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Medina Memorial Hospital SNF Inspection Report, Violations & Safety Grade (Medina, New York)

200 Ohio Street, Medina, New York 14103

Phone: 5857982000

CMS Overall:4/5

Overview & Bed Count

Certified Beds
30
Avg Residents/Day
29.7
Ownership
Non profit - Other
Provider Type
Medicare and Medicaid
County
Orleans
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall4/5
Health4/5
Staffing4/5
Quality2/5

Nurse Staffing Check

MetricThis FacilityNew York AvgDifference
RN Hours per Resident per Day0.820.73+0.09
Total Nurse Hours per Resident per Day4.233.69+0.55
CMS Staffing Rating4/52.9/5-
Nursing Staff Turnover59.4%40.3%-

Health Citation History

7 health citations on record

DateCategoryDescriptionSeverity
2026-06-24Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F – Moderate Harm Potential
2026-06-24Resident 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
2024-05-24Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D – Moderate Harm Potential
2024-05-24Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.D – Moderate Harm Potential
2022-08-02Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.F – Moderate Harm Potential
2022-08-02Quality of Life and Care DeficienciesTry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.D – Moderate Harm Potential
2022-08-02Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.B – Minimal Harm Potential

Fire Safety Citation History

8 fire safety citations on record

DateCategoryDescriptionSeverity
2026-06-24Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential
2026-06-24Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.E – Moderate Harm Potential
2026-06-24Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.E – Moderate Harm Potential
2026-06-24Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.E – Moderate Harm Potential
2024-05-24Smoke DeficienciesHave an alternate power supply for its alarm system.E – Moderate Harm Potential
2024-05-24Smoke DeficienciesFollow proper procedures when the fire alarm was out of service for more than 4 hours.E – Moderate Harm Potential
2022-08-02Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.E – Moderate Harm Potential
2022-08-02Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.E – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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