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CLINTON COUNTY NURSING HOME
NPI 1992854103
Skilled Nursing Facility in Plattsburgh, NY

Active since January 09, 2007CLIA 33D0654504 · Waiver
1/5
Overall Rating
16 FLYNN AVENUE, PLATTSBURGH, NY 12901(518) 563-0950(518) 563-1060 Get Directions Write a Review

NPPES record last updated: January 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clinton County Nursing Home NPPES

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

CLINTON COUNTY NURSING HOME (NPI 1992854103) is a healthcare organization registered as a skilled nursing facility in Plattsburgh, New York and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Martha C Pedulla, Comptroller, as its authorized official.

NPPES Registry Identity

NPI1992854103
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCLINTON COUNTY
Location Address16 FLYNN AVENUEPlattsburgh, NY 12901-3797
Mailing Address16 Flynn AvenuePlattsburgh, NY 12901-3797 · (518) 563-0950 · Fax (518) 563-1060
Phone(518) 563-0950
Fax(518) 563-1060
Organization SubpartNo
Authorized OfficialMartha C PedullaComptroller · (518) 563-0950
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJanuary 24, 2012
✔ NPI 1992854103 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 · 0952300N
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.
16 FLYNN AVENUE, Plattsburgh, NY 12901
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Other Names 1

Other NameClinton County Nursing Home

Other Identifiers 2

Medicare ID-Type Unspecified335598
Medicaid00583624NY

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 33D0654504

Clinton County Nursing Home · Plattsburgh, NY
Active · expires Mar 26, 2027
CLIA Number33D0654504
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 30, 2006
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Glenn S. Schroyer
Laboratory Phone(518) 563-0950
Laboratory LocationClinton County Nursing Home16 Flynn Avenue, Plattsburgh, NY 12901
CLIA data matches this NPI record on: Address 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 Clinton County Nursing Home (CMS certification number 335598), from CMS Care Compare.

Clinton County Nursing Home

Nursing home · Plattsburgh, NY
1/5 CMS Overall Rating
OwnershipGovernment - County
CMS Certification Number335598
Certified Beds80 beds36 residents per day on average
Medicare & Medicaid Participant SinceJanuary 29, 1977
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.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
49.33
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 2.32 · LPN 1 · RN 0.78
4.1 hrs per resident per day
Weekend Nurse Staffing
3.39 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
26.3%
Registered Nurse Turnover
16.7%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
5
Fines
1 totaling $7,900.75
Medicare Payment Denials
1
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Clinton County's NPI number?

The NPI number for Clinton County is 1992854103. It was assigned to this organization in the NPPES registry on January 9, 2007. The provider is also known as Clinton County Nursing Home.

Where is Clinton County located?

Clinton County is located at 16 Flynn Avenue, Plattsburgh, NY 12901. The listed phone number is (518) 563-0950.

What is Clinton County's specialty?

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

Does Clinton County hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0654504) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Clinton County a Medicare-certified nursing home?

Yes. Clinton County Nursing Home is a Medicare-certified nursing home with 80 certified beds.

What quality rating does Clinton County have?

CMS rates Clinton County Nursing Home 1 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 Clinton County was last updated on January 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.