Seneca Nursing & Rehabilitation Center, LLC — nursing home in Waterloo, NY

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 CMS-certified beds (not state-licensed beds)
Licensed beds: 120 state-licensed beds · New York State Department of Health
State license: 4921303N active · licensee Seneca Nursing and Rehabilitation Center, LLC
Average residents per day: 65.4 CMS, MDS-derived
CMS Certification Number: 335400
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Oct 8, 1973
Ownership type: For profit - Limited Liability company
Operator (legal business name): Seneca Nursing and Rehabilitation
CMS chain: Hurlbut Care 13 facilities
Phone: (315) 539-9202
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jun 27, 2025

Citations

25

15 health · 10 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D11	E10	F2
Minimal	A·	B1	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 335400
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Oct 8, 1973
Located in a hospital: No
Status: Active CMS certification as of CMS release Nov 1, 2026
Evidence: Verified

State license

Authority: New York State Department of Health (NYSDOH)
License number: 4921303N
State facility ID: 863
License type: Residential Health Care Facility - SNF
License status: active
Licensed beds: 120
Bed certifications: RHCF: 120
Link to CMS record: Linked by exact street address + ZIP Inferred
Licensee: Seneca Nursing and Rehabilitation Center, LLC · LLC
Initially licensed: Feb 1, 1989
As of: Oct 23, 2026
Evidence: Inferred source ↗

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 27, 2025	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jun 27, 2025	Health	Health Complaint, Health Standard	6	Potential harm	—	Open →
Jun 28, 2023	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jun 28, 2023	Health	Health Standard	3	Potential harm	—	Open →
Sep 10, 2021	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Sep 10, 2021	Health	Health Standard	6	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D11	E10	F2
Minimal	A·	B1	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jun 27, 2025	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 15, 2025
Jun 27, 2025	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 15, 2025
Jun 27, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 15, 2025
Jun 27, 2025	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 19, 2025
Jun 27, 2025	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Aug 15, 2025	Complaint
Jun 27, 2025	F-0584	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 15, 2025
Jun 27, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 15, 2025
Jun 27, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Aug 15, 2025
Jun 27, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 15, 2025
Jun 27, 2025	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	B · Minimal Pattern	Corrected Aug 15, 2025
Jun 28, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 15, 2023
Jun 28, 2023	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Aug 15, 2023
Jun 28, 2023	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 15, 2023
Jun 28, 2023	F-0679	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 15, 2023
Jun 28, 2023	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 15, 2023
Sep 10, 2021	E-0029	Develop a communication plan. Emergency Preparedness Deficiencies · Emergency preparedness	E · Potential harm Pattern	Corrected Oct 29, 2021
Sep 10, 2021	E-0036	Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Oct 29, 2021
Sep 10, 2021	E-0037	Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Oct 29, 2021
Sep 10, 2021	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Oct 29, 2021
Sep 10, 2021	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 29, 2021
Sep 10, 2021	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Oct 29, 2021
Sep 10, 2021	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Oct 29, 2021
Sep 10, 2021	F-0758	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. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Oct 29, 2021
Sep 10, 2021	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Oct 29, 2021
Sep 10, 2021	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Oct 29, 2021

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.7

Staffingstate 2.9

Quality measuresstate 3.9

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.83

State avg 3.69US avg 3.90

Registered nurse (RN)0.41

State avg 0.73US avg 0.69

Licensed practical nurse1.06

State avg 0.76US avg 0.86

Nurse aide2.36

State avg 2.20US avg 2.35

Weekend total nurse2.98

State avg 3.20US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.62 (case-mix index 1.48).

Staff turnover

Total nursing staff turnover50.0%

State avg 40.3%US avg 45.3%

Registered nurse turnover42.9%

State avg 39.6%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jun 27, 2025
Cycle 1 health score: 28
Total weighted score: 24

Operating entity

Seneca Nursing and Rehabilitation

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Hurlbut Care

13 facilities in 1 states. CMS chain ID 275.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.9

Ownership disclosures

Disclosures

6

Organizations

2

Individuals

3

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Hurlbut Health Consulting, LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 13, 2025
Mark Curletta	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 16, 2021
Mark Curletta	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jul 16, 2021
Hurlbut Health Consulting, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 13, 2025
The Bonadio Group	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 1978
Mark Curletta	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 16, 2021

Same chain in New York

All 12 in chain →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Conesus Lake Nursing Home, LLC 6131 Big Tree Road, Livonia, NY 14487 CCN 335069	48		Apr 23, 2025	10	—
Waterview Heights Rehabilitation and Nursing Cente 135 Meridan St., Rochester, NY 14612 CCN 335082SFF	229	Not rated	Aug 21, 2026	11912 IJ14 harm4 open	$800k
Avon Nursing Home L L C 215 Clinton Street, Avon, NY 14414 CCN 335216	40		Oct 2, 2024	111 harm	$33k
Newark Manor Nursing Home Inc 222 West Pearl Street, Newark, NY 14513 CCN 335219	60		Feb 28, 2025	20	—
Maple City Rehabilitation and Nursing Center 434 Monroe Avenue, Hornell, NY 14843 CCN 335322	114		Jul 30, 2026	422 harm1 open	$62k
The Hurlbut 1177 East Henrietta Road, Rochester, NY 14623 CCN 335341	160		Jul 31, 2025	19	—
Woodside Manor Nursing Home Inc 2425 Clinton Avenue South, Rochester, NY 14618 CCN 335366	44		Aug 29, 2025	19	—
Penfield Place 1700 Penfield Road, Penfield, NY 14526 CCN 335407	48		Jan 31, 2025	21	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 200 Douglas Drive, Waterloo, NY 13165
ZIP: 13165
County: Seneca County FIPS 36099
State: New York
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Huntington Living Center 369 East Main Street, Waterloo, NY 13165 State license only	0.5 km	160 lic.	Not CMS rated	—	No inspections in window	—
Finger Lakes Health 75 Mason Street, Geneva, NY 14456 CCN 335098	11.8 km	345		Aug 20, 2026	362 harm2 open	$82k
Living Center at Geneva - North 196-198 North Street, Geneva, NY 14456 State license only	11.9 km	80 lic.	Not CMS rated	—	No inspections in window	—
Living Center at Geneva - South 196-198 North Street, Geneva, NY 14456 State license only	11.9 km	103 lic.	Not CMS rated	—	No inspections in window	—
Wayne County Nursing Home 1529 Nye Road, Lyons, NY 14489 CCN 335406	23 km	192		Nov 7, 2025	261 IJ	$16k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	335400	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	335400	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
New York DOH Health Facility Information NY	863	state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN).	Inferred	Oct 23, 2026	Nov 7, 2026
New York DOH Bed Certifications NY	863	capacity, bed_certifications	Verified	Nov 1, 2026	Nov 7, 2026

Record-level source links for CCN 335400

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction