Capstone Center for Rehabilitation and Nursing
302 Swart Hill Road · Amsterdam, NY · 12010 · 5188426790
120 certified beds For profit - Limited Liability company Chain: Upstate Services Group
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
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: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.20 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.46 | 0.55–0.75 |
| Weekend hours / resident-day | 2.54 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 1 · $47,879 |
Inspection citations (30 in the current record)
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Actual harm · G December 10, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 29, 2025 · Resident Rights
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Potential for harm · E December 10, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 29, 2025 · Resident Rights
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Potential for harm · D December 10, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected January 29, 2025 · Resident Rights
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Potential for harm · D December 10, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 10, 2024
Provide activities to meet all resident's needs.
Corrected January 29, 2025 · Quality of Life and Care
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Potential for harm · D December 10, 2024
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected January 29, 2025 · Quality of Life and Care
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Potential for harm · D December 10, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 29, 2025 · Quality of Life and Care
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Potential for harm · E December 10, 2024
Provide safe, appropriate pain management for a resident who requires such services.
Corrected January 29, 2025 · Quality of Life and Care
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Potential for harm · E December 10, 2024
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected January 29, 2025 · Administration
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Potential for harm · E December 10, 2024 · found via complaint
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 January 29, 2025 · Resident Rights
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Potential for harm · D December 10, 2024 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected January 29, 2025 · Quality of Life and Care
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Potential for harm · E December 10, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected January 29, 2025 · Nursing and Physician Services
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Potential for harm · E December 10, 2024 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected January 29, 2025 · Nursing and Physician Services
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Potential for harm · E December 10, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected January 29, 2025 · Pharmacy Service
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Potential for harm · D December 10, 2024 · found via complaint
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 January 29, 2025 · Pharmacy Service
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Potential for harm · D December 10, 2024 · found via complaint
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected January 29, 2025 · Administration
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Potential for harm · D May 28, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 28, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected August 4, 2024 · Nursing and Physician Services
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Potential for harm · D March 1, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 18, 2024 · Quality of Life and Care
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Potential for harm · D January 21, 2022
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 1, 2022 · Resident Rights
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Potential for harm · E January 21, 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 March 1, 2022 · Resident Rights
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Potential for harm · D January 21, 2022
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected March 1, 2022 · Resident Rights
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Potential for harm · D January 21, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 1, 2022 · Quality of Life and Care
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Potential for harm · D January 21, 2022
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected March 4, 2022 · Quality of Life and Care
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Potential for harm · D January 21, 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 March 1, 2022 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 10, 2024 | Fine | $47,879 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335543 · certified since October 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.