Seneca Health Care Center
SENECA HEALTH CARE CENTER in WEST SENECA, NY — inspection on November 5, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 10/29/2025 at 2:03 PM, the Director of Quality and Education stated they expected all certified nurse aides to review care plans prior to providing resident care.
With the incident on 07/12/2025, Certified Nurse Aide #1 did not follow the care plan for Resident #1, and the resident sustained a fracture.
During re-interview on 11/05/2025 at 9:56 AM, they stated after the fall they had determined this was an isolated incident based on trending of falls within the facility.
Certified Nurse Aide #1 was re-educated on reading and following the plan of care.
During a telephone interview on 10/29/2025 at 2:10 PM, Nurse Practitioner #1 stated they were informed on 07/12/2025 after the fall that Resident #1's left lower extremity was shorter than the right and had pain with passive range of motion.
They ordered x-rays of the left hip, femur, and pelvis and spoke with Resident #1's Health Care Proxy regarding possible surgical intervention.
Nurse Practitioner #1 stated Resident #1 being left alone on the toilet was a break in their care plan that resulted in a fracture, which was a serious injury, and the serious injury caused harm to Resident #1.
During an interview on 10/29/2025 at 2:45 PM, the Director of Nursing stated a break in a plan of care would be when staff does not follow the care plan.
Their expectation was for all staff to read and follow residents' individualized care plans.
Ultimately, Resident #1 had an intervention not to be left alone in the bathroom.
Certified Nurse Aide #1 left them alone in the bathroom, the resident fell which resulted in a fracture.
During an interview on 10/29/2025 at 2:56 PM, the Administrator stated they expected the certified nurse aides to review resident care plans prior to providing care.
Not following a resident's plan of care may be a break in their plan.
The Administrator stated a broken bone would be a serious injury.
The Administrator stated, it was an accident, not intentional.10 NYCRR 415.12(h)(2)
Facility ID:
Frequently Asked Questions
More Reports
Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.