Federal inspection record · CMS data as of October 1, 2026
Conesus Lake Nursing Home, LLC
6131 Big Tree Road, Livonia, NY · (585) 346-3001
- CMS high-performer trophy
- Certified beds
- 48
- Residents per day
- 43
- Ownership
- For-Profit
- Chain
- Hurlbut Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 16, 1968
1
How this home got 5 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
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New York homes
Conesus Lake Nursing Home, LLC carries 13 inspection points. That is fewer than 88% 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
7 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights3D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- B
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- B
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Pharmacy Service1D
- D
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary1D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspection history
2025-04-23
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2023-12-01
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2021-12-29
1 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 24 min of nursing staff time a day, 35 min of it from a registered nurse.
This home
3 h 24 min
New York average
3 h 41 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 13% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.5 pts better | 98.3% | 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 injury0.2 pts better | 2.9% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms18.2 pts better | 1.9% | 20.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.7 pts worse | 8.4% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.2 pts better | 9.0% | 13.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.1 pts better | 13.6% | 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 worsened1 pts worse | 12.1% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.9 pts worse | 15.6% | 13.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.0% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.7 pts worse | 2.9% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence12.4 pts worse | 31.0% | 18.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers5.7 pts better | 0.8% | 6.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.5 pts better | 89.1% | 77.6% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
·
Who owns and runs it
3 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 |
|---|---|---|---|
| Curletta, Mark | W-2 Managing Employee · Individual | 0% | 12 facilities |
| Curletta, Mark | Corporate Officer · Individual | 0% | 12 facilities |
| Hurlbut, Robert | Operational/Managerial Control · Individual | 0% | 9 facilities |
·
Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke1E
- E
Inspect, test, and maintain automatic sprinkler systems.
Egress1E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Emergency Preparedness1E
- E
Develop a communication plan.
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Other homes nearby
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Avon Nursing Home L L C
Avon, NY · Hurlbut Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 36 min
- Fines
- $32,975
-
Livingston County Center for Nursing and Rehabilit
Mount Morris, NY
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 33 min
- Fines
- $8,278
-
Leroy Village Green Residential Health C F, Inc
Leroy, NY · Jonathan Bleier
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 25 min
- Fines
- $0