Medina Memorial Hospital SNF
Medina, New York · CCN 335313
15 surveys since 2011, and no finding has been recorded at harm level.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 95
- Surveys
- 15
- Harm or worse
- 0
- Immediate jeopardy
- 0
No finding on record has been cited at harm level or above.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 30
- Ownership
- Non profit - Other
- Chain
- Independent
- County
- Orleans
- Medicare-certified since
- 1970
CMS ratings
- Overall
- 4
- Health inspection
- 5
- Staffing
- 4
- Quality measures
- 1
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=7, floor 20).
Last survey on record
May 24, 2024
899 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.36 | 4.69 |
| Registered-nurse hours per resident day | 0.84 | — |
| Annual nurse turnover | 52.9% | 36.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D675.0% | E— | F112.5% |
| No harm, potential for minimal | A— | B112.5% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F7272×
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.
- F5781×
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.
- F5821×
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- F6041×
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- F6091×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
In the surveyor’s words
From the most serious findings on record at Medina Memorial Hospital SNF, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF727Jun 24, 2026
Based on interview and record review conducted during the survey, the facility failed to ensure there were services of a Registered Nurse for at least eight consecutive hours, seven days a week, unless waived. Specifically, the facility did not have eight consecutive hours of Registered Nurse coverage on 05/24/2026, 05/31/2026, 06/07/2026, and 06/20/2026, and the facility did not have a waiver.The findings include:The Facility Assessment Tool, last updated 2/21/2026, documented the facility was licensed to provide care for 30 residents, and the average daily census was 29-30. […]
- No harm, potential for more than minimal, widespreadF727Aug 2, 2022
Based on interview and record review conducted during a Standard survey conducted 7/28/22 through 8/2/22, the facility did not use the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week. Specifically, one of one resident care unit (skilled nursing facility (SNF) independent of the hospital) reviewed for staffing revealed an RN was not scheduled for eight consecutive hours per day on the weekends and holidays for the past four months. The finding is: Review of a facility Policy and Procedure (P&P) titled RN Staffing for [NAME] Memorial Hospital SNF dated 9/1/2020 documented an RN will be scheduled to be on the SNF unit for eight consecutive hours/day, seven days a week. […]
- No harm, potential for more than minimal, isolatedF585Jun 24, 2026
Based on interviews and record review conducted during a survey, the facility failed to make prompt efforts to resolve grievances for one (Resident #2) of one resident reviewed. Specifically, there was no grievance form filed and there was lack of follow-through and resolution for Resident #2's reported missing property. The findings include: The policy titled Patient Complaint/Grievance Protocol, last reviewed on 4/1/2020 documented the facility was committed to providing the best care possible and recognizes patient satisfaction as an important indicator of quality outcome. Prompt investigation and remedy of complaints will occur. Investigation will occur in a fair and equitable manner to protect the rights and due process of patients. […]
- No harm, potential for more than minimal, isolatedF578May 24, 2024
Based on observation, interview, and record review conducted during the Standard survey completed on [DATE], the facility did not ensure the system developed for advance directives was implemented in a manner that was consistent with residents' wishes for three (Resident #6, #21, and #24) of 16 residents reviewed for advance directives. Specifically, the facility did not ensure that all advance directive identifiers were consistent with the resident's advance directives. Facility staff were utilizing a process that was not consistent with the facilities current documented processes. […]
- No harm, potential for more than minimal, isolatedF604May 24, 2024
Based on observation, interview and record review conducted during a Standard survey completed on 5/24/24, the facility did not ensure residents were free from physical restraints imposed for purposes of discipline or convenience that were not required to treat the resident's medical symptoms, used for the least amount of time and document ongoing re-evaluation of the need for restraints for three (Resident #9,23, and 24) of three residents reviewed for physical restraints. Specifically, Residents #9, #23 and #24 had no assessments for the initiation or ongoing re-evaluation of the continued use of position change alarms. Additionally, there were no provider orders or notes to address the medical reason that warranted the use of the device. […]
Read 20 findings in full →The most serious and the most recent: 20 of 95 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 24, 2026Standard2 findings
- May 24, 2024Standard2 findings
- Aug 2, 2022Standard3 findings
- Jan 6, 2020Standard3 findings
- Aug 29, 2019Complaint3 findings
- Jan 22, 2019Standard5 findings
- Dec 22, 2017Standard6 findings
- Nov 22, 2016Standard6 findings
Show the 7 earlier surveys
- Aug 1, 2016Complaint3 findings
- Jan 8, 2016Standard17 findings
- Dec 30, 2014Standard16 findings
- Feb 10, 2014—6 findings
- Dec 19, 2012—5 findings
- Mar 8, 2012—6 findings
- Apr 13, 2011—12 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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