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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Tupper Lake Center for Nursing and Rehabilitation is a 60-bed nonprofit skilled nursing facility in Tupper Lake, Franklin County, established in 1967. It provides short-term rehabilitation, long-term care, and skilled nursing services within the Adirondack region. Medicare and Medicaid certified with 95 percent occupancy averaging 57 residents, it maintains family councils emphasizing individualized care planning development within the initial week following admission.
Tupper Lake Center received a one-star overall CMS rating, substantially below state average of 3.33 and national average of 3.32. Health inspection rating is one star; staffing rating is one star. Recent health inspection on January 30, 2024 documented 30 deficiencies, 32 complaints, and 33 total citations. Critical compliance failures include documented absence of registered nurse on duty for the mandated eight-hour daily minimum and absence of a full-time director of nursing. Those are both foundational deficiencies undermining core clinical governance structures. The facility incurred one federal fine of $35,438. Most significantly, CMS designated Tupper Lake Center for enhanced monitoring due to documented pattern of poor care spanning August 2024 through July 2025, indicating systemic quality concerns persisting months after the January 2024 inspection. The CMS monitoring status represents regulatory escalation reflecting sustained operational deficiencies.
Tupper Lake Center offers physical therapy, occupational therapy, speech-language pathology, dental care, psychiatry, and skilled nursing services with physician oversight. The facility emphasizes compassionate care and resident-centered programming, yet regulatory findings demonstrate substantial gaps between marketed mission and demonstrated operational capacity. Automatic sprinkler systems provide fire safety infrastructure. The picturesque Adirondack location offers environmental setting conducive to wellness engagement.
The one-star overall rating, critical registered nurse staffing deficiencies, active CMS monitoring status for pattern of poor care, substantial federal fine, and resident occupancy representing only 95 percent of licensed capacity create extraordinary regulatory and safety concerns. Families considering Tupper Lake Center must independently verify January 2024 deficiency corrections through current state inspection records, confirm registered nurse eight-hour-daily coverage compliance through unannounced facility visits, obtain documentation of CMS monitoring plan resolution, and assess whether pattern-of-care improvements have demonstrably materialized since designation.
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.
| 1h 17m per day | ▲ 83% 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.
| 22m per day | ▼ 52% 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 46m per day | ▲ 27% State avg: 2h 11m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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 17m per day | ▲ 4% 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.
| 6m per day | ▼ 14% State avg: 7m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 48m per day | ▲ 71% State avg: 28m per day · National avg: 28m per day |
Higher than the New York average: 88.3%Tupper Lake Center for Nursing and Rehabilitation is legally operated by Tupper Lake Center 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.
Enforcement actions are formal penalties or interventions imposed by New York regulators when an assisted living residence fails to meet state care, safety, or regulatory standards. They may include stipulations and orders, civil monetary penalties, operational restrictions, or appointment of temporary management.
This facility has 2 enforcement actions. 57% of New York assisted living residences have zero, and the statewide average is 0.9.
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 are formal regulatory issues recorded during state inspections.
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 7 | 9 | This facility has 22% fewer total inspections than a typical New York assisted living residence (7 vs. NY avg 9). Click this badge to view the full New York ranking.↓ 22% better |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 6 | 5 | This facility has 20% more inspections with citations than a typical New York assisted living residence (6 vs. NY avg 5). Click this badge to view the full New York ranking.↑ 20% worse |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 86% | 56% | This facility has 30 percentage points higher inspection citation rate than a typical New York assisted living residence (86% vs. NY avg 56%). Click this badge to view the full New York ranking.↑ 30% worse |
Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on January 30, 2024, identified deficiencies including issues with criminal history review, drug regimen, food sanitation, staffing, and electrical systems, all of which were corrected by April 2024. Earlier inspections showed a pattern of citations related to care planning, nutrition, medication management, staffing, infection control, accident hazards, and reporting requirements, with some immediate jeopardy findings for abuse and neglect in August 2022 that were corrected. Complaint investigations were mostly unsubstantiated, with no fines or license actions listed in the available reports. Prior reports noted recurring issues with infection control, accident hazards, and electrical safety, but these were addressed in a timely manner. The facility’s record shows ongoing attention to correcting deficiencies, with recent inspections reflecting improvements following earlier concerns.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsState average N/A
Last Health inspection on Jan 2024
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.
17 of 23 citations resulted from standard inspections; and 6 of 23 resulted from complaint investigations.
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
65.0 miles from city center
Estimated distance in miles from Tupper Lake's city center to Tupper Lake Center for Nursing and Rehabilitation's address, calculated via Google Maps.
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Reporting period: April 1 – June 30, 2025 (Q2 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 April 1 – June 30, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
2,689 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 36 | 4 | 40 | 14,842 | 91 | 100% | 7.8 |
| Registered Nurse | 16 | 2 | 18 | 6,428 | 91 | 100% | 8 |
| Licensed Practical Nurse | 5 | 2 | 7 | 1,621 | 88 | 97% | 9.3 |
| Respiratory Therapy Technician | 1 | 1 | 2 | 505 | 65 | 71% | 7.8 |
| Administrator | 1 | 0 | 1 | 440 | 46 | 51% | 9.6 |
| Other Dietary Services Staff | 1 | 0 | 1 | 434 | 61 | 67% | 7.1 |
| Occupational Therapy Aide | 1 | 0 | 1 | 390 | 52 | 57% | 7.5 |
| Physical Therapy Assistant | 2 | 0 | 2 | 243 | 28 | 31% | 8.7 |
| Medical Director | 0 | 1 | 1 | 24 | 6 | 7% | 4 |
| Qualified Social Worker | 1 | 0 | 1 | 23 | 4 | 4% | 5.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 19 | 5 | 5% | 3.8 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
58Residents meet regularly to discuss policies, care quality, and activities
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.
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.
5.8
41% better than State averageState average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
5.8
68% better 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
8.8%
47% better than State averageState average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
6.7%
60% better than State averageState average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
1.8%
91% better than State averageState average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
3.3%
11% worse than State averageState average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
0.0%
100% better than State averageState average: 7.2%
Percent of long-stay residents with a urinary tract infection
0.5%
64% better than State averageState average: 1.4%
Percent of long-stay residents who lose too much weight
10.0%
64% worse than State averageState average: 6.1%
Percent of long-stay residents who have depressive symptoms
48.0%
165% worse than State averageState average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
5.6%
55% better than State averageState average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
86.3%
6% worse than State averageState average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
In line with State averageState average: 95.2%
Number of hospitalizations per 1,000 long-stay resident days.
1.89
11% worse than State averageState average: 1.71
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.50
159% 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
84.0%
10% better than State averageState average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
6% worse than State averageState average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
72.1%
9% worse than State averageState average: 78.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
7.0%
66% better than State averageState average: 20.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
19.9%
105% worse than State averageState average: 9.7%
Percentage of SNF residents who experience falls with major injury during their stay.
2.2%
182% worse than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
53.1%
In line with State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
43.5%
14% 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.
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.
The information below is reported by the New York State Department of Health.
| Tupper Lake Center for Nursing and Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Tupper Lake | - | 60 | 58 | - |
| Job Haines Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Bloomfield (Bloomfield Avenue) | - | 40 | 85 | Studio / 1 Bed / Private / Semi-Private Rooms |
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The legal owner and operator of Tupper Lake Center for Nursing and Rehabilitation is Tupper Lake Center LLC (For Profit).
Tupper Lake Center for Nursing and Rehabilitation has a walk score of 58. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to NY state health department records, Tupper Lake Center for Nursing and Rehabilitation's license number is 1620301N.
Tupper Lake Center for Nursing and Rehabilitation's occupancy is 95%.
Tupper Lake Center for Nursing and Rehabilitation has 60 beds.
Tupper Lake Center for Nursing and Rehabilitation has had 16 recently reported deficiencies.
Yes — there are 6 photos of Tupper Lake Center for Nursing and Rehabilitation in the photo gallery on this page.
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