GOOD SHEPHERD VILLAGE AT ENDWELL
Open-data reference.
GOOD SHEPHERD VILLAGE AT ENDWELL is a non profit - other facility in ENDWELL, NY with 32 certified beds and a 5-star overall CMS rating. The facility has 15 deficiency records on file.
14 VILLAGE DRIVE, ENDWELL, NY 13760
Phone: 6077573102
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 335859
- Ownership
- Non profit - Other
- Provider Type
- Medicare and Medicaid
- Beds
- 32
- Residents
- 27
- In Hospital
- No
- County
- Broome
- Last Inspection
- Nov 20, 2025
Staffing Data
- RN Hours
- 0.89 (nat'l avg: 0.68)
- LPN Hours
- 1.49
- CNA Hours
- 2.79
- Total Nursing Hours
- 5.16 (nat'l avg: 3.89)
- PT Hours
- 0.48
What the CMS Record Reveals About GOOD SHEPHERD VILLAGE AT ENDWELL
GOOD SHEPHERD VILLAGE AT ENDWELL operates 32 certified beds in ENDWELL, NY with approximately 27 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (5★), staffing levels (3★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 15 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 5.16 total nursing hours per resident day (national average 3.89), with RN coverage at 0.89 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "Non profit - Other" ownership and operating as a "Medicare and Medicaid" provider, GOOD SHEPHERD VILLAGE AT ENDWELL falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (15 most recent)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Apr 5, 2024
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.
Category: Resident Rights Deficiencies
Corrected: Apr 5, 2024
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Category: Resident Rights Deficiencies
Corrected: Apr 5, 2024
Keep all essential equipment working safely.
Category: Environmental Deficiencies
Corrected: Dec 15, 2021
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Dec 15, 2021
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Dec 15, 2021
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Dec 15, 2021
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.
Category: Nutrition and Dietary Deficiencies
Corrected: Dec 15, 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.
Category: Pharmacy Service Deficiencies
Corrected: Dec 15, 2021
Ensure that residents are free from significant medication errors.
Category: Pharmacy Service Deficiencies
Corrected: Dec 15, 2021
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 15, 2021
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 15, 2021
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 24, 2019
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.
Category: Pharmacy Service Deficiencies
Corrected: May 24, 2019
Ensure residents have reasonable access to and privacy in their use of communication methods.
Category: Resident Rights Deficiencies
Corrected: May 24, 2019
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.8% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 13.1% | No |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 6.5% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 5.5% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 11.7% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 91.0% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 62.3% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 27.7% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 23.4% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 93.8% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.4% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 34.8% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.2% | Yes |
Penalty History
No penalties on record.
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County Health Data
Health outcomes, access, and quality metrics for Broome on PlainHealth
Frequently Asked Questions
What is the overall CMS rating for GOOD SHEPHERD VILLAGE AT ENDWELL?
What are the staffing levels at GOOD SHEPHERD VILLAGE AT ENDWELL?
How many beds does GOOD SHEPHERD VILLAGE AT ENDWELL have?
Does GOOD SHEPHERD VILLAGE AT ENDWELL have any deficiencies on record?
Has GOOD SHEPHERD VILLAGE AT ENDWELL received any fines or penalties?
Who owns GOOD SHEPHERD VILLAGE AT ENDWELL?
When was GOOD SHEPHERD VILLAGE AT ENDWELL last inspected?
What quality measures are tracked for GOOD SHEPHERD VILLAGE AT ENDWELL?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.