Amsterdam’s Capstone Center comprises 120 licensed beds operating under a majority Medicaid census (78.8% of current residents, though private admissions represent 56% of intake). Owner Jessica Edwards runs the facility as CSRNC, LLC. Residents stay an average of 186 days; the facility maintains 98% occupancy.
The overall 2-star designation obscures significant performance variation. Health inspections earned 1 star. Staffing was rated 3 stars. Quality measures reached 5 stars.
Daily nursing totals 3 hours 59 minutes per resident; above state norms by 14%. Registered nurses contribute 28 minutes daily versus a state average of 42 minutes. Licensed practical nurses add 50 minutes (state average 46 minutes). Nurse aides provide 1 hour 51 minutes against a state benchmark of 2 hours 11 minutes.
On weekends, total nursing drops to 2 hours 23 minutes per resident. Weekend RN coverage falls to 5 minutes per day; the state average is 28 minutes.
Since 2019, the facility has accumulated 22 citations; 69% above the state average for similar inspection periods. Eighty-seven complaints were filed; 14 triggered investigations.
The December 10, 2024, inspection uncovered 19 deficiencies. Most were remedied by late January 2025. Recurring themes span nursing sufficiency, ADL assistance, medication oversight, infection prevention, and environmental safety.
One $48,000 penalty was imposed in December 2024. No Medicare payment denials were issued.
Long-stay residents experience depression in 1.5% of cases, 92% below state prevalence. Pressure ulcers develop in 8.9% (25% worse than average). Functional decline reached 14.4% (21% better). UTI rates are zero, and falls with major injury occur in 2.6%.
For short-stay residents, the picture shifts. Emergency department visits (5.6%) and re-hospitalization rates (15.6%) beat state averages. But return-to-home success reaches only 36.1% (29% worse than the state); it falls with a major injury spike to 2.3% (203% worse). Self-care ability at discharge sits at 38.7%.
The facility faces three active lawsuits, filed in 2024, 2025, and 2026.
Capstone reflects long-term care stability where depression and mobility outcomes outperform regional norms, while discharge-home pathways and injury prevention lag, coupled recent legal exposure.

















