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Kendal at Ithaca

2230 North Triphammer Road, Ithaca, NY 14850 · Tompkins County · (607) 266-5300

48 certified beds, about 45 residents a day · Non profit - Corporation · Medicare and Medicaid since 1996

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 335793 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 19, 2024, inspectors cited 7 health deficiencies (the New York average is 8.1, the national average 9.2).

None of its 9 health citations since May 2021 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.77 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 1.41 of those hours.

54.0% of nursing staff left within the year CMS measured (New York average 40.3%).

CMS links it to Kendal, an affiliated group of 5 nursing homes.

Health inspections

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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

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 9 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
0E
0F
Potential for minimal harm
0A
0B
0C
December 19, 2024Standard inspection · 7 citations
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on observations, record review, and interviews during the recertification survey conducted 12/16/2024-12/19/2024, the facility did not ensure the development and implementation of a comprehensive person-centered care plan for 2 of 2 residents (Resident #7 and #37) reviewed. Specifically, Resident #7 did not have a care plan for oxygen use, and Resident #37's fall prevention care planned interventions were not consistent with the care instructions and point of care tasks. The facility policy, Fall Prevention Program, revised 1/19/2016, documented after each resident fall, the interdisciplinary team would update the resident's fall care plan and the nurse doing the incident report would add any interventions immediately to the resident's fall care plan. [...]
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 14, 2025
    Inspectors wroteBased on observations, record review, and interviews during the recertification survey conducted 12/16/2024-12/19/2024, the facility did not ensure residents received adequate supervision to prevent accidents for 1 of 6 residents (Resident #146) reviewed. Specifically, Resident #146 had a stroke, was on comfort care measures, could not swallow, did not have a clear diet consistency order, and was assisted with eating food before a swallowing evaluation was performed to determine the appropriate diet consistency.
  3. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on observations, record review, and interviews during the recertification survey conducted 12/16/2024-12/19/2024, the facility did not ensure residents received respiratory care consistent with professional standards of practice for 1 of 1 resident (Resident #7) reviewed. Specifically, Resident #7 had a physician order for oxygen at 2-3 liters per minute via nasal cannula to keep oxygen saturations (amount of oxygen in the blood stream) above 92%, the resident received continuous oxygen, oxygen saturation readings were consistently above 92% and taken while the resident was on oxygen.
  4. D
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on observations, record review, and interviews during the recertification survey conducted 12/16/2024-12/19/2024, the facility did not to obtain informed consent (including risks and benefits) from the resident or the resident representative prior to the installation of bed rails (side rails) for 1 of 1 resident (Resident #6) reviewed. Specifically, there was no documented evidence informed consent was obtained for the placement of bilateral bed rails on Resident #6's bed.
  5. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on record review and interviews during the recertification survey conducted 12/16/2024-12/19/2024, the facility did not ensure as needed orders for psychotropic drugs were limited to 14 days or had a prescribing provider order to extend beyond 14 days with documented rationale for 1 of 5 residents (Residents #26) reviewed. Specifically, Residents #26 had a physician order for lorazepam (a controlled antianxiety medication) as needed that was not re-evaluated for continued use after 14 days.
  6. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on observations and interviews during the recertification survey conducted 12/16/2024-12/19/2024, the facility did not ensure each resident received food and drink that was palatable, attractive, and at a safe and appetizing temperature for 1 of 2 meal trays (the 12/18/2024 [NAME] Unit lunch) reviewed. Specifically, the grilled salmon grain bowl and French fries were not served at palatable temperatures and lacked taste.
  7. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2025
    Inspectors wroteBased on observations, record review, and interviews during the recertification survey conducted 12/16/2024-12/19/2024, the facility did not ensure each resident received and the facility provided food that accommodated resident allergies, intolerances, and preferences for 3 of 7 residents (Residents #8, #25, and #37) reviewed. Specifically, Resident #8 did not receive yogurt and a banana for lunch as specified on their menu and Residents #25 and #37 were not offered desserts as specified on their menus.
May 5, 2023Standard inspection · 2 citations
  1. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2023
    Inspectors wroteBased on observation, interview, and record review during the recertification survey conducted 5/1/23-5/4/23, the facility failed to store all drugs and biologicals in locked compartments for 1 of 3 treatment carts (Owasco unit) observed. Specifically, the Owasco treatment cart was unsupervised, unlocked and in a resident hallway and contained scissors and treatment supplies which could potentially cause adverse consequences if accessed by residents.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 30, 2023
    Inspectors wroteBased on observation, interview, and record review during the recertification survey conducted 5/1/23 -5/4/23, 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 2 of 8 residents (Resident #6 and #13) reviewed. Specifically, during a medication administration observation, licensed practical nurse (LPN) #1 did not perform hand hygiene prior to medication administration and in between residents.
May 12, 2021Standard inspection · 0 citations

Fire safety inspections

12 fire safety citations on file: 7 on December 19, 2024, 4 on May 5, 2023, 1 on May 12, 2021.

Every fire safety citation12 citations
  1. E
    Ensure electrical receptacles or cover plates have distinctive color or marking.
    K 917 · December 19, 2024 · Corrected (the home has a date of correction)
  2. D
    Install proper backup exit lighting.
    K 281 · December 19, 2024 · Corrected (the home has a date of correction)
  3. D
    Have properly located and lighted "Exit" signs.
    K 293 · December 19, 2024 · Corrected (the home has a date of correction)
  4. D
    Provide properly protected cooking facilities.
    K 324 · December 19, 2024 · Corrected (the home has a date of correction)
  5. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 19, 2024 · Corrected (the home has a date of correction)
  6. D
    Install corridor and hallway doors that block smoke.
    K 363 · December 19, 2024 · Corrected (the home has a date of correction)
  7. D
    Have restrictions on the use of portable space heaters.
    K 781 · December 19, 2024 · Corrected (the home has a date of correction)
  8. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · May 5, 2023 · Corrected (the home has a date of correction)
  9. D
    Install proper backup exit lighting.
    K 281 · May 5, 2023 · Corrected (the home has a date of correction)
  10. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · May 5, 2023 · Corrected (the home has a date of correction)
  11. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · May 5, 2023 · Corrected (the home has a date of correction)
  12. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · May 12, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeNew YorkUnited States
All nursing staff (RN, LPN and aides)4.773.633.86
Registered nurses1.410.710.69
All nursing staff on weekends4.203.183.42
Nurse aides2.37
Licensed practical nurses0.99
Nursing staff turnover (share who left in a year)54.0%40.3%45.8%
Registered nurse turnover44.4%39.8%42.9%
Administrators who left1

CMS expects 3.40 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

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 5.01 on weekdays and 4.20 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.79 in April to June 2025 to 4.77 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.771.415.014.20 2.9%0 of 9045
Oct to Dec 20254.611.304.794.15 2.4%0 of 9247
Jul to Sep 20254.771.405.014.18 1.9%0 of 9245
Apr to Jun 20254.791.264.964.37 0.0%0 of 9144
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
New York, Jan to Mar 20263.550.683.723.139.8%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.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNew YorkUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
24.114.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.50.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.61.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
8.13.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.61.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
15.412.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.76.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
13.613.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
27.020.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.59.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.21.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.41.8

Owners and operators

Legal business name: KENDAL AT ITHACA. CMS links this home to Kendal, a group of 5 nursing homes averaging 4.6 stars overall.

NameRoleTypeShareSince
Fretto, MeganCorporate directorIndividual07/07/2025
Holochak, AustenCorporate directorIndividual07/07/2025
Mante, LaurieCorporate directorIndividual11/11/2019
Ackerman, CharlesCorporate officerIndividual04/01/2023
Bradley, RuthCorporate officerIndividual04/01/2025
Crane, WilliamCorporate officerIndividual04/01/2021
Desnoes, DavinaCorporate officerIndividual04/01/2020
Dugo, PeterCorporate officerIndividual04/01/2023
Ehren, JudithCorporate officerIndividual04/01/2021
Erickson, Mary AnnCorporate officerIndividual04/01/2018
Layton, JeffreyCorporate officerIndividual01/01/2019
Mareane, JoeCorporate officerIndividual04/01/2024
Mathios, AlanCorporate officerIndividual10/01/2020
Nunley, StephenCorporate officerIndividual04/01/2022
Pederson, AlanCorporate officerIndividual04/01/2018
Penoyer, JeffreyCorporate officerIndividual04/01/2023
Rucker, SoniaCorporate officerIndividual04/01/2024
Sheppard, ChristineCorporate officerIndividual04/01/2023
Sommers, GregoryCorporate officerIndividual09/09/2014
Staley, LucyCorporate officerIndividual04/01/2020
Talty, HelenCorporate officerIndividual04/01/2021
Wilson, DonaldCorporate officerIndividual04/01/2020
Friends Services for the AgingOperational/managerial controlOrganization01/01/2015
Fretto, MeganOperational/managerial controlIndividual07/07/2025
Holochak, AustenOperational/managerial controlIndividual07/07/2025
Mante, LaurieOperational/managerial controlIndividual11/11/2019
Skezas, JacobOperational/managerial controlIndividual08/01/2019
Sommers, GregoryOperational/managerial controlIndividual09/09/2014
Youmans, MichaelOperational/managerial controlIndividual07/09/2025
Ackerman, CharlesTrustee of the SNFIndividual04/01/2023
Bradley, RuthTrustee of the SNFIndividual04/01/2025
Crane, WilliamTrustee of the SNFIndividual04/01/2021
Desnoes, DavinaTrustee of the SNFIndividual04/01/2020
Dugo, PeterTrustee of the SNFIndividual04/01/2023
Ehren, JudithTrustee of the SNFIndividual04/01/2021
Erickson, Mary AnnTrustee of the SNFIndividual04/01/2018
Layton, JeffreyTrustee of the SNFIndividual01/01/2019
Mareane, JoeTrustee of the SNFIndividual04/01/2024
Mathios, AlanTrustee of the SNFIndividual10/01/2020
Nunley, StephenTrustee of the SNFIndividual04/01/2022
Pederson, AlanTrustee of the SNFIndividual04/01/2018
Penoyer, JeffreyTrustee of the SNFIndividual04/01/2023
Rucker, SoniaTrustee of the SNFIndividual04/01/2024
Sheppard, ChristineTrustee of the SNFIndividual04/01/2023
Staley, LucyTrustee of the SNFIndividual04/01/2020
Talty, HelenTrustee of the SNFIndividual04/01/2021
Wilson, DonaldTrustee of the SNFIndividual04/01/2020
Affinity Rehabilitation LLPAdp of the SNFOrganization12/07/2016
Bank of Ny MellonAdp of the SNFOrganization09/01/2023
Friends Services for the AgingAdp of the SNFOrganization07/17/2025
Ackerman, CharlesAdp of the SNFIndividual04/01/2023
Bradley, RuthAdp of the SNFIndividual04/01/2025
Crane, WilliamAdp of the SNFIndividual04/01/2021
Desnoes, DavinaAdp of the SNFIndividual04/01/2020
Dugo, PeterAdp of the SNFIndividual04/01/2023
Ehren, JudithAdp of the SNFIndividual04/01/2021
Erickson, Mary AnnAdp of the SNFIndividual04/01/2018
Fretto, MeganAdp of the SNFIndividual07/07/2025
Holochak, AustenAdp of the SNFIndividual07/07/2025
Layton, JeffreyAdp of the SNFIndividual01/01/2019
Mante, LaurieAdp of the SNFIndividual11/11/2019
Mareane, JoeAdp of the SNFIndividual04/01/2024
Mathios, AlanAdp of the SNFIndividual10/01/2020
Nunley, StephenAdp of the SNFIndividual04/01/2022
Pederson, AlanAdp of the SNFIndividual04/01/2018
Penoyer, JeffreyAdp of the SNFIndividual04/01/2023
Rucker, SoniaAdp of the SNFIndividual04/01/2024
Sheppard, ChristineAdp of the SNFIndividual04/01/2023
Skezas, JacobAdp of the SNFIndividual08/01/2019
Sommers, GregoryAdp of the SNFIndividual09/09/2014
Staley, LucyAdp of the SNFIndividual04/01/2020
Talty, HelenAdp of the SNFIndividual04/01/2021
Wilson, DonaldAdp of the SNFIndividual04/01/2020
Youmans, MichaelAdp of the SNFIndividual07/09/2025

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.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on December 19, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on December 19, 2024: "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."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on December 19, 2024: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on December 19, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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Common questions

What is Kendal at Ithaca's Medicare star rating?
CMS rates Kendal at Ithaca 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Kendal at Ithaca get at its last inspection?
7 health deficiencies at the standard inspection on December 19, 2024. The New York average is 8.1.
Has Kendal at Ithaca been fined?
CMS lists no fines in the last three years.
Does Kendal at Ithaca accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Kendal at Ithaca?
CMS lists 74 owners and managers, and links the home to Kendal. Legal business name: KENDAL AT ITHACA.

Sources

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