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

COLONIAL PARK REHABILITATION AND NURSING CENTER

ROME, NY · 80 certified beds · Last Life Safety survey April 17, 2026

CMS Certification Number 335233 · first certified August 1967

Ownership

Operated by UPSTATE SERVICES GROUP · For profit - Partnership

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

41
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
12
Tags cited more than once
Across separate surveys
15
Inspection & testing records
Of the citations on file

Position within NY

41 citations — more than 98% 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 10 citations; the earlier surveys in the window averaged 15.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens October 2027 — about 12 months from now. This facility’s last Life Safety survey was April 2026. 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

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

4 of the 41 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)

4 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 41 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.
  • 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.

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 facility41NY median13National median11
Citations on file over three years, compared
MeasureCitations
This facility41
Median facility in NY13
Median facility nationally11

Survey history

Citations at each Life Safety survey
102022-06212024-07102026-04
Citations at each Life Safety survey
Survey dateCitations
June 3, 202210
July 22, 202421
April 17, 202610

Most-cited tags

Most-cited tags at this facility
K-03213K-07122K-09212E-00392K-02812K-03552K-03532K-03252
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.32026-04-17
K-0712Have simulated fire drills held at unexpected times.22024-07-22
K-0921Ensure that testing and maintenance of electrical equipment is performed.22024-07-22
E-0039Conduct testing and exercise requirements.22024-07-22
K-0281Install proper backup exit lighting.22026-04-17
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.22024-07-22
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-04-17
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.22024-07-22

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 17
  • Gas, Vacuum, and Electrical Systems Deficiencies 9
  • Egress Deficiencies 7
  • Emergency Preparedness Deficiencies 4
  • Other 4
Citations by CMS category
CategoryCitations
Smoke Deficiencies17
Gas, Vacuum, and Electrical Systems Deficiencies9
Egress Deficiencies7
Emergency Preparedness Deficiencies4
Miscellaneous Deficiencies3
Services Deficiencies1

Every citation on file

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

April 17, 2026 — 10 citations

Citations issued on April 17, 2026
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (June 3, 2026)
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 (June 3, 2026)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (June 3, 2026)
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 3, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 1, 2026)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (June 17, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 3, 2026)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (June 3, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 23, 2026)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (June 23, 2026)

July 22, 2024 — 21 citations

Citations issued on July 22, 2024
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (November 29, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (October 5, 2024)
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 (October 5, 2024)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (November 29, 2024)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (November 29, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (November 29, 2024)
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 (December 4, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (October 5, 2024)
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (November 29, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (November 29, 2024)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (November 29, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (November 29, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 4, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (October 5, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (November 29, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (November 29, 2024)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (October 5, 2024)
K-0917Ensure electrical receptacles or cover plates have distinctive color or marking.Deficient, Provider has date of correction (November 29, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (October 5, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (December 17, 2024)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (November 29, 2024)

June 3, 2022 — 10 citations

Citations issued on June 3, 2022
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (July 25, 2022)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (July 25, 2022)
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 25, 2022)
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (July 25, 2022)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (August 29, 2022)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (July 25, 2022)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (July 25, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 25, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (July 25, 2022)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (July 25, 2022)

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