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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.
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 26m per day | ▼ 37% 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.
| 56m per day | ▲ 22% 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.
| 1h 32m per day | ▼ 30% 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 31m per day | ▼ 20% 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.
| 3m per day | ▼ 54% 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.
| 20m per day | ▼ 28% State avg: 28m per day · National avg: 28m per day |
Higher than the New York average: 88.3%Troy Victorian Rehabilitation & Nursing Care Center is legally operated by Troy Diamond Operations, LLC (For Profit).
In New York, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York state average. The score below shows how many points this facility sits above or below the typical New York nursing home score (the benchmark); higher is better.
19 points below the New York average for nursing homes (83/100)
Inspection score: 64 out of 100. Letter grade D. 19 points below the New York average for nursing homes (83/100)
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.
This facility has 5 enforcement actions. 33% of New York nursing homes have zero, and the statewide average is 1.6.
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
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 40 | 13 | This facility has 208% more total citations than a typical New York nursing home (40 vs. NY avg 13).↑ 208% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 31 | 20 | This facility has 55% more health citations than a typical New York nursing home (31 vs. NY avg 20).↑ 55% worse |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 9 | 4 | This facility has 125% more life safety citations than a typical New York nursing home (9 vs. NY avg 4).↑ 125% worse |
|
Citations per year
Average citations per year since 2021.
| 8 | 2.6 | This facility has 208% more citations per year than a typical New York nursing home (8 vs. NY avg 2.6).↑ 208% worse |
|
Citations per inspection
Average citations per inspection.
| 1.9 | 1.4 | This facility has 36% more citations per inspection than a typical New York nursing home (1.9 vs. NY avg 1.4).↑ 36% worse |
Inspections
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 21 | 9 | This facility has 133% more total inspections than a typical New York nursing home (21 vs. NY avg 9).↑ 133% worse |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 11 | 4 | This facility has 175% more inspections with citations than a typical New York nursing home (11 vs. NY avg 4).↑ 175% worse |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 52% | 44% | This facility has 8 percentage points higher inspection citation rate than a typical New York nursing home (52% vs. NY avg 44%).↑ 8% worse |
Complaints & Investigations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 178 | 79 | This facility has 125% more total complaints than a typical New York nursing home (178 vs. NY avg 79).↑ 125% worse |
|
Complaints per year
Average complaints per year since 2021.
| 35.6 | 15.8 | This facility has 125% more complaints per year than a typical New York nursing home (35.6 vs. NY avg 15.8).↑ 125% worse |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 1.54 | 0.50 | This facility has 208% more complaints per bed than a typical New York nursing home (1.54 vs. NY avg 0.5).↑ 208% worse |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York regulators.
| 21 | 15 | This facility has 40% more complaint investigations than a typical New York nursing home (21 vs. NY avg 15).↑ 40% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average N/A
Last Health inspection on May 2025
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
39 of 68 citations resulted from standard inspections; 15 of 68 resulted from complaint investigations; and 14 of 68 came from combined inspections (standard and complaint).
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
How this facility protects residents through staff vaccination policies and immunization practices.
Percentage of facility employees vaccinated against influenza.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 8 RN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursAssists with medical care and medications.
24 total: 20 full-time employees and 4 contractors.
24
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursHelps with daily care and mobility.
All 57 CNA Staff are full-time employees. No contractors work on this role.
57
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,540 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 57 | 0 | 57 | 15,524 | 92 | 100% | 7.9 |
| Licensed Practical Nurse | 20 | 4 | 24 | 8,605 | 92 | 100% | 8.9 |
| Registered Nurse | 8 | 0 | 8 | 2,263 | 92 | 100% | 8.5 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,713 | 76 | 83% | 7.9 |
| Physical Therapy Assistant | 6 | 0 | 6 | 1,041 | 74 | 80% | 6.3 |
| Other Dietary Services Staff | 4 | 0 | 4 | 923 | 81 | 88% | 6 |
| Speech Language Pathologist | 3 | 0 | 3 | 909 | 72 | 78% | 7 |
| RN Director of Nursing | 2 | 0 | 2 | 820 | 68 | 74% | 6.9 |
| Mental Health Service Worker | 2 | 0 | 2 | 722 | 66 | 72% | 5.7 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 536 | 77 | 84% | 6.6 |
| Physical Therapy Aide | 2 | 0 | 2 | 515 | 72 | 78% | 6.7 |
| Administrator | 2 | 0 | 2 | 511 | 66 | 72% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Dietitian | 1 | 0 | 1 | 428 | 57 | 62% | 7.5 |
| Respiratory Therapist | 1 | 0 | 1 | 427 | 59 | 64% | 7.2 |
| Qualified Social Worker | 3 | 0 | 3 | 427 | 66 | 72% | 6.3 |
| Medical Director | 1 | 0 | 1 | 264 | 66 | 72% | 4 |
| Occupational Therapy Aide | 1 | 0 | 1 | 137 | 54 | 59% | 2.5 |
Includes penalties issued in 2024-2025
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 (Data as of Jan 2026)
177% higher than State averageState average: $66K
In line with State averageState average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than State averageState average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 9, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 5, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.3
15% worse than State averageState average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.0
10% worse than State averageState average: 18.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
18.5%
13% worse than State averageState average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
16.6%
In line with State averageState average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.8%
16% worse than State averageState average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
4.5%
52% worse than State averageState average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
8.6%
21% worse than State averageState average: 7.2%
Percent of long-stay residents with a urinary tract infection
4.9%
252% worse than State averageState average: 1.4%
Percent of long-stay residents who lose too much weight
8.2%
35% worse than State averageState average: 6.1%
Percent of long-stay residents who have depressive symptoms
15.9%
12% better than State averageState average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
23.8%
89% worse than State averageState average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
81.3%
11% worse than State averageState average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.5%
In line with State averageState average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.42
17% better than State averageState average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.64
21% worse than State averageState average: 1.35
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
77.9%
In line with State averageState average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
4.4%
242% worse than State averageState average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
75.8%
In line with State averageState average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.6%
44% worse than State averageState average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.2%
36% worse than State averageState average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
103% worse than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
53.0%
In line with State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
38.5%
24% worse than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
29% of new residents, usually for short-term rehab.
36% of new residents, often for short stays.
35% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
107Residents 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 Troy Victorian Rehabilitation & Nursing Care Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #292 / 382Payroll — State benchmarkedThis home is ranked 292nd out of 382 homes in New York for payroll. Shows total annual staff payroll benchmarked to the New York average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
6.5 miles from city center
Estimated distance in miles from Troy's city center to Troy Victorian Rehabilitation & Nursing Care Center's address, calculated via Google Maps.
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The legal owner and operator of Troy Victorian Rehabilitation & Nursing Care Center is Troy Diamond Operations, LLC (For Profit).
According to NY state health department records, Troy Victorian Rehabilitation & Nursing Care Center's license number is 4161000N.
Troy Victorian Rehabilitation & Nursing Care Center's occupancy is 94%.
Troy Victorian Rehabilitation & Nursing Care Center has 120 beds.
Troy Victorian Rehabilitation & Nursing Care Center has had 40 recently reported deficiencies.
Troy Victorian Rehabilitation & Nursing Care Center is located at 100 New Turnpike Road.
(518) 235-1410 will put you in contact with the team at Troy Victorian Rehabilitation & Nursing Care Center.
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