01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-05-24 | 2 | 2024-05-24 | 2 |
| Cycle 2 | 2022-08-02 | 3 | 2022-08-02 | 2 |
| Cycle 3 | 2020-01-06 | 3 | 2020-01-06 | 0 |
CMS CCN 3353132026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Medina Memorial Hospital Snf
200 Ohio Street · Medina, NY 14103 · Orleans County
Certified beds30CMS provider file
Recent citation rows12current CMS citation release
Penalty rows0current 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.
02 / CITATION DETAIL
12 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-05-24 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-06-172024-05-24 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2024-06-172024-05-24 · FIREK0344Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have an alternate power supply for its alarm system.
Correction field: Deficient, Provider has date of correction · 2024-07-122024-05-24 · FIREK0346Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Correction field: Deficient, Provider has date of correction · 2024-06-172022-08-02 · HEALTHF0582Severity B · pattern; potential for minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2022-09-162022-08-02 · HEALTHF0700Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Correction field: Deficient, Provider has date of correction · 2022-09-122022-08-02 · HEALTHF0727Severity F · widespread; potential for more than minimal harm
Nursing and Physician Services Deficiencies
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.
Correction field: Waiver has been granted · 2022-09-232022-08-02 · FIREK0345Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2022-08-252022-08-02 · FIREK0918Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2022-08-302020-01-06 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2020-03-062020-01-06 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Correction field: Deficient, Provider has date of correction · 2020-03-062020-01-06 · HEALTHF0727Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2020-03-0603 / 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.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CONDO, LORIIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 11/19/1999
- ELMAN, RICHARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2021
- FOLEY, KEVINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2016
- JOHNSON, LYNNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2016
- MARK, LANCEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2019
- MISITI, JOSEPHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2016
- BLOUNT, SHANNONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2016
- HEWITT, CYNTHIAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/05/2010
- MCGAFFICK, APRILIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/12/2013
- MELAND, DAWNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/05/2010
- MONTI, DAVIDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/05/2010
- SHURTZ, MARCIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/29/2020
- SPONAUGLE, DALEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2016
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 hours4.36per resident day
RN hours0.84per resident day
Weekend nurse hours4.04per resident day
Staff turnover52.9%CMS reported field
06 / LOCAL RECORDS
Open the Medina ledger →