North Country Nursing & Rehabilitation Center

182 Highland Road · Massena, NY · 13662 · 3157699956

140 certified beds For profit - Partnership

  • No federal fines or payment denials in CMS’s 3-year window.

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.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 59
Serious harm & abuse 20% 100
Staffing 20% 71
Federal penalties 15% 100
Trend 10% 63
Context 5% 100

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

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.703.48 min · 4.1 strong
RN hours / resident-day0.900.55–0.75
Weekend hours / resident-day2.93≈ weekday level
Nursing turnover / year50%median 45%
Fines (3-yr window)none

Inspection citations (26 in the current record)

  • Potential for harm · D August 15, 2025

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

    Corrected September 18, 2025 · Quality of Life and Care

  • Potential for harm · D August 15, 2025

    Dispose of garbage and refuse properly.

    Corrected September 18, 2025 · Nutrition and Dietary

  • Potential for harm · F August 15, 2025 · found via complaint

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected September 18, 2025 · Nutrition and Dietary

  • Potential for harm · F August 15, 2025 · found via complaint

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

    Corrected September 18, 2025 · Nutrition and Dietary

  • Potential for harm · D August 15, 2025 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected September 18, 2025 · Environmental

  • Potential for harm · D December 15, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 5, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D December 15, 2023

    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 February 5, 2024 · Quality of Life and Care

  • Potential for harm · D December 15, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected February 5, 2024 · Quality of Life and Care

  • Potential for harm · D December 15, 2023

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

    Corrected February 5, 2024 · Quality of Life and Care

  • Potential for harm · E December 15, 2023

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected February 5, 2024 · Nutrition and Dietary

  • Potential for harm · E December 15, 2023

    Provide and implement an infection prevention and control program.

    Corrected February 5, 2024 · Infection Control

  • Potential for harm · D December 15, 2023 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected February 5, 2024 · Quality of Life and Care

  • Potential for harm · D December 15, 2023 · found via complaint

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

    Corrected February 5, 2024 · Nutrition and Dietary

  • Potential for harm · E December 15, 2023 · found via complaint

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

    Corrected February 5, 2024 · Nutrition and Dietary

  • Potential for harm · E July 2, 2021

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

    Corrected August 30, 2021 · Resident Rights

  • Potential for harm · E July 2, 2021

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected August 13, 2021 · Quality of Life and Care

  • Potential for harm · D July 2, 2021

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

    Corrected August 30, 2021 · Quality of Life and Care

  • Potential for harm · D July 2, 2021

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

    Corrected August 30, 2021 · Quality of Life and Care

  • Potential for harm · D July 2, 2021

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected August 30, 2021 · Quality of Life and Care

  • Potential for harm · E July 2, 2021

    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 13, 2021 · Nursing and Physician Services

  • Potential for harm · D July 2, 2021

    Ensure medication error rates are not 5 percent or greater.

    Corrected August 30, 2021 · Pharmacy Service

  • Potential for harm · D July 2, 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 August 13, 2021 · Pharmacy Service

  • Potential for harm · E July 2, 2021

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

    Corrected August 13, 2021 · Nutrition and Dietary

  • Potential for harm · D July 2, 2021

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected August 30, 2021 · Nutrition and Dietary

  • Potential for harm · E July 2, 2021

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected August 30, 2021 · Nutrition and Dietary

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335619 · certified since January 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.