North Country Nursing & Rehabilitation Center
Nursing Home & Skilled Nursing · Massena, NY
CMS overall rating Info 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.

North Country Nursing & Rehabilitation Center

Nursing Home & Skilled Nursing · Massena, NY
CMS overall rating Info 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.
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North Country Nursing & Rehabilitation Center accepts Medicaid, Medicare, and private pay.

Overview of North Country Nursing & Rehabilitation Center

Located on Highland Road in Massena, New York, North Country Nursing & Rehabilitation Center is a 140-bed skilled nursing facility operated by Highland Nursing Home, Inc. under owner Blimie Perlstein. The home primarily serves residents recovering from surgery, illness, or injury who need short-term rehabilitation or ongoing skilled nursing care. Families can choose from Medicare, Medicaid, and private pay to cover care costs.

The facility has an occupancy rate of 96%. Residents stay an average of 180 days, which is a mix of post-acute rehabilitation patients and those receiving longer-term care. Registered nurses provide 54 minutes of care per resident each day, while total nursing care averages 3 hours and 34 minutes. Nurse aides contribute 2 hours and 21 minutes of daily care, and licensed practical or vocational nurses provide another 27 minutes. The staffing level supports the hands-on care residents need throughout the day.

Rehabilitation is a primary focus of the facility. There are specialized nursing rehabilitation programs, support for nutrition and exercise, and personalized wellness planning. The center also offers on-site dental care, beauty and barber services, and resident and family counseling. A resident council gives residents a voice in daily community matters.

State inspections have identified deficiencies related to health and life safety over the years. However, recent surveys reported no complaints. The facility has consistently corrected identified issues within 2 to 3 months of inspection. Families interested in the center can review detailed inspection reports through the state health department.

The neighborhood has a Walk Score of 74, making it very walkable. Regular visits are more convenient with nearby services and errands that family members can walk to.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 34.9% Below NY avg. ▼ 34.9% Below NY avg.NY average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 29.3% Below NY avg. ▼ 29.3% Below NY avg.NY average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 10.4% Above NY avg. ▲ 10.4% Above NY avg.NY average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 4.8% Above NY avg. ▲ 4.8% Above NY avg.NY average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to New York state averages

Total nursing care / resident Info This home is ranked 139th out of 407 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.
3h 34m per day
Rank #139 / 407Nurse hours — State benchmarkedThis home is ranked 139th out of 407 homes in New York. Shows adjusted nurse hours per resident per day benchmarked to the New York average, with a ranking across 407 New York facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility New York avg (3h 35m per day)
vs New York avg
+0%

3 of 6 metrics below state avg

Standout metric Weekend RN is +64% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 54m per day ▲ 28% State avg: 42m per day · National avg: 41m per day
LPN / LVN Info 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. 27m per day ▼ 40% State avg: 46m per day · National avg: 52m per day
Nurse Aide Info 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 21m per day ▲ 7% State avg: 2h 11m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 ▼ 8% State avg: 3h 10m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 0m per day ▼ 100% State avg: 7m per day · National avg: 4m per day
Weekend RN Info 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. 46m per day ▲ 64% State avg: 28m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
180 days
Bed community size
140-bed community Rank #365 / 748Bed count — State benchmarkedThis home is ranked 365th out of 748 homes in New York. Shows this facility's certified or reported bed count compared to other New York facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 74 / 100 Rank #543 / 1173Walk Score — State benchmarkedThis home is ranked 543rd out of 1173 homes in New York. Shows how walkable this facility's neighborhood is compared to the average Walk Score across New York facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
96%
Rank #74 / 436Occupancy rate — State benchmarkedThis home is ranked 74th out of 436 homes in New York. Shows this facility's occupancy rate versus the New York average, with its Statewide rank out of 436. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the New York average: 88.3%
Occupied beds
134 / 140
Average occupied beds in New York homes 166 beds

License Details

Facility TypeNursing Home
StatusActive
CountySt. Lawrence
License Number4402300N
CMS Certification Number335619
Inspection Rating1 star overall rating with CMS, including 1 star for health inspections and 4 stars for staffing and quality measures.

Ownership & Operating Entity

North Country Nursing & Rehabilitation Center is legally operated by Highland Nursing Home, Inc (For Profit).

Owner NameHighland Nursing Home, Inc (For Profit)

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

1 service
Rehabilitation Services

Amenities & Lifestyle

Specific ProgramsNursing Rehab, Nutrition and Exercise, Wellness Planning, Beauty/Barber Services, Dental Services, Resident Council, Individual and Family counseling

Contact North Country Nursing & Rehabilitation Center

Inspection History

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.

We don't publish a score for nursing homes with fewer than three inspections on record. This would unfairly reward providers with limited inspection history or those that have not been operating long enough to be cited.

Inspection score unavailable

Not enough inspection history to generate a score.

Average score for New York State nursing homes: B 83/100

Inspection score not available. Not enough inspection history to score against the New York State benchmark.

Enforcement Actions Info Enforcement actions are formal penalties or interventions imposed by New York State regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.

Since 2019
3 enforcement actions

This facility has 3 enforcement actions. 33% of New York State nursing homes have zero, and the statewide average is 1.6.

  • July 2, 2021 Quality of Care #NH-21-178
  • December 26, 2019 Quality of Care #NH-21-164
  • July 10, 2019 Multiple Deficiencies #NH-19-028

Inspection Scorecard Info 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.

Since 2021 vs. New York State state average
Overall vs. NY average 5 Worse Metrics worse than New York State average:
• Total citations (23% above)
• Life safety citations (25% above)
• Citations per year (23% above)
• Citations per inspection (471% above)
• Inspection citation rate (127% above)
7 Better Metrics better than New York State average:
• Health citations (45% below)
• Total inspections (78% below)
• Inspections with citations (50% below)
• Total complaints (18% below)
• Complaints per year (18% below)
• Complaints per bed (4% below)
• Complaint investigations (40% below)
Latest Inspection August 15, 2025 Annual Inspection

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityNY Averagevs. NY Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 1613 This facility has 23% more total citations than a typical New York State nursing home (16 vs. NY avg 13).↑ 23% worse
Health citations Info Citations related to resident care, clinical practices, and day-to-day operations. 1120 This facility has 45% fewer health citations than a typical New York State nursing home (11 vs. NY avg 20).↓ 45% better
Life safety citations Info Citations related to building safety — fire prevention, emergency egress, and similar. 54 This facility has 25% more life safety citations than a typical New York State nursing home (5 vs. NY avg 4).↑ 25% worse
Citations per year Info Average citations per year since 2021. 3.22.6 This facility has 23% more citations per year than a typical New York State nursing home (3.2 vs. NY avg 2.6).↑ 23% worse
Citations per inspection Info Average citations per inspection. 81.4 This facility has 471% more citations per inspection than a typical New York State nursing home (8 vs. NY avg 1.4).↑ 471% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNY Averagevs. NY Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 29 This facility has 78% fewer total inspections than a typical New York State nursing home (2 vs. NY avg 9).↓ 78% better
Inspections with citations Info Inspections that resulted in at least one regulatory citation. 24 This facility has 50% fewer inspections with citations than a typical New York State nursing home (2 vs. NY avg 4).↓ 50% better
Inspection citation rate Info Percentage of inspections that resulted in at least one citation. 100%44% This facility has 56 percentage points higher inspection citation rate than a typical New York State nursing home (100% vs. NY avg 44%).↑ 56% worse

Complaints & Investigations Info Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

This FacilityNY Averagevs. NY Avg
Total complaints Info Formal expressions of concern made by residents, families, or staff. 6579 This facility has 18% fewer total complaints than a typical New York State nursing home (65 vs. NY avg 79).↓ 18% better
Complaints per year Info Average complaints per year since 2021. 1315.8 This facility has 18% fewer complaints per year than a typical New York State nursing home (13 vs. NY avg 15.8).↓ 18% better
Complaints per bed Info Size-adjusted complaint rate based on occupied beds. 0.480.50 This facility has 4% fewer complaints per bed than a typical New York State nursing home (0.48 vs. NY avg 0.5).↓ 4% better
Complaint investigations Info On-site investigations triggered by complaints filed with New York State regulators. 915 This facility has 40% fewer complaint investigations than a typical New York State nursing home (9 vs. NY avg 15).↓ 40% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • August 15, 2025 inspection found 24 Level 2 deficiencies in health and life safety categories, mostly isolated or widespread, with many corrected by September 18, 2025.
  • December 15, 2023 inspection identified 21 Level 2 deficiencies including care planning, infection control, and food sanitation, with corrections completed by February 2024.
  • Both inspections reported no complaints and all deficiencies were corrected within two to three months after each survey.

Health Inspection History

Inspections since 2021
Total health inspections 3

New York State average 3.6


Last Health inspection on Aug 2025

Total health citations
26 Rank #339 / 414Health citations — State benchmarkedThis home is ranked 339th out of 414 homes in New York. Shows this facility's total health deficiency citations benchmarked to the New York State average, with a ranking across all 414 NY facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

New York State average 18.5

Citations per inspection
8.67 Rank #386 / 414Citations per inspection — State benchmarkedThis home is ranked 386th out of 414 homes in New York. Shows average deficiency citations per CMS inspection for this facility versus the New York mean across 414 facilities with citation data. Lower is better.Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

New York State average 5.05


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).

Breakdown of citation severity (last 5 years)
Critical health citations
0
100% better than New York State average

New York State average: 0.2


Serious health citations
0
100% better than New York State average

New York State average: 0.2

0 critical citations New York State average: 0.2

0 serious citations New York State average: 0.2

26 moderate citations New York State average: 17.4

0 minor citations New York State average: 0.7
Citations history (last 5 years)
Environmental moderate citation Aug 15, 2025
Corrected

Nutrition moderate citation Aug 15, 2025
Corrected

Nutrition moderate citation Aug 15, 2025
Corrected

Nutrition moderate citation Aug 15, 2025
Corrected

Infection Prevention & Vaccination

How this facility protects residents through staff vaccination policies and immunization practices.

Employee Flu Vaccination Rate: 93%

Percentage of facility employees vaccinated against influenza.

Lawsuit overview for North Country Nursing & Rehabilitation Center

Summary of court-record activity tied to this facility, compiled from publicly available case dockets.

Source: State court e-filing records

Total Cases Info Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure. 1
Active Cases Info Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture. 1
Since Info 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 Info Most recent filing on record. Recent activity means legal disputes are still being raised against this facility. 2026
Next Court Date Info Next scheduled court appearance on record across active cases. Nov 06, 2026

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 170
Employees 163
Contractors 7
Staff to resident ratio 1.33 : 1
658% more staff per resident than New York average
New York average ratio: 0.18 : 1 New York average ratio: 0.18 : 1See full New York ranking
Avg staff/day 68
Average shift 7.5 hours
0% compared with New York average
New York average: 7.7 hours New York average shift: 7.7 hoursSee full New York ranking
Total staff hours (quarter) 46,632

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 32 total: 29 full-time employees and 3 contractors. 32
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 19 LPN Staff are full-time employees. No contractors work on this role. 19
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 108 CNA Staff are full-time employees. No contractors work on this role. 108
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

2.9%

1,359 contractor hours this quarter

Registered Nurse: 3 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 1 Mental Health Service Worker: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant108010828,39992100%7.5
Registered Nurse2933210,87392100%7.6
Licensed Practical Nurse190195,52592100%7.5
Administrator1014956672%7.5
Occupational Therapy Aide0113204043%8
Dental Services Staff2023005661%5.1
Speech Language Pathologist1012724852%5.7
Medical Director0112646672%4
Qualified Social Worker202762325%3.2
Other Dietary Services Staff1016089%7.4
Occupational Therapy Assistant011412325%1.8
Mental Health Service Worker011833%2.7
108 Certified Nursing Assistant
% of Days 100%
32 Registered Nurse
% of Days 100%
19 Licensed Practical Nurse
% of Days 100%
1 Administrator
% of Days 72%
1 Occupational Therapy Aide
% of Days 43%
2 Dental Services Staff
% of Days 61%
1 Speech Language Pathologist
% of Days 52%
1 Medical Director
% of Days 72%
2 Qualified Social Worker
% of Days 25%
1 Other Dietary Services Staff
% of Days 9%
1 Occupational Therapy Assistant
% of Days 25%
1 Mental Health Service Worker
% of Days 3%

Penalties and fines

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.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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 New York State average

New York State average: 9.8

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 5.9
67% better than New York State average

New York State average: 18.1

Long-stay resident measures
Significantly above average New York State avg: 4.0 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 12.3%
25% better than New York State average

New York State average: 16.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 4.8%
71% better than New York State average

New York State average: 16.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 0.6%
97% better than New York State average

New York State average: 21.4%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.6%
22% worse than New York State average

New York State average: 3.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.7%
21% better than New York State average

New York State average: 7.2%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.2%
84% better than New York State average

New York State average: 1.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.6%
9% better than New York State average

New York State average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 26.4%
46% worse than New York State average

New York State average: 18.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 3.1%
75% better than New York State average

New York State average: 12.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.5%
In line with New York State average

New York State average: 91.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.9%
In line with New York State average

New York State average: 95.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.42
17% better than New York State average

New York State average: 1.71

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 5.70
322% worse than New York State average

New York State average: 1.35

Short-stay resident measures
Above average New York State avg: 3.5 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 70.2%
8% worse than New York State average

New York State average: 76.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.8%
35% better than New York State average

New York State average: 1.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 45.0%
43% worse than New York State average

New York State average: 78.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 19.4%
6% better than New York State average

New York State average: 20.6%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 27.2%
180% worse than New York State average

New York State average: 9.7%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.6%
23% better than New York State average

New York State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 63.0%
17% better than New York State average

New York State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 37.7%
25% worse than New York State average

New York State average: 50.6%

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 128
Medicare
19
14.8% of residents
Medicaid
96
75% of residents
Private pay or other
13
10.2% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a business corporation.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$16.2M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$845.1K
For-profit Operated by a business corporation.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$16.2M Rank #329 / 403Revenue — State benchmarkedThis home is ranked 329th out of 403 homes in New York. Shows this facility's annual revenue compared to the New York average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$845.1K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$176.0K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #378 / 403Payroll — State benchmarkedThis home is ranked 378th out of 403 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.Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$5.1M 31.3% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #387 / 403Payroll % — State benchmarkedThis home is ranked 387th out of 403 homes in New York. Shows payroll as a percentage of revenue versus the New York average. Well-run New York facilities typically land around 53–65% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in New York that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$10.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$15.4M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (75% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
256 total

Coverage residents most often arrive under.

Medicare 75%
Private pay 8%
Medicaid 18%
Discharges
274 total

Coverage residents most often leave under.

Medicare 77%
Private pay 5%
Medicaid 18%

Places of interest near North Country Nursing & Rehabilitation Center

Address 0.0 miles from city center Info 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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Compare Nursing Homes around New York State

The information below is reported by the New York State Department of Health.

5 facilities compared · CMS & NY Dept. of Health data

Ditmas Park Nursing & Rehab
NH
PC
SNF
Brooklyn (Flatbush)
240
Facility 240
NY AVG 160
Rank #113 / 748
95.0%
Facility 95.0%
NY AVG 88.3%
Rank #412 / 436
+8%- +50%-
$0
Facility $0
NY AVG $67.6k
Rank #1 / 415
85
Facility 85
NY AVG 83
Rank #254 / 593
7
Facility 7
NY AVG 18.5
Rank #31 / 414
2.3
Facility 2.3
NY AVG 5.1
Rank #31 / 414
-194A-
93
Facility 93
NY AVG 63
Rank #192 / 1173
Bmo Family Holdings LLC
$62.0MFiscal year ending 12/2023
Facility $62.0MFiscal year ending 12/2023
NY AVG $32.0M
Rank #44 / 403
$9.0MFiscal year ending 12/2023
Facility $9.0MFiscal year ending 12/2023
NY AVG $10.7M
Rank #67 / 403
14.4%Fiscal year ending 12/2023
Facility 14.4%Fiscal year ending 12/2023
NY AVG 37%
Rank #331 / 403
335648
United Hebrew of New Rochelle
NH
AL
IL
MC
SNF
New Rochelle
294
Facility 294
NY AVG 160
Rank #74 / 748
57.1%
Facility 57.1%
NY AVG 88.3%
Rank #397 / 436
-35%
3.72
Facility 3.72
NY AVG 3.58
Rank #123 / 407
+31%+4%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 415
96
Facility 96
NY AVG 83
Rank #42 / 593
7
Facility 7
NY AVG 18.5
Rank #31 / 414
2.3
Facility 2.3
NY AVG 5.1
Rank #31 / 414
-165-
80
Facility 80
NY AVG 63
Rank #457 / 1173
Rita Mabli
$31.9MFiscal year ending 12/2023
Facility $31.9MFiscal year ending 12/2023
NY AVG $32.0M
Rank #133 / 403
$27.5MFiscal year ending 12/2023
Facility $27.5MFiscal year ending 12/2023
NY AVG $10.7M
Rank #56 / 403
86%Fiscal year ending 12/2023
Facility 86%Fiscal year ending 12/2023
NY AVG 37%
Rank #8 / 403
335621
Hopkins Center For Rehabilitation And Healthcare
NH
SNF
Brooklyn (Boerum Hill)
288
Facility 288
NY AVG 160
Rank #75 / 748
99.0%
Facility 99.0%
NY AVG 88.3%
Rank #1 / 436
+12%
2.88
Facility 2.88
NY AVG 3.58
Rank #296 / 407
-16%-20%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 415
85
Facility 85
NY AVG 83
Rank #254 / 593
14
Facility 14
NY AVG 18.5
Rank #153 / 414
4.7
Facility 4.7
NY AVG 5.1
Rank #199 / 414
-283-
97
Facility 97
NY AVG 63
Rank #81 / 1173
Hopkins Ventures LLC
$52.1MFiscal year ending 12/2023
Facility $52.1MFiscal year ending 12/2023
NY AVG $32.0M
Rank #82 / 403
$20.6MFiscal year ending 12/2023
Facility $20.6MFiscal year ending 12/2023
NY AVG $10.7M
Rank #66 / 403
39.5%Fiscal year ending 12/2023
Facility 39.5%Fiscal year ending 12/2023
NY AVG 37%
Rank #114 / 403
335847
Edna Tina Wilson Living Center
NH
HOS
MC
SNF
Rochester (Island Cottage Road)
120
Facility 120
NY AVG 160
Rank #412 / 748
98.3%
Facility 98.3%
NY AVG 88.3%
Rank #17 / 436
+11%
4.83
Facility 4.83
NY AVG 3.58
Rank #21 / 407
-56%+35%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 415
86
Facility 86
NY AVG 83
Rank #242 / 593
5
Facility 5
NY AVG 18.5
Rank #15 / 414
1.7
Facility 1.7
NY AVG 5.1
Rank #10 / 414
-118-
2
Facility 2
NY AVG 63
Rank #1144 / 1173
Sandra Loan
$12.9MFiscal year ending 12/2023
Facility $12.9MFiscal year ending 12/2023
NY AVG $32.0M
Rank #312 / 403
$11.1MFiscal year ending 12/2023
Facility $11.1MFiscal year ending 12/2023
NY AVG $10.7M
Rank #255 / 403
85.5%Fiscal year ending 12/2023
Facility 85.5%Fiscal year ending 12/2023
NY AVG 37%
Rank #44 / 403
335769
North Country Nursing & Rehabilitation Center
NH
SNF
Massena
140
Facility 140
NY AVG 160
Rank #365 / 748
95.7%
Facility 95.7%
NY AVG 88.3%
Rank #74 / 436
+8%
3.57
Facility 3.57
NY AVG 3.58
Rank #139 / 407
+49%0%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 415
-
26
Facility 26
NY AVG 18.5
Rank #339 / 414
8.7
Facility 8.7
NY AVG 5.1
Rank #386 / 414
-132-
74
Facility 74
NY AVG 63
Rank #543 / 1173
Blimie Perlstein
$16.2MFiscal year ending 12/2023
Facility $16.2MFiscal year ending 12/2023
NY AVG $32.0M
Rank #329 / 403
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
NY AVG $10.7M
Rank #378 / 403
31.3%Fiscal year ending 12/2023
Facility 31.3%Fiscal year ending 12/2023
NY AVG 37%
Rank #387 / 403
335619

Financial Assistance for
Nursing Home in New York

North Country Nursing & Rehabilitation Center is located in Massena, New York State.
Here are the financial assistance programs available to residents in New York State.

Get Financial aid guidance

Community First Choice Option

NY Medicaid CFCO

Age 65+ or disabled
General New York resident, Medicaid- eligible, care need (not necessarily nursing home level).
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $30,182 individual, higher due to NY Medicaid expansion
NY

Higher asset limit; urban density increases demand.

Benefits
Personal care (5-7 hours/day) Respite care (240 hours/year) Home modifications ($1,500 avg.) Assistive technology ($500 avg.)

Expanded In-Home Services for the Elderly Program (EISEP)

NY EISEP

Age 60+
General New York resident, at risk of decline but not nursing home level.
Income Limits ~$2,500/month individual, varies
Asset Limits $15,000 individual
NY

Cost-sharing required above certain income; urban/rural balance.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Case management Transportation (~5 trips/month)

Frequently Asked Questions about North Country Nursing & Rehabilitation Center

Who is the owner of North Country Nursing & Rehabilitation Center?

North Country Nursing & Rehabilitation Center is legally operated by Highland Nursing Home, Inc (For Profit).

Is North Country Nursing & Rehabilitation Center in a walkable area?

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.

What is the license number of North Country Nursing & Rehabilitation Center?

According to NY state health department records, North Country Nursing & Rehabilitation Center's license number is 4402300N.

What is the occupancy rate at North Country Nursing & Rehabilitation Center?

North Country Nursing & Rehabilitation Center's occupancy is 96%.

Does North Country Nursing & Rehabilitation Center operate as a for-profit or non-profit?

North Country Nursing & Rehabilitation Center is registered as a for-profit in NY.

How many beds does North Country Nursing & Rehabilitation Center have?

North Country Nursing & Rehabilitation Center has 140 beds.

Has North Country Nursing & Rehabilitation Center had any recent citations?

North Country Nursing & Rehabilitation Center has had 16 recently reported citations.

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