New York ›Ithaca

Cayuga Nursing and Rehabilitation Center

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1229 Trumansburg Road, Ithaca, NY 14850 (opens Google Maps) · Tompkins County · (607) 273-8072· 160 certified beds · avg 115 residents/day · certified since Sep 1, 1979 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

2/5
Health inspection rating (on-site)
inspected Jan 24, 2025
1
Serious findings on record
most recent Jan 24, 2025
$41,616
Fines, last 3 years
3.91
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · Jan 24, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jan 24, 2025 (Past Non-Compliance)

Inspection findings in the public record

Showing the latest 3 of 31 inspection findings. Open the full record below to read every finding.

  1. J · Immediate jeopardy, isolated

    The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689

  2. E · Potential for more than minimal harm, pattern

    The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684

  3. D · Potential for more than minimal harm, isolated

    The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · from a complaint F-0565

View all 31 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jan 24, 2025▲ J · Immediate jeopardy, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jan 24, 2025E · Potential for more than minimal harm, patternThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Jan 24, 2025D · Potential for more than minimal harm, isolatedThe facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · from a complaint · F-0565
Jan 24, 2025D · Potential for more than minimal harm, isolatedThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610
Jan 24, 2025D · Potential for more than minimal harm, isolatedThe facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted. · F-0635
Jan 24, 2025D · Potential for more than minimal harm, isolatedThe facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644
Jan 24, 2025D · Potential for more than minimal harm, isolatedThe facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · F-0660
Jan 24, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Jan 24, 2025D · Potential for more than minimal harm, isolatedThe facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759
Jan 24, 2025D · Potential for more than minimal harm, isolatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Oct 18, 2023D · Potential for more than minimal harm, isolatedThe facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. · from a complaint · F-0808
Jun 8, 2023E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Jun 8, 2023E · Potential for more than minimal harm, patternThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
Jun 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · F-0553
Jun 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585
Jun 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Jun 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677
Jun 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679
Jun 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jun 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Jun 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Jun 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jun 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Jun 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · F-0919
Jul 30, 2021D · Potential for more than minimal harm, isolatedThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558
Jul 30, 2021D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Jul 30, 2021D · Potential for more than minimal harm, isolatedThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · F-0610
Jul 30, 2021D · Potential for more than minimal harm, isolatedThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Jul 30, 2021D · Potential for more than minimal harm, isolatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jul 30, 2021D · Potential for more than minimal harm, isolatedThe facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · F-0849
Jul 30, 2021D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (13 → 10).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2021
All citations: 7
Serious citations (G–L): 0
2023
All citations: 14
Serious citations (G–L): 0
2025
All citations: 10
Serious citations (G–L): 1

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202170D
2023140E
2025101J ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

7 fines totaling $41,616.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Jan 24, 2025Fine$17,345
Feb 20, 2024Fine$4,140
Feb 12, 2024Fine$3,798
Jan 22, 2024Fine$9,116
Jan 8, 2024Fine$2,279
Jan 2, 2024Fine$1,764
Dec 11, 2023Fine$3,174

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNew York averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.91
New York average: 3.58
U.S. average: 3.95
Registered Nurse hours
This facility: 0.37
New York average: 0.68
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.31
New York average: 3.13
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityNew York avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.913.583.95top 29% in New York; top 43% in the U.S.
Registered Nurse hours0.370.680.69bottom 9% in New York; bottom 18% in the U.S.
Weekend total nurse staffing3.313.133.50top 32% in New York; bottom 48% in the U.S.
Weekend RN hours (not acuity-adjusted)0.080.480.48bottom 1% in New York; bottom 1% in the U.S.
Total nursing staff turnover (%)48.240.345.8bottom 30% in New York; bottom 42% in the U.S.
RN turnover (%)70.039.842.9bottom 6% in New York; bottom 12% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.70, RN 0.35, weekend 3.13.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.70 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 2/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Cayuga Nursing and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Bertram, BrendaIndividual5% or Greater Direct Ownership Interest18%11/03/2014
Braunstein, ShalomIndividual5% or Greater Direct Ownership Interest30%11/03/2014
Manela, EstherIndividual5% or Greater Direct Ownership Interest18%11/03/2014
Braunstein, ShalomIndividualCorporate DirectorNOT APPLICABLE11/03/2014
Petrie, DavidIndividualW-2 Managing EmployeeNOT APPLICABLE07/20/2015

All 5 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "Does your facility have an active resident council, and how does management respond to its concerns?"
  • "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
  • "When a new resident arrives, how do you make sure the doctor's orders for their care and medications are in place from day one?"
  • "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
  • "How do you prepare residents and families for discharge, and what support do you arrange for after they leave?"
  • "How do you coordinate and monitor care for residents who receive dialysis?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 48% total nursing staff turnover here — who on the care team has been with you longest?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Beechtree Center for Rehabilitation and Nursing2.4 miIthaca, NY★★☆☆☆2/5
Kendal at Ithaca2.8 miIthaca, NY★★★★☆3/5
Oak Hill Rehabilitation and Nursing Care Center3.0 miIthaca, NY★★☆☆☆2/5
Groton Community Health Care Ctr Res Care Fac11.8 miGroton, NY★☆☆☆☆1/5
Northwoods Rehab and Nursing Center at Moravia18.3 miMoravia, NY★★★☆☆3/5
Schuyler Hospital INC and Long Term Care Unit18.6 miMontour Falls, NY★★★☆☆3/5

Compare this facility with the 3 closest →

All facilities in Ithaca →

Facility data as of CMS processing date 2026-08-01. CCN 335249.

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