Conesus Lake Nursing Home, LLC

Name: Conesus Lake Nursing Home, LLC
Address: 6131 Big Tree Road, Livonia, NY, 14487, US
Telephone: 5853463001

6131 Big Tree Road, Livonia, NY 14487 · Livingston County · 48 certified beds · avg 45 residents/day · certified since May 16, 1968

Part of chain: HURLBUT CARE (13 facilities, chain avg rating 3.8★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.44

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

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 self-reported quality measures.

All citations in the current public record (7)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 23, 2025	E · Potential for harm, repeated	The 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.
Apr 23, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Apr 23, 2025	D · Potential for harm, one-off	The 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.
Apr 23, 2025	B · Minimal risk, repeated	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Dec 1, 2023	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Dec 1, 2023	B · Minimal risk, repeated	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · from a complaint
Dec 29, 2021	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 4).

Year	Citations	Worst severity that year
2021	1	D
2023	2	D
2025	4	E

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)

No fines or payment denials in the published 3-year window.

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

Measure	This facility	New York avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.44	3.58	3.95	top 49% in New York; bottom 34% in the U.S.
Registered Nurse hours	0.67	0.68	0.69	top 34% in New York; top 39% in the U.S.
Weekend total nurse staffing	2.86	3.13	3.50	bottom 43% in New York; bottom 24% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.38	0.48	0.48	top 44% in New York; bottom 49% in the U.S.
Total nursing staff turnover (%)	46.2	40.3	45.8	bottom 35% in New York; bottom 47% in the U.S.
RN turnover (%)	12.5	39.8	42.9	top 3% in New York; top 6% in the U.S.

Hours are per resident per day, 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 3.11, RN 0.61, weekend 2.59. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

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

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Curletta, Mark	Individual	W-2 Managing Employee	NOT APPLICABLE	07/01/2024
Curletta, Mark	Individual	Corporate Officer	NOT APPLICABLE	07/01/2021
Hurlbut, Robert	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2007

Questions to ask on your visit

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

"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Avon Nursing Home L L C	6.2 mi	Avon, NY	★★★★☆	4/5
Livingston County Center for Nursing and Rehabilit	11.9 mi	Mount Morris, NY	★★☆☆☆	2/5
Leroy Village Green Residential Health C F, INC	18.5 mi	Leroy, NY	★★★★★	5/5
The Hurlbut	19.1 mi	Rochester, NY	★★☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Livonia →

Facility data as of CMS processing date 2026-08-01. CCN 335069.

The Care File

Visit checklist — Conesus Lake Nursing Home, LLC

6131 Big Tree Road, Livonia, NY 14487 · 5853463001

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 335069 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)