WILKINSON RESIDENTIAL HEALTH CARE FACILITY

4988 STATE HWY 30
AMSTERDAM, NY, 12010
5188413572
CCN: 335857
2
Overall
2
Health
4
Staffing
3
Quality
Special 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
NameRole%
ZISKIN, BENJAMINCORPORATE DIRECTORNOT APPLICABLE
SANTOS, DAVIDCORPORATE DIRECTORNOT APPLICABLE
VERTUCCI, RICHARDCORPORATE DIRECTORNOT APPLICABLE
WATERS, KEITHCORPORATE DIRECTORNOT APPLICABLE
BAGHAEI-RAD, NANCYCORPORATE DIRECTORNOT APPLICABLE
BEIN-AIME, JOELCORPORATE DIRECTORNOT APPLICABLE
CICHY, THOMASCORPORATE DIRECTORNOT APPLICABLE
DEMARTINIS, ROBERTCORPORATE DIRECTORNOT APPLICABLE
ETZKORN, EMILYCORPORATE DIRECTORNOT APPLICABLE
GHAZI-MOGHADAM, MOHAMMAD-REZACORPORATE DIRECTORNOT APPLICABLE
HECK, ANDREWCORPORATE DIRECTORNOT APPLICABLE
HEENAN, MARY ANNECORPORATE DIRECTORNOT APPLICABLE
MARSH, RONALDCORPORATE DIRECTORNOT APPLICABLE
METHVEN, JEFFREYCORPORATE DIRECTORNOT APPLICABLE
PEPE, MICHAELCORPORATE DIRECTORNOT APPLICABLE
HELD, JOSHUAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
METHVEN, JEFFREYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FEDULLO, JOHNOPERATIONAL/MANAGERIAL CONTROLNOT 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/Day
4.06
3.68
RN Hrs/Resident/Day
0.53
0.54
LPN Hrs/Resident/Day
1.25
0.81
CNA Hrs/Resident/Day
2.29
2.33
PT Hrs/Resident/Day
0.18
0.12
Data as of 2026-03-01