Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Cuba Memorial Hospital Inc Snf during CMS and state inspections, most recent first.
A resident with dementia was administered a pneumococcal vaccine without consent, despite a verbal declination from their Health Care Proxy. Facility staff, including the DON, acknowledged the error, indicating a failure to respect the resident's right to refuse treatment.
The facility failed to notify the representatives of two residents about significant changes in their medical conditions. One resident was given Haldol without prior family notification, resulting in adverse reactions. Another resident developed a Stage 2 pressure ulcer, and the family was not informed. Staff interviews confirmed the expectation of notifying families about such changes, highlighting a lapse in communication and documentation.
The facility failed to provide care according to professional standards for two residents. One resident with Alzheimer's and diabetes did not receive a Registered Nurse assessment for a pressure ulcer, and no physician's order was obtained for treatment. Another resident with dementia and lung cancer was given Haldol without a comprehensive assessment after a behavior change. Facility policies and staff interviews highlighted the need for proper assessments and physician orders, which were not followed.
The facility failed to maintain accurate medical records for several residents, with orders not entered under the correct prescriber's name. For example, a resident with dementia had orders for Haloperidol and Ativan incorrectly documented, and another resident with cellulitis had an antibiotic order entered under the wrong provider. Staff interviews revealed issues with the electronic medical record system and a lack of communication about updating provider lists.
Failure to Honor Resident's Right to Refuse Treatment
Penalty
Summary
The facility failed to honor a resident's right to refuse treatment, specifically the administration of the pneumococcal vaccine, which was given without consent. Resident #10, who had diagnoses including dementia and diabetes mellitus, was documented as having moderate cognitive impairment and was unable to make their own health care decisions. The Health Care Proxy for Resident #10 had verbally declined the pneumococcal vaccine, as documented on the consent/waiver form. Despite this, the resident received the vaccine, as recorded in the Medication Administration History Report. Interviews with facility staff, including Registered Nurses and the Director of Nursing, revealed that the vaccination was administered after the declination was obtained, and the consent form was filled out incorrectly. The Director of Nursing acknowledged the error, stating that Resident #10 should not have received the vaccine as the family had declined it. The Medical Director and Administrator both emphasized the expectation that the resident's wishes should have been followed, highlighting a failure in the facility's process to ensure consent was accurately documented and respected.
Failure to Notify Residents' Representatives of Changes in Condition
Penalty
Summary
The facility failed to immediately inform the representatives of two residents about significant changes in their medical conditions, which is a violation of their policy and residents' rights. Resident #39, who had severe cognitive impairment and was receiving palliative care, was administered Haldol, an antipsychotic medication, without prior notification to the family. The resident exhibited adverse reactions to the medication, which were only communicated to the family after they noticed the resident's unusual behavior during a visit. Interviews with staff, including the Director of Nursing and Nurse Practitioner, confirmed that the family should have been notified before administering the medication, especially given its potential as a chemical restraint. Resident #28, who was severely cognitively impaired and at risk for pressure ulcers, developed a Stage 2 pressure ulcer on the left buttock. The facility did not notify the resident's representative of this development or the subsequent treatment. Additionally, there was no documentation of notification regarding a reddened area on the coccyx that required treatment. Interviews with nursing staff revealed a lack of communication and documentation regarding the resident's skin condition, with the Director of Nursing stating that the family should have been notified within 24 hours of any change in condition. The facility's failure to adhere to its policy of notifying residents' representatives of changes in condition and treatment resulted in a deficiency. The lack of timely communication and documentation regarding the administration of medication and the development of pressure ulcers highlights a significant lapse in the facility's duty to keep families informed, as required by their own policies and residents' rights.
Deficiencies in Resident Care and Assessment
Penalty
Summary
The facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, as evidenced by deficiencies found during a complaint investigation. For Resident #28, who was admitted with Alzheimer's disease, stroke, and type 2 diabetes mellitus, there was no Registered Nurse assessment for a reddened area on the coccyx, and no physician's order was obtained for the treatment of a Stage 2 pressure ulcer. The resident's care plan indicated a risk for altered skin integrity, yet the chronological nursing progress notes revealed a lack of proper documentation and assessment by a Registered Nurse for the pressure ulcer and subsequent treatments. Additionally, Resident #39, who had diagnoses including unspecified dementia and lung cancer, experienced a change in behavior and was administered an antipsychotic medication, Haldol, without a comprehensive assessment by a Registered Nurse. The resident's care plan highlighted the need to monitor for changes in behavior due to pain, but the progress notes lacked evidence of a thorough assessment when the resident became agitated and after receiving the medication. The Director of Nursing and other staff interviews confirmed the expectation for Registered Nurses to conduct and document comprehensive assessments in such situations. The facility's policies and job descriptions outlined the responsibilities of Licensed Practical Nurses and Registered Nurses, including the need for physician orders for treatments and comprehensive assessments for changes in resident conditions. However, the investigation revealed that these standards were not met, leading to deficiencies in the care provided to the residents. Interviews with staff, including the Medical Director and Director of Nursing, further emphasized the expectation for proper assessment and documentation, which was not adhered to in these cases.
Inaccurate Medical Record Entries
Penalty
Summary
The facility failed to maintain complete and accurately documented medical records for several residents, as identified during a standard survey. Specifically, medical orders were not accurately entered under the prescribing provider's name in the medical records for six residents. The facility's policy required verbal orders to be documented immediately by the receiver and co-signed by the prescriber within 48 hours, but this was not adhered to in multiple instances. For Resident #39, who had severe cognitive impairment and multiple diagnoses including dementia and lung cancer, orders for Haloperidol and Ativan were not entered under the correct prescriber's name. The orders were created by nursing staff and entered as written orders by the Medical Director, who signed them electronically weeks later. Interviews with staff revealed a misunderstanding or misapplication of the process for entering and signing orders, with the Medical Director's name being used incorrectly. Similar issues were found with Residents #3 and #41, where orders were entered under the Medical Director's name instead of the actual prescriber. Resident #3, with moderate cognitive impairment and cellulitis, had an antibiotic order entered incorrectly. Resident #41, with severe cognitive impairment and a history of stroke, had medication and lab orders entered under the wrong provider. Staff interviews indicated that the electronic medical record system did not have all prescribers listed, leading to incorrect entries, and there was a lack of communication about updating the provider list in the system.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Cuba
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Pines Healthcare & Rehab Centers Olean Campus | 12.8 mi | ★★★★★ | 0 | 0 |
| Absolut Center For Nursing And Rehabilitation At A | 13.2 mi | ★★★★★ | 0 | 0 |
| The Pines Healthcare & Rehab Ctrs Machias Campus | 15.9 mi | ★★★★★ | 0 | 0 |
| Houghton Rehabilitation & Nursing Center | 15.9 mi | ★★★★★ | 0 | 0 |
| Wellsville Manor Care Center | 17.4 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.