1 Elsie Street, Rome, NY 13440 · Oneida County · (315) 339-2220
120 certified beds, about 111 residents a day · For profit - Corporation · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 335727 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 30, 2025, inspectors cited 6 health deficiencies (the New York average is 8.1, the national average 9.2).
Of 23 health citations since October 2021, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $13,905 in the last three years; the largest was $9,318, and the latest is dated February 29, 2024.
Nurses and nurse aides worked 3.38 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.33 of those hours.
54.6% of nursing staff left within the year CMS measured (New York average 40.3%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 23 health citations on file.
Inspectors wroteBased on observations, record review, and interviews, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one (1) of one (3) resident (Resident #5) reviewed. Specifically, Resident #5 was diagnosed with COVID-19 and multiple staff were observed in Resident #5's room not wearing appropriate proper personal protective equipment and not performing hand hygiene upon exiting the room.
Inspectors wroteBased on record review and interview the facility failed to ensure access to medical records was provided to a resident's legal representative within two (2) working days of written request (excluding weekends and holidays) for one (1) of one (1) resident (Resident #3) reviewed. Specifically, the facility did not provide Resident #3's requested medical records to the legal representative within two (2) working days.
Inspectors wroteBased on observations, record review, and interviews during the recertification and abbreviated (NY00362225 and NY00365339) surveys conducted 6/24/2025-6/30/2025, the facility did not ensure a safe, clean, comfortable, and homelike environment for one (1) of two (2) resident units (Memory Care Unit). Specifically, the Memory Care Unit J, K, and L pods, had stained and sticky floors, unclean walls, and unclean shelving.
Inspectors wroteBased on observation, record review, and interview during the recertification survey conducted 6/24/2025-6/30/2025, the facility did not develop and implement a comprehensive person-centered care plan that included measurable objectives and time frames to meet a resident's medical needs for one (1) of one (1) resident (Resident #52) reviewed. Specifically, Resident #52 was hospitalized for sepsis (system wide infection) and discharged to the facility with physician orders for antibiotics and their care plan was not reviewed and updated to include the recent diagnosis for infection and antibiotic usage.
Inspectors wroteBased on observations, record review, and interviews during the recertification and abbreviated (NY00372184) surveys conducted 6/24/2025 - 6/30/2025, the facility did not ensure residents received treatment and care in accordance with professional standards of practice for one (1) of two (2) residents (Resident #200) reviewed. Specifically, there was no documented evidence Resident #200 received an ordered enteral feeding (feeding provided through a tube in the stomach).
Inspectors wroteBased on observations, record review, and interviews during the recertification survey conducted 6/24/2025-6/30/2025, the facility did not ensure that residents who required dialysis (used to filter waste products from the blood) received such services consistent with professional standards of practice for one (1) of one (1) resident (Resident #75) reviewed. Specifically, Resident #75 received hemodialysis treatments at a community-based dialysis center and there was inconsistent communication between the facility and the dialysis center.
Inspectors wroteBased on observations, record review, and interviews during the recertification survey conducted 6/24/2025-6/30/2025, the facility did not review the risks and benefits of bed rails or obtain informed consent prior to the installation of bed rails with the resident or resident representative for one (1) of one (1) resident (Resident #19) reviewed. Specifically, for Resident #19 there was no documented evidence the risks and benefits of bed rail use were explained, consents were obtained prior to bed rail use, or a comprehensive care plan for the use of bed rails was initiated. Additionally, the facility did have documented evidence of inspections of bed frames, mattress, and bed rails as part of a regular maintenance program.
Inspectors wroteBased on observations and interviews during the recertification survey conducted 6/24/2025-6/30/2025, the facility did not ensure residents were provided food and drink that was palatable, flavorful, and at an appetizing temperature for two (2) of (2) two meals reviewed (Lunch meals on 6/26/2025 and 6/27/2025). Specifically, food was not served at palatable and appetizing temperatures during the lunch meal on 6/26/2025 and 6/27/2025.
Inspectors wroteBased on observation, record review, and interview during the abbreviated survey (NY00321876), the facility did not provide an environment free of hazards or adequate supervision to prevent accidents for 1 of 3 residents reviewed (Resident #1). Specifically, Resident #1 sustained a burn to their right foot when unit helper #1 transported them in their wheelchair with a carafe of hot coffee resting between their feet. Additionally, after the resident sustained the burn, licensed practical nurse #2 applied toothpaste to the burn without a physician's order. This resulted in actual harm of a second-degree burn (partial thickness skin damage with blistering) to Resident #1 that was not Immediate Jeopardy.
Inspectors wroteBased on observation, record review, and interview during the recertification survey conducted November 27, 2023, to December 1, 2023, the facility did not ensure residents had the right to a safe, clean, comfortable, and homelike environment for 2 of 2 resident Wings (Wings 1 and 2) reviewed. Specifically, hot water temperatures were measured above 120 degrees Fahrenheit in resident rooms on Wings 1 and 2; and multiple ceiling tiles and a wall with water damage were left uncorrected on Wings 1 and 2.
Inspectors wroteBased on observation, record review, and interview during the recertification survey conducted November 27, 2023, through December 1, 2023, the facility did not store, distribute, and serve food in accordance with professional standards for food service safety in the main kitchen. Specifically, potentially hazardous foods were not cooled properly; there were unclean kitchen surfaces; and the dishwasher temperatures were not within acceptable range.
Inspectors wroteBased on observation, record review, and interview during the recertification and abbreviated (New York 00326569) surveys conducted November 27,2023 through December 1, 2023, the facility did not ensure that prompt efforts were made to resolve grievances that residents may have for 1 of 1 resident (Resident #28) reviewed. Specifically, Resident #28 had a verbal interaction with a staff member, and the facility did not update the resident on the outcome of the grievance. The facility policy, Grievances effective date 1/31/2022, documented complaints or grievances would be made orally or in in writing and could be anonymous in nature. The grievance would be handled within a reasonable expected time frame for completing review of the grievance with a proper resolution being communicated to the resident, family, designated representative/grievant within 10 days. [...]
Inspectors wroteBased on observation, record review, and interview during the recertification and abbreviated (New York 00323772) surveys conducted November 27,2023 to December 1, 2023, the facility did not ensure each resident had a person-centered comprehensive care plan developed and implemented to meet their medical, physical, mental, and psychosocial well-being for 1 of 2 residents (Resident #15) reviewed. Specifically, Resident #15 was not provided an abduction pillow (used to separate the legs) as planned.
Inspectors wroteBased on observation, interview, and record review during the recertification and abbreviated surveys (New York 00322907 and New York 00309977) conducted November 27, 2023 through December 1, 2023, the facility did not ensure each resident who required an ileostomy (a surgical opening to the lower small intestine where intestinal waste passes into a pouch) services received such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for 1 of 3 residents (Resident #84) reviewed. Specifically, Resident #84 had an ileostomy and did not have physician orders for ileostomy care or monitoring, there was no documented evidence that ileostomy care was provided, and the drainage pouch was not changed timely.
Inspectors wroteBased on observation, interview, and record review during the recertification survey conducted November 27, 2023, through December 1, 2023, the facility did not ensure that a resident who required dialysis (a process that filters blood in someone who has kidney failure) received services consistent with professional standards of practice for 1 of 1 resident (Resident #339) reviewed. Specifically, the facility did not remove Resident #339's dialysis access site dressing to assess and monitor for complications.
Inspectors wroteBased on observation, record review, and interview during the recertification and abbreviated (New York 00323772) surveys conducted November 27, 2023 - December 1, 2023, the facility did establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 3 of 4 residents (Residents #2, #4, and #10) reviewed. Specifically, licensed practical nurse #19 was observed not wearing the required personal protective equipment in Resident #2's room who was on transmission-based precautions for influenza exposure; Resident #10 tested positive for influenza, had a medical order for contact/droplet precautions and did not have personal protective equipment or precaution signage posted outside their room; [...]
Inspectors wroteBased on observation, record review and interview during the recertification survey and abbreviated surveys (NY00274050, NY00282363 and NY00282990) conducted 10/5/21-10/8/21, the facility failed to ensure that each resident received adequate supervision and assistance devices to prevent accidents for 2 of 3 residents (Residents #37 and #219) reviewed. Specifically, - Resident #37 eloped and following the incident, the resident was moved to a secured unit. When the resident was moved off of the secured unit, a plan was not developed and implemented to ensure increased supervision was provided. - Resident #219 was a supervised smoker who sustained a burn when adequate supervision was not provided during smoking. [...]
Inspectors wroteBased on observation, record review and interview during the recertification survey conducted 10/5/21-10/8/21, the facility failed to maintain an effective pest control program so that the facility was free of pests for the following areas (main kitchen, waiting area/receptionist area, hallway outside room I3, hair salon, hallway outside room N3, and resident room C4). Specifically, there were fruit flies and drain flies in the main kitchen and fruit flies present in the other above mentioned areas.
Inspectors wroteBased on observation, interview, and record review during the recertification survey conducted from 10/5/21 to 10/8/21, the facility failed to ensure a resident who is unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene for 2 of 8 residents (Residents #37 and 62) reviewed. Specifically, Resident #62 did not receive weekly showers as care planned and Resident #37's fingernails were observed to be long and unclean. This is evidenced by: The facility policy Care of Fingernails/Toenails dated 12/2013 documents nail care includes daily cleaning and regular trimming. Trimmed and smooth nails prevent the resident from accidentally scratching and injuring their skin. If the resident refused care, the supervisor was to be notified. [...]
Inspectors wroteBased on observation, interview, and record review during the recertification survey conducted 10/5/21-10/8/21, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice for 1 of 3 residents (Resident # 68) reviewed. Specifically, Resident #68 had a deep tissue injury (DTI, damage to underlying soft tissue) of the left heel and there was no documented evidence a comprehensive care plan (CCP) was developed and implemented to prevent worsening or further ulcers; wound treatment recommendations by the wound physician were not addressed timely, and changes in the wound identified by the the licensed practical nurse (LPN) were not reported to a medical professional qualified to perform assessments.
Inspectors wroteBased on interview and record review during the recertification survey conducted from 10/5/21 to 10/8/21, the facility failed to maintain acceptable parameters for nutritional status such as usual body weight range for each resident for 1 of 6 residents (Resident #45) reviewed. Specifically, Resident #45 had significant weight loss while on a tube feeding, was not weighed per medical order, and weight loss was not evaluated by medical.
Inspectors wroteBased on interview and record review during the recertification and abbreviated (NY00248360) surveys conducted from 10/5/21 through 10/8/21, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and COVID-19 for 1 of 1 resident (Resident #12) reviewed. Specifically, Resident #12 presented with COVID-19 symptoms, was not tested for over 24 hours after onset of symptoms and tested positive for COVID-19. This is evidenced by: The 6/25/21 New York State Department of Health Dear Administrator Letter (DAL) NH (Nursing Home) 21-17 documented residents who have signs or symptoms of COVID-19, whether fully vaccinated or not, must be tested immediately. [...]
Inspectors wroteBased on observation, interview, and record review during the recertification survey conducted 10/5/21-10/8/21, the facility failed to provide a safe, functional environment for residents who were at risk for elopement at 1 isolated door. Specifically, the Wanderguard (electronic wander detection) system for the back entrance/exit doors was not functioning.
30 fire safety citations on file: 8 on June 30, 2025, 11 on December 1, 2023, 11 on October 8, 2021.
| Date | Penalty | Amount or length |
|---|---|---|
| February 29, 2024 | Fine | $9,318 |
| September 18, 2023 | Fine | $4,587 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New York | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.38 | 3.63 | 3.86 |
| Registered nurses | 0.33 | 0.71 | 0.69 |
| All nursing staff on weekends | 3.02 | 3.18 | 3.42 |
| Nurse aides | 2.06 | ||
| Licensed practical nurses | 1.00 | ||
| Nursing staff turnover (share who left in a year) | 54.6% | 40.3% | 45.8% |
| Registered nurse turnover | 80.0% | 39.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.15 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.53 on weekdays and 3.02 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.37 in April to June 2025 to 3.38 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.38 | 0.33 | 3.53 | 3.02 | 3.9% | 0 of 90 | 111 |
| Oct to Dec 2025 | 3.55 | 0.48 | 3.67 | 3.23 | 5.4% | 0 of 92 | 110 |
| Jul to Sep 2025 | 3.41 | 0.36 | 3.53 | 3.11 | 2.4% | 0 of 92 | 106 |
| Apr to Jun 2025 | 3.37 | 0.40 | 3.50 | 3.05 | 1.6% | 0 of 91 | 105 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New York, Jan to Mar 2026 | 3.55 | 0.68 | 3.72 | 3.13 | 9.8% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| New York, all employers | |||
| CNAs (nursing assistants) | $23.36 | $21.04 to $24.99 | 87,990 |
| LPNs and LVNs | $32.30 | $29.52 to $37.00 | 39,400 |
| Registered nurses | $52.62 | $45.60 to $62.34 | 205,810 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New York | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 14.9 | 14.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 1.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.6 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.2 | 12.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.2 | 6.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.5 | 13.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 30.6 | 20.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 25.9 | 9.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.3 | 1.4 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Betsy Ross Rehabilitation Center, Inc's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (42.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
42.2% this home
No different from the national rate
US median of homes 51.5% · New York: 101 better, 157 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 95 eligible stays.
12.6% this home
No different from the national rate
US median of homes 10.7% · New York: 12 better, 5 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 95 eligible stays.
7.9% this home
No different from the national rate
US median of homes 7.1% · New York: 7 better, 21 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 73 eligible stays.
32.7% this home
Median of homes: New York60.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 52 residents counted.
0.8% this home
Median of homes: New York0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 126 residents counted.
2.0% this home
Median of homes: New York2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 126 residents counted.
100.0% this home
Median of homes: New York98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 35 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: BETSY ROSS REHABILITATION CENTER.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Altman, Donald | 5% or greater direct ownership interest | Individual | 45% | 05/21/1998 |
| Chiaraluce, Joanne | 5% or greater direct ownership interest | Individual | 10% | 01/01/2011 |
| Brodock, Christine | W-2 managing employee | Individual | 04/20/2017 | |
| Chamberlin, Brian | W-2 managing employee | Individual | 06/17/2016 | |
| Altman, Donald | Corporate director | Individual | 05/21/1998 | |
| Chiaraluce, Joanne | Corporate director | Individual | 01/01/2011 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
Licensed assisted living homes in the same town or within 5 miles, each with its New York inspection record.
These are the official offices in New York. NursingHomeClear cannot take or act on complaints.