Average — CMS composite of the measures below.
A standard survey is most likely before around August 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 N Y S Veterans Home during CMS and state inspections, most recent first.
A resident with an indwelling urinary catheter, requiring maximal staff assistance per their care plan, was independently managing their catheter care without staff oversight or documented education. Staff did not provide the required assistance, monitor the resident’s catheter care, or ensure education and competency, resulting in a deficiency in necessary services and treatment.
A resident with Alzheimer's and chronic lung disease experienced significant, unaddressed weight loss and poor oral intake. Despite policies requiring monitoring and notification, staff did not consistently document or communicate the resident's meal refusals and weight changes to the RD or medical providers. The RD and providers were unaware of the resident's nutritional decline, and required assessments and interventions were not completed.
A resident with a history of stroke and moderate cognitive impairment was found with a bruise and fracture of unknown origin, which the facility failed to investigate or report. Initially assessed with no injuries after attempting to move from a wheelchair, the resident later showed bruising and a fracture, but no investigation was conducted to rule out abuse, neglect, or mistreatment, nor was it reported to the state health department.
Failure to Provide Required Staff Assistance and Education for Indwelling Urinary Catheter Care
Penalty
Summary
A deficiency was identified regarding the care and management of an indwelling urinary catheter for one resident with diagnoses of obstructive and reflux uropathy and a history of urinary tract infections. The resident's care plan specified a need for maximal staff assistance with catheter management, including emptying and changing urinary drainage bags, monitoring urine output and color, and providing new drainage bags. However, observations over several days revealed that the resident was independently managing their catheter care, including switching between leg and overnight drainage bags, emptying and cleaning the bags, and storing the overnight bag in a pink basin with uncapped tubing next to the bathroom sink. There was no evidence that staff provided the required assistance or monitored the resident’s catheter care as outlined in the care plan. Interviews with certified nurse aides and nursing staff confirmed that the resident was allowed to manage their own catheter care without staff oversight or documented education. The aides believed the resident was independent in this task and did not monitor the process, relying on the resident to self-report urine output for documentation. Both aides and nurses were unaware that the care plan required maximal assistance, and there was no documentation that the resident had been trained or assessed for competency in managing their catheter care independently. The facility’s policy required regular monitoring, education, and documentation for residents with indwelling urinary catheters, including ensuring a sterile closed system and providing education with documentation of understanding and follow-up. Despite these requirements, there was no documentation that the resident received education or was assessed for independent catheter care. The lack of staff involvement and oversight, as well as the absence of documented education, directly led to the deficiency in providing necessary services and treatment for the resident’s indwelling urinary catheter.
Failure to Monitor and Address Significant Weight Loss and Poor Intake
Penalty
Summary
A deficiency occurred when the facility failed to ensure that a resident maintained acceptable parameters of nutritional status. The resident, who had diagnoses including Alzheimer's disease and chronic obstructive pulmonary disease, experienced significant weight loss and poor oral intake over several months. Despite facility policies requiring monitoring of meal and snack intake, notification of clinical nutrition staff, and prompt assessment of significant weight changes, these procedures were not followed. The resident's meal and snack intake records showed frequent missed or refused meals and snacks, with many instances not documented or followed up as required. The resident's weight records indicated a substantial decline, with a 17-pound (10.6%) loss over six months and a 7.29% loss in one month. There was no documented evidence that the registered dietitian assessed the resident after the most recent significant weight loss, nor that the medical providers were notified of the ongoing decline. Staff interviews revealed a lack of communication and follow-through regarding the resident's poor intake and weight loss. Certified nurse aides and nursing staff were aware of the resident's meal refusals but did not consistently escalate the issue or ensure it was documented and communicated to the appropriate clinical staff. Further, the registered dietitian and medical providers were unaware of the resident's recent significant weight loss and poor intake, despite facility policy requiring notification and assessment in such cases. The registered dietitian acknowledged that high-risk lists and follow-up assessments were not maintained due to staffing shortages, and that only required quarterly assessments were being completed. As a result, the resident's nutritional decline was not addressed in a timely manner, and the required interdisciplinary interventions were not implemented.
Failure to Investigate and Report Injuries of Unknown Origin
Penalty
Summary
The facility failed to investigate or report alleged violations involving mistreatment, neglect, or abuse for a resident who sustained a bruise and fracture of unknown origin. The resident, who had a history of stroke with hemiplegia, chronic obstructive pulmonary disease, and atrial fibrillation, was admitted with moderate cognitive impairment and was dependent on staff for most activities of daily living. On a specific date, the resident was found on the foot pedals in front of their wheelchair, having attempted to move to a more comfortable chair. An initial assessment by a registered nurse found no injuries, and the incident was not suspected to involve abuse, neglect, or mistreatment. Subsequent nursing progress notes indicated no apparent injury, bruising, or pain following the incident. However, several days later, a physical therapist noted bruising on the resident's right ankle, which led to an x-ray revealing an acute non-displaced right distal fibula fracture. Despite this finding, there was no documented evidence that the bruising or fracture was investigated to rule out abuse, neglect, or mistreatment, nor was it reported to the New York State Department of Health as required. Interviews with facility staff, including the registered nurse, physical therapist, director of nursing, and a certified nurse aide, revealed that the incident was not thoroughly investigated, and the injuries were not reported. The director of nursing acknowledged that an investigation should have been initiated to rule out abuse, neglect, or mistreatment, but it was not completed, and the injuries were not reported as required by facility policy and state regulations.
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Illustrative
What surveyors actually found near you
We read the 12 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
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Illustrative
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Nursing homes near Oxford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Valley View Manor Nursing Home | 7.4 mi | ★★★★★ | 12 | 0 |
| Norwich Rehabilitation & Nursing Center | 7.5 mi | ★★★★★ | 0 | 0 |
| Chasehealth Rehab And Residential Care | 18.4 mi | ★★★★★ | 0 | 0 |
| Chestnut Park Rehabilitation And Nursing Center | 26.6 mi | ★★★★★ | 4 | 1 |
| Bridgewater Center For Rehab & Nursing L L C | 27.3 mi | ★★★★★ | 0 | 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.