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Avon Nursing Home L L C

215 Clinton Street, Avon, NY 14414 · Livingston County · (585) 226-2225

40 certified beds, about 38 residents a day · For profit - Individual · Medicare and Medicaid since 1967

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 335216 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on October 2, 2024, inspectors cited 3 health deficiencies (the New York average is 8.1, the national average 9.2).

Of 6 health citations since September 2021, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $32,975 in the last three years; the largest was $32,975, and the latest is dated October 2, 2024.

Nurses and nurse aides worked 3.40 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.

48.9% of nursing staff left within the year CMS measured (New York average 40.3%).

CMS links it to Hurlbut Care, an affiliated group of 13 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 6 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
4D
0E
0F
Potential for minimal harm
0A
1B
0C
October 2, 2024Standard inspection · 3 citations
  1. G
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) November 22, 2024
    Inspectors wroteBased on observations, interviews, and record reviews conducted during the Recertification Survey from 09/26/2024 to 10/02/2024, the facility failed to ensure services were provided to maintain acceptable parameters of nutritional status for one (Resident #27) of two residents reviewed for nutrition. Specifically, Resident #27 had multiple meal refusals and decreased intakes (less than 50%) for approximately two months resulting in a 31 pound (14.4%) unplanned, severe weight loss. The facility could not provide evidence that nursing leadership, dietary or the medical team had been notified or any supplemental interventions had been implemented. This resulted in actual harm to Resident #27 that was not Immediate Jeopardy and is evidenced by the following: [...]
  2. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 22, 2024
    Inspectors wroteBased on observations, interviews, and record review conducted during the Recertification Survey from 09/26/2024 to 10/02/2024, the facility did not ensure residents were assessed by an interdisciplinary team to determine their ability to safely self-administer a medication for one (Resident #7) of six residents reviewed. Specifically, Resident #7 was observed with a prescribed inhaler kept at the beside with no documented evidence that an assessment had been completed to determine their ability to safely self-administer the medication or a physician's order for self-administration. This was evidenced by the following: Review of the facility policy Administering Medications, dated April 2019, revealed that medications are administered in accordance with prescribed orders. [...]
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 22, 2024
    Inspectors wroteBased on observation, interviews, and record review conducted during the Recertification Survey from 09/26/2024 to 10/02/2024, the facility did not develop and implement a comprehensive plan of care (including measurable goals and interventions) for one (Resident #14) of two residents reviewed for communication and sensory. Specifically, Resident #14's Comprehensive Care Plan did not include that the resident had profound hearing loss, used of an amplifier (hearing aid), or was able to read lips. This is evidenced by the following: The facility policy Resident-Centered Care Planning last reviewed February 2024, documented each resident will have a Comprehensive Resident-Centered Care Plan that is consistent with resident rights and person-centered care. [...]
February 17, 2023Standard inspection · 1 citation
  1. B
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) March 24, 2023
    Inspectors wroteBased on interviews and record review conducted during the Recertification Survey conducted 2/13/23 to 2/17/2023, it was determined that for four Residents (#9, #11, #19, #31) of four residents reviewed for Baseline Care Plans (BCP), the facility did not consistently develop and implement a BCP within 48 hours of admission that included the minimum healthcare information necessary to properly care for the immediate needs of the resident and did not provide the resident and/or resident representative a written summary of the BCP. Specifically, for Resident #11, the facility was unable to provide documented evidence that a BCP was created, or any summary of care provided to the resident or resident representative. [...]
September 30, 2021Standard inspection · 2 citations
  1. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 15, 2021
    Inspectors wroteBased on interviews and record reviews conducted during a Recertification Survey, completed on 9/30/21, it was determined for 1 (Resident #7) of 14 residents, the facility did not ensure that staff who have the skills and qualifications to assess relevant care areas and who are knowledgeable about the resident's status, needs, strengths and areas of decline, accurately complete the resident assessment. Specifically, Resident #7's Minimum Data Set (MDS) Assessments, dated 5/7/21 and 7/6/21, were incorrectly coded or did not include the resident's Level II Preadmission Screening and Resident Review (PASRR) conditions. This was evidenced by the following: [...]
  2. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 15, 2021
    Inspectors wroteBased on interviews and record reviews conducted during a Recertification Survey, completed on 9/30/21, it was determined for 1 (#7) of 14 residents reviewed the facility did not ensure that preadmission screening for an individual identified with an intellectual disability (ID) was completed prior to admission in order to receive care and services in the most integrated setting appropriate to their needs as per the regulations. Specifically, the Pre-admission Screen Resident Review (PASRR) for Resident #7, dated 10/2/17, was not completed by a qualified screener and did not accurately determine the need for a Level II screen (to assess for additional services). In addition, the facility did not reassess Resident #7 following a significant change in condition. This was evidenced by the following: [...]

Fire safety inspections

5 fire safety citations on file: 1 on February 17, 2023, 4 on September 30, 2021.

Every fire safety citation5 citations
  1. C
    Provide family notifications of emergency plan.
    E 35 · February 17, 2023 · Corrected (the home has a date of correction)
  2. E
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · September 30, 2021 · Corrected (the home has a date of correction)
  3. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · September 30, 2021 · Corrected (the home has a date of correction)
  4. C
    Establish emergency prep training and testing.
    E 36 · September 30, 2021 · Corrected (the home has a date of correction)
  5. C
    Establish staff and initial training requirements.
    E 37 · September 30, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
October 2, 2024Fine $32,975

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeNew YorkUnited States
All nursing staff (RN, LPN and aides)3.403.633.86
Registered nurses0.490.710.69
All nursing staff on weekends3.003.183.42
Nurse aides2.06
Licensed practical nurses0.85
Nursing staff turnover (share who left in a year)48.9%40.3%45.8%
Registered nurse turnover14.3%39.8%42.9%
Administrators who left0

CMS expects 3.40 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.56 on weekdays and 3.00 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.30 in April to June 2025 to 3.40 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.400.493.563.00 0.0%2 of 9038
Oct to Dec 20253.490.633.702.98 0.0%0 of 9237
Jul to Sep 20253.210.623.372.81 0.0%0 of 9239
Apr to Jun 20253.300.643.532.70 0.0%0 of 9138
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
New York, Jan to Mar 20263.550.683.723.139.8%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNew YorkUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
21.614.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
2.40.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
4.11.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.23.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
16.812.514.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.76.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
14.713.715.4

Owners and operators

Legal business name: AVON NURSING HOME, LLC. CMS links this home to Hurlbut Care, a group of 13 nursing homes averaging 3.8 stars overall.

NameRoleTypeShareSince
Curletta, MarkW-2 managing employeeIndividual07/16/2021
Curletta, MarkCorporate officerIndividual07/16/2021
Curletta, MarkOperational/managerial controlIndividual07/16/2021
Hurlbut, RobertOperational/managerial controlIndividual04/01/2007

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on October 2, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on October 2, 2024: "Provide enough food/fluids to maintain a resident's health."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on October 2, 2024: "Allow residents to self-administer drugs if determined clinically appropriate."
  4. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.00 hours per resident per day, below the New York average of 3.18.

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Common questions

What is Avon Nursing Home L L C's Medicare star rating?
CMS rates Avon Nursing Home L L C 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Avon Nursing Home L L C get at its last inspection?
3 health deficiencies at the standard inspection on October 2, 2024. The New York average is 8.1.
Has Avon Nursing Home L L C been fined?
Yes. CMS lists 1 fine totaling $32,975 in the last three years.
Does Avon Nursing Home L L C accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Avon Nursing Home L L C?
CMS lists 4 owners and managers, and links the home to Hurlbut Care. Legal business name: AVON NURSING HOME, LLC.

Sources

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