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 Rome Memorial Hospital, Inc - R H C F during CMS and state inspections, most recent first.
The facility failed to complete MDS assessments within the required timeframe for three residents, leading to a deficiency. A resident with epilepsy and cognitive deficits, another with hemiplegia post-stroke, and a third with Parkinson's and dementia had their assessments delayed beyond the 14-day completion window. The delay was due to incomplete sections in the assessments, and the MDS Consultant confirmed the oversight.
A resident with Parkinson's disease did not receive five doses of pramipexole dihydrochloride due to a pharmacy issue, and the facility failed to notify the physician and family as required. The nursing staff did not communicate the missed doses, leading to a breakdown in the facility's notification process.
The facility failed to submit termination forms for two prospective employees to the NY State Department of Health within 30 days of termination. The employees were not deactivated from the Criminal History Record Check in a timely manner after receiving negative determination letters. The facility's policy did not address the procedure for terminating an employee from the Criminal History Record Check.
Failure to Timely Complete MDS Assessments
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) assessments for three residents were completed within the required timeframe during a recertification survey. Specifically, the assessments for Residents #28, #46, and #53 were not completed within 14 days after the Assessment Reference Date, as required by the Centers for Medicare and Medicaid Services guidelines. The facility's policy mandates that MDS assessments be completed based on the guidelines set forth in the MDS 3.0 Manual, which stipulates that assessments must occur at least every three months, with no more than 92 days between assessments. Resident #53, diagnosed with epilepsy, cognitive communication deficit, and adult failure to thrive, had an assessment reference date of 11/13/2024, but the assessment was not completed until 1/4/2025. Resident #28, with hemiplegia and hemiparesis following a stroke, had an assessment reference date of 11/22/2024, but the assessment was completed on 1/4/2025. Resident #46, diagnosed with Parkinson's disease and dementia, had an assessment reference date of 12/14/2024, and the assessment was not completed as of 1/7/2025. The delay in completing these assessments was attributed to the incomplete section GG (Functional Abilities and Goals). The MDS Consultant acknowledged the oversight and stated that assessments were typically submitted weekly.
Failure to Notify Physician and Family of Missed Parkinson's Medication
Penalty
Summary
The facility failed to ensure that a resident's physician and representative were notified when there was a significant alteration in treatment. Specifically, a resident with Parkinson's disease did not receive five doses of their prescribed medication, pramipexole dihydrochloride, due to a pharmacy refill issue. The facility's policy required immediate notification of the physician and the resident's representative in such cases, but there was no documented evidence that this was done. The resident, who had severe cognitive impairment and was diagnosed with Parkinson's disease and dementia, was supposed to receive pramipexole dihydrochloride three times a day. However, the medication was not administered on two consecutive days because the pharmacy rejected the refill request, stating it was too soon to refill. Despite this, the nursing staff did not notify the physician or the resident's family about the missed doses, which was a deviation from the facility's policy. Interviews with the nursing staff revealed a lack of communication and follow-up regarding the missed medication. Licensed Practical Nurses involved in the resident's care did not report the issue to the charge nurse or notify the physician and family. The Charge Registered Nurse and the Medical Director were unaware of the missed doses until later, indicating a breakdown in the facility's communication and notification processes. The Director of Nursing confirmed that the nurses were responsible for notifying the physician and family about missed medications, which did not occur in this instance.
Failure to Timely Submit Termination Forms for Prospective Employees
Penalty
Summary
The facility failed to ensure that termination forms (Form 105e) were submitted to the New York State Department of Health within 30 calendar days of termination for two prospective employees. Specifically, prospective employees #12 and #13 were not deactivated from the Criminal History Record Check within the required timeframe after receiving negative determination letters from the Department of Health. The facility's policy on the employment process, last reviewed in March 2023, did not address the procedure for terminating an employee from the Criminal History Record Check when their employment ended. Prospective employee #12 received a negative determination letter on January 30, 2024, but was not terminated from the Criminal History Record Check until January 7, 2025. Similarly, prospective employee #13 received a negative determination on November 15, 2024, but was not removed from the Criminal History Record Check until December 30, 2024. Human Resources Employee #11 acknowledged the oversight and stated that the termination should have occurred within 30 days of the negative determination letter. The delay was attributed to a lack of awareness and procedural oversight, as the facility's policy did not specify the requirement for timely termination from the Criminal History Record Check.
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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 Rome
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bethany Gardens Skilled Living Center | 0.6 mi | ★★★★★ | 0 | 0 |
| The Grand Rehabilitation And Nursing At Rome | 0.7 mi | ★★★★★ | 29 | 1 |
| Colonial Park Rehabilitation And Nursing Center | 1 mi | ★★★★★ | 25 | 0 |
| Betsy Ross Rehabilitation Center, Inc | 1.1 mi | ★★★★★ | 2 | 0 |
| Trustees Of Eastern Star Hall & Home Of The N Y S | 7.6 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.