CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 3355622026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Livingston County Center For Nursing And Rehabilit

11 Murray Hill Drive · Mount Morris, NY 14510 · Livingston County

CMS OVERALL RATING★★☆☆☆2/5CMS field—not our score or recommendation
Certified beds266CMS provider file
Recent citation rows20current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12023-11-08112023-11-081
Cycle 22022-01-2812022-01-281
Cycle 32019-07-1242019-07-122
02 / CITATION DETAIL

20 rows in the current release

1 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-01-28 · HEALTHF0550Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-03-30 · complaint
2026-01-28 · HEALTHF0677Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-03-30 · complaint
2025-10-10 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-12-09 · complaint
2025-10-10 · HEALTHF0760Severity G · isolated actual harm

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Correction field: Deficient, Provider has date of correction · 2025-12-09 · complaint
2023-11-08 · HEALTHF0640Severity B · pattern; potential for minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-01-07 · complaint
2023-11-08 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2024-01-07 · complaint
2023-11-08 · HEALTHF0677Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-01-07 · complaint
2023-11-08 · HEALTHF0697Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-01-07 · complaint
2023-11-08 · HEALTHF0744Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-01-07 · complaint
2023-11-08 · HEALTHF0759Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Correction field: Deficient, Provider has date of correction · 2024-01-07 · complaint
2023-11-08 · HEALTHF0883Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-01-07 · complaint
2023-11-08 · FIREK0923Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Correction field: Deficient, Provider has date of correction · 2024-01-07
2022-01-28 · HEALTHF0755Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2022-03-21
2022-01-28 · FIREK0921Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

Correction field: Deficient, Provider has date of correction · 2022-03-25
2019-07-12 · HEALTHF0655Severity D · isolated; potential for more than minimal harm

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

Correction field: Deficient, Provider has date of correction · 2019-09-06
2019-07-12 · HEALTHF0693Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2019-09-06
2019-07-12 · HEALTHF0758Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2019-09-06
2019-07-12 · HEALTHF0880Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2019-09-06
2019-07-12 · FIREK0372Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2019-09-06
2019-07-12 · FIREK0921Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

Correction field: Deficient, Provider has date of correction · 2019-09-06
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2025-10-10Fine$8,2780
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • LIVINGSTON COUNTYOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 11/01/1976
  • LEFEBER, DAVIDIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/01/2018
  • LIVINGSTON COUNTYOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/01/1976
  • KUEKER, MICHAELIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/03/2023
  • RAUBER, BARBARAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/14/2019
  • TOWNSEND, ROGERIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/12/2025
  • KUEKER, MICHAELIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 07/03/2023
  • TOWNSEND, ROGERIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 05/22/2025

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.71per resident day
RN hours0.42per resident day
Weekend nurse hours3.11per resident day
Staff turnover40.2%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the New York ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.