With a score of 14/100, Elizabeth Church Manor Nursing Home ranks in the bottom tier of New York nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
With 2.21 total nurse hours per resident per day, Elizabeth Church Manor Nursing Home falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 25 deficiencies at Elizabeth Church Manor Nursing Home, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.21 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.22 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.68 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.31 | 2.4 | Below Average |
| Weekend Total Nursing | 1.93 | 3.8 | Below Average |
| Weekend RN Hours | 0.13 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0802 Severity FProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Jul 31, 2025 · Nutrition and Dietary Deficiencies
- Tag 0550 Severity EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Jul 31, 2025 · Resident Rights Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jul 31, 2025 · Nutrition and Dietary Deficiencies
- Tag 0814 Severity EDispose of garbage and refuse properly.Jul 31, 2025 · Nutrition and Dietary Deficiencies
- Tag 0605 Severity DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Jul 31, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.4% | 4.5% | Average |
| Falls with major injury | 5.4% | 3.0% | Worse |
| On antipsychotic medication | 17.3% | 14.5% | Worse |
| Urinary tract infections | 1.8% | 2.5% | Better |
| ADL decline (daily activities) | 22.8% | 14.0% | Worse |
| Excessive weight loss | 5.0% | 7.5% | Better |
| New/worsened incontinence | 34.9% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $151,625
How This Grade Was Calculated
This facility's grade of F is based on a score of 14 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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