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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.
| 52m 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.
| 24m per day | ▼ 48% 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 34m per day | ▲ 18% 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 56m per day | ▼ 7% State avg: 3h 10m per day · National avg: 3h 26m 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.
| 41m per day | ▲ 46% State avg: 28m per day · National avg: 28m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
75% of new residents, usually for short-term rehab.
8% of new residents, often for short stays.
18% 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 #330 / 353Payroll — State benchmarkedThis home is ranked 330th 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.
Higher than the New York average: 88.3%North Country Nursing & Rehabilitation Center is legally operated by Highland Nursing Home, Inc (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.
Enforcement actions are formal penalties or interventions imposed by New York regulators when an assisted living residence fails to meet state care, safety, or regulatory standards. They may include stipulations and orders, civil monetary penalties, operational restrictions, or appointment of temporary management.
This facility has 3 enforcement actions. 57% of New York assisted living residences have zero, and the statewide average is 0.9.
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.
| 2 | 9 | This facility has 78% fewer total inspections than a typical New York assisted living residence (2 vs. NY avg 9). Click this badge to view the full New York ranking.↓ 78% better |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 2 | 5 | This facility has 60% fewer inspections with citations than a typical New York assisted living residence (2 vs. NY avg 5). Click this badge to view the full New York ranking.↓ 60% better |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 100% | 56% | This facility has 44 percentage points higher inspection citation rate than a typical New York assisted living residence (100% vs. NY avg 56%). Click this badge to view the full New York ranking.↑ 44% 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 August 15, 2025, identified multiple Level 2 deficiencies in health and life safety code categories, with many issues corrected by September 18, 2025. Earlier inspections, including one on December 15, 2023, also found multiple Level 2 deficiencies, mainly related to care planning, infection control, nutrition, and fire safety systems. Inspectors cited recurring themes involving food safety, environmental safety, and emergency systems maintenance. No fines, enforcement actions, or substantiated complaints were listed in the available reports. The facility has shown some responsiveness by correcting many deficiencies following inspections, but similar types of issues have appeared over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsState average N/A
Last Health inspection on Aug 2025
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.
20 of 26 citations resulted from standard inspections; and 6 of 26 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.
1
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
1
1 active
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2026
Most recent filing on record. Recent activity means legal disputes are still being raised against this facility.
2026
Next scheduled court appearance on record across active cases.
Nov 06, 2026
0.0 miles from city center
Estimated distance in miles from Massena's city center to North Country Nursing & Rehabilitation Center'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 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 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.
7.5 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
1,266 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
128Residents 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.
6.4
35% better than State averageState average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
5.9
67% better than 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
12.3%
25% better than State averageState average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
4.8%
71% better than State averageState average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
0.6%
97% better than State averageState average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
22% worse than State averageState average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
5.7%
21% better than State averageState average: 7.2%
Percent of long-stay residents with a urinary tract infection
0.2%
84% better than State averageState average: 1.4%
Percent of long-stay residents who lose too much weight
5.6%
9% better than State averageState average: 6.1%
Percent of long-stay residents who have depressive symptoms
26.4%
46% worse than State averageState average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
3.1%
75% better than State averageState average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.5%
In line with State averageState average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.9%
In line with State averageState average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.42
17% better than State averageState average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
5.70
322% worse than State averageState 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
70.2%
8% worse than State averageState average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.8%
35% better than State averageState average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
45.0%
43% worse than State averageState average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.4%
6% better than State averageState average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
27.2%
180% worse than State averageState average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.6%
23% better than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
63.0%
17% better than State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
37.7%
25% worse 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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
The information below is reported by the New York State Department of Health.
| North Country Nursing & Rehabilitation Center |
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. | Massena | - | 140 | 74 | - |
| 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 North Country Nursing & Rehabilitation Center based on CMS SNF Cost Reports.
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The legal owner and operator of North Country Nursing & Rehabilitation Center is Highland Nursing Home, Inc (For Profit).
North Country Nursing & Rehabilitation Center has a walk score of 74. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to NY state health department records, North Country Nursing & Rehabilitation Center's license number is 4402300N.
North Country Nursing & Rehabilitation Center's occupancy is 96%.
North Country Nursing & Rehabilitation Center has 140 beds.
North Country Nursing & Rehabilitation Center has had 16 recently reported deficiencies.
Yes — there are 11 photos of North Country Nursing & Rehabilitation Center in the photo gallery on this page.
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