Show Inspection Reports
Total health inspections
3
State average N/A
Last Health inspection on Aug 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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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.
North Country Nursing & Rehabilitation Center
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.
North Country Nursing & Rehabilitation Center
North Country Nursing & Rehabilitation Center is located in Massena, NY. It provides exceptional skilled nursing and rehabilitation care, including physical therapy, occupational therapy, and social services. The facility is committed to delivering high-quality elder care services in a homelike atmosphere.
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
140
This home is often near full
That suggests steady demand, but availability may be limited.
Occupancy rate
96.5%
Residents per day (avg)
133
Occupancy rate
96.5%
Residents per day (avg)
133
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
75% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
8% of new residents, often for short stays.
Typical stay
4 - 5 months
Medicaid
18% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$16.4M
Profit
$1.0M
Privately-owned community
Operated by a business corporation.
Home revenue
$16.4M
Profit
$1.0M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.4M
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.
$11.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$15.4M
140-bed community
A larger shared setting that may offer more common spaces and organized community services.
About this community
Facility TypeNursing Home
StatusActive
CountySt. Lawrence
License Number4402300N
CMS Certification Number335619
Inspection Rating1 star overall rating with CMS, including 1 star for health inspections and 4 stars for staffing and quality measures.
Owner NameHighland Nursing Home, Inc (For Profit)
Accept Medicaid
Accept Medicare
Rehabilitation Services
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs
Specific ProgramsPhysical Therapy, Occupational Therapy, Speech Therapy, Nursing Rehab, Nutrition and Exercise, Wellness Planning, Social Services, Beauty/Barber Services, Dental Services, Resident Council, Individual and Family counseling, Activities
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
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.
2 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.
New York average: 9 inspections
79 complaints
56.4 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
August 15, 2025
Complaint Investigation21 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
New York average: 29 citations
45 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
New York average: 22 deficiencies
3
enforcement actions
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety, or regulatory standards.
July 2, 2021: Stipulation & Order #: NH-21-178
A formal agreement with the state to correct serious or repeated issues.
December 26, 2019: Stipulation & Order #: NH-21-164
A formal agreement with the state to correct serious or repeated issues.
Date not yet available: Stipulation & Order #: NH-19-028
A formal agreement with the state to correct serious or repeated issues.
Inspection Report Summary for North Country Nursing & Rehabilitation Center
The most recent inspection on August 15, 2025, identified multiple Level 2 deficiencies in health and life safety code categories, with many issues corrected by September 18, 2025. Earlier inspections, including one on December 15, 2023, also found multiple Level 2 deficiencies, mainly related to care planning, infection control, nutrition, and fire safety systems. Inspectors cited recurring themes involving food safety, environmental safety, and emergency systems maintenance. No fines, enforcement actions, or substantiated complaints were listed in the available reports. The facility has shown some responsiveness by correcting many deficiencies following inspections, but similar types of issues have appeared over time.
Health Inspection History
Inspections
Total health citations
26
State average N/A
Citations per inspection
8.67
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
20 of 26 citations resulted from standard inspections; and 6 of 26 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
26 moderate citations
0 minor citations
Citations history (last 3 years)
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Aug 15, 2025
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Aug 15, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 15, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 15, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 15, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 15, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 15, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 15, 2025
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
| North Country Nursing & Rehabilitation Center |
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. | Massena | 140 | No | - | - | - |
| 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 North Country Nursing & Rehabilitation Center
0.0 miles from city center
Estimated distance in miles from Massena's city center to North Country Nursing & Rehabilitation Center'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
158
Employees
152
Contractors
6
Staff to resident ratio
1.23:1
0% compared with State averageState average ratio: 0:0
Avg staff/day
71
Average shift
7.5 hours
0% compared with State averageState average: 0 hours
Total staff hours (quarter)
48,332
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
33
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
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
99
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
2.6%
1,266 contractor hours this quarter
Registered Nurse: 2
Medical Director: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Mental Health Service Worker: 1
Staff by category
| Certified Nursing Assistant | 99 | 0 | 99 | 30,514 | 91 | 100% | 7.5 |
| Registered Nurse | 31 | 2 | 33 | 11,365 | 91 | 100% | 7.8 |
| Licensed Practical Nurse | 17 | 0 | 17 | 4,608 | 91 | 100% | 8 |
| Administrator | 1 | 0 | 1 | 488 | 65 | 71% | 7.5 |
| Dental Services Staff | 1 | 0 | 1 | 314 | 57 | 63% | 5.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 312 | 39 | 43% | 8 |
| Speech Language Pathologist | 1 | 0 | 1 | 270 | 40 | 44% | 6.8 |
| Medical Director | 0 | 1 | 1 | 260 | 65 | 71% | 4 |
| Qualified Social Worker | 2 | 0 | 2 | 158 | 39 | 43% | 3.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 38 | 17 | 19% | 2.2 |
| Mental Health Service Worker | 0 | 1 | 1 | 6 | 3 | 3% | 2 |
99 Certified Nursing Assistant
% of Days
100%
33 Registered Nurse
% of Days
100%
17 Licensed Practical Nurse
% of Days
100%
1 Administrator
% of Days
71%
1 Dental Services Staff
% of Days
63%
1 Occupational Therapy Aide
% of Days
43%
1 Speech Language Pathologist
% of Days
44%
1 Medical Director
% of Days
71%
2 Qualified Social Worker
% of Days
43%
1 Occupational Therapy Assistant
% of Days
19%
1 Mental Health Service Worker
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
128
Medicare
19
14.8% of residents
Medicaid
96
75% of residents
Private pay or other
13
10.2% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
6.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.4
35% better than State averageState average: 9.8
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
5.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
5.9
67% better 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
12.3%
Percent of long-stay residents whose need for help with daily activities has increased
12.3%
25% better than State averageState average: 16.4%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
4.8%
Percent of long-stay residents whose ability to move independently worsened
4.8%
71% better 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
0.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
0.6%
97% better than State averageState average: 21.4%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
22% worse than State averageState average: 3.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.7%
Percent of long-stay high risk residents with pressure ulcers
5.7%
21% better than State averageState average: 7.2%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.2%
Percent of long-stay residents with a urinary tract infection
0.2%
84% better than State averageState average: 1.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.6%
Percent of long-stay residents who lose too much weight
5.6%
9% better than State averageState average: 6.1%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
26.4%
Percent of long-stay residents who have depressive symptoms
26.4%
46% worse than State averageState average: 18.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
3.1%
Percent of long-stay residents who received an antipsychotic medication
3.1%
75% better than State averageState average: 12.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.5%
In line with State averageState average: 91.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.9%
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
70.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.2%
8% worse than State averageState average: 76.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
35% better than State averageState average: 1.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
45.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
45.0%
43% worse 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 North Country Nursing & Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
96.5%
↑ 0.4pp vs 2022
Net Income
$1.0M
↑ ~$756.8K vs 2022
Total Payroll
$5.2M
↓ ~$435.1K vs 2022
Profit Margin
6.3%
↑ 4.8pp vs 2022
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