North Country Nursing & Rehabilitation Center

Nursing Home · New York, NY

CMS overall rating

North Country Nursing & Rehabilitation Center

Nursing Home · New York, NY

CMS overall rating

182 Highland Road, Massena, NY 13662 View map

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North Country Nursing & Rehabilitation Center accepts Medicaid, Medicare, and private pay.

Calculator: See prices in your area

North Country Nursing & Rehabilitation Center accepts Medicaid, Medicare, and private pay.

Overview of North Country Nursing & Rehabilitation Center

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.

(315) 769-9956 info@northcountrynr.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

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

Total nursing care / resident

3h 34m per day

This facility New York avg (3h 29m per day)

vs New York avg

+2%

2 of 5 metrics below state avg

Standout metric Weekend RN is +46% above state avg

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
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 56m per day	▼ 7% State avg: 3h 10m per day · National avg: 3h 26m 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.	41m per day	▲ 46% State avg: 28m per day · National avg: 28m per day

Capacity and availability

180 days

140-bed community

A larger shared setting that may offer more common spaces and organized community services.

Walk Score: 74 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

96%

Higher than the New York average: 88.3%

Occupied beds

134 / 140

Average occupied beds in New York homes 166 beds

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.

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

Owner NameHighland Nursing Home, Inc (For Profit)

Accept Medicaid

Accept Medicare

Rehabilitation Services

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

Get floorplan photos & videos Schedule a home tour Get detailed pricing Check availability Get brochure

Since 2019 · 7 years of data 3 enforcement actions 16 citations 65 complaints 2 inspections 9 complaint investigations

Inspection Score

Limited inspection history. Only 2 inspections on record — not enough to score against the New York State benchmark.

New York State nursing homes benchmark: C 74/100

Enforcement Actions 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. 34% 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 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

Latest Inspection August 15, 2025 Complaint Investigation

Citations Citations are formal regulatory issues recorded during state inspections.	This Facility	NY Average	vs. NY Avg
Total citations Formal regulatory issues recorded by inspectors across all inspection types.	16	13	This facility has 23% more total citations than a typical New York State nursing home (16 vs. NY avg 13).↑ 23% worse
Health citations Violations related to resident care, clinical practices, and day-to-day operations.	11	20	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 Violations related to building safety — fire prevention, emergency egress, and similar.	5	4	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 Average citations per year since 2021.	3.2	2.6	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 Average citations per inspection.	8	1.4	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 State inspections evaluate whether the facility meets health and safety standards.	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 State nursing home (2 vs. NY avg 9).↓ 78% better
Inspections with citations Inspections that resulted in at least one regulatory citation.	2	4	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 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 Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.	This Facility	NY Average	vs. NY Avg
Total complaints Formal expressions of concern made by residents, families, or staff.	65	79	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 Average complaints per year since 2021.	13	15.8	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 Size-adjusted complaint rate based on occupied beds.	0.48	0.50	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 On-site investigations triggered by complaints filed with New York State regulators.	9	15	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 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 Reports

Inspections since 2021

Total health inspections 3

New York State average 3.6

Last Health inspection on Aug 2025

Total health citations

New York State average 18.5

Citations per inspection

8.67

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

100% better than New York State average

New York State average: 0.2

Serious health citations

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

Top deficiency categories

Quality of Life & Care 9 deficiencies (35%)

Infection Control 2 deficiencies (8%)

Pharmacy Services 2 deficiencies (8%)

Resident Rights 1 deficiency (4%)

Environmental 1 deficiency (4%)

Employee Flu Vaccination Rate: 93%

Percentage of facility employees vaccinated against influenza.

Total Cases 1

Active Cases 1 1 active

Since 2026

Most Recent 2026

Next Court Date Nov 06, 2026

View full lawsuit report

Total staff 170

Employees 163

Contractors 7

Staff to resident ratio 1.33:1

658% better than New York average

Avg staff/day 68

Average shift 7.5 hours

0% compared with New York average

Total staff hours (quarter) 46,632

Nursing staff breakdown

RN Staff 32

7.6 hours

This role is partially covered by contractors.

LPN Staff 19

7.5 hours

No contractors work on this role.

CNA Staff 108

7.5 hours

No contractors work on this role.

Contractor staffing

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


Certified Nursing Assistant	108	0	108	28,399	92	100%	7.5
Registered Nurse	29	3	32	10,873	92	100%	7.6
Licensed Practical Nurse	19	0	19	5,525	92	100%	7.5
Administrator	1	0	1	495	66	72%	7.5
Occupational Therapy Aide	0	1	1	320	40	43%	8
Dental Services Staff	2	0	2	300	56	61%	5.1
Speech Language Pathologist	1	0	1	272	48	52%	5.7
Medical Director	0	1	1	264	66	72%	4
Qualified Social Worker	2	0	2	76	23	25%	3.2
Other Dietary Services Staff	1	0	1	60	8	9%	7.4
Occupational Therapy Assistant	0	1	1	41	23	25%	1.8
Mental Health Service Worker	0	1	1	8	3	3%	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%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 6.4

35% better than New York State average

New York State average: 9.8

Functional decline score 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

Need for Help with Daily Activities Increased 12.3%

25% better than New York State average

New York State average: 16.4%

Walking Ability Worsened 4.8%

71% better than New York State average

New York State average: 16.6%

Low Risk Residents with Bowel/Bladder Incontinence 0.6%

97% better than New York State average

New York State average: 21.4%

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 5.7%

21% better than New York State average

New York State average: 7.2%

Urinary Tract Infection 0.2%

84% better than New York State average

New York State average: 1.4%

Lost Too Much Weight 5.6%

9% better than New York State average

New York State average: 6.1%

Depressive Symptoms 26.4%

46% worse than New York State average

New York State average: 18.1%

Antipsychotic Use 3.1%

75% better than New York State average

New York State average: 12.6%

Pneumococcal Vaccine 94.5%

In line with New York State average

New York State average: 91.4%

Influenza Vaccine 96.9%

In line with New York State average

New York State average: 95.2%

Hospitalizations per 1,000 days 1.42

17% better than New York State average

New York State average: 1.71

ED visits per 1,000 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

Pneumococcal Vaccine 70.2%

8% worse than New York State average

New York State average: 76.6%

Antipsychotic medication increase 0.8%

35% better than New York State average

New York State average: 1.3%

Influenza Vaccine 45.0%

43% worse than New York State average

New York State average: 78.8%

Re-hospitalized after SNF stay 19.4%

6% better than New York State average

New York State average: 20.6%

Emergency department visits 27.2%

180% worse than New York State average

New York State average: 9.7%

Falls with major injury 0.6%

23% better than New York State average

New York State average: 0.8%

Ability to care for self at discharge 63.0%

17% better than New York State average

New York State average: 53.7%

Successful return to home or community 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

Total residents 128

Medicare

14.8% of residents

Medicaid

75% of residents

Private pay or other

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.

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 $1.0M ↑ ~$756.8K vs 2022

Total Payroll $5.2M ↓ ~$435.1K vs 2022

Profit Margin 6.3% ↑ 4.8pp vs 2022

Financial Performance

Gross Revenue Operating Expenses Net Income

Salaries Contract Labor Wage Costs

Medicare Medicaid Private Pay/Other

Metric	2011	2012	2013	2017	2018	2019	2020	2021	2022	2023
Occupancy %	75.4%	69.1%	67.1%	54.5%	51.3%	54.5%	60.1%	78.8%	96.1%	96.5%
Beds	140	140	140	140	140	140	140	140	140	140
Net Income	$1,370,553	$424,328	$365,147	$150,036	$105,094	$210,427	-$465,494	$189,549	$264,242	$1,021,081
Gross Revenue	$8,753,108	$8,225,876	$8,346,189	$7,475,452	$7,033,823	$5,906,324	$7,475,392	$13,843,026	$17,574,006	$16,225,620
Operating Expenses	$5,591,064	$5,308,379	$5,546,710	$5,068,903	$4,762,737	$5,715,630	$7,948,321	$15,035,490	$17,332,646	$15,380,542
Net Patient Revenue	$6,895,462	$5,770,181	$5,876,780	$5,078,314	$4,847,217	$5,906,324	$7,475,392	$13,843,026	$17,574,006	$16,225,620
Total Payroll	$3,224,731	$3,143,327	$3,303,929	$3,136,643	$2,886,593	$2,791,349	$3,353,873	$3,827,113	$5,618,230	$5,183,089
Profit Margin %	15.7%	5.2%	4.4%	2.0%	1.5%	3.6%	-6.2%	1.4%	1.5%	6.3%
Medicare %	5.8%	8.3%	7.6%	5.5%	5.4%	8.1%	22.7%	27.7%	31.8%	23.0%
Medicaid %	77.7%	80.1%	83.1%	56.4%	49.2%	80.2%	74.0%	65.0%	59.6%	71.0%
Private %	16.5%	11.5%	9.3%	38.1%	45.5%	11.7%	3.3%	7.3%	8.7%	5.9%
Revenue/Day	$179	$163	$172	$182	$185	$212	$243	$344	$358	$329
Cost/Day	$145	$150	$162	$182	$182	$205	$258	$374	$353	$312
Avg Length of Stay	527.4 days	397.7 days	510.9 days	217.7 days	207.9 days	323.7 days	206.6 days	591.8 days	62.9 days	180.0 days

Finances and operations

Home revenue

$16.4M

Profit

$1.0M

Privately-owned community Operated by a business corporation.

Home revenue

$16.4M

Profit

$1.0M

Payroll costs

$5.2M

31.6% of revenue

Other operating costs

$10.2M

Total costs $15.4M

TYPE OF STAY

Mostly short-term rehab stays

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

How we assess these insights Show admissions and discharges

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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Financial Assistance for
Nursing Home in New York

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

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

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

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)

Senior Citizen Rent Increase Exemption (SCRIE)

NY SCRIE

Age 62+

General NYC resident, live in rent-controlled/stabilized apartment, spend >1/3 of income on rent.

Income Limits (2025) $50,000/year household

Asset Limits No strict asset cap, but income-focused eligibility.

Limited to NYC’s rent-regulated units; high demand in urban areas.

Benefits

Rent freeze (e.g., covers increases of $50-$200+/month); tax credit for landlord

Senior Citizen Homeowners’ Exemption (SCHE)

NY SCHE

Age 65+

General NYC resident, own and live in a 1-3 family home, co-op, or condo.

Income Limits (2025) $58,399/year household

Asset Limits No strict asset cap, income-driven eligibility.

Applies only in NYC; excludes large apartment buildings.

Benefits

Property tax reduction (5-50%, e.g., $500-$5,000/year based on income and property value)

New York Foundation for Senior Citizens (NYFSC) Home Sharing Program

NYFSC Home Sharing

Age One participant must be 60+ (host or guest)

General NYC resident, able to share living space.

Income Limits No strict limit, but targets those needing cost relief.

Asset Limits Not applicable; focus on housing need.

Primarily NYC-focused; limited slots due to demand.

Benefits

Shared housing (reduces rent/living costs by 30-50%, e.g., $500-$1,000/month savings); optional light assistance between housemates

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

The legal owner and operator of North Country Nursing & Rehabilitation Center is 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%.

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 deficiencies or citations?

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

Are there photos of North Country Nursing & Rehabilitation Center?

Yes — there are 8 photos of North Country Nursing & Rehabilitation Center in the photo gallery on this page.

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North Country Nursing & Rehabilitation Center

Overview of North Country Nursing & Rehabilitation Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Payment & Insurance

Therapy & Rehabilitation

Amenities & Lifestyle

Contact North Country Nursing & Rehabilitation Center

Inspection History

Inspection Scorecard 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 Citations are formal regulatory issues recorded during state inspections.

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

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

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

Inspection Reports

Health Inspection History

Inspections since 2021

Breakdown of citation severity (last 5 years)

Citations history (last 5 years)

Infection Prevention & Vaccination

Lawsuit overview for North Country Nursing & Rehabilitation Center

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

108 Certified Nursing Assistant

32 Registered Nurse

19 Licensed Practical Nurse

1 Administrator

1 Occupational Therapy Aide

2 Dental Services Staff

1 Speech Language Pathologist

1 Medical Director

2 Qualified Social Worker

1 Other Dietary Services Staff

1 Occupational Therapy Assistant

1 Mental Health Service Worker

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Places of interest near North Country Nursing & Rehabilitation Center

Calculate Travel Distance to North Country Nursing & Rehabilitation Center

Financial Assistance for Nursing Home in New York

Community First Choice Option

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

Senior Citizen Rent Increase Exemption (SCRIE)

Senior Citizen Homeowners’ Exemption (SCHE)

New York Foundation for Senior Citizens (NYFSC) Home Sharing Program

Guides for Better Senior Living

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