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 Wellsville Manor Care Center during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and limited range of motion was not consistently wearing a prescribed hand splint, as required by their care plan. Observations and staff interviews revealed a lack of adherence to the care plan, with some staff unaware of the splint requirement. The facility's leadership emphasized the importance of following care plans, but there was a disconnect in execution, leading to the deficiency.
The facility failed to employ sufficient qualified staff in the food and nutrition service, lacking a full-time qualified Director and other certified professionals. The registered dietitian worked part-time, and the Food Service Director and Diet Tech lacked necessary certifications, as confirmed by staff interviews and the Administrator.
A resident with a stage IV pressure ulcer did not receive proper infection control measures, as staff failed to maintain hand hygiene and did not implement enhanced barrier precautions. Observations showed a lack of signage and inconsistent use of gowns and gloves, contrary to facility policy and CDC guidelines. Interviews revealed staff were aware of the deficiencies but did not adhere to protocols.
The facility did not ensure residents received mail on Saturdays due to a lack of staff to deliver it, despite the residents' right to timely mail access. The Administrator was unaware of the issue and acknowledged the absence of a policy for mail delivery. Residents expressed dissatisfaction, and the Postmaster confirmed that Saturday delivery could be arranged if requested.
A resident with cognitive impairment and multiple diagnoses reported missing eyeglasses, but the facility failed to follow through on replacing them. Despite initial plans to have the resident seen by an eye doctor, no action was taken, and the resident's family confirmed the glasses provided were incorrect. Interviews with staff revealed assumptions and lack of follow-up, with the Administrator acknowledging the oversight.
A resident with severe cognitive impairment was allegedly subjected to abuse by a CNA, who used a pillow and stuffed animal to muffle the resident's screams during care. The witnessing CNA delayed reporting the incident due to discomfort and uncertainty, resulting in a failure to notify the DON and Administrator immediately, as required by facility policy. The incident was eventually reported to the scheduler, who informed the DON, but not within the mandated two-hour timeframe.
Failure to Ensure Resident Wears Prescribed Hand Splint
Penalty
Summary
The facility failed to ensure that a resident with limited range of motion received appropriate treatment and services to prevent further decrease in range of motion. The resident, who had severe cognitive impairment and a functional limitation in their right upper extremity, was care planned to wear a right-hand splint at all times during the day and at bedtime. However, observations revealed that the resident was not wearing the splint on multiple occasions, and staff interviews confirmed a lack of adherence to the care plan. During observations, the resident was seen without the functional hand splint on several occasions, despite the care plan and physician orders indicating it should be worn. Interviews with staff, including a registered nurse, certified nursing assistants, and an occupational therapist, revealed inconsistencies in the understanding and implementation of the resident's care plan. Some staff members were unaware of the requirement for the splint, while others acknowledged its importance in preventing contractures but failed to ensure it was worn. The Director of Nursing and the Administrator both emphasized the importance of following the care plan and ensuring staff were informed about each resident's needs. Despite training on the electronic medical record system, there was a disconnect in the execution of the care plan, leading to the resident not receiving the necessary intervention to maintain their range of motion.
Deficiency in Food and Nutrition Service Staffing
Penalty
Summary
The facility was found to be deficient in employing sufficient staff with the appropriate competencies and skills to carry out the functions of the food and nutrition service. Specifically, the facility did not have a full-time qualified Director of Food and Nutrition Services or another clinically qualified nutrition professional. The facility's policy and procedure for Food and Nutrition Services, revised in January 2024, did not include qualifications and skill sets for clinically qualified nutrition professionals. The job description for the Nutrition Service Director required documentation of registry/certificate, training in cost control, food management, and diet therapy, but these qualifications were not met by the current staff. The survey revealed that the registered dietitian, Dietitian #1, worked less than 35 hours per week, and the Dietary Supervisor #2, who was listed as the full-time dietetic service supervisor, did not have the necessary certifications or training in food safety and management. Additionally, Dietary Supervisor #1, the full-time Diet Tech, lacked certification in food service management or nutrition and hospitality. Interviews with the staff and the Administrator confirmed these deficiencies, with the Administrator acknowledging that the Food Service Director was not qualified per the regulations, which is crucial for ensuring residents receive safe and nutritious food.
Inadequate Infection Control Practices During Wound Care
Penalty
Summary
The facility failed to ensure a safe, sanitary, and comfortable environment to prevent the development and transmission of communicable diseases and infections, particularly during the care of a resident with pressure ulcers. The staff did not maintain proper hand hygiene during wound care, and the resident was not placed on enhanced barrier precautions as required. The facility's policy on hand hygiene, dated January 24, emphasized the importance of hand washing before and after certain activities, such as handling dressings and after glove removal. However, during wound care observations, staff did not adhere to these guidelines, leading to potential contamination of the resident's wound. The resident in question, identified as having a stage IV pressure ulcer upon admission, was not consistently placed on enhanced barrier precautions, despite having a chronic wound. The facility's policy, in line with CDC and CMS guidelines, required enhanced barrier precautions for residents with wounds to prevent the spread of multidrug-resistant organisms. Observations revealed that the resident's room lacked appropriate signage for these precautions, and staff were not consistently wearing gowns and gloves during high-contact care activities. Interviews with various staff members, including nurses and the Director of Nursing, highlighted a lack of adherence to infection control protocols. Staff admitted to missing hand hygiene opportunities and not following the correct procedures for glove changes. The Director of Nursing acknowledged that enhanced barrier precautions were discontinued prematurely, despite the resident having a stage IV pressure ulcer, which could potentially drain. This oversight in infection control practices posed a risk of spreading infections within the facility.
Failure to Provide Saturday Mail Delivery
Penalty
Summary
The facility failed to ensure that residents had reasonable access to and privacy in their use of communication methods, specifically regarding the delivery of mail on Saturdays. Interviews conducted during the Standard survey revealed that residents did not receive mail on Saturdays because the facility did not have staff available to deliver it. The United States Postal Service delivered mail to the facility Monday through Friday, and the facility was listed as a business closed on Saturdays, which prevented mail delivery on that day. The Administrator was unaware of this issue and acknowledged the residents' right to receive mail, including on Saturdays, but admitted there was no written policy or procedure for mail delivery. Multiple residents expressed their dissatisfaction with the lack of mail delivery on Saturdays, stating it was bothersome and inconvenient, especially for those expecting important mail. The Activities Department Director and Business Office Manager confirmed the absence of Saturday mail delivery, attributing it to a lack of staff. The Postmaster indicated that the facility could request Saturday delivery, but it had not been arranged. The Administrator recognized the facility's responsibility to ensure timely mail delivery as it serves as the residents' home, not just a business.
Failure to Resolve Grievance Regarding Missing Eyeglasses
Penalty
Summary
The facility failed to promptly resolve a grievance related to a resident's missing eyeglasses, as required by their grievance policy and state regulations. The resident, who had diagnoses including aphasia, hypertension, and major depressive disorder, was moderately cognitively impaired and required assistance with daily activities. The resident's eyeglasses were reported missing in January 2023, and although there was an initial plan to add the resident to an eye doctor list for replacement glasses, this follow-up action was not completed. The facility's documentation showed a lack of follow-through, as the resident was not seen by an eye doctor, and the missing glasses were not replaced. Interviews with facility staff, including the Social Work Department Director and the Director of Medical Records, revealed that there was an assumption that the resident had been seen by an eye doctor, but no actual follow-up occurred. The resident's family confirmed that the glasses provided upon discharge were not the resident's, and they did not accept them. The facility's Administrator acknowledged the failure to ensure the resident's personal property was replaced, indicating a lack of follow-through by the responsible departments.
Failure to Timely Report Alleged Abuse Incident
Penalty
Summary
The facility failed to report an alleged incident of abuse involving a resident with severe cognitive impairment, including Alzheimer's Disease and dementia with agitation, in a timely manner. The incident occurred when two Certified Nurse Aides (CNAs) were providing care to the resident, who is known to scream during care. One CNA witnessed the other using a pillow and a stuffed animal to muffle the resident's screams by placing them over the resident's mouth. Despite recognizing the incident as potential abuse, the witnessing CNA did not report it immediately to the supervisor, Director of Nursing (DON), or Administrator, as required by the facility's policy. The witnessing CNA delayed reporting the incident due to discomfort and lack of trust in the nurse on duty, as well as uncertainty about whom to contact. The CNA eventually reported the incident via email to the scheduler the following day, who then informed the DON. The facility's policy mandates immediate reporting of any suspected abuse to ensure resident safety and compliance with state regulations, which was not adhered to in this case. Interviews with facility staff, including the scheduler, Licensed Practical Nurse (LPN), and Registered Nurse Supervisor, confirmed that the incident was not reported immediately as required. The DON and Administrator acknowledged the failure to report the incident promptly, emphasizing the importance of immediate reporting to initiate an investigation and ensure resident safety. The delay in reporting resulted in the alleged abuse not being communicated to the New York State Department of Health within the required two-hour timeframe.
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Illustrative
What surveyors actually found near you
We read the 3 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.
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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 Wellsville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Highland Park Rehabilitation And Nursing Center | 0.4 mi | ★★★★★ | 0 | 0 |
| Cuba Memorial Hospital Inc Snf | 17.4 mi | ★★★★★ | 0 | 0 |
| Maple City Rehabilitation And Nursing Center | 20.4 mi | ★★★★★ | 0 | 0 |
| Elderwood At Hornell | 21.7 mi | ★★★★★ | 0 | 0 |
| Houghton Rehabilitation & Nursing Center | 23.1 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.