PATHWAYS NURSING AND REHABILITATION CENTER
1805 PROVIDENCE AVENUE
NISKAYUNA, NY, 12309
5183742212
CCN: 335701
4
Overall3
Health3
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
CCRN OPERATOR, LLC
1128a2
Excluded 2019-06-20
Ownership
| Name | Role | % |
|---|---|---|
| PHILIPSON, BENT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| KOLDAYEV, ROMAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| PHILIPSON, BENT | CORPORATE DIRECTOR | NOT APPLICABLE |
| WOHLTJEN, WILLIAM | CORPORATE DIRECTOR | NOT APPLICABLE |
| WOHLTJEN, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KOLDAYEV, ROMAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| PHILIPSON, BENT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (12)
2025-01-10 · Health
F
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F
F725 · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
D
F645 · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2023-09-13 · Health
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2022-04-19 · Health
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
2019-12-10 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F688 · Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
D
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
E
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.22
RN Hrs/Resident/Day0.54
1.70
LPN Hrs/Resident/Day0.81
0.28
CNA Hrs/Resident/Day2.33
2.24
PT Hrs/Resident/Day0.12
0.12
Data as of 2026-03-01