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 Waterville Residential Care Center during CMS and state inspections, most recent first.
A deficiency was cited when a facility area was found to contain accident hazards and lacked adequate supervision to prevent accidents, resulting in an unsafe environment for residents.
The facility failed to properly label and store medications and biologicals, with expired syringes and an unlabeled insulin pen found in medication carts. Additionally, treatment carts were left unlocked and unattended, posing a safety risk to wandering residents. The facility's policy required secure storage and labeling, which was not followed.
The facility failed to provide residents with food and drink at palatable and appetizing temperatures, as observed during a recertification survey. Meals served were below recommended temperatures, and residents reported dissatisfaction with the taste and temperature of the food. Staff interviews confirmed ongoing complaints about cold and bland food, with some trays missing items. The Food Service Director and Dietary Aide acknowledged the temperature issues, which could pose health risks to residents.
The facility failed to maintain food safety and sanitation standards, with issues such as improper dishwasher heating, expired and moldy food, and inadequate sanitation practices. The Food Service Director admitted to lapses in oversight and documentation, leading to these deficiencies.
The facility failed to provide a safe, clean, and homelike environment, with issues such as a strong smell of urine in a resident's room, dirty and sticky floors in dining areas, and maintenance problems like a missing ceiling tile and loose toilet. Housekeeping was understaffed, and cleaning responsibilities were not adequately managed, leading to these deficiencies.
A resident with dementia and hemiplegia was not provided with adequate activities to meet their interests and preferences, as documented in their care plan. Despite a need for assistance and a preference for outdoor activities, music, and television, the resident was often left alone and unattended. Staff interviews revealed that the resident was not regularly invited to participate in activities, contributing to a deficiency in meeting their psychosocial and emotional needs.
A resident with a Stage 3 pressure ulcer was not consistently provided with pressure relieving heel boots as required by their care plan. Observations showed the resident without the boots on multiple occasions, and staff interviews revealed lapses in monitoring and documentation. The facility's policy on pressure relieving devices was not followed, leading to inadequate care for the resident's condition.
Failure to Maintain Safe Environment and Adequate Supervision
Penalty
Summary
A deficiency was identified due to the failure to ensure that a specific area within the facility was free from accident hazards and that adequate supervision was provided to prevent accidents. The report notes that the environment did not meet safety standards, which resulted in the presence of accident hazards and insufficient oversight to protect residents from potential harm. No additional details regarding the specific hazards, the number of residents affected, or their medical conditions at the time of the deficiency are provided in the report.
Medication and Treatment Cart Storage Deficiencies
Penalty
Summary
The facility failed to ensure that drugs and biologicals were labeled and stored according to professional principles, as observed during a recertification survey. Specifically, two medication carts and two treatment carts were found to have deficiencies. The East and Center medication carts contained multiple 3 milliliter syringes that had expired, and the Center medication cart had an opened insulin pen without an expiration date. Additionally, the East and [NAME] treatment carts were left unlocked and unattended, posing a safety risk to residents, especially those who wander. During observations, the East treatment cart was found unlocked and unattended multiple times, with various medications and creams accessible. The Assistant Director of Nursing and the Administrator acknowledged the presence of wandering residents and the expectation that treatment carts should be locked for safety. The Administrator was unaware that the treatment carts contained scissors, which further heightened the safety concern. The facility's policy required medications to be stored securely and labeled with expiration dates, which was not adhered to in these instances.
Deficiency in Food Temperature and Quality
Penalty
Summary
The facility failed to ensure that residents received food and drink that were palatable, flavorful, and at appetizing temperatures during the recertification survey conducted from October 7 to October 10, 2024. Observations and interviews revealed that meals served on October 8 and October 9 were not at the recommended temperatures. Specifically, the lunch meal on October 8 and the breakfast meal on October 9 were served at temperatures below the facility's documented standards. Residents reported that the food was often cold, lacked flavor, and sometimes items were missing from their trays. For instance, during an observation, a resident's lunch tray had meatloaf at 124 degrees Fahrenheit, scalloped potatoes at 124 degrees Fahrenheit, and broccoli at 117 degrees Fahrenheit, all below the recommended serving temperatures. Interviews with residents and staff further highlighted the issues with food quality and temperature. Several residents expressed dissatisfaction with the taste and temperature of the food, noting that it was often cold and bland. Staff members, including a Certified Nurse Aide and a Licensed Practical Nurse, confirmed that residents had complained about these issues in the past. The Food Service Director and Dietary Aide acknowledged that the food temperatures were not within the acceptable range, and there was a risk of residents becoming ill if they consumed food at improper temperatures. The facility's failure to maintain appropriate food temperatures and ensure complete meal trays contributed to the deficiency.
Food Safety and Sanitation Deficiencies in Facility
Penalty
Summary
The facility failed to ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety. In the main kitchen, the hot water boost pump on the dishwasher was turned off, resulting in improper heating. There were also outdated, expired, and moldy food items, as well as dented cans found in storage. Additionally, the sanitizer at the three-bay sink was empty, indicating a lack of proper sanitation practices. In the West Unit dining room refrigerator, undated, outdated, and moldy food items were discovered. The facility's policy on food storage, which was revised, documented that food should be stored to maintain high quality and prevent contamination. However, the dish machine temperature logs showed inconsistent and often inadequate temperatures, with many entries missing or below the required 150 degrees Fahrenheit. The sanitation log also had missing entries, indicating lapses in monitoring. Interviews with the Food Service Director revealed that there was a lack of oversight and accountability in checking and documenting food storage and sanitation practices. The director admitted to not verifying the completion of daily checks and logs, leading to expired and moldy food being present in the facility. The director also acknowledged the use of incorrect sanitizer test strips and the failure to ensure the dish machine's hot water booster was activated, compromising the safety and cleanliness of the food service operations.
Deficiencies in Cleanliness and Maintenance
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment for residents, as evidenced by several deficiencies observed during the recertification survey. On the second floor, three out of five nursing units exhibited issues such as a strong smell of urine in a resident's room, a loose toilet, rusty radiator with sharp edges, and chipped wall tiles in shower rooms. Additionally, the middle dining room had dirty and sticky floors, and the staff hallway near the timeclock had an unclean section of plywood that was not flush with the wall. The first-floor hair salon was found to have a missing ceiling tile with a bucket placed underneath to collect dripping water. Interviews with staff revealed that housekeeping services were only available from 7:00 AM to 3:00 PM, and there were no check-off sheets completed after cleaning. Housekeeping staff noted that they were understaffed on the day of the survey, which contributed to the inadequate cleaning. Nursing staff were responsible for cleaning dining rooms after dinner, but they often lacked the time due to other responsibilities. The Director of Maintenance acknowledged the issues with the plywood, ceiling tile, and leak in the hair salon, stating that these should have been addressed promptly. The Administrator confirmed that the facility was in the process of repainting and redoing the floors, as the old floors had absorbed urine. The lack of adequate cleaning and maintenance led to an environment that was not safe, clean, or homelike for residents, potentially causing embarrassment and dignity issues.
Failure to Provide Adequate Activities for Resident
Penalty
Summary
The facility failed to provide an ongoing program of activities tailored to meet the interests and preferences of Resident #28, who has diagnoses including right-sided hemiplegia, dementia, and aphasia. The resident's care plan indicated a need for assistance with activities and a preference for outdoor activities, music, and television. Despite these documented preferences, the resident was observed multiple times sitting alone and unattended, facing a window or wall, without being engaged in any activities. The activities log for September 2024 showed minimal participation, with the resident attending only five activities throughout the month. Interviews with staff revealed that not all residents were asked if they wanted to participate in activities, and Resident #28 was not regularly invited or engaged in 1:1 activities, despite their documented enjoyment of such interactions. The Activities Director acknowledged that Resident #28 should have been included in group activities like reminiscence to prevent feelings of isolation. The lack of engagement and failure to adhere to the resident's care plan contributed to the deficiency in meeting the resident's psychosocial and emotional needs.
Failure to Ensure Proper Use of Pressure Relieving Devices
Penalty
Summary
The facility failed to ensure that a resident with a Stage 3 pressure ulcer received the necessary treatment and services to promote wound healing and prevent new ulcers. The resident, who had a history of diabetes, morbid obesity, and moderately impaired cognition, was observed multiple times without the prescribed pressure relieving heel boots while in bed. The care plan required the resident to wear these boots to prevent skin breakdown, but they were often found at the end of the bed, not in use. Interviews with staff revealed inconsistencies in the application and monitoring of the pressure relieving devices. Certified Nurse Aides and Licensed Practical Nurses acknowledged the importance of the boots in preventing pressure sores but admitted to not consistently ensuring they were in place. Documentation was incomplete, with some shifts failing to record whether the boots were applied, indicating lapses in care and monitoring. The facility's policy on pressure relieving devices was not adhered to, as evidenced by the repeated observations of the resident without the necessary protective equipment. Staff interviews highlighted a lack of consistent checks and documentation, contributing to the deficiency in care for the resident's pressure ulcer management.
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 151 citations issued within 25 miles in the last 12 months — including the 3 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
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 Waterville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Katherine Luther Residential Hlth Care & Rehab | 8.8 mi | ★★★★★ | 0 | 0 |
| Presbyterian Home For Central New York Inc | 10 mi | ★★★★★ | 0 | 0 |
| Charles T Sitrin Health Care Center Inc | 11.6 mi | ★★★★★ | 0 | 0 |
| Utica Rehabilitation & Nursing Center | 11.7 mi | ★★★★★ | 9 | 0 |
| The Pines At Utica Center For Nursing And Rehab | 12.6 mi | ★★★★★ | 1 | 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.