ALM's inspection grade is 89 / 100, a B+ — 5 points above the New York average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
4/5
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.
ALM's inspection grade is 89 / 100, a B+ — 5 points above the New York average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
4/5
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.
In Niskayuna, NY, Pathways Nursing and Rehabilitation Center is licensed for respite care, nursing home care, and skilled nursing. Both nursing levels are aimed at residents whose medical needs are complicated. Respite care is the shortest thing on that list, a stay measured against a date rather than against a recovery.
Pediatric Care and a Traumatic Brain Injury Program are both named here, beside rehabilitation services. Children and adults relearning daily function after a brain injury are two very different populations to hold under one roof.
Complex care or a short respite stay are the two reasons a family lands here. Beds number 110, and nursing time per resident comes in at 2 hours and 2 minutes a day.
Medicare and Medicaid both turn on eligibility, one paying for skilled care for a limited period after a hospital discharge and the other helping residents who qualify. Private pay turns on nothing, because the resident or the family simply pays. Niskayuna Operating Company operates the center.
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.
Data period: Q4 2025 (October 1 – December 31, 2025).
This nursing home is ranked 501st out of 501 nursing homes we track 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.
2h 2mStandout metric: RN, weekends is +181% above New York average
3 of 6 metrics below New York average
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. 34 total: 30 of the facility's own employees and 4 agency contractors.
34 staff · 8.3-hour shifts
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. 7 total: 6 of the facility's own employees and 1 agency contractor.
7 staff · 7-hour shifts
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. 55 total: 54 of the facility's own employees and 1 agency contractor.
55 staff · 8-hour shifts
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. All 19 are the facility's own employees; no agency contractors work in this role.
19 staff · 5.4-hour shifts
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.
RN + LPN + aide · Sat–Sun
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.
Sat–Sun
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
192
181 employees · 11 contractors · 89 on an average day
192 total staff / 105 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.83 : 1
↑ 39% · NY 1.31This facility: 1.83 staff per resident, 39% above the New York average of 1.31 (among New York facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
192 staff ÷ 105 residents
See full New York ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.8 h
↑ 1% · NY 7.7 hThis facility: 7.8 h, 1% above the New York average of 7.7 h (among New York facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
63,912 staff hours this quarter
See full New York ranking →94.2% of staff hours were worked by the facility's own employees
New York average: 87.9% · Contractors this quarter: Qualified Activities Professional (5), Registered Nurse (4), Licensed Practical Nurse (1), Certified Nursing Assistant (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
95% of staff were vaccinated against the flu
Why it matters: staff move from resident to resident all day. When most of them are vaccinated, the flu is less likely to reach the people it is most dangerous for. Source: state health department data.
A mid-sized community that may balance personal attention with shared amenities and social activities.
110
Rank #409 / 574Bed count — State benchmarked This nursing home is ranked 409th out of 574 nursing homes we track in New York for bed count. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #446 / 450Walk Score — State benchmarked This nursing home is ranked 446th out of 450 nursing homes we track in New York for walk score. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy higher than 95% suggests steady demand, but availability may be limited.
Rank #142 / 513Occupancy rate — State benchmarked This nursing home is ranked 142nd out of 513 nursing homes we track in New York for occupancy. Shows this facility's occupancy rate versus the New York average, with its Statewide rank out of 513. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Based on 106 residents and 110 beds. Source: state inspection report (Jan 2025)
Higher than the New York average: 85.5%
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.
Pathways Nursing and Rehabilitation Center is legally operated by Niskayuna Operating Company, LLC (For Profit).
5 points above the New York average for CMS-certified facilities (84/100)
Category breakdown
41 severity-weighted points (12 citations) · 5% lower than the typical CMS-certified NY facility (median: 43)
No fines on record · 0 enforcement actions
50 days to fix issues · faster than the typical CMS-certified NY facility (median: 51)
100% corrected
12 of 12 citations corrected Latest inspection: Jan 10, 2025 · 5 citations, all corrected
Most cited category: Resident Assessment & Care Planning, 3 of 12 citations · 7 categories in total
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
10 of 12 citations resulted from standard inspections; 1 of 12 resulted from complaint investigations; and 1 of 12 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection ReportsSummary 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.
2
Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture.
1
Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure.
2022
Most recent filing on record. Recent activity means legal disputes are still being raised against this facility.
2025Federal 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.
How residents at this home fare on health outcomes and preventive care, compared with the New York average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 25% · NY 4.0This facility: 5.0, 25% above the NY average of 4.0 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
5.3
Score · lower is better
↓ 37% · NY 8.4This facility: 5.3, 37% below the NY average of 8.4 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
7.3
Score · lower is better
↓ 53% · NY 15.4This facility: 7.3, 53% below the NY average of 15.4 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.11 long-stay measures: 10 better, 1 worse
3 short-stay measures: 2 better, 1 worse
People who live at the home · 11 measures
Percent of long-stay residents whose need for help with daily activities has increased
9.0%
↓ 36% · NY 14.1This facility: 9.0, 36% below the NY average of 14.1 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
11.4%
↓ 8% · NY 12.5This facility: 11.4, 8% below the NY average of 12.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
1.3%
↓ 93% · NY 19.5This facility: 1.3, 93% below the NY average of 19.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
4.4%
↑ 250% · NY 1.3This facility: 4.4, 250% above the NY average of 1.3 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
↓ 61% · NY 3.1This facility: 1.2, 61% below the NY average of 3.1 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
2.4%
↓ 63% · NY 6.5This facility: 2.4, 63% below the NY average of 6.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
2.5%
↓ 58% · NY 5.8This facility: 2.5, 58% below the NY average of 5.8 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.0%
↓ 100% · NY 19.5This facility: 0.0, 100% below the NY average of 19.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
11.4%
↓ 17% · NY 13.7This facility: 11.4, 17% below the NY average of 13.7 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 9% · NY 91.5This facility: 100.0, 9% above the NY average of 91.5 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 5% · NY 95.3This facility: 100.0, 5% above the NY average of 95.3 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rehab and recovery after a hospital stay · 3 measures
Percent of short-stay residents who newly received an antipsychotic medication
4.4%
↑ 275% · NY 1.2This facility: 4.4, 275% above the NY average of 1.2 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 29% · NY 77.4This facility: 100.0, 29% above the NY average of 77.4 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
↑ 27% · NY 78.8This facility: 100.0, 27% above the NY average of 78.8 (among NY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
6% of new residents, usually for short-term rehab.
18% of new residents, often for short stays.
75% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Total residents
105Residents 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.
Historical financial and operational data for Pathways Nursing and Rehabilitation Center from 2011–2024, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2024.
Based on CMS SNF Cost Report for fiscal year ending in 12/2024.
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."
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."
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."
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."
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.
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 #229 / 464Payroll costs — State benchmarked This nursing home is ranked 229th out of 464 nursing homes we track in New York. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the New York average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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 #376 / 462Payroll % of net patient revenue — State benchmarked This nursing home is ranked 376th out of 462 nursing homes we track in New York. Shows payroll as a percentage of net patient revenue versus the New York average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in New York that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (75% of admissions), and a typical Medicaid stay runs around 8 - 9 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Niskayuna's city center to Pathways Nursing and Rehabilitation Center's address, calculated via Google Maps.
Add your location
Pathways Nursing and Rehabilitation Center is located in Niskayuna, New York State.
Here are the financial assistance programs available to residents in New York State.
Pathways Nursing and Rehabilitation Center is legally operated by Niskayuna Operating Company, LLC (For Profit).
Pathways Nursing and Rehabilitation Center has a walk score of 2. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to NY state health department records, Pathways Nursing and Rehabilitation Center's license number is 4652302N.
Pathways Nursing and Rehabilitation Center's occupancy is 96.4%.
No, Pathways Nursing and Rehabilitation Center has a no-pet policy.
Pathways Nursing and Rehabilitation Center is registered as a for-profit in NY.
Pathways Nursing and Rehabilitation Center received a 4-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
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