Pathways Nursing and Rehabilitation Center

Nursing Home, Respite Care & Skilled Nursing · Niskayuna, NY

CMS overall rating

1805 Providence Avenue, Niskayuna, NY 12309 View map

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Pathways Nursing and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

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Pathways Nursing and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Overview of Pathways Nursing and Rehabilitation Center

Located on Providence Avenue in Niskayuna, New York, Pathways Nursing and Rehabilitation Center is a skilled nursing facility operated by Niskayuna Operating Company, LLC. The 110-bed facility accepts Medicare, Medicaid, and private pay, giving families multiple ways to cover both short-term rehabilitation and longer-term skilled nursing care. The community has an occupancy rate of 96%. Residents stay an average of 302 days, which is a mix of post-acute rehabilitation patients and those receiving longer-term care.

Rehabilitation is the facility’s primary focus. It has specialized programs for pediatric patients and residents recovering from traumatic brain injuries. These services make the center a practical choice for families looking for intensive therapy and specialized clinical care.

Daily nurse staffing averages 2 hours and 9 minutes per resident. Registered nurses provide 1 hour and 39 minutes of that care. Residents also get additional support from licensed practical nurses and nurse aides. Nursing staff is available 24 hours a day.

State inspections by the New York Department of Health have reviewed nursing documentation, staffing practices, and facility operations. The center has made timely improvements in identified areas, helping to sustain its clinical and operational standards.

The facility is located in a car-dependent area where most errands require a vehicle. Families considering post-acute rehabilitation or specialized long-term care for a loved one with neurological or pediatric needs should tour the facility to learn more about its therapy programs, daily nursing routines, and individualized care plans.

Facility Direct Line (518) 374-2212

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

2h 9m per day

This facility New York avg (3h 35m per day)

vs New York avg

-40%

3 of 6 metrics below state avg

Standout metric Weekend RN is +178% 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.	1h 39m per day	▲ 135% 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.	17m per day	▼ 63% 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 1m per day	▼ 8% 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.	3h 24m per day	▲ 7% State avg: 3h 10m per day · National avg: 3h 26m per day
Physical Therapist 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.	7m per day	▼ 5% State avg: 7m per day · National avg: 4m 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.	1h 18m per day	▲ 178% State avg: 28m per day · National avg: 28m per day

Capacity and availability

302 days

110-bed community

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

Walk Score: 2 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

96%

Higher than the New York average: 88.3%

Occupied beds

106 / 110

Average occupied beds in New York homes 166 beds

Facility TypeNursing Home

StatusActive

CountySchenectady

License Number4652302N

CMS Certification Number335701

Pathways Nursing and Rehabilitation Center is legally operated by Niskayuna Operating Company, LLC (For Profit).

Owner NameNiskayuna Operating Company, LLC (For Profit)

Rehabilitation Services

Licensed Nurses/CNAs

Pets not allowed

Since 2019 · 7 years of data 1 enforcement action 13 citations 30 complaints 6 inspections 7 complaint investigations

Inspection Score

9 points above the New York average for nursing homes (83/100)

Enforcement Actions Enforcement actions are formal penalties or interventions imposed by New York 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

1 enforcement action

This facility has 1 enforcement action. 33% of New York nursing homes have zero, and the statewide average is 1.6.

November 26, 2021 Quality of Care #NH-22-020

Inspection Scorecard 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.

Since 2019 vs. New York state average

Overall vs. NY average

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.	13	13	This facility has total citations in line with the New York average (13 vs. NY avg 13).— At avg
Health citations Citations related to resident care, clinical practices, and day-to-day operations.	10	20	This facility has 50% fewer health citations than a typical New York nursing home (10 vs. NY avg 20).↓ 50% better
Life safety citations Citations related to building safety — fire prevention, emergency egress, and similar.	3	4	This facility has 25% fewer life safety citations than a typical New York nursing home (3 vs. NY avg 4).↓ 25% better
Citations per inspection Average citations per inspection.	2.2	1.4	This facility has 57% more citations per inspection than a typical New York nursing home (2.2 vs. NY avg 1.4).↑ 57% 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 inspections conducted at this facility.	6	9	This facility has had 33% fewer total inspections than the New York average (6 vs. NY avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↓ 33% fewer
Inspections with citations Inspections that resulted in at least one regulatory citation.	3	4	This facility has 25% fewer inspections with citations than a typical New York nursing home (3 vs. NY avg 4).↓ 25% better
Inspection citation rate Percentage of inspections that resulted in at least one citation.	50%	44%	This facility has 6 percentage points higher inspection citation rate than a typical New York nursing home (50% vs. NY avg 44%).↑ 6% 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.	30	79	This facility has 62% fewer total complaints than a typical New York nursing home (30 vs. NY avg 79).↓ 62% better
Complaints per year Average complaints per year since 2019.	4.3	11.3	This facility has 62% fewer complaints per year than a typical New York nursing home (4.3 vs. NY avg 11.3).↓ 62% better
Complaints per bed Size-adjusted complaint rate based on occupied beds.	0.28	0.50	This facility has 44% fewer complaints per bed than a typical New York nursing home (0.28 vs. NY avg 0.5).↓ 44% better
Complaint investigations On-site investigations triggered by complaints filed with New York regulators.	7	15	This facility has 53% fewer complaint investigations than a typical New York nursing home (7 vs. NY avg 15).↓ 53% better

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

January 10, 2025 inspection found nine deficiencies across nursing staff sufficiency, drug labeling, PASARR screening, and electrical systems, all corrected by early 2025.
July 10, 2024 annual inspection noted one deficiency for abuse reporting documentation, with no further citations or complaints reported.
November 15, 2021 report cited a widespread uncorrected deficiency for reporting to the national health safety network.

Show Inspection Reports

Inspections since 2019

Total health inspections 3

New York average 3.6

Last Health inspection on Jan 2025

Total health citations

New York average 18.5

Citations per inspection

3.67

New York average 5.05

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

10 of 11 citations resulted from standard inspections; and 1 of 11 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 7 years)

Critical health citations

100% better than New York average

New York average: 0.2

Serious health citations

100% better than New York average

New York average: 0.2

0 critical citations New York average: 0.2

0 serious citations New York average: 0.2

11 moderate citations New York average: 17.4

0 minor citations New York average: 0.7

Citations history (last 7 years)

Nursing Services moderate citation Jan 10, 2025

Corrected

Pharmacy moderate citation Jan 10, 2025

Corrected

Quality of Care moderate citation Jan 10, 2025

Corrected

Care Planning moderate citation Jan 10, 2025

Corrected

Employee Flu Vaccination Rate: 95%

Percentage of facility employees vaccinated against influenza.

Total Cases 2

Active Cases 1

Closed 0

Since 2022

Most Recent 2025

View full lawsuit report

Total staff 192

Employees 181

Contractors 11

Staff to resident ratio 1.83 : 1

944% more staff per resident than New York average

Avg staff/day 89

Average shift 7.8 hours

0% compared with New York average

Total staff hours (quarter) 63,912

Nursing staff breakdown

8.3 hours

7 hours

8 hours

Contractor staffing

3,716 contractor hours this quarter

Qualified Activities Professional: 5 Registered Nurse: 4 Licensed Practical Nurse: 1 Certified Nursing Assistant: 1

Staff by category


Certified Nursing Assistant	54	1	55	19,837	92	100%	8
Registered Nurse	30	4	34	15,738	92	100%	8.3
Qualified Activities Professional	42	5	47	14,224	92	100%	8
Licensed Practical Nurse	6	1	7	2,786	92	100%	7
Other Dietary Services Staff	12	0	12	2,558	92	100%	7.2
Physical Therapist	19	0	19	2,407	92	100%	5.4
Respiratory Therapy Technician	3	0	3	1,091	64	70%	7
Occupational Therapy Aide	2	0	2	848	63	68%	7.5
Mental Health Service Worker	2	0	2	810	64	70%	7.5
Medical Director	1	0	1	495	66	72%	7.5
Other Physician	1	0	1	495	66	72%	7.5
Administrator	1	0	1	480	64	70%	7.5
Nurse Practitioner	1	0	1	480	64	70%	7.5
Qualified Social Worker	2	0	2	434	60	65%	6.9
Dental Services Staff	1	0	1	428	57	62%	7.5
Dietitian	1	0	1	390	52	57%	7.5
Physical Therapy Aide	1	0	1	387	53	58%	7.3
Physical Therapy Assistant	2	0	2	24	11	12%	2.2

55 Certified Nursing Assistant

% of Days 100%

34 Registered Nurse

% of Days 100%

47 Qualified Activities Professional

% of Days 100%

7 Licensed Practical Nurse

% of Days 100%

12 Other Dietary Services Staff

% of Days 100%

19 Physical Therapist

% of Days 100%

3 Respiratory Therapy Technician

% of Days 70%

2 Occupational Therapy Aide

% of Days 68%

2 Mental Health Service Worker

% of Days 70%

1 Medical Director

% of Days 72%

1 Other Physician

% of Days 72%

1 Administrator

% of Days 70%

1 Nurse Practitioner

% of Days 70%

2 Qualified Social Worker

% of Days 65%

1 Dental Services Staff

% of Days 62%

1 Dietitian

% of Days 57%

1 Physical Therapy Aide

% of Days 58%

2 Physical Therapy Assistant

% of Days 12%

View All Staffing Data in Niskayuna

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 7.0

29% better than New York average

New York average: 9.8

Functional decline score 10.7

41% better than New York average

New York average: 18.1

Long-stay resident measures

Significantly above average New York avg: 4.0

Need for Help with Daily Activities Increased 11.7%

29% better than New York average

New York average: 16.4%

Walking Ability Worsened 17.2%

In line with New York average

New York average: 16.6%

Low Risk Residents with Bowel/Bladder Incontinence 3.1%

86% better than New York average

New York average: 21.4%

Falls with Major Injury 1.0%

68% better than New York average

New York average: 3.0%

High Risk Residents with Pressure Ulcers 3.1%

57% better than New York average

New York average: 7.2%

Urinary Tract Infection 2.4%

72% worse than New York average

New York average: 1.4%

Lost Too Much Weight 1.9%

68% better than New York average

New York average: 6.1%

Depressive Symptoms 0.0%

100% better than New York average

New York average: 18.1%

Antipsychotic Use 8.4%

33% better than New York average

New York average: 12.6%

Pneumococcal Vaccine 100.0%

9% better than New York average

New York average: 91.4%

Influenza Vaccine 100.0%

5% better than New York average

New York average: 95.2%

Short-stay resident measures

Pneumococcal Vaccine 97.1%

27% better than New York average

New York average: 76.6%

Antipsychotic medication increase 2.8%

119% worse than New York average

New York average: 1.3%

Influenza Vaccine 100.0%

27% better than New York average

New York average: 78.8%

Breakdown by payment type

Medicare

7% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

22% of new residents, often for short stays.

Typical stay 7 - 8 months

Medicaid

72% of new residents, often for long-term daily care.

Typical stay 11 - 12 months

Total residents 105

Medicaid

103

98.1% of residents

Private pay or other

1.9% 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 Pathways Nursing and Rehabilitation Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 98.4% ↑ 1.6pp vs 2022

Net Patient Income $1.9M ↑ ~$1.5M vs 2022

Payroll Costs $11.8M ↑ ~$1.8M vs 2022

Operating Margin 6.7% ↑ 5.2pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	126.1%	96.6%	96.3%	96.1%	96.2%	96.8%	96.9%	96.3%	97.7%	96.2%	98.6%	96.8%	98.4%
Beds	112	112	112	112	112	112	112	112	112	112	112	112	112
Net Income	-$480,709	$2,787,332	$3,358,357	$1,082,031	-$877,987	-$613,906	-$552,629	$533,305	$1,561,750	$2,177,935	$4,505,179	$430,834	$2,236,028
Gross Revenue	$19,309,216	$21,213,064	$21,508,711	$21,088,978	$22,749,639	$21,837,410	$22,725,465	$23,524,891	$24,546,925	$25,518,714	$28,812,100	$26,709,127	$28,749,773
Operating Expenses	$19,789,925	$18,464,281	$18,196,135	$20,029,531	$23,638,644	$22,573,694	$23,278,094	$23,003,245	$22,988,249	$23,433,544	$24,306,921	$26,307,057	$26,818,324
Net Patient Income	-$480,709	$2,748,783	$3,312,576	$1,059,447	-$889,005	-$736,284	-$552,629	$521,646	$1,558,676	$2,085,170	$4,505,179	$402,070	$1,931,449
Net Patient Revenue	$19,309,216	$21,213,064	$21,508,711	$21,088,978	$22,749,639	$21,837,410	$22,725,465	$23,524,891	$24,546,925	$25,518,714	$28,812,100	$26,709,127	$28,749,773
Payroll Costs	$9,650,832	$9,334,509	$8,230,545	$8,012,281	$9,070,460	$8,655,767	$8,599,042	$9,478,298	$9,464,945	$10,083,946	$9,735,022	$10,021,270	$11,812,056
Operating Margin %	-2.5%	13.0%	15.4%	5.0%	-3.9%	-3.4%	-2.4%	2.2%	6.4%	8.2%	15.6%	1.5%	6.7%
Medicare %	7.8%	8.2%	10.6%	6.0%	2.8%	3.9%	4.2%	3.0%	2.4%	3.0%	3.3%	2.8%	1.7%
Medicaid %	0.0%	75.7%	78.0%	81.7%	81.6%	82.5%	76.6%	72.7%	73.7%	75.6%	80.0%	81.4%	82.6%
Private %	92.2%	16.1%	11.4%	12.3%	15.6%	13.7%	19.2%	24.3%	23.9%	21.4%	16.7%	15.8%	15.7%
Net Patient Revenue/Day	$374	$536	$547	$537	$578	$552	$574	$598	$615	$647	$715	$675	$715
Cost/Day	$384	$466	$462	$510	$601	$571	$588	$584	$576	$594	$603	$665	$667
Avg Length of Stay	125.8 days	104.8 days	106.1 days	251.9 days	125.7 days	241.3 days	139.0 days	118.2 days	114.7 days	159.6 days	250.3 days	249.0 days	302.4 days

Finances and operations

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

Net patient revenue

$28.7M

Net patient income

$1.9M

For-profit Individual

Net patient revenue

$28.7M

Net patient income

$1.9M

Other income

$304.6K

Payroll costs

$11.8M 41.1% of net patient revenue

Other operating costs

$15.0M

Total costs

$26.8M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (72% of admissions), and a typical Medicaid stay runs around 11 - 12 months.

Coverage residents most often arrive under.

Medicare 7%

Private pay 22%

Medicaid 72%

Coverage residents most often leave under.

Medicare 2%

Private pay 40%

Medicaid 59%

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.

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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)

Who is the owner of Pathways Nursing and Rehabilitation Center?

Pathways Nursing and Rehabilitation Center is legally operated by Niskayuna Operating Company, LLC (For Profit).

Is Pathways Nursing and Rehabilitation Center in a walkable area?

Pathways Nursing and Rehabilitation Center has a walk score of 2. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Pathways Nursing and Rehabilitation Center?

According to NY state health department records, Pathways Nursing and Rehabilitation Center's license number is 4652302N.

What is the occupancy rate at Pathways Nursing and Rehabilitation Center?

Pathways Nursing and Rehabilitation Center's occupancy is 96%.

Are pets allowed at Pathways Nursing and Rehabilitation Center?

No, Pathways Nursing and Rehabilitation Center has a no-pet policy.

Does Pathways Nursing and Rehabilitation Center operate as a for-profit or non-profit?

Pathways Nursing and Rehabilitation Center is registered as a for-profit in NY.

How many beds does Pathways Nursing and Rehabilitation Center have?

Pathways Nursing and Rehabilitation Center has 110 beds.

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Pathways Nursing and Rehabilitation Center

Overview of Pathways Nursing and Rehabilitation Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Additional Policies & Features

Amenities & Lifestyle

Contact Pathways Nursing and Rehabilitation Center

Inspection History

Inspection Scorecard 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 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.

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Infection Prevention & Vaccination

Lawsuit overview for Pathways Nursing and Rehabilitation Center

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

55 Certified Nursing Assistant

34 Registered Nurse

47 Qualified Activities Professional

7 Licensed Practical Nurse

12 Other Dietary Services Staff

19 Physical Therapist

3 Respiratory Therapy Technician

2 Occupational Therapy Aide

2 Mental Health Service Worker

1 Medical Director

1 Other Physician

1 Administrator

1 Nurse Practitioner

2 Qualified Social Worker

1 Dental Services Staff

1 Dietitian

1 Physical Therapy Aide

2 Physical Therapy Assistant

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 long-term care residents

Admissions

Discharges

Places of interest near Pathways Nursing and Rehabilitation Center

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Financial Assistance for Assisted Living in New York

Community First Choice Option

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

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Financial Assistance for
Assisted Living in New York