Above 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 Hill Manor Inc during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and resistance to care was being assisted with hygiene after bowel incontinence when a CNA allegedly pushed the resident toward a sink, spoke sternly, and rushed care, with the resident saying “ouch.” The assisting CNA, who witnessed the incident, completed the shift and did not report the allegation to a supervisor or the Administrator until the following day, citing fear of backlash. This delay meant the allegation of verbal and physical abuse was not reported within the facility’s required two-hour timeframe, the resident was not promptly assessed, and the alleged perpetrator continued to have access to residents until the end of the shift.
The facility failed to provide necessary care for three residents, leading to deficiencies. A resident with severe cognitive impairment was left soiled for nearly two hours due to lack of timely toileting assistance. Another resident did not receive scheduled personal hygiene care, including showers and grooming, due to staff time constraints and lack of communication. A third resident with a heel ulcer was not provided with off-loading boots as ordered, indicating a failure in adhering to care plans.
The facility failed to conduct annual performance evaluations for two certified nurse aides, as required. Personnel files lacked documented evidence of evaluations, and interviews revealed that the issue was recognized earlier in the year. The Unit Manager responsible for evaluations had resigned without completing them, and the facility aimed to address the backlog by year-end.
Failure to Timely Report and Investigate Alleged Verbal and Physical Abuse
Penalty
Summary
The deficiency involves the facility’s failure to ensure timely reporting and investigation of an allegation of verbal and physical abuse, as required by its abuse policy and state regulations. The facility policy dated 05/2023 required that all alleged violations involving abuse, neglect, mistreatment, injuries of unknown origin, or misappropriation of resident property be reported immediately, and no more than two hours after the allegation is made if the events involve abuse. Despite this requirement, an alleged incident of rough handling and stern speaking toward a resident by a certified nurse aide (CNA) was not reported to supervisory staff or the Administrator until the following day, well beyond the required timeframe. The resident involved had Alzheimer’s disease with severe cognitive impairment and, per the 03/02/2026 MDS, required partial/moderate assistance of one staff for personal hygiene and bathing, handheld assistance with ambulation, and could be resistive to care. On the evening in question, the resident was incontinent of stool while standing at the bathroom sink and was described as combative and attempting to pull their pants back up. CNA #1 was providing care and called CNA #2 to assist. CNA #2 reported observing CNA #1 standing off to the side of the resident and sink, pushing the resident toward the sink, speaking sternly, and rushing care. CNA #2 heard the resident say “ouch,” though they were unsure if it was related to the care being provided. CNA #2 completed the shift and did not report the alleged incident to any supervisor or the Administrator at the time it occurred, citing fear of backlash from staff. The allegation was not brought to the attention of the Registered Nurse Manager until approximately 2:30 PM the next day, and the Administrator was notified shortly thereafter. The resident was not assessed until that evening, with no injuries, marks, or signs of mental distress documented at that time. There was no documentation that the alleged abuse was reported within the required two-hour window after the allegation was made, and CNA #1 continued to have access to residents and worked until the end of the shift on the day of the alleged incident.
Deficiencies in Resident Care and Assistance
Penalty
Summary
The facility failed to provide necessary assistance with activities of daily living for three residents, leading to deficiencies in care. Resident #86, who had severe cognitive impairment and was dependent on staff for toileting, was not provided timely assistance. Despite expressing the need to use the bathroom multiple times, the resident was left unattended for nearly two hours, resulting in significant soiling. Interviews revealed a lack of communication and responsibility among staff, as no one took over the care assignment after a certified nurse aide left early. Resident #53, who required maximum assistance for bathing and hygiene, did not receive scheduled personal care. Observations showed the resident with unkempt hair, facial hair, and long fingernails with debris. The assigned certified nurse aide admitted to not having time to provide the resident's shower or grooming care and failed to report or document the missed care. This neglect in personal hygiene was not communicated to the supervising nurse, indicating a breakdown in care protocols. Resident #25, with a history of diabetes and a heel ulcer, was not provided with off-loading boots as ordered to prevent further skin breakdown. Observations noted the resident without the boots on multiple occasions, despite documentation indicating they were in place. Interviews with staff revealed a lack of awareness and adherence to care plans, as the certified nurse aide responsible did not apply the boots and was unaware of their necessity. The LPN also failed to verify the boots' application, despite signing off on their presence.
Deficiency in Annual Performance Evaluations for Nurse Aides
Penalty
Summary
The facility failed to ensure that performance reviews for certified nurse aides were completed at least once every 12 months, as required. This deficiency was identified during a recertification survey conducted from October 3, 2024, to October 9, 2024. Specifically, the personnel files for two certified nurse aides lacked documented evidence of annual performance evaluations. The facility's job description for certified nurse aides, dated June 11, 2020, indicated that these aides were responsible for providing comprehensive resident care under the supervision of licensed personnel. However, the absence of documented evaluations suggests a lapse in the facility's adherence to its own policies and regulatory requirements. Interviews conducted during the survey revealed that the issue was recognized by the facility's Human Resources Department earlier in the year, identifying a broader problem with timely completion of employee evaluations. The Director of Nursing acknowledged the deficiency, noting that the Unit Manager responsible for these evaluations had resigned in September 2023 without completing them. The Administrator confirmed that the management team had been retrained to address this issue, with plans to complete all nursing staff evaluations by the end of the year. Despite these intentions, the lack of timely performance evaluations for the certified nurse aides remained unaddressed at the time of the survey.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 61 citations issued within 25 miles in the last 12 months — 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
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Oswego
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pontiac Nursing Home | 3.6 mi | ★★★★★ | 30 | 0 |
| St Luke Residential Health Care Facility Inc | 3.7 mi | ★★★★★ | 0 | 0 |
| Morningstar Residential Care Center | 4.9 mi | ★★★★★ | 0 | 0 |
| Syracuse Home Association | 18.4 mi | ★★★★★ | 12 | 0 |
| The Cottages At Garden Grove, A Skilled Nrsg Comm | 21.6 mi | ★★★★★ | 4 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Seneca Hill Manor Inc.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.