Below average — CMS composite of the measures below.
The next survey window likely opens around January 2027
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 Fiddlers Green Manor Rehab And Nursing Center during CMS and state inspections, most recent first.
The facility failed to maintain food service areas in a sanitary condition when the only kitchen had longstanding and active water leaks from the ceiling and under the three-bay sink, with sagging, multi-textured, stained ceiling patches and visibly water-damaged walls around the exhaust hood and stove. Surveyors repeatedly observed water dripping along the hood onto the stove and floor, with pans and towels used to catch the water, and an open container under the sink collecting standing water that staff reported needing to empty daily or every other day. Staff, including the Food Service Director, Director of Environmental Services, Administrator, and Infection Preventionist, acknowledged that the leaks, possible shower water intrusion from above, and the patched, hard-to-clean ceiling surfaces were unsanitary and difficult to properly sanitize, and there was no formal log to track kitchen leak issues.
Missing Nurse Aide Registry Screening for Multiple New Hires: The facility did not consistently complete or document required NYS Nurse Aide Registry checks for multiple new hires, including a CNA, an LPN, a dietary aide, an administration/receptionist, and a nurse aide trainee/unit helper. Some personnel files had no registry check documentation, while others contained verification sheets dated after the employees had already begun working. The Staffing and Payroll Coordinator, DON, and Administrator all stated registry screening was part of the hiring process and should occur upon hire.
Privacy Curtain Did Not Fully Enclose a Resident Bed: A resident with depression, anxiety, and a leg fracture required total assistance with bedpan use and ostomy care, but the privacy curtain in the room only wrapped about halfway around the bed and left a gap. The resident stated the roommate could see care being provided, and staff including a CNA, an LPN, the DON, and the ED of Environmental Services confirmed the curtain did not fully close and created a privacy concern. The maintenance log also had no record that the issue was reported.
A certified nurse aide used a personal cellphone to take a live photograph of a resident's exposed buttocks during incontinence care, without consent, and shared the image with multiple staff members. The resident, who had dementia, depression, anxiety, and a history of trauma, was left vulnerable to psychosocial harm. Several staff, including an LPN and the ADON, were aware of the incident but did not immediately report it, resulting in a failure to protect the resident from abuse and a breach of privacy and dignity.
Staff failed to immediately report an incident where a resident was exposed in a video taken and shared by a CNA. Multiple staff, including other CNAs, LPNs, and a supervisor, became aware of the video but did not report it within the required timeframe, citing fear of retaliation and assumptions that supervisors would handle the situation. The delay in reporting led to psychosocial harm for the resident and was determined to be substandard quality of care.
The facility failed to protect two residents from sexual abuse, as one resident with a history of legal convictions was observed engaging in non-consensual sexual contact with another cognitively impaired resident. The facility lacked adequate supervision and monitoring measures, leading to the incident.
Ongoing Kitchen Ceiling Leaks and Structural Disrepair Compromise Food Safety Standards
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food safety due to longstanding and active water leaks and structural disrepair in the only kitchen. Surveyors observed extensive water damage and multiple makeshift ceiling patches made of mixed materials, including sagging panels and stained, splattered surfaces around and above the exhaust hood and stove area. The plaster archway between the kitchen and dishwash area and the kitchen walls also showed visible water damage and multiple plaster textures. Staff, including the Director of Environmental Services and the Food Service Director, reported that leaks had occurred multiple times over the years, with recent leaks occurring within the prior weeks. During multiple observations, there was an active leak beneath the three-bay sink, with the lower half of the wall saturated and an open bin under the sink collecting at least an inch of water. Staff reported that this container of water needed to be emptied daily or every other day and acknowledged that having standing water in the kitchen was not sanitary and could pose an infection control risk. The Director of Environmental Services stated they were aware of the leak and believed it had been fixed the day before one of the observations, but the leak persisted. There was no log maintained for kitchen leaks; instead, kitchen staff verbally notified maintenance when issues arose. On several subsequent dates, surveyors observed active water dripping along the front, back, and sides of the exhaust hood above the stove, with visible drip marks and water landing into a metal pan placed on a front burner and onto towels on the floor, creating puddles. The Director of Environmental Services and the Administrator both acknowledged that it was not appropriate or sanitary to have an active leak in the kitchen, and multiple staff, including the Infection Preventionist, stated that a leak from the shower room above into the kitchen and the multi-textured, patched ceiling surfaces were unsanitary and difficult to properly sanitize. The Director of Environmental Services reported that a shower stall above the kitchen had been valved off months earlier due to leaking into the kitchen and that the source of the ongoing leak had not been definitively identified.
Missing Nurse Aide Registry Screening for Multiple New Hires
Penalty
Summary
The facility did not implement written policies and procedures for screening employees to prevent abuse, neglect, exploitation, and misappropriation of resident property. Review of the facility’s Abuse, Neglect, Exploitation and Misappropriation Prevention Program and Background Screening Investigations policies showed that the facility was expected to conduct employee background checks and contact the state nurse aide registry for applicable applicants before employment. However, the record review found no documented evidence that six of eight employees reviewed who were subject to the New York State Nurse Aide Registry had been screened through the registry before their first day worked at the facility. Personnel file review showed missing or delayed registry verification for a CNA who worked two separate periods at the facility, a current CNA, an LPN, a dietary aide, an administration/receptionist, and a nurse aide trainee/unit helper. Some files contained registry verification sheets dated after the employees had already started working, while others contained no documentation of a registry check at all. During interviews, the Staffing and Payroll Coordinator stated registry checks were supposed to be completed for each new hire and placed in the personnel file, and that prior audits had found missing verification sheets. The DON and Administrator stated registry checks were part of the background check process and should occur upon hire.
Privacy Curtain Did Not Fully Enclose Resident Bed
Penalty
Summary
The facility did not ensure Resident #3 had full visual privacy in the room because the privacy curtain did not fully enclose the bed. Resident #3 had diagnoses including depression, anxiety, and a fracture of the left lower leg, and the MDS documented the resident was cognitively intact and understood. The care plan identified an ADL self-care performance deficit related to weakness and included total assistance with bedpan use and ostomy care. During observation, the curtain around Resident #3's bed wrapped only about halfway around the bed, leaving a gap between the curtain and the wall. Resident #3 stated the curtain did not go all the way around the bed and that the roommate could walk past the bed and look over to see care being provided, including ostomy care. Resident #3 also stated they felt they did not have any privacy in the room because the roommate frequently got up to use the bathroom and could look around the curtain. Staff interviews confirmed the curtain did not fully close around the bed and that there could be a privacy problem. A CNA stated the curtain did not fully go around the bed and that the roommate could look around the curtain by the head of the bed. An LPN observed a large gap and stated it should not have been like that and that there would be a privacy problem. The maintenance logbook showed no documented evidence that staff notified maintenance about the curtain not going around the bed, and the DON, ED of Environmental Services, and Administrator all stated the curtain should have fully enclosed the bed.
Resident Privacy Violated by Unauthorized Photograph During Care
Penalty
Summary
A deficiency occurred when a certified nurse aide used their personal cellphone to take a live photograph of a resident during incontinence care, capturing the resident's exposed buttocks without consent. The incident took place while two certified nurse aides were providing care and became overwhelmed by the odor, leading to gagging and laughter, which was then photographed by a third aide who entered the room. The photograph was subsequently shown to multiple staff members, some of whom confirmed that the resident was identifiable in the image, even though the face was not visible. The act was considered a violation of the resident's privacy and dignity, and staff interviews indicated that the presence of cellphones in resident care areas was a known concern. The resident involved had significant medical and psychological vulnerabilities, including diagnoses of dementia, major depressive disorder, anxiety disorder, and a history of traumatic abuse. The resident's care plan documented mood problems, anxiety, and a history of trauma, with interventions to monitor and support their emotional well-being. Staff and family interviews highlighted that the resident would have felt exposed, degraded, and potentially retraumatized if aware of the photograph, given their history and current cognitive state. Multiple staff members, including licensed nurses and aides, acknowledged that the incident constituted abuse and a serious breach of privacy. The incident was not immediately reported by staff, despite several being aware of the photograph and the Assistant Director of Nursing being present during its sharing. Staff interviews revealed a reluctance to report due to perceived supervisor awareness. The event was eventually brought to the attention of facility leadership, who confirmed through investigation that abuse had occurred. The deficiency centered on the failure to protect the resident from abuse facilitated by technology, as well as the lack of immediate reporting and intervention by staff who witnessed or were aware of the incident.
Failure to Timely Report Resident Abuse Involving Inappropriate Video
Penalty
Summary
The facility failed to ensure that all alleged violations involving abuse and mistreatment were reported immediately, as required by regulation. Multiple staff members became aware of a video/photograph taken by a certified nurse aide that depicted a resident partially unclothed and exposed during incontinence care. This video was shown to several staff members, including other aides, LPNs, and the Assistant Director of Nursing. Despite witnessing or being informed about the video, staff did not report the incident to the Administrator or the Director of Nursing within the mandated two-hour timeframe. Some staff members expressed fear of retaliation from the Assistant Director of Nursing, who was related to the aide who took the video, and believed that the presence of supervisory staff absolved them of the responsibility to report the incident themselves. The incident involved a resident who was exposed in a video/photograph taken without consent, with the image being shared among staff. The video showed the resident unclothed from the waist down, with visible feces, while staff members were seen gagging and laughing during care. Several staff members, including LPNs and aides, either saw the video or were told about it, but did not take immediate action to report the abuse. Some staff members stated they did not report the incident because they assumed supervisory staff would handle it, while others cited intimidation and fear of retaliation as reasons for not reporting. The Administrator was not notified of the incident until nearly two weeks after staff first became aware of the video. Upon finally being informed, the Administrator and Director of Nursing initiated an investigation and recognized the situation as potential abuse that should have been reported to the state agency within two hours. The delay in reporting resulted in psychosocial harm to the resident and had the potential to affect all residents in the facility. The failure to report the abuse in a timely manner constituted substandard quality of care, as documented in the facility's policies and confirmed by interviews with staff and management.
Failure to Protect Residents from Sexual Abuse
Penalty
Summary
The facility did not protect the resident's right to be free from sexual abuse for two residents. Specifically, one resident was observed by staff engaging in non-consensual sexual contact with another resident. The facility's policy on abuse prevention documented that residents have the right to be free from abuse, including sexual abuse, and that the administration will protect residents from abuse by any individual. However, the facility failed to implement adequate supervision and monitoring measures for a resident with a history of legal convictions, leading to the incident of sexual abuse. Resident #53, who had diagnoses including Parkinson's Disease, sleep disorder, and mood disorder, was cognitively intact and ambulated independently with a rollator walker. The comprehensive care plan for Resident #53 included supervision during activity programs due to prior legal convictions and monitoring for behavior problems. Despite these interventions, Resident #53 was observed by a Certified Nurse Aide with their hands under Resident #22's gown, touching Resident #22's chest area. Resident #22, who had severe cognitive impairment and was dependent on staff for emotional, intellectual, physical, and social needs, could not consent to the contact. The facility's investigation confirmed that sexual abuse occurred. Staff interviews revealed that there was no specific monitoring system in place to document Resident #53's location consistently. The Director of Nursing acknowledged that the facility was incapable of providing direct supervision for Resident #53 and that the process for monitoring was inadequate. The incident highlighted the lack of a person-centered plan and specific interventions to monitor Resident #53's interactions with other residents more closely, putting vulnerable residents at risk.
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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 Springville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Jennie B Richmond Chaffee Nursing Home Company Inc | 0.8 mi | ★★★★★ | 0 | 0 |
| The Pines Healthcare & Rehab Ctrs Machias Campus | 12.7 mi | ★★★★★ | 0 | 0 |
| Gowanda Rehabilitation And Nursing Center | 13.5 mi | ★★★★★ | 1 | 1 |
| Eden Rehabilitation Nursing Center | 15.3 mi | ★★★★★ | 3 | 0 |
| Father Baker Manor | 15.9 mi | ★★★★★ | 1 | 1 |
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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.