North Country Nursing & Rehabilitation Center
182 Highland Road, Massena, NY 13662 · St. Lawrence County · 140 certified beds · avg 128 residents/day · certified since Jan 1, 1978
2/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.69
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · 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.
All citations in the current public record (26)
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 |
|---|---|---|
| Aug 15, 2025 | F · Potential for harm, facility-wide | 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 |
| Aug 15, 2025 | F · Potential for harm, facility-wide | 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 |
| Aug 15, 2025 | 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. |
| Aug 15, 2025 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. |
| Aug 15, 2025 | 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. · from a complaint |
| Dec 15, 2023 | E · Potential for harm, repeated | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Dec 15, 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. · from a complaint |
| Dec 15, 2023 | E · Potential for harm, repeated | 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. |
| Dec 15, 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. |
| Dec 15, 2023 | 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. · from a complaint |
| Dec 15, 2023 | D · Potential for harm, one-off | 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. |
| Dec 15, 2023 | D · Potential for harm, one-off | 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. |
| Dec 15, 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 15, 2023 | 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. · from a complaint |
| Jul 2, 2021 | E · Potential for harm, repeated | 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. |
| Jul 2, 2021 | E · Potential for harm, repeated | 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. |
| Jul 2, 2021 | E · Potential for harm, repeated | 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. |
| Jul 2, 2021 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jul 2, 2021 | E · Potential for harm, repeated | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Jul 2, 2021 | E · Potential for harm, repeated | 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. |
| Jul 2, 2021 | D · Potential for 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. |
| Jul 2, 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. |
| Jul 2, 2021 | D · Potential for harm, one-off | 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. |
| Jul 2, 2021 | D · Potential for harm, one-off | 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. |
| Jul 2, 2021 | 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. |
| Jul 2, 2021 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 5).
| 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)
No fines or payment denials in the published 3-year window.
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) | 3.69 | 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, 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. Staffing rating: 4/5.
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: 5/5 · short-stay residents: 3/5
Who owns this facility
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 |
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?"
- "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 |
|---|---|---|---|---|---|
| Massena Rehabilitation & Nursing Center | 2.3 mi | Massena, NY | ★☆☆☆☆ | 1/5 |
Compare this facility with the 1 closest →
Facility data as of CMS processing date 2026-08-01. CCN 335619.