Schuyler Hospital
A critical access hospital in Montour Falls, New York 14865
220 Steuben Street, Montour Falls, New York 14865. (607) 530-7121.
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The short answer
Record last released by CMS on Oct 20, 2026.
- Not rated CMS’s overall rating
- Not rated patient survey rating
- 2 deficiencies cited in the last three years
- 25 beds
Each figure’s source sits beside it, in its section below.
What these words mean2
- 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 Apr 22, 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 Apr 2026. 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.
Apr 22, 2026: complaint inspection2 deficiencies
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Patient Care Policies
The inspectors’ words, 418 words
“PATIENT CARE POLICIES CFR(s): [The policies include the following:] (vi) Procedures that ensure that the nutritional needs of inpatients are met in accordance with recognized dietary practices. All patient diets, including therapeutic diets, must be ordered by the practitioner responsible for the care of the patients or by a qualified dietitian or qualified nutrition professional as authorized by the medical staff in accordance with State law governing dietitians and nutrition professionals and that the requirement of § 483.25(i) of this chapter is met with respect to inpatients receiving post CAH SNF care. This Standard is not met as evidenced by: 48608 Based on policy review, medical record review, and interview, in one of 10 medical records reviewed, the nutritional needs of inpatients were not met according to recognized dietary practices. Specifically, a nutritional consultation was ordered but not performed (Patient #1). Findings include: Review of the policy “Nutrition Consults,” effective January 1992, revealed the clinical dietitian/dietetic technician will perform nutritional consultation ordered, via written order or verbal request to evaluate the patient’s nutritional status, appropriateness of diet order, tolerance of diet, need for nutritional therapy, need for instruction/counseling, etc. and to formulate nutritional care plans as needed. Review of the medical record for Patient #1, dated 02/04/26 to 02/16/26, indicated Patient #1 experienced weight loss (8.0 lbs.), weakness, poor oral intake, and an aspiration event on 02/11/26 (history of aspiration). Blood work showed a high sodium level, a low potassium level requiring supplements, and a low albumin. On 02/13/26 at 10:12 AM, Staff (R), Nurse Practitioner, ordered a nutritional consultation. No evidence was found in the medical record to indicate a nutritional consultation was performed. Interview on 04/02/26 at 08:45 AM with Staff (F), Physician, revealed they cared for Patient #1 a few times. Staff (F) stated a nutrition consultation would have been appropriate due to Patient #1’s poor oral intake. Staff (F) referred to providers notes and stated a referral was done but they were unable to locate it in the medical record. Interview on 04/22/26 at 12:54 PM with Staff (U), Registered Dietician (RD), revealed that a nutrition consultation is ordered by a physician through the electronic medical record. The orders populate to a list for the RD’s automatically and the consultations are completed within 24 to 48 hours. The RD documents recommendations in the medical record and the provider writes orders for the diet based on the RD’s recommendations. Staff (U) was unable to determine the reason Patient #1 did not have the consultation completed.”
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Discharge Planning
The inspectors’ words, 424 words
“DISCHARGE PLANNING CFR(s): (b) Standard: Discharge of the patient and provision and transmission of the patient’s necessary medical information. The CAH must discharge the patient, and also transfer or refer the patient where applicable, along with all necessary medical information pertaining to the patient’s current course of illness and treatment, postdischarge goals of care, and treatment preferences, at the time of discharge, to the appropriate post-acute care service providers and suppliers, facilities, agencies, and other outpatient service providers and practitioners responsible for the patient’s follow-up or ancillary care. This Standard is not met as evidenced by: 48608 Based on policy review, medical record review, and interview, in one of 10 medical records reviewed, staff did not provide complete and accurate discharge information pertaining to Patient #1’s illness, treatment, and post discharge instructions. Findings include: Review of the policy “Discharge Planning Assessment,” effective September 1996, revealed all patient’s shall have a discharge plan that reflects timely and complete assessment of the patients post-acute care needs; and reassessment and documentation of the patient’s needs prior to discharge to ensure that appropriate elements of all changes in the patient’s condition are addressed in the discharge plan. Interdisciplinary team meetings shall be held weekly and as necessary. All disciplines are responsible for documenting specific discharge instruction on the patient discharge instruction sheet. Review of the medical record for Patient #1 revealed on 02/16/26 at 10:04 AM, Staff (T), Physician Assistant, wrote the discharge order. At 10:30 AM and 02:53 PM, documented discharge instructions did not include information regarding when Patient #1 should return to the hospital if they should experience any adverse signs and symptoms (aspiration, hypoxia, altered mental status) or a have a medical emergency. At 12:16 PM, Staff (T), Physician Assistant, documented a discharge summary note that was sent to the group home nurse indicating a nutrition consultation was obtained due to low oral intake and Patient #1 remained wheelchair-bound and required a physical therapy evaluation for gait disturbance. No nutritional consult was performed during Patient #1’s hospitalization. No initial physical therapy evaluation and/or physician order for a physical therapy evaluation were found in the medical record. (Patient #1 required total assistance with all mobility/activities and required a mechanical lift for transfers). Interview on 04/22/26 at 12:00 PM with Staff (T), Physician Assistant, revealed they started working at the facility in February 2026 and they work under Staff (F), Physician. Staff (T) wrote the discharge summary and the discharge order. They did not confirm the nutrition consultation and physical therapy evaluations were completed prior to discharge.”
All 3 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Apr 22, 2026 | Complaint inspection | 2 deficiencies cited |
| Apr 1, 2026 | Complaint inspection | No deficiencies cited |
| Dec 11, 2025 | Complaint inspection | No deficiencies cited |
How do patients fare?
- CMS gives no 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.: “There are too few measures or measure groups reported to calculate a star rating or measure group score.”
- 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 0 worse of 2; readmission, 0 better and 1 worse of 3.
- CMS gives no 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.: “The number of cases/patients is too few to report a star rating.”
- In CMS’s patient survey (Oct 1, 2024 to Sep 30, 2025): 55% rated it 9 or 10 out of 10, and 63% would definitely recommend it.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): pneumonia 17%. 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): pneumonia 17.4%. 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.
- Emergency department patients spent a median of 111 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025).
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 | Not rated |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | Not rated |
Is it certified, and in good standing?
- Medicare-certified critical access hospital since Aug 24, 2005.
- 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.
- CMS’s HAC Reduction Program file has no result for it: the program covers general acute care hospitals Medicare pays under its inpatient prospective payment system.
- 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.
- 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?
- Cayuga Health System Inc. runs it.
- 18 owners or officers are people: Krista Niles-Updyke (corporate director); Robert Lawlis (corporate officer); Andrea Ogunwumi (corporate director); Jan Van Den Blink (corporate director); Paul Streeter (corporate director); Jennifer Whittaker (corporate director); Thomas P Livigne (corporate director); Yvette Conyers (corporate director); Karen Callanan (corporate director); La Jerne Terry Cornish, Ph.d. (corporate director); Cris Donovan (corporate director); Gary A Koretzky (corporate director); Robert Hollis (corporate director); Melissa Joy Schmidt (corporate director); Laurie J Mante (corporate director); Rebecca Gould (corporate officer); Rebecca Gould (managing employee (on the payroll)); Sandra Iberger (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.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Cayuga Health System Inc. | Runs it (operational or managerial control) | 100% | Sep 23, 2014 |
How does it compare nearby?
- No other hospital CMS lists is in Schuyler 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.