Deficiency Index

Rome Memorial Hospital, Inc - R H C F

Rome, New York · CCN 335563

16 surveys since 2011, 2 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
48
Surveys
16
Harm or worse
2
Immediate jeopardy
1
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file12/16

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 - Other
Chain
Independent
County
Oneida
Medicare-certified since
1976

CMS ratings

Overall
4
Health inspection
4
Staffing
4
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=14, floor 20).

Last survey on record

Jul 2, 2026

130 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 day3.924.13
Registered-nurse hours per resident day0.67—
Annual nurse turnover48.9%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 minimalD981.8%E218.2%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 11 of the 48 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7612×

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  • F5801×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F6001×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F6381×

    Assure that each resident’s assessment is updated at least once every 3 months.

  • F6841×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

In the surveyor’s words

From the most serious findings on record at Rome Memorial Hospital, Inc - R H C F, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF578Nov 2, 2022

    Based on record review and interviews during the abbreviated survey (NY 209) the facility failed to ensure residents had their advance directives honored for 1 of 6 residents reviewed (Resident #1). Specifically, on [DATE], resuscitation efforts were made when Resident #1 became unresponsive despite a Do Not Resuscitate (DNR, allow natural death) order included in the resident's medical record. On [DATE], the Resident's representative changed the resident's advance directives from Full Code (initiate cardiopulmonary resuscitation, CPR) to DNR / Do Not Intubate (DNI). […]

  • No harm, potential for more than minimal, patternF700Apr 14, 2023

    Based on observation, record review, and interview during the recertification survey conducted 4/11/23-4/14/23, the facility failed to assess residents for risk of entrapment from bed rails prior to installation, review the risks and benefits of bed rails with the resident or resident representative, and obtain informed consent prior to the installation of bed rails for 10 of 10 residents (Residents #9, 11, 14, 15, 16, 29, 32, 36, 37, and 38) reviewed. Specifically, for Residents #9, 11, 14, 15, 16, 29, 32, 36, 37, and 38 there was no documented evidence bed rail assessments were completed, and consents were obtained prior to bed rail installation; there was no documented evidence the risks and benefits of bed rails were explained to the residents or their representatives prior to bed rail… […]

  • No harm, potential for more than minimal, patternF880Apr 15, 2021

    Based on observation, interview and record review during the recertification and abbreviated surveys (NY 612 and NY 167) the facility did not ensure it maintained an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 2 of 2 nursing units (North/South and East) and 1 of 1 laundry room (first floor laundry room) reviewed. Specifically, dirty lunch trays were observed placed on top of multiple clean PPE (personal protective equipment) carts on 2 of 2 nursing units (North/South and East); and two drying tumblers and two front loading washer-extractors were not maintained per manufacturer instructions. […]

  • No harm, potential for more than minimal, isolatedF684Jul 2, 2026

    The facility failed to provide needed care and services that are resident centered, in accordance with the resident's preferences, goals for care and professional standards of practice. Specifically, Resident #1's advanced directives were Do Not Resuscitate (allow natural death) and when they became unresponsive, the staff did not verify the Resident #1's advance directives per facility policy, and initiated cardiopulmonary resuscitation for approximately three minutes. Findings include:The 12/2025 revised facility policy, [Cardiopulmonary Resuscitation] Identification, documented All residents would have a [Medical Order for Life Sustaining Treatment] form completed upon admission. […]

  • No harm, potential for more than minimal, isolatedF580Jan 8, 2025

    Based on record review and interviews during the recertification and abbreviated (NY00362429) surveys conducted 1/2/2025-1/8/2025 the facility did not ensure the resident's physician was consulted and the resident's representative was notified when there was a need to alter treatment significantly for 1 of 1 resident (Resident #61) reviewed. Specifically, Resident #61 did not receive 5 doses of their Parkinson's disease (a progressive neurological disorder) medication (pramipexole dihydrochloride) and there was no documented evidence the physician or resident's representative were notified of the omission. […]

Read 21 findings in full →The most serious and the most recent: 21 of 48 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 2, 2026Complaint1 finding
  • Jan 8, 2025Standard and complaint2 findings
  • Apr 14, 2023Standard and complaint6 findings
  • Nov 2, 2022Complaint1 finding · 1 harm
  • Apr 15, 2021Standard2 findings
  • Mar 4, 2021Complaint2 findings
  • Jan 28, 2019Standard1 finding
  • Sep 15, 2017Standard2 findings
Show the 8 earlier surveys
  • May 26, 2016Standard6 findings
  • Apr 1, 2015Standard4 findings
  • Aug 7, 2014Complaint2 findings
  • Feb 7, 2014Standard3 findings
  • Aug 19, 2013—3 findings · 1 harm
  • Mar 28, 2013—4 findings
  • Mar 1, 2012—5 findings
  • Mar 4, 2011—4 findings

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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