Federal inspection record · CMS data as of October 1, 2026

Cuba Memorial Hospital Inc SNF

140 West Main Street, Cuba, NY · (585) 968-2000

  • Cited for abuse (CMS abuse icon)

CMS overall rating

1 of 5

Compare with a nearby home →
Certified beds
61
Residents per day
49
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
July 1, 1972

1

How this home got 1 star

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in New York.

  2. Staffing

    −1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change (already 1)

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.

2

Where it sits among New York homes

Cuba Memorial Hospital Inc SNF carries 40 inspection points. That is fewer than 48% of New York's 589 rated homes.

5★4★3★2★1★+18 homes above 246.7505102550100200inspection points → fewer is better on the leftThis home · 40 pts · 2★

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

18 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 11 4 pts
E 1 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 3 0 pts
C 1 0 pts

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)

  1. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    June 11, 2026 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected August 8, 2026

Everything else, by area of care

Freedom from Abuse, Neglect, and Exploitation6D
  1. D

    Respond appropriately to all alleged violations.

    June 11, 2026 · Complaint · F610 · Corrected August 1, 2026

  2. D

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    December 8, 2023 · Complaint · F604 · Corrected December 7, 2023

  3. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    December 8, 2023 · Complaint · F609 · Corrected January 5, 2024

  4. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    September 22, 2022 · Standard · F600 · Corrected October 28, 2022

  5. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    September 22, 2022 · Standard · F609 · Corrected October 28, 2022

  6. D

    Respond appropriately to all alleged violations.

    September 22, 2022 · Standard · F610 · Corrected October 14, 2022

Nursing and Physician Services3F
  1. C

    Post nurse staffing information every day.

    June 11, 2026 · Complaint · F732 · Corrected August 1, 2026

  2. F

    Have 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.

    September 22, 2022 · Standard · F727 · Corrected October 28, 2022

  3. B

    Post nurse staffing information every day.

    September 22, 2022 · Standard · F732 · Corrected October 14, 2022

Resident Rights2D
  1. D

    Honor 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.

    May 17, 2024 · Standard · F578 · Corrected June 29, 2024

  2. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    May 17, 2024 · Complaint · F580 · Corrected June 29, 2024

Quality of Life and Care2D
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    May 17, 2024 · Complaint · F684 · Corrected June 29, 2024

  2. D

    Try 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.

    September 22, 2022 · Standard · F700 · Corrected October 20, 2022

Resident Assessment and Care Planning2B
  1. B

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    May 17, 2024 · Standard · F842 · Corrected June 29, 2024

  2. B

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    December 12, 2019 · Standard · F655 · Corrected January 30, 2020

Environmental1E
  1. E

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    September 22, 2022 · Standard · F925 · Corrected October 14, 2022

Infection Control1D
  1. D

    Perform COVID19 testing on residents and staff.

    September 22, 2022 · Standard · F886 · Corrected October 21, 2022

Inspection history

  1. 2024-05-17

    7 health deficiencies · 15 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

  2. 2022-09-22

    8 health deficiencies · 6 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

  3. 2019-12-12

    3 health deficiencies · 7 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 26 min of nursing staff time a day, 31 min of it from a registered nurse.

This home

3 h 26 min

New York average

3 h 41 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 70% of nursing staff and 58% 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

Fines and payment denials

$0 in federal fines on record over the past three years.

DatePenaltyAmount
2024-05-17Payment Denial · 55 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.4 pts better1.31.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse2.01.31.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts better95.6%91.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.8 pts better100.0%95.2%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts better1.6%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms17.6 pts better2.5%20.1%13.5%
Percentage of long-stay residents who lose too much weight6.9 pts worse12.6%5.7%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6 pts worse19.2%13.2%19.5%
Percentage of long-stay residents who received an antipsychotic medication13.1 pts worse26.8%13.7%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened22.9 pts worse34.0%11.1%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased23.6 pts worse37.3%13.7%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder2.7 pts worse3.2%0.5%0.7%
Percentage of long-stay residents with a urinary tract infection2.2 pts worse3.4%1.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.8 pts worse22.4%18.6%18.3%
Percentage of long-stay residents with pressure ulcers1 pts worse7.5%6.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.6 pts worse65.0%77.6%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better0.0%1.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.3 pts worse63.6%78.9%80.1%

·

Who owns and runs it

13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Cuba Memorial Hospital, Inc.5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Black, AmyCorporate Director · Individual0%1 facilities
Brown, ThomasCorporate Director · Individual0%4 facilities
Cuba Memorial Hospital, Inc.5% Or Greater Mortgage Interest · Organization0%1 facilities
Cuba Memorial Hospital, Inc.Operational/Managerial Control · Organization0%1 facilities
Fox, RalphCorporate Director · Individual0%1 facilities
Ireland, RuthCorporate Officer · Individual0%1 facilities
Kane, HunterCorporate Officer · Individual0%1 facilities
Kane, HunterOperational/Managerial Control · Individual0%1 facilities
Kane, HunterAdp Of The SNF · Individual0%1 facilities
Kunz, MarjanneCorporate Director · Individual0%1 facilities
Rinker, MarkCorporate Director · Individual0%1 facilities
Tackentien, LukeCorporate Director · Individual0%1 facilities

·

Fire safety

28 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke13E
  1. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    May 17, 2024 · K321 · Corrected June 29, 2024

  2. E

    Have properly installed hallway dispensers for alcohol-based hand rub.

    May 17, 2024 · K325 · Corrected June 29, 2024

  3. E

    Have approved installation, maintenance and testing program for fire alarm systems.

    May 17, 2024 · K345 · Corrected June 29, 2024

  4. E

    Inspect, test, and maintain automatic sprinkler systems.

    May 17, 2024 · K353 · Corrected June 22, 2024

  5. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    May 17, 2024 · K372 · Corrected June 29, 2024

  6. D

    Provide properly protected cooking facilities.

    May 17, 2024 · K324 · Corrected May 31, 2024

  7. E

    Inspect, test, and maintain automatic sprinkler systems.

    September 22, 2022 · K353 · Corrected October 28, 2022

  8. E

    Install corridor and hallway doors that block smoke.

    September 22, 2022 · K363 · Corrected October 20, 2022

  9. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    September 22, 2022 · K372 · Corrected October 20, 2022

  10. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    December 12, 2019 · K321 · Corrected January 10, 2020

  11. D

    Provide properly protected cooking facilities.

    December 12, 2019 · K324 · Corrected February 7, 2020

  12. D

    Install a fire alarm system that can be heard throughout the facility.

    December 12, 2019 · K341 · Corrected December 27, 2019

  13. D

    Inspect, test, and maintain automatic sprinkler systems.

    December 12, 2019 · K353 · Corrected January 20, 2020

Gas, Vacuum, and Electrical Systems7E
  1. E

    Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.

    May 17, 2024 · K908 · Corrected June 29, 2024

  2. E

    Meet requirements for the installation and maintenance of electrical systems.

    May 17, 2024 · K911 · Corrected June 29, 2024

  3. E

    Have generator or other power source capable of supplying service within 10 seconds.

    May 17, 2024 · K918 · Corrected July 18, 2024

  4. E

    Have proper medical gas storage and administration areas.

    September 22, 2022 · K923 · Corrected October 21, 2022

  5. D

    Have generator or other power source capable of supplying service within 10 seconds.

    September 22, 2022 · K918 · Not yet marked corrected

  6. E

    Meet requirements for the installation and maintenance of electrical systems.

    December 12, 2019 · K911 · Corrected January 15, 2020

  7. E

    Have proper medical gas storage and administration areas.

    December 12, 2019 · K923 · Corrected January 20, 2020

Egress5E
  1. E

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    May 17, 2024 · K223 · Corrected June 29, 2024

  2. E

    Have stairways and smokeproof enclosures used as exits that meet safety requirements.

    May 17, 2024 · K225 · Corrected June 29, 2024

  3. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    May 17, 2024 · K211 · Corrected June 29, 2024

  4. D

    Meet other general requirements that are deficient.

    May 17, 2024 · K300 · Corrected June 29, 2024

  5. E

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    September 22, 2022 · K223 · Corrected October 20, 2022

Miscellaneous2E
  1. E

    Have simulated fire drills held at unexpected times.

    May 17, 2024 · K712 · Corrected June 29, 2024

  2. D

    Have restrictions on the use of portable space heaters.

    May 17, 2024 · K781 · Corrected June 29, 2024

Services1E
  1. E

    Have elevators that firefighters can control in the event of a fire.

    December 12, 2019 · K531 · Corrected January 27, 2020

·

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