F

Soldiers and Sailors Memorial Hospital Extended Ca

418 North Main Street, Penn Yan, NY 14527
Score: 17 / 100

With a score of 17/100, Soldiers And Sailors Memorial Hospital Extended Ca 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.

Staffing at Soldiers And Sailors Memorial Hospital Extended Ca is near the national average, with 3.46 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 16 deficiencies at Soldiers And Sailors Memorial Hospital Extended Ca, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: 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 .

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 3 / 15 pts
1 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.46 3.8 Average
Registered Nurses (RN) 0.36 0.7 Below Average
Licensed Practical Nurses (LPN) 1.20 0.7 Above Average
Certified Nursing Assistants (CNA) 1.89 2.4 Below Average
Weekend Total Nursing 2.92 3.8 Below Average
Weekend RN Hours 0.28 0.7 Below Average

🔍 Inspection & Deficiency History

16
Total Deficiencies
Nov 3, 2024
Most Recent Inspection
⚪ 3 Minor 🟠 12 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0700 Severity K
    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
    Nov 3, 2024 · Quality of Life and Care Deficiencies
  • Tag 0909 Severity E
    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.
    Nov 3, 2024 · Environmental Deficiencies
  • Tag 0688 Severity D
    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 medic
    Nov 3, 2024 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Nov 3, 2024 · Quality of Life and Care Deficiencies
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Nov 3, 2024 · Resident Rights 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 5.1% 4.5% Worse
Falls with major injury 7.2% 3.0% Worse
On antipsychotic medication 39.9% 14.5% Worse
Urinary tract infections 4.1% 2.5% Worse
ADL decline (daily activities) 13.1% 14.0% Average
Excessive weight loss 4.5% 7.5% Better
New/worsened incontinence 23.7% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $21,733

How This Grade Was Calculated

This facility's grade of F is based on a score of 17 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: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 1★ → 3 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -2 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Other
Certified Beds
152
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Nov 3, 2024
Deficiencies (Cycle 1)
6