Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Pathways Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
The facility's Emergency Plan, Training Program was found deficient as it did not include a demonstration of knowledge for responding to the most likely hazards identified by the risk assessment, such as infectious diseases and severe weather. The administrator acknowledged the omission and mentioned plans to update the training.
The facility did not provide emergency lighting that operates automatically without manual intervention along the means of egress, as required by NFPA 101 Life Safety Code. This deficiency was observed in multiple areas, including unit corridors, dining rooms, and other common areas, during a recertification survey.
The facility did not maintain emergency generator testing records according to NFPA standards. Logs lacked documentation of engine performance metrics, such as the percentage of the nameplate and generator transfer times, and the 4-hour load test did not record incremental amperages. The Environmental Services Director acknowledged these omissions.
The facility's sprinkler system was found non-compliant with NFPA standards, as both quick response and standard response sprinkler heads were present in certain compartmented spaces, such as the Pediatric Unit and [MEDICAL CONDITION] Unit shower rooms. This was identified during a Standard Life Safety Code Survey.
The facility failed to maintain sufficient nursing staff, resulting in consistent shortages of CNAs across all units. This led to delays in resident care, with reports of long wait times for assistance with transfers, toileting, and other activities of daily living. The facility faced challenges due to turnover, illness, and reliance on agency staff, impacting the quality of care provided.
The facility failed to properly label and store medications, with issues including expired medications, improper storage of refrigerated drugs, and missing narcotic count signatures. Staff were unaware of shortened expiration dates, and the DON was not informed of missing narcotic signoffs.
Two residents reported being left in wet briefs for extended periods and experiencing rude behavior from CNAs. One resident, dependent on staff for personal care, was left without assistance despite activating their call light. Another resident, with impairments and a tracheostomy, faced similar neglect and was told to perform tasks they could not manage. Staff turnover and lack of communication contributed to these issues.
The facility failed to complete PASARR screenings for two residents prior to admission, resulting in incomplete documentation for mental disorders or intellectual disabilities. The admissions staff did not identify the incomplete forms, and the Director of Nursing acknowledged the oversight. This led to non-compliance with regulatory requirements.
A resident with complex medical needs did not consistently participate in meaningful activities, as required by their care plan, due to staffing issues and lack of structured engagement. Despite being ventilator-dependent, the resident was often left alone in their room, with minimal 1-to-1 activity sessions recorded.
Emergency Preparedness Deficiency in Training Program
Penalty
Summary
The facility was found to be non-compliant with emergency preparedness requirements during a Standard Life Safety Code Survey. The deficiency was identified in the Emergency Plan, Training Program, which lacked a demonstration of knowledge for responding to the most likely hazards as identified by the risk assessment. These hazards included emerging infectious diseases, supply chain problems, severe thunderstorms, blizzard/snow problems, and communications failure. There was no documented evidence that the training program included this critical component. During an interview, the administrator acknowledged the omission and mentioned plans to update the quiz section of the emergency plan to address the top five hazards facing the facility.
Failure to Provide Emergency Lighting in Egress Areas
Penalty
Summary
The facility failed to provide emergency illumination in accordance with the National Fire Protection Association (NFPA) 101 Life Safety Code, 2012 Edition Sections 19.2.8 and 7.8. During a recertification survey, it was observed that the light switches supplying normal and emergency lighting for the means of egress and exit access did not provide lighting when the switch was in the off position. This deficiency was noted in several areas, including the [MEDICAL CONDITION] unit corridor, [MEDICAL CONDITION] unit dining room, Sub-Acute unit dining room, Therapy Gym, Main dining room, Classroom, Pediatric unit corridor, and Day Room. The lack of automatic emergency lighting without manual intervention along the means of egress to the public way was identified as a violation of the required safety standards.
Deficiency in Emergency Generator Testing Records
Penalty
Summary
The facility failed to maintain emergency generator testing records in compliance with the National Fire Protection Association (NFPA) standards. Specifically, the logs for the emergency generators did not document essential engine performance metrics, such as the percentage of the nameplate under which the monthly full load test was conducted and the generator transfer times. Additionally, the records for the 4-hour load test did not document the amperages incrementally as required. The document titled 'Standby Generator Monthly Preventative Maintenance Checklist' for the period from (MONTH) 2024 through (MONTH) 2024 lacked records of the percentage of the nameplate and generator transfer times. Furthermore, the '3-Year 4-Hour Load Test' conducted on 06/17/2023 recorded a consistent load without incremental amperage documentation. During an interview, the Environmental Services Director acknowledged these omissions and indicated plans to address them.
Non-compliance with Sprinkler System Standards
Penalty
Summary
The automatic sprinkler system in the facility was not installed and maintained according to the National Fire Protection Association (NFPA) 13 Standard for the Installation of Sprinkler Systems 2010 Edition section 8.3.3.4. During observations, it was found that in compartmented spaces, such as the Pediatric Unit shower room and the [MEDICAL CONDITION] Unit shower room, there was a mix of quick response and standard response sprinkler heads. This is contrary to the requirement that all sprinkler heads in such spaces should be quick response. The deficiency was identified during a Standard Life Safety Code Survey, and it was confirmed through interviews with the Environmental Services Director, who acknowledged the presence of standard response sprinkler heads in these areas.
Staffing Shortages Lead to Deficiencies in Resident Care
Penalty
Summary
The facility failed to provide sufficient nursing staff to meet the needs of residents, as evidenced by consistent shortages of Certified Nurse Aides (CNAs) across all three nursing units from December 7, 2024, to January 8, 2025. The facility's policy required adequate staffing to ensure resident safety and well-being, but this was not achieved. The facility's assessment documented specific staffing plans for each unit and shift, which were not consistently met, leading to deficiencies in care. During the survey period, multiple instances of staffing shortages were documented, affecting the Traumatic Brain Injury, Sub-Acute/Ventilator, and Pediatrics units. These shortages resulted in residents experiencing delays in receiving care, such as waiting for assistance with transfers, toileting, and other activities of daily living. Interviews with residents and family members corroborated these findings, with reports of long wait times for care and unmet needs due to insufficient staffing. The facility faced challenges in maintaining adequate staffing levels due to turnover, illness, and reliance on agency staff. The staffing coordinator and administrator acknowledged these issues, noting that agency staff cancellations and turnover among out-of-state employees contributed to the problem. Despite efforts to recruit and train new staff, the facility struggled to maintain the required staffing levels, impacting the quality of care provided to residents.
Medication Storage and Labeling Deficiencies
Penalty
Summary
The facility failed to ensure that drugs and biologicals were labeled and stored according to professional standards of practice. During the recertification survey, it was observed that an opened medication lacked an open and/or expiration date, and three medications were past their expiration dates. Additionally, a medication requiring refrigeration was found stored unrefrigerated in the medication cart. Furthermore, there were missing signatures for shift change narcotic counts on several dates across three medication carts reviewed. The facility's policies and procedures outlined specific requirements for medication storage, including double-locking controlled substances and maintaining accurate narcotic counts at shift changes. However, observations revealed non-compliance with these policies. For instance, expired medications were not discarded, and a refrigerated medication was improperly stored. Interviews with nursing staff indicated a lack of awareness regarding shortened expiration dates for certain medications, and the Director of Nursing was unaware of the missing narcotic count signatures, which were supposed to be monitored daily by the unit manager.
Failure to Maintain Resident Dignity and Timely Care
Penalty
Summary
The facility failed to ensure that residents were treated with respect and dignity, as evidenced by the experiences of two residents. Resident #39, who was cognitively intact and dependent on staff for personal care, reported being left in a wet brief for 5 to 6 hours during the evening shift. The resident also expressed feeling offended by staff who were angry and scolded them, and noted that Certified Nurse Aides (CNAs) would turn off their call light without providing assistance. Licensed Practical Nurse #2 confirmed that CNAs should be checking the resident's brief as care planned and responding to call lights in a timely manner. Resident #65, also cognitively intact, required assistance with activities of daily living due to impairments and a tracheostomy. This resident reported issues with some CNAs being rude and leaving them in a wet bed for hours. They stated that CNAs would turn off the call light and not return to provide assistance, and that they were told to perform tasks themselves despite their inability to do so due to their medical condition. The resident had spoken to the nurse manager about these issues, but no resolution was achieved. Interviews with staff revealed a turnover of CNAs, particularly those from a traveling agency, and a lack of communication regarding resident complaints. Registered Nurse #2 and the Director of Nursing were not aware of specific complaints from Resident #65, although there had been past issues with staff behavior. The facility's policy on resident rights and dignity was not adhered to, resulting in a failure to maintain a respectful and dignified environment for the residents involved.
Incomplete PASARR Screening for Two Residents
Penalty
Summary
The facility failed to ensure that each resident was screened for a mental disorder or intellectual disability prior to admission, as required by the Preadmission Screening and Resident Review (PASARR) process. Specifically, two residents were admitted without complete PASARR documentation. Resident #30, who was admitted with diagnoses including anoxic brain damage and anxiety disorder, had an incomplete PASARR form with unanswered questions related to mental illness and developmental disability. Similarly, Resident #64, admitted with major depressive disorder and psychotic disorder, had an incomplete PASARR form with unanswered questions regarding danger to self or others and level 2 referrals. Interviews with facility staff revealed that the PASARR screenings were initially completed at the hospital and were supposed to be reviewed by the facility's admissions staff for completeness. However, the admissions staff failed to identify the incomplete forms, and the Director of Nursing acknowledged that the forms should have been sent back to the hospital if they were incomplete. This oversight resulted in the facility not adhering to the regulatory requirement to ensure complete PASARR screenings prior to resident admission.
Deficiency in Resident Activity Program
Penalty
Summary
The facility failed to ensure ongoing provision of programs to support each resident's choices of activities, specifically for one resident who did not consistently attend meaningful, accommodating activities to maintain their highest practicable quality of life. The resident, who was admitted with diagnoses including anoxic brain injury, chronic respiratory failure, and asthma, required 1-to-1 structured multi-sensory activities as per their Comprehensive Care Plan. However, observations revealed that the resident was often alone in their room with the television on, and their activity log showed minimal engagement in 1-to-1 sessions. Interviews with facility staff indicated that the resident did not attend group activities and had not been out of bed for a week, partly due to staffing issues. The Director of Activities mentioned that more frequent 1-to-1 sessions would require additional staff, while the Director of Respiratory Therapy stated that ventilator-dependent residents had no restrictions for getting out of bed or attending activities. Despite the facility's policy to provide structured and engaging activities, the resident's needs were not consistently met, highlighting a deficiency in the facility's activity program.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 173 citations issued within 25 miles in the last 12 months — including the 5 immediate-jeopardy cases — 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
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Niskayuna
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ellis Residential & Rehabilitation Center | 2 mi | — | 0 | 0 |
| Baptist Health Nursing And Rehabilitation Center | 3 mi | ★★★★★ | 0 | 0 |
| Schenectady Center For Rehabilitation And Nursing | 3.1 mi | ★★★★★ | 27 | 0 |
| Glendale Home-schdy Cnty Dept Social Services | 3.2 mi | ★★★★★ | 7 | 0 |
| Kingsway Arms Nursing Center Inc | 3.8 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Pathways Nursing And Rehabilitation Center.
100% money-back within 48 hours.
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.