Show Inspection Reports
Total health inspections
4
State average N/A
Last Health inspection on Nov 2024
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Assisted Living in USA
CMS overall rating
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.
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.
Essex Center for Rehabilitation and Healthcare
Assisted Living in USA
CMS overall rating
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.
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.
Essex Center for Rehabilitation and Healthcare
Essex Center for Rehabilitation and Healthcare is located in Elizabethtown, NY. It is a rehabilitation and skilled nursing facility operated by Centers Health Care, dedicated to fostering independence and a high quality of life among its residents. The facility reflects a legacy of excellence and personalized care in the Northeast region.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
100
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
91.8%
Residents per day (avg)
93
Occupancy rate
91.8%
Residents per day (avg)
93
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
28% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
44% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
29% of new residents, often for long-term daily care.
Typical stay
1 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$13.3M
Operating loss
-$867.9K
Privately-owned community
Operated by a business corporation.
Home revenue
$13.3M
Operating loss
-$867.9K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$11.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$14.2M
100-bed community
A larger shared setting that may offer more common spaces and organized community services.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Facility TypeNursing Home
StatusActive
CountyEssex
License Number1552300N
CMS Certification Number335478
Owner NameEssex Operations Associates, LLC (For Profit)
Rehabilitation Services
Short-Term Rehab
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs
Rehabilitation
Specific ProgramsCardiac Care, Pain Management, Short-Term Rehab, Stroke Care, Orthopedic Care, Long-Term Care, Wound Care
Inspection History
In New York, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.
4 inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
4 with citations, 0 without citations
New York average: 9 inspections (5 with citations)
105 complaints
105 complaints per 100 occupied beds
New York average: 49.9 complaints per 100 occupied beds
Formal expressions of dissatisfaction or concern made by residents, or their families regarding various aspects of the care, services, and environment provided.
New York average: 79 complaints
Latest inspection
Date
November 13, 2024
Complaint Investigation27 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
New York average: 29 citations
27 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
New York average: 22 deficiencies
4
enforcement actions
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
April 26, 2022: Stipulation & Order #: NH-22-106
A formal agreement with the state to correct serious or repeated issues.
August 26, 2020: Stipulation & Order #: NH-21-042
A formal agreement with the state to correct serious or repeated issues.
June 14, 2018: Stipulation & Order #: NH-18-039
A formal agreement with the state to correct serious or repeated issues.
August 19, 2015: Stipulation & Order #: NH-16-116
A formal agreement with the state to correct serious or repeated issues.
Inspection Report Summary for Essex Center for Rehabilitation and Healthcare
The most recent inspection on November 13, 2024, identified multiple Level 2 deficiencies in health and life safety codes, all of which were corrected within a month or two. Earlier inspections showed a pattern of similar Level 2 deficiencies related mainly to activities of daily living (ADL) care, care planning, food sanitation, resident rights, and life safety systems, with all issues addressed promptly after each survey. Complaint investigations were not substantiated, and no fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. Prior reports also noted a single infection control deficiency during a COVID-19 survey, which was corrected quickly. The facility’s record shows recurring issues primarily in resident care and environmental safety, but timely corrections suggest ongoing efforts to maintain compliance.
Health Inspection History
Inspections
Total health citations
19
State average N/A
Citations per inspection
4.75
State average N/A
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).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
In line with State averageState average: N/A
Serious Health citations
0
0
In line with State averageState average: N/A
0 critical citations
0 serious citations
19 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Nov 13, 2024
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Nov 13, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 13, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 13, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 13, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 13, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 13, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 13, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Assisted Living around Usa The information below is reported by the New York State Department of Health.
Filter by care type
| Essex Center for Rehabilitation and Healthcare |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Elizabethtown | 100 | No | A+ | - | - |
| Job Haines Home |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Bloomfield | 40 | No | - | 85 | Studio / 1 Bed / Private / Semi-Private Rooms |
| Village Care Homes Assisted Living – Stephen F Austin |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Conroe | 16 | No | - | 27 | Private / Semi-Private Suite |
| Countryside Manor Assisted Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Conroe | 12 | No | - | 8 | - |
| Anton’s Assisted Living |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Boerne | 10 | No | - | - | - |
Places of interest near Essex Center for Rehabilitation and Healthcare
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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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
95
Employees
75
Contractors
20
Staff to resident ratio
1.02:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
37
Average shift
9.6 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
32,335
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
16
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
45
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
27.9%
9,019 contractor hours this quarter
Licensed Practical Nurse: 10
Respiratory Therapy Technician: 3
Physical Therapy Assistant: 2
Registered Nurse: 1
Physical Therapy Aide: 1
Speech Language Pathologist: 1
Qualified Social Worker: 1
Qualified Activities Professional: 1
Staff by category
| Certified Nursing Assistant | 45 | 0 | 45 | 16,137 | 91 | 100% | 11 |
| Licensed Practical Nurse | 6 | 10 | 16 | 7,301 | 91 | 100% | 11 |
| Respiratory Therapy Technician | 1 | 3 | 4 | 1,470 | 67 | 74% | 7.2 |
| Registered Nurse | 7 | 1 | 8 | 1,353 | 90 | 99% | 7.8 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 919 | 65 | 71% | 7.4 |
| Other Social Services Staff | 2 | 0 | 2 | 828 | 76 | 84% | 7.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 697 | 71 | 78% | 6.6 |
| Other Dietary Services Staff | 2 | 0 | 2 | 661 | 74 | 81% | 7.5 |
| Administrator | 1 | 0 | 1 | 495 | 63 | 69% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 450 | 60 | 66% | 7.5 |
| Dental Services Staff | 1 | 0 | 1 | 435 | 58 | 64% | 7.5 |
| Speech Language Pathologist | 0 | 1 | 1 | 421 | 64 | 70% | 6.6 |
| Physical Therapy Aide | 0 | 1 | 1 | 394 | 62 | 68% | 6.4 |
| Feeding Assistant | 1 | 0 | 1 | 375 | 50 | 55% | 7.5 |
| Occupational Therapy Aide | 5 | 0 | 5 | 298 | 52 | 57% | 5.1 |
| Qualified Social Worker | 0 | 1 | 1 | 85 | 12 | 13% | 7.1 |
| Qualified Activities Professional | 0 | 1 | 1 | 17 | 3 | 3% | 5.6 |
45 Certified Nursing Assistant
% of Days
100%
16 Licensed Practical Nurse
% of Days
100%
4 Respiratory Therapy Technician
% of Days
74%
8 Registered Nurse
% of Days
99%
3 Clinical Nurse Specialist
% of Days
71%
2 Other Social Services Staff
% of Days
84%
2 Physical Therapy Assistant
% of Days
78%
2 Other Dietary Services Staff
% of Days
81%
1 Administrator
% of Days
69%
1 Nurse Practitioner
% of Days
66%
1 Dental Services Staff
% of Days
64%
1 Speech Language Pathologist
% of Days
70%
1 Physical Therapy Aide
% of Days
68%
1 Feeding Assistant
% of Days
55%
5 Occupational Therapy Aide
% of Days
57%
1 Qualified Social Worker
% of Days
13%
1 Qualified Activities Professional
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
93
Medicare
9
9.7% of residents
Medicaid
84
90.3% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.5
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 State averageState average: 9.8
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.5
13% worse than State averageState average: 18.1
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
24.4%
Percent of long-stay residents whose need for help with daily activities has increased
24.4%
48% worse than State averageState average: 16.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
21.9%
Percent of long-stay residents whose ability to move independently worsened
21.9%
32% worse than State averageState average: 16.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.2%
29% better than State averageState average: 21.4%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.3%
Percent of long-stay residents experiencing one or more falls with major injury
6.3%
111% worse than State averageState average: 3.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
8.3%
Percent of long-stay high risk residents with pressure ulcers
8.3%
16% worse than State averageState average: 7.2%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.5%
Percent of long-stay residents with a urinary tract infection
1.5%
9% worse than State averageState average: 1.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
11.6%
Percent of long-stay residents who lose too much weight
11.6%
91% worse than State averageState average: 6.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
46.5%
Percent of long-stay residents who have depressive symptoms
46.5%
157% worse than State averageState average: 18.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
6.1%
Percent of long-stay residents who received an antipsychotic medication
6.1%
51% better than State averageState average: 12.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
92.8%
In line with State averageState average: 91.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.0%
In line with State averageState average: 95.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
83.7%
9% better than State averageState average: 76.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
4.0%
Percent of short-stay residents who newly received an antipsychotic medication
4.0%
212% worse than State averageState average: 1.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
85.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
85.9%
9% better than State averageState average: 78.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Essex Center for Rehabilitation and Healthcare based on CMS SNF Cost Reports.
Occupancy Rate
91.8%
↓ 0.1pp vs 2022
Net Income
-$867.9K
↓ ~$788.2K vs 2022
Total Payroll
$7.8M
↑ ~$300.5K vs 2022
Profit Margin
-6.5%
↓ 6.0pp vs 2022
Loading trend charts...
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