Public Record
Good Shepherd Village at Endwell
From CMS
Facility profile
- CMS overall rating
- 5 / 5
- Certified beds
- 32
- Avg. residents per day
- 27.9
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 29
- Inspections on file
- 6
- Last inspection
- 2025-11-20
*CMS
*CMS
*CMS
Citations
29 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0678Generalpotential for harm
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- 0004Generalpotential for harm
Develop and maintain an Emergency Preparedness Program (EP).
- 0041Generalpotential for harm
Implement emergency and standby power systems.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0921Generalpotential for harm
Ensure that testing and maintenance of electrical equipment is performed.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0585Generalpotential for harm
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.
- 0577Generalno actual harm
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- 0020Generalno actual harm
Establish policies and procedures including evacuation.
- 0133Generalpotential for harm
Install a two-hour-resistant firewall separation.
- 0211Generalpotential for harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 0311Generalpotential for harm
Have an enclosure around a vertical opening shaft.
- 0918Generalpotential for harm
Have generator or other power source capable of supplying service within 10 seconds.
- 0686Generalpotential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0921Generalpotential for harm
Ensure that testing and maintenance of electrical equipment is performed.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
- 0677Generalpotential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 0761Generalpotential for harm
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.
- 0803Generalpotential for harm
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.
- 0804Generalpotential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0908Generalpotential for harm
Keep all essential equipment working safely.
- 0321Generalpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0325Generalpotential for harm
Have properly installed hallway dispensers for alcohol-based hand rub.
- 0345Generalpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0712Generalpotential for harm
Have simulated fire drills held at unexpected times.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection6 deficiencies
- View inspection reportInspection6 deficiencies
- View inspection reportInspection8 deficiencies
- View inspection reportInspection8 deficiencies
- View inspection reportInspection15 deficiencies
- View inspection reportInspection15 deficiencies
FAQ
Questions and answers
- What is Good Shepherd Village at Endwell?
- Good Shepherd Village at Endwell is a Medicare- and Medicaid-certified nursing home in Endwell, NY, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 335859.
- What is the CMS rating for Good Shepherd Village at Endwell?
- Good Shepherd Village at Endwell has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Good Shepherd Village at Endwell have?
- Good Shepherd Village at Endwell is certified for 32 beds. It serves an average of 27.9 residents per day.
- How many citations does Good Shepherd Village at Endwell have?
- Good Shepherd Village at Endwell has 29 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Good Shepherd Village at Endwell last inspected?
- Good Shepherd Village at Endwell was last inspected on November 20, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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