Oneida Health Rehabilitation and Extended Care

Name: Oneida Health Rehabilitation and Extended Care
Address: 323 GENESEE STREET, Oneida, NY, 13421, US
Telephone: 3153636000

323 Genesee Street, Oneida, NY 13421 · Madison County · 160 certified beds · avg 150 residents/day · certified since Aug 5, 1974

2/5

Health inspection rating (on-site)

Serious findings on record

$16,153

Fines, last 3 years

2.65

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: 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)

▲ Immediate jeopardy, one-off · Apr 25, 2025 · F-0578 · triggered by a complaint

The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.

Why it matters: Ignoring these rights means residents may receive treatments they refused, or miss having their end-of-life wishes respected.

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: Apr 15, 2025 (Past Non-Compliance)

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
Jan 27, 2026	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.
Jan 27, 2026	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jan 27, 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. · from a complaint
Jan 27, 2026	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.
Jan 27, 2026	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.
Jan 27, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jan 27, 2026	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. · from a complaint
Jan 27, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jan 27, 2026	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.
Apr 25, 2025	▲ J · Immediate jeopardy, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint
Apr 12, 2024	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.
Apr 12, 2024	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.
Apr 12, 2024	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.
Apr 12, 2024	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.
Apr 12, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Apr 12, 2024	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.
Apr 12, 2024	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Apr 12, 2024	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.
Apr 12, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Apr 12, 2024	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.
Apr 12, 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.
Apr 12, 2024	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Apr 12, 2024	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.
Apr 12, 2024	D · Potential for harm, one-off	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.
Apr 12, 2024	C · Minimal risk, facility-wide	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Jan 25, 2022	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (15 → 9).

Year	Citations	Serious (G–L)	Worst severity that year
2022	1	0	D
2024	15	0	E
2025	1	1	J ▲
2026	9	0	E

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)

1 fine totaling $16,153.

Date	Type	Amount / length
Apr 25, 2025	Fine	$16,153

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)	2.65	3.58	3.95	bottom 7% in New York; bottom 6% in the U.S.
Registered Nurse hours	0.46	0.68	0.69	bottom 27% in New York; bottom 32% in the U.S.
Weekend total nurse staffing	2.26	3.13	3.50	bottom 4% in New York; bottom 4% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.36	0.48	0.48	top 50% in New York; bottom 45% in the U.S.
Total nursing staff turnover (%)	0.0	40.3	45.8	—
RN turnover (%)	0.0	39.8	42.9	—

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 3.17, RN 0.55, weekend 2.71. 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: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Bach, Janice	Individual	Corporate Director	NOT APPLICABLE	01/01/2013
Bell, Nadine	Individual	Corporate Director	NOT APPLICABLE	01/01/2012
Dugan, Chris	Individual	Corporate Director	NOT APPLICABLE	09/01/2023
Hedglon, Peter	Individual	Corporate Director	NOT APPLICABLE	01/01/1985
Kallet, Michael	Individual	Corporate Director	NOT APPLICABLE	01/01/1987
Koernig, Felissa	Individual	Corporate Director	NOT APPLICABLE	09/01/2023
Koernig, Felissa	Individual	Corporate Officer	NOT APPLICABLE	09/01/2023
Koernig, Felissa	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2023
Potter, Steven	Individual	Corporate Director	NOT APPLICABLE	01/01/2005
Ratnarajah, Daniel	Individual	Corporate Director	NOT APPLICABLE	01/01/2009
Schaal, Todd	Individual	Corporate Director	NOT APPLICABLE	09/01/2023
Sweet, Jeremiah	Individual	W-2 Managing Employee	NOT APPLICABLE	07/31/2017
Sweet, Jeremiah	Individual	Corporate Officer	NOT APPLICABLE	07/31/2017
Wells, Margaret	Individual	Corporate Director	NOT APPLICABLE	09/01/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"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 prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"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
The Grand Rehabilitation and Nrsg at Chittenango	11.0 mi	Chittenango, NY	★☆☆☆☆	2/5
Crouse Community Center INC	12.9 mi	Morrisville, NY	★★★★☆	3/5
The Grand Rehabilitation and Nursing at Rome	14.2 mi	Rome, NY	★☆☆☆☆	1/5
Betsy Ross Rehabilitation Center, INC	14.2 mi	Rome, NY	★☆☆☆☆	3/5
Katherine Luther Residential HLTH Care & Rehab	14.8 mi	Clinton, NY	★☆☆☆☆	1/5
Colonial Park Rehabilitation and Nursing Center	14.8 mi	Rome, NY	★☆☆☆☆	2/5
Rome Memorial Hospital, INC - R H C F	14.9 mi	Rome, NY	★★★★☆	4/5
Bethany Gardens Skilled Living Center	14.9 mi	Rome, NY	★★★★☆	4/5
Presbyterian Home for Central New York INC	15.8 mi	New Hartford, NY	★☆☆☆☆	2/5
Trustees of Eastern Star Hall & Home of the N Y S	17.1 mi	Oriskany, NY	★☆☆☆☆	2/5
Waterville Residential Care Center	17.1 mi	Waterville, NY	★★★☆☆	3/5
Onondaga Center for Rehabilitation and Nursing	17.3 mi	Minoa, NY	★☆☆☆☆	1/5	SFF

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 335427.

The Care File

Visit checklist — Oneida Health Rehabilitation and Extended Care

323 Genesee Street, Oneida, NY 13421 · 3153636000

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $16,153

Most serious findings on record:

▲ Apr 25, 2025 (F-0578, Immediate jeopardy, one-off): The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.

Questions for the administrator:

☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "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 prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 335427 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)