MEDINA MEMORIAL HOSPITAL S N F
Open-data reference.
MEDINA MEMORIAL HOSPITAL S N F is a non profit - other facility in MEDINA, NY with 30 certified beds and a 5-star overall CMS rating. The facility has 8 deficiency records on file.
200 OHIO STREET, MEDINA, NY 14103
Phone: 5857982000
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 335313
- Ownership
- Non profit - Other
- Provider Type
- Medicare and Medicaid
- Beds
- 30
- Residents
- 30
- In Hospital
- Yes
- County
- Orleans
- Last Inspection
- May 24, 2024
Staffing Data
- RN Hours
- 0.82 (nat'l avg: 0.68)
- LPN Hours
- 0.87
- CNA Hours
- 2.32
- Total Nursing Hours
- 4.01 (nat'l avg: 3.89)
- PT Hours
- 0.02
- Nursing Turnover
- 44.7%
- RN Turnover
- 33.3%
What the CMS Record Reveals About MEDINA MEMORIAL HOSPITAL S N F
MEDINA MEMORIAL HOSPITAL S N F operates 30 certified beds in MEDINA, NY with approximately 30 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (5★), staffing levels (4★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 8 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.01 total nursing hours per resident day (national average 3.89), with RN coverage at 0.82 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "Non profit - Other" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, MEDINA MEMORIAL HOSPITAL S N F falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 44.7%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (8 most recent)
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 17, 2024
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.
Category: Resident Rights Deficiencies
Corrected: Jun 17, 2024
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.
Category: Nursing and Physician Services Deficiencies
Corrected: Sep 23, 2022
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.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 12, 2022
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Category: Resident Rights Deficiencies
Corrected: Sep 16, 2022
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.
Category: Nursing and Physician Services Deficiencies
Corrected: Mar 6, 2020
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.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 6, 2020
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Mar 6, 2020
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.2% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 1.9% | No |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.8% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.2% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.7% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 83.8% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | N/A | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | N/A | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.2% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 7.8% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.1% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 27.4% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.5% | Yes |
Penalty History
No penalties on record.
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County Health Data
Health outcomes, access, and quality metrics for Orleans on PlainHealth
Frequently Asked Questions
What is the overall CMS rating for MEDINA MEMORIAL HOSPITAL S N F?
What are the staffing levels at MEDINA MEMORIAL HOSPITAL S N F?
How many beds does MEDINA MEMORIAL HOSPITAL S N F have?
Does MEDINA MEMORIAL HOSPITAL S N F have any deficiencies on record?
Has MEDINA MEMORIAL HOSPITAL S N F received any fines or penalties?
Who owns MEDINA MEMORIAL HOSPITAL S N F?
When was MEDINA MEMORIAL HOSPITAL S N F last inspected?
What quality measures are tracked for MEDINA MEMORIAL HOSPITAL S N F?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.