134 Homer Avenue, Cortland, NY 13045 (opens Google Maps) · Cortland County · (607) 756-3909· 80 certified beds · avg 73 residents/day · certified since Oct 27, 1993 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: GUTHRIE (2 facilities, chain avg rating 2.0★)
New to these records? How to read an inspection report →
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jul 17, 2024 (Past Non-Compliance)
▲ Immediate jeopardy, pattern · 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): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Apr 9, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 3, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 3, 2023 (Deficient, Provider has date of correction)
Showing the latest 3 of 15 inspection findings. Open the full record below to read every finding.
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 F-0689
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. F-0692
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 31, 2026 | ▲ J · Immediate jeopardy, isolated | 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 · F-0689 |
| Feb 25, 2026 | ▲ K · Immediate jeopardy, pattern | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Feb 25, 2026 | E · Potential for more than minimal harm, pattern | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Feb 25, 2026 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Feb 25, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0580 |
| Feb 25, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Mar 15, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Mar 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726 |
| Mar 15, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0760 |
| Mar 15, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Mar 15, 2024 | C · Potential for minimal harm, widespread | 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. · F-0577 |
| Sep 11, 2023 | ▲ G · Actual harm, isolated | 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 · F-0684 |
| Sep 11, 2023 | ▲ G · Actual harm, isolated | 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 · F-0711 |
| Sep 11, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0610 |
| Dec 17, 2021 | D · Potential for more than minimal harm, isolated | 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. · F-0585 |
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
2 fines totaling $255,876.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Feb 11, 2026 | Fine | $185,442 |
| Sep 11, 2023 | Fine | $70,434 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.69 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Guthrie Cortland Medical Center. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 25 parties CMS has on file for this facility; 5 are not displayed. The full list is in the CMS Ownership dataset.
CMS lists this facility under the chain Guthrie — 2 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 335768.
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