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

Wells Rehabilitation and Nursing Center

201 W Madison Avenue, Johnstown, NY · (518) 762-4546

  • Cited for abuse (CMS abuse icon)

CMS overall rating

1 of 5

Compare with a nearby home →
Certified beds
100
Residents per day
98
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
January 5, 1971

1

How this home got 1 star

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

    −1 star

    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

    1 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among New York homes

Wells Rehabilitation and Nursing Center carries 23 inspection points. That is fewer than 71% 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 · 23 pts · 2★

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

16 health citations on record since 2019. 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 2 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 5 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.

Harm and immediate-jeopardy citations (2)

  1. G

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

    March 3, 2026 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected February 6, 2026

  2. G

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

    September 12, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected April 17, 2024

Everything else, by area of care

Resident Rights4E
  1. D

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

    September 12, 2024 · Complaint · F582 · Corrected October 10, 2024

  2. E

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

    May 9, 2019 · Standard · F550 · Corrected July 8, 2019

  3. D

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

    May 9, 2019 · Standard · F580 · Corrected July 8, 2019

  4. D

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

    May 9, 2019 · Standard · F582 · Corrected July 8, 2019

Nutrition and Dietary3E
  1. E

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

    October 27, 2021 · Standard · F812 · Corrected December 26, 2021

  2. E

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    May 9, 2019 · Standard · F813 · Corrected July 15, 2019

  3. D

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

    May 9, 2019 · Standard · F812 · Corrected July 8, 2019

Resident Assessment and Care Planning2E
  1. E

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

    May 9, 2019 · Standard · F656 · Corrected July 8, 2019

  2. D

    Plan the resident's discharge to meet the resident's goals and needs.

    May 9, 2019 · Standard · F660 · Corrected July 8, 2019

Quality of Life and Care2E
  1. E

    Provide safe, appropriate pain management for a resident who requires such services.

    May 9, 2019 · Standard · F697 · Corrected July 8, 2019

  2. D

    Provide safe and appropriate respiratory care for a resident when needed.

    May 9, 2019 · Standard · F695 · Corrected July 8, 2019

Pharmacy Service1D
  1. D

    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 12, 2024 · Complaint · F761 · Corrected October 9, 2024

Administration1D
  1. D

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

    May 9, 2019 · Standard · F836 · Corrected July 8, 2019

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    May 9, 2019 · Standard · F943 · Corrected July 8, 2019

Inspection history

  1. 2024-09-12

    4 health deficiencies · 2 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

  2. 2021-10-27

    1 health deficiencies · 2 fire-safety deficiencies

    Top issue: Nutrition and Dietary (1 deficiency)

  3. 2019-05-09

    11 health deficiencies · 9 fire-safety deficiencies

    Top issue: Resident Rights (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 32 min of nursing staff time a day, 20 min of it from a registered nurse.

This home

3 h 32 min

New York average

3 h 41 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

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

5

Fines and payment denials

$19,702 in federal fines on record over the past three years.

DatePenaltyAmount
2026-03-03Fine$11,190
2024-09-12Fine$8,512

6

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 days1.3 pts better0.41.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse1.51.31.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine11.7 pts worse80.1%91.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.2 pts worse90.0%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 symptoms19.7 pts better0.4%20.1%13.5%
Percentage of long-stay residents who lose too much weight0.5 pts worse6.2%5.7%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.9 pts worse18.1%13.2%19.5%
Percentage of long-stay residents who received an antipsychotic medication12.3 pts worse26.0%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 worsened3.5 pts worse14.6%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.7 pts worse16.4%13.7%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts worse1.1%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection1.9 pts worse3.1%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence12.7 pts worse31.3%18.6%18.3%
Percentage of long-stay residents with pressure ulcers1.5 pts worse8.0%6.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine42.8 pts worse34.8%77.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.4 pts worse10.8%9.4%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better0.6%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine42.2 pts worse36.7%78.9%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission7.2 pts worse27.8%20.6%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Bartholomew, CarolCorporate Director · Individual0%1 facilities
Campos, AnneCorporate Director · Individual0%1 facilities
Kline, GeorgeCorporate Director · Individual0%1 facilities
Mccoski, WilliamW-2 Managing Employee · Individual0%1 facilities
Mcnamara, PeterCorporate Director · Individual0%1 facilities
Reppenhagen, MaryannW-2 Managing Employee · Individual0%1 facilities
Sitterly, JaneCorporate Director · Individual0%1 facilities
Slingerland, SaraCorporate Director · Individual0%1 facilities
Smith, PeterCorporate Director · Individual0%2 facilities
Thompson, BarbaraW-2 Managing Employee · Individual0%1 facilities
Vangorder, Dee DeeW-2 Managing Employee · Individual0%1 facilities
Vanslyke, NealW-2 Managing Employee · Individual0%1 facilities

·

Fire safety

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

Emergency Preparedness6F
  1. F

    Establish roles under a Waiver declared by secretary.

    September 12, 2024 · E26 · Corrected November 8, 2024

  2. F

    Conduct risk assessment and an All-Hazards approach.

    September 12, 2024 · E6 · Corrected November 8, 2024

  3. F

    Establish staff and initial training requirements.

    October 27, 2021 · E37 · Corrected December 26, 2021

  4. D

    Establish policies and procedures for volunteers.

    May 9, 2019 · E24 · Corrected July 8, 2019

  5. D

    Establish roles under a Waiver declared by secretary.

    May 9, 2019 · E26 · Corrected July 8, 2019

  6. D

    Conduct risk assessment and an All-Hazards approach.

    May 9, 2019 · E6 · Corrected July 8, 2019

Gas, Vacuum, and Electrical Systems5E
  1. E

    Ensure that testing and maintenance of electrical equipment is performed.

    October 27, 2021 · K921 · Corrected December 26, 2021

  2. D

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

    May 9, 2019 · K914 · Corrected July 8, 2019

  3. D

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

    May 9, 2019 · K916 · Corrected July 18, 2019

  4. D

    Ensure that testing and maintenance of electrical equipment is performed.

    May 9, 2019 · K921 · Corrected July 8, 2019

  5. D

    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

    May 9, 2019 · K926 · Corrected July 8, 2019

Egress1D
  1. D

    Have exits that are accessible at all times.

    May 9, 2019 · K271 · Corrected July 8, 2019

Smoke1D
  1. D

    Have an enclosure around a vertical opening shaft.

    May 9, 2019 · K311 · Corrected July 8, 2019

·

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    Nursing / resident / day
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