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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.
Elderwood at Hornell is a skilled nursing facility located in Hornell, New York. It offers long-term nursing home care and memory care, along with comprehensive rehabilitation services. The facility features a friendly atmosphere and a variety of amenities for residents.
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 206th 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.
| 39m per day | ▼ 7% 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.
| 28m per day | ▼ 38% 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 30m per day | ▼ 32% 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 17m per day | ▼ 28% 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.
| 5m per day | ▼ 26% 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.
| 22m per day | ▼ 21% State avg: 28m per day · National avg: 28m per day |
Similar to the New York average: 88.3%Elderwood at Hornell is legally operated by 1 Bethesda Drive Operating Company 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.
2 points above the New York State average for nursing homes (83/100)
Inspection score: 85 out of 100. Letter grade B. 2 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.
| 14 | 13 | This facility has 8% more total citations than a typical New York State nursing home (14 vs. NY avg 13).↑ 8% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 12 | 20 | This facility has 40% fewer health citations than a typical New York State nursing home (12 vs. NY avg 20).↓ 40% better |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 2 | 4 | This facility has 50% fewer life safety citations than a typical New York State nursing home (2 vs. NY avg 4).↓ 50% better |
|
Citations per year
Average citations per year since 2019.
| 2 | 1.9 | This facility has 5% more citations per year than a typical New York State nursing home (2 vs. NY avg 1.9).↑ 5% worse |
|
Citations per inspection
Average citations per inspection.
| 2 | 1.4 | This facility has 43% more citations per inspection than a typical New York State nursing home (2 vs. NY avg 1.4).↑ 43% worse |
Inspections
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 7 | 9 | This facility has 22% fewer total inspections than a typical New York State nursing home (7 vs. NY avg 9).↓ 22% better |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 5 | 4 | This facility has 25% more inspections with citations than a typical New York State nursing home (5 vs. NY avg 4).↑ 25% worse |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 71% | 44% | This facility has 27 percentage points higher inspection citation rate than a typical New York State nursing home (71% vs. NY avg 44%).↑ 27% worse |
Complaints & Investigations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 134 | 79 | This facility has 70% more total complaints than a typical New York State nursing home (134 vs. NY avg 79).↑ 70% worse |
|
Complaints per year
Average complaints per year since 2019.
| 19.1 | 11.3 | This facility has 69% more complaints per year than a typical New York State nursing home (19.1 vs. NY avg 11.3).↑ 69% worse |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 1.34 | 0.50 | This facility has 168% more complaints per bed than a typical New York State nursing home (1.34 vs. NY avg 0.5).↑ 168% worse |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York State regulators.
| 7 | 15 | This facility has 53% fewer complaint investigations than a typical New York State nursing home (7 vs. NY avg 15).↓ 53% 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 Feb 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.
7 of 8 citations resulted from standard inspections; and 1 of 8 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.
8
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.
7
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2020
Most recent filing on record. Recent activity means legal disputes are still being raised against this facility.
2024Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
1060% 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.
All 19 RN Staff are full-time employees. No contractors work on this role.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursAssists with medical care and medications.
All 25 LPN Staff are full-time employees. No contractors work on this role.
25
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursHelps with daily care and mobility.
All 73 CNA Staff are full-time employees. No contractors work on this role.
73
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 73 | 0 | 73 | 14,178 | 92 | 100% | 8 |
| Registered Nurse | 19 | 0 | 19 | 4,558 | 90 | 98% | 7.8 |
| Licensed Practical Nurse | 25 | 0 | 25 | 4,491 | 92 | 100% | 9.4 |
| Other Dietary Services Staff | 10 | 0 | 10 | 1,550 | 92 | 100% | 7.5 |
| Physical Therapy Assistant | 15 | 0 | 15 | 1,449 | 83 | 90% | 6.2 |
| Clinical Nurse Specialist | 9 | 0 | 9 | 1,198 | 68 | 74% | 7.8 |
| Respiratory Therapy Technician | 13 | 0 | 13 | 824 | 77 | 84% | 5.5 |
| Speech Language Pathologist | 3 | 0 | 3 | 779 | 60 | 65% | 6.6 |
| Administrator | 3 | 0 | 3 | 526 | 65 | 71% | 7.6 |
| Mental Health Service Worker | 3 | 0 | 3 | 496 | 63 | 68% | 7.5 |
| Dietitian | 2 | 0 | 2 | 465 | 62 | 67% | 7.5 |
| Physical Therapy Aide | 4 | 0 | 4 | 456 | 63 | 68% | 7.1 |
| Nurse Practitioner | 2 | 0 | 2 | 409 | 46 | 50% | 7.2 |
| Dental Services Staff | 1 | 0 | 1 | 406 | 54 | 59% | 7.5 |
| Medical Director | 2 | 0 | 2 | 222 | 37 | 40% | 6 |
| Occupational Therapy Aide | 1 | 0 | 1 | 18 | 9 | 10% | 2 |
Includes penalties issued in 2023
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 (Data as of Jan 2026)
94% lower than New York State averageNew York State average: $66K
51% fewer fines than New York State averageNew York State average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than New York State averageNew York State average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Oct 2, 2023 · $4K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 2, 2023Last updated: Jan 2026
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.
12.2
24% 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.
19.0
In line with 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
15.6%
5% better than New York State averageNew York State average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
15.8%
5% 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
25.5%
19% worse 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%
112% worse than New York State averageNew York State average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
9.7%
35% worse than New York State averageNew York State average: 7.2%
Percent of long-stay residents with a urinary tract infection
0.9%
36% better than New York State averageNew York State average: 1.4%
Percent of long-stay residents who lose too much weight
13.4%
120% worse than New York State averageNew York State average: 6.1%
Percent of long-stay residents who have depressive symptoms
2.7%
85% better than New York State averageNew York State average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
17.7%
41% worse than New York State averageNew York State average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
8% better than New York State averageNew York State average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
In line with New York State averageNew York State average: 95.2%
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
86.5%
13% better than New York State averageNew York State average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
25% better than New York State averageNew York State average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
74.6%
5% 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.
26.3%
28% worse than New York State averageNew York State average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
20.2%
108% worse than New York State averageNew York State average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
2.7%
248% 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.
65.6%
22% better than New York State averageNew York State average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
56.6%
12% better 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.
39% of new residents, usually for short-term rehab.
59% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
91Residents 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 Elderwood at Hornell 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 #291 / 382Payroll — State benchmarkedThis home is ranked 291st 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.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
4.5 miles from city center
Estimated distance in miles from N Hornell's city center to Elderwood at Hornell's address, calculated via Google Maps.
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Elderwood at Hornell is located in N Hornell, New York.
Here are the financial assistance programs available to residents in New York.
The legal owner and operator of Elderwood at Hornell is 1 Bethesda Drive Operating Company LLC (For Profit).
Elderwood at Hornell has a walk score of 14. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to NY state health department records, Elderwood at Hornell's license number is 5034300N.
Elderwood at Hornell's occupancy is 89%.
Elderwood at Hornell has 112 beds.
Elderwood at Hornell has had 14 recently reported deficiencies.
Yes — there are 6 photos of Elderwood at Hornell in the photo gallery on this page.
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