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Nursing HomeMedicaid Investigative

Livingston County Center for Nursing and Rehabilit

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

11 Murray Hill Drive, Mount Morris, NY 14510266 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Livingston County Center for Nursing and Rehabilit Nursing Home in Mount Morris, NY — Street View
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3/ 10
moderate Risk

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)
  • Above-median deficiencies (11 vs median 6.0)

Below average in NY · Below recommended RN staffing · Above average staffing · No penalties on record

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. Registered Nurse hours are only 57% of the national benchmark, which can affect medication management and response times. The facility has 11 deficiencies, which is above the state average. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.43hrs
57%
Registered nurses for medical care
Total Nursing
3.80hrs
93%
All nurses + aides combined
Staff Turnover
38%
Lower is better (< 30% = good)
RN Turnover
25%
Lower is better (< 30% = good)

Both 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

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.3%
Better than Avg
Here
1.3%
US
12.1%
NY
18.9%
Livingston
17.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility29.7%
Worse than Avg
Here
29.7%
US
19.4%
NY
20.2%
Livingston
21.6%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.0%
Better than Avg
Here
13.0%
US
19.5%
NY
13.3%
Livingston
21.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility97.7%
Better than Avg
Here
97.7%
US
93.4%
NY
91.3%
Livingston
90.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.0%
Better than Avg
Here
10.0%
US
15.3%
NY
13.8%
Livingston
16.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
NY
95.3%
Livingston
97.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility99.5%
Better than Avg
Here
99.5%
US
79.8%
NY
78.8%
Livingston
79.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.4%
Better than Avg
Here
97.4%
US
81.8%
NY
77.0%
Livingston
81.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
1.6%
NY
1.2%
Livingston
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
1penalties
Above state avg (7.6)
11 complaint-triggered

This facility shows concerning patterns with 11 complaint-triggered deficiencies, indicating families have reported problems to authorities. The main recurring issues involve medication management, daily care assistance, and care planning. Most troubling, recent 2026 deficiencies for daily care assistance and resident rights remain uncorrected with no correction plan, suggesting ongoing problems that could affect resident safety and dignity.

Jan 28, 2026Complaint
2
0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Oct 10, 2025Complaint
2
0760Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Nov 8, 2023Complaint
7
0656Potential for harm · IsolatedCorrected

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0640Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Nov 8, 2023Routine
1
0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Jan 28, 2022Routine
2
0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0921Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

Jul 12, 2019Routine
6
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0921Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

Federal Penalties

Fine

Oct 10, 2025

$12,735

Ownership & Operations

Who Operates This Facility

Owner / Operator

Livingston County Center for Nursing and Rehabilit

Organization Type

government

Ownership & Management

Owners

Livingston County

Owner · Organization

100%

Key personnel

Lefeber, DavidOfficer / DirectorLivingston CountyManagerKueker, MichaelManagerRauber, BarbaraManagerTownsend, RogerManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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