Nursing Home Alerts

Seneca Nursing & Rehabilitation Center, LLC

200 Douglas Drive, Waterloo, NY 13165

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Seneca Nursing & Rehabilitation Center, LLC is a nursing home in Waterloo, New York. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(315) 539-9202
Last standard health inspection
June 27, 2025 (1 year ago)
Certified beds
120
Residents per day, on average
65.4
Ownership type
For profit - Limited Liability company
Legal business name
Seneca Nursing and Rehabilitation
Chain
Hurlbut Care
Takes part in
Medicare and Medicaid

Fewer health citations than the New York average (15 vs 21).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of April 29, 2026

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

  2. CMS update of February 25, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 4 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  3. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

    • Name

      CMS lists a new name for this home. It was SENECA NURSING & REHABILITATION CENTER, L L C.

  4. CMS update of July 30, 2025

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

  5. 6 citations

    Health inspection on June 27, 2025

    CMS lists this as a standard inspection and a complaint inspection.

    • Citation F0550. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on August 15, 2025.

    • Citation F0677. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on August 15, 2025.

      CMS has cited this home for F0677 2 times since 2023.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      CMS lists it as corrected on August 15, 2025.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on August 15, 2025.

      CMS has cited this home for F0656 2 times since 2021.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on August 15, 2025.

    • Citation F0582. Severity B: potential for minimal harm, pattern.

      The rule CMS cited: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

      CMS lists it as corrected on August 15, 2025.

    See this home on CMS Care Compare

  6. 4 citations

    Fire safety inspection on June 27, 2025

    CMS lists this as a standard inspection.

    • Citation K0291. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install emergency lighting that can last at least 1 1/2 hours.

      CMS lists it as corrected on August 15, 2025.

    • Citation K0918. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on September 19, 2025.

      CMS has cited this home for K0918 3 times since 2021.

    • Citation K0321. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on August 15, 2025.

    • Citation K0353. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on August 15, 2025.

    See this home on CMS Care Compare

  7. CMS update of April 30, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

    • Staffing

      Total nurse staffing reported to CMS went from 3.3 to 3.0 hours per resident per day.

  8. CMS update of February 26, 2025

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

  9. CMS update of April 25, 2024

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

  10. CMS update of January 31, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  11. 3 citations

    Health inspection on June 28, 2023

    CMS lists this as a standard inspection.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on August 15, 2023.

    • Citation F0679. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide activities to meet all resident's needs.

      CMS lists it as corrected on August 15, 2023.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on August 15, 2023.

    See this home on CMS Care Compare

  12. 2 citations

    Fire safety inspection on June 28, 2023

    CMS lists this as a standard inspection.

    • Citation K0918. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on August 15, 2023.

    • Citation K0921. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that testing and maintenance of electrical equipment is performed.

      CMS lists it as corrected on August 15, 2023.

    See this home on CMS Care Compare

  13. 6 citations

    Health inspection on September 10, 2021

    CMS lists this as a standard inspection.

    • Citation F0607. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      CMS lists it as corrected on October 29, 2021.

    • Citation F0656. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on October 29, 2021.

    • Citation F0756. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

      CMS lists it as corrected on October 29, 2021.

    • Citation F0758. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

      CMS lists it as corrected on October 29, 2021.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on October 29, 2021.

    • Citation F0812. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on October 29, 2021.

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  14. 4 citations

    Fire safety inspection on September 10, 2021

    CMS lists this as a standard inspection.

    • Citation E0036. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish emergency prep training and testing.

      CMS lists it as corrected on October 29, 2021.

    • Citation E0037. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish staff and initial training requirements.

      CMS lists it as corrected on October 29, 2021.

    • Citation E0029. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop a communication plan.

      CMS lists it as corrected on October 29, 2021.

    • Citation K0918. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on October 29, 2021.

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Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Seneca Nursing & Rehabilitation Center, LLC last inspected?

CMS lists June 27, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does Seneca Nursing & Rehabilitation Center, LLC have?

CMS lists 15 health citations since September 10, 2021. CMS also calls these deficiencies.

Has Seneca Nursing & Rehabilitation Center, LLC been fined?

CMS lists no fines for this home in the past three years.

What is the CMS star rating of Seneca Nursing & Rehabilitation Center, LLC?

Its CMS overall star rating is 4 of 5.

Is Seneca Nursing & Rehabilitation Center, LLC a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.