Guthrie Cortland Medical Center
134 Homer Avenue, Cortland, NY 13045 · Cortland County · 80 certified beds · avg 73 residents/day · certified since Oct 27, 1993
Part of chain: GUTHRIE (2 facilities, chain avg rating 2.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5
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)
▲ Immediate jeopardy, one-off · Mar 31, 2026 · 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 17, 2024 (Past Non-Compliance)
▲ Immediate jeopardy, repeated · Feb 25, 2026 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Apr 9, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 11, 2023 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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: Nov 3, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 11, 2023 · F-0711 · triggered by a complaint
The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit.
Why it matters: Without regular documented doctor reviews, changes in a resident's condition and treatment can slip through the cracks.
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: Nov 3, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (15)
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 31, 2026 | ▲ J · Immediate jeopardy, 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 |
| Feb 25, 2026 | ▲ K · Immediate jeopardy, repeated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Feb 25, 2026 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Feb 25, 2026 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Feb 25, 2026 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Feb 25, 2026 | 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. |
| Mar 15, 2024 | 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. |
| Mar 15, 2024 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Mar 15, 2024 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Mar 15, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 15, 2024 | C · Minimal risk, facility-wide | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| Sep 11, 2023 | ▲ G · Actual 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 |
| Sep 11, 2023 | ▲ G · Actual harm, one-off | The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. · from a complaint |
| Sep 11, 2023 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Dec 17, 2021 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 1 | 0 | D |
| 2023 | 3 | 2 | G ▲ |
| 2024 | 5 | 0 | E |
| 2026 | 6 | 2 | K ▲ |
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)
2 fines totaling $255,876.
| Date | Type | Amount / length |
|---|---|---|
| Feb 11, 2026 | Fine | $185,442 |
| Sep 11, 2023 | Fine | $70,434 |
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) | 4.99 | 3.58 | 3.95 | top 5% in New York; top 13% in the U.S. |
| Registered Nurse hours | 1.01 | 0.68 | 0.69 | top 11% in New York; top 15% in the U.S. |
| Weekend total nurse staffing | 3.94 | 3.13 | 3.50 | top 12% in New York; top 25% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.38 | 0.48 | 0.48 | top 45% in New York; bottom 49% in the U.S. |
| Total nursing staff turnover (%) | 27.2 | 40.3 | 45.8 | top 19% in New York; top 10% in the U.S. |
| RN turnover (%) | 28.6 | 39.8 | 42.9 | top 26% in New York; top 26% 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 4.69, RN 0.95, weekend 3.70. Staffing rating: 5/5.
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: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ali, Mohammad | Individual | Corporate Director | NOT APPLICABLE | 11/19/2021 |
| Hayes, Patrick | Individual | Corporate Director | NOT APPLICABLE | 01/28/2014 |
| Johnson, David | Individual | Corporate Director | NOT APPLICABLE | 01/28/2014 |
| Johnson, David | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Latten, Darlene | Individual | Corporate Director | NOT APPLICABLE | 05/01/2020 |
| Macafee, Francis | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/04/2022 |
| Macafee, Francis | Individual | Corporate Officer | NOT APPLICABLE | 02/04/2022 |
| Neuman, Matthew | Individual | Corporate Director | NOT APPLICABLE | 01/23/2018 |
| Parvizi, Nasrin | Individual | Corporate Director | NOT APPLICABLE | 01/23/2018 |
| Patel, Darshan | Individual | Corporate Director | NOT APPLICABLE | 11/01/2019 |
| Puzo, Joseph | Individual | Corporate Director | NOT APPLICABLE | 07/12/2018 |
| Puzo, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 01/22/2021 |
| Raymond, Mark | Individual | Corporate Director | NOT APPLICABLE | 01/22/2013 |
| Raymond, Mark | Individual | Corporate Officer | NOT APPLICABLE | 01/22/2019 |
| Settineri, Marc | Individual | Corporate Director | NOT APPLICABLE | 01/26/2016 |
| The Guthrie Clinic | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Vangorder, Garry | Individual | Corporate Director | NOT APPLICABLE | 01/24/2012 |
| Vangorder, Garry | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Vervalin, Paul | Individual | Corporate Director | NOT APPLICABLE | 01/22/2019 |
| Wirtz, David | Individual | Corporate Director | NOT APPLICABLE | 01/24/2017 |
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?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How often does each resident's doctor visit and review their care in person?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Cortland Park Rehabilitation and Nursing Center | 1.2 mi | Cortland, NY | ★★★★☆ | 4/5 | |
| Crown Park Rehabilitation and Nursing Center | 1.5 mi | Cortland, NY | ★☆☆☆☆ | 2/5 | |
| Groton Community Health Care Ctr Res Care Fac | 9.5 mi | Groton, NY | ★☆☆☆☆ | 1/5 | |
| Northwoods Rehab and Nursing Center at Moravia | 14.1 mi | Moravia, NY | ★★★☆☆ | 3/5 | |
| Kendal at Ithaca | 17.5 mi | Ithaca, NY | ★★★★☆ | 3/5 | |
| Oak Hill Rehabilitation and Nursing Care Center | 19.7 mi | Ithaca, NY | ★★☆☆☆ | 2/5 | |
| Beechtree Center for Rehabilitation and Nursing | 19.9 mi | Ithaca, NY | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 335768.