Nursing home
Seneca Nursing & Rehabilitation Center
200 Douglas Drive, Waterloo, NY 13165 · Map
For profit - Limited Liability company · Part of Hurlbut Care (13 facilities) · 120 certified beds
Seneca Nursing & Rehabilitation Center is a Medicare-certified nursing home in Waterloo, New York. CMS rates it 4 out of 5 stars overall (2/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.86 hours per resident per day, above the New York average of 3.65. Its most recent inspection on Jun 27, 2025 cited 6 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Seneca Nursing & Rehabilitation Center compares
This facility vs. the New York and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | New York avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.86 | 3.65 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.36 | 0.70 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.39 | 2.18 | 2.34 | above avg |
| Nursing staff turnover | 51.5% | 40.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 6.0 | 7.6 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the June 27, 2025 inspection was corrected by August 15, 2025
What inspectors found at Seneca Nursing & Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Jun 27, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jun 27, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jun 27, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jun 27, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Jun 27, 2025 · Full report (PDF)
Show all 12 deficiencies
- Minimal
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Jun 27, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Jun 28, 2023 - Potential for harm
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Jun 28, 2023 - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jun 28, 2023 - Potential for harm
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.
Pharmacy Service Deficiencies · Sep 10, 2021 - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Sep 10, 2021 - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Sep 10, 2021
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 200 Douglas Drive
Waterloo, NY 13165 - CMS certification #
- 335400
- Ownership
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 59.6
- Provider type
- Medicare and Medicaid
- First certified
- 1973-10-08
- Chain
- Hurlbut Care (13 facilities)
- Setting
- Rural
Part of Hurlbut Care
Hurlbut Care operates 13 nursing facilities across the United States. View all Hurlbut Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Seneca Nursing & Rehabilitation Center using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2019
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Oct 4, 2019 to Oct 7, 2022. Violations found: Overtime. Back wages: $96,550 owed to 339 employees. Civil money penalties assessed: $64,925. DOL marked the employer as a repeat and willful violator. Employer as DOL recorded it: Seneca Nursing and Rehabilitation Center (Seneca Nursing and Rehabilitation Center, LLC). Case 1974417.
DOL also concluded 1 case here with no violations found, most recently for a period ending Dec 22, 2018.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Geneva General Hospital, Geneva. 7.5 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Finger Lakes Health, Geneva. 7.3 miles away, straight line.
- Nearest home health agency office
- Nascentia Health At Home, Syracuse. 35.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 13165 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Geneva General Hospital, Geneva, 7.5 miles away, straight line (has a shift starting after 5 pm; CMS rating 2 of 5 stars)
Univ Dialysis Ctr @ Auburn, Auburn, 14.6 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 13165.
- Nearest geriatric medicine practice
- Highland Hospital Of Rochester, Canandaigua. 22.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (takes effect January 22, 2027), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively low, inland flooding relatively high, wildfire relatively low, tornado relatively low, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| New York State Department of Health kitchen inspections | Oct 15, 2026 | No kitchen matched |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Seneca Nursing & Rehabilitation Center a good nursing home?
CMS gives Seneca Nursing & Rehabilitation Center an overall rating of 4 out of 5 stars, including 2/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Seneca Nursing & Rehabilitation Center staffed?
Seneca Nursing & Rehabilitation Center reports 3.86 total nurse hours per resident per day, compared with the New York average of 3.65.
Has Seneca Nursing & Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Seneca Nursing & Rehabilitation Center have?
Seneca Nursing & Rehabilitation Center is certified for 120 beds.