01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-02-27 | 18 | 2024-02-27 | 4 |
| Cycle 2 | 2021-09-14 | 2 | 2021-09-14 | 3 |
| Cycle 3 | 2019-08-01 | 9 | 2019-08-01 | 6 |
CMS CCN 3357602026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Eddy Heritage House Nursing And Rehabilitation Ctr
2920 Tibbits Avenue · Troy, NY 12180 · Rensselaer County
Certified beds120CMS provider file
Recent citation rows42current 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
42 rows in the current release
2 rows carry G–L scope/severity codes; 2 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-11-26 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2026-01-15 · complaint2025-11-26 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2026-01-15 · complaint2025-11-26 · HEALTHF0600Severity J · isolated immediate jeopardy
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 · 2026-01-15 · complaint2025-11-26 · 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 · 2026-01-15 · complaint2025-11-26 · HEALTHF0684Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-01-15 · complaint2025-11-26 · HEALTHF0710Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Correction field: Deficient, Provider has date of correction · 2026-01-14 · complaint2025-11-26 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2026-01-14 · complaint2025-11-26 · HEALTHF0760Severity J · isolated immediate jeopardy
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2026-01-15 · complaint2025-11-26 · HEALTHF0835Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Correction field: Deficient, Provider has date of correction · 2026-02-06 · complaint2024-02-27 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-04-182024-02-27 · HEALTHF0585Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Correction field: Deficient, Provider has date of correction · 2024-05-252024-02-27 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2024-04-18 · complaint2024-02-27 · 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 · 2024-04-162024-02-27 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-04-162024-02-27 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-05-252024-02-27 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-05-252024-02-27 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-05-25 · complaint2024-02-27 · 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 · 2024-05-252024-02-27 · HEALTHF0814Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Correction field: Deficient, Provider has date of correction · 2024-04-222024-02-27 · FIREK0161Severity F · widespread; potential for more than minimal harm
Construction Deficiencies
Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2024-04-112024-02-27 · 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 · 2024-04-112024-02-27 · FIREK0923Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2024-04-112024-02-27 · 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 · 2024-04-112024-02-26 · 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 · 2024-05-25 · complaint03 / 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
- ST PETERS HEALTH PARTNERSOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 10/01/2011
- BALA, GUHAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2022
- HANKS, STEVENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- ISACKSEN, DANIELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2022
- LAPCZYNSKI, PATRICIAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2025
- MCCORMICK, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- MEATH, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2022
- MYERS, GINAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2022
- POLLARD, MERRIETTEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2022
- SULLIVAN, MARGUERITEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- SWEET ZAVAGLIA, KERRIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2022
- TOFADE, OLUWATOYINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- FARRELL, ERICIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2023
- JIMINO, KATHLEENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/05/2022
- MARSHALL, JOHNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/05/2022
- SIGNOR, KRISTINIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2017
- WILDRIDGE, WILLIAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2022
- ST PETERS HEALTH PARTNERSOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2011
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 hours3.90per resident day
RN hours0.70per resident day
Weekend nurse hours3.40per resident day
Staff turnover53.0%CMS reported field
06 / LOCAL RECORDS
Open the Troy ledger →Other published facilities nearby
Eddy Memorial Geriatric Center80 beds · CMS overall 4/529 citation rowsTroy Center For Rehabilitation And Nursing78 beds · CMS overall 2/544 citation rowsTroy Victorian Rehabilitation & Nursing Care Cntr120 beds · CMS overall 1/5111 citation rowsVan Rensselaer Manor362 beds · CMS overall 1/551 citation rows