SNF
ELDERWOOD AT LIVERPOOL
CCN: 335678 · LIVERPOOL, NY 13088 · Onondaga County
Inspection > 2 years ago
Overview
- Address
- 4800 BEAR ROAD, LIVERPOOL, NY 13088
- Phone
- 3154579946
- Certified beds
- 160
- Avg daily residents
- 149 (93% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1984-12-31
- Setting
- Urban
2 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.22 | 3.89 | 3.20 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.53 | 0.68 | 0.53 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.08 | 0.86 | 1.07 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.61 | 2.35 | 1.60 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.61 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.11 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
2.76
hrs / resident / day
RN (weekend)
0.33
hrs / resident / day
Total nurse (adjusted, weekend)
2.74
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
53.0%
annual
RN turnover
55.2%
annual
Administrators departed
2
last 12 months
Resident acuity
Nursing Case-Mix Index
1.38
higher acuity than avg
Case-Mix Index Ratio
1.00
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-02-27 | 6 | 6 | 1 | 32 | 1 | 32 |
| Cycle 2/3 (prior) | 2021-10-21 | 2 | 2 | 0 | 8 | 1 | 8 |
Total weighted health score
26.0
lower is better
Infection-control citations
0
last cycle
Deficiencies (11)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
11 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2024-02-27 | 2024-03-27 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2024-02-27 | 2024-03-27 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-02-27 | 2024-03-27 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2024-02-27 | 2024-03-27 |
| 0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | 2024-02-27 | 2024-03-27 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-02-27 | 2024-03-27 |
| 0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | 2021-10-21 | 2021-10-28 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2021-10-21 | 2021-12-20 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2019-05-20 | 2019-07-10 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2019-05-20 | 2019-07-10 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2019-05-20 | 2019-07-10 |
Penalties (1)
Fines issued
1
last 3 years
Total fines
$56,921
| Date | Type | Fine amount |
|---|---|---|
| 2024-04-19 | Fine | $56,921 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 15.7% Medicaid 43.2% Other 41.1%
Operating performance
Operating Margin
-3.4%
Total Margin
-0.1%
Occupancy Rate
91.0%
Cost per Resident Day
$87
Revenue & costs
Net Patient Revenue
$22.7M
Total Costs
$4.6M
Net Income
-$13K
Balance sheet
Total Assets
$47.8M
Total Liabilities
$35.3M
Fund Balance
$12.5M
Current Ratio
0.42
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: ELDERWOOD
- Chain ID
196- Facilities in chain
- 17
- Legal business name
- 4800 BEAR ROAD OPERATING COMPANY, LLC
Chain-average star ratings (for peer context)
Overall
2.6
Health
2.6
Staffing
2.1
QM
3.5
Owner / manager individuals (10)
| Name | Role | Association |
|---|---|---|
| COLE, WARREN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 10/12/2011 |
| RUBIN, JEFFREY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 10/12/2011 |
| COLE, WARREN | OPERATIONAL/MANAGERIAL CONTROL | since 10/12/2011 |
| RUBIN, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | since 10/12/2011 |
| COLE, WARREN | CORPORATE OFFICER | since 10/12/2011 |
| RUBIN, JEFFREY | CORPORATE OFFICER | since 10/12/2011 |
| KENWORTHY, KIMBERLY | CONTRACTED MANAGING EMPLOYEE | since 08/09/2019 |
| QUILLARD, PHILIP | CONTRACTED MANAGING EMPLOYEE | since 08/09/2019 |
| VINKLE, JOHN PAUL | CONTRACTED MANAGING EMPLOYEE | since 08/09/2019 |
| DELEONABREU, CHERLYN | W-2 MANAGING EMPLOYEE | since 04/26/2021 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $87 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.42 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 43.2% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 15.7% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-13,456 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $22,706,410 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 91.0% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -3.4% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $47,793,898 | metrics.total_assets |
| Cost Report | Total Costs ($) | $4,615,632 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $12,463,780 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $35,330,118 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -0.1% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.07104 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.60017 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.52505 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.19626 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.74133 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 149.1 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.86380 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.34762 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.68086 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.89228 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.43064 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.6 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.6 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.5 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.1 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 196 | Chain ID |
| Provider Information | Chain Name | ELDERWOOD | Chain Name |
| Provider Information | City/Town | LIVERPOOL | City/Town |
| Provider Information | CMS Certification Number (CCN) | 335678 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Onondaga | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1984-12-31 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 43.1235 | Latitude |
| Provider Information | Legal Business Name | 4800 BEAR ROAD OPERATING COMPANY, LLC | Legal Business Name |
| Provider Information | Location | 4800 BEAR ROAD,LIVERPOOL,NY,13088 | Location |
| Provider Information | Long-Stay QM Rating | 3 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -76.181 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | Y | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 2 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 160 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | 0 | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 17 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.37886 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.00088 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 2 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 4800 BEAR ROAD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | ELDERWOOD AT LIVERPOOL | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 520 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 3 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 32 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 1 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 6 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-02-27 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 32 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 6 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 2 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2021-10-21 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 8 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 0 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 8 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 2 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.33378 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 55.2 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.60904 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.07973 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.61317 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.10844 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.52931 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.22221 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 1 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | NY | State |
| Provider Information | Telephone Number | 3154579946 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 56921.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.76360 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 1 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 53.0 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 26.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 13088 | ZIP Code |