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Sodus Rehabilitation & Nursing Center

6884 Maple Avenue, Sodus, NY 14551 · Wayne County · (315) 483-9118

130 certified beds, about 115 residents a day · For profit - Corporation · Medicare and Medicaid since 1973

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 335378 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on October 11, 2024, inspectors cited 4 health deficiencies (the New York average is 8.1, the national average 9.2).

None of its 25 health citations since September 2020 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 3.60 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.46 of those hours.

52.6% of nursing staff left within the year CMS measured (New York average 40.3%).

CMS links it to Personal Healthcare Management, an affiliated group of 21 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 25 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
20D
4E
1F
Potential for minimal harm
0A
0B
0C
October 11, 2024Standard inspection, Complaint inspection · 4 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on observations, interview, and record review conducted during the Recertification Survey from 10/07/2024 to 10/11/2024, for one of one main kitchen and one (Cortland/[NAME]) of two satellite serveries, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically: there were dirty food and non-food contact surfaces, perishable food items were kept longer than 3-days per facility policies, and a sanitizer cleaning bucket with solution and a cleaning rag was dirty and not replaced between meals.
  2. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on observations and interviews conducted during the Recertification Survey from [DATE] to [DATE], for 54 of 102 residents, the facility did not ensure residents' right to privacy related to their medical records in that advanced directives wishes were not kept confidential. Specifically, there was a list of advanced directives information (such as wishes for cardiopulmonary resuscitation (CPR) in the event of an acute cardiac or respiratory event) that included the names of 44 residents with their wishes posted in plain sight in the facility library, which all residents and visitors have access to. In addition, there was a large picture frame hanging in the front lobby of the facility with 17 resident's pictures and names in view of the public; nine residents were listed in an elopement group (at risk for unsafe wandering outside the building) and eight residents an explorer group. [...]
  3. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteBased on observations, interviews, and record reviews conducted during the Recertification Survey from 10/07/2024 to 10/11/2024, for one (Resident #35) of three residents reviewed for food and nutrition, the facility did not ensure services were provided to maintain acceptable parameters of nutritional status. Specifically, Resident #35 was not consistently monitored for significant weight loss, and the facility could not provide documented evidence of consistent meal monitoring or interventions despite a significant weight loss. The finding is: The undated facility policy Weights documented each resident will be carefully monitored on a regular basis (monthly or weekly), or as otherwise specified by the provider, so that appropriate timely interventions may be initiated. [...]
  4. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 4, 2024
    Inspectors wroteSodus F760D Based on observations, interviews, and record reviews conducted during a Recertification Survey and complaint investigation (NY00338097) from 10/07/2024 to 10/11/2024, the facility did not ensure that two (Residents #43 and #66) of six residents reviewed were free of significant medication errors. Specifically, Resident #43 received several medications prescribed to treat Parkinson's disease and seizures one to three hours after scheduled times and a second medication to treat Parkinson's was administered too closely to the next dose. Resident #66 did not receive their insulin administration as ordered. This is evidenced by the following: The facility policy Administration of Medications, dated September 2020, included that medications will be administered to residents in a timely and accurate manner. Administer medications within one hour before or after prescribed time. [...]
April 10, 2024Complaint inspection · 1 citation
  1. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 10, 2024
    Inspectors wroteBased on observation, interviews, and record review completed during an Abbreviated Survey (#NY00337643), for one (Resident #1) of three residents reviewed, the facility did not ensure that an allegation of abuse was thoroughly investigated. Specifically, a staff member reported on 3/25/24 that they witnessed a potential abuse incident on 3/20/24 between another staff member and Resident #1. The facility's investigation to rule out any abuse, neglect or mistreatment concluded no abuse occurred but did not include any interviews with staff members who were working at the time of the alleged incident and witnessed the incident. Additionally, the facility did not report the alleged abuse until 13 days after it occurred. This was evidenced by the following: Resident #1 had diagnoses including dementia, depression, and diabetes. [...]
October 14, 2023Complaint inspection · 1 citation
  1. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 28, 2023
    Inspectors wroteBased on observations, interviews, and record review conducted during an Abbreviated Survey (#NY00320671) completed 10/12/23 to 10/13/23, it was determined that for one of one main kitchen the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, food service operations were conducted in the area of an active wastewater backup and the incident was not reported to New York State Department of Health (NYSDOH).
November 2, 2022Standard inspection · 10 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) January 4, 2023
    Inspectors wroteBased on observations, interviews, and record reviews conducted during the Recertification Survey and complaint investigation (NY00304512) completed on 11/2/22, it was determined that for one (Empire) of three residential care units reviewed and one (Resident #27) of three residents reviewed for accidents, the facility did not ensure that the resident environment remained free of accident hazards. Specifically, hot water temperatures exceeding 120 degrees (°) Fahrenheit (F) were accessible to residents at point of use. Additionally, Resident #27 was observed with unlabeled and unsupervised medications at the resident's bedside. This is evidenced by the following: 1. Observations, interviews, and record reviews on 10/27/22 from 10:33 a.m. to 5:15 p.m. included the following: a. Water temperatures observed in the Empire Unit using a ThermoWorks Thermapen One digital thermometer: [...]
  2. E
    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.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 4, 2023
    Inspectors wroteBased on observations, interviews and record review conducted during the Recertification Survey, completed on 11/2/22, it was determined that for two (Resident #81 and #220) of two residents reviewed for tube feedings (TF), the facility did not provide appropriate treatment and services to prevent potential complications. Specifically, there was no process for tracking and monitoring the daily total intakes of TF for either resident to ensure the resident's nutritional needs were being met. This is evidenced by the following: The facility policy Gastrostomy Tube Feeding, dated April 2022 directed that when an intermittent feeding was completed to document administration in the Medication Administration Record (MAR). 1. Resident # 81 has diagnoses including a stroke with left side hemiparesis (weakness on one side of the body), dysphagia (difficulty swallowing) and malnutrition. [...]
  3. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 4, 2023
    Inspectors wroteBased on interviews and record reviews conducted during the Recertification Survey, completed on 11/2/22, it was determined that for one (Resident #54) of five residents reviewed the facility did not ensure that the attending physician documented that the Medication Regimen Review (MRR) that was completed by the pharmacist was reviewed for irregularities/recommendations and action taken if any and/or a rationale if no action taken. Specifically, the pharmacist had consistently noted irregularities on the MRR reports related to a Gradual Dose Reduction (GDR) of an antipsychotic medication and recommendations for other medications and there was no evidence that the irregularities were addressed by the by the physician or the Director of Nursing (DON) per the regulations. This is evidenced by the following: [...]
  4. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 4, 2023
    Inspectors wroteBased on observations and interviews conducted during the Recertification Survey completed on 11/2/22, it was determined that for two (Empire and [NAME]) of three resident units, one of one service wing, and one of one basement, the facility did not provide housekeeping and maintenance services necessary to maintain a safe, clean, comfortable, and homelike environment. Specifically, exhaust ventilation was not working, a water softener tank and circulating pump was leaking, soiled towels were present on a windowsill, and there was a leak in a water hose behind a washer.
  5. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 4, 2023
    Inspectors wroteBased on observations, interviews, and record reviews conducted during the Recertification Survey, completed on 11/2/22, it was determined that for one (Resident #22) of one resident reviewed for restraints and one (Resident #117) of one resident reviewed for a discharge from the facility, the facility did not accurately code the Minimum Data Set (MDS) Assessment to reflect the resident's status. Specifically, for Resident #22, the MDS Assessment did not accurately reflect the use of a restraint, and that the resident was on an antipsychotic and antidepressant medication. For Resident #117, the MDS Assessment did not accurately reflect the resident's discharge disposition. This is evidenced by the following: [...]
  6. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 4, 2023
    Inspectors wroteBased on interviews and record review conducted during a Recertification Survey, completed on 11/2/22, it was determined that for one (Resdient #22) of five residents reviewed the facility did not review and revise the resident's care plan to reflect the resident's current status. Specifically, Resident #22's Comprehensive Care Plan (CCP) was not revised to reflect the discontinued use of an antipsychotic medications. This was evidenced by: The facility policy Comprehensive Care Planning, dated 12/5/21, included the interdisciplinary team will review and revise the care plan quarterly following MDS completion, with a significant change, return following hospital admission, annually, and as needed. The CCP will be kept current by all disciplines on an ongoing basis. Disciplines will be responsible for updating their respective care plans on a continual basis. [...]
  7. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 4, 2023
    Inspectors wroteBased on observations, interviews and record review conducted during a Recertification Survey completed 11/2/22 it was determined that for one (Resident #86) of one resident reviewed, the facility did not provide an ongoing program of activities based on the comprehensive assessment, the comprehensive care plan (CCP) and the preferences of each resident in order to support the resident in their choice of activities and to support the physical, mental, and psychosocial well-being of each resident. Specifically, the facility could not provide evidence Resident #86 was provided activities based on their preferences and needs. This is evidenced by the following: The facility policy Activity Programs, dated 3/22/22, included activity programs are designed to meet the interests of and support the physical, mental and psychosocial well-being of each resident. [...]
  8. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 4, 2023
    Inspectors wroteBased on observations, interviews and record review conducted during a Recertification Survey, completed on 11/2/22, it was determined that for one (Resident #92) of two residents reviewed for pressure ulcers, the facility did not ensure that the resident received care consistent with professional standards of practice, and that the resident received the necessary treatment to promote healing of a pressure ulcer, prevent infection and prevent new ulcers from developing. Specifically, the facility did not administer treatments as ordered by the medical team. This was evidenced by the following: Review of the facility policy 'PRESSURE INJURY PREVENTION & MANAGEMENT WOUND ROUNDS' dated December 2021, revealed that the nurse is responsible for the following when a pressure ulcer is identified: To administer the treatment as ordered. [...]
  9. D
    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
    F691 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 4, 2023
    Inspectors wroteased on observations, interviews, and record review conducted during the Recertification Survey completed on 11/2/22, it was determined that for one (Resident #220) of one resident reviewed for bowel and bladder incontinence, the facility did not ensure that the resident who required colostomy, urostomy, or ileostomy services, received such care consistent with professional standards of practice, the resident's comprehensive person-centered care plan and the resident's goals and preferences. [...]
  10. 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) January 4, 2023
    Inspectors wroteBased on observations, interviews and record reviews conducted during the Recertification Survey completed on 11/2/22, it was determined that for one (Resident #54) of five residents reviewed for unnecessary medications, the facility did not ensure that each resident's drug regime was free from unnecessary medications. Specifically, Resident #54 was prescribed an anti-psychotic medication without evidence of implementation of resident specific non-pharmacological interventions, and without evidence that a Gradual Dose Reduction (GDR) of the medication had been attempted or documentation of a clinical contraindication for a GDR. Additionally, current physician documentation did not accurately reflect the resident's currently prescribed medications. This is evidenced by the following: [...]
September 24, 2020Standard inspection · 9 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 22, 2020
    Inspectors wroteBased on observation, interviews, and record reviews conducted during the Recertification Survey, it was determined that for three of three residential units, the facility did not establish and maintain an infection control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of disease and infection. Specifically, the facility was unable to provide evidence of a complete infection control program that consistently identified, tracked, investigated, monitored, and analyzed surveillance data to prevent infections in the facility. This is evidenced by the following : A review of the infection control program was conducted on 9/23/20 at 2:00 p.m. with the Director of Nursing (DON) and the Assistant Director of Nursing (ADON). [...]
  2. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 22, 2020
    Inspectors wroteBased on observations, interviews, and record reviews conducted during the Recertification Survey, it was determined that for one of two residents reviewed the facility did not thoroughly investigate injuries of unknown origin to rule out abuse, neglect, or mistreatment. Specifically, Resident #92 had bruises of unknown origin that were not investigated. This is evidenced by the following: Resident #92 had diagnoses that included Alzheimer's, chronic obstructive pulmonary disease, and pneumonia. The Minimum Data Set Assessment, dated 9/5/20, revealed that the resident had severely impaired cognition. The nursing admission assessment, dated 9/10/20, included no skin issues. The weekly skin check form, dated 9/15/20, documented the resident's skin was intact. The Comprehensive Care Plan, dated 9/15/20, included the resident was at risk for impaired skin integrity. [...]
  3. 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) November 22, 2020
    Inspectors wroteBased on interviews and record reviews conducted during the Recertification Survey, it was determined that for one of two residents the facility did not ensure a comprehensive person-centered care plan was developed that included measurable objectives and timeframes to meet the resident's medical and nursing needs that were identified in the comprehensive assessment. Specifically, Resident #49 did not have a care plan for an actual pressure ulcer and bone infection. This is evidenced by the following: The facility policy, Comprehensive Care Planning, dated April 2020, revealed that actual infections and pressure ulcers would be included in the Comprehensive Care Plan. Resident #49 had diagnoses including an unstageable pressure ulcer of the sacral region, fracture of the right femur, and sacral osteomyelitis (bone infection). [...]
  4. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 22, 2020
    Inspectors wroteBased on observations, interviews, and record reviews conducted during the Recertification Survey, it was determined that the facility did not provide proper treatment and assistive devices to maintain vision for one of two residents reviewed. Specifically, the facility was unaware that Resident #11 lost their glasses and would like them replaced. This is evidenced by the following: The facility policy, Vision Services and Devices, dated October 2017, directs if a resident loses their devices, the nursing home will assist the resident or designated representative in locating resources including assistance in making appointments and transportation. Resident #11 has diagnoses including unspecified dementia with behavioral disturbance, schizophrenia, and nicotine dependence. [...]
  5. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 22, 2020
    Inspectors wroteBased on observations, interviews, and record reviews conducted during the Recertification Survey, it was determined that the facility did not provide necessary treatment and services consistent with professional standards of practice to promote healing, prevent infection, and prevent new pressure ulcers from developing for one of three residents reviewed. Specifically, Resident #6 was not wearing blue booties on both feet at all times and was not repositioned every two hours. This is evidenced by the following: Resident #6 had diagnoses including sacral osteomyelitis (bone infection) and a Stage IV (full thickness tissue loss with exposed bone, tendon, or muscle) pressure ulcer on the sacrum. [...]
  6. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 22, 2020
    Inspectors wroteBased on observations, interviews, and record reviews conducted during the Recertification Survey, it was determined that for one (Resident #84) of two residents reviewed, the facility did not ensure that a resident with limited Range of Motion (ROM) received appropriate treatment and services to increase ROM or to prevent further decrease in ROM. Specifically, Resident #84 had contractures of the left upper extremity, and the facility did not implement interventions to prevent complications related to decreased ROM. This is evidenced by the following: Resident #84 had diagnoses including hemiplegia (paralysis on one side of the body) and hemiparesis (weakness of one side of the body) following cerebral infarction (stroke) affecting left non-dominant side, amputation of the right leg below the knee, and amputation of the left leg above the knee. [...]
  7. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 22, 2020
    Inspectors wroteBased on interviews and record reviews conducted during the Recertification Survey, it was determined that for one of one resident reviewed, the facility did not ensure that residents received services consistent with professional standards of practice and the comprehensive person-centered care plan. Specifically, Resident #57's fluid restriction was not consistently monitored, assessed, and documented, there was a lack of consistent ongoing communication between the facility and dialysis, and the facility did not consistently document assessments before and after dialysis treatments. This is evidenced by the following: Resident #57 had diagnoses including diabetes, renal disease with hemodialysis, and cerebral vascular accident. The Minimum Data Set Assessment, dated 8/13/20, revealed the resident had moderately impaired cognition and received dialysis. [...]
  8. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 22, 2020
    Inspectors wroteBased on observations, interviews, and record reviews conducted during the Recertification Survey, it was determined that for one of three residents reviewed, the facility did not ensure a resident was promptly referred to dental services for lost dentures. Specifically, the facility did not identify that Resident #57's dentures were missing or provide dental services to replace them. In addition, the Comprehensive Care Plan (CCP) did not address the resident's dental needs. This is evidenced by the following: Resident #57 had diagnoses that included diabetes, renal disease with hemodialysis, and cerebral vascular accident. The Minimum Data Set (MDS) Assessment, dated 8/13/20, revealed the resident had moderately impaired cognition and required the extensive assistance of one staff for personal hygiene (which included oral care). [...]
  9. D
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 22, 2020
    Inspectors wroteBased on interviews and record review conducted during the Recertification Survey, it was determined that the facility did not ensure that a qualified dietician carried out the functions of the food and nutrition services. Specifically, the Registered Dietician had not been onsite since March 2020 and had not completed physical nutritional assessments or participated in interdisciplinary care plan meetings. This is evidenced by the following: When interviewed on 9/22/20 at 2:49 p.m., the Director of Nursing said visitors to the building were limited due to the COVID-19 pandemic. She said she considered the Registered Dieticians (RD) contractors and told them not to come onsite. She said that she did not realize that the RDs performed physical nutritional assessments. In an interview on 9/23/20 at 9:45 a.m. [...]

Fire safety inspections

10 fire safety citations on file: 4 on October 11, 2024, 6 on November 2, 2022.

Every fire safety citation10 citations
  1. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · October 11, 2024 · Corrected (the home has a date of correction)
  2. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · October 11, 2024 · Corrected (the home has a date of correction)
  3. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · October 11, 2024 · Corrected (the home has a date of correction)
  4. D
    Have an enclosure around a vertical opening shaft.
    K 311 · October 11, 2024 · Corrected (the home has a date of correction)
  5. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · November 2, 2022 · Corrected (the home has a date of correction)
  6. E
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · November 2, 2022 · Corrected (the home has a date of correction)
  7. E
    Have simulated fire drills held at unexpected times.
    K 712 · November 2, 2022 · Corrected (the home has a date of correction)
  8. E
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · November 2, 2022 · Corrected (the home has a date of correction)
  9. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · November 2, 2022 · Corrected (the home has a date of correction)
  10. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 2, 2022 · 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)3.603.633.86
Registered nurses0.460.710.69
All nursing staff on weekends2.913.183.42
Nurse aides2.28
Licensed practical nurses0.86
Nursing staff turnover (share who left in a year)52.6%40.3%45.8%
Registered nurse turnover45.5%39.8%42.9%
Administrators who left0

CMS expects 3.07 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 3.88 on weekdays and 2.91 on weekends, 25% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.41 in April to June 2025 to 3.60 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.600.463.882.91 0.0%0 of 90115
Oct to Dec 20253.650.473.873.07 0.0%0 of 92106
Jul to Sep 20253.330.393.542.79 0.0%0 of 92112
Apr to Jun 20253.410.443.622.90 0.0%0 of 91105
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.

Trains nurse aides: this home runs a state-approved CNA program for its own hires (state list: NYS DOH Nurse Aide Training Programs (nursing homes), as of October 1, 2026). A nursing home cannot charge aides it employs, or has offered a job, for state-approved training (42 CFR 483.152(c)). See Sodus Rehabilitation & Nursing Center CNA training on CareerFunded, our sister site for career training.

Staff pay reports

Staff pay at this home

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. If you work here, your report helps start one.

Official wage estimates for New York

JobMedianMiddle halfEmployed
New York, all employers
CNAs (nursing assistants)$23.36$21.04 to $24.9987,990
LPNs and LVNs$32.30$29.52 to $37.0039,400
Registered nurses$52.62$45.60 to $62.34205,810
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

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Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

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
7.714.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.63.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.212.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.96.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.713.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
17.420.623.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.89.612.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.61.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.11.41.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Sodus Rehabilitation & Nursing Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (36.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

36.1% this home

Worse than 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. 57 eligible stays.

Potentially preventable readmissions

10.0% 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. 110 eligible stays.

Infections that led to a hospital stay

6.6% 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. 58 eligible stays.

Self-care and mobility at discharge

53.7% 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. 41 residents counted.

Falls with major injury

0.0% 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. 55 residents counted.

New or worsened pressure ulcers

1.7% 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. 55 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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. 10 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.

Owners and operators

Legal business name: BVRNC OPERATING LLC. CMS links this home to Personal Healthcare Management, a group of 21 nursing homes averaging 2.9 stars overall.

NameRoleTypeShareSince
Barth, Alexander5% or greater direct ownership interestIndividual35%09/18/2014
Walden, Yehudah5% or greater direct ownership interestIndividual15%09/18/2014
Zagelbaum, Ephraim5% or greater direct ownership interestIndividual50%09/18/2014
Barth, AlexanderCorporate officerIndividual02/29/2016
Oduwa, FelixOperational/managerial controlIndividual01/01/2024
Olton, ShainaOperational/managerial controlIndividual02/14/2023
Barth, AlexanderAdp of the SNFIndividual02/29/2016
Oduwa, FelixAdp of the SNFIndividual08/12/2025
Olton, ShainaAdp of the SNFIndividual02/14/2023

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 11 problems in this area, most recently on October 11, 2024: "Provide enough food/fluids to maintain a resident's health."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on October 11, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on October 11, 2024: "Ensure that residents are free from significant medication errors."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on November 2, 2022: "Ensure each resident receives an accurate assessment."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.91 hours per resident per day, below the New York average of 3.18.

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Common questions

What is Sodus Rehabilitation & Nursing Center's Medicare star rating?
CMS rates Sodus Rehabilitation & Nursing Center 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Sodus Rehabilitation & Nursing Center get at its last inspection?
4 health deficiencies at the standard inspection on October 11, 2024. The New York average is 8.1.
Has Sodus Rehabilitation & Nursing Center been fined?
CMS lists no fines in the last three years.
Does Sodus Rehabilitation & Nursing Center 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 Sodus Rehabilitation & Nursing Center?
CMS lists 9 owners and managers, and links the home to Personal Healthcare Management. Legal business name: BVRNC OPERATING LLC.

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