CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 3358652026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Samaritan Senior Village, Inc

CMS lists this provider in Watertown, NY, with 168 certified beds, an overall rating of 2/5, and 30 citation rows in the current August 2026 release.

22691 Campus Drive · Watertown, NY 13601 · Jefferson County

CMS OVERALL RATING★★☆☆☆2/5CMS field—not our score or recommendation
Certified beds168CMS 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.

01 / INSPECTION LEDGER

Samaritan Senior Village, Inc survey cycles in this release

CMS supplies 3 survey-cycle rows for Samaritan Senior Village, Inc in this release; health and fire inspection dates remain separate.

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12024-08-16112024-08-165
Cycle 22022-06-2442022-06-244
Cycle 32019-10-1152019-10-111
02 / CITATION DETAIL

Samaritan Senior Village, Inc citations in the current release

CMS reports 30 citation rows, including 0 with G–L codes and 0 with J–L codes.

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.

2024-08-16 · HEALTHF0584Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Correction field: Deficient, Provider has date of correction · 2024-10-14 · complaint
2024-08-16 · HEALTHF0585Severity D · isolated; 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 · 2024-10-14 · complaint
2024-08-16 · 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 · 2024-10-14
2024-08-16 · HEALTHF0677Severity D · isolated; 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 · 2024-10-14 · complaint
2024-08-16 · HEALTHF0679Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

Correction field: Deficient, Provider has date of correction · 2024-10-14
2024-08-16 · 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 · 2024-10-14 · complaint
2024-08-16 · HEALTHF0698Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-10-14
2024-08-16 · 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 · 2024-10-14
2024-08-16 · 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 · 2024-10-14
2024-08-16 · HEALTHF0812Severity F · widespread; 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 · 2024-10-14
2024-08-16 · HEALTHF0880Severity D · isolated; 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 · 2024-10-14
2024-08-16 · FIREK0223Severity D · isolated; potential for more than minimal harm

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Correction field: Deficient, Provider has date of correction · 2024-10-11
2024-08-16 · 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 · 2024-10-11
2024-08-16 · FIREK0325Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

Correction field: Deficient, Provider has date of correction · 2024-10-11
2024-08-16 · FIREK0353Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2024-10-11
2024-08-16 · FIREK0921Severity D · isolated; 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 · 2024-10-11
2022-06-24 · HEALTHF0583Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Correction field: Deficient, Provider has date of correction · 2022-08-17
2022-06-24 · HEALTHF0677Severity D · isolated; 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 · 2022-08-17
2022-06-24 · 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 · 2022-08-17
2022-06-24 · 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 · 2022-08-17
2022-06-24 · FIREK0351Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Install an approved automatic sprinkler system.

Correction field: Deficient, Provider has date of correction · 2022-08-17
2022-06-24 · FIREK0531Severity D · isolated; potential for more than minimal harm

Services Deficiencies

Have elevators that firefighters can control in the event of a fire.

Correction field: Deficient, Provider has date of correction · 2022-08-17
2022-06-24 · FIREK0741Severity D · isolated; potential for more than minimal harm

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Correction field: Deficient, Provider has date of correction · 2022-08-17
2022-06-24 · 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 · 2022-08-17
03 / ENFORCEMENT FILE

CMS penalties reported for Samaritan Senior Village, Inc

The August 2026 file contains 0 penalty rows and $0 in listed fines for this provider record.

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Ownership disclosures for Samaritan Senior Village, Inc

CMS matched 13 ownership disclosure rows to Samaritan Senior Village, Inc; names and roles are reported fields, not independently verified identities.

  • MANUFACTURERS & TRADERS TRUST COMPANYOrganization · 5% OR GREATER MORTGAGE INTEREST
    NOT APPLICABLE · since 10/01/2012
  • CARMAN, THOMASIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 02/15/2013
  • MORROW, BARBARAIndividual · W-2 MANAGING EMPLOYEE
    NOT APPLICABLE · since 01/01/2018
  • ALEXANDER, COLLENEIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 12/01/2011
  • FENLON, KATHLEENIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 12/01/2011
  • KELLOGG, COLLINSIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 12/01/2011
  • MORROW, BARBARAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2018
  • TREADWELL-WOODS, JOANIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 12/01/2011
  • VARS, ADDISONIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 12/01/2011
  • VILLA, DANIELIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 12/01/2011
  • WALTON, PETERIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 12/01/2011
  • CARMAN, THOMASIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 12/01/2011
  • KRAEGER, PAULIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 12/01/2011

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

Staffing hours and turnover for Samaritan Senior Village, Inc

CMS reports 3.61 total nurse hours and 0.37 RN hours per resident day for this provider.

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.61per resident day
RN hours0.37per resident day
Weekend nurse hours3.07per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS

Facilities published near Samaritan Senior Village, Inc

The local peer set contains 1 other published facility record near Watertown, NY, with separate bed, rating, and citation-row fields.

Open the Watertown ledger →
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.