New York › Seneca County › Waterloo
Seneca Nursing & Rehabilitation Center, LLC
200 Douglas Drive, Waterloo, NY 13165
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Seneca Nursing & Rehabilitation Center, LLC, in Waterloo, New York, is certified for 120 beds under for-profit, limited liability company ownership and belongs to the Hurlbut Care chain.
CMS gives it 4 of 5 stars overall, above the New York median of 3; the health inspection rating is 4, staffing 2 and quality measures 3.
Inspectors recorded 15 health deficiencies across the three most recent survey cycles (6, 3, 6 by cycle, most recent first), none at the actual-harm level. That is 12.5 per 100 beds, about the same as the state median of 11.0.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.4 hours per resident per day (0.4 RN), close to the New York median of 3.5; nursing staff turnover is 47.7%.
Compared with county, state and nation
| Measure | This facility | Seneca Co. median | New York median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 15 | 15 | 17 | 28.7 |
| Citations per 100 beds | 12.5 | 12.5 | 11.0 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.4 | 3.5 | 3.9 |
| RN hours per resident day | 0.4 | 0.4 | 0.6 | 0.7 |
| Nursing staff turnover | 47.7% | 47.7% | 38.4% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (1 in the county, 593 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: New York average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 Jun 2025, 28 Jun 2023.
Severity mix: D ×8 E ×6 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 27 Jun 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 15 Aug 2025 |
| 27 Jun 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 15 Aug 2025 |
| 27 Jun 2025 | F0584 | 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. | D | Standard survey | 15 Aug 2025 |
| 27 Jun 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 15 Aug 2025 |
| 27 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 15 Aug 2025 |
| 27 Jun 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard survey | 15 Aug 2025 |
| 28 Jun 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 15 Aug 2023 |
| 28 Jun 2023 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 15 Aug 2023 |
| 28 Jun 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Aug 2023 |
| 10 Sep 2021 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 29 Oct 2021 |
| 10 Sep 2021 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 29 Oct 2021 |
| 10 Sep 2021 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 29 Oct 2021 |
| 10 Sep 2021 | F0758 | 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. | E | Standard survey | 29 Oct 2021 |
| 10 Sep 2021 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 29 Oct 2021 |
| 10 Sep 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 29 Oct 2021 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New York average. Turnover: nursing staff 47.7%, RNs 62.5%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | New York median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.8% | 13.2% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.0% | 0.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.7% | 2.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.9% | 11.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.2% | 6.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.3% | 12.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Seneca Nursing And Rehabilitation. Chain: Hurlbut Care (13 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Hurlbut Health Consulting, LLC | Operational/managerial control | NOT APPLICABLE | 01/13/2025 |
| Hurlbut Health Consulting, LLC | Adp of the snf | NOT APPLICABLE | 01/13/2025 |
| The Bonadio Group | Adp of the snf | NOT APPLICABLE | 01/01/1978 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Seneca Nursing & Rehabilitation Center, LLC been cited for?
15 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The New York median is 17 per facility.
Has Seneca Nursing & Rehabilitation Center, LLC been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Seneca Nursing & Rehabilitation Center, LLC compare?
Reported total nurse staffing is 3.4 hours per resident per day against a New York median of 3.5 and a national average of 3.9.
Who operates Seneca Nursing & Rehabilitation Center, LLC?
It is part of the Hurlbut Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Hurlbut Health Consulting, LLC. Individual owners and managers are not listed on this site.
When was Seneca Nursing & Rehabilitation Center, LLC last inspected?
The most recent survey or investigation in the CMS record is dated 27 Jun 2025; the most recent standard health survey was 27 Jun 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.