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North Country Nursing & Rehabilitation Center
182 Highland Road, Massena, NY 13662 (opens Google Maps) · St. Lawrence County · (315) 769-9956· 140 certified beds · avg 128 residents/day · certified since Jan 1, 1978 · 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 →
2/5
Health inspection rating (on-site)
inspected Aug 15, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.69
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · 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.
Inspection findings in the public record
Showing the latest 3 of 26 inspection findings. Open the full record below to read every finding.
The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint F-0803
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. · from a complaint F-0812
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. F-0692
View all 26 inspection findingsShow only the latest 3 findings
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 |
|---|---|---|
| Aug 15, 2025 | F · Potential for more than minimal harm, widespread | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint · F-0803 |
| Aug 15, 2025 | F · Potential for more than minimal harm, widespread | 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. · from a complaint · F-0812 |
| Aug 15, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Aug 15, 2025 | D · Potential for more than minimal harm, isolated | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Aug 15, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint · F-0921 |
| Dec 15, 2023 | E · Potential for more than minimal harm, pattern | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801 |
| Dec 15, 2023 | 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. · from a complaint · F-0812 |
| Dec 15, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Dec 15, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Dec 15, 2023 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0677 |
| Dec 15, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
| Dec 15, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Dec 15, 2023 | 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 |
| Dec 15, 2023 | D · Potential for more than minimal harm, isolated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint · F-0804 |
| Jul 2, 2021 | E · Potential for more than minimal harm, pattern | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Jul 2, 2021 | E · Potential for more than minimal harm, pattern | 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. · F-0677 |
| Jul 2, 2021 | E · Potential for more than minimal harm, pattern | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725 |
| Jul 2, 2021 | 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 |
| Jul 2, 2021 | E · Potential for more than minimal harm, pattern | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · F-0806 |
| Jul 2, 2021 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Jul 2, 2021 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jul 2, 2021 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Jul 2, 2021 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Jul 2, 2021 | D · Potential for more than minimal harm, isolated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
| Jul 2, 2021 | 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 |
| Jul 2, 2021 | D · Potential for more than minimal harm, isolated | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · F-0805 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 5).
All citationsSerious citations (G–L)
2021
All citations: 12
Serious citations (G–L): 0
2023
All citations: 9
Serious citations (G–L): 0
2025
All citations: 5
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 12 | 0 | E |
| 2023 | 9 | 0 | E |
| 2025 | 5 | 0 | F |
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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityNew York averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.69
New York average: 3.58
U.S. average: 3.95
Registered Nurse hours
This facility: 0.85
New York average: 0.68
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.90
New York average: 3.13
U.S. average: 3.50
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) | 3.69 | 3.58 | 3.95 | top 37% in New York; bottom 46% in the U.S. |
| Registered Nurse hours | 0.85 | 0.68 | 0.69 | top 18% in New York; top 24% in the U.S. |
| Weekend total nurse staffing | 2.90 | 3.13 | 3.50 | bottom 46% in New York; bottom 26% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.72 | 0.48 | 0.48 | top 15% in New York; top 15% in the U.S. |
| Total nursing staff turnover (%) | 47.6 | 40.3 | 45.8 | bottom 31% in New York; bottom 43% in the U.S. |
| RN turnover (%) | 34.5 | 39.8 | 42.9 | top 43% in New York; top 38% 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 3.89, RN 0.89, weekend 3.05.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.89 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
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: 5/5 · short-stay residents: 3/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for North Country Nursing & Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
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.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
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 →
For profit - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Landa, Joseph | Individual | 5% or Greater Direct Ownership Interest | 14% | 12/20/2023 |
| Landa, Joshua | Individual | 5% or Greater Direct Ownership Interest | 14% | 12/20/2023 |
| Majerovic, Helen | Individual | 5% or Greater Direct Ownership Interest | 5% | 12/20/2023 |
| Pearlstein, Blimie | Individual | 5% or Greater Direct Ownership Interest | 5% | 12/20/2023 |
| Reich, Suri | Individual | 5% or Greater Direct Ownership Interest | 5% | 12/20/2023 |
| Salamon, Menajem | Individual | 5% or Greater Direct Ownership Interest | 35% | 12/20/2023 |
| Salamon, Mordejai | Individual | 5% or Greater Direct Ownership Interest | 17% | 12/20/2023 |
| Salamon, Tirtza | Individual | 5% or Greater Direct Ownership Interest | — | 12/20/2023 |
| Cichetti, Neil | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Enriquez, Rean | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/04/2024 |
| Gewirtz, Jonathan | Individual | Corporate Director | NOT APPLICABLE | 08/01/2019 |
| Gewirtz, Jonathan | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2019 |
| Landa, Joseph | Individual | Corporate Director | NOT APPLICABLE | 12/20/2023 |
| Landa, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 12/20/2023 |
| Salamon, Menajem | Individual | Corporate Director | NOT APPLICABLE | 12/20/2023 |
| Salamon, Menajem | Individual | Corporate Officer | NOT APPLICABLE | 12/20/2023 |
| Salamon, Menajem | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/31/2019 |
| Salamon, Mordejai | Individual | Corporate Director | NOT APPLICABLE | 12/20/2023 |
| Salamon, Mordejai | Individual | Corporate Officer | NOT APPLICABLE | 12/20/2023 |
All 19 owning or managing parties CMS has on file are shown — none excluded.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "Can I see where garbage is stored and how often it's removed?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the New York midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 48% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 19 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Massena Rehabilitation & Nursing Center | 2.3 mi | Massena, NY | ★☆☆☆☆ | 1/5 |
Compare this facility with the 1 closest →
Other facilities in the same county
CMS records place this facility in St. Lawrence, NY — 4 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- St Josephs Home — Ogdensburg, NY · overall 5/5
- United Helpers Canton Nursing Home — Canton, NY · overall 3/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 335619.