Beechtree Center for Rehabilitation and Nursing — nursing home in Ithaca, NY

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: 120 state-licensed beds · New York State Department of Health
State license: 5401312N active · licensee BTRNC, LLC
Average residents per day: 111.7 CMS, MDS-derived
CMS Certification Number: 335017
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 1967
Ownership type: For profit - Corporation
Operator (legal business name): Btrnc, LLC
CMS chain: Upstate Services Group 17 facilities
Phone: (607) 273-4166
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Aug 29, 2025

Citations

43

20 health · 23 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D26	E12	F5
Minimal	A·	B·	C·

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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 335017
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Jan 1, 1967
Located in a hospital: No
Status: Active CMS certification as of CMS release Nov 1, 2026
Evidence: Verified

State license

Authority: New York State Department of Health (NYSDOH)
License number: 5401312N
State facility ID: 983
License type: Residential Health Care Facility - SNF
License status: active
Licensed beds: 120
Bed certifications: RHCF: 120
Link to CMS record: Linked by exact street address + ZIP Inferred
Licensee: BTRNC, LLC · LLC
Initially licensed: Dec 16, 1986
As of: Oct 23, 2026
Evidence: Inferred source ↗

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 29, 2025	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Aug 29, 2025	Health	Health Complaint, Health Standard	6	Potential harm	—	Open →
Nov 17, 2023	Fire safety	Fire Safety Standard	11	Potential harm	—	Open →
Nov 17, 2023	Health	Health Complaint, Health Standard	10	Potential harm	—	Open →
Aug 9, 2021	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Aug 9, 2021	Health	Health Standard	4	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D26	E12	F5
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 29, 2025	E-0015	Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Oct 29, 2025
Aug 29, 2025	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 29, 2025
Aug 29, 2025	K-0222	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. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 29, 2025
Aug 29, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 29, 2025
Aug 29, 2025	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 29, 2025
Aug 29, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 30, 2026
Aug 29, 2025	K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 29, 2025
Aug 29, 2025	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 29, 2025
Aug 29, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 28, 2025
Aug 29, 2025	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 28, 2025
Aug 29, 2025	F-0803	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Oct 28, 2025
Aug 29, 2025	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Oct 28, 2025	Complaint
Aug 29, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Oct 28, 2025
Aug 29, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Oct 28, 2025	Complaint
Nov 17, 2023	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 16, 2024
Nov 17, 2023	K-0311	Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 16, 2024
Nov 17, 2023	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 16, 2024
Nov 17, 2023	K-0325	Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 16, 2024
Nov 17, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 16, 2024
Nov 17, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 16, 2024
Nov 17, 2023	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 16, 2024
Nov 17, 2023	K-0781	Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 16, 2024
Nov 17, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 16, 2024
Nov 17, 2023	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 16, 2024
Nov 17, 2023	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 16, 2024
Nov 17, 2023	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 16, 2024	Complaint
Nov 17, 2023	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jan 16, 2024	Complaint
Nov 17, 2023	F-0585	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 16, 2024	Complaint
Nov 17, 2023	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 16, 2024	Complaint
Nov 17, 2023	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 16, 2024	Complaint
Nov 17, 2023	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 16, 2024	Complaint
Nov 17, 2023	F-0790	Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 16, 2024	Complaint
Nov 17, 2023	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jan 16, 2024	Complaint
Nov 17, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jan 16, 2024
Nov 17, 2023	F-0925	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 16, 2024
Aug 9, 2021	K-0311	Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 1, 2021
Aug 9, 2021	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 1, 2021
Aug 9, 2021	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 1, 2021
Aug 9, 2021	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 1, 2021
Aug 9, 2021	F-0560	Protect a residents' right to refuse some types of non-requested transfers within the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 1, 2021
Aug 9, 2021	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Oct 1, 2021
Aug 9, 2021	F-0805	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Oct 1, 2021
Aug 9, 2021	F-0810	Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Oct 1, 2021

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.7

Staffingstate 2.9

Quality measuresstate 3.9

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.42

State avg 3.69US avg 3.90

Registered nurse (RN)0.55

State avg 0.73US avg 0.69

Licensed practical nurse0.83

State avg 0.76US avg 0.86

Nurse aide2.04

State avg 2.20US avg 2.35

Weekend total nurse2.81

State avg 3.20US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.37 (case-mix index 1.42).

Staff turnover

Total nursing staff turnover45.8%

State avg 40.3%US avg 45.3%

Registered nurse turnover33.3%

State avg 39.6%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Aug 29, 2025
Cycle 1 health score: 40
Total weighted score: 42

Operating entity

Btrnc, LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Upstate Services Group

17 facilities in 1 states. CMS chain ID 538.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2

Ownership disclosures

Disclosures

10

Organizations

0

Individuals

10

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Uri Koenig	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	60%	Dec 22, 2010
Efraim Steif	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	40%	Dec 22, 2010
David Camerota	Individual	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Dec 20, 2010

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Uri Koenig	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	60%	Dec 22, 2010
Efraim Steif	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	40%	Dec 22, 2010
David Camerota	Individual	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Dec 20, 2010
David Dinello	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2022
Nasar Khan	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 20, 2024
Efraim Steif	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2013
Abraham Tyberg	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2024
David Dinello	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 7, 2025
Nasar Khan	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 20, 2024
Abraham Tyberg	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2024

Same chain in New York

All 16 in chain →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Evergreen Commons Rehabilitation and Nursing Ctr 1070 Luther Road, East Greenbush, NY 12061 CCN 335110	240		Jul 3, 2026	331 harm	—
Van Duyn Center for Rehabilitation and Nursing 5075 West Seneca Turnpike, Syracuse, NY 13215 CCN 335184SFFAbuse icon	513	Not rated	Aug 20, 2026	1108 IJ8 harm2 open	$447k
Highland Park Rehabilitation and Nursing Center 160 Seneca St, Wellsville, NY 14895 CCN 335210	80		Jul 31, 2026	191 harm	—
Cortland Park Rehabilitation and Nursing Center 193 Clinton Avenue, Cortland, NY 13045 CCN 335218	120		May 30, 2025	30	—
Vestal Park Rehabilitation and Nursing Center 1501 Route 26 South,, Vestal, NY 13850 CCN 335226	180		Jul 10, 2026	44	—
Bridgewater Center for Rehab & Nursing L L C 159 163 Front Street, Binghamton, NY 13902 CCN 335228	356		Jun 12, 2026	686 open	—
Colonial Park Rehabilitation and Nursing Center 950 Floyd Avenue, Rome, NY 13440 CCN 335233	80		Apr 17, 2026	791 harm	$59k
Robinson Terrace Rehabilitation and Nursing Center 28652 State Highway 23, Stamford, NY 12167 CCN 335236	120		Feb 13, 2026	4213 open	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 318 South Albany Street, Ithaca, NY 14850
ZIP: 14850
County: Tompkins County FIPS 36109
State: New York
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Oak Hill Rehabilitation and Nursing Care Center 602 Hudson St, Ithaca, NY 14850 CCN 335225	1 km	60	Mar 19, 2025	37	—
Cayuga Nursing and Rehabilitation Center 1229 Trumansburg Road, Ithaca, NY 14850 CCN 335249	3.8 km	160	Jan 24, 2025	521 IJ	$42k
Kendal at Ithaca 2230 North Triphammer Road, Ithaca, NY 14850 CCN 335793	5 km	48	Dec 19, 2024	21	—
Groton Community Health Care Ctr Res Care Fac 120 Sykes Street, Groton, NY 13073 CCN 335658	19.7 km	80	Feb 6, 2026	802 IJ1 harm	$133k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	335017	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	335017	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
New York DOH Health Facility Information NY	983	state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN).	Inferred	Oct 23, 2026	Nov 7, 2026
New York DOH Bed Certifications NY	983	capacity, bed_certifications	Verified	Nov 1, 2026	Nov 7, 2026

Record-level source links for CCN 335017

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction