Federal inspection record · CMS data as of October 1, 2026

Waterville Residential Care Center

220 Tower Street, Waterville, NY · (315) 841-4156

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
92
Residents per day
87
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 1, 1977

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in New York.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among New York homes

Waterville Residential Care Center carries 31 inspection points. That is fewer than 61% of New York's 589 rated homes.

5★4★3★2★1★+18 homes above 246.7505102550100200inspection points → fewer is better on the leftThis home · 31 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New York: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–12 pts
  • 4★ 12–27 pts
  • 3★ 27–46 pts
  • 2★ 46–82 pts
  • 1★ over 82 pts

Bars show every rated home in New York by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

15 health citations on record since 2020. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 9 4 pts
E 6 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care5D
  1. D

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

    August 27, 2025 · Complaint · F684 · Corrected September 30, 2025

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 27, 2025 · Complaint · F689 · Corrected September 30, 2025

  3. D

    Provide activities to meet all resident's needs.

    October 10, 2024 · Standard · F679 · Corrected November 29, 2024

  4. D

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

    October 10, 2024 · Standard · F686 · Corrected November 30, 2024

  5. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    September 11, 2020 · Standard · F688 · Corrected September 25, 2020

Nutrition and Dietary5E
  1. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    October 10, 2024 · Standard · F804 · Corrected November 30, 2024

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    October 10, 2024 · Standard · F812 · Corrected November 30, 2024

  3. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    March 7, 2023 · Standard · F812 · Corrected March 27, 2023

  4. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    September 11, 2020 · Standard · F804 · Corrected September 24, 2020

  5. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    September 11, 2020 · Standard · F812 · Corrected September 24, 2020

Pharmacy Service2E
  1. E

    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.

    October 10, 2024 · Standard · F761 · Corrected November 30, 2024

  2. E

    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.

    September 11, 2020 · Standard · F761 · Corrected September 28, 2020

Resident Rights2D
  1. D

    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.

    October 10, 2024 · Standard · F584 · Corrected November 30, 2024

  2. D

    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.

    September 11, 2020 · Standard · F584 · Corrected November 6, 2020

Resident Assessment and Care Planning1D
  1. D

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

    September 11, 2020 · Standard · F656 · Corrected September 23, 2020

Inspection history

  1. 2024-10-10

    6 health deficiencies · 14 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

  2. 2023-03-07

    3 health deficiencies · 6 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  3. 2020-09-11

    6 health deficiencies · 7 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 31 min of nursing staff time a day, 25 min of it from a registered nurse.

This home

3 h 31 min

New York average

3 h 41 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 47% of nursing staff and 46% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.8 pts better0.91.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts worse2.51.31.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.2 pts better99.0%91.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.8 pts better100.0%95.2%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury3 pts worse6.1%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms19.1 pts better1.0%20.1%13.5%
Percentage of long-stay residents who lose too much weight1.6 pts worse7.3%5.7%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.2 pts worse17.4%13.2%19.5%
Percentage of long-stay residents who received an antipsychotic medication6.1 pts worse19.8%13.7%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened0.7 pts better10.4%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased3.4 pts worse17.1%13.7%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better0.0%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection0.4 pts worse1.6%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence11 pts worse29.6%18.6%18.3%
Percentage of long-stay residents with pressure ulcers0.5 pts worse7.0%6.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.8 pts worse68.8%77.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3.5 pts better5.9%9.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts worse1.7%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.3 pts worse74.6%78.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.8 pts worse21.4%20.6%23.4%

·

Who owns and runs it

7 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Harding-Staelens, Judith5% Or Greater Direct Ownership Interest · Individual50%1 facilities
Murabito, Joseph5% Or Greater Direct Ownership Interest · Individual50%3 facilities
Elemental Management Group, LLCAdp Of The SNF · Organization0%1 facilities
Harding-Staelens, JudithGeneral Partnership Interest · Individual0%1 facilities
Harding-Staelens, JudithAdp Of The SNF · Individual0%1 facilities
Murabito, JosephOperational/Managerial Control · Individual0%3 facilities
Murabito, JosephGeneral Partnership Interest · Individual0%3 facilities

·

Fire safety

27 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke11E
  1. E

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

    October 10, 2024 · K345 · Corrected November 22, 2024

  2. E

    Install an approved automatic sprinkler system.

    October 10, 2024 · K351 · Corrected November 22, 2024

  3. E

    Inspect, test, and maintain automatic sprinkler systems.

    October 10, 2024 · K353 · Corrected November 22, 2024

  4. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    October 10, 2024 · K374 · Corrected December 18, 2024

  5. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    October 10, 2024 · K321 · Corrected November 29, 2024

  6. D

    Provide properly protected cooking facilities.

    October 10, 2024 · K324 · Corrected November 22, 2024

  7. D

    Properly select, install, inspect, or maintain portable fire extinguishes.

    October 10, 2024 · K355 · Corrected November 29, 2024

  8. D

    Install corridor and hallway doors that block smoke.

    October 10, 2024 · K363 · Corrected November 22, 2024

  9. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    March 7, 2023 · K321 · Corrected March 30, 2023

  10. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    September 11, 2020 · K321 · Corrected September 28, 2020

  11. D

    Provide properly protected cooking facilities.

    September 11, 2020 · K324 · Corrected November 15, 2020

Gas, Vacuum, and Electrical Systems8F
  1. E

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

    October 10, 2024 · K918 · Corrected November 22, 2024

  2. E

    Ensure that testing and maintenance of electrical equipment is performed.

    October 10, 2024 · K921 · Corrected November 22, 2024

  3. D

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

    March 7, 2023 · K918 · Corrected April 14, 2023

  4. D

    Ensure proper usage of power strips and extension cords.

    March 7, 2023 · K920 · Corrected March 23, 2023

  5. D

    Ensure that testing and maintenance of electrical equipment is performed.

    March 7, 2023 · K921 · Corrected March 30, 2023

  6. F

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    September 11, 2020 · K916 · Corrected October 23, 2020

  7. F

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

    September 11, 2020 · K918 · Corrected October 28, 2020

  8. D

    Ensure proper usage of power strips and extension cords.

    September 11, 2020 · K920 · Corrected September 29, 2020

Egress5E
  1. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    October 10, 2024 · K211 · Corrected November 29, 2024

  2. D

    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.

    October 10, 2024 · K222 · Corrected November 22, 2024

  3. E

    Install proper backup exit lighting.

    March 7, 2023 · K281 · Corrected March 29, 2023

  4. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    March 7, 2023 · K211 · Corrected March 29, 2023

  5. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    September 11, 2020 · K211 · Corrected November 6, 2020

Services1E
  1. E

    Have elevators that firefighters can control in the event of a fire.

    October 10, 2024 · K531 · Corrected November 22, 2024

Construction1D
  1. D

    Install noncombustible or limited-combustible interior walls.

    October 10, 2024 · K163 · Corrected November 22, 2024

Electrical1C
  1. C

    Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

    September 11, 2020 · K901 · Corrected September 29, 2020

·

Other homes nearby

  1. Worst citation, 3 yrs
    J
    Nursing / resident / day
    3 h 23 min
    Fines
    $283,358
  2. Worst citation, 3 yrs
    E
    Nursing / resident / day
    —
    Fines
    $0
  3. Worst citation, 3 yrs
    J
    Nursing / resident / day
    5 h
    Fines
    $195,380