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 The Center For Nursing And Rehab At Hoosick Falls during CMS and state inspections, most recent first.
A resident with multiple wounds and severe cognitive impairment developed a new back wound identified during an outside wound care consult. The consult provided specific wound care instructions, but no physician order for the new treatment was entered into the facility's system, and the wound was not documented in the resident's records. Delays in receiving consult notes and incomplete communication between the wound clinic and facility staff led to the omission of necessary treatment orders.
A resident with an indwelling Foley catheter did not receive documented daily catheter care over several months, as required by facility policy to prevent urinary tract infections. Despite staff statements that catheter care should be performed and documented, there was no physician order for daily care until late in the review period and no evidence in nursing progress notes that the care was provided. This deficiency was identified through record review and staff interviews.
The facility did not maintain effective housekeeping and maintenance services, as observed during a survey where the carpeting in Unit A, Unit B, and the lobby was heavily soiled. The Environmental Manager noted that the carpet cleaning machine had been repaired, and cleaning efforts had started. The administrator mentioned plans to replace the carpeting.
The facility failed to develop and implement comprehensive person-centered care plans for several residents. A resident with Alzheimer's lacked communication aids, and staff were unaware of translation services. Another resident receiving treatment for lymphedema had no care plan for the condition. Additionally, two residents had non-specific care plans that did not address their cognitive impairments. The DON acknowledged these issues.
The facility did not ensure proper labeling and storage of insulin, as observed during a survey. Insulin pens and vials on a medication cart were found opened without dates indicating when they were opened or their expiration. An LPN admitted to administering these undated medications, and the DON, new to the facility, was unaware of the labeling policy.
A facility did not issue a Notice to Medicare Provider Non-coverage, form CMS-10123, to a resident before terminating Medicare Part A services. This oversight was identified during a recertification survey, and the social worker admitted the notice might have been overlooked.
A resident with Alzheimer's and a primary language of Japanese was not provided with communication boards or translation services as care planned. Staff were unaware of available resources, leading to ineffective communication methods like pantomime and personal translation apps. The DON was unaware of these issues, highlighting a gap in policy implementation.
The facility did not adhere to professional food service safety standards, as observed during a survey. Single-use plastic tableware and utensils were stored on the floor, and various kitchen equipment and surfaces were soiled with food particles. This included items in the main kitchen and nourishment kitchenettes on Unit A and Unit B.
Failure to Obtain and Implement Physician Order for New Wound Treatment
Penalty
Summary
A deficiency occurred when the facility failed to ensure that a resident received treatment and care in accordance with professional standards and physician orders. The resident, who had a history of spina bifida, constipation, and urinary retention, was identified as having a new wound on their back during a hospital wound care consult. The consult provided specific instructions for wound care, including the use of Triad ointment and Alginate AG dressings, to be applied three times per week for fifteen days. However, there was no documented evidence that a physician order for the treatment of this new wound was obtained or entered into the facility's system. Record reviews showed that the physician order report, treatment administration record, and medication administration record did not contain any orders or documentation for the treatment of the new back wound. Additionally, nursing progress notes did not mention the new wound, and the care plan only referenced existing wounds and general approaches, such as reporting skin changes and providing wound care as ordered. Interviews with facility staff, including the Assistant DON and DON, confirmed that the new wound was not identified by the facility and that there was a delay in receiving the consult note from the hospital wound care clinic. The consult note was faxed to the facility several days after the resident's return, and the process for entering new orders was not completed in a timely manner. Staff interviews further revealed that the usual process involved receiving paperwork from the outside wound care consult, which would then be given to nursing leadership for order entry and scanning into the system. In this case, the consult note was not immediately available, and the new wound and its required treatment were not addressed until the documentation was received and reviewed days later. This lapse resulted in the resident not having a physician order or documented treatment for the new wound as required by professional standards and facility policy.
Failure to Provide and Document Daily Catheter Care for Resident with Foley Catheter
Penalty
Summary
A deficiency was identified when a resident with an indwelling Foley catheter did not receive appropriate catheter care to prevent urinary tract infections over several months. The resident, who had diagnoses including spina bifida, constipation, and urinary retention with obstructive and reflux uropathy, was cognitively impaired but generally able to communicate and understand with some difficulty. The facility's policy required daily catheter care to be documented, including assessment data and any issues noted during care. However, record review showed there was no documented physician order for daily catheter care until late August, and there was no evidence in the nursing progress notes that catheter care was provided from May through August. Interviews with nursing staff revealed that catheter care was typically performed with peri care and documented when prompted by an order in the electronic system. Staff indicated that if there was no order in the system, they would not be prompted to perform or document the care. Some staff stated they would still perform the care and document it in progress notes, but no such documentation was found for the period in question. The deficiency was cited under 10 NYCRR 415.12(d)(1) for failure to ensure appropriate catheter care and services to prevent urinary tract infections.
Deficiency in Housekeeping and Maintenance Services
Penalty
Summary
The facility failed to provide effective housekeeping and maintenance services on two resident units, Unit A and Unit B, as well as the lobby area. During a recertification survey, observations revealed that the carpeting in these areas was heavily soiled with ground-in dirt. Interviews conducted during the survey indicated that the facility's carpet cleaning machine had recently been repaired, and efforts to clean the carpeting had begun. Additionally, the facility's administrator mentioned that the ownership was planning to replace the carpeting. This deficiency was identified under the regulation 10 New York Codes, Rules, and Regulations 415.5(h)(4).
Deficiencies in Comprehensive Care Plan Development and Implementation
Penalty
Summary
The facility failed to develop and implement comprehensive person-centered care plans for several residents, as identified during a recertification survey. Specifically, Resident #7, who was diagnosed with Alzheimer's disease and severe cognitive impairment, did not have the necessary communication aids such as communication boards or access to translation services, despite the care plan indicating these interventions. Staff interviews revealed a lack of awareness and training regarding available translation services, contributing to the deficiency. Additionally, Resident #20, who was receiving treatment for lymphedema, did not have a care plan addressing this condition, contrary to the facility's policy that all treated conditions should have a specific care plan. Furthermore, the care plans for Residents #30 and #215 were not resident-centered, failing to address their specific needs. The care plans contained generic approaches that were not applicable to the residents' cognitive impairments, as evidenced by unchecked symptoms and non-specific interventions. The Director of Nursing acknowledged the issues with the care plans and the need for resident-specific information.
Failure to Label and Store Insulin Properly
Penalty
Summary
The facility failed to ensure that drugs and biologicals were labeled and stored according to professional standards of practice. During a recertification survey, it was observed that multiple insulin pens and vials on Unit B's medication cart were opened without any indication of the date they were opened or their expiration dates. This issue was identified for several residents, including those using Basaglar KwikPen, Humalog KwikPen, and Novolog FlexPen, as well as insulin lispro solution vials. Interviews with staff revealed a lack of adherence to labeling protocols. Licensed Practical Nurse #1 admitted to administering undated medications to residents and acknowledged that the insulins should have been labeled with the date opened and the expiration date, which is 28 days after opening. Licensed Practical Nurse #3 confirmed the requirement for labeling multi-use insulin pens and vials. The Director of Nursing, who was new to the facility, also stated that nurses should have been labeling the insulins with the appropriate dates but was not familiar with the facility's policy on this matter.
Failure to Provide Notice of Medicare Non-Coverage
Penalty
Summary
The facility failed to ensure that a resident and/or their designated representative were fully informed of their right to an expedited review of a service termination. Specifically, for one resident reviewed, a Notice to Medicare Provider Non-coverage, form CMS-10123, was not issued prior to the termination of Medicare Part A services. This deficiency was identified during a recertification survey through medical record review and an interview. The social worker involved acknowledged the oversight, stating that the notice could not be found and might have been overlooked.
Failure to Provide Communication Tools for Non-English Speaking Resident
Penalty
Summary
The facility failed to ensure that a resident, whose primary language was Japanese, was provided with appropriate communication tools to maintain or improve their ability to communicate effectively. The resident, diagnosed with Alzheimer's disease, cognitive communication deficit, and unspecified dementia, was care planned to use communication boards and translation services. However, during observations, no communication boards were present in the resident's room, and staff were not consistently using the available resources to facilitate communication. Interviews with staff revealed a lack of awareness and training regarding the use of translation services and communication boards. A Certified Nurse Aide mentioned that they were unaware of any language line or translation services provided by the facility and resorted to using personal translation apps and pantomime to communicate with the resident. Similarly, an LPN acknowledged the existence of a language line but admitted to not being trained on its use. The Director of Nursing was also unaware of any communication issues with residents, indicating a gap in the facility's implementation of its communication policy.
Food Safety Standards Not Met
Penalty
Summary
The facility failed to store, prepare, distribute, or serve food in accordance with professional standards for food service safety. During a recertification survey, observations revealed that single-use plastic tableware and utensils were improperly stored on the floor of the main storeroom. Additionally, several pieces of equipment and surfaces in the main kitchen and nourishment kitchenettes on Unit A and Unit B were found to be soiled with food particles or drips. These included a slicer, microwave oven, table mixer, utensil drawers, can opener holder, cooking line shelving, K-rated fire extinguisher, kitchen mop sink, and the exterior of a refrigerator in Unit A. In Unit B, the microwave oven and refrigerator shelving were also soiled.
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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 Hoosick Falls
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Center For Living & Rehabilitation | 7.6 mi | ★★★★★ | 7 | 0 |
| Bennington Health & Rehab | 7.8 mi | ★★★★★ | 6 | 0 |
| Vermont Veterans' Home | 7.9 mi | ★★★★★ | 6 | 0 |
| Crescent Manor Care Ctrs | 8.4 mi | ★★★★★ | 10 | 0 |
| Williamstown Commons Nursing & Rehab | 16.5 mi | ★★★★★ | 10 | 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.