Amsterdam, NY

Wilkinson Residential Health Care Facility

2-star overall rating with 2-star inspections with 9 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle

4988 State Hwy 30, Amsterdam, NY

(518) 841-3572

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

160

Certified beds

Average residents

107

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2009-06-17

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.53

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

1.25

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.29

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

4.06

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.77

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

3.33

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.19

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.18

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.56

CMS adjusted RN staffing hours

Adjusted total hours

4.34

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

40%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

35%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

623

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

Performance score

66.34

Composite VBP score used to determine payment impact.

Payment multiplier

1.0203

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.63

Baseline 20.66% · Performance 18.36% · Measure score 6.63 · Achievement 6.63 · Improvement 5.84

Healthcare-associated infections

7.40

Baseline 6.96% · Performance 5.62% · Measure score 7.40 · Achievement 7.40 · Improvement 6.32

Total nurse turnover

8.86

Baseline 41.59% · Performance 27.45% · Measure score 8.86 · Achievement 8.86 · Improvement 7.95

Adjusted total nurse staffing

3.64

Baseline 4.29 hours · Performance 4.11 hours · Measure score 3.64 · Achievement 3.64 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.99%	10.72% 0.3 pts worse	No Different than the National Rate · Eligible stays 136 · Observed rate 10.29% · Lower 95% interval 8.58%
Discharge to community	55.49%	50.57% 4.9 pts better	No Different than the National Rate · Eligible stays 133 · Observed rate 50.38% · Lower 95% interval 48.24%
Medicare spending per beneficiary	1.05	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 96 · Denominator 96
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 96
Discharge self-care score	28.75%	53.69% 24.9 pts worse	Numerator 23 · Denominator 80
Discharge mobility score	40%	50.94% 10.9 pts worse	Numerator 32 · Denominator 80
Pressure ulcers or injuries, new or worsened	8.33%	2.29% 6 pts worse	Numerator 8 · Denominator 96 · Adjusted rate 8.72%
Healthcare-associated infections requiring hospitalization	5.62%	7.12% 1.5 pts better	No Different than the National Rate · Eligible stays 94 · Observed rate 2.13% · Lower 95% interval 3.09%
Staff COVID-19 vaccination coverage	4.15%	8.2% 4 pts worse	Numerator 8 · Denominator 193
Staff flu vaccination coverage	89.43%	42% 47.4 pts better	Numerator 237 · Denominator 265
Discharge function score	41.25%	56.45% 15.2 pts worse	Numerator 33 · Denominator 80
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 55 · Denominator 55
Resident COVID-19 vaccinations up to date	52.17%	25.2% 27 pts better	Numerator 24 · Denominator 46

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.8	1.7 0.9 pts better	1.9 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.6 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.7	1.3 0.6 pts better	1.8 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.6 · Expected 1.3 · 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	100.0%	95.3% 4.7 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.5%	3.0% 0.5 pts better	3.3% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 3.3% · Q3 1.1% · Q4 1.1% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	18.5% 18.5 pts better	11.4% 11.4 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 who lose too much weight	2.7%	6.1% 3.4 pts better	5.4% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 1.2% · Q3 3.7% · Q4 2.4% · 4Q avg 2.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.6%	13.5% 5.1 pts worse	19.6% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.8% · Q2 17.1% · Q3 19.5% · Q4 17.9% · 4Q avg 18.6%
Percentage of long-stay residents who received an antipsychotic medication	10.7%	14.8% 4.1 pts better	16.7% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 10.6% · Q3 11.9% · Q4 10.8% · 4Q avg 10.7% · 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	21.3%	15.1% 6.2 pts worse	16.3% 5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.1% · Q2 27.8% · Q3 18.4% · Q4 13.2% · 4Q avg 21.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	17.6%	15.5% 2.1 pts worse	14.9% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 17.1% · Q3 13.6% · Q4 16.7% · 4Q avg 17.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.7%	0.6% 0.1 pts worse	1.0% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 0.8% · Q4 1.3% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.1%	1.4% 0.3 pts better	1.7% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	16.2%	20.8% 4.6 pts better	19.8% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 18.8% · Q3 16.0% · Q4 15.1% · 4Q avg 16.2%
Percentage of long-stay residents with pressure ulcers	9.2%	6.9% 2.3 pts worse	5.1% 4.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 11.9% · Q3 7.9% · Q4 9.7% · 4Q avg 9.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.4%	76.7% 22.7 pts better	81.7% 17.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 98.3% · Q3 100.0% · Q4 100.0% · 4Q avg 99.4%
Percentage of short-stay residents who had an outpatient emergency department visit	6.7%	9.7% 3 pts better	12.0% 5.3 pts better	Short Stay · 20240701-20250630 · Adjusted 6.7% · Observed 6.5% · Expected 10.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.8%	1.2% 0.6 pts worse	1.6% 0.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 0.0% · Q3 0.0% · Q4 2.5% · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	78.8% 21.2 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.0%	20.6% 5.4 pts worse	23.9% 2.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.0% · Observed 23.4% · Expected 21.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-27 · Fire 2025-05-27

9 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

12 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2022-08-09 · Fire 2022-08-09

4 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

2 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 3 Health 2020-02-03 · Fire 2020-02-03

7 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-27

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2025-07-25

F · Potential for more than minimal harm 2025-05-27

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2025-07-25

F · Potential for more than minimal harm 2025-05-27

E7 · Emergency Preparedness Deficiencies

Fire Safety

Address patient/client population and determine types of services needed.

Corrected 2025-07-25

F · Potential for more than minimal harm 2025-05-27

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-07-23

F · Potential for more than minimal harm 2025-05-27

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2025-07-23

F · Potential for more than minimal harm 2025-05-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-07-23

F · Potential for more than minimal harm 2025-05-27

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-07-25

F · Potential for more than minimal harm 2025-05-27

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2025-07-23

E · Potential for more than minimal harm 2025-05-27

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2025-07-23

E · Potential for more than minimal harm 2025-05-27

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-07-23

E · Potential for more than minimal harm 2025-05-27

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-07-23

E · Potential for more than minimal harm 2025-05-27

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-07-23

E · Potential for more than minimal harm 2022-08-09

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2022-10-28

E · Potential for more than minimal harm 2022-08-09

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-10-01

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-05-27

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 2025-07-23

E · Potential for more than minimal harm 2025-05-27

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 2025-07-23

E · Potential for more than minimal harm 2025-05-27

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 2025-07-24

E · Potential for more than minimal harm 2025-05-27

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-27

D · Potential for more than minimal harm 2025-05-27

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-07-23

D · Potential for more than minimal harm 2025-05-27

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-23

D · Potential for more than minimal harm 2025-05-27

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-07-23

D · Potential for more than minimal harm 2025-05-27

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2025-07-23

D · Potential for more than minimal harm 2025-05-27

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 2025-07-23

E · Potential for more than minimal harm 2022-08-09

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 2022-10-05

D · Potential for more than minimal harm 2022-08-09

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2022-09-30

D · Potential for more than minimal harm 2022-08-09

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2022-09-30

C · Minimal harm 2022-08-09

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 2022-10-01

D · Potential for more than minimal harm 2020-02-03

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2020-04-03

D · Potential for more than minimal harm 2020-02-03

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2020-04-03

D · Potential for more than minimal harm 2020-02-03

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2020-04-03

D · Potential for more than minimal harm 2020-02-03

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 2020-04-03

D · Potential for more than minimal harm 2020-02-03

F807 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Corrected 2020-04-03

D · Potential for more than minimal harm 2020-02-03

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 2020-04-03

C · Minimal harm 2020-02-03

F813 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2020-04-03

Penalties and ownership