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

Livingston County Center for Nursing and Rehabilit

Mount Morris, NY · 266 certified beds · Last Life Safety survey November 8, 2023

CMS Certification Number 335562 · first certified November 1976

Ownership

Independently operated (no chain recorded by CMS) · Government - County

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

4
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
2
Inspection & testing records
Of the citations on file

Position within NY

4 citations — more than 7% 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 1 citation; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (May 2025 to December 2025), and past the point by which nine in ten NY facilities have been surveyed. This facility’s last Life Safety survey was November 2023. 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 4 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 facility4NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility4
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
22019-0712022-0112023-11
Citations at each Life Safety survey
Survey dateCitations
July 12, 20192
January 28, 20221
November 8, 20231

Most-cited tags

Most-cited tags at this facility
K-09212K-09231K-03721
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0921Ensure that testing and maintenance of electrical equipment is performed.22022-01-28
K-0923Have proper medical gas storage and administration areas.12023-11-08
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12019-07-12

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Smoke Deficiencies 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies3
Smoke Deficiencies1

Every citation on file

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

November 8, 2023 — 1 citation

Citations issued on November 8, 2023
TagWhat the surveyor checksStatus
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (January 7, 2024)

January 28, 2022 — 1 citation

Citations issued on January 28, 2022
TagWhat the surveyor checksStatus
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (March 25, 2022)

July 12, 2019 — 2 citations

Citations issued on July 12, 2019
TagWhat the surveyor checksStatus
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (September 6, 2019)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (September 6, 2019)

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