Samaritan Keep Nursing Home Inc
133 Pratt St · Watertown, NY · 13601 · 3157854400
272 certified beds Non profit - Corporation Hospital-based
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).
- Federal penalties on record: $14,020 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
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
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.
RN staffing in the bottom 10% nationally
0.24 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.81 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.24 | 0.55–0.75 |
| Weekend hours / resident-day | 2.98 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $76,137 |
Inspection citations (25 in the current record)
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Potential for harm · D March 20, 2026 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 12, 2026 · Resident Rights
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Potential for harm · D March 20, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 12, 2026 · Quality of Life and Care
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Potential for harm · D March 20, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 12, 2026 · Quality of Life and Care
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Immediate jeopardy · J February 20, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 1, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 1, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 18, 2024 · Quality of Life and Care
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Potential for harm · D March 1, 2024
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 April 18, 2024 · Quality of Life and Care
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Potential for harm · D March 1, 2024
Provide and implement an infection prevention and control program.
Corrected April 18, 2024 · Infection Control
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Potential for harm · D March 1, 2024 · 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 April 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 1, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 18, 2024 · Quality of Life and Care
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Potential for harm · D March 1, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 18, 2024 · Quality of Life and Care
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Potential for harm · D March 1, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 18, 2024 · Pharmacy Service
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Immediate jeopardy · J August 8, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 22, 2023 · Quality of Life and Care
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Immediate jeopardy · J August 8, 2023 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected September 19, 2023 · Quality of Life and Care
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Potential for harm · D August 8, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected September 19, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 8, 2023 · found via complaint
Ensure that paid feeding assistants have the training they need.
Corrected September 19, 2023 · Nursing and Physician Services
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Potential for harm · D September 3, 2021
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected November 2, 2021 · Resident Rights
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Potential for harm · D September 3, 2021
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 September 26, 2021 · Resident Rights
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Potential for harm · E September 3, 2021
Respond appropriately to all alleged violations.
Corrected November 2, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 3, 2021
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 2, 2021 · Quality of Life and Care
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Potential for harm · D September 3, 2021
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected November 2, 2021 · Nutrition and Dietary
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Potential for harm · E September 3, 2021
Provide and implement an infection prevention and control program.
Corrected November 2, 2021 · Infection Control
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Potential for harm · E April 26, 2019
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 25, 2019 · Pharmacy Service
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Potential for harm · D April 26, 2019
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected June 25, 2019 · Nutrition and Dietary
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Potential for harm · D April 26, 2019
Provide and implement an infection prevention and control program.
Corrected June 25, 2019 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 20, 2026 | Fine | $14,020 |
| August 8, 2023 | Fine | $62,117 |
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 335431 · certified since January 1, 1975. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.