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

Wells Rehabilitation and Nursing Center

JOHNSTOWN, NY · 100 certified beds · Last Life Safety survey September 12, 2024

CMS Certification Number 335314 · first certified January 1971

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.

13
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
0
Inspection & testing records
Of the citations on file

Position within NY

13 citations — more than 46% 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

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

The latest survey found 2 citations; the earlier surveys in the window averaged 5.5. 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: March 2026 to October 2026. This facility’s last Life Safety survey was September 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

Emergency preparedness

6 of the 13 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

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 facility13NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility13
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
92019-0522021-1022024-09
Citations at each Life Safety survey
Survey dateCitations
May 9, 20199
October 27, 20212
September 12, 20242

Most-cited tags

Most-cited tags at this facility
E-00062E-00262K-09212K-09261K-09161K-03111E-00371K-02711
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0006Conduct risk assessment and an All-Hazards approach.22024-09-12
E-0026Establish roles under a Waiver declared by secretary.22024-09-12
K-0921Ensure that testing and maintenance of electrical equipment is performed.22021-10-27
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.12019-05-09
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.12019-05-09
K-0311Have an enclosure around a vertical opening shaft.12019-05-09
E-0037Establish staff and initial training requirements.12021-10-27
K-0271Have exits that are accessible at all times.12019-05-09

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Egress Deficiencies 1
  • Smoke Deficiencies 1
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies5
Egress Deficiencies1
Smoke Deficiencies1

Every citation on file

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

September 12, 2024 — 2 citations

Citations issued on September 12, 2024
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (November 8, 2024)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (November 8, 2024)

October 27, 2021 — 2 citations

Citations issued on October 27, 2021
TagWhat the surveyor checksStatus
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (December 26, 2021)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (December 26, 2021)

May 9, 2019 — 9 citations

Citations issued on May 9, 2019
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (July 8, 2019)
E-0024Establish policies and procedures for volunteers.Deficient, Provider has date of correction (July 8, 2019)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (July 8, 2019)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (July 8, 2019)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (July 8, 2019)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (July 8, 2019)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (July 18, 2019)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (July 8, 2019)
K-0926Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.Deficient, Provider has date of correction (July 8, 2019)

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