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Nursing HomeMedicaid

Seneca Nursing & Rehabilitation Center, LLC

Strong Medicare quality ratings; families often praise compassionate and responsive administrative staff. Still worth an in-person visit.

200 Douglas Drive, Waterloo, NY 13165120 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 8 Google reviews

5
4
3
2
1
Seneca Nursing & Rehabilitation Center, LLC Nursing Home in Waterloo, NY — Street View
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What this means for your family

While some families report excellent experiences with staff responsiveness and rehabilitation, there are recurring reports of understaffing and unresolved complaints. When touring, ask specifically about current staff-to-resident ratios and the formal process for escalating and resolving care concerns.

Google Reviews

Google Reviews

8 reviews on Google
Seneca Nursing & Rehabilitation Center receives polarized feedback, with some families praising the compassionate, responsive staff and successful rehabilitation outcomes. However, other long-term family members report serious concerns regarding chronic understaffing, unresolved complaints, and instances of inadequate daily care.

Quality Themes

Tap a score for details
FoodN/AStaff6.0CleanN/AActivitiesN/AMedsN/AMemory8.0Comms5.0ValueN/A

Strengths

  • Compassionate and responsive administrative staff
  • Effective rehabilitation support
  • Friendly and hardworking nursing staff
  • Successful weight management for residents

Concerns

  • Chronic understaffing leading to unmet patient needs (mentioned by 2 reviewers)
  • Lack of resolution for formal complaints (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02017(1)5.02022(1)5.02024(1)3.52025(4)3.52026(2)

Distribution · 9 analyzed

5
5
4
2
3
0
2
1
1
1

How They Respond to Reviews

13%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given that staffing levels are a top priority for families, how is the facility currently working to ensure consistent, high-quality care for all 120 residents?
  • 2I noticed the facility has a strong reputation for rehabilitation and weight management; could you share how the nursing team coordinates these specific health goals with daily care?
  • 3When a family has a concern or a formal complaint, what is the specific process for ensuring it is heard and resolved in a timely manner?
  • 4With a 4-star health inspection rating, what specific protocols are in place to maintain that standard of safety during daily operations?
  • 5What does a typical day look like for residents in terms of social engagement and activities outside of their medical care?
  • 6How does the nursing staff communicate with families during medical emergencies or sudden changes in a resident's health status?

Personalized based on this facility's data


Key Review Excerpts

When I have concerns or questions, they are always immediately addressed by the staff. I feel very lucky to have my mom in this facility and am always happy to go to visit her there.

Long-term resident's family · 2024★★★★★

Each time I contact the facility, every staff member is supportive, responsive, and willing to help.

Long-term resident's family · 2025★★★★★

Nurses and techs were very nice but care was terrible due to the fact that there were not enough people working. Not at all receptive to patients needs.

Family member · 2025☆☆☆☆
Source: 8 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.33hrs
44%
Registered nurses for medical care
Total Nursing
3.65hrs
89%
All nurses + aides combined
Staff Turnover
47%
Lower is better (< 30% = good)
RN Turnover
63%
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
3/ 5
Better Than Avg

7

measures

Worse Than Avg

3

measures

Mixed Results

7

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility10.7%
Better than Avg
Here
10.7%
US
12.1%
NY
18.9%
Seneca
32.4%

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 Facility31.1%
Worse than Avg
Here
31.1%
US
19.4%
NY
20.2%
Seneca
24.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.4%
Mixed vs Avgs
Here
7.4%
US
15.5%
NY
13.8%
Seneca
7.0%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility20.3%
Mixed vs Avgs
Here
20.3%
US
19.5%
NY
13.3%
Seneca
28.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility12.3%
Mixed vs Avgs
Here
12.3%
US
15.3%
NY
13.8%
Seneca
4.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility11.2%
Mixed vs Avgs
Here
11.2%
US
14.4%
NY
14.8%
Seneca
4.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility86.1%
Better than Avg
Here
86.1%
US
79.8%
NY
78.8%
Seneca
84.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility82.2%
Mixed vs Avgs
Here
82.2%
US
81.8%
NY
77.0%
Seneca
88.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
US
1.6%
NY
1.2%
Seneca
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
Near state avg (7.6)
1 complaint-triggered

This facility has 25 deficiencies across three surveys, with one complaint-triggered violation regarding resident dignity and rights. The most recurring issues involve daily care assistance, resident rights, and building safety systems (particularly emergency power). Problems persist across multiple surveys, including repeated electrical system deficiencies and daily care issues from 2021 through 2025, suggesting ongoing challenges despite reported corrections.

Jun 27, 2025Routine
9
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.

0291Potential for harm · PatternCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0584Potential for harm · IsolatedCorrected

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.

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.

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.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0582Minimal · PatternCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Jun 27, 2025Complaint
1
0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

Jun 28, 2023Routine
5
0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

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.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0921Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

Sep 10, 2021Routine
10
0036Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish emergency prep training and testing.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0607Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0656Potential for harm · PatternCorrected

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.

0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0758Potential for harm · PatternCorrected

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.

0029Potential for harm · PatternCorrected

Emergency Preparedness Deficiencies

Develop a communication plan.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0918Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Seneca Nursing & Rehabilitation Center, LLC

Organization Type

for profit

Chain Affiliation

Chain Name

Hurlbut Care

Chain Size

13 facilities nationwide

Chain avg rating: 3.6/5 · Rank 5 of 12

Ownership & Management

Key personnel

Curletta, MarkOfficer / DirectorHurlbut Health Consulting, LLCManagerCurletta, MarkManagerHurlbut Health Consulting, LLCAdp of the SnfThe Bonadio GroupAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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