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

WESLEY HEALTH CARE CENTER INC

SARATOGA SPRINGS, NY · 356 certified beds · Last Life Safety survey November 19, 2024

CMS Certification Number 335394 · first certified January 1974

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.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within NY

23 citations — more than 80% 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 10 citations; the earlier surveys in the window averaged 6.5. 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: May 2026 to January 2027. This facility’s last Life Safety survey was November 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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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

3 of the 23 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 23 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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.

Citations on file over three years, compared
Measure	Citations
This facility	23
Median facility in NY	13
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
April 17, 2019	7
October 5, 2021	6
November 19, 2024	10

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	3	2024-11-19
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2024-11-19
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	2	2021-10-05
E-0039	Conduct testing and exercise requirements.	2	2021-10-05
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2024-11-19
E-0006	Conduct risk assessment and an All-Hazards approach.	1	2024-11-19
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	1	2024-11-19
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	1	2019-04-17

What the citations cover

Citations by CMS category

Smoke Deficiencies 9
Gas, Vacuum, and Electrical Systems Deficiencies 6
Emergency Preparedness Deficiencies 3
Egress Deficiencies 2
Other 3

Citations by CMS category
Category	Citations
Smoke Deficiencies	9
Gas, Vacuum, and Electrical Systems Deficiencies	6
Emergency Preparedness Deficiencies	3
Egress Deficiencies	2
Miscellaneous Deficiencies	1
Construction Deficiencies	1
Services Deficiencies	1

Every citation on file

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

November 19, 2024 — 10 citations

Citations issued on November 19, 2024
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (February 5, 2025)
K-0161	Use approved construction type or materials.	Deficient, Provider has no plan of correction
K-0271	Have exits that are accessible at all times.	Deficient, Provider has date of correction (February 5, 2025)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (February 5, 2025)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (February 5, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (February 5, 2025)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (February 5, 2025)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (February 5, 2025)
K-0911	Meet requirements for the installation and maintenance of electrical systems.	Deficient, Provider has date of correction (February 5, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (February 5, 2025)

October 5, 2021 — 6 citations

Citations issued on October 5, 2021
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (November 30, 2021)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (November 11, 2021)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (November 30, 2021)
K-0914	Ensure 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 (November 30, 2021)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (November 11, 2021)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (November 30, 2021)

April 17, 2019 — 7 citations

Citations issued on April 17, 2019
Tag	What the surveyor checks	Status
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (June 16, 2019)
K-0311	Have an enclosure around a vertical opening shaft.	Deficient, Provider has date of correction (June 16, 2019)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (June 16, 2019)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Waiver has been granted (June 19, 2019)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (June 16, 2019)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (June 16, 2019)
K-0914	Ensure 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 (June 16, 2019)

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