Guthrie Cortland Medical Center

134 Homer Avenue · Cortland, NY · 13045 · 6077563909

80 certified beds Non profit - Corporation Chain: Guthrie Hospital-based

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $182,653 in fines in the last 24 months.
  • Inspection results are getting worse cycle over cycle, not better.
  • Staffing hours comfortably above national benchmarks.

Red flags

2 immediate-jeopardy citations 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.

$182,653 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 34
Serious harm & abuse 20% 28
Staffing 20% 87
Federal penalties 15% 39
Trend 10% 27
Context 5% 75

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

CMS ratings & staffing

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

Total nurse hours / resident-day4.663.48 min · 4.1 strong
RN hours / resident-day0.850.55–0.75
Weekend hours / resident-day3.71≈ weekday level
Nursing turnover / year23%median 45%
Fines (3-yr window)2 · $253,087

Inspection citations (15 in the current record)

  • Immediate jeopardy · J March 31, 2026 · found via complaint

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

    Corrected July 17, 2024 · Quality of Life and Care

  • Immediate jeopardy · K February 25, 2026

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

    Corrected April 9, 2026 · Quality of Life and Care

  • Potential for harm · D February 25, 2026

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

    Corrected April 9, 2026 · Resident Rights

  • Potential for harm · E February 25, 2026

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

    Corrected April 9, 2026 · Quality of Life and Care

  • Potential for harm · D February 25, 2026

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected April 9, 2026 · Quality of Life and Care

  • Potential for harm · E February 25, 2026

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

    Corrected April 9, 2026 · Nutrition and Dietary

  • Potential for harm · D March 15, 2024

    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 April 30, 2024 · Nursing and Physician Services

  • Potential for harm · D March 15, 2024

    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 April 30, 2024 · Pharmacy Service

  • Potential for harm · E March 15, 2024

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

    Corrected April 30, 2024 · Nutrition and Dietary

  • Potential for harm · D March 15, 2024 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected April 30, 2024 · Pharmacy Service

  • No harm found · C March 15, 2024

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Corrected April 30, 2024 · Resident Rights

  • Actual harm · G September 11, 2023 · found via complaint

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

    Corrected November 3, 2023 · Quality of Life and Care

  • Actual harm · G September 11, 2023 · found via complaint

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Corrected November 3, 2023 · Nursing and Physician Services

  • Potential for harm · D September 11, 2023 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected November 3, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 17, 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 February 14, 2022 · Resident Rights

Federal penalties

DateTypeAmount / length
February 11, 2026Fine$182,653
September 11, 2023Fine$70,434

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335768 · certified since October 27, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.