St Luke Residential Health Care Facility Inc

299 East River Road · Oswego, NY · 13126 · 3153423166

200 certified beds Non profit - Corporation

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

RN staffing in the bottom 10% nationally

0.25 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Total nurse staffing below 3.0 hours per resident-day

1.89 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

No standard inspection in over 2 years

The inspection record here is older than usual — conditions may have changed since.

Score breakdown

Inspection record 30% of score 50
Serious harm & abuse 20% 82
Staffing 20% 31
Federal penalties 15% 100
Trend 10% 91
Context 5% 85

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

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day1.893.48 min · 4.1 strong
RN hours / resident-day0.250.55–0.75
Weekend hours / resident-day1.60≈ weekday level
Nursing turnover / year55%median 45%
Fines (3-yr window)none

Inspection citations (23 in the current record)

  • Immediate jeopardy · J March 14, 2025 · found via complaint

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

    Corrected May 4, 2025 · Quality of Life and Care

  • Actual harm · G March 14, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 4, 2025 · Quality of Life and Care

  • Actual harm · G March 14, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected May 4, 2025 · Quality of Life and Care

  • Potential for harm · D March 14, 2025 · found via complaint

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

    Corrected May 4, 2025 · Resident Rights

  • Potential for harm · F March 14, 2025 · 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 May 4, 2025 · Nursing and Physician Services

  • Potential for harm · D March 14, 2025 · found via complaint

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Corrected May 4, 2025 · Nutrition and Dietary

  • Potential for harm · E March 14, 2025 · found via complaint

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected May 4, 2025 · Administration

  • Potential for harm · D December 28, 2023 · found via complaint

    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 February 25, 2024 · Quality of Life and Care

  • Potential for harm · D June 9, 2023 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected August 7, 2023 · Resident Rights

  • Potential for harm · D June 9, 2023 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected August 7, 2023 · Quality of Life and Care

  • Potential for harm · E April 13, 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 June 11, 2023 · Resident Rights

  • Potential for harm · E April 13, 2023

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

    Corrected June 11, 2023 · Quality of Life and Care

  • Potential for harm · D April 13, 2023

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Corrected June 11, 2023 · Quality of Life and Care

  • Potential for harm · E April 13, 2023

    Provide and implement an infection prevention and control program.

    Corrected June 11, 2023 · Infection Control

  • Potential for harm · E April 9, 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 June 7, 2021 · Resident Rights

  • Potential for harm · D April 9, 2021

    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 June 7, 2021 · Resident Rights

  • Potential for harm · D April 9, 2021

    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 7, 2021 · Pharmacy Service

  • Potential for harm · E April 9, 2021

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

    Corrected June 7, 2021 · Nutrition and Dietary

  • Potential for harm · E April 9, 2021

    Provide and implement an infection prevention and control program.

    Corrected June 7, 2021 · Infection Control

  • Potential for harm · E January 18, 2019

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected March 19, 2019 · Resident Rights

  • Potential for harm · D January 18, 2019

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 19, 2019 · Quality of Life and Care

  • Potential for harm · D January 18, 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 March 19, 2019 · Quality of Life and Care

  • Potential for harm · D January 18, 2019

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

    Corrected March 19, 2019 · Nutrition and Dietary

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 335746 · certified since May 7, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.