01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-11-20 | 1 | 2025-11-20 | 5 |
| Cycle 2 | 2024-03-21 | 3 | 2024-03-21 | 5 |
| Cycle 3 | 2021-11-10 | 9 | 2021-11-10 | 7 |
CMS CCN 3358592026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Good Shepherd Village At Endwell
14 Village Drive · Endwell, NY 13760 · Broome County
Certified beds32CMS provider file
Recent citation rows30current 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
30 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-11-20 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2026-01-192025-11-20 · FIREE0041Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
Correction field: Deficient, Provider has date of correction · 2026-01-192025-11-20 · HEALTHF0678Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Correction field: Deficient, Provider has date of correction · 2026-01-192025-11-20 · FIREK0345Severity D · isolated; 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 · 2026-01-192025-11-20 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-04-192025-11-20 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has plan of correction2024-03-21 · FIREE0020Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Correction field: Deficient, Provider has date of correction · 2024-05-152024-03-21 · HEALTHF0577Severity C · widespread; potential for minimal harm
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Correction field: Deficient, Provider has date of correction · 2024-04-052024-03-21 · 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 · 2024-04-052024-03-21 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-04-052024-03-21 · FIREK0133Severity F · widespread; potential for more than minimal harm
Construction Deficiencies
Install a two-hour-resistant firewall separation.
Correction field: Deficient, Provider has date of correction · 2024-05-192024-03-21 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2024-05-192024-03-21 · FIREK0311Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2024-05-192024-03-21 · FIREK0921Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Correction field: Deficient, Provider has date of correction · 2024-05-192021-11-10 · HEALTHF0677Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2021-12-152021-11-10 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2021-12-152021-11-10 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2021-12-152021-11-10 · HEALTHF0761Severity D · isolated; 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 · 2021-12-152021-11-10 · HEALTHF0803Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Correction field: Deficient, Provider has date of correction · 2021-12-152021-11-10 · HEALTHF0804Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2021-12-152021-11-10 · 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 · 2021-12-152021-11-10 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2021-12-152021-11-10 · HEALTHF0908Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2021-12-152021-11-10 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2022-01-0603 / 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
- FGS. INC.Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST100% · since 07/10/2006
- SEIER, JUDITHIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 12/15/2014
- ALLABAUGH, FREDRICKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- ANDREWS, JILLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2016
- BUNNELL, KATHYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2016
- HALBERT, ROGERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/02/2017
- HYLE, TIMOTHYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2017
- KEENAN, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2001
- LACEY, JOANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2012
- LANOUETTE, DAWNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2019
- MARTINICHIO, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2012
- RONEY, MARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- SEVEY, KYLEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- WAGER, ELSIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2011
- WEBSTER, ERICIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- KEENAN, MICHAELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2001
- MACKEY, PATRICIAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2015
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 hours4.73per resident day
RN hours0.87per resident day
Weekend nurse hours4.61per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS
Open the New York ledger →Other published facilities nearby
No second facility in the same city met the directory rule.