Betsy Ross Rehabilitation Center, INC
1 Elsie Street, Rome, NY 13440 · Oneida County · 120 certified beds · avg 111 residents/day · certified since Jan 10, 1992
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Feb 29, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 19, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (23)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 17, 2026 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Mar 17, 2026 | B · Minimal risk, repeated | The facility did not let a resident or their legal representative see or buy copies of the resident's own records. · from a complaint |
| Jun 30, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Jun 30, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jun 30, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jun 30, 2025 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Jun 30, 2025 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Jun 30, 2025 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Feb 29, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Dec 1, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Dec 1, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 1, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Dec 1, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Dec 1, 2023 | D · Potential for harm, one-off | The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy. |
| Dec 1, 2023 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Dec 1, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Oct 8, 2021 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 8, 2021 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Oct 8, 2021 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Oct 8, 2021 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Oct 8, 2021 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Oct 8, 2021 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Oct 8, 2021 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 7 | 0 | E |
| 2023 | 7 | 0 | E |
| 2024 | 1 | 1 | G ▲ |
| 2025 | 6 | 0 | D |
| 2026 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
4 fines totaling $32,254.
| Date | Type | Amount / length |
|---|---|---|
| Feb 29, 2024 | Fine | $9,318 |
| Sep 18, 2023 | Fine | $4,587 |
| Sep 11, 2023 | Fine | $4,587 |
| Aug 21, 2023 | Fine | $13,762 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | New York avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.13 | 3.58 | 3.95 | bottom 33% in New York; bottom 18% in the U.S. |
| Registered Nurse hours | 0.30 | 0.68 | 0.69 | bottom 3% in New York; bottom 10% in the U.S. |
| Weekend total nurse staffing | 2.79 | 3.13 | 3.50 | bottom 37% in New York; bottom 20% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.19 | 0.48 | 0.48 | bottom 13% in New York; bottom 11% in the U.S. |
| Total nursing staff turnover (%) | 54.6 | 40.3 | 45.8 | bottom 17% in New York; bottom 26% in the U.S. |
| RN turnover (%) | 80.0 | 39.8 | 42.9 | bottom 3% in New York; bottom 6% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.38, RN 0.33, weekend 3.02. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 2/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Altman, Donald | Individual | 5% or Greater Direct Ownership Interest | 45% | 05/21/1998 |
| Chiaraluce, Joanne | Individual | 5% or Greater Direct Ownership Interest | 10% | 01/01/2011 |
| Altman, Donald | Individual | Corporate Director | NOT APPLICABLE | 05/21/1998 |
| Brodock, Christine | Individual | W-2 Managing Employee | NOT APPLICABLE | 04/20/2017 |
| Chamberlin, Brian | Individual | W-2 Managing Employee | NOT APPLICABLE | 06/17/2016 |
| Chiaraluce, Joanne | Individual | Corporate Director | NOT APPLICABLE | 01/01/2011 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If I ask for a copy of my family member's records, how quickly will I get them and what does it cost?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Bethany Gardens Skilled Living Center | 0.8 mi | Rome, NY | ★★★★☆ | 4/5 | |
| Rome Memorial Hospital, INC - R H C F | 1.1 mi | Rome, NY | ★★★★☆ | 4/5 | |
| The Grand Rehabilitation and Nursing at Rome | 1.1 mi | Rome, NY | ★☆☆☆☆ | 1/5 | |
| Colonial Park Rehabilitation and Nursing Center | 2.0 mi | Rome, NY | ★☆☆☆☆ | 2/5 | |
| Trustees of Eastern Star Hall & Home of the N Y S | 8.6 mi | Oriskany, NY | ★☆☆☆☆ | 2/5 | |
| Presbyterian Home for Central New York INC | 12.6 mi | New Hartford, NY | ★☆☆☆☆ | 2/5 | |
| Katherine Luther Residential HLTH Care & Rehab | 13.1 mi | Clinton, NY | ★☆☆☆☆ | 1/5 | |
| MVHS Rehabilitation and Nursing Center | 13.5 mi | Utica, NY | ★★★☆☆ | 3/5 | |
| Oneida Health Rehabilitation and Extended Care | 14.2 mi | Oneida, NY | ★☆☆☆☆ | 2/5 | |
| Utica Rehabilitation & Nursing Center | 14.3 mi | Utica, NY | ★☆☆☆☆ | 1/5 | |
| The Grand Rehabilitation and Nursing at Utica | 14.3 mi | Utica, NY | ★☆☆☆☆ | 1/5 | SFF |
| The Pines at Utica Center for Nursing and Rehab | 14.6 mi | Utica, NY | ★☆☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 335727.