All states › New York › Ithaca › Cayuga Nursing and Rehabilitation Center
1229 Trumansburg Road Ithaca, NY 14850 · Tompkins County
All 4 nursing homes in Ithaca, NY (4 take Medicaid)
CMS certification number 335249 · See this home on Medicare Care Compare
Is Cayuga Nursing and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Cayuga Nursing and Rehabilitation Center as of October 2026.
CMS rates it 2 out of 5 stars overall, below the New York average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.69 hours per resident per day at Cayuga Nursing and Rehabilitation Center, above the New York median of 3.57 (US median: 3.72). About 0.37 of those hours are from registered nurses. On weekends it falls to 3.05 hours, 17% below its all-week average. Ask how weekends are staffed. 43.1% of nursing staff left within a year (New York median 38.3%).
About this nursing home
Paying for care at Cayuga Nursing and Rehabilitation Center: Medicare and Medicaid
Cayuga Nursing and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet New York's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on January 24, 2025 and found 7 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 31 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 31 citations at Cayuga Nursing and Rehabilitation Center across 4 inspection dates, 4 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on January 24, 2025 (complaint inspection). The most common areas cited were quality of life and care (8) and resident rights (6). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, January 24, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
January 24, 2025 · 10 citations · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DHonor the resident's right to organize and participate in resident/family groups in the facility.
DRespond appropriately to all alleged violations.
DProvide doctor's orders for the resident's immediate care at the time the resident was admitted.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DPlan the resident's discharge to meet the resident's goals and needs.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DEnsure medication error rates are not 5 percent or greater.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
October 18, 2023 · 1 citation · includes complaint inspection
DEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
June 8, 2023 · 13 citations
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DAllow resident to participate in the development and implementation of his or her person-centered plan of care.
DHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide activities to meet all resident's needs.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide enough food/fluids to maintain a resident's health.
DProvide safe and appropriate respiratory care for a resident when needed.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide and implement an infection prevention and control program.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
July 30, 2021 · 7 citations
DReasonably accommodate the needs and preferences of each resident.
DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
DRespond appropriately to all alleged violations.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Cayuga Nursing and Rehabilitation Center
- Inspectors cited the home at the immediate-jeopardy level on January 24, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on January 24, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 17% below the all-week average. Who is on duty on Saturday nights?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
7 penalties in the last three years, including $41,616 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jan 24, 2025 | Fine | $17,345 |
| Feb 20, 2024 | Fine | $4,140 |
| Feb 12, 2024 | Fine | $3,798 |
| Jan 22, 2024 | Fine | $9,116 |
| Jan 8, 2024 | Fine | $2,279 |
| Jan 2, 2024 | Fine | $1,764 |
| Dec 11, 2023 | Fine | $3,174 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 2/5 | 3/5 |
| August 2026 | 2/5 | 2/5 | 2/5 | 3/5 |
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Location
Hospitals near Cayuga Nursing and Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.5 mi
Cayuga Medical Center at Ithaca IthacaEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 4h 4m for patients treated and sent home
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18.3 mi
Schuyler Hospital, INC Montour FallsEmergency roomMedian ER visit 1h 51m for patients treated and sent home
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20.3 mi
Cortland Regional Medical Center, INC CortlandEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 2m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Higher-rated nursing homes within 10 miles
- Kendal at Ithaca · Ithaca · 4 stars · 2.8 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.