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Nursing HomeMedicaid Investigative

Aurelia Osborn Fox Memorial Hospital

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

One Norton Avenue, Oneonta, NY 13820131 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 10 Google reviews

5
4
3
2
1

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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Above-median deficiencies (14 vs median 6.0)

Bottom 25% in NY · Below recommended RN staffing · Above average staffing · No penalties on record · Abuse citation

Source: Medicare data

What this means for your family

While the facility has a strong history of compassionate care and clean surroundings, recent reports suggest a decline in responsiveness and administrative follow-through. When touring, ask specifically about current staffing ratios and the protocol for ensuring residents make their scheduled medical appointments.

Google Reviews

Google Reviews

10 reviews on Google
Aurelia Osborn Fox Memorial Hospital (Fox Nursing Home) receives high praise for its clean environment, compassionate staff, and effective rehabilitation services. However, recent feedback indicates a significant decline in responsiveness, with reports of residents waiting hours for assistance and missed medical appointments.

Quality Themes

Tap a score for details
Food10.0Staff7.0Clean10.0Activities10.0MedsN/AMemory10.0Comms2.0ValueN/A

Strengths

  • Clean and pleasant facility environment
  • Compassionate and professional nursing staff
  • Effective rehabilitation programs
  • Active engagement and activities for residents

Concerns

  • Significant delays in staff response times for resident assistance
  • Missed medical appointments without communication

Rating Trends

Tap a year to see what changed

2345.02019(1)5.02022(3)5.02023(1)5.02024(1)4.32025(4)4.02026(1)

Distribution · 11 analyzed

5
9
4
1
3
0
2
1
1
0

How They Respond to Reviews

80%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed you are very active in responding to feedback online; how do you use that family input to improve daily operations here?
  • 2Given the recent challenges with health inspection scores, what specific steps is the leadership team taking to address those areas and improve the overall quality of care?
  • 3We understand that timely assistance is vital; what is your current protocol for ensuring staff respond promptly when a resident presses their call button?
  • 4Regarding medical care, what is your process for coordinating and confirming that residents make it to their off-site appointments on time?
  • 5With your strong reputation for activities, could you walk us through a typical week of social engagement and how you tailor these to residents with different interests?
  • 6Since staffing levels are a strong point for your facility, how do you ensure that this consistent presence translates into personalized attention for each resident throughout the day?

Personalized based on this facility's data


Key Review Excerpts

First when you walk in it smells clean and pleasant. 98% of the staff were friendly and helpful. Nurses were well trained and super friendly and supportive.

Long-term resident's family · 2023★★★★★

My aunt with dementia has lived at this nursing home for over a year. We had to move her in a rush after having a very troubling situation at another Oneonta facility. My entire family is so appreciative of the wonderful care my aunt consistently receives at Fox Nursing Home.

Memory care family member · 2024★★★★★

My mother often has to wait hours before someone helps her and when I try to find someone to help, I get told 'someone will be there soon', and wait several more hours. They no longer take her to appointments with no explanation why.

Long-term resident's family · 2025★★☆☆☆
Source: 10 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.72hrs
96%
Registered nurses for medical care
Total Nursing
3.75hrs
91%
All nurses + aides combined
Staff Turnover
36%
Lower is better (< 30% = good)
RN Turnover
30%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

7

measures

Worse Than Avg

7

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
NY
18.9%
Otsego
8.0%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility25.9%
Worse than Avg
Here
25.9%
US
15.5%
NY
13.8%
Otsego
18.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility98.0%
Better than Avg
Here
98.0%
US
95.5%
NY
95.3%
Otsego
89.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility20.3%
Worse than Avg
Here
20.3%
US
19.5%
NY
13.3%
Otsego
20.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility88.5%
Worse than Avg
Here
88.5%
US
93.4%
NY
91.3%
Otsego
94.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.6%
Mixed vs Avgs
Here
25.6%
US
19.4%
NY
20.2%
Otsego
27.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility79.2%
Mixed vs Avgs
Here
79.2%
US
79.8%
NY
78.8%
Otsego
56.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility66.9%
Worse than Avg
Here
66.9%
US
81.8%
NY
77.0%
Otsego
82.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.8%
Worse than Avg
Here
2.8%
US
1.6%
NY
1.2%
Otsego
0.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
Well above state avg (7.6)
5 complaint-triggered

Families filed reports that triggered investigations into serious abuse and medication safety issues, with the most recent complaint in April 2025 finding violations in resident protection and medication error prevention. This facility has recurring problems across multiple surveys with medication management, food safety and nutrition services, and building safety systems including fire protection and emergency preparedness. While all 50 deficiencies across four surveys show correction dates, the pattern of repeated issues in core care areas suggests ongoing operational challenges.

Apr 22, 2025Routine
21
0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0761Potential for harm · WidespreadCorrected

Pharmacy Service Deficiencies

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.

0804Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0921Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0006Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

0029Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop a communication plan.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0271Potential for harm · WidespreadCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0281Potential for harm · WidespreadCorrected

Egress Deficiencies

Install proper backup exit lighting.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0901Potential for harm · WidespreadCorrected

Electrical Deficiencies

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Apr 22, 2025Complaint
3
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Apr 26, 2024Complaint
2
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

May 26, 2022Routine
8
0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0916Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0584Minimal · WidespreadCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0756Minimal · WidespreadCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Oct 31, 2019Routine
16
0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0311Potential for harm · PatternCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0921Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

0813Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0926Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Aurelia Osborn Fox Memorial Hospital

Organization Type

nonprofit

Ownership & Management

Owners

Smith, Gary

Owner (parent company)

Vielkind, James

Owner (parent company)

Key personnel

Bitterman, ToddOfficer / DirectorBurns, BrianOfficer / DirectorFriedell, BenjaminOfficer / DirectorHaight, SethOfficer / DirectorHavener, Jeanne-MarieOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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