CUBA MEMORIAL HOSPITAL INC SNF
140 WEST MAIN STREET
CUBA, NY, 14727
5859682000
CCN: 335364
3
Overall4
Health3
Staffing1
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
JEWISH MEMORIAL HOSPITAL
1160
Excluded 1983-07-05
Ownership
| Name | Role | % |
|---|---|---|
| CUBA MEMORIAL HOSPITAL, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| CUBA MEMORIAL HOSPITAL, INC. | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| TACKENTIEN, LUKE | CORPORATE DIRECTOR | NOT APPLICABLE |
| BLACK, AMY | CORPORATE DIRECTOR | NOT APPLICABLE |
| BROWN, THOMAS | CORPORATE DIRECTOR | NOT APPLICABLE |
| FOX, RALPH | CORPORATE DIRECTOR | NOT APPLICABLE |
| KUNZ, MARJANNE | CORPORATE DIRECTOR | NOT APPLICABLE |
| RINKER, MARK | CORPORATE DIRECTOR | NOT APPLICABLE |
| IRELAND, RUTH | CORPORATE OFFICER | NOT APPLICABLE |
| KANE, HUNTER | CORPORATE OFFICER | NOT APPLICABLE |
| CUBA MEMORIAL HOSPITAL, INC. | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| KANE, HUNTER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2024-05-17 | Payment Denial | 55 days |
Health Deficiencies (15)
2024-05-17 · Health
B
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F580 · Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
D
F578 · 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.
2023-12-08 · Health
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
2022-09-22 · Health
E
F925 · Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
D
F886 · Infection Control Deficiencies
Perform COVID19 testing on residents and staff.
B
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
F
F727 · 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.
D
F700 · 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.
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2019-12-12 · Health
B
F655 · 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
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.91
RN Hrs/Resident/Day0.54
0.65
LPN Hrs/Resident/Day0.81
0.80
CNA Hrs/Resident/Day2.33
2.46
PT Hrs/Resident/Day0.12
0.07
Data as of 2026-03-01