01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-11-04 | 6 | 2024-11-04 | 6 |
| Cycle 2 | 2022-09-30 | 4 | 2022-09-30 | 3 |
| Cycle 3 | 2019-11-22 | 6 | 2019-11-22 | 1 |
CMS CCN 3352892026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Soldiers And Sailors Memorial Hospital Extended Ca
418 North Main Street · Penn Yan, NY 14527 · Yates County
Certified beds152CMS provider file
Recent citation rows26current CMS citation release
Penalty rows1current 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
26 rows in the current release
1 rows carry G–L scope/severity codes; 1 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-11-04 · 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 · 2024-12-30 · complaint2024-11-04 · 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 · 2024-12-30 · complaint2024-11-04 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Correction field: Deficient, Provider has date of correction · 2024-12-302024-11-04 · 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 · 2024-12-302024-11-04 · HEALTHF0700Severity K · pattern of immediate jeopardy
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Correction field: Deficient, Provider has date of correction · 2024-12-302024-11-04 · HEALTHF0909Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Correction field: Deficient, Provider has date of correction · 2024-12-122024-11-04 · FIREK0225Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Correction field: Deficient, Provider has date of correction · 2024-12-182024-11-04 · 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 · 2024-12-182024-11-04 · FIREK0345Severity E · pattern; 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 · 2024-12-182024-11-04 · FIREK0761Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2024-12-182024-11-04 · FIREK0918Severity E · pattern; 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 date of correction · 2024-12-182024-11-04 · 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 · 2024-12-182022-09-30 · HEALTHF0575Severity B · pattern; potential for minimal harm
Resident Rights Deficiencies
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Correction field: Deficient, Provider has date of correction · 2022-11-212022-09-30 · 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 · 2022-11-212022-09-30 · HEALTHF0732Severity B · pattern; potential for minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2022-11-212022-09-30 · HEALTHF0755Severity B · pattern; potential for 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 · 2022-11-212022-09-30 · FIREK0271Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have exits that are accessible at all times.
Correction field: Deficient, Provider has date of correction · 2022-11-012022-09-30 · FIREK0531Severity E · pattern; 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 · 2022-11-212022-09-30 · FIREK0918Severity E · pattern; 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 date of correction · 2022-11-012019-11-22 · 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 · 2020-01-202019-11-22 · HEALTHF0693Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Correction field: Deficient, Provider has date of correction · 2020-01-202019-11-22 · 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 · 2020-01-202019-11-22 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2020-01-202019-11-22 · 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 · 2020-01-2003 / 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 |
|---|---|---|---|
| 2024-11-04 | Fine | $21,733 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ABRAHAM, KYLENEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/14/2021
- ADAMS, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/28/2025
- ANDERSON, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/14/2021
- BURRALL, THOMASIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/14/2021
- CHENEY, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/14/2021
- COLLINS, CRAIGIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/28/2025
- DENSMORE, CRAIGIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/14/2021
- DEVANEY, CHEVANNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/14/2021
- GOLDSTEIN, STEVENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/28/2025
- GRIFFIN, STEPHENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/28/2025
- HALLINGS, RYANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/14/2021
- KOCZENT, TRISHAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/24/2021
- NARDOZZI, JAMESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/14/2021
- QUEIROZ, RODOLFOIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/14/2021
- ROTONDO, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/28/2025
- STORK, SUSANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/14/2021
- TAUBMAN, MARKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/28/2025
- WARD, LANCEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/14/2021
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 hours3.57per resident day
RN hours0.46per resident day
Weekend nurse hours3.20per resident day
Staff turnover68.3%CMS reported field
06 / LOCAL RECORDS
Open the Penn Yan ledger →