Chestnut Park Rehabilitation and Nursing Center
330 Chestnut Street · Oneonta, NY · 13820 · 6074328500
80 certified beds For profit - Corporation Chain: Upstate Services Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- 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 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
60% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.35 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.59 | 0.55–0.75 |
| Weekend hours / resident-day | 2.72 | ≈ weekday level |
| Nursing turnover / year | 60% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (32 in the current record)
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Immediate jeopardy · J October 27, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 28, 2025 · Quality of Life and Care
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Actual harm · G October 27, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 28, 2025 · Quality of Life and Care
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Potential for harm · D October 27, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected November 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 27, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 3, 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 October 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 31, 2024 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected July 31, 2024 · Pharmacy Service
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Potential for harm · D May 31, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected July 31, 2024 · Pharmacy Service
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Actual harm · G May 22, 2023
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 21, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 22, 2023
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, 2023 · Resident Rights
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Potential for harm · D May 22, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 21, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 22, 2023
Respond appropriately to all alleged violations.
Corrected July 21, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 22, 2023
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 21, 2023 · Pharmacy Service
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Potential for harm · E May 22, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 21, 2023 · Nutrition and Dietary
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Potential for harm · D July 12, 2021
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected August 26, 2021 · Resident Assessment and Care Planning
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Potential for harm · E July 12, 2021
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 26, 2021 · Resident Assessment and Care Planning
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Potential for harm · D July 12, 2021
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 26, 2021 · Quality of Life and Care
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Potential for harm · D July 12, 2021
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 26, 2021 · Quality of Life and Care
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Potential for harm · D July 12, 2021
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected August 26, 2021 · Pharmacy Service
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Potential for harm · D July 12, 2021
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected August 26, 2021 · Pharmacy Service
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Potential for harm · D July 12, 2021
Report COVID19 data to residents and families.
Corrected August 26, 2021 · Infection Control
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Potential for harm · D June 6, 2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 20, 2019 · Resident Rights
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Potential for harm · D June 6, 2019
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected July 20, 2019 · Resident Rights
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Potential for harm · D June 6, 2019
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected July 20, 2019 · Resident Rights
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Potential for harm · E June 6, 2019
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected July 20, 2019 · Resident Assessment and Care Planning
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Potential for harm · E June 6, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 13, 2019 · Resident Assessment and Care Planning
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 335243 · certified since May 20, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.