Cayuga Nursing and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 23 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (10 vs median 6.0)
- High RN turnover (62%)
Below average in NY · Critically understaffed (RN) · Above average staffing · $41,616 in fines
What this means for your family
This facility offers a modern, clean environment and a highly effective physical therapy team, which may benefit those in short-term rehab. However, due to consistent reports of understaffing and concerns regarding medical oversight, it is essential that you maintain a high level of active family advocacy to ensure your loved one's needs are met.
Google Reviews
Google Reviews
23 reviews on Google“Cayuga Nursing and Rehabilitation Center receives polarized feedback, with many families praising the modern, clean facility and the effectiveness of the physical therapy team. However, significant concerns exist regarding inconsistent care, particularly during night shifts, and reports of understaffing that lead to delays in basic hygiene and medication management. Families frequently emphasize that the quality of care often depends on the level of active advocacy provided by relatives.”
Quality Themes
Tap a score for detailsStrengths
- Modern, clean, and hotel-like facility
- Effective physical therapy department
- Responsive and professional administrative staff
- Compassionate and caring nursing interactions
Concerns
- Understaffing leading to neglect or delayed care (mentioned by 3 reviewers)
- Inconsistent communication and lack of updates (mentioned by 2 reviewers)
- Inadequate physician presence and reliance on physician assistants (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 27 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Since some visitors have mentioned how modern and hotel-like the facility feels, could you show us some of the common areas where residents gather for social activities?
- 2We want to make sure we stay in the loop, so what is your preferred method for providing regular updates to families regarding a resident's daily well-being?
- 3How do you ensure that medication administration is handled with extra care and accuracy during busy shifts?
- 4With the physical therapy department being a known strength here, how does the team coordinate therapy schedules with a resident's daily routine?
- 5In the event of a medical emergency after hours, what is the protocol for physician or advanced practitioner availability?
- 6How does the nursing team manage their workload to ensure that every resident's individual care needs are met promptly throughout the day?
Personalized based on this facility's data
Key Review Excerpts
“The facility is new and clean. Working in a nursing home is a hard job (and a hard situation to have a parent in), but our family is VERY thankful he is there.”
“Cayuga Ridge may have good physical therapists that will advocate for their patients, but this place is not adequate as a nursing home. It is a place where the elderly fall through the cracks if they don’t have CONSTANT family advocacy.”
“My only complaint is that they are understaffed on the floor that my husband is on. The medical and support staff need more help keeping up with all of the demands of the residents.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
5
measures
4
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents who lost too much weight
Residents vaccinated for the flu
Residents with pressure sores (bedsores)
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern of 54 deficiencies across five surveys, with eight complaint-triggered violations indicating families reported issues. Most problematic areas include safety hazards and accident prevention, fire safety systems, and nutrition services. While most deficiencies appear corrected, repeated issues with safety oversight and the volume of family complaints suggest potential ongoing care quality concerns that warrant careful evaluation during visits.
Jan 24, 2025Routine15
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Jan 24, 2025Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Oct 18, 2023Complaint1
Nutrition and Dietary Deficiencies
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.
Jun 8, 2023Routine22
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
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.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Construction Deficiencies
Install a two-hour-resistant firewall separation.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure that testing and maintenance of electrical equipment is performed.
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Jun 8, 2023Complaint2
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Jul 30, 2021Routine9
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Jan 24, 2025
$17,345
Fine
Feb 20, 2024
$4,140
Fine
Feb 12, 2024
$3,798
Fine
Jan 22, 2024
$9,116
Fine
Jan 8, 2024
$2,279
Fine
Jan 2, 2024
$1,764
Fine
Dec 11, 2023
$3,174
Ownership & Operations
Who Operates This Facility
Cayuga Nursing and Rehabilitation Center
for profit
Ownership & Management
Owners
Bertram, Brenda
Owner
Braunstein, Shalom
Owner
Manela, Esther
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
23 reviews from families & visitors
Official Website
Visit cayuganursingandrehab.org
Medicare data downloads
Original nursing home datasets
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