{"schema_version":"1.0.0","facility":{"id":"cms-335482","ccn":"335482","name":"Elderwood at Ticonderoga","source_name":"ELDERWOOD AT TICONDEROGA","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"NY","address":{"line1":"101 Adirondack Drive","city":"Ticonderoga","state":"NY","zip":"12883","county_name":"Essex County","county_fips":"36031","county_method":"name_match","ssa_county_code":"260","urban":false},"location":{"lat":43.8481,"lon":-73.44,"method":"cms_published_coordinates"},"phone":"5185856771","certification":{"authority":"CMS","ccn":"335482","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1976-04-01","certified_beds":84,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/335482"},"licenses":[{"state":"NY","authority":"New York State Department of Health (NYSDOH)","license_number":"1527301N","state_facility_id":"310","license_type":"Residential Health Care Facility - SNF","status":"active","licensed_beds":84,"initial_license_date":"1979-02-01","licensee":"1019 Wicker Street Operating Company, LLC","licensee_entity_type":"LLC","as_of":"2026-10-23","evidence_class":"INFERRED","source_id":"ny_doh_health_facilities","source_url":"https://health.data.ny.gov/d/vn5v-hh5r","link_method":"exact_address_zip","bed_certifications":{"RHCF":84}}],"capacity":{"certified_beds":84,"licensed_beds":84,"avg_residents_per_day":77},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"1019 WICKER STREET OPERATING COMPANY LLC","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":true,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":2},"health_inspection":{"value":2},"quality_measures":{"value":3},"long_stay_qm":{"value":4},"short_stay_qm":{"value":2},"staffing":{"value":3},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":1.91492,"lpn_hprd":0.51863,"rn_hprd":0.65142,"licensed_hprd":1.17006,"total_nurse_hprd":3.08498,"weekend_total_nurse_hprd":2.82661,"weekend_rn_hprd":0.42872,"pt_hprd":0.21084,"nursing_turnover_pct":39.4,"rn_turnover_pct":50,"administrators_left":1,"case_mix_index":1.2461,"case_mix_index_ratio":0.8836,"case_mix_total_nurse_hprd":3.4468,"adjusted_total_nurse_hprd":3.46397,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2024-07-15","cycle1_deficiencies":8,"cycle1_score":64,"cycle2_date":"2021-09-23","cycle23_deficiencies":8,"cycle23_score":28,"total_weighted_score":55},"cms_penalty_counts":{"fines":1,"fine_total":4516,"payment_denials":0,"total":1},"chain":{"id":"cms-chain-196","cms_chain_id":"196","name":"ELDERWOOD"},"operator_id":"op-1019-wicker-street-operating-company-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/335482","provenance":[{"source_id":"cms_provider_info","source_record_id":"335482","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=335482&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"335482","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=335482&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."},{"source_id":"ny_doh_health_facilities","source_record_id":"310","url":"https://health.data.ny.gov/d/vn5v-hh5r","retrieved_at":"2026-11-07T14:53:59.549Z","source_updated_at":"2026-10-23","effective_date":"2026-10-23","jurisdiction":"NY","fields":["state_license","licensed_beds","licensee"],"evidence_class":"INFERRED","status":"current","note":"Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN)."},{"source_id":"ny_doh_facility_beds","source_record_id":"310","url":"https://health.data.ny.gov/d/2g9y-7kqm","retrieved_at":"2026-11-07T14:54:00.242Z","source_updated_at":"2026-11-01","jurisdiction":"NY","fields":["capacity","bed_certifications"],"evidence_class":"VERIFIED","status":"current"}],"inspection_summary":{"count":7,"health_count":4,"fire_count":3,"complaint_count":2,"latest_date":"2025-08-20","latest_standard_health":"2024-07-15","earliest_date":"2019-04-26","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":38,"health_count":27,"fire_count":11,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":3,"by_severity":{"potential":36,"minimal":2},"by_scope_severity":{"D":18,"F":5,"E":13,"C":2},"by_concept":{"resident_rights":6,"clinical_care":7,"emergency_preparedness":2,"environment_life_safety":9,"food_nutrition":5,"medication":6,"infection_prevention":2,"administration":1},"type_ids":["cms-f0580","cms-f0690","cms-e0007","cms-e0026","cms-k0211","cms-k0341","cms-f0692","cms-f0805","cms-f0804","cms-f0604","cms-f0656","cms-f0679","cms-f0755","cms-f0761","cms-f0610","cms-k0222","cms-k0311","cms-k0372","cms-f0812","cms-f0880","cms-f0584","cms-f0814","cms-k0271","cms-k0926","cms-f0836","cms-f0550","cms-f0582","cms-f0655","cms-f0756","cms-f0757","cms-f0758"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":1,"fines":1,"fine_total":4516,"payment_denials":0,"latest_date":"2024-01-30"},"ownership_summary":{"disclosures":9,"organizations":1,"individuals":8,"not_available":false}},"row":{"id":"cms-335482","ccn":"335482","name":"Elderwood at Ticonderoga","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"NY","city":"Ticonderoga","zip":"12883","county_fips":"36031","county_name":"Essex County","address":"101 Adirondack Drive","beds":84,"residents":77,"ownership":"for_profit","operator_id":"op-1019-wicker-street-operating-company-llc","operator_name":"1019 Wicker Street Operating Company LLC","chain_id":"cms-chain-196","chain_name":"Elderwood","lat":43.8481,"lon":-73.44,"overall":2,"health_rating":2,"staffing_rating":3,"qm_rating":3,"nurse_hprd":3.08,"turnover":39.4,"inspections":7,"last_inspection":"2025-08-20","deficiencies":38,"serious":0,"ij":0,"open":0,"penalties":1,"fines_total":4516,"deficiency_type_ids":["cms-f0580","cms-f0690","cms-e0007","cms-e0026","cms-k0211","cms-k0341","cms-f0692","cms-f0805","cms-f0804","cms-f0604","cms-f0656","cms-f0679","cms-f0755","cms-f0761","cms-f0610","cms-k0222","cms-k0311","cms-k0372","cms-f0812","cms-f0880","cms-f0584","cms-f0814","cms-k0271","cms-k0926","cms-f0836","cms-f0550","cms-f0582","cms-f0655","cms-f0756","cms-f0757","cms-f0758"],"universe":"cms","licensed_beds":84,"state_license":"NY 1527301N","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-1019-wicker-street-operating-company-llc","name":"1019 Wicker Street Operating Company LLC","legal_name":"1019 WICKER STREET OPERATING COMPANY LLC","facility_count":1,"states":["NY"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-196","name":"Elderwood","cms_chain_id":"196","facility_count":17,"states":["NY","RI","VT"],"cms_reported":{"facility_count":17,"avg_overall_rating":2.2,"avg_health_inspection_rating":2.3,"avg_staffing_rating":2.2,"avg_qm_rating":3.5}},"ownership":[{"owner_id":"org-1019-wicker-street-operating-holdco-llc","owner_type":"organization","owner_name":"1019 Wicker Street Operating Holdco LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"2016-06-27"},{"owner_type":"individual","owner_name":"Warren Cole","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage":50,"percentage_raw":"50%","association_date":"2016-06-26","owner_name_raw":"COLE, WARREN"},{"owner_type":"individual","owner_name":"Warren Cole","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2016-06-26","owner_name_raw":"COLE, WARREN"},{"owner_type":"individual","owner_name":"Philip Quillard","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2016-06-26","owner_name_raw":"QUILLARD, PHILIP"},{"owner_type":"individual","owner_name":"Jeffrey Rubin","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2016-06-26","owner_name_raw":"RUBIN, JEFFREY"},{"owner_type":"individual","owner_name":"Warren Cole","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2016-06-26","owner_name_raw":"COLE, WARREN"},{"owner_type":"individual","owner_name":"Philip Quillard","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2016-06-26","owner_name_raw":"QUILLARD, PHILIP"},{"owner_type":"individual","owner_name":"Jeffrey Rubin","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2016-06-26","owner_name_raw":"RUBIN, JEFFREY"},{"owner_type":"individual","owner_name":"Douglas Cosey","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2020-04-13","owner_name_raw":"COSEY, DOUGLAS"}],"inspections":[{"id":"cms-335482-20250820-health","ccn":"335482","date":"2025-08-20","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-08","cmp":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-08","cmp":1}]},{"id":"cms-335482-20240715-fire","ccn":"335482","date":"2024-07-15","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-e0007","ss":"F","sl":2,"cs":"corrected","cd":"2024-05-09","std":1,"tv":"New"},{"t":"cms-e0026","ss":"F","sl":2,"cs":"corrected","cd":"2024-05-09","std":1,"tv":"New"},{"t":"cms-k0211","ss":"E","sl":2,"cs":"corrected","cd":"2024-03-26","std":1,"tv":"New"},{"t":"cms-k0341","ss":"E","sl":2,"cs":"corrected","cd":"2024-05-08","std":1,"tv":"New"}]},{"id":"cms-335482-20240715-health","ccn":"335482","date":"2024-07-15","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1,3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":9,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0604","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-10","std":1},{"t":"cms-f0610","ss":"D","sl":2,"cs":"corrected","cd":"2024-08-14","cmp":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-06","std":1},{"t":"cms-f0679","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-06","std":1},{"t":"cms-f0692","ss":"F","sl":2,"cs":"corrected","cd":"2024-09-06","std":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-10","std":1},{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2024-09-10","std":1},{"t":"cms-f0804","ss":"E","sl":2,"cs":"corrected","cd":"2024-09-10","std":1},{"t":"cms-f0805","ss":"F","sl":2,"cs":"corrected","cd":"2024-09-10","std":1}]},{"id":"cms-335482-20210923-fire","ccn":"335482","date":"2021-09-23","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0222","ss":"F","sl":2,"cs":"corrected","cd":"2021-11-01","std":1,"tv":"New"},{"t":"cms-k0311","ss":"E","sl":2,"cs":"corrected","cd":"2021-11-19","std":1,"tv":"New"},{"t":"cms-k0372","ss":"E","sl":2,"cs":"corrected","cd":"2021-10-31","std":1,"tv":"New"}]},{"id":"cms-335482-20210923-health","ccn":"335482","date":"2021-09-23","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":5,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0761","ss":"D","sl":2,"cs":"corrected","cd":"2021-10-22","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2021-10-20","std":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2021-10-22","std":1},{"t":"cms-f0584","ss":"C","sl":1,"cs":"corrected","cd":"2021-10-22","std":1},{"t":"cms-f0814","ss":"C","sl":1,"cs":"corrected","cd":"2021-10-20","std":1}]},{"id":"cms-335482-20190426-fire","ccn":"335482","date":"2019-04-26","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0271","ss":"E","sl":2,"cs":"corrected","cd":"2019-06-24","std":1,"tv":"New"},{"t":"cms-k0311","ss":"E","sl":2,"cs":"corrected","cd":"2019-06-24","std":1,"tv":"New"},{"t":"cms-k0372","ss":"E","sl":2,"cs":"corrected","cd":"2019-06-24","std":1,"tv":"New"},{"t":"cms-k0926","ss":"E","sl":2,"cs":"corrected","cd":"2019-06-24","std":1,"tv":"New"}]},{"id":"cms-335482-20190426-health","ccn":"335482","date":"2019-04-26","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":11,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"D","sl":2,"cs":"corrected","cd":"2019-06-25","std":1},{"t":"cms-f0582","ss":"D","sl":2,"cs":"corrected","cd":"2019-06-25","std":1},{"t":"cms-f0655","ss":"D","sl":2,"cs":"corrected","cd":"2019-06-25","std":1},{"t":"cms-f0656","ss":"D","sl":2,"cs":"corrected","cd":"2019-06-25","std":1},{"t":"cms-f0692","ss":"D","sl":2,"cs":"corrected","cd":"2019-06-25","std":1},{"t":"cms-f0756","ss":"D","sl":2,"cs":"corrected","cd":"2019-06-25","std":1},{"t":"cms-f0757","ss":"D","sl":2,"cs":"corrected","cd":"2019-06-25","std":1},{"t":"cms-f0758","ss":"D","sl":2,"cs":"corrected","cd":"2019-06-25","std":1},{"t":"cms-f0812","ss":"E","sl":2,"cs":"corrected","cd":"2019-06-25","std":1},{"t":"cms-f0836","ss":"E","sl":2,"cs":"corrected","cd":"2019-05-24","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2019-06-25","std":1}]}],"deficiency_types":{"cms-f0580":{"code":"F-0580","title":"Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.)  that affect the resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-e0007":{"code":"E-0007","title":"Address patient/client population and determine types of services needed.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0026":{"code":"E-0026","title":"Establish roles under a Waiver declared by secretary.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-k0211":{"code":"K-0211","title":"Keep aisles, corridors, and exits free of obstruction in case of emergency.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0341":{"code":"K-0341","title":"Install a fire alarm system that can be heard throughout the facility.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0692":{"code":"F-0692","title":"Provide enough food/fluids to maintain a resident's health.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0805":{"code":"F-0805","title":"Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0804":{"code":"F-0804","title":"Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0604":{"code":"F-0604","title":"Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0656":{"code":"F-0656","title":"Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0679":{"code":"F-0679","title":"Provide activities to meet all resident's needs.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0755":{"code":"F-0755","title":"Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0761":{"code":"F-0761","title":"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.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0610":{"code":"F-0610","title":"Respond appropriately to all alleged violations.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-k0222":{"code":"K-0222","title":"Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0311":{"code":"K-0311","title":"Have an enclosure around a vertical opening shaft.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0372":{"code":"K-0372","title":"Ensure smoke barriers are constructed to a 1 hour fire resistance rating.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0584":{"code":"F-0584","title":"Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0814":{"code":"F-0814","title":"Dispose of garbage and refuse properly.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-k0271":{"code":"K-0271","title":"Have exits that are accessible at all times.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0926":{"code":"K-0926","title":"Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0836":{"code":"F-0836","title":"Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.","category":"Administration Deficiencies","concept":"administration","concept_label":"Administration & records"},"cms-f0550":{"code":"F-0550","title":"Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0582":{"code":"F-0582","title":"Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0655":{"code":"F-0655","title":"Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0756":{"code":"F-0756","title":"Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0757":{"code":"F-0757","title":"Ensure each resident’s drug regimen must be free from unnecessary drugs.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0758":{"code":"F-0758","title":"Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"}},"penalties":[{"id":"cms-335482-pen-f22128","type":"fine","type_label":"Civil money penalty (fine)","date":"2024-01-30","amount":4516,"fine_id":"22128","evidence_class":"VERIFIED","source_record_id":"335482|Fine|22128"}],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=335482&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=335482&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=335482&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=335482&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=335482&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=335482&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"NY","overall_rating":3.1,"health_inspection_rating":2.7,"qm_rating":3.9,"staffing_rating":2.9,"avg_residents_per_day":167.4,"cycle1_health_deficiencies":8.1,"cycle1_fire_deficiencies":5.7,"nurse_aide_hprd":2.2,"lpn_hprd":0.76,"rn_hprd":0.72967,"licensed_hprd":1.49,"total_nurse_hprd":3.68718,"weekend_total_nurse_hprd":3.20015,"weekend_rn_hprd":0.49,"pt_hprd":0.11,"nursing_turnover_pct":40.3,"rn_turnover_pct":39.6,"administrators_left":0.5,"case_mix_index":1.43047,"fines":0.5,"fine_amount":23590,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"NY","name":"New York"},"county":{"fips":"36031","name":"Essex County"},"zip":"12883","city":"Ticonderoga"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-335056","ccn":"335056","name":"Elderwood at Amherst","address":"4459 Bailey Avenue","city":"Amherst","state":"NY","zip":"14226","beds":92,"overall":3,"inspections":9,"last_inspection":"2026-08-20","deficiencies":26,"serious":2,"ij":1,"open":0,"fines_total":25262,"abuse":true,"status":"active","universe":"cms","licensed_beds":92,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-335267","ccn":"335267","name":"Elderwood of Uihlein at Lake Placid","address":"185 Old Military Road","city":"Lake Placid","state":"NY","zip":"12946","beds":156,"overall":2,"inspections":6,"last_inspection":"2024-10-02","deficiencies":35,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":156,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-335326","ccn":"335326","name":"Elderwood at Williamsville","address":"200 Bassett Road","city":"Williamsville","state":"NY","zip":"14221","beds":200,"overall":2,"inspections":11,"last_inspection":"2026-04-21","deficiencies":41,"serious":1,"ij":0,"open":0,"fines_total":75553,"status":"active","universe":"cms","licensed_beds":180,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-335346","ccn":"335346","name":"Elderwood at Waverly","address":"37 North Chemung Street","city":"Waverly","state":"NY","zip":"14892","beds":200,"overall":1,"inspections":10,"last_inspection":"2026-03-11","deficiencies":54,"serious":2,"ij":2,"open":0,"fines_total":82202,"abuse":true,"status":"active","universe":"cms","licensed_beds":200,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-335391","ccn":"335391","name":"Elderwood at Grand Island","address":"2850 Grand Island Blvd","city":"Grand Island","state":"NY","zip":"14072","beds":90,"overall":3,"inspections":7,"last_inspection":"2025-12-02","deficiencies":28,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":90,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-335429","ccn":"335429","name":"Elderwood at North Creek","address":"112 Ski Bowl Road","city":"North Creek","state":"NY","zip":"12853","beds":82,"overall":2,"inspections":7,"last_inspection":"2024-09-20","deficiencies":34,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":82,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-335500","ccn":"335500","name":"Elderwood at Lockport","address":"104 Old Niagara Road","city":"Lockport","state":"NY","zip":"14094","beds":126,"overall":4,"inspections":7,"last_inspection":"2026-03-13","deficiencies":25,"serious":1,"ij":0,"open":0,"fines_total":113320,"status":"active","universe":"cms","licensed_beds":126,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-335569","ccn":"335569","name":"Elderwood of Lakeside at Brockport","address":"170 West Avenue","city":"Brockport","state":"NY","zip":"14420","beds":120,"overall":4,"inspections":7,"last_inspection":"2025-04-02","deficiencies":10,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","licensed_beds":120,"state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":16,"same_site_review":[],"nearby":[]}}