Federal inspection record · CMS data as of October 1, 2026
Cayuga Nursing And Rehabilitation Center
1229 Trumansburg Road, Ithaca, NY · (607) 273-8072
- Certified beds
- 160
- Residents per day
- 117
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 1, 1979
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New York.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New York homes
Cayuga Nursing And Rehabilitation Center carries 61 inspection points. That is fewer than 30% of New York's 589 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New York: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–12 pts
- 4★ 12–27 pts
- 3★ 27–46 pts
- 2★ 46–82 pts
- 1★ over 82 pts
Bars show every rated home in New York by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
31 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care7E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights6E
- D
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
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
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Honor 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
Reasonably accommodate the needs and preferences of each resident.
- D
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.
Nutrition and Dietary5D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure 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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning4D
- D
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Plan the resident's discharge to meet the resident's goals and needs.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control3E
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Respond appropriately to all alleged violations.
- D
Respond appropriately to all alleged violations.
Pharmacy Service1D
- D
Ensure medication error rates are not 5 percent or greater.
Environmental1D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Administration1D
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspection history
2025-01-24
10 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-06-08
13 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2021-07-30
8 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 42 min of nursing staff time a day, 22 min of it from a registered nurse.
This home
3 h 42 min
New York average
3 h 41 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 55% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$41,616 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-01-24 | Fine | $17,345 |
| 2024-02-20 | Fine | $4,140 |
| 2024-02-12 | Fine | $3,798 |
| 2024-01-22 | Fine | $9,116 |
| 2024-01-08 | Fine | $2,279 |
| 2024-01-02 | Fine | $1,764 |
| 2023-12-11 | Fine | $3,174 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts worse | 1.8 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse | 1.5 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.7 pts better | 97.5% | 91.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.8 pts better | 100.0% | 95.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts worse | 4.5% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms8.9 pts better | 11.2% | 20.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.3 pts worse | 7.0% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.3 pts worse | 20.5% | 13.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.6 pts better | 13.1% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.9 pts worse | 12.0% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.6 pts better | 12.1% | 13.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.6% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.6 pts worse | 2.8% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.9 pts worse | 21.5% | 18.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.4 pts better | 5.1% | 6.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.5 pts better | 85.1% | 77.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit9.6 pts worse | 19.0% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 1.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15 pts better | 93.9% | 78.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.5 pts better | 20.1% | 20.6% | 23.4% |
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Who owns and runs it
5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Braunstein, Shalom | 5% Or Greater Direct Ownership Interest · Individual | 30% | 3 facilities |
| Bertram, Brenda | 5% Or Greater Direct Ownership Interest · Individual | 18% | 2 facilities |
| Manela, Esther | 5% Or Greater Direct Ownership Interest · Individual | 18% | 2 facilities |
| Braunstein, Shalom | Corporate Director · Individual | 0% | 3 facilities |
| Petrie, David | W-2 Managing Employee · Individual | 0% | 1 facilities |
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Fire safety
21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke11E
- E
Install an approved automatic sprinkler system.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Have an enclosure around a vertical opening shaft.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install an approved automatic sprinkler system.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems5F
- D
Ensure proper usage of power strips and extension cords.
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure that testing and maintenance of electrical equipment is performed.
- E
Have generator or other power source capable of supplying service within 10 seconds.
Egress2D
- D
Have properly located and lighted "Exit" signs.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
Construction1E
- E
Install a two-hour-resistant firewall separation.
Miscellaneous1E
- E
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Beechtree Center For Rehabilitation And Nursing
Ithaca, NY · Upstate Services Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 25 min
- Fines
- $0
-
Kendal At Ithaca
Ithaca, NY · Kendal
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 5 h 8 min
- Fines
- $0
-
Oak Hill Rehabilitation And Nursing Care Center
Ithaca, NY · The Mayer Family
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 8 min
- Fines
- $0