Conesus Lake Nursing Home, LLC
6131 Big Tree Road, Livonia, NY 14487 · Livingston County · (585) 346-3001
48 certified beds, about 45 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1968
CMS Care Compare ratings, data as of September 1, 2026 · CCN 335069 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 23, 2025, inspectors cited 4 health deficiencies (the New York average is 8.1, the national average 9.2).
None of its 7 health citations since December 2021 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.11 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.61 of those hours.
46.2% 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.
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 7 health citations on file.
April 23, 2025Standard inspection · 4 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interviews, and record review conducted during a Recertification Survey from 04/17/2025 to 04/23/2025, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infections for two (2) (Residents #12 and #25) of eight (8) residents reviewed. Specifically, Resident #12 received wound care by staff who were not wearing the appropriate personal protective equipment (PPE- equipment such as gown, gloves and/or facemask worn to minimize exposure to infectious diseases). Resident #25 received an insulin injection by a staff member who was not wearing gloves and did not perform hand hygiene before or after the injection.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on observations, interviews and record reviews conducted during a Recertification Survey from 04/17/2025 to 04/23/2025, for one (1) (Resident #15) of one (1) resident reviewed, the facility did not ensure the resident's physician was notified immediately when there was a need to alter treatment significantly (discontinuing an existing form of treatment due to adverse consequences). Specifically, Resident #15 had complained of nostril pain while receiving a prescribed nasal spray four times daily and refused the medication repeatedly. There was no documented evidence that the physician or medical team was notified.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observations, interviews, and record review conducted during a Recertification Survey from 04/17/2025 to 04/23/2025, for two (2) (Resident #33 and Resident #36) of eight (8) residents reviewed, the facility did not ensure a medication error rate of five percent or less. There were two (2) medication errors for 25 opportunities resulting in a medication error rate of eight (8) percent. Specifically, during an observation of medication administration Resident #33 and Resident #36 were administered the incorrect medication.
- B Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on interviews and record review conducted during the Recertification Survey from 04/14/2025 to 04/18/2025, for one (1) (Resident #40) of one (1) resident reviewed the facility did not provide the appropriate liability and appeal notice to a Medicare beneficiary. Specifically, Resident #40 was discharged and there was no documented evidence the facility provided the resident and/or their representative with a Notice of Medicare Noncoverage (NOMNC) letter explaining their termination of Medicare A benefits and appeal rights as required by the regulations. This is evidenced by the following: Resident #40 was admitted to the facility on [DATE] under Medicare Part A benefits and discharged from the facility with days remaining on 01/31/2025. [...]
December 1, 2023Standard inspection, Complaint inspection · 2 citations
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review conducted during a Recertification Survey conducted 11/27/23 to 12/1/23, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, one of one kitchen had unclean appliances and all units had foods either unlabeled, undated, or outdated.
- B Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on interview and record review conducted during the Recertification Survey completed on 12/1/23, the facility did not provide the appropriate liability and appeal notices to Medicare beneficiaries at the termination of Medicare coverage for two (Residents #16 and 39) of two residents reviewed. Specifically, the facility did not provide a Skilled Nursing Facility (SNF) Advance Beneficiary Notice (ABN, form 10055) (Resident #16 and 39) and did not provide a Notice of Medicare Noncoverage (NOMNC, form 10123) (Resident #39) to the resident and/or their responsible party (RP) until after surveyor intervention.
December 29, 2021Standard inspection · 1 citation
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on record review and interview conducted during the Standard Recertification Survey completed on 12/29/21, it was determined that for one (Employee #3) of five employee files reviewed, the facility did not implement written policies and procedures to prevent abuse, neglect, exploitation, and misappropriation of resident property related to screening prospective employees. Specifically, a nurse aide registry abuse screening was not completed for an individual prior to hire.
Fire safety inspections
3 fire safety citations on file: 1 on April 23, 2025, 1 on December 1, 2023, 1 on December 29, 2021.
Every fire safety citation3 citations
- E Inspect, test, and maintain automatic sprinkler systems.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Develop a communication plan.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New York | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.11 | 3.63 | 3.86 |
| Registered nurses | 0.61 | 0.71 | 0.69 |
| All nursing staff on weekends | 2.59 | 3.18 | 3.42 |
| Nurse aides | 1.85 | ||
| Licensed practical nurses | 0.65 | ||
| Nursing staff turnover (share who left in a year) | 46.2% | 40.3% | 45.8% |
| Registered nurse turnover | 12.5% | 39.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.47 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 3.33 on weekdays and 2.59 on weekends, 22% 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 3.58 in April to June 2025 to 3.11 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.11 | 0.61 | 3.33 | 2.59 | 0.0% | 0 of 90 | 45 |
| Oct to Dec 2025 | 3.21 | 0.66 | 3.37 | 2.81 | 0.0% | 1 of 92 | 45 |
| Jul to Sep 2025 | 3.20 | 0.68 | 3.41 | 2.67 | 0.0% | 0 of 92 | 46 |
| Apr to Jun 2025 | 3.58 | 0.62 | 3.87 | 2.87 | 0.0% | 0 of 91 | 44 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New York, Jan to Mar 2026 | 3.55 | 0.68 | 3.72 | 3.13 | 9.8% | 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.
| Measure | This home | New York | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 16.8 | 14.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.5 | 1.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.5 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.1 | 12.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.8 | 6.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.7 | 13.7 | 15.4 |
Owners and operators
Legal business name: CONESUS LAKE NURSING HOME, LLC. CMS links this home to Hurlbut Care, a group of 13 nursing homes averaging 3.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Curletta, Mark | W-2 managing employee | Individual | 07/01/2024 | |
| Curletta, Mark | Corporate officer | Individual | 07/01/2021 | |
| Hurlbut, Robert | Operational/managerial control | Individual | 04/01/2007 |
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.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on April 23, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on April 23, 2025: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on April 23, 2025: "Ensure medication error rates are not 5 percent or greater."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on December 1, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.59 hours per resident per day, below the New York average of 3.18.
Other nursing homes nearby
- Avon Nursing Home L L C Avon, 6.2 mi · 4 of 5 stars · 6 citations
- Livingston County Center for Nursing and Rehabilit Mount Morris, 11.9 mi · 2 of 5 stars · 16 citations
- Leroy Village Green Residential Health C F, Inc Leroy, 18.5 mi · 5 of 5 stars · 6 citations
- The Hurlbut Rochester, 19.1 mi · 2 of 5 stars · 13 citations
- Jewish Home of Rochester Rochester, 20.1 mi · 5 of 5 stars · 7 citations
- Monroe Community Hospital Rochester, 20.1 mi · 1 of 5 stars · 11 citations
- Woodside Manor Nursing Home Inc Rochester, 20.2 mi · 4 of 5 stars · 14 citations
- The Highlands at Brighton Rochester, 20.3 mi · 3 of 5 stars · 25 citations
New York contacts for a concern about a nursing home
These are the official offices in New York. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: New York State Department of Health, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- State inspection reports: NYS Health Profiles: Nursing Homes, where New York publishes its own records on licensed homes.
Common questions
- What is Conesus Lake Nursing Home, LLC's Medicare star rating?
- CMS rates Conesus Lake Nursing Home, LLC 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Conesus Lake Nursing Home, LLC get at its last inspection?
- 4 health deficiencies at the standard inspection on April 23, 2025. The New York average is 8.1.
- Has Conesus Lake Nursing Home, LLC been fined?
- CMS lists no fines in the last three years.
- Does Conesus Lake Nursing Home, LLC 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 Conesus Lake Nursing Home, LLC?
- CMS lists 3 owners and managers, and links the home to Hurlbut Care. Legal business name: CONESUS LAKE NURSING HOME, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.