Cycle 1
Health 2024-09-13 · Fire 2024-09-13
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Newark, NY
Wayne Health Care
3-star overall rating with 3-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
100 Sunset Drive, Newark, NY
(315) 332-2700
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
182
Certified beds
Average residents
177
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Rochester Regional Health
Operator or chain grouping
Approved since
1973-08-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 4 overall / 4 health / 4 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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
0.63
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.10
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.95
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.69
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.74
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.06
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.29
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.75
CMS adjusted RN staffing hours
Adjusted total hours
4.37
CMS adjusted total nurse staffing hours
Case-mix index
1.15
Higher values indicate more complex resident acuity
RN turnover
43%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
663
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
65.69
Composite VBP score used to determine payment impact.
Payment multiplier
1.0198
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.61
Baseline 18.57% · Performance 17.90% · Measure score 7.61 · Achievement 7.61 · Improvement 3.80
Healthcare-associated infections
5.66
Baseline 6.14% · Performance 6.14% · Measure score 5.66 · Achievement 5.66 · Improvement 0
Total nurse turnover
8.46
Baseline 43.62% · Performance 29.09% · Measure score 8.46 · Achievement 8.46 · Improvement 7.24
Adjusted total nurse staffing
4.54
Baseline 4.34 hours · Performance 4.37 hours · Measure score 4.54 · Achievement 4.54 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.32% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 80 · Observed rate 10% · Lower 95% interval 7.05% |
| Discharge to community | 55.21% |
50.57%
4.6 pts better
|
No Different than the National Rate · Eligible stays 78 · Observed rate 47.44% · Lower 95% interval 44.8% |
| Medicare spending per beneficiary | 0.89 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 95.65% |
95.27%
0.4 pts better
|
Numerator 44 · Denominator 46 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 46 |
| Discharge self-care score | 52.63% |
53.69%
1.1 pts worse
|
Numerator 20 · Denominator 38 |
| Discharge mobility score | 60.53% |
50.94%
9.6 pts better
|
Numerator 23 · Denominator 38 |
| Pressure ulcers or injuries, new or worsened | 2.17% |
2.29%
0.1 pts better
|
Numerator 1 · Denominator 46 · Adjusted rate 2.72% |
| Healthcare-associated infections requiring hospitalization | 6.14% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 45 · Observed rate 2.22% · Lower 95% interval 3.17% |
| Staff COVID-19 vaccination coverage | 1.09% |
8.2%
7.1 pts worse
|
Numerator 2 · Denominator 183 |
| Staff flu vaccination coverage | 75.2% |
42%
33.2 pts better
|
Numerator 188 · Denominator 250 |
| Discharge function score | 78.95% |
56.45%
22.5 pts better
|
Numerator 30 · Denominator 38 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| 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 | 70.37% |
25.2%
45.2 pts better
|
Numerator 19 · Denominator 27 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.7
0.2 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.0 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.3
0.2 pts worse
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.1 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.8% |
91.2%
6.6 pts better
|
93.4%
4.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.0% · Q2 99.4% · Q3 98.7% · Q4 98.1% · 4Q avg 97.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.2% |
95.3%
2.9 pts better
|
95.5%
2.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.7% |
3.0%
2.7 pts worse
|
3.3%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 5.7% · Q3 7.1% · Q4 5.6% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.5% |
18.5%
14 pts better
|
11.4%
6.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 1.0% · Q3 4.7% · Q4 2.7% · 4Q avg 4.5% |
| Percentage of long-stay residents who lose too much weight | 5.9% |
6.1%
0.2 pts better
|
5.4%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 5.1% · Q3 5.8% · Q4 6.2% · 4Q avg 5.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.5% |
13.5%
5 pts better
|
19.6%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 7.9% · Q3 8.6% · Q4 8.8% · 4Q avg 8.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.7% |
14.8%
5.9 pts worse
|
16.7%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 19.5% · Q3 20.2% · Q4 20.6% · 4Q avg 20.7% · 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 | 11.3% |
15.1%
3.8 pts better
|
16.3%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 7.1% · Q3 14.1% · Q4 14.7% · 4Q avg 11.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.1% |
15.5%
1.4 pts better
|
14.9%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.2% · Q2 8.6% · Q3 10.0% · Q4 17.3% · 4Q avg 14.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.6%
0.2 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
1.4%
0.1 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.3% · Q3 2.6% · Q4 0.6% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.9% |
20.8%
1.1 pts worse
|
19.8%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.8% · Q2 21.2% · Q3 13.8% · Q4 25.9% · 4Q avg 21.9% |
| Percentage of long-stay residents with pressure ulcers | 5.4% |
6.9%
1.5 pts better
|
5.1%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 5.3% · Q3 3.8% · Q4 5.0% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.9% |
76.7%
18.2 pts better
|
81.7%
13.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 97.8% · Q3 94.7% · Q4 92.1% · 4Q avg 94.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.3% |
9.7%
0.6 pts worse
|
12.0%
1.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.3% · Observed 10.0% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.2%
0.9 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.4% |
78.8%
17.6 pts better
|
79.7%
16.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.1% |
20.6%
4.5 pts worse
|
23.9%
1.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.1% · Observed 21.7% · Expected 20.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-05-23 · Fire 2022-05-23
2 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2019-08-06 · Fire 2019-08-06
3 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-09-13
K281 · Egress Deficiencies
Fire Safety
Install proper backup exit lighting.
Corrected 2024-11-11
D · Potential for more than minimal harm
2024-09-13
K909 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure gas and vacuum piping is labeled.
Corrected 2024-11-11
E · Potential for more than minimal harm
2022-05-23
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2022-07-22
E · Potential for more than minimal harm
2019-08-06
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-10-05
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-09-13
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 2024-11-11
J · Immediate jeopardy
2022-05-23
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 2022-07-22
D · Potential for more than minimal harm
2022-05-23
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-07-22
D · Potential for more than minimal harm
2019-08-06
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2019-10-05
D · Potential for more than minimal harm
2019-08-06
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 2019-10-05
D · Potential for more than minimal harm
2019-08-06
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-10-05
Penalties and ownership
What sits behind the stars
Ownership
Alag, Karan
Corporate Director · Individual
Becker, Linda
Corporate Director · Individual
Bernstein, Paul
Corporate Officer · Individual
Bieber, Eric
Corporate Officer · Individual
Cooney-Miner, Dianne
Corporate Director · Individual
Crilly, Thomas
Corporate Officer · Individual
Crilly, Thomas
W-2 Managing Employee · Individual
Destephano, Ralph
Corporate Director · Individual
Gallina, Karen
Corporate Director · Individual
Glastonbury, Howard
Corporate Officer · Individual
Glastonbury, Howard
W-2 Managing Employee · Individual
Holder, Nichole
W-2 Managing Employee · Individual
Hoyt, Shawn
W-2 Managing Employee · Individual
Mapstone, Jeffrey
Corporate Director · Individual
Meyers, Daniel
Corporate Director · Individual
Mulconry, Marcy
Corporate Director · Individual
Patton, Elizabeth
Corporate Director · Individual
Patton, Patricia
W-2 Managing Employee · Individual
Riedy, Dawn
Corporate Director · Individual
Riley, Thomas
Corporate Director · Individual
Sawyko, Leon
Corporate Director · Individual
Tedesco, Julia
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Newark Manor Nursing Home Inc
Newark, NY
3-star overall rating with 4-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Wayne County Nursing Home
Lyons, NY
1-star overall rating with 1-star inspections with $24,850 in total fines with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Clifton Springs Hospital and Clinic Extended Care
Clifton Springs, NY
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Jump out