Oswego Hospital
An acute care hospital in Oswego, New York 13069
110 West Sixth Street, Oswego, New York 13069. (315) 349-5511.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 3of 5 CMS’s overall rating
- 4of 5 patient survey rating
- 2 deficiencies cited in the last three years
- 132 beds
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Jun 24, 2026: a complaint inspection.
2 deficiencies cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Mar 2025. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Mar 20, 2025: complaint inspection2 deficiencies
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Nursing Care Plan
The inspectors’ words, 264 words
“NURSING CARE PLAN CFR(s): 482.23(b)(4) The hospital must ensure that the nursing staff develops, and keeps current, a nursing care plan for each patient that reflects the patient’s goals and the nursing care to be provided to meet the patient’s needs. The nursing care plan may be part of an interdisciplinary care plan. This Standard is not met as evidenced by: 21072 Based on medical record (MR) review, document review, and interview, Patient #1’s MR lacked documentation that they received a nutritional supplement as ordered. This could lead to patients having adverse outcomes. Findings include: -- Review of Patient #1’s MR revealed on 11/29/2024, a physician ordered Pro-Stat (a nutritional supplement) 30 milliliters to be administered to Patient #1 four times a day. -- The MR lacked documentation indicating that nursing staff provided the Pro-Stat to Patient #1 as ordered. -- Review of the facility’s policies and procedures (P&P) revealed that there was no nurisng P&P for the administration of the nutritional supplement Pro-Stat. -- Per interview of Staff A, Nurse Practioner (NP) on 3/19/2025 at 12:45 pm, there is no facility P&P on the administration of Pro-Stat. -- Per interview of Staff B, NP on 3/20/2025 at 10:00 am, the facility does not have a P&P on the administration of Pro-Stat. -- Per interview of Staff C, Registered Nurse (RN) on 3/19/2025 at 1:30 pm, there is no P&P on Pro-Stat, and it would be helpful for nursing to reference if there was one. -- During interview of Staff D, Director of Nursing, on 3/19/2025 at 4:00 pm, they confirmed the above findings.”
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Supervision Of Contract Staff
The inspectors’ words, 899 words
“SUPERVISION OF CONTRACT STAFF CFR(s): 482.23(b)(6) All licensed nurses who provide services in the hospital must adhere to the policies and procedures of the hospital. The director of nursing service must provide for the adequate supervision and evaluation of all nursing personnel which occur within the responsibility of the nursing service, regardless of the mechanism through which those personnel are providing services (that is, hospital employee, contract, lease, other agreement, or volunteer). This Standard is not met as evidenced by: 49512 Based on medical record (MR) review, document review and interview, Patient #1 developed a pressure injury during hospitalization and the facility policy and procedure (P&P) was not followed. Specifically, a wound consult was not ordered, wound measurements were not documented and there was no provider documention of the wound. This could lead to patients having adverse outcomes. Findings include: -- Per review of the facility’s P&P titled “Skin Assessment Pressure Ulcer Prevention and Assessment,” (revised 10/2024), “every patient admitted will be assessed daily for risk of pressure ulcers, using the Braden Scale for predicting pressure ulcers. A score of 14 points or below will receive a skin care consult for potential areas of concern during any part of the patients stay. ... the provider will be notified for all pressure ulcers stage 2 through 4. ... measurements will be taken on any reddened, pink, bruised, scratches, skin tears, open sores or pressure ulcers. Length (head to toe) x width (hip to hip) x depth (tunneling/undermining).” -- Per MR review, Patient #1 was admitted to the hospital on 11/26/2024 with the diagnosis of a left hip fracture and left shoulder fracture. The nursing admission assessment documentation noted that skin was intact with no deviations from normal. A skin risk scale noted a total Braden scale score of 14 (severe risk - less than or equal to 9, high risk - 10-12, moderate risk - 13-14, and mild risk - 15-18). Risks pertaining to Patient #1 included bedfast, confined to a bed, very limited mobility, occasionally moist skin, and potential for friction and shearing of skin. On 11/29/2024, Patient #1 had hip surgery. Skin risk assessment remained at a total score of 14. On 11/30/2024, nursing documentation noted a skin tear to the right buttock which is documented as appearing pink and reddened. Allevyn (highly absorbent foam dressing) was applied to the site. A skin risk assessment remained at a score of 14. On 12/1/2024, nursing documentation noted a right buttock skin tear which appeared pink and reddened with an Allevyn dressing placed. Provider documentation noted a stage 1 skin tear to the right buttock, and an Allevyn dressing placed. On 12/2/2024 nursing documentation noted a right buttock skin tear which appeared pink and reddened with an Allevyn dressing applied. On 12/4/2024 nursing documentation noted a right buttock skin tear which appeared pink and reddened with an Allevyn dressing placed. New orders were placed which included application of Magic Butt Paste (protective ointment) to be applied to macerated skin areas of the skin tear on the buttocks and covering with an Allevyn dressing to be changed daily. On 12/7/2024 nursing documentation noted a stage 2 decubitus to the coccyx, with an Allevyn dressing placed and Magic Butt Paste applied to surrounding macerated (softening and breakdown of skin due to prolonged exposure to moisture) skin. Nursing documentation also noted a lesion to the left upper back with an Allevyn dressing placed. Lastly, nursing documentation noted a right buttock skin tear which appeared pink and reddened with an Allevyn dressing placed On 12/8/2024 - 12/10/2024 nursing documentation noted a hard and warm to the touch area to the left buttock, appearing pink with erythema (redness of skin) present. A lesion to the upper left back with an Allevyn dressing placed is documented. A stage 2 pressure ulcer to the coccyx with an Allevyn dressing and Magic Butt Paste applied. A possible right buttock boil/abscess is documented. On 12/11/2024 the discharge summary documented “a skin tear to the left and right buttock stage 2 decubitus coccyx from a shearing injury and upper back disrupted blisters.” -- Per interview of Staff E, Registered Nurse (RN) on 3/19/2025 at 2:30 pm, if a skin tear or pressure injury were found, they would reach out to the wound care service. If the wound care service was unavailable to see the patient that day, the process is then to reach out to a general surgeon to see the patient. -- Per interview of Staff F, RN on 3/19/2025 at 3:30 pm, they would notify the provider right away if a new skin wound were identified. -- Per interview of Staff G, General Surgeon on 3/20/2025 at 9:45 am, they cover for the wound care service, when the wound care provider is unavailable. When a consultation is requested, they usually speak to the ordering provider to get a sense of the situation. The facility has a secure photo system through the electronic MR to view photos. Staff G indicated that they will see the patient in person if deemed necessary. -- Per interview of Staff B, Nurse Practitioner (NP) on 3/20/2025 at 10:00 am, they will reach out to the wound care service when a skin injury is identified. Orders are obtained and sometimes an in-person consultation is performed. -- During interview of Staff D, Director of Nursing, on 3/19/2025 at 4:00 pm, they acknowledged the above findings.”
All 4 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 24, 2026 | Complaint inspection | No deficiencies cited |
| Mar 20, 2025 | Complaint inspection | 2 deficiencies cited |
| Apr 24, 2024 | Complaint inspection | No deficiencies cited |
| Feb 20, 2024 | Complaint inspection | No deficiencies cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 3 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 1 worse of 4; safety of care, 1 better and 0 worse of 3; readmission, 1 better and 1 worse of 6.
- Patients rate it 4 of 5 in CMS’s patient survey (395 surveys completed, Oct 1, 2024 to Sep 30, 2025): 73% rated it 9 or 10 out of 10, and 70% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): catheter urinary tract infections (CAUTI), no different than national benchmark; C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart failure 13%, pneumonia 18.1%, COPD 7%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart failure 22.1%, pneumonia 18.6%, COPD 20.3%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 204 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 8% left before being seen.
- 50% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 1 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 3 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 4 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: voluntary non-profit - private.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Voluntary non-profit - Private.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 4 of 5.
- 76% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Oswego Hospital runs it.
- 22 owners or officers are people: Timothy R Barnhart (corporate director); Scott Vangorder (corporate director); William Clark (corporate director); Ron Tascarella (corporate director); Victoria Furlong (corporate director); Duane F Tull (corporate director); Michael Backus (corporate officer); Michael Backus (corporate director); Michael Backus (managing employee (on the payroll)); Mark Slayton (corporate director); Ellen Holst (corporate director); Elizabeth W Bozeman (corporate director); Marie Eggert (corporate director); Paloma Sarkar (corporate director); Daniel E Dorsey (corporate director); Adam Gagas (corporate director); Peter Cullinan (corporate director); Eric T Campbell (managing employee (on the payroll)); Atom Avery (corporate director); Ed Alberts (corporate officer); Ed Alberts (corporate director); Katie Toomey (corporate director).
- CMS’s Provider of Services file records 2 changes of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
How does it compare nearby?
- No other hospital CMS lists is in Oswego County.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.