Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
North Country Nursing & Rehabilitation Center
North Country Nursing & Rehabilitation Center
North Country Nursing & Rehabilitation Center is an Assisted Living Home in New York
North Country Nursing &… is an Assisted Living Home in New York
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
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
Proprietary home
Corporation
Home revenue
$16.4M
Profit
$1.0M
Proprietary home
Corporation
Home revenue
$16,401,623.00
Profit
$1,021,081.00
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
License Status
ActiveFacility Type
Nursing Home
Additional licensing details
License number:
4402300N
CMS Certification Number:
335619
County:
St. Lawrence
Inspection Rating:
1 star overall rating with CMS, including 1 star for health inspections and 4 stars for staffing and quality measures.
Ownership & operating entity
Owner name:
Highland Nursing Home, Inc (For Profit)
Care Services
Accepts Medicaid
Accepts Medicare
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
Amenities & Lifestyle
Programs & Activities
Specific Programs
Physical 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.
0 inspections
Show Inspection Reports
79 complaints
56.4 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.
21 total citations
Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.
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.
Comparison Chart
The information below is reported by the New York State Department of Health.Compare Assisted Living around Usa
North Country Nursing & Rehabilitation Center
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
NY 13662
140
No
-
PERLSTEIN, BLIMIE
96.5%
$16,225,620.00
$4,421,878.00
27.3%
133.20
2/5
3.5726
2/5
3/5
4/5
-
Job Haines Home
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Home Care
HC
Hospice Care
SNF
Nursing Homes 24/7 care needed
Bloomfield
40
No
85
HAVERON, NOREEN
45.5%
$13,340,016.00
$10,214,151.00
76.6%
36.90
5/5
6.3081
5/5
5/5
4/5
Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
16
No
27
VILLAGE CHANGE LLC
-
-
-
-
-
-
-
-
-
-
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
12
No
8
GOLDEN OAKS VILLAS, LLC
-
-
-
-
-
-
-
-
-
-
-
Anton’s Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Boerne
10
No
-
-
-
-
-
-
-
-
-
-
-
-
-
Places of interest near North Country Nursing & Rehabilitation Center
0.0 miles from city center
Massena, NY 13662
Calculate Travel Distance to North Country Nursing & Rehabilitation Center
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
158
Total Staff
152
Employees
6
Contractors
48,332
Total Hours (Quarter)
71
Avg Staff/Day
7.5
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 33 | 7.8 | Yes |
| Licensed Practical Nurse | 17 | 8 | No |
| Certified Nursing Assistant | 99 | 7.5 | No |
Staff by Category
Administration ⓘ
2 staff
5.8hs shift avg
Nursing Staff ⓘ
149 staff
7.6hs shift avg
Physicians & Practitioners ⓘ
0 staff
0hs shift avg
Therapy Services ⓘ
3 staff
6.5hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
3.8hs shift avg
Dietary Services ⓘ
0 staff
0hs shift avg
Other Services ⓘ
2 staff
5.3hs shift avg
Contractor Analysis
2.6%
of total hours from contractors
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
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Health Inspection History
Source: CMS Health Citations (Jul 2021 – Aug 2025)
3
Inspections
26
Total Citations
0
Critical (J-L)
0
Serious (G-I)
8.67
Citations/Inspection
Aug 2025
Last Inspection
Citation Severity Distribution
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
9
35% of total
Infection Control
2
8% of total
Pharmacy Services
2
8% of total
Resident Rights
1
4% of total
Environmental
1
4% of total
Citation Sources
Standard Inspections
26
Complaint Investigations
6
Recent Citations (Last 3 Years)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Aug 15, 2025 | D | Environmental | F0921 | Corrected |
| Aug 15, 2025 | F | Nutrition | F0803 | Corrected |
| Aug 15, 2025 | F | Nutrition | F0812 | Corrected |
| Aug 15, 2025 | D | Nutrition | F0814 | Corrected |
| Aug 15, 2025 | D | Quality of Care | F0692 | Corrected |
| Dec 15, 2023 | E | Infection Control | F0880 | Corrected |
| Dec 15, 2023 | E | Nutrition | F0801 | Corrected |
| Dec 15, 2023 | D | Nutrition | F0804 | Corrected |
| Dec 15, 2023 | E | Nutrition | F0812 | Corrected |
| Dec 15, 2023 | D | Quality of Care | F0677 | Corrected |
| Dec 15, 2023 | D | Quality of Care | F0688 | Corrected |
| Dec 15, 2023 | D | Quality of Care | F0695 | Corrected |
| Dec 15, 2023 | D | Quality of Care | F0698 | Corrected |
| Dec 15, 2023 | D | Care Planning | F0656 | Corrected |
| Jul 02, 2021 | E | Infection Control | F0880 | Corrected |
| Jul 02, 2021 | E | Nursing Services | F0725 | Corrected |
| Jul 02, 2021 | E | Nutrition | F0804 | Corrected |
| Jul 02, 2021 | D | Nutrition | F0805 | Corrected |
| Jul 02, 2021 | E | Nutrition | F0806 | Corrected |
| Jul 02, 2021 | D | Pharmacy | F0759 | Corrected |
| Jul 02, 2021 | D | Pharmacy | F0761 | Corrected |
| Jul 02, 2021 | E | Quality of Care | F0677 | Corrected |
| Jul 02, 2021 | D | Quality of Care | F0689 | Corrected |
| Jul 02, 2021 | D | Quality of Care | F0692 | Corrected |
| Jul 02, 2021 | D | Quality of Care | F0695 | Corrected |
| Jul 02, 2021 | E | Resident Rights | F0550 | Corrected |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Partnership
Resident Census by Payment Source
128
Total Residents
Medicare
19
(14.8%)
ⓘ
Medicaid
96
(75%)
ⓘ
Private Pay/Other
13
(10.2%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality Measures
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
High-Risk Clinical Events
6.4
Score
35% better than avg
avg: 9.8
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Functional Decline
5.9
Score
67% better than avg
avg: 18.1
Composite score based on ADL decline, walking ability decline, and incontinence
Long-Stay Resident Measures
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Need for Help with Daily Activities Increased
12.3%
Lost Too Much Weight
5.6%
Urinary Tract Infection
0.2%
Depressive Symptoms
26.4%
Falls with Major Injury
3.6%
Pneumococcal Vaccine
94.5%
Antipsychotic Use
3.1%
Walking Ability Worsened
4.8%
Influenza Vaccine
96.9%
High Risk Residents with Pressure Ulcers
5.7%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
0.6%
Short-Stay Resident Measures
Measures for residents who stay 100 days or less (typically rehabilitation patients).
Pneumococcal Vaccine
70.2%
8% worse than avg
: 76.6%
Short-Stay Residents Who Received a New Antipsychotic Medication
0.8%
35% better than avg
: 1.3%
Influenza Vaccine
45.0%
43% worse than avg
: 78.8%
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
$1,021,081
↑ ~$757K vs 2022
Total Payroll
$5,183,089
↓ ~$435K vs 2022
Profit Margin
6.3%
↑ 4.8pp vs 2022
Loading trend charts...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Planning a tour? Check our touring checklist.
Thinking of living here? We can help you speak to a current resident
Looking for a job? Apply for Open Positions at North Country Nursing & Rehabilitation Center
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
Send Checklist to Your Email
We'll send you a PDF version of the touring checklist.
Feedback
