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 Seneca Health Care Center during CMS and state inspections, most recent first.
A resident with severe cognitive and mobility impairments, who was care planned to require staff presence during toileting, was left unattended in the bathroom by a CNA who left to retrieve linens. During this absence, the resident fell and sustained a hip fracture requiring surgery. Staff interviews confirmed the CNA had not reviewed the care plan prior to care, and the failure to follow the plan led to actual harm.
A resident was unable to exercise their right to vote in the Presidential Election due to the facility's failure to ensure the process was completed. Despite the resident's cognitive ability and expressed importance of voting, the Activities Director did not document or secure the necessary absentee ballot. The facility's communication with the County Board of Elections was insufficient, resulting in the resident not receiving their ballot.
Two residents in an LTC facility did not have their bathing preferences honored, leading to a deficiency in resident self-determination. One resident, who preferred showers, was given bed baths due to staff's mistaken belief about weight limits on shower beds. Another resident, who requested two showers per week, received only one due to communication failures. Staff interviews revealed a lack of awareness and adherence to resident preferences, despite facility policies emphasizing their importance.
Two residents in the facility experienced inadequate catheter care, leading to deficiencies in managing catheters and preventing urinary tract infections. One resident missed a crucial urology follow-up due to poor communication and documentation, while another had improper catheter placement, increasing infection risk. Staff interviews confirmed the failure to adhere to proper catheter management protocols.
Three residents in the facility experienced deficiencies in personal hygiene and grooming care. A resident with multiple sclerosis did not receive scheduled showers, resulting in greasy hair. Two other residents had long fingernails with debris, indicating a lack of consistent nail care. Staff interviews revealed failures in providing and documenting necessary hygiene services.
Failure to Provide Required Supervision During Toileting Results in Resident Fall and Fracture
Penalty
Summary
A deficiency occurred when a resident with severe cognitive impairment, vascular dementia with behavioral disturbances, Parkinson's disease, and PTSD was left unattended in the bathroom during toileting, contrary to their individualized care plan. The care plan and Kardex specifically required staff to remain with the resident inside the bathroom during toileting due to their high risk for falls. On the day of the incident, a certified nurse aide assisted the resident onto the toilet, noticed incontinence, and left the bathroom to retrieve clean linens, leaving the resident alone for less than two minutes. During the aide's absence, the resident attempted to self-ambulate and fell, resulting in a left hip fracture with displacement and a complex comminuted fracture of the intertrochanteric femur. The resident was found on the floor in the bathroom doorway and subsequently required surgical intervention. Multiple staff interviews confirmed that the aide had not reviewed the resident's care plan or Kardex prior to providing care, despite facility policy and expectations that all staff review and follow individualized care plans before initiating care. The incident was identified as a break in the resident's plan of care, as confirmed by the DON, medical director, and other facility staff. The failure to provide adequate supervision as outlined in the care plan directly led to the resident's fall and injury. The event was determined to have caused actual harm to the resident, though it was not classified as Immediate Jeopardy.
Failure to Facilitate Resident Voting Rights
Penalty
Summary
The facility failed to ensure that a resident, identified as Resident #119, was able to exercise their right to vote in the November 2024 Presidential Election. Despite being cognitively intact and having expressed the importance of voting, Resident #119 was not provided with the opportunity to vote. The facility's policy on Residents' Rights: Voting, dated October 2024, outlined the responsibility of the Activities Department, with nursing assistance, to evaluate and document residents' voting preferences. However, there was no documented evidence in the nursing progress notes that Resident #119 was given the chance to vote. The Activities Director, responsible for assisting residents with voting, stated that they began the process in late September to early October by identifying residents interested in voting. They contacted the County Board of Elections, which required at least 32 residents to send a team to assist with voting. Although the Activities Director claimed to have left multiple messages and eventually spoke to the Principal Election Clerk, they were unable to secure ballots for all interested residents, including Resident #119. The Activities Director did not document whether Resident #119's ballot was completed or mailed. The Principal Election Clerk confirmed that the facility had until late October to request absentee ballots and until Election Day to submit them. They noted that Resident #119 had an online application for a ballot request, but the ballot was not returned. The facility's Administrator believed the County Election Board was at fault, as the Activities Director had followed up diligently. However, the lack of documentation and follow-through resulted in Resident #119 not being able to vote, highlighting a deficiency in the facility's process for ensuring residents' voting rights.
Failure to Honor Resident Bathing Preferences
Penalty
Summary
The facility failed to honor the preferences of two residents regarding their bathing routines, leading to a deficiency in resident self-determination and choice. Resident #3, who had diagnoses including diabetes mellitus, chronic obstructive pulmonary disease, and obesity, was cognitively intact and preferred showers over bed baths. Despite this preference being documented in their care plan, Resident #3 was consistently given bed baths due to a mistaken belief among staff that the shower beds could not support their weight. This misunderstanding persisted despite the shower beds having a weight capacity of 450 pounds, which was not exceeded by any resident, including Resident #3. Resident #119, with diagnoses including depression, diabetes, and morbid obesity, also experienced a failure in having their preferences honored. Although Resident #119 was cognitively intact and had expressed a preference for two showers per week, they were only provided with one shower weekly. This discrepancy was due to a lack of communication and updating of the shower schedule, as staff believed there were too many residents to accommodate more frequent showers. The resident's request was not communicated effectively among staff, leading to their preference being overlooked. Interviews with various staff members, including LPNs, CNAs, and the Director of Nursing, revealed a lack of awareness and communication regarding the residents' preferences and the actual capabilities of the shower equipment. The facility's policies emphasized the importance of honoring resident preferences, yet these were not followed, resulting in the residents not receiving the care they requested. The deficiency highlights a breakdown in communication and adherence to resident rights within the facility.
Inadequate Catheter Care and Missed Urology Follow-Up
Penalty
Summary
The facility failed to provide appropriate care for residents with indwelling catheters, leading to deficiencies in managing catheters and preventing urinary tract infections for two residents. Resident #53, who had severe sepsis, urinary tract infection, and bladder outlet obstruction, did not receive a follow-up urology appointment after a cystoscopy. The appointment was rescheduled without proper documentation or communication, resulting in a missed follow-up. Additionally, Resident #53's catheter care was inadequate, as the foley leg bag was not used during daytime hours as planned, and the catheter tubing was observed lying on the floor, posing an infection risk. Resident #27, with a history of urinary tract infections and moderate cognitive impairment, also experienced inadequate catheter care. Observations revealed that the foley catheter drainage bag was lying on the floor and later positioned above the bladder level, both of which are improper practices that can lead to infections. The staff responsible for Resident #27's care were unaware of these issues, indicating a lack of adherence to proper catheter management protocols. Interviews with facility staff, including the Director of Nursing and the Assistant Director of Nursing/Infection Preventionist, confirmed that the catheter care provided to both residents did not meet the facility's standards. The staff acknowledged the risks associated with improper catheter placement and the potential for infection, yet failed to ensure that the necessary precautions were taken to prevent such occurrences.
Deficiencies in Personal Hygiene and Grooming Care
Penalty
Summary
The facility failed to ensure that residents who were unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene. Specifically, three residents were observed with deficiencies in personal care. One resident, who was dependent on staff for showers due to multiple sclerosis, was found with greasy hair. The resident reported not receiving a scheduled shower and was not offered a bed bath, leading to infrequent hair washing. Another resident, who required assistance for personal hygiene due to limited mobility, was observed with long fingernails and brown debris underneath. The resident reported not having their nails trimmed or cleaned for weeks, despite having a scheduled shower day. Staff interviews revealed that nail care was not consistently provided, and documentation of care was lacking. A third resident, with severe cognitive impairment, was observed with trimmed fingernails but with dried brown debris underneath. The resident was seen eating with their hands, and staff acknowledged the need for nail cleaning but failed to perform it during morning care. The facility's policies and staff interviews highlighted the expectation for daily nail care and cleanliness, which was not met in these instances.
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What surveyors actually found near you
We read the 173 citations issued within 25 miles in the last 12 months — including the 2 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.
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A prioritized, do-first checklist
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near West Seneca
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Safire Rehabilitation Of Southtown, L L C | 1.6 mi | ★★★★★ | 16 | 0 |
| Mercy Hospital Skilled Nursing Facility | 2.1 mi | ★★★★★ | 0 | 0 |
| Garden Gate Health Care Facility | 2.9 mi | ★★★★★ | 0 | 0 |
| Elderwood At Cheektowaga | 3.9 mi | ★★★★★ | 4 | 0 |
| Fox Run At Orchard Park | 5.6 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.