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CAYUGA NURSING AND REHABILITATION CENTER Inspection Report, Violations & Safety Grade (ITHACA, New York)

1229 TRUMANSBURG ROAD, ITHACA, New York 14850

Phone: 6072738072

CMS Overall:2/5

Overview & Bed Count

Certified Beds
160
Avg Residents/Day
117.2
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Tompkins
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health2/5
Staffing2/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityNew York AvgDifference
RN Hours per Resident per Day0.370.73-0.36
Total Nurse Hours per Resident per Day3.693.69+0.00
CMS Staffing Rating2/52.9/5-
Nursing Staff Turnover43.1%40.3%-

Health Citation History

31 health citations on record

DateCategoryDescriptionSeverity
2025-01-24Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2025-01-24Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.E – Moderate Harm Potential
2025-01-24Resident Rights DeficienciesHonor the resident's right to organize and participate in resident/family groups in the facility.D – Moderate Harm Potential
2025-01-24Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2025-01-24Resident Assessment and Care Planning DeficienciesProvide doctor's orders for the resident's immediate care at the time the resident was admitted.D – Moderate Harm Potential
2025-01-24Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D – Moderate Harm Potential
2025-01-24Resident Assessment and Care Planning DeficienciesPlan the resident's discharge to meet the resident's goals and needs.D – Moderate Harm Potential
2025-01-24Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.D – Moderate Harm Potential
2025-01-24Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2025-01-24Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2023-10-18Nutrition and Dietary DeficienciesEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.D – Moderate Harm Potential
2023-06-08Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2023-06-08Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.E – Moderate Harm Potential
2023-06-08Resident Rights DeficienciesAllow resident to participate in the development and implementation of his or her person-centered plan of care.D – Moderate Harm Potential
2023-06-08Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.D – Moderate Harm Potential
2023-06-08Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2023-06-08Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2023-06-08Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.D – Moderate Harm Potential
2023-06-08Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2023-06-08Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.D – Moderate Harm Potential
2023-06-08Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2023-06-08Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2023-06-08Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2023-06-08Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.D – Moderate Harm Potential
2021-07-30Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2021-07-30Resident Rights DeficienciesHonor 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 – Moderate Harm Potential
2021-07-30Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2021-07-30Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.D – Moderate Harm Potential
2021-07-30Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2021-07-30Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D – Moderate Harm Potential
2021-07-30Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential

Fire Safety Citation History

21 fire safety citations on record

DateCategoryDescriptionSeverity
2025-01-24Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2025-01-24Egress DeficienciesHave properly located and lighted "Exit" signs.D – Moderate Harm Potential
2025-01-24Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2025-01-24Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2025-01-24Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2025-01-24Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2025-01-24Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2025-01-24Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2023-06-08Gas, Vacuum, and Electrical Systems DeficienciesHave a battery powered remote alarm panel in a location accessible by operating personnel.F – Moderate Harm Potential
2023-06-08Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2023-06-08Construction DeficienciesInstall a two-hour-resistant firewall separation.E – Moderate Harm Potential
2023-06-08Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential
2023-06-08Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2023-06-08Gas, Vacuum, and Electrical Systems DeficienciesEnsure that testing and maintenance of electrical equipment is performed.E – Moderate Harm Potential
2023-06-08Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2023-06-08Smoke DeficienciesHave an enclosure around a vertical opening shaft.D – Moderate Harm Potential
2023-06-08Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2023-06-08Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2023-06-08Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.D – Moderate Harm Potential
2021-07-30Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.E – Moderate Harm Potential
2021-07-30Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.E – Moderate Harm Potential

Total Penalties & Fines

$41,616
Total Fine Amount (CMS)
7
Number of Fines
7
Total Penalties
DateTypeFine AmountPayment Denial
2025-01-24Fine$17,345-
2024-02-20Fine$4,140-
2024-02-12Fine$3,798-
2024-01-22Fine$9,116-
2024-01-08Fine$2,279-
2024-01-02Fine$1,764-
2023-12-11Fine$3,174-

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