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

Staffing

Hours and turnover

RN hours / resident day

0.53

Registered nurse staffing

LPN hours / resident day

1.25

Licensed practical nurse staffing

Aide hours / resident day

2.29

Nurse aide staffing

Weekend hours

3.33

Weekend nurse staffing

RN turnover

40%

Annual RN turnover

Total nurse turnover

35%

Annual nurse turnover

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

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

What sits behind the stars

Ownership

Baghaei-Rad, Nancy

Corporate Director · Individual

0% 1 facilities 2022-12-01
Bein-Aime, Joel

Corporate Director · Individual

0% 1 facilities 2022-12-01
Cichy, Thomas

Corporate Director · Individual

0% 1 facilities 2022-12-01
Demartinis, Robert

Corporate Director · Individual

0% 1 facilities 2022-12-01
Etzkorn, Emily

Corporate Director · Individual

0% 1 facilities 2022-12-01
Fedullo, John

Operational/Managerial Control · Individual

0% 1 facilities 2022-12-01
Ghazi-Moghadam, Mohammad-Reza

Corporate Director · Individual

0% 1 facilities 2022-12-01
Heck, Andrew

Corporate Director · Individual

0% 1 facilities 2022-12-01
Heenan, Mary Anne

Corporate Director · Individual

0% 1 facilities 2022-12-01
Held, Joshua

Operational/Managerial Control · Individual

0% 2 facilities 2022-12-01
Marsh, Ronald

Corporate Director · Individual

0% 1 facilities 2022-12-01
Methven, Jeffrey

Operational/Managerial Control · Individual

0% 1 facilities 2022-12-01
Methven, Jeffrey

Corporate Director · Individual

0% 1 facilities 2022-12-01
Pepe, Michael

Corporate Director · Individual

0% 1 facilities 2022-12-01
Santos, David

Corporate Director · Individual

0% 1 facilities 2022-12-01
Vertucci, Richard

Corporate Director · Individual

0% 1 facilities 2022-12-01
Waters, Keith

Corporate Director · Individual

0% 1 facilities 2022-12-01
Ziskin, Benjamin

Corporate Director · Individual

0% 1 facilities 2022-12-01

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Staffing
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Fines
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#3

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