Below average — CMS composite of the measures below.
A standard survey is most likely before around November 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 Schenectady Center For Rehabilitation And Nursing during CMS and state inspections, most recent first.
The facility did not maintain sufficient RN, LPN, and CNA staffing to meet resident needs, with repeated shortages across shifts and units and multiple complaints about long call bell waits and missed care. Surveyors observed call bells ringing for extended periods, a resident left waiting to be changed after repeated call light use, and residents reporting that staff were on phones, understaffed, and slow to respond. Staff acknowledged fluctuating staffing, call-outs, and that response times could be 15 to 20 minutes or longer depending on the floor.
Incomplete controlled drug count documentation was found across multiple unit med carts after surveyors reviewed shift-to-shift narcotic count forms and the facility's narcotic count policy. The records showed repeated missing on-coming and off-going RN/LPN signatures at shift changes on Birch, Oak, and Elm carts, along with inconsistent entries and incomplete reconciliation of controlled substances.
The facility did not ensure its MRR policy included time frames for the steps the consultant pharmacist must take when an irregularity required urgent action. The policy said the pharmacist would contact the physician directly if a situation posed a risk to a person's life, health, or safety, but it did not state when that contact would occur. The DON stated the policy should have time frames, and the Administrator confirmed the policy in use was the most up to date one.
Surveyors found multiple medication labeling and storage deficiencies in two med carts and two med rooms. Over-the-counter meds were not dated when opened, a resident-specific med bottle was undated, an insulin pen lacked open/expiration dating, an unopened insulin glargine pen was stored in the cart instead of the refrigerator, a cup with unidentified medication was found in a cart, and expired stock meds and an opened but undated PPD solution were found in the med rooms.
Food and drink were not consistently palatable or served at an appetizing temperature during lunch meal service. Multiple residents reported cold or poor-quality food, and tray sampling showed lukewarm or cold items, with one tray not matching the meal ticket. Staff said residents needing feeding were served last, which contributed to meals arriving cold.
A resident did not receive care and treatment in accordance with physician orders and their stated preferences and goals, as identified by surveyors through observation and record review.
The facility failed to protect residents from various forms of abuse and neglect, including physical, mental, and sexual abuse, as well as physical punishment, by any individual.
A resident who was unable to perform activities of daily living did not receive the necessary care and assistance from staff, resulting in unmet care needs.
A resident with dementia and limited mobility did not receive showers as scheduled, and a CNA asked the resident’s representative to bring toiletries because the resident had an odor. Another resident with hemiplegia, dysarthria, and DM2 yelled for help twice while staff walked by or did not respond, and was later found alone, disheveled, and partially positioned over in a wheelchair with food on the floor and lunch only partly eaten. The DON stated residents can wait 15 to 30 minutes for call lights during high-care times.
A resident with dementia, anxiety, and a history of hallucinations and paranoid delusions was receiving Buspirone, Seroquel, and opioid pain medications, and was repeatedly observed appearing lethargic or asleep during the day. Survey review found no clear evidence that a GDR was completed despite long-term Seroquel use, conflicting documentation about behavior monitoring and dose reduction attempts, and provider notes stating the resident was stable and not appropriate for GDR while the dose remained in place.
PASARR screening was incorrect for one resident and incomplete for another. One resident had diagnoses including dementia with behavioral disturbance and PTSD, yet the PASARR marked no dementia and no serious mental illness; surveyors later observed the resident tearful, grunting, and wandering the unit. Another resident with major depressive disorder had a PASARR with a blank RHCF reason and no serious mental illness marked, while notes described self-isolation, disheveled appearance, and staying in bed.
Incomplete Person-Centered Care Plans: The facility failed to develop comprehensive care plans for several residents’ specific needs. A resident with a contracted hand had no care plan for that condition, another resident on oxygen had no oxygen-related care plan, a resident with a nutrition plan did not have ordered weights completed, and two residents wearing Miami J collars had no care plan addressing the collars. The DON stated care plans should address every treated condition, brace, and splint.
A resident with cerebral infarction, COPD, and anxiety disorder was cognitively intact and had care plan interests that included TV, reading, family visits, classic rock, and food socials, but records and interviews showed limited participation in meaningful activities. The resident reported mostly watching TV in bed and said activity staff had not really brought anything to do or provided one-to-one visits. The activity log showed no activities for one month and only two activities the next month, while staff described offering in-room items and one-to-one visits that were not consistently documented.
A resident with dementia, malnutrition, weakness, and a long-standing hand contracture did not have a specific care plan area for the contracted hand, and staff did not document routine preventive measures for the hand before a dark area and later a small DTI were identified. Observation found long fingernails and a dark area where the nails rested, while staff and family reported the issue had not been discussed or tracked as part of care. An LPN and the DON acknowledged the hand had not been on the task list and there was no order to check it.
Respiratory equipment was not managed per policy for two residents. One resident receiving O2 via NC had tubing that was not dated or labeled to show when it was changed, despite facility policy calling for weekly changes. Another resident receiving nebulizer treatments had tubing that was not dated and a mask that was left on the nightstand instead of being stored in a plastic bag with the resident’s name and date. Staff interviews and record review showed no documentation tracking when the equipment had last been changed.
Insufficient Nursing Staffing and Delayed Response to Resident Needs
Penalty
Summary
The facility did not provide sufficient nursing staff to meet resident needs and maintain resident safety and well-being throughout the building. During the recertification and abbreviated survey, surveyors found that minimum staffing levels were not met on multiple shifts and multiple units between 8/04/2025 and 8/17/2025. The facility assessment, dated 1/2025, documented an average daily census of 237 residents with a maximum bed count of 240, and its staffing plan described broad staffing ranges for RNs, LPNs, and CNAs across day, evening, and night shifts. Staffing sheets showed repeated shortages or incomplete staffing documentation. Examples included day and evening shifts where fewer nurses or CNAs were scheduled than required, including 13 nurses required with 10 scheduled, 24 CNAs required with 21 scheduled, 12 nurses required with 10 scheduled, and 12 nurses required with 9 scheduled. Other sheets listed only scheduled staff, with census documented as 240, including shifts where 9 nurses, 10 nurses, or 11 nurses were scheduled and CNA staffing varied by shift. The staffing coordinator stated staffing fluctuated, call-outs made coverage difficult, and the facility sometimes used newly graduated CNA class members on the units to assist with tasks such as answering call bells and retrieving supplies. Surveyors also observed and documented resident and family complaints about delayed responses and missed care. Of 14 complaints reviewed, 9 were related to staffing levels and long call bell times. During observations, call bells rang for over 10 minutes and over 15 minutes, and one resident who needed to be changed was not assisted until after a second call light activation. During a resident council meeting, residents reported that staff were on phones, that staffing was bad all the time, and that call lights were not answered timely. Individual residents reported waiting over an hour, sometimes an hour and a half, for help, and one resident stated weekends were worse. Staff interviews described typical unit staffing patterns, but also acknowledged that staffing was hit or miss, that some staff did not work well as a team, and that call bells could take 15 to 20 minutes or even longer depending on what was happening on the floor.
Incomplete Controlled Drug Count Documentation
Penalty
Summary
The facility did not ensure that drug records were in order and that an account of all controlled drugs was maintained and periodically reconciled on six units reviewed: Birch, Willow, Oak, Elm, Maple, and Cedar. During the recertification survey, surveyors reviewed the facility policy titled Narcotic Count, dated 8/2018, which stated that the on-coming and off-going nurses assigned to the medication cart were responsible for ensuring the accuracy of the controlled drug count. Surveyors then reviewed the shift-to-shift reconciliation of narcotics forms on multiple medication carts across the units and found repeated missing staff signatures at shift changes, including missing on-coming and off-going nurse signatures on several dates and shifts. The missing signatures were documented on Birch unit medication carts #1 and #2, Oak unit medication carts #1 and #2, Elm unit medication cart #1, and additional units referenced in the deficiency statement. The forms showed gaps such as missing off-going nurse signatures, missing on-coming nurse signatures, and in some instances no entries beyond a single shift signature. The survey findings also included inconsistent documentation times and one entry listing 8/3/2024 instead of 8/3/2025 on Oak unit cart #2, reflecting further problems with the shift-to-shift narcotic count records.
Medication Regimen Review Policy Lacked Required Time Frames
Penalty
Summary
The facility did not ensure that its policy for monthly medication regimen review included time frames for the steps the consultant pharmacist must take when an irregularity requires urgent action to protect a resident. The policy and procedure titled Medication Regimen Reviews, dated 7/19/2019, stated that if a situation was serious enough to present a risk to a person's life, health, or safety, the consultant pharmacist would contact the physician directly, but it did not specify when that contact would occur. During an interview, the DON stated that the Medication Regimen Review policy should have time frames for the steps in the process. In an email, the Administrator stated that the medication regimen review policy was the most up to date policy the facility was using.
Medication Labeling and Storage Deficiencies
Penalty
Summary
Drugs and biologicals were not labeled and stored in accordance with accepted professional principles in two medication carts and two medication rooms reviewed during the recertification survey. On Cedar unit Side #2 and [NAME] unit Side #1, over-the-counter medications in the medication carts were not labeled with the date opened, a resident-specific medication bottle was not dated, one insulin pen had no open or expiration date, an unopened insulin glargine pen was stored in the cart instead of the refrigerator per manufacturer instructions, and a medication cup containing unidentified medication was found in the top drawer. An LPN stated they did not know who the medication cup was for or why it was in the cup, and an RN stated insulin bottles and pens should be dated as soon as they are opened. In the Elm unit medication rooms #1 and #2, surveyors found expired over-the-counter ear drops and expired acid reducer pills, and a bottle of Tuberculin PPD Solution 5 units per 0.1 milliliter that had been opened but was not dated or initialed. The report also noted stock medications in the medication rooms were expired and opened stock medications were not dated. These observations showed multiple instances of unlabeled, improperly stored, or expired medications across the reviewed carts and medication rooms.
Food Served Cold and Meal Tickets Did Not Match Trays
Penalty
Summary
The facility did not ensure that food and drink were palatable, flavorful, and served at an appetizing temperature for two lunch meals reviewed. During meal tray sampling, residents received trays with several items that were lukewarm or cold, including Salisbury steak, salad, fruit, water, and other side items. One resident’s tray also did not match the meal ticket, as yellow squash was served instead of the bowl item indicated. The surveyor documented that trays were prepared by Dietary Aides in the unit kitchenette and then passed by CNAs, with residents who ate in the dining room served before residents who needed assistance or ate in their rooms. Resident interviews described ongoing concerns with food quality and temperature. One resident said the food was terrible and they bought their own food, another said the food was not good and they only ate certain items, and another said the food was institutional and often cold if they had to wait for it. A resident who was last to receive a meal stated the food was cold before it reached them and that the meal ticket did not always match what was provided. Staff interviews confirmed that residents who needed feeding were served last, that cold food complaints were handled by speaking with dietary and nursing staff, and that the kitchen checked temperatures before food was placed in the hot box and brought to the units.
Failure to Follow Treatment Orders and Resident Preferences
Penalty
Summary
The facility failed to provide appropriate treatment and care according to physician orders, as well as the resident’s preferences and goals. This deficiency was identified through surveyor observation and review of records, which indicated that care provided did not align with the prescribed orders or the expressed wishes and objectives of the resident. Specific details regarding the actions or omissions that led to this deficiency, as well as information about the resident’s medical history or condition at the time, are not provided in the report.
Failure to Protect Residents from Abuse and Neglect
Penalty
Summary
A deficiency was identified regarding the facility's failure to protect each resident from all types of abuse, including physical, mental, sexual abuse, physical punishment, and neglect by any individual. The report notes that residents were not adequately safeguarded from these forms of mistreatment, indicating lapses in the facility's responsibility to ensure resident safety and well-being. No specific details about the residents involved, their medical history, or their condition at the time of the deficiency are provided in the report.
Failure to Assist Residents with Activities of Daily Living
Penalty
Summary
A deficiency was identified when care and assistance were not provided to residents who were unable to perform activities of daily living (ADLs) independently. The report notes that residents requiring help with ADLs did not receive the necessary support from staff, resulting in unmet care needs for those individuals. No additional details about the specific residents involved, their medical history, or their condition at the time of the deficiency are provided in the report.
Failure to Maintain Resident Dignity and Respond to Needs
Penalty
Summary
The facility did not ensure residents were treated with dignity and respect in a manner that promoted quality of life for two residents. One resident with unspecified dementia, cerebral infarction, and depression had a care plan requiring assistance with activities of daily living and use of a bell for help, but the shower documentation showed only two showers in June, two in July, and one in August, with other dates marked non-applicable. The resident representative stated the resident had not had a shower in a very long time and reported being asked by a CNA to bring in soap, deodorant, and shampoo because the resident had an odor. The DON stated staff are not permitted to ask family to bring in supplies unless there is a special order and that it is unacceptable to tell a resident they smell. A second resident with hemiplegia, hemiparesis, dysarthria, and type 2 diabetes had care plans addressing behaviors, toileting needs, and mobility. During observation, the resident yelled out for help in the morning and again at lunch time, but staff who were on the unit or walking by did not respond. At one point the resident was found sitting behind a drawn curtain, alone in a dark room, leaning halfway over to the right side in a wheelchair on a Hoyer-lift pad, with food strewn on the floor and lunch only partially eaten. The resident appeared disheveled, unshaven, and had long fingernails with food or dirt underneath. The resident representative stated that staff had walked by an unanswered call light and that this was a common occurrence at the facility. The LPN stated all nursing staff should answer any call light regardless of assignment, and a CNA stated they would toilet any resident regardless of assignment. The DON stated that during high care times residents may wait 15 to 20 minutes, and at times up to 30 minutes, for call lights to be answered.
Failure to Ensure Appropriate Psychotropic Use and Gradual Dose Reduction
Penalty
Summary
The facility did not ensure that a resident’s drug regimen was free from chemical restraints and unnecessary psychotropic medication use. Resident #14, who had diagnoses including unspecified dementia with behavioral disturbance, anxiety disorder, and peripheral vascular disease, was ordered Buspirone for anxiety, Seroquel 50 mg twice daily and Seroquel 25 mg at bedtime for antipsychotic use, and oxycodone and OxyContin for severe pain. During the survey, the resident was observed multiple times appearing lethargic, asleep, or hunched over in a wheelchair during the day. Record review showed the resident had been on Seroquel since at least 10/27/2023, with prior gradual dose reduction reviews documented in 4/2024 and 10/2024. A facility psychotropic listing report stated that in 8/2025 the Seroquel dose was increased to 50 mg twice daily plus 25 mg at bedtime, and that the next gradual dose reduction was due in 5/2026, with the last reduction listed as contraindicated. A medication regimen review from 4/30/2024 documented that the resident was due for a gradual dose reduction assessment and that the contraindication reason checked was that the current dose was maintaining function and a reduction would likely cause a decline in function manifested by self-inflicted injuries. The record also showed conflicting documentation about behavioral monitoring and dose reduction attempts. The treatment administration record documented monitored behaviors on some dates in May and July 2025, but there was no documented evidence that behaviors were monitored in June 2025. A team meeting note on 5/8/2025 documented a recommendation to reduce Seroquel to 25 mg daily, while later provider notes stated the resident was stable, had no noted behaviors since admission, and was not appropriate for gradual dose reduction because of a history of hallucinations and paranoid delusions. Staff interviews indicated they could not find documented evidence that the dose had actually been lowered, only that administration times had changed, and the DON and medical director provided explanations about medication use and sedation without documenting a completed gradual dose reduction for the resident.
Incorrect and Incomplete PASARR Screening
Penalty
Summary
PASARR screening for mental disorders or intellectual disabilities was not completed correctly for two residents reviewed during the recertification survey. The facility policy required a completed Level 1 screen prior to admission and a Level II Preadmission Screening and Resident Review when indicated. For one resident, the PASARR dated 6/07/2024 incorrectly documented that the resident did not have dementia and did not have a serious mental illness, even though the resident had diagnoses including unspecified dementia with behavioral disturbance, PTSD, and cerebral infarction. The resident’s MDS dated 6/15/2025 documented that the resident was sometimes understood, sometimes able to understand others, and was minimally cognitively compromised. Survey observations noted the resident in the dining room using an iPad and later wandering the unit tearful and grunting without the iPad. For the second resident, the PASARR dated 6/07/2024 was incomplete because the reason for Residential Health Care Facility placement was left blank, and the serious mental illness question was marked no despite a diagnosis of major depressive disorder, recurrent, moderate. The resident’s MDS documented that the resident was cognitively intact and able to understand and be understood. Observations showed the resident in bed, disheveled, and appearing to be sleeping, and a behavioral health note documented that the resident continued to self-isolate in the room and did not want to leave despite encouragement from the spouse and others. During interview, the Regional Director of Social Work stated that dementia would rule out the need for a Level II screen and that a significant change or hospitalization for mental health reasons would trigger one.
Incomplete Person-Centered Care Plans
Penalty
Summary
The facility did not ensure comprehensive, person-centered care plans were developed and implemented with measurable objectives and timeframes for five residents reviewed. The report identified that Resident #35, who had unspecified dementia, moderate protein-calorie malnutrition, weakness, and a long-standing right-hand contracture, had care plans for activities of daily living and impaired skin integrity, but no documented care plan specifically addressing the contracted right hand. During observation, the resident was noted to have a right-hand contracture and long fingernails, and a dark area was seen on the inside of the hand where the fingernails rested. Staff and family stated there had been no discussion of the contracted hand at the care plan meeting, and the LPN stated she was not aware of any issues with the hand. Resident #48, who had diagnoses including acute infarction of intestine, hypertension, and hypoxemia, was observed on oxygen via nasal cannula at 2 liters per minute. The physician’s order directed supplemental oxygen to be weaned as tolerated to maintain oxygen saturation greater than 90%, but the resident’s comprehensive care plans, both current and resolved, did not address oxygen use. Resident #146 had a nutrition-related care plan that included following weights as ordered, but the intervention was not completed as ordered by the provider. Residents #157 and #199 had comprehensive care plans that did not address the use of a Miami J collar. Resident #157 was admitted with cervical, sternal, and lumbar fractures and was observed wearing a Miami J collar, with an order for the collar to be worn at all times every shift. The existing care plan for impaired skin integrity addressed weakness, history of ulceration, impaired mobility, and incontinence, but did not include the collar as a skin integrity risk. The DON stated that care plans should address every medication, treated condition, and braces and splints, and that care plans should be person-centered to address the resident’s needs.
Failure to Provide Consistent Activity Programming for a Resident
Penalty
Summary
The facility did not ensure ongoing provision of programs to support each resident’s choices of activities and to meet the interests and physical, mental, and psychosocial well-being of one resident. Resident #8 was admitted with diagnoses including cerebral infarction, COPD, and anxiety disorder, and the MDS documented the resident was cognitively intact and able to communicate and understand others. The activity care plan noted interests in watching television, reading on a Kindle, family and friend visits, listening to classic rock, and attending food socials, with interventions to assist the resident in finding programs of interest and to provide independent leisure supplies. The record also showed a Level II PASRR evaluation related to mental illness, major depressive disorder, and generalized anxiety, with recommendations for recreational group and activities. A recreation progress note documented that the resident enjoyed independent activities such as watching television, talking on the phone, snack cart, traveling hospitality, manicures, pet and family visits, and food socials off the unit. However, during observation the resident was lying in bed with the television on, with only a phone and tablet on the nightstand and no additional activity items in the room. The resident stated they watched television most of the time, did not get out of bed often because they did not like using the mechanical lift, and later stated activity staff had not really brought them anything to do and they had not received any one-to-one visits. The multi-month participation report documented no activities or services for the resident during July and only two activities in August, including one pet visit and one snack cart. Staff interviews indicated activity staff provided one-to-one visits to residents who did not attend group activities, but these visits were not offered at the same time as Adirondack Room activities because staff needed to supervise that room. Other staff stated residents who stayed in their rooms were offered activities such as word searches, snacks, nail painting, baked goods, and animal visits, while the Activities Director stated residents who preferred to stay in their rooms would be offered items such as word searches, crossword puzzles, a radio, or other in-room activities. The Activities Director also stated the resident’s son was supposed to bring in a radio for classic rock music, and acknowledged that staff might not always document one-to-one visits.
Failure to Address Contracted Hand and Skin Breakdown Risk
Penalty
Summary
Provide appropriate pressure ulcer care and prevent new ulcers from developing was not ensured for Resident #35, who was admitted with unspecified dementia, moderate protein-calorie malnutrition, and weakness and was documented as significantly cognitively impaired. The resident had a long-standing right-hand contracture, but the care plan did not include a specific area addressing that contracture. The facility’s contracture prevention policy stated that residents should be assessed for contracture prevention needs and that hand rolls may be placed in hands the resident cannot move, with daily removal, cleaning, drying, and inspection of the hand before reapplication. During observation, Resident #35 was noted to have a right-hand contracture and long fingernails on both hands. Family members stated the hand had been contracted for years, and when the resident’s right hand was examined, a dark area was seen on the inside of the hand where the fingernails rested. One family member stated there had been no discussion about the contracted hand at the care plan meeting. An LPN was informed and stated they were not aware of any issues with the hand but would look at it and respond as needed. A later skin monitoring assessment documented a new skin alteration on the right hand described as a contracture with a small deep tissue injury. Subsequent nursing notes described severe hand contraction, moisture in the palm, dead skin buildup, and a plan to obtain therapy input for a palm guard. Staff interviews indicated the resident’s hand issue had only recently been recognized, with one LPN stating they would seek orders for betadine and a rolled cloth, and the DON later stating that checking the resident’s hand should have been on the task list but was not and there was no order to do so.
Respiratory Equipment Not Dated or Stored per Policy
Penalty
Summary
The facility did not ensure that residents receiving respiratory care had oxygen and nebulizer equipment managed in accordance with facility policy and professional standards. During the recertification survey, surveyors identified deficiencies for two of three residents reviewed for oxygen administration: one resident’s oxygen tubing was not dated or labeled to show when it had been changed, and another resident’s nebulizer tubing was not dated or labeled to show when it had been changed and the nebulizer mask was not stored in a plastic bag when not in use. Resident #48 was admitted with diagnoses including acute infarction of the intestine, hypertension, and hypoxemia. The resident’s MDS dated 7/31/2025 documented that the resident could be understood by others and was cognitively intact. Facility policy stated oxygen cannula tubing was to be changed weekly and as needed. On observations on 8/8/2025 and 8/11/2025, the resident was receiving oxygen via nasal cannula at 2 liters per minute, and the tubing had no date to reflect when it had been changed. The July and August 2025 MARs/TARs did not document an order to change the tubing per facility policy, and progress notes from 7/25/2025 through 8/18/2025 contained no documentation of an oxygen tubing change. Resident #163 was admitted with diagnoses including type 2 diabetes mellitus, hyperlipidemia, and gastrointestinal hemorrhage. The resident’s MDS documented that the resident could be understood and understand others and had severely impaired cognition for daily living decisions. Facility policy for nebulizer medication stated that after treatment the equipment should be rinsed, disinfected, washed, air dried, and stored in a plastic bag with the resident’s name and date on it, and that tubing should be changed every seven days or according to facility protocol. On multiple observations in August 2025, the nebulizer mask was found on top of the nightstand rather than in a plastic bag, and the tubing was not labeled with a date. The resident was ordered ipratropium-albuterol solution by nebulizer twice daily, but the MAR/TAR did not document when the nebulizer tubing was changed, and staff interviews indicated they were unsure when the tubing had last been changed.
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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 Schenectady
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ellis Residential & Rehabilitation Center | 1.1 mi | — | 0 | 0 |
| Kingsway Arms Nursing Center Inc | 1.6 mi | ★★★★★ | 0 | 0 |
| Baptist Health Nursing And Rehabilitation Center | 3 mi | ★★★★★ | 0 | 0 |
| Pathways Nursing And Rehabilitation Center | 3.1 mi | ★★★★★ | 0 | 0 |
| Glendale Home-schdy Cnty Dept Social Services | 5.8 mi | ★★★★★ | 7 | 0 |
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