Nursing Care Index

Tupper Lake Center For Nursing And Rehabilitation

Tupper Lake, Franklin County, New York · CCN 335220 · Non-profit (Corporation) · not part of a chain

CMS rates Tupper Lake Center For Nursing And Rehabilitation 5 of 5 overall as of August 2026. 60 certified beds, 57 residents a day on average. 23 citations on record from the current inspection cycles; no fines on record.

On record

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★★ 5 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / 4 of 5

Staffing

Total nurse staffing4.68158 hours per resident per day
Registered nurses1.30148 hours per resident per day
Weekend total3.38942 hours per resident per day
Nursing staff turnover34.4% (registered nurses 17.6%)
Administrators who left3

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2024-01-30 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · tag F0727
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-03-25
2024-01-30 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-03-18
2024-01-30 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · tag F0582
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-25
2024-01-30 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · tag F0623
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-26
2024-01-30 Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · tag F0757
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-26
2024-01-25
complaint survey
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-03-18
2024-01-25
complaint survey
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-03-18
2024-01-25
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-18
2024-01-25
complaint survey
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-18
2024-01-25
complaint survey
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-18
2024-01-25
complaint survey
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Administration Deficiencies · tag F0838
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-18
2022-06-17 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-08-15
2019-11-21 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · tag F0584
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2020-01-28
2019-11-21 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · tag F0655
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2020-01-28
2019-11-21 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · tag F0756
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2020-01-28
2019-11-21 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · tag F0803
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2020-01-28
2019-11-21 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2020-01-28
2019-11-21 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2020-01-28
2019-11-21 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2020-01-28
2019-11-21 Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0698
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2020-01-28
2019-11-21 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2020-01-28
2019-11-21 Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Administration Deficiencies · tag F0838
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2020-01-28
2019-11-21 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2020-01-28

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Burg & Weingarten, Cpa, PC
Organization
adp of the snf2024-02-01
Zella Healthcare Consulting LLC
Organization
adp of the snf2024-02-01
Gewirtz, Jonathan
Individual
5% or greater direct ownership interest33%2024-02-01
Klein, Yehudis
Individual
5% or greater direct ownership interest5%2025-01-01
Pearlstein, Blimie
Individual
5% or greater direct ownership interest5%2025-01-01
Salamon, Menajem
Individual
5% or greater direct ownership interest48%2025-01-01
Salamon, Mordejai
Individual
5% or greater direct ownership interest10%2025-01-01
Cichetti, Neil
Individual
adp of the snf2025-11-21
Destinville, Nicholas
Individual
adp of the snf2025-11-21
Salamon, Menajem
Individual
adp of the snf2025-01-01
Salamon, Mordejai
Individual
adp of the snf2025-02-26
Salamon, Menajem
Individual
corporate officer2024-02-01
Salamon, Menajem
Individual
managing control - governing body2025-01-01
Cichetti, Neil
Individual
operational/managerial control2024-02-01
Destinville, Nicholas
Individual
operational/managerial control2025-07-30
Salamon, Menajem
Individual
operational/managerial control2025-01-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Franklin County.