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 St Margarets Center during CMS and state inspections, most recent first.
The facility failed to manage residents' medication regimens properly, as as-needed psychotropic medication orders lacked end dates for ten residents. Despite the facility's policy limiting such orders to 14 days, medications like diazepam were prescribed without end dates for residents with conditions such as cerebral palsy and anxiety. Interviews revealed a misunderstanding among staff regarding the classification of diazepam, leading to non-compliance with the policy.
The facility's infection prevention and control program was found deficient due to the lack of a simple schematic in the water management and sampling plan. This schematic is necessary to visually describe the building water system and identify areas where Legionella could grow and spread. The deficiency was confirmed through record review and an interview with the Senior Regional Director of Facilities.
Four residents experienced neglect due to staff failing to follow care plans, resulting in injuries. One resident hit their head when left unattended by a single CNA instead of two. Another fell from a mechanical lift due to improper technique. A third sustained a fractured toe from improper transfers, and a fourth fell from a wheelchair when a CNA failed to secure the seatbelt. These incidents demonstrate neglect from non-adherence to care plans.
The facility failed to develop and implement comprehensive care plans for three residents, lacking specific medication use and safety interventions. One resident's care plan omitted focuses for zinc oxide cream, albuterol sulfate, and propranolol HCl. Another resident's plan lacked focus for albuterol sulfate nebulization. A third resident was left unsupervised on a floor mat, contrary to the care plan. Staff interviews revealed inconsistencies in care planning expectations.
The facility failed to properly store and label medications, as observed during a survey where two medication carts contained opened bottles without open or expiration dates. Interviews with LPNs and the DON revealed inconsistencies in adherence to the facility's Medication Storage Policy, despite adequate staffing levels.
Lack of End Dates on PRN Psychotropic Medications
Penalty
Summary
The facility failed to ensure that each resident's medication regimen was managed and monitored to promote or maintain their highest practicable mental, physical, and psychosocial well-being. Specifically, for ten residents reviewed for unnecessary medications, as-needed psychotropic medication orders did not include end dates, contrary to the facility's policy which limits such orders to 14 days. This deficiency was identified during a recertification survey, where it was noted that residents with severe cognitive impairments and various medical conditions, such as cerebral palsy, seizures, and anxiety disorders, were affected. The absence of end dates on psychotropic medications, including diazepam prescribed for seizures and anxiety, was a significant oversight. Interviews with facility staff, including a consultant pharmacist, medical director, and medical doctor, revealed a lack of adherence to the policy requiring end dates for as-needed psychotropic medications. The consultant pharmacist had informed the physicians of the requirement, but the medical director and medical doctor did not implement it, citing a misunderstanding of the classification of diazepam as an anticonvulsant rather than a psychotropic medication. The director of nursing acknowledged awareness of the requirement, yet the deficiency persisted, indicating a gap in communication and policy enforcement within the facility.
Inadequate Water Management Plan for Legionella Prevention
Penalty
Summary
The facility failed to establish and maintain an effective infection prevention and control program, specifically in relation to their water management and sampling plan. The deficiency was identified during a recertification survey, where it was found that the facility's plan did not include a simple schematic that visually described the building water system. This schematic is crucial for identifying areas where Legionella bacteria could potentially grow and spread. The absence of this documentation was confirmed through record review and interviews, including a discussion with the Senior Regional Director of Facilities, who acknowledged the need for an update to the Legionella Management Plan to include a flow chart detailing the building water system and potential Legionella growth areas.
Neglect Due to Non-Adherence to Care Plans
Penalty
Summary
The facility failed to protect four residents from neglect, as evidenced by several incidents where care plans were not followed, leading to injuries. One resident, with profound intellectual disabilities and spastic quadriplegic cerebral palsy, was left unattended by a single Certified Nurse Aide (CNA) instead of the required two staff members. This resulted in the resident rolling over and hitting their head against the wall, causing a small injury. The care plan also specified that the bed should not be against the wall and that mats should be placed on the floor, which were not adhered to. Another resident, diagnosed with microcephaly and severe cognitive impairment, fell from a mechanical lift due to improper technique by a CNA who attempted the transfer alone, despite the care plan requiring two staff members. Although the resident was transferred to the hospital, they returned without injuries. A third resident, with epilepsy and anoxic brain damage, sustained a fractured toe after being improperly transferred by a CNA who performed scoop transfers alone, contrary to the care plan that required fully assisted transfers with at least two staff members. The fourth resident, with asthma and spastic quadriplegic cerebral palsy, fell from their wheelchair when a CNA failed to re-buckle the seatbelt after unbuckling it to place a sling for a Hoyer lift. This resulted in the resident falling to the floor and hitting their head. These incidents highlight a pattern of neglect due to the failure of staff to adhere to established care plans, putting residents at risk of harm.
Deficiency in Comprehensive Care Planning
Penalty
Summary
The facility failed to ensure the development and implementation of comprehensive person-centered care plans with measurable objectives and timeframes for three residents. For two residents, the care plans did not include the use of medications with specific indications for use. Specifically, one resident had physician orders for zinc oxide cream, albuterol sulfate, and propranolol HCl, but there were no documented care plan focuses related to using these medications. Another resident had a physician order for albuterol sulfate inhalation nebulization solution, but there was no documented care plan focus related to administering respiratory treatments when needed. Additionally, the facility did not implement a safety intervention for a third resident, which was documented in the comprehensive care plan. The care plan included interventions for the resident to be supervised while on a floor mat to ensure safety during play. However, an incident report documented that the resident was left alone on the floor mat, not attended to by staff, and not engaged per the care plan interventions. Interviews with facility staff revealed inconsistencies in expectations regarding care planning for medical interventions and medications. A Licensed Practical Nurse stated that care plans should be updated for residents on respiratory treatments, while a Registered Nurse and the Director of Nursing expressed differing views on the necessity of care plans for medications. The Director of Nursing acknowledged the importance of having all information contained in one place and expected care plan interventions for supervision and behavioral management to be followed.
Improper Medication Storage and Labeling
Penalty
Summary
The facility failed to ensure that drugs and biologicals were stored and labeled according to professional standards of practice. During a recertification survey, it was observed that two out of five medication carts contained opened medications without open or expiration dates. Specifically, on the South Unit, medication Cart #1 had opened bottles of Famotidine, Valproic Acid, and Levetiracetam Solution, none of which were labeled with open or expiration dates. Similarly, on the North Unit, medication Cart #1 contained opened bottles of Glycopyrrolate, two bottles of Levetiracetam Solution, and Centra Vite, all lacking proper labeling. Interviews with nursing staff revealed a lack of adherence to the facility's Medication Storage Policy, which requires opened multi-dose vials to be dated and discarded within 28 days unless otherwise specified by the manufacturer. Licensed Practical Nurses acknowledged the requirement for labeling but indicated inconsistencies in practice, with one nurse noting that they only worked part-time and could not account for other shifts. The Director of Nursing stated that the nursing staff was responsible for checking medication storage areas and expressed that there was no reason for the failure to maintain proper medication storage, given the adequate staffing levels.
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 177 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 Albany
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St Peters Nursing And Rehabilitation Center | 1.5 mi | ★★★★★ | 2 | 0 |
| Delmar Center For Rehabilitation And Nursing | 1.9 mi | ★★★★★ | 17 | 0 |
| Hudson Park Rehabilitation And Nursing Center | 2.3 mi | ★★★★★ | 0 | 0 |
| Eddy Village Green At Beverwyck | 3.2 mi | ★★★★★ | 2 | 0 |
| Rosewood Rehabilitation And Nursing Center | 4 mi | ★★★★★ | 55 | 2 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for St Margarets 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.