Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
St. Joseph's Hospital - Skilled Nursing Facility
Elmira, NY · 85 certified beds · Last Life Safety survey July 26, 2024
CMS Certification Number 335072 · first certified January 1967
Ownership
Independently operated (no chain recorded by CMS) · Non profit - Corporation
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within NY
12 citations — more than 39% 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
The latest survey found 3 citations; the earlier surveys in the window averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Past the typical window (January 2026 to September 2026). Most NY facilities have been surveyed by February 2027. This facility’s last Life Safety survey was July 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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Emergency preparedness
8 of the 12 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
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 12 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-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-0880 Provide and implement an infection prevention and control program.
How that compares
Compared with the median facility in NY, and nationally. Surveyors differ markedly between states, so the NY figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 12 |
| Median facility in NY | 13 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| January 24, 2020 | 8 |
| April 1, 2022 | 1 |
| July 26, 2024 | 3 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| E-0029 | Develop a communication plan. | 2 | 2024-07-26 |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | 1 | 2020-01-24 |
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | 1 | 2022-04-01 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2024-07-26 |
| K-0351 | Install an approved automatic sprinkler system. | 1 | 2020-01-24 |
| E-0020 | Establish policies and procedures including evacuation. | 1 | 2020-01-24 |
| E-0013 | Develop Emergency Preparedness policies and procedures. | 1 | 2020-01-24 |
| E-0031 | Provide emergency officials' contact information. | 1 | 2020-01-24 |
What the citations cover
- Emergency Preparedness Deficiencies 8
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Smoke Deficiencies 2
| Category | Citations |
|---|---|
| Emergency Preparedness Deficiencies | 8 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Smoke Deficiencies | 2 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
July 26, 2024 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0029 | Develop a communication plan. | Deficient, Provider has date of correction (September 15, 2024) |
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (September 15, 2024) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (September 15, 2024) |
April 1, 2022 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0921 | Ensure that testing and maintenance of electrical equipment is performed. | Deficient, Provider has date of correction (May 31, 2022) |
January 24, 2020 — 8 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0013 | Develop Emergency Preparedness policies and procedures. | Deficient, Provider has date of correction (April 3, 2020) |
| E-0015 | Address subsistence needs for staff and patients. | Deficient, Provider has date of correction (April 3, 2020) |
| E-0018 | Establish procedures for tracking staff and patients during an emergency. | Deficient, Provider has date of correction (April 3, 2020) |
| E-0020 | Establish policies and procedures including evacuation. | Deficient, Provider has date of correction (April 3, 2020) |
| E-0029 | Develop a communication plan. | Deficient, Provider has date of correction (April 3, 2020) |
| E-0030 | List the names and contact information of those in the facility. | Deficient, Provider has date of correction (April 3, 2020) |
| E-0031 | Provide emergency officials' contact information. | Deficient, Provider has date of correction (April 3, 2020) |
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (April 3, 2020) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.