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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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.
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.
| 32m per day | ▼ 24% 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.
| 37m per day | ▼ 20% 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 37m per day | ▼ 26% State avg: 2h 11m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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 34m per day | ▼ 19% 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.
| 6m per day | ▼ 14% State avg: 7m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 17m per day | ▼ 39% State avg: 28m per day · National avg: 28m per day |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #268 / 353Payroll — State benchmarkedThis home is ranked 268th out of 353 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.
Similar to the New York average: 88.3%Elderwood at Hornell is legally operated by 1 Bethesda Drive Operating Company LLC (For Profit).
How this facility protects residents through staff vaccination policies and immunization practices.
Percentage of facility employees vaccinated against influenza.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations are formal regulatory issues recorded during state inspections.
State inspections evaluate whether the facility meets health and safety standards.
| Metric | 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 assisted living residence (7 vs. NY avg 9). Click this badge to view the full New York ranking.↓ 22% better |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 5 | 5 | This facility has inspections with citations in line with the New York average (5 vs. NY avg 5). Click this badge to view the full New York ranking.— At avg |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 71% | 56% | This facility has 15 percentage points higher inspection citation rate than a typical New York assisted living residence (71% vs. NY avg 56%). Click this badge to view the full New York ranking.↑ 15% worse |
Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on February 2, 2024, identified deficiencies related to care planning and electrical systems, both of which were corrected by March 29, 2024. Earlier inspections, particularly in late 2023 and 2022, consistently cited issues with reporting to the national health safety network during Covid-19 surveys. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. Complaint investigations were not substantiated beyond these cited deficiencies. The facility’s record shows repeated reporting issues in prior inspections, with the latest survey indicating some progress through correction of cited deficiencies.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsState average N/A
Last Health inspection on Feb 2024
State average N/A
State average N/A
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).
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
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
1 active
Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes.
7
7 Disposed
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2020
Year of the most recent filing. Recent activity means legal disputes are still being raised against this facility.
2024
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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Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0:0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
0 contractor hours this quarter
No contractor roles were reported this quarter.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 65 | 0 | 65 | 17,179 | 91 | 100% | 8.1 |
| Licensed Practical Nurse | 16 | 0 | 16 | 6,934 | 91 | 100% | 9.1 |
| Registered Nurse | 15 | 0 | 15 | 4,382 | 91 | 100% | 7.8 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,310 | 87 | 96% | 7.6 |
| Physical Therapy Assistant | 9 | 0 | 9 | 1,252 | 77 | 85% | 6.2 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 939 | 64 | 70% | 7.5 |
| Speech Language Pathologist | 3 | 0 | 3 | 875 | 69 | 76% | 6.9 |
| Respiratory Therapy Technician | 5 | 0 | 5 | 864 | 77 | 85% | 6 |
| Physical Therapy Aide | 3 | 0 | 3 | 515 | 64 | 70% | 7.6 |
| Dietitian | 1 | 0 | 1 | 476 | 64 | 70% | 7.4 |
| Dental Services Staff | 1 | 0 | 1 | 460 | 62 | 68% | 7.4 |
| Mental Health Service Worker | 2 | 0 | 2 | 450 | 60 | 66% | 7.5 |
| Administrator | 1 | 0 | 1 | 445 | 60 | 66% | 7.4 |
| Nurse Practitioner | 1 | 0 | 1 | 406 | 54 | 59% | 7.5 |
| Medical Director | 1 | 0 | 1 | 234 | 39 | 43% | 6 |
| Occupational Therapy Aide | 1 | 0 | 1 | 67 | 39 | 43% | 1.7 |
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.
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 State averageState average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.0
In line with State averageState 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 State averageState average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
15.8%
5% better than State averageState average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.5%
19% worse than State averageState average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
6.3%
112% worse than State averageState average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
9.7%
35% worse than State averageState average: 7.2%
Percent of long-stay residents with a urinary tract infection
0.9%
36% better than State averageState average: 1.4%
Percent of long-stay residents who lose too much weight
13.4%
120% worse than State averageState average: 6.1%
Percent of long-stay residents who have depressive symptoms
2.7%
85% better than State averageState average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
17.7%
41% worse than State averageState average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
8% better than State averageState average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
In line with State averageState 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 State averageState average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
25% better than State averageState average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
74.6%
5% worse than State averageState average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.3%
28% worse than State averageState average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
20.2%
108% worse than State averageState average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
2.7%
248% worse than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
65.6%
22% better than State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
56.6%
12% better than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 State averageState average: $66K
51% fewer fines than State averageState 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 State averageState 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
The information below is reported by the New York State Department of Health.
| Elderwood at Hornell |
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. | N Hornell | - | 112 | 14 | - |
| Job Haines Home |
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.
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.
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 (Bloomfield Avenue) | - | 40 | 85 | Studio / 1 Bed / Private / Semi-Private Rooms |
Historical financial and operational data for Elderwood at Hornell based on CMS SNF Cost Reports.
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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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