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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Essex Center for Rehabilitation and Healthcare operates as a 100-bed skilled nursing community at 81 Park Street in Elizabethtown, within Essex County, New York, under the management of Essex Operations Associates, LLC. The facility accommodates Medicare short-stay rehabilitation patients, private-pay residents, and long-term Medicaid beneficiaries in roughly equal proportions: 28% on Medicare, 44% paying privately, and 29% on Medicaid. Current occupancy sits at 90%, tracking with statewide figures.
Over a seven-year inspection window, 14 state surveys resulted in 24 citations, substantially above the New York median. The most recent inspection in November 2024 documented 11 Level 2 deficiencies spanning health and life safety domains: care plan timing, food sanitation, resident rights, and electrical systems. The facility corrected all issues within weeks to a couple of months. A pattern emerges across four earlier inspections: similar mid-level deficiencies in activities of daily living, care planning, sanitation, reporting, and building systems, each addressed through timely corrective action.
Complaint investigations were not substantiated. Four enforcement actions dating to 2015 reflect quality-of-care and multiple-deficiency findings; no federal fines have been imposed in three years.
Nursing staffing delivers 2 hours 59 minutes per resident daily, about 15% below the New York average. Physical therapy presence stands out: 10 minutes per resident per day puts the facility 43% above state expectation, indicating meaningful rehabilitation infrastructure.
Functional decline (worsening activities-of-daily-living ability) ranks 13% worse than state peers; major falls occur at more than double the statewide rate. Depressive symptoms among long-stay residents reach 46.5%, contrasted with 18.1% statewide. The facility ranks in the lower third of New York’s 388 nursing homes by total nursing hours.
The community emphasizes cardiac care, pain management, stroke recovery, and orthopedic rehabilitation. Memory care and respite placement are supported. The payer mix reflects dual positioning: short-term post-acute recovery for Medicare and private-pay admissions, alongside longer-term skilled nursing for Medicaid residents.
Essex Center approaches the best fit for patients pursuing orthopedic or cardiac rehabilitation in a mixed-acuity setting, and for longer-term Medicaid residents. The compliance record suggests families evaluate the facility’s current quality-improvement initiatives and environmental-safety protocols directly.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 263rd out of 387 homes in New York for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 20m per day | ▼ 52% State avg: 42m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 52m per day | ▲ 13% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 52m per day | ▼ 14% State avg: 2h 11m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 52m per day | ▼ 10% State avg: 3h 10m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 10m per day | ▲ 47% State avg: 7m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 14m per day | ▼ 51% State avg: 28m per day · National avg: 28m per day |
Similar to the New York average: 88.3%Essex Center for Rehabilitation and Healthcare is legally operated by Essex Operations Associates, LLC (For Profit).
In New York State, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York State state average. The score below shows how many points this facility sits above or below the typical New York State nursing home score (the benchmark); higher is better.
10 points below the New York State average for nursing homes (83/100)
Inspection score: 73 out of 100. Letter grade C. 10 points below the New York State average for nursing homes (83/100)
Enforcement actions are formal penalties or interventions imposed by New York State regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.
This facility has 4 enforcement actions. 33% of New York State nursing homes have zero, and the statewide average is 1.6.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York State state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 24 | 13 | This facility has 85% more total citations than a typical New York State nursing home (24 vs. NY avg 13).↑ 85% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 19 | 20 | This facility has 5% fewer health citations than a typical New York State nursing home (19 vs. NY avg 20).↓ 5% better |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 5 | 4 | This facility has 25% more life safety citations than a typical New York State nursing home (5 vs. NY avg 4).↑ 25% worse |
|
Citations per year
Average citations per year since 2020.
| 4 | 2.2 | This facility has 82% more citations per year than a typical New York State nursing home (4 vs. NY avg 2.2).↑ 82% worse |
|
Citations per inspection
Average citations per inspection.
| 1.7 | 1.4 | This facility has 21% more citations per inspection than a typical New York State nursing home (1.7 vs. NY avg 1.4).↑ 21% worse |
Inspections
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 14 | 9 | This facility has 56% more total inspections than a typical New York State nursing home (14 vs. NY avg 9).↑ 56% worse |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 3 | 4 | This facility has 25% fewer inspections with citations than a typical New York State nursing home (3 vs. NY avg 4).↓ 25% better |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 21% | 44% | This facility has 23 percentage points lower inspection citation rate than a typical New York State nursing home (21% vs. NY avg 44%).↓ 23% better |
Complaints & Investigations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 91 | 79 | This facility has 15% more total complaints than a typical New York State nursing home (91 vs. NY avg 79).↑ 15% worse |
|
Complaints per year
Average complaints per year since 2020.
| 15.2 | 13.2 | This facility has 15% more complaints per year than a typical New York State nursing home (15.2 vs. NY avg 13.2).↑ 15% worse |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 1.01 | 0.50 | This facility has 102% more complaints per bed than a typical New York State nursing home (1.01 vs. NY avg 0.5).↑ 102% worse |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York State regulators.
| 16 | 15 | This facility has 7% more complaint investigations than a typical New York State nursing home (16 vs. NY avg 15).↑ 7% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
New York State average 3.6
Last Health inspection on Nov 2024
New York State average 18.5
New York State average 5.05
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
9 of 19 citations resulted from standard inspections; 6 of 19 resulted from complaint investigations; and 4 of 19 came from combined inspections (standard and complaint).
100% better than New York State averageNew York State average: 0.2
100% better than New York State averageNew York State average: 0.2
Corrected
Corrected
Corrected
Corrected
How this facility protects residents through staff vaccination policies and immunization practices.
Percentage of facility employees vaccinated against influenza.
Summary of court-record activity tied to this facility, compiled from publicly available case dockets.
Source: State court e-filing records
Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure.
2
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
1
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
1
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2018
Most recent filing on record. Recent activity means legal disputes are still being raised against this facility.
2023
Next scheduled court appearance on record across active cases.
Jul 13, 2026Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
520% more staff per resident than New York average
26% better than New York average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 11 RN Staff are full-time employees. No contractors work on this role.
11
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursAssists with medical care and medications.
All 18 LPN Staff are full-time employees. No contractors work on this role.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursHelps with daily care and mobility.
All 43 CNA Staff are full-time employees. No contractors work on this role.
43
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,129 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 43 | 0 | 43 | 15,779 | 92 | 100% | 11.2 |
| Licensed Practical Nurse | 18 | 0 | 18 | 7,342 | 92 | 100% | 10.3 |
| Registered Nurse | 11 | 0 | 11 | 1,781 | 91 | 99% | 8.5 |
| Respiratory Therapy Technician | 1 | 3 | 4 | 1,452 | 70 | 76% | 7.2 |
| Other Social Services Staff | 2 | 0 | 2 | 903 | 77 | 84% | 7.4 |
| Physical Therapy Assistant | 0 | 4 | 4 | 687 | 67 | 73% | 6.4 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 648 | 62 | 67% | 7.5 |
| Other Dietary Services Staff | 2 | 0 | 2 | 631 | 70 | 76% | 7.8 |
| Administrator | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Dental Services Staff | 2 | 0 | 2 | 444 | 56 | 61% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 405 | 55 | 60% | 7.4 |
| Feeding Assistant | 1 | 0 | 1 | 278 | 37 | 40% | 7.5 |
| Occupational Therapy Aide | 3 | 0 | 3 | 268 | 50 | 54% | 4.8 |
| Qualified Social Worker | 0 | 3 | 3 | 121 | 18 | 20% | 5.5 |
| Medical Director | 1 | 0 | 1 | 91 | 26 | 28% | 3.5 |
| Qualified Activities Professional | 0 | 1 | 1 | 8 | 1 | 1% | 7.8 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.5
48% worse than New York State averageNew York State average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.5
13% worse than New York State averageNew York State average: 18.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
24.4%
48% worse than New York State averageNew York State average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
21.9%
32% worse than New York State averageNew York State average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.2%
29% better than New York State averageNew York State average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
6.3%
111% worse than New York State averageNew York State average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
8.3%
16% worse than New York State averageNew York State average: 7.2%
Percent of long-stay residents with a urinary tract infection
1.5%
9% worse than New York State averageNew York State average: 1.4%
Percent of long-stay residents who lose too much weight
11.6%
91% worse than New York State averageNew York State average: 6.1%
Percent of long-stay residents who have depressive symptoms
46.5%
157% worse than New York State averageNew York State average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
6.1%
51% better than New York State averageNew York State average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.8%
In line with New York State averageNew York State average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
In line with New York State averageNew York State average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.82
6% worse than New York State averageNew York State average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.32
146% worse than New York State averageNew York State average: 1.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.7%
9% better than New York State averageNew York State average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
4.0%
212% worse than New York State averageNew York State average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
85.9%
9% better than New York State averageNew York State average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.2%
In line with New York State averageNew York State average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.5%
49% worse than New York State averageNew York State average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
6.5%
747% worse than New York State averageNew York State average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
69.6%
30% better than New York State averageNew York State average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
36.8%
27% worse than New York State averageNew York State average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
28% of new residents, usually for short-term rehab.
44% of new residents, often for short stays.
29% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
93Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Essex Center for Rehabilitation and Healthcare based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #314 / 382Payroll — State benchmarkedThis home is ranked 314th out of 382 homes in New York. Shows total annual staff payroll benchmarked to the New York average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
0.0 miles from city center
Estimated distance in miles from Elizabethtown's city center to Essex Center for Rehabilitation and Healthcare's address, calculated via Google Maps.
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Essex Center for Rehabilitation and Healthcare is located in Elizabethtown, New York.
Here are the financial assistance programs available to residents in New York.
The legal owner and operator of Essex Center for Rehabilitation and Healthcare is Essex Operations Associates, LLC (For Profit).
Essex Center for Rehabilitation and Healthcare has a walk score of 38. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to NY state health department records, Essex Center for Rehabilitation and Healthcare's license number is 1552300N.
Essex Center for Rehabilitation and Healthcare's occupancy is 90%.
Essex Center for Rehabilitation and Healthcare has 100 beds.
Essex Center for Rehabilitation and Healthcare has had 24 recently reported deficiencies.
Yes — there are 7 photos of Essex Center for Rehabilitation and Healthcare in the photo gallery on this page.
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