minimal harm 2019-09-26

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2019-11-25

D · Potential for more than minimal harm 2019-09-26

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2019-11-25

D · Potential for more than minimal harm 2019-09-26

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2019-11-25

D · Potential for more than minimal harm 2019-09-26

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2019-11-25

C · Minimal harm 2019-09-26

F584 · Resident Rights Deficiencies

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 2019-11-25

Penalties and ownership