WILKINSON RESIDENTIAL HEALTH CARE FACILITY
4988 STATE HWY 30
AMSTERDAM, NY, 12010
5188413572
CCN: 335857
2
Overall2
Health4
Staffing3
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (2)
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.
PANSY NP ADULT HEALTHCARE SERV
1128b8
Excluded 2018-04-19
U S INTERNATIONAL HEALTHCARE
1128b8
Excluded 2003-09-19
Ownership
| Name | Role | % |
|---|---|---|
| ZISKIN, BENJAMIN | CORPORATE DIRECTOR | NOT APPLICABLE |
| SANTOS, DAVID | CORPORATE DIRECTOR | NOT APPLICABLE |
| VERTUCCI, RICHARD | CORPORATE DIRECTOR | NOT APPLICABLE |
| WATERS, KEITH | CORPORATE DIRECTOR | NOT APPLICABLE |
| BAGHAEI-RAD, NANCY | CORPORATE DIRECTOR | NOT APPLICABLE |
| BEIN-AIME, JOEL | CORPORATE DIRECTOR | NOT APPLICABLE |
| CICHY, THOMAS | CORPORATE DIRECTOR | NOT APPLICABLE |
| DEMARTINIS, ROBERT | CORPORATE DIRECTOR | NOT APPLICABLE |
| ETZKORN, EMILY | CORPORATE DIRECTOR | NOT APPLICABLE |
| GHAZI-MOGHADAM, MOHAMMAD-REZA | CORPORATE DIRECTOR | NOT APPLICABLE |
| HECK, ANDREW | CORPORATE DIRECTOR | NOT APPLICABLE |
| HEENAN, MARY ANNE | CORPORATE DIRECTOR | NOT APPLICABLE |
| MARSH, RONALD | CORPORATE DIRECTOR | NOT APPLICABLE |
| METHVEN, JEFFREY | CORPORATE DIRECTOR | NOT APPLICABLE |
| PEPE, MICHAEL | CORPORATE DIRECTOR | NOT APPLICABLE |
| HELD, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| METHVEN, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FEDULLO, JOHN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (20)
2025-05-27 · Health
D
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.
F
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F727 · Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
D
F726 · Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
E
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
E
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
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
E
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2022-08-09 · Health
C
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
F756 · Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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.
2020-02-03 · Health
C
F813 · Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
D
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
F807 · Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
D
F758 · Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
D
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
D
F640 · Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.06
RN Hrs/Resident/Day0.54
0.53
LPN Hrs/Resident/Day0.81
1.25
CNA Hrs/Resident/Day2.33
2.29
PT Hrs/Resident/Day0.12
0.18
Data as of 2026-03-01