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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.
Achieve Rehab and Nursing Facility is dedicated to providing high-quality care in a patient-centered environment. The facility focuses on rehabilitation and specialty care, ensuring residents receive the support they need to regain strength and independence. With a commitment to excellence, Achieve aims to be the facility of choice for patients, employees, and physicians.
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.
| 30m per day | ▼ 29% 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.
| 40m per day | ▼ 14% 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.
| 2h 4m per day | ▼ 5% 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 51m 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.
| 9m per day | ▲ 33% 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.
| 23m per day | ▼ 19% State avg: 28m per day · National avg: 28m per day |
Higher than the New York average: 88.3%Achieve Rehab and Nursing Facility is legally operated by WMOP, 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.
8 points above the New York State average for nursing homes (83/100)
Inspection score: 91 out of 100. Letter grade A-. 8 points above the New York State average for nursing homes (83/100)
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.
| 17 | 13 | This facility has 31% more total citations than a typical New York State nursing home (17 vs. NY avg 13).↑ 31% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 11 | 20 | This facility has 45% fewer health citations than a typical New York State nursing home (11 vs. NY avg 20).↓ 45% better |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 6 | 4 | This facility has 50% more life safety citations than a typical New York State nursing home (6 vs. NY avg 4).↑ 50% worse |
|
Citations per year
Average citations per year since 2019.
| 2.4 | 1.9 | This facility has 26% more citations per year than a typical New York State nursing home (2.4 vs. NY avg 1.9).↑ 26% worse |
|
Citations per inspection
Average citations per inspection.
| 3.4 | 1.4 | This facility has 143% more citations per inspection than a typical New York State nursing home (3.4 vs. NY avg 1.4).↑ 143% worse |
Inspections
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 5 | 9 | This facility has 44% fewer total inspections than a typical New York State nursing home (5 vs. NY avg 9).↓ 44% better |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 4 | 4 | This facility has inspections with citations in line with the New York State average (4 vs. NY avg 4).— At avg |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 80% | 44% | This facility has 36 percentage points higher inspection citation rate than a typical New York State nursing home (80% vs. NY avg 44%).↑ 36% worse |
Complaints & Investigations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 40 | 79 | This facility has 49% fewer total complaints than a typical New York State nursing home (40 vs. NY avg 79).↓ 49% better |
|
Complaints per year
Average complaints per year since 2019.
| 5.7 | 11.3 | This facility has 50% fewer complaints per year than a typical New York State nursing home (5.7 vs. NY avg 11.3).↓ 50% better |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 0.30 | 0.50 | This facility has 40% fewer complaints per bed than a typical New York State nursing home (0.3 vs. NY avg 0.5).↓ 40% better |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York State regulators.
| 8 | 15 | This facility has 47% fewer complaint investigations than a typical New York State nursing home (8 vs. NY avg 15).↓ 47% better |
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 Jan 2025
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.
14 of 24 citations resulted from standard inspections; 4 of 24 resulted from complaint investigations; and 6 of 24 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.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
790% more staff per resident than New York average
0% compared with 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.
25 total: 4 full-time employees and 21 contractors.
25
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursAssists with medical care and medications.
29 total: 15 full-time employees and 14 contractors.
29
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursHelps with daily care and mobility.
90 total: 65 full-time employees and 25 contractors.
90
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,240 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 65 | 25 | 90 | 25,315 | 92 | 100% | 8.1 |
| Licensed Practical Nurse | 15 | 14 | 29 | 7,254 | 92 | 100% | 9.1 |
| Clinical Nurse Specialist | 10 | 0 | 10 | 3,487 | 92 | 100% | 7.9 |
| Registered Nurse | 4 | 21 | 25 | 2,163 | 90 | 98% | 10.1 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 1,897 | 92 | 100% | 6.6 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,410 | 87 | 95% | 7.1 |
| Physical Therapy Aide | 3 | 0 | 3 | 1,069 | 66 | 72% | 7.2 |
| Dental Services Staff | 2 | 0 | 2 | 866 | 64 | 70% | 7.5 |
| RN Director of Nursing | 2 | 0 | 2 | 854 | 66 | 72% | 7.9 |
| Speech Language Pathologist | 3 | 0 | 3 | 734 | 73 | 79% | 7.3 |
| Physical Therapy Assistant | 3 | 0 | 3 | 699 | 77 | 84% | 8 |
| Administrator | 1 | 0 | 1 | 454 | 61 | 66% | 7.4 |
| Dietitian | 1 | 0 | 1 | 435 | 59 | 64% | 7.4 |
| Nurse Practitioner | 1 | 0 | 1 | 434 | 59 | 64% | 7.3 |
| Qualified Social Worker | 2 | 0 | 2 | 206 | 50 | 54% | 3.6 |
| Other Physician | 0 | 9 | 9 | 177 | 52 | 57% | 2.1 |
| Occupational Therapy Assistant | 0 | 4 | 4 | 73 | 34 | 37% | 1.7 |
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.
10.7
9% 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.
17.0
6% better 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
17.6%
7% worse than New York State averageNew York State average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
14.9%
10% better 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
18.6%
13% better than New York State averageNew York State average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
49% worse than New York State averageNew York State average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
8.1%
12% worse than New York State averageNew York State average: 7.2%
Percent of long-stay residents with a urinary tract infection
0.7%
48% better than New York State averageNew York State average: 1.4%
Percent of long-stay residents who lose too much weight
8.6%
40% worse than New York State averageNew York State average: 6.1%
Percent of long-stay residents who have depressive symptoms
6.4%
65% better than New York State averageNew York State average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
10.0%
21% better than New York State averageNew York State average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
7% better than New York State averageNew York State average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.3%
In line with New York State averageNew York State average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.75
In line with New York State averageNew York State average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.32
72% 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
71.1%
7% worse than New York State averageNew York State average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
20% worse than New York State averageNew York State average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
69.1%
12% worse than New York State averageNew York State average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
20.9%
In line with New York State averageNew York State average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.3%
47% worse than New York State averageNew York State average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.4%
47% better than New York State averageNew York State average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
45.8%
15% worse than New York State averageNew York State average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
42.5%
16% 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.
57% of new residents, usually for short-term rehab.
31% of new residents, often for short stays.
12% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
125Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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 Achieve Rehab and Nursing Facility 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 #268 / 382Payroll — State benchmarkedThis home is ranked 268th out of 382 homes in New York for payroll. 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 typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Liberty's city center to Achieve Rehab and Nursing Facility's address, calculated via Google Maps.
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Achieve Rehab and Nursing Facility is located in Liberty, New York.
Here are the financial assistance programs available to residents in New York.
The legal owner and operator of Achieve Rehab and Nursing Facility is WMOP, LLC (For Profit).
Achieve Rehab and Nursing Facility has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to NY state health department records, Achieve Rehab and Nursing Facility's license number is 5220303N.
Achieve Rehab and Nursing Facility's occupancy is 94%.
Achieve Rehab and Nursing Facility has 140 beds.
Achieve Rehab and Nursing Facility has had 17 recently reported deficiencies.
Achieve Rehab and Nursing Facility is located at 170 Lake Street.
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