| Capstone Center for Rehabilitation and Nursing | |
| 302 Swart Hill Road, Amsterdam, New York 12010 | |
| (518) 842-6790 | |
| Name | Capstone Center for Rehabilitation and Nursing |
|---|---|
| Location | 302 Swart Hill Road, Amsterdam, New York |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 120 |
| Occupancy Rate | 97.25% |
| Medicare ID (CCN) | 335543 |
| Legal Business Name | Csrnc, LLC |
| Ownership Type | For Profit - Limited Liability Company |
| Chain | Upstate Services Group (17 nursing homes) |
| Chain Average Overall Rating | 2 out of 5 |
| NPI Number | 1831463157 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Csrnc, LLC |
| Address | 302 Swart Hill Rd, Amsterdam, NY 12010 |
| Phone Number | 518-842-6790 |
| NPI Number | 1497810675 |
| Match | Possible same name, address or phone number |
| Organization Name | Mount Loretto Nursing Home |
| Address | 302 Swart Hill Rd, Amsterdam, NY 12010 |
| Phone Number | 518-842-6790 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.17 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.49 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.78 | 0.86 |
| Nurse aide hours per resident per day | 1.9 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.48 | 3.42 |
| RN hours per resident per day on the weekend | 0.11 | 0.48 |
| Physical therapist hours per resident per day | 0.09 | 0.07 |
| Total nursing staff turnover | 52.5% | 45.8% |
| Registered nurse turnover | 33.3% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $47,879 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 26, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Complaint inspection | Potential for harm, isolated | Plan of correction |
| Jun 26, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Plan of correction |
| Dec 10, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Actual harm, isolated | Corrected by Jan 29, 2025 |
| Dec 10, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Jan 29, 2025 |
| Dec 10, 2024 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Jan 29, 2025 |
| Dec 10, 2024 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jan 29, 2025 |
| Dec 10, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Jan 29, 2025 |
| Dec 10, 2024 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726, Nursing and Physician Services, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Jan 29, 2025 |
| Dec 10, 2024 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Jan 29, 2025 |
| Dec 10, 2024 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835, Administration, Standard inspection | Potential for harm, pattern | Corrected by Jan 29, 2025 |
| Dec 10, 2024 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 29, 2025 |
| Dec 10, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 29, 2025 |
| Dec 10, 2024 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jan 29, 2025 |
| Dec 10, 2024 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 29, 2025 |
| Dec 10, 2024 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 29, 2025 |
| Dec 10, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 29, 2025 |
| Dec 10, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jan 29, 2025 |
| Dec 10, 2024 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. F0773, Administration, Complaint inspection | Potential for harm, isolated | Corrected by Jan 29, 2025 |
| May 28, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jun 26, 2024 |
| May 28, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Complaint inspection | Potential for harm, isolated | Corrected by Aug 4, 2024 |
| Mar 1, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Mar 18, 2024 |
| Jan 21, 2022 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Mar 1, 2022 |
| Jan 21, 2022 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Mar 1, 2022 |
| Jan 21, 2022 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Mar 1, 2022 |
| Jan 21, 2022 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. F0585, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Mar 1, 2022 |
| Jan 21, 2022 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 1, 2022 |
| Jan 21, 2022 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 4, 2022 |
| Jan 21, 2022 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 1, 2022 |
| Jan 21, 2022 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Mar 1, 2022 |
| Oct 22, 2019 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Dec 10, 2019 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.82 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.83 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.03 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.25 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 1.29 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.93 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.35 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 82.82 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 10.44 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.41 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 99.13 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.66 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 7.3 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.51 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 16.77 | 15.38 |
Wilkinson Residential Health Care Facility Location: 4988 State Hwy 30, Amsterdam, New York 12010 Phone: (518) 841-3572 |