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 October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Elderwood At Hornell during CMS and state inspections, most recent first.
An LPN, CNA, and support aide physically directed a resident with severe dementia and agitation back to the room and then intentionally restricted the resident’s movement for several minutes during a behavioral incident, despite care plan directions to use calm communication, redirection, and disengagement. The resident later had multiple bruises to both hands, wrists, and arms plus a skin tear, and the facility investigation concluded the injuries were consistent with the restraint incident.
Failure to Immediately Report Alleged Physical Abuse: A resident with severe dementia, agitation, and anxiety was intentionally physically restrained by an LPN, a CNA, and a support aide after becoming aggressive. The allegation was not reported to facility leadership until a support aide disclosed it during CNA training several days later, and the DON then entered the incident into the state reporting system later that day. Progress notes did not identify the event as abuse, and bruising and a skin tear were later documented on the resident.
Failure to follow Enhanced Barrier Precautions during wound care for two residents with pressure ulcers. An RN cared for one resident’s wounds while wearing an untied gown that contacted the wound area and did not change gloves or perform hand hygiene between separate wounds. For another resident, an LPN and CNA provided wound care without gowns, and the LPN used gloves taken from a uniform pocket instead of a clean supply; the DON stated gowns and gloves were required for this care.
Physical restraint and abuse of a resident with dementia
Penalty
Summary
The facility failed to ensure a resident was free from physical abuse when staff used physical force and intentionally restricted the resident’s movement during a behavioral incident. The resident had diagnoses including frontotemporal neurocognitive disorder, severe dementia with agitation, and anxiety, and the care plan directed staff to use simple, calm, non-confrontational communication, redirect or distract at the earliest signs of agitation, discontinue the interaction if behaviors continued, and re-approach later when appropriate. On the day of the incident, the resident became agitated after approaching another resident. An LPN physically directed the resident back to the room, and after the resident exited the room and became physically aggressive toward staff, the LPN, a CNA, and a support aide intentionally restricted the resident’s movement for approximately 5 to 15 minutes. The staff held the resident’s arms, hands, legs, and upper body so the resident could not freely stand or move away, and the LPN acknowledged the resident could not freely use their arms during the incident. The involved staff later acknowledged the intervention was not acceptable and that restraining the resident was not allowed. After the incident, the resident was found to have multiple bruises to both hands, wrists, the left forearm, the left upper arm, and a skin tear above the right elbow. Weekly skin assessments before the incident documented no bruising or skin tears. The facility investigation concluded the bruising was consistent with injury sustained during the incident, and the physician documented the resident had recently been physically restrained by staff and had bruising to the extremities. The physician also noted the resident had known behavioral triggers and staff should have remained aware of those triggers.
Failure to Immediately Report Alleged Physical Abuse
Penalty
Summary
The facility failed to ensure an alleged physical abuse incident involving Resident #60 was immediately reported to facility administration and to the State agency. Resident #60 had diagnoses including frontotemporal neurocognitive disorder, severe dementia with agitation, and anxiety, and the Minimum Data Set dated 03/25/2026 indicated severe cognitive impairment. On 06/19/2026, Licensed Practical Nurse #5, Certified Nursing Assistant #4, and Support Aide #1 intentionally restricted the resident’s movement for approximately five to 10 minutes. The facility’s investigation later concluded that bruising on the resident’s arms was consistent with injuries sustained during the incident, and all three staff members acknowledged intentionally restricting the resident’s movement and stated the intervention was not acceptable. Documentation reviewed did not show that the allegation of physical abuse was reported to the Administrator, DON, or designee before 06/24/2026. Progress notes from 06/19/2026 through 06/23/2026 did not document that staff physically restrained the resident or identify an allegation of abuse. A late entry progress note for 06/19/2026 documented that the resident became verbally and physically aggressive toward staff and that staff remained with the resident until the behaviors resolved, but it still did not identify abuse. The DON later documented new dark purple bruising to both hands, wrists, and arms, including bruising to the left forearm consistent with the shape of a hand and thumb, additional circular bruising to the left forearm, and a skin tear above the right elbow. The DON and Administrator stated they first became aware of the allegation when Support Aide #1 disclosed the incident during a CNA training class on 06/24/2026. The DON stated the allegation was not entered into the New York State Incident Reporting System until 4:52 PM on 06/24/2026, and the system documented that administration became aware of the allegation at approximately 11:00 AM that day. The Administrator stated the facility was not aware of the incident before 06/24/2026 and that the involved staff would have been immediately suspended pending investigation if administration had known on 06/19/2026. Support Aide #1 stated they did not know the proper reporting procedure, and LPN #5 acknowledged that physically restraining the resident was not acceptable and would probably be considered physical abuse.
Failure to Follow Enhanced Barrier Precautions During Wound Care
Penalty
Summary
The facility failed to implement its infection prevention and control program for two residents who required Enhanced Barrier Precautions during wound care. Resident #11 had diagnoses including diabetes, chronic kidney disease, and obesity, and was cognitively intact with unhealed pressure ulcers on the coccyx and right gluteal cleft. During wound care, an RN wore gloves and an untied isolation gown, but the gown repeatedly slipped below the elbows and contacted the wound area. The RN also cleansed the two separate wounds without changing gloves or performing hand hygiene between the treatments. Resident #12 had diagnoses including dementia, muscle weakness, and pressure ulcers, and had severe cognitive impairment with an unhealed pressure ulcer. During wound care, an LPN and a CNA provided care without wearing isolation gowns even though Enhanced Barrier Precautions were in place and gowns were available at the bedside. The LPN also removed disposable gloves from a uniform pocket instead of obtaining them from a clean supply. The DON, who also served as the interim Infection Preventionist, stated staff were expected to wear gowns and gloves for Enhanced Barrier Precautions, that gloves should not be stored in uniform pockets for patient care, and that gowns should be secured at the neck and waist during wound care.
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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 Hornell
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Maple City Rehabilitation And Nursing Center | 2.3 mi | ★★★★★ | 1 | 0 |
| Steuben Center For Rehabilitation And Healthcare | 17.6 mi | ★★★★★ | 2 | 0 |
| Ira Davenport Memorial Hospital Snf/hrf | 20 mi | ★★★★★ | 0 | 0 |
| Highland Park Rehabilitation And Nursing Center | 21.7 mi | ★★★★★ | 0 | 0 |
| Wellsville Manor Care Center | 21.7 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 October 2026) and official state health department websites.