SAMARITAN SENIOR VILLAGE, INC

22691 CAMPUS DRIVE
WATERTOWN, NY, 13601
3157826800
CCN: 335865
1
Overall
2
Health
1
Staffing
4
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
MANUFACTURERS & TRADERS TRUST COMPANY5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
FENLON, KATHLEENCORPORATE DIRECTORNOT APPLICABLE
KELLOGG, COLLINSCORPORATE DIRECTORNOT APPLICABLE
MORROW, BARBARACORPORATE DIRECTORNOT APPLICABLE
TREADWELL-WOODS, JOANCORPORATE DIRECTORNOT APPLICABLE
VARS, ADDISONCORPORATE DIRECTORNOT APPLICABLE
ALEXANDER, COLLENECORPORATE DIRECTORNOT APPLICABLE
WALTON, PETERCORPORATE DIRECTORNOT APPLICABLE
VILLA, DANIELCORPORATE DIRECTORNOT APPLICABLE
KRAEGER, PAULCORPORATE OFFICERNOT APPLICABLE
CARMAN, THOMASCORPORATE OFFICERNOT APPLICABLE
CARMAN, THOMASW-2 MANAGING EMPLOYEENOT APPLICABLE
MORROW, BARBARAW-2 MANAGING EMPLOYEENOT APPLICABLE
Health Deficiencies (21)
2024-08-16 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
E
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.
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
E
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
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.
D
F585 · Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
D
F584 · Resident Rights Deficiencies
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.
2023-04-08 · Health
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2022-06-24 · Health
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
2019-10-11 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
D
F561 · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
0.49
3.68
RN Hrs/Resident/Day
0.49
0.54
LPN Hrs/Resident/Day
0.00
0.81
CNA Hrs/Resident/Day
0.00
2.33
PT Hrs/Resident/Day
0.00
0.12
Data as of 2026-03-01