01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-01-17 | 2 | 2025-01-17 | 6 |
| Cycle 2 | 2022-10-14 | 11 | 2022-10-14 | 5 |
| Cycle 3 | 2019-12-19 | 4 | 2019-12-19 | 4 |
CMS CCN 3354422026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Champlain Valley Physicians Hosp Med Ctr S N F
75 Beekman Street · Plattsburgh, NY 12901 · Clinton County
Certified beds95CMS provider file
Recent citation rows32current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
32 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 7 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-01-17 · FIREE0006Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Correction field: Deficient, Provider has date of correction · 2025-02-282025-01-17 · FIREE0007Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Correction field: Deficient, Provider has date of correction · 2025-02-282025-01-17 · FIREE0037Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Correction field: Deficient, Provider has date of correction · 2025-02-282025-01-17 · HEALTHF0600Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-02-26 · complaint2025-01-17 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-02-26 · complaint2025-01-17 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-02-26 · complaint2025-01-17 · HEALTHF0685Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Correction field: Deficient, Provider has date of correction · 2025-03-042025-01-17 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-02-26 · complaint2025-01-17 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-02-262025-01-17 · FIREK0281Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install proper backup exit lighting.
Correction field: Deficient, Provider has date of correction · 2025-02-282025-01-17 · FIREK0926Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Correction field: Deficient, Provider has date of correction · 2025-02-282025-01-17 · FIREK0929Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Correction field: Deficient, Provider has date of correction · 2025-02-282024-07-10 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-08-29 · complaint2022-10-14 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2022-11-302022-10-14 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2022-11-292022-10-14 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2022-11-222022-10-14 · HEALTHF0697Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2022-11-292022-10-14 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2022-11-302022-10-14 · HEALTHF0813Severity C · widespread; potential for minimal harm
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Correction field: Deficient, Provider has date of correction · 2022-11-302022-10-14 · HEALTHF0867Severity E · pattern; potential for more than minimal harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction field: Deficient, Provider has date of correction · 2022-11-302022-10-14 · FIREK0324Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2022-11-302022-10-14 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2022-12-202022-10-14 · FIREK0907Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure medical gas and vacuum systems have documented maintenance programs.
Correction field: Deficient, Provider has date of correction · 2022-12-202022-10-14 · FIREK0916Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Correction field: Deficient, Provider has date of correction · 2022-12-2003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- THE UNIVERSITY OF VERMONT HEALTH NETWORK INC.Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 01/01/2016
- BOURGEOIS, LINDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2019
- DONOGHUE, KELLYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- GOERLITZ-CORYER, ELIZABETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- GREGORY, RICHELLEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- MCAULIFFE, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2019
- MCCULLUM, KEVINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/29/2024
- NILES, GRAHAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- PRATHER, MONTICIAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- RECNY, THOMASIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2016
- RYAN, MOLLYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- VICENCIO, ELIZABETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2012
- WEBBER, RICHARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- FESETTE, NEILIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2017
- KOLLAR, MATEJIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2023
- LEBEAU, MICHELLEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2018
- LEBEAU, MICHELLEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/01/2018
- MCCULLUM, KEVINIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/29/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours—per resident day
RN hours—per resident day
Weekend nurse hours—per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS
Open the Plattsburgh ledger →