Nursing HomeInspections

Seneca Nursing & Rehabilitation Center, LLC

Nursing home in Waterloo, NY

Medicare & Medicaid certified4★ overall (CMS)

Call (315) 539-9202Send a messageMap ↗

Public-record details

Address
200 Douglas Drive, Waterloo, NY 13165
Phone
(315) 539-9202
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
335400
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
2 of 5
Quality measures rating
3 of 5
Certified beds
120
Average residents per day
67
Ownership
For-profit, limited Liability company
Legal business name
Seneca Nursing and Rehabilitation
Chain
Hurlbut Care (13 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 8, 1973
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 335400. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 27, 2025. CMS lists 15 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 10, 2021 to Jun 27, 2025): 1 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jun 27, 2025Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		B
Potential for minimal harm, pattern
Jun 27, 2025Honor 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		D
Potential for more than minimal harm, isolated
Jun 27, 2025Develop 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		D
Potential for more than minimal harm, isolated
Jun 27, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 27, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
Jun 27, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Jun 28, 2023Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 28, 2023Provide activities to meet all resident's needs.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jun 28, 2023Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Sep 10, 2021Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Sep 10, 2021Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Sep 10, 2021Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 15. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.37 hours
Registered nurse (RN) time per resident per day
0.45 hours
Nurse aide time per resident per day
1.91 hours
Total nurse staffing on weekends
2.64 hours
Nursing staff turnover (yearly)
48%
RN turnover (yearly)
63%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.