Deficiency Index

Eddy Memorial Geriatric Center

Troy, New York · CCN 335680

14 surveys since 2012, 1 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
52
Surveys
14
Harm or worse
1
Immediate jeopardy
0
The record, 2012–2024
’12’15’20’24
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file11/14

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
80
Ownership
Non profit - Corporation
Chain
TRINITY HEALTH
County
Rensselaer
Medicare-certified since
1985

CMS ratings

Overall
4
Health inspection
3
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=15, floor 20).

Last survey on record

Aug 9, 2024

822 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.754.13
Registered-nurse hours per resident day0.57—
Annual nurse turnover44.7%43.2%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1376.5%E423.5%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 17 of the 52 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6563×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F6091×

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • F6101×

    Respond appropriately to all alleged violations.

In the surveyor’s words

From the most serious findings on record at Eddy Memorial Geriatric Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF641Aug 9, 2024

    Based on record reviews and interviews during the recertification survey, the facility did not ensure that each resident received an accurate assessment reflective of the resident's status at the time of the assessment including the correct coding for anticoagulants for 7 (Residents #s #12, 25, 52, 53, 57, 62, and 72) of 24 residents reviewed. Specifically, for (a.) Resident #s 12, 25, 52, 53, 57, and 62 antiplatelet medications were coded as anticoagulants in the Minimum Data Set (an assessment tool). […]

  • No harm, potential for more than minimal, patternF656May 17, 2022

    Based on observation, record review and interviews during the recertification survey, the facility did not develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment for 7 (Resident #'s 5, 6, 7, 17, 18, 30, and #49) of 23 residents reviewed for comprehensive care plans (CCPs). […]

  • No harm, potential for more than minimal, isolatedF656Aug 9, 2024

    Based on record review and interviews during a recertification survey, the facility did not ensure it developed and implemented a comprehensive person-centered care plan that included measurable objectives and timeframe to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 1 (Resident # 57) of 24 residents reviewed for comprehensive person-centered care plans. Specifically, Resident #57 was diagnosed with a urinary tract infection and prescribed an antibiotic. There was no documented evidence that a care plan was written that addressed the change in condition. […]

  • No harm, potential for more than minimal, isolatedF657Aug 9, 2024

    Based on observations, record review, and interviews conducted during a recertification survey, the facility did not ensure Comprehensive Care Plans were reviewed after each assessment and revised based on changing goals, preferences, and needs of the resident and in response to current interventions for 2 (Resident #'s 27, and 180) of 24 residents reviewed. Specifically, (a.) for Resident #27, Comprehensive Care Plan for medications was not reviewed and revised for a resident who required Guaifenesin cough medication, daily Aspirin for blood thinning, and Cepacol lozenge as needed for sore throat. […]

  • No harm, potential for more than minimal, isolatedF684Aug 9, 2024

    Based on observations, record review and interviews during a Recertification Survey, the facility did not provide needed care and services that were resident centered and in accordance with professional standards of practice to meet each resident's physical, mental, and psychosocial needs for 1 (Resident #11) of 24 residents reviewed. Specifically, the facility did not identify, document, investigate or monitored bruises to Resident #11's bilateral upper extremities. Resident #11 was prescribed an anticoagulant (blood thinning) medication and was at risk for bruising. […]

Read 21 findings in full →The most serious and the most recent: 21 of 52 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 9, 2024Standard and complaint9 findings
  • Oct 28, 2022Complaint2 findings
  • May 17, 2022Standard and complaint4 findings
  • Aug 27, 2020Complaint1 finding
  • May 14, 2020Complaint1 finding
  • Dec 10, 2019Standard and complaint4 findings
  • Nov 20, 2018Standard7 findings
  • Sep 12, 2017Standard3 findings
Show the 6 earlier surveys
  • May 24, 2016Standard6 findings
  • Oct 16, 2015Complaint1 finding
  • Apr 24, 2015Standard5 findings
  • Jun 26, 2014Standard3 findings
  • Jul 22, 2013—5 findings
  • Dec 17, 2012—1 finding · 1 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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