C76

GOOD SHEPHERD VILLAGE AT ENDWELL

Grade C 76/100 composite score

Non profit - Corporation

CMS Star Ratings

Overall
3/5
Health Insp.
3/5
Quality
2/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

32

Ownership

Non profit - Corporation

Total Fines

None

Last Survey

N/A

14 VILLAGE DRIVE, ENDWELL, NY 13760
6077573102

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.89h
LPN
1.48h
CNA
2.77h
Total
5.14h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

FGS. INC.

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jul 2006

100%

ALLABAUGH, FREDRICK

IndividualCORPORATE DIRECTORSince Jan 2022

ANDREWS, JILL

IndividualCORPORATE DIRECTORSince Jan 2016

BUNNELL, KATHY

IndividualCORPORATE DIRECTORSince Jan 2016

HALBERT, ROGER

IndividualCORPORATE DIRECTORSince Jan 2017

HYLE, TIMOTHY

IndividualCORPORATE DIRECTORSince Jan 2017

KEENAN, MICHAEL

IndividualCORPORATE DIRECTORSince Jan 2001

LACEY, JOAN

IndividualCORPORATE DIRECTORSince Jan 2012

LANOUETTE, DAWN

IndividualCORPORATE DIRECTORSince Jan 2019

MARTINICHIO, JOHN

IndividualCORPORATE DIRECTORSince Jan 2012

RONEY, MARY

IndividualCORPORATE DIRECTORSince Jan 2021

SEVEY, KYLE

IndividualCORPORATE DIRECTORSince Jan 2022

WAGER, ELSIE

IndividualCORPORATE DIRECTORSince Jan 2011

WEBSTER, ERIC

IndividualCORPORATE DIRECTORSince Jan 2021

KEENAN, MICHAEL

IndividualCORPORATE OFFICERSince Jan 2001

MACKEY, PATRICIA

IndividualCORPORATE OFFICERSince Jan 2015

SEIER, JUDITH

IndividualW-2 MANAGING EMPLOYEESince Dec 2014

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (15)

March 21, 2024Health3 deficiencies
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 5, 2024
0577CNo harm, Widespread

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Resident Rights Deficiencies

Corrected Apr 5, 2024
0585EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Apr 5, 2024
November 10, 2021Health9 deficiencies
0677EMinimal harm, Pattern

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Dec 15, 2021
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Dec 15, 2021
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Dec 15, 2021
0803DMinimal harm, Isolated

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Nutrition and Dietary Deficiencies

Corrected Dec 15, 2021
0804EMinimal harm, Pattern

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Dec 15, 2021
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Dec 15, 2021
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 15, 2021
0908EMinimal harm, Pattern

Keep all essential equipment working safely.

Environmental Deficiencies

Corrected Dec 15, 2021
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Dec 15, 2021
April 17, 2019Health3 deficiencies
0576DMinimal harm, Isolated

Ensure residents have reasonable access to and privacy in their use of communication methods.

Resident Rights Deficiencies

Corrected May 24, 2019
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected May 24, 2019
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected May 24, 2019

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Frequently Asked Questions

What is the CareGrader rating for GOOD SHEPHERD VILLAGE AT ENDWELL?

GOOD SHEPHERD VILLAGE AT ENDWELL in ENDWELL, New York has a CareGrader grade of C (Average), with a composite score of 76.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for GOOD SHEPHERD VILLAGE AT ENDWELL?

GOOD SHEPHERD VILLAGE AT ENDWELL has an overall CMS star rating of 3 out of 5, a health inspection rating of 3/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does GOOD SHEPHERD VILLAGE AT ENDWELL have?

GOOD SHEPHERD VILLAGE AT ENDWELL has 15 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does GOOD SHEPHERD VILLAGE AT ENDWELL have?

GOOD SHEPHERD VILLAGE AT ENDWELL has 32 certified beds with approximately 27 current residents (84% occupancy). The facility is located at 14 VILLAGE DRIVE, ENDWELL, New York 13760. It is a non profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.