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 Finger Lakes Health during CMS and state inspections, most recent first.
The facility failed to ensure safe and consistent use of mechanical lift slings, resulting in one resident falling from a lift and sustaining a head laceration requiring staples, and placing several other residents at risk. One resident with stroke-related hemiplegia and impaired cognition, fully dependent for transfers, did not have lift use reflected in the care plan, and staff reported the sling was not properly positioned before the lift was moved. For other residents dependent on full-body lifts, sling sizes were not documented, and staff selected sling sizes based on visual inspection, experience, or availability rather than weight and manufacturer guidelines. In separate observations, two CNAs prepared to use an extra-large sling instead of the required medium sling because it was the only one available, another resident care-planned for an extra-large sling was found in a large sling, and a disposable sling marked as unsafe for use was observed on a wheelchair with a CNA stating it was intended for reuse. Multiple CNAs, LPNs, and an RN Manager confirmed uncertainty or lack of documentation regarding sling sizing, while the DON acknowledged problems with sling availability and the use of disposable slings in place of reusable ones.
Two residents experienced actual harm when staff failed to follow diet and reheating standards. One resident with dysphagia and dementia had family-reported swallowing difficulties and a recommendation for a speech evaluation and diet downgrade, but the order was not communicated through the facility’s secondary system, the evaluation did not occur, and the resident’s need for meal supervision was not accurately reflected on the Kardex or CNA assignment sheet, leading to a choking episode that required abdominal thrusts. Another resident, cognitively intact and on a regular diet, sustained second-degree burns with blisters to the chin and chest after staff reheated soup in a microwave without following the facility’s reheating policy, did not reach required temperatures, and failed to document temperatures on the Cooking and Reheating Temperature Log.
The facility failed to conduct and document thorough investigations for two residents following serious incidents. One resident with significant neurologic and mobility impairments fell from a full body lift during a transfer and sustained a head laceration requiring emergency treatment, but the incident report lacked any completed investigation, root cause analysis, or identification of contributing factors, and key clinical staff were not fully engaged or aware of an investigation. Another cognitively intact resident with a tibia fracture and psychiatric diagnoses sustained facial and chest burns after spilling reheated soup; the facility’s review did not verify reheating temperatures, did not examine the cooking and reheating temperature log, and did not determine whether staff followed reheating procedures, despite a CNA stating they took but did not document the food temperature.
A resident with a history of CVA, neuropathy, hemiplegia, moderately impaired cognition, and dependence for transfers was care planned for use of a full body lift with two staff. During a transfer using the lift, the resident fell and sustained a head laceration that required staples in the ED. The cause of the fall could not be determined, making it an injury of unknown source. Despite a facility policy requiring prompt reporting of alleged abuse, neglect, mistreatment, and injuries of unknown source to the State Survey Agency, including serious bodily injury within two hours, the DON did not report the incident because it was not considered reportable.
Unsafe and Inconsistent Use of Mechanical Lift Slings Leading to Resident Injury
Penalty
Summary
The deficiency involves the facility’s failure to maintain an environment free from accident hazards and to provide adequate supervision and assistive devices during mechanical lift transfers. Facility policy required that all direct care staff be trained on mechanical lift use and sling application, and that nurse managers ensure training completion and updated transfer information. However, sling size was not documented in residents’ care plans or Kardexes, and multiple staff reported determining sling size by visual inspection, experience, or using whatever sling was available in the room. The DON acknowledged issues with sling availability and compatibility, and that disposable slings were being used in place of reusable slings. One resident with stroke, neuropathy, hemiplegia, moderately impaired cognition, and dependence for transfers did not have mechanical lift use included in the comprehensive care plan, although the Kardex required a full body lift with two staff. Manufacturer guidelines and the resident’s weight indicated a large sling was required, but during a transfer the resident tipped backward and fell from the sling, sustaining a head laceration that required staples in the emergency department. The CNA involved stated they did not think the sling was properly positioned before the lift was moved. The facility could not locate documentation of a completed investigation into this event, and the DON and Medical Director confirmed that the cause of the fall was not determined and that an investigation would have been expected. Additional residents were found to be at risk due to incorrect or unsafe sling use. One resident with severely impaired cognition and dependence for transfers required a medium sling by weight and manufacturer guidelines, but two CNAs prepared to transfer the resident using an extra-large sling because it was the only sling available, and the surveyor intervened to stop the transfer. Another resident, cognitively intact and dependent for transfers, weighed 275 pounds and was care-planned for an extra-large sling, but was observed seated in a recliner with a large sling in place; the RN Manager and CNA confirmed the incorrect sling size had been used. A further resident with chronic pain, peripheral vascular disease, heart failure, moderately impaired cognition, and need for maximum assistance with transfers required a full body lift with two staff, but sling size was not documented, and a disposable sling with a visible wash indicator marking it as unsafe for use was observed on the wheelchair; the CNA stated it was intended to be reused.
Failure to Implement Dysphagia Diet Orders and Safe Food Reheating Resulting in Harm
Penalty
Summary
The deficiency involves the facility’s failure to provide care and services in accordance with residents’ needs and professional standards, resulting in actual harm to two residents. One resident with diagnoses including dysphagia, dementia, and stroke had a care plan noting nutritional problems and the need to monitor and report signs of swallowing difficulty. During a care plan meeting, the family reported the resident had difficulty swallowing and needed reminders to slow down while eating, and a recommendation was made for a speech evaluation and diet downgrade. A swallow evaluation order was entered, but it was not transmitted into the separate system used to communicate with other departments, so therapy did not receive it and the evaluation did not occur. A subsequent diet order for minced and moist texture with honey thick fluids was entered, followed by an order for a soft, bite-sized diet with regular fluids, but the facility’s own investigation documented that the earlier recommendation for a diet downgrade after the family’s report was not implemented in the dietary system. The same resident’s need for supervision during meals was not accurately documented or communicated to staff. The Kardex, which guides CNAs, showed only a need for set-up assistance and not supervision, and the RN Manager later stated that the supervision requirement may have been accidentally deleted. Historical documentation available at the time of survey showed only set-up assistance, and the CNA assignment sheet also reflected set-up assistance without supervision. CNAs reported that residents requiring supervision must have staff remain with them during meals, whereas residents needing only set-up assistance do not require staff to stay. The RN Manager confirmed that the resident should have required supervision, and the Medical Director stated that failure to implement a recommended diet change would subject the resident to a swallowing hazard. The facility’s investigation documented that the resident choked on a ground meatball and required six to seven abdominal thrusts. The second resident, who was cognitively intact and required set-up assistance with eating, sustained thermal burns after staff failed to follow the facility’s reheating policy. The resident’s care plan documented a regular diet with thin liquids. An incident report recorded that the resident spilled hot soup onto the face, chin, and chest after the soup was reheated by staff. A state incident intake and a medical provider progress note documented redness and blistering to the chin and chest, with the provider identifying second-degree burns with small intact blisters and surrounding redness. The facility’s reheating policy required only staff to use microwaves, mandated staff presence during reheating, specified minimum internal temperatures for reheated foods, and required two internal temperature readings to be documented on a Cooking and Reheating Temperature Log. On the day of the incident, there was no documentation on the temperature log for the reheated soup, and the CNA who reheated the soup stated they heated it in multiple intervals, obtained a temperature of 130°F, and did not document the temperature because a log was not available. The DON later stated that the CNA did not follow the reheating policy and did not obtain the required temperature readings.
Incomplete Investigations of Lift Fall and Thermal Burn Incidents
Penalty
Summary
The deficiency involves the facility’s failure to thoroughly investigate and document incidents as required by its abuse, neglect, and mistreatment policy. For one resident with stroke, neuropathy, hemiplegia, moderately impaired cognition, and dependence for transfers, an incident report documented that the resident fell from a full body lift during a transfer and sustained a head laceration requiring emergency room treatment and staples. The facility’s incident and accident report for this event did not contain any completed investigation, including no root cause analysis, no determination of contributing factors, and no documented corrective actions. Staff interviews showed that while an initial report and some statements were collected, the nurse manager was unaware if an investigation had been completed, a nurse practitioner was not asked for a statement and reported that no one could determine the cause of the fall, and the DON stated the facility could not locate documentation of an investigation or determine the cause of the incident. The deficiency also includes an incomplete investigation of a thermal burn incident involving another resident with a left tibia fracture, anxiety, and bipolar disorder, who was cognitively intact and required set-up assistance with eating. An incident report documented that the resident sustained thermal burns to the face and chest after spilling reheated soup, and state incident intake records noted redness and blistering. The facility’s investigation did not document whether reheating temperatures were obtained, did not include review of the Cooking and Reheating Temperature Log, and did not address whether staff followed the reheating policy. A CNA reported reheating the soup and obtaining a temperature reading but not documenting it, and the DON acknowledged that the investigation lacked review of temperature logs and staff compliance with reheating procedures, resulting in an incomplete investigation.
Failure to Report Injury of Unknown Source and Alleged Neglect to State Agency
Penalty
Summary
The facility failed to report an allegation of neglect and an incident involving an injury of unknown source to the State Survey Agency as required. Facility policy on Abuse, Neglect, Mistreatment, and Misappropriation of Resident Property, last reviewed on 06/27/2024, required that alleged violations involving abuse, neglect, mistreatment, and injuries of unknown source be reported to the State Survey Agency within required timeframes, including within two hours if the events involved serious bodily injury. Despite this policy, the Director of Nursing stated the incident in question was not reported because it was not considered reportable. The deficiency involved a resident with a history of stroke, neuropathy, and hemiplegia, who had moderately impaired cognition and was dependent for transfers per the 03/02/2026 MDS. The resident’s care plan and Kardex, last revised on 11/11/2025, documented the need for a full body lift with assistance of two staff for transfers. On 11/11/2025, the resident fell from a full body lift during a transfer and sustained a head laceration with bleeding, which required staples in the emergency department. Interviews with the Nurse Practitioner and the Director of Nursing revealed that no one could determine the cause of the fall, and the facility could not determine the cause of the incident, yet the event was not reported to the State Survey Agency as an allegation of neglect or injury of unknown source in accordance with policy and regulatory requirements.
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Illustrative
What surveyors actually found near you
We read the 25 citations issued within 25 miles in the last 12 months — including the 4 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Geneva
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Seneca Nursing & Rehabilitation Center, Llc | 7.3 mi | ★★★★★ | 0 | 0 |
| Clifton Springs Hospital And Clinic Extended Care | 9.5 mi | ★★★★★ | 0 | 0 |
| Ontario Center For Rehabilitation And Healthcare | 11.5 mi | ★★★★★ | 5 | 0 |
| Wayne County Nursing Home | 13.1 mi | ★★★★★ | 2 | 1 |
| Newark Manor Nursing Home Inc | 13.9 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.