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

KENDAL AT ITHACA

ITHACA, NY · 48 certified beds · Last Life Safety survey December 19, 2024

CMS Certification Number 335793 · first certified February 1996

Ownership

Operated by KENDAL · Non profit - Corporation

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

12
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

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

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 7 citations; the earlier surveys in the window averaged 2.5. 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 February 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)

2 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-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

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 facility12NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility12
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
12021-0542023-0572024-12
Citations at each Life Safety survey
Survey dateCitations
May 12, 20211
May 5, 20234
December 19, 20247

Most-cited tags

Most-cited tags at this facility
K-03212K-02812K-07811K-09171K-09181K-03241K-02111K-02931
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22023-05-05
K-0281Install proper backup exit lighting.22024-12-19
K-0781Have restrictions on the use of portable space heaters.12024-12-19
K-0917Ensure electrical receptacles or cover plates have distinctive color or marking.12024-12-19
K-0918Have generator or other power source capable of supplying service within 10 seconds.12023-05-05
K-0324Provide properly protected cooking facilities.12024-12-19
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12023-05-05
K-0293Have properly located and lighted "Exit" signs.12024-12-19

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Egress Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Miscellaneous Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Egress Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies2
Miscellaneous Deficiencies1

Every citation on file

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

December 19, 2024 — 7 citations

Citations issued on December 19, 2024
TagWhat the surveyor checksStatus
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (February 28, 2025)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (February 28, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (February 18, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 18, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 21, 2025)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (February 18, 2025)
K-0917Ensure electrical receptacles or cover plates have distinctive color or marking.Deficient, Provider has date of correction (February 18, 2025)

May 5, 2023 — 4 citations

Citations issued on May 5, 2023
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (June 30, 2023)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (June 30, 2023)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (June 30, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 30, 2023)

May 12, 2021 — 1 citation

Citations issued on May 12, 2021
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (July 7, 2021)

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