Maple City Rehabilitation and Nursing Center
434 Monroe Avenue · Hornell, NY · 14843 · 6073247740
114 certified beds For profit - Corporation Chain: Hurlbut Care
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$62,207 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.51 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.55 | 0.55–0.75 |
| Weekend hours / resident-day | 2.76 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 1 · $62,207 |
Inspection citations (25 in the current record)
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Actual harm · G August 23, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected October 18, 2024 · Resident Rights
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Actual harm · H August 23, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 18, 2024 · Quality of Life and Care
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Potential for harm · F August 23, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected October 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 23, 2024
Assist a resident in gaining access to vision and hearing services.
Corrected October 18, 2024 · Quality of Life and Care
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Potential for harm · D August 23, 2024
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.
Corrected October 7, 2024 · Quality of Life and Care
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Potential for harm · D August 23, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 18, 2024 · Quality of Life and Care
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Potential for harm · E August 23, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected October 7, 2024 · Pharmacy Service
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Potential for harm · E August 23, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 7, 2024 · Nutrition and Dietary
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Potential for harm · E August 23, 2024 · found via complaint
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.
Corrected October 4, 2024 · Resident Rights
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Potential for harm · D August 23, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 18, 2024 · Quality of Life and Care
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Potential for harm · D August 23, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected October 18, 2024 · Quality of Life and Care
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Potential for harm · D August 23, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected October 7, 2024 · Environmental
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No harm found · B August 23, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected October 7, 2024 · Resident Rights
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No harm found · B August 23, 2024
Post nurse staffing information every day.
Corrected October 7, 2024 · Nursing and Physician Services
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Potential for harm · D March 28, 2024 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected April 30, 2024 · Quality of Life and Care
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Potential for harm · D October 3, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 16, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 10, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 20, 2022 · Resident Assessment and Care Planning
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Potential for harm · D June 10, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 20, 2022 · Quality of Life and Care
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Potential for harm · D June 10, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 20, 2022 · Quality of Life and Care
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No harm found · B June 10, 2022
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected July 20, 2022 · Resident Rights
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Potential for harm · D November 1, 2019
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.
Corrected December 20, 2019 · Resident Rights
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Potential for harm · D November 1, 2019
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 20, 2019 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 1, 2019
Provide enough food/fluids to maintain a resident's health.
Corrected December 20, 2019 · Quality of Life and Care
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Potential for harm · D November 1, 2019
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected December 20, 2019 · Administration
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No harm found · B November 1, 2019
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 20, 2019 · Resident Rights
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 23, 2024 | Fine | $62,207 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335322 · certified since March 18, 1971. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.