Above average — CMS composite of the measures below.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Good Shepherd Village At Endwell during CMS and state inspections, most recent first.
A resident with depression, stroke, and anxiety was readmitted after a hospital stay in which the EMOLST was changed from DNR to full code. The facility did not timely verify and enter the updated code status on readmission; the Kardex and physician assessment still showed DNR, and the DON later stated the CPR order was forgotten until several days later. The resident then told the physician they wanted CPR, and the order was finally changed to full code.
Failure to Timely Verify and Enter Updated Code Status on Readmission
Penalty
Summary
The facility did not verify and accurately document Resident #21’s advance directives and code status upon readmission after hospitalization. Resident #21 had diagnoses including depression, stroke, and anxiety, and the annual MDS documented intact cognition. Before hospitalization, the resident’s EMOLST documented do not resuscitate status with medical decision-making capacity and verbal consent for resuscitation orders, while the care plan directed staff to review advance directives quarterly and as needed. During hospitalization, the resident’s EMOLST was changed to full code with a trial of intubation and no limitation on medical interventions, and the hospital discharge summary documented the resident as full code. However, when the resident returned to the facility, the readmission paperwork, Kardex entries, and physician admission history and physical did not consistently reflect the hospital change. The Kardex did not document advance directive status on 11/17, 11/18, or 11/19, and the physician’s 11/18 assessment documented the resident as do not resuscitate. The resident told staff on 11/19 that they wanted CPR if their heart stopped, and only then was a physician order entered changing the resident to full code and discontinuing the do not resuscitate order. The DON stated the facility saw the changed EMOLST when the resident returned but forgot to enter the new CPR order until 11/19 because of other readmissions. The physician stated they were not made aware that the EMOLST had changed in the hospital and did not check it because the resident had not told them they wanted CPR.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Endwell
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| James G Johnston Memorial Nursing Home | 3.2 mi | — | 0 | 0 |
| Absolut Ctr For Nursing & Rehab Endicott L L C | 3.2 mi | ★★★★★ | 1 | 0 |
| Willow Point Rehabilitation And Nursing Center | 4.4 mi | ★★★★★ | 0 | 0 |
| Susquehanna Nursing & Rehabilitation Center, L L C | 4.6 mi | ★★★★★ | 1 | 0 |
| Ideal Senior Living Center | 4.7 mi | ★★★★★ | 6 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.