301 Hackett Blvd, Albany, NY 12208 · Albany County · (518) 525-7600
160 certified beds, about 102 residents a day · Non profit - Corporation · Medicare and Medicaid since 1967
CMS Care Compare ratings, data as of September 1, 2026 · CCN 335128 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on November 17, 2022, inspectors cited 3 health deficiencies (the New York average is 8.1, the national average 9.2).
None of its 18 health citations since February 2019 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 4.33 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.75 of those hours.
49.3% of nursing staff left within the year CMS measured (New York average 40.3%).
CMS links it to Trinity Health, an affiliated group of 19 nursing homes.
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 18 health citations on file.
Inspectors wroteBased on record reviews and interviews conducted during a survey, the facility failed to ensure residents were free from neglect and abuse for three (3) (Resident #s 2, 15, and 18) of 22 residents reviewed. Specifically, a.) Resident #'s 2 and 18 care plans were not followed resulting in injury; and b.) Resident #15 was prevented from leaving their room by a staff member.
Inspectors wroteBased on record review and interviews conducted during a survey, the facility failed to ensure that a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing. Specifically, Resident #1 did not receive ordered treatments of Santyl ointment (a prescription topical ointment used to clean and remove dead tissue form severe burns and chronic skin ulcers), and dry dressing to left foot on the dates on 12/04/2026 - 12/09/2026.
Inspectors wroteBased on observations, record reviews and interviews during the recertification survey the facility did not ensure each resident was treated with respect and dignity for one (Resident #32) of two residents reviewed. Specifically, for Resident #32, the facility did not ensure a catheter drainage bag was covered when the resident was out of bed and in common areas of the facility. This is evidenced by: Resident #32 Resident #32 was admitted to the facility with the diagnoses of dementia, obstructive and reflux uropathy and benign prostatic hyperplasia with lower urinary symptoms. The Minimum Data Set (MDS - an assessment tool) dated 9/10/22 documented the resident was severely cognitively impaired. A Policy and Procedure (P&P) titled Long Term Catheterization of Urinary Bladder revised 6/14/17 documented a urinary catheter drainage bag should be kept covered. [...]
Inspectors wroteBased on record review and interview during a recertification survey, the facility did not ensure that written notification was sent to the resident, the resident's representative, and a representative of the Office of the State Long-Term Care Ombudsman of the resident's transfer or discharge and the reasons for the move for 3 (Resident #'s 13, 29, and #100) of 3 residents reviewed for hospitalization. Specifically, for Residents #'s 13 and #100, the facility did not ensure there was documentation that the facility provided written notification to the resident, the resident's representative, or the Ombudsman when the residents were admitted to a hospital from the facility and for Resident #29, the facility did not provide written notice of admission to a hospital to the Ombudsman. This is evidenced by: [...]
Inspectors wroteBased on record review and interview during a recertification survey, the facility did not ensure written notice which specifies the duration of the bed-hold policy, was provided to the resident and the resident representative at the time of transfer for hospitalization. This was evident for 3 (Residents #'s 13, 29, and #100) of 3 residents reviewed for hospitalization. Specifically, for Residents #'s 13, 29, and #100, the facility did not ensure the resident and the resident's representative were notified in writing of the bed hold policy when the residents were admitted to the hospital. This is evidenced by the following: The Policy and Procedure (P&P) titled Bed Retention Policy effective 11/28/16, stated when a hospital transfer occurs, the resident and/or designated representative will be notified verbally or in writing by nursing or social services by the next business day. [...]
Inspectors wroteBased on observation, record review, and staff interview during the recertification survey, the facility did not store, prepare, distribute or serve food in accordance with professional standards for food service safety. Food preparation and serving areas and equipment are to be kept clean, kitchen equipment is to be kept in good repair, and a test kit is to be provided to measure the parts per million (ppm) concentration of the solution used to sanitize equipment. Specifically, equipment in the main kitchen and unit kitchenettes were not clean, equipment was not in good repair, and an accurate test kit was not provided. This is evidenced as follows. The main kitchen and the kitchenettes were inspected on 07/29/2019 at 10:15 AM. In the main kitchen and unit kitchenettes, the shelving, drawers, mixer, slicer, ABC fire extinguisher, microwave ovens were soiled with food particles; [...]
Inspectors wroteBased on observation, interview and record review during the recertification survey the facility did not ensure it developed and implemented a Comprehensive Person-Centered Care Plan for each resident that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for three (Resident #'s (55, 77, and #85, ) of 24 residents reviewed. [...]
Inspectors wroteBased on observation, record review and interviews during the recertification survey, the facility did not ensure that residents received treatment and care in accordance with standards of practice, the comprehensive person-centered care plan, and the residents' choices for 3 (Resident #'s 77, 101, and 407) of 24 residents reviewed. Specifically, for Resident #77, the facility did not recognize or assess the risks associated with the use of splinting and immobilizing devices and for Resident #407, the facility did not ensure the residents diagnosis of cellulitis (a bacterial skin infection) to the left lower extremity was assessed, monitored and treated, and for Resident #101, the facility did not ensure that the resident, who had severe swallowing difficulties, was out of bed for meals per Speech Therapy recommendations. This is evidenced by: Resident #77: [...]
Inspectors wroteBased on observation and staff interview during the recertification survey, the facility did not dispose of garbage and refuse properly. Specifically, the trash compactor was not clean and the area around was littered with refuse. This is evidenced as follows. The trash compactor area was inspected on 10/01/2020 at 11:30 AM. The access room was heavily soiled with a splattered filth on the walls, and the access portal door was heavily soiled with a black filth build-up. The Manager of Housekeeping stated in an interview on 10/01/2020 at 11:30 AM, that she will get going on the cleaning the area. 10 NYCRR 415.14(h)
Inspectors wroteBased on observation, record review, and interviews during a recertification survey, the facility did not provide the resident or the residents representative with a written summary of the baseline care plan for 6 of (Resident #'s 28, 29, 34, 86, 93, and 124) of 28 residents reviewed. Specifically, for Resident #'s 28, 29, 34, 86, 93, and #124, the facility did not ensure written summaries of the baseline care plan were provided to the resident and/or the resident's representative. This is evidenced by: Review of the facility policy titled Interdisciplinary Care Conference and Care Planning dated 11/28/2016, documented that a baseline care plan and current physician's orders will be given within 48 hours of admission to the resident and/or the designated representative for review and input. Resident and/or designated representative will acknowledge receipt upon admission. Resident #124: [...]
Inspectors wroteBased on observations, record review, and interviews during a recertification survey the facility did not ensure that it provided, based on the comprehensive assessment and care plan and the preferences of each resident, an ongoing program to support residents in their choice of activities, both facility-sponsored group and individual activities and independent activities, designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident for those residents who reside on the subacute unit. Specifically, the residents on the subacute unit did not have activity care plans completed. This was evidenced by: During an interview on 02/11/19 at 10:19 AM, Resident #130 stated she was not aware of activities, and stated she would love to attend the games, crafts or music. [...]
Inspectors wroteBased on record review and staff interviews during the recertification survey, the facility did not ensure it had a policy regarding use and storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling, and consumption. Specifically, the facility did not provide adequate information for family and visitors on safe food preparation and handling practices. The policy did not address training of staff to ensure foods from outside are handled in a safe and sanitary manner. This is evidenced as follows: Review of the facility's policy on Food Brought to Residents from the Outside on 02/12/19 at 10:46 AM, did not include that information was provided on the safe range of temperatures required for the preparation and storage of foods, except for instructions to how to reheat foods in the facility's microwave. [...]
Inspectors wroteBased on observation and staff interview during the recertification survey, carbon monoxide detection was not provided in accordance with adopted regulation. The International Fire Code, 2015 Edition Section 915 Carbon Monoxide Detection, requires carbon monoxide detection in all areas with gas operated equipment. Specifically, carbon monoxide detection was not installed in areas with gas fuel fired equipment. This is evidenced as follows. Observations on 01/11/19 at 9:50 AM, revealed fuel burning appliances in the main kitchen, the boiler room, and the loading dock. Carbon monoxide detection was not provided in these areas. The Director of Plant Operations stated in an interview on 01/11/2019 at 10:45 AM, that he was unaware that of a requirement to provide carbon monoxide protection in these areas. 483.70 (b); 2015 International Fire Code, Section 915
Inspectors wroteBased on observation, record review and interview during the recertification survey, the facility did not maintain an infection prevention and control program (IPCP) to prevent the development and transmission of disease and infection. Specifically, for Resident #25, the facility did not ensure that handwashing and glove changes were performed during wound care; the facility did not ensure that a Licensed Practical Nurse (LPN) performed proper hand sanitizing during medication administration; and the facility did not insure the IPCP policies were reviewed annually. This is evidenced by: Finding #1 Resident #25 The resident was admitted on [DATE], with diagnoses of quadriplegia and diabetes. The Minimum Data Set (MDS) dated [DATE], documented the resident had severely impaired cognition and two unhealed stage IV pressure ulcers. [...]
Inspectors wroteBased on record reviews and interviews during recertification survey the facility did not ensure written notice was provided to the residents representative of the bed hold and return policy at the time of transfer for three (Resident #'s 25, 75 and 123) of three residents reviewed for hospitalization. Specifically, for Residents #'s 25, 75 and 123, the facility did not provide written notice of bed hold and return which specifies the duration of the bed hold, how reserve bed payments will be made, and the conditions upon which the resident would return to the facility. This is evidenced by: [...]
Inspectors wroteBased on record review, and interview during a recertification survey, the facility did not ensure residents with an indwelling catheter (a tube inserted into the bladder to drain urine), received the appropriate care and services to prevent urinary tract infections to the extent possible for one (Resident #25) of five residents reviewed for urinary catheter / urinary tract infection (UTI). Specifically, for Resident #25, the facility did not ensure medical doctor (MD) orders were followed regarding the resident's foley catheter (size of the catheter, frequency for catheter change, and administration of a prophylactic antibiotic prior to catheter change). Additionally, the facility did not ensure the MD was notified of changes in urine (cloudy). This is evidenced by: Resident #25: [...]
Inspectors wroteBased on observation, record review and interviews during the recertification survey, the facility did not ensure a resident who is fed by enteral means (method of feeding that uses the gastrointestinal (GI) tract to deliver part or all of a person's caloric requirements) received the appropriate treatment and services to prevent complications of enteral feeding including but not limited to aspiration pneumonia (a complication of pulmonary aspiration. Pulmonary aspiration occurs when food, stomach acid, or saliva is inhaled into the lungs) for 1 (Resident #89) of 1 resident reviewed. Specifically, for Resident #89, the facility did not identify the resident's increased risk for aspiration pneumonia due to the resident's inability to keep her head elevated while receiving continuous tube feedings in bed. This is evidenced by: [...]
Inspectors wroteBased on record review and interview during the recertification survey the facility did not ensure their policy and procedure developed for the drug regimen review (DRR) included the time frames for the different steps in the process and identified specific title(s) the pharmacist will contact for irregularities. Specifically, the facility did not ensure the DRR Policy dated 2/2/18 included timeframes and the titles of facility staff to contact. This was evidenced by: The facility's DRR Policy and Procedure did not include the following: #2. A specific title and/or designee for the vendor pharmacy to call, and did not include a timeframe when the nurse will document in the medical record. #3. Bullet 3, did not include a time frame when the attending physician, Director of Nursing and Medical Director are notified of all irregularities. [...]
8 fire safety citations on file: 1 on November 17, 2022, 1 on October 7, 2020, 6 on February 15, 2019.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 4.33 | 3.63 | 3.86 |
| Registered nurses | 0.75 | 0.71 | 0.69 |
| All nursing staff on weekends | 3.93 | 3.18 | 3.42 |
| Nurse aides | 2.44 | ||
| Licensed practical nurses | 1.13 | ||
| Nursing staff turnover (share who left in a year) | 49.3% | 40.3% | 45.8% |
| Registered nurse turnover | 44.4% | 39.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.69 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 4.49 on weekdays and 3.93 on weekends, 12% 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 4.28 in April to June 2025 to 4.33 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 | 4.33 | 0.75 | 4.49 | 3.93 | 0.0% | 0 of 90 | 102 |
| Oct to Dec 2025 | 4.22 | 0.74 | 4.35 | 3.90 | 6.1% | 0 of 92 | 111 |
| Jul to Sep 2025 | 4.24 | 0.80 | 4.42 | 3.79 | 0.0% | 0 of 92 | 109 |
| Apr to Jun 2025 | 4.28 | 0.84 | 4.47 | 3.81 | 1.4% | 0 of 91 | 100 |
| 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 | 8.5 | 14.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.9 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 1.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.5 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.7 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.1 | 12.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.7 | 6.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.9 | 13.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.7 | 20.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.6 | 9.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.4 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for St. Peters Nursing and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (47.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
47.9% 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. 207 eligible stays.
13.0% 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. 194 eligible stays.
6.2% 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. 129 eligible stays.
51.9% 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. 104 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. 134 residents counted.
8.5% 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. 133 residents counted.
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. 15 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: VILLA MARY IMMACULATE. CMS links this home to Trinity Health, a group of 19 nursing homes averaging 3.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| St. Peters Health Partners | 5% or greater direct ownership interest | Organization | 100% | 10/01/2011 |
| Trinity Health Corporation | Indirect ownership interest | Organization | 07/01/2014 | |
| Bala, Guha | Corporate director | Individual | 10/01/2022 | |
| Hanks, Steven | Corporate director | Individual | 01/01/2023 | |
| Isacksen, Daniel | Corporate director | Individual | 10/01/2022 | |
| Lapczynski, Patricia | Corporate director | Individual | 04/01/2025 | |
| McCormick, Robert | Corporate director | Individual | 01/01/2015 | |
| Meath, Michael | Corporate director | Individual | 10/01/2022 | |
| Myers, Gina | Corporate director | Individual | 10/01/2022 | |
| Pollard, Merriette | Corporate director | Individual | 10/01/2022 | |
| Sullivan, Marguerite | Corporate director | Individual | 01/01/2025 | |
| Sweet Zavaglia, Kerri | Corporate director | Individual | 10/01/2022 | |
| Tofade, Oluwatoyin | Corporate director | Individual | 01/01/2024 | |
| Farrell, Eric | Corporate officer | Individual | 07/01/2023 | |
| Jimino, Kathleen | Corporate officer | Individual | 01/01/2024 | |
| Marshall, John | Corporate officer | Individual | 10/05/2022 | |
| Signor, Kristin | Corporate officer | Individual | 04/01/2017 | |
| Wildridge, William | Corporate officer | Individual | 10/01/2022 | |
| St. Peters Health Partners | Operational/managerial control | Organization | 10/01/2011 | |
| Trinity Health Corporation | Operational/managerial control | Organization | 07/01/2014 | |
| Burke, Michael | Operational/managerial control | Individual | 09/01/2020 | |
| Manganaro, Helen | Operational/managerial control | Individual | 11/18/2019 | |
| Mazzacco, Michelle | Operational/managerial control | Individual | 08/22/2021 | |
| Signor, Kristin | Operational/managerial control | Individual | 04/01/2017 | |
| Select Rehabilitation, LLC | Adp of the SNF | Organization | 05/01/2014 | |
| St. Peters Health Partners | Adp of the SNF | Organization | 05/16/2025 | |
| Trinity Health Corporation | Adp of the SNF | Organization | 04/15/2025 | |
| Unidine Corporation | Adp of the SNF | Organization | 04/01/2016 | |
| Burke, Michael | Adp of the SNF | Individual | 09/01/2020 | |
| Farrell, Eric | Adp of the SNF | Individual | 07/01/2023 | |
| Hanks, Steven | Adp of the SNF | Individual | 01/01/2023 | |
| Isacksen, Daniel | Adp of the SNF | Individual | 10/01/2022 | |
| Manganaro, Helen | Adp of the SNF | Individual | 11/18/2019 | |
| Mazzacco, Michelle | Adp of the SNF | Individual | 08/22/2021 | |
| Ronan, Brittney | Adp of the SNF | Individual | 03/30/2020 | |
| Signor, Kristin | Adp of the SNF | Individual | 04/01/2017 |
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.