Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

CAPSTONE CENTER FOR REHABILITATION AND NURSING

AMSTERDAM, NY · 120 certified beds · Last Life Safety survey December 10, 2024

CMS Certification Number 335543 · first certified October 1976

Ownership

Operated by UPSTATE SERVICES GROUP · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

9
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within NY

9 citations — more than 25% of the 593 certified nursing homes in NY. Compared within NY rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: June 2026 to January 2027. This facility’s last Life Safety survey was December 2024. Facilities in NY are typically surveyed 18–25 months after the last one (median 22), measured over 523 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 9 Life Safety citations above. The Physical Environment Index

  • 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.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in NY, and nationally. Surveyors differ markedly between states, so the NY figure is the meaningful one.

This facility9NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility9
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
42019-1022022-0132024-12
Citations at each Life Safety survey
Survey dateCitations
October 22, 20194
January 21, 20222
December 10, 20243

Most-cited tags

Most-cited tags at this facility
K-09212K-07611K-09291K-09181K-05111K-03451K-02231K-02711
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0921Ensure that testing and maintenance of electrical equipment is performed.22022-01-21
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12022-01-21
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.12024-12-10
K-0918Have generator or other power source capable of supplying service within 10 seconds.12019-10-22
K-0511Have properly installed electrical wiring and gas equipment.12019-10-22
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12019-10-22
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.12024-12-10
K-0271Have exits that are accessible at all times.12024-12-10

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Egress Deficiencies 2
  • Miscellaneous Deficiencies 1
  • Smoke Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies4
Egress Deficiencies2
Miscellaneous Deficiencies1
Smoke Deficiencies1
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

December 10, 2024 — 3 citations

Citations issued on December 10, 2024
TagWhat the surveyor checksStatus
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (January 29, 2025)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (January 29, 2025)
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.Deficient, Provider has date of correction (January 29, 2025)

January 21, 2022 — 2 citations

Citations issued on January 21, 2022
TagWhat the surveyor checksStatus
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (March 15, 2022)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (March 15, 2022)

October 22, 2019 — 4 citations

Citations issued on October 22, 2019
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Past Non-Compliance (October 22, 2019)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (December 21, 2019)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 21, 2019)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (December 21, 2019)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.