Aurelia Osborn Fox Memorial Hospital

One Norton Avenue · Oneonta, NY · 13820 · 6074315980

131 certified beds Non profit - Corporation Hospital-based

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 40
Serious harm & abuse 20% 64
Staffing 20% 72
Federal penalties 15% 100
Trend 10% 18
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.753.48 min · 4.1 strong
RN hours / resident-day0.720.55–0.75
Weekend hours / resident-day2.97≈ weekday level
Nursing turnover / year36%median 45%
Fines (3-yr window)none

Inspection citations (29 in the current record)

  • Actual harm · G April 22, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected June 9, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E April 22, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected June 9, 2025 · Resident Rights

  • Potential for harm · D April 22, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected May 30, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 22, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected June 9, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 22, 2025

    Provide activities to meet all resident's needs.

    Corrected May 28, 2025 · Quality of Life and Care

  • Potential for harm · F April 22, 2025

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected June 9, 2025 · Nursing and Physician Services

  • Potential for harm · D April 22, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected June 9, 2025 · Pharmacy Service

  • Potential for harm · F April 22, 2025

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected June 9, 2025 · Pharmacy Service

  • Potential for harm · F April 22, 2025

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected June 9, 2025 · Nutrition and Dietary

  • Potential for harm · D April 22, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected June 9, 2025 · Nutrition and Dietary

  • Potential for harm · F April 22, 2025

    Provide and implement an infection prevention and control program.

    Corrected June 9, 2025 · Infection Control

  • Potential for harm · F April 22, 2025

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected June 10, 2025 · Environmental

  • Potential for harm · E April 22, 2025 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected June 9, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D April 22, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected June 9, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 26, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected June 11, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 26, 2024 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected June 11, 2024 · Pharmacy Service

  • Potential for harm · E May 26, 2022

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected July 21, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D May 26, 2022

    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.

    Corrected July 1, 2022 · Pharmacy Service

  • Potential for harm · E May 26, 2022

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 1, 2022 · Nutrition and Dietary

  • No harm found · C May 26, 2022

    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.

    Corrected July 21, 2022 · Resident Rights

  • No harm found · C May 26, 2022

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected July 8, 2022 · Pharmacy Service

  • Potential for harm · E October 31, 2019

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 20, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D October 31, 2019

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected December 20, 2019 · Quality of Life and Care

  • Potential for harm · D October 31, 2019

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 20, 2019 · Quality of Life and Care

  • Potential for harm · D October 31, 2019

    Provide enough food/fluids to maintain a resident's health.

    Corrected December 20, 2019 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335204 · certified since March 21, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.