PENN YAN MANOR NURSING HOME, INC.
NPI 1760476568
Skilled Nursing Facility in Penn Yan, NY

Active since September 07, 2005CLIA 33D0892924 · Waiver
4/5
Overall Rating
655 LIBERTY ST, PENN YAN, NY 14527(315) 536-2311(315) 536-1033 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Penn Yan Manor Nursing Home, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENN YAN MANOR NURSING HOME, INC. (NPI 1760476568) is a healthcare organization registered as a skilled nursing facility in Penn Yan, New York and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jessica Fish, Fiscal Manager, as its authorized official.

NPPES Registry Identity

NPI1760476568
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePENN YAN MANOR NURSING HOME, INC.
Location Address655 LIBERTY STPenn Yan, NY 14527-1086
Mailing Address655 Liberty StPenn Yan, NY 14527-1086 · (315) 536-2311 · Fax (315) 924-2906
Fax(315) 536-1033
Organization SubpartNo
Authorized OfficialJessica FishFiscal Manager · (315) 536-2311
Enumeration DateSeptember 7, 2005
Last NPPES UpdateJune 12, 2025
NPPES CertifiedJune 12, 2025
NPI 1760476568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in NY · 6120300N
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
655 LIBERTY ST, Penn Yan, NY 14527

Other Identifiers 3

Other1162NY · Pfi
Medicaid00355711NY
Other6120300NNY · Operating Certificate

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0892924

Penn Yan Manor Nursing Home Inc · Penn Yan, NY
Active · expires Mar 26, 2027
CLIA Number33D0892924
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 11, 1994
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Jason S. Feinberg
Laboratory Phone(315) 536-2311
Laboratory LocationPenn Yan Manor Nursing Home Inc655 North Liberty Street, Penn Yan, NY 14527
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Penn Yan Manor Nursing Home Inc (CMS certification number 335494), from CMS Care Compare.

Penn Yan Manor Nursing Home Inc

Nursing home · Penn Yan, NY
4/5 CMS Overall Rating
OwnershipNon profit - Corporation
CMS Certification Number335494
Certified Beds46 beds41 residents per day on average
Medicare & Medicaid Participant SinceJanuary 1, 1976
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
14.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.23 · LPN 0.72 · RN 0.52
3.47 hrs per resident per day
Weekend Nurse Staffing
2.9 hrs per resident per day
Physical Therapist Staffing
0.12 hrs per resident per day
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
655 LIBERTY ST
PENN YAN, NY 14527

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Penn Yan Manor Nursing Home, Inc.'s NPI number?

The NPI number for Penn Yan Manor Nursing Home, Inc. is 1760476568. It was assigned to this organization in the NPPES registry on September 7, 2005.

Where is Penn Yan Manor Nursing Home, Inc. located?

Penn Yan Manor Nursing Home, Inc. is located at 655 Liberty St, Penn Yan, NY 14527. The listed phone number is (315) 536-2311.

What is Penn Yan Manor Nursing Home, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Penn Yan Manor Nursing Home, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0892924) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Penn Yan Manor Nursing Home, Inc. a Medicare-certified nursing home?

Yes. Penn Yan Manor Nursing Home Inc is a Medicare-certified nursing home with 46 certified beds.

What quality rating does Penn Yan Manor Nursing Home, Inc. have?

CMS rates Penn Yan Manor Nursing Home Inc 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Penn Yan Manor Nursing Home, Inc. was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.