Seneca Nursing & Rehabilitation Center, LLC
200 Douglas Drive · Waterloo, NY · 13165 · 3155399202
120 certified beds For profit - Limited Liability company Chain: Hurlbut Care
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.65 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.33 | 0.55–0.75 |
| Weekend hours / resident-day | 2.86 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (15 in the current record)
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Potential for harm · D June 27, 2025
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.
Corrected August 15, 2025 · Resident Rights
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Potential for harm · D June 27, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 27, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 15, 2025 · Quality of Life and Care
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Potential for harm · D June 27, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 15, 2025 · Quality of Life and Care
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Potential for harm · E June 27, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 15, 2025 · Resident Rights
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No harm found · B June 27, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected August 15, 2025 · Resident Rights
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Potential for harm · D June 28, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 15, 2023 · Quality of Life and Care
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Potential for harm · D June 28, 2023
Provide activities to meet all resident's needs.
Corrected August 15, 2023 · Quality of Life and Care
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Potential for harm · D June 28, 2023
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 15, 2023 · Quality of Life and Care
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Potential for harm · E September 10, 2021
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected October 29, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 10, 2021
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 29, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 10, 2021
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 29, 2021 · Resident Assessment and Care Planning
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Potential for harm · E September 10, 2021
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 29, 2021 · Pharmacy Service
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Potential for harm · E September 10, 2021
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.
Corrected October 29, 2021 · Pharmacy Service
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Potential for harm · D September 10, 2021
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 29, 2021 · Nutrition and Dietary
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335400 · certified since October 8, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.