THE PINES HEALTHCARE & REHAB CTRS MACHIAS CAMPUS

MACHIAS, NY

CMS provider ID 335578CMS source updated July 29, 2026

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CMS overview

CMS overall

Health inspection

Staffing

Quality-measure

No proprietary TrustHub score. These ratings are published separately by CMS.

How CMS describes these ratings

CMS overall rating: The CMS overall rating summarizes health inspections, staffing, and quality measures within Medicare's Five-Star system.
Health inspection rating: The CMS health inspection rating reflects findings from standard and complaint inspections used in Medicare's Five-Star system.
Staffing rating: The CMS staffing rating reflects staffing levels and related measures used in Medicare's Five-Star system.
Quality-measure rating: The CMS quality-measure rating summarizes selected resident assessment and claims-based measures used in Medicare's Five-Star system.

CMS certified beds: 115
Ownership descriptor: Government - County
Medicare participation: Yes
Medicaid participation: Yes

Facility information

Contact

CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.

Phone: 7163538516Verified public information · checked Aug 2026

State regulatory evidence

State License & Oversight

New York State Department of Health is the state source for this license record. It does not replace CMS federal certification, ratings, or certified-bed counts.

New York State Department of Health

Operating certificate: 0469300N
License type: Residential Health Care Facility - SNF
State licensed capacity: 115 bedsCMS certified beds: 115
Operator: County of CattaraugusState-identified operator — not automatically the owner or chain

State regulatory data · checked Aug 2026

View source details · Official NY source

Decision guide

What to review

Factual evidence to examine before you decide. These summaries are not a score or recommendation.

Staffing

CMS publishes a 5-star staffing rating for this facility.

RN staffing was 0.49 hours per resident day in 2026Q1, calculated from CMS PBJ records.

View staffing evidence

Inspections

The latest standard inspection on Feb 3, 2025 cited 1 deficiencies.

View inspection evidence

Ownership

CMS-published records list 8 ownership or control parties.

View ownership evidence

Enforcement record

CMS records show a $125,453 fine in the loaded enforcement dataset.

View enforcement evidence →

Ownership & operation

Ownership & Operation

Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.

Ownership type: Government - CountyCMS
Operator: County of CattaraugusNew York State Department of Health

Supported by multiple government sources

Who is behind this facility?

SeniorTrustHub found evidence connecting this facility to:

an operating organization identified by the state regulator
1 CMS-reported ownership organization
CMS reports 6 individual ownership interests

Ownership

Who CMS records show is connected to this facility

These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.

Reported party records: 8
Organizations shown: 2
Individuals shown: 6
Latest ownership source update: Jul 27, 2026

CMS-published ownership and control parties

COUNTY OF CATTARAUGUS
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jan 1, 1966
Other facilities connected through this exact CMS organization identity: 0 across NY.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
LIEBER, KENT
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 1, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
SCHMIDT, TAMMY
Individual · ADP OF THE SNF
Association date reported to CMS: Feb 21, 2025
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
BURR, MARK
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: Dec 12, 2023
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
GUGINO, CAROL
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 15, 2017
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
LIEBER, KENT
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2011
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
SCHMIDT, TAMMY
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2011
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Ownership
CMS dataset identifier
y2hd-n93e
Source updated
Jul 1, 2026
Retrieved
Aug 15, 2026
View official CMS source
COUNTY OF CATTARAUGUS
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 1 across NY.
View ownership source details
Source organization
Centers for Medicare & Medicaid Services (CMS)
Dataset
Skilled Nursing Facility Enrollments
CMS dataset identifier
5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated
Jul 27, 2026
Retrieved
Aug 15, 2026
View official CMS source

What this means

Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.

Questions to ask

CMS records list several organizations with ownership or control roles. Which entity is responsible for day-to-day operations at this facility?
CMS records connect COUNTY OF CATTARAUGUS to 2 facilities. Which policies and staffing decisions are managed centrally versus locally?

Inspections & deficiencies

What CMS inspection records show

Scope and severity terms below are CMS classifications. They are not a TrustHub score.

Latest recorded inspection

Date: Feb 3, 2025
Survey type: Fire Safety Standard
Linked findings: 0
Highest linked CMS classification: No linked health-deficiency finding in the loaded record

View source details

Dataset: Inspection Dates
CMS dataset ID: svdt-c123
CMS source updated: Jul 1, 2026
CMS provider ID: 335578
Source record locator: csv-row:85102:ccn:335578

View official CMS source

Feb 3, 2025 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Feb 3, 2025 — Health Complaint — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Feb 3, 2025 — Health Standard — 1 linked finding

F0835 — Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 21, 2025)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
335578
Source record locator
csv-row:239583:ccn:335578
View official CMS source

Sep 13, 2023 — Health Complaint — 1 linked finding

F0656 — Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 11, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
335578
Source record locator
csv-row:239589:ccn:335578
View official CMS source

Jan 27, 2023 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jan 27, 2023 — Health Standard — 3 linked findings

F0578 — 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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 28, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
335578
Source record locator
csv-row:239586:ccn:335578
View official CMS source
F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 28, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
335578
Source record locator
csv-row:239587:ccn:335578
View official CMS source
F0836 — Administration Deficiencies
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Mar 28, 2023)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
335578
Source record locator
csv-row:239588:ccn:335578
View official CMS source

Jan 15, 2020 — Fire Safety Standard — 0 linked findings

No health-deficiency rows were deterministically linked to this inspection.

Jan 15, 2020 — Health Standard — 2 linked findings

F0607 — Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 28, 2020)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
335578
Source record locator
csv-row:239590:ccn:335578
View official CMS source
F0686 — Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 28, 2020)
View source details
Dataset
Health Deficiencies
CMS dataset ID
r5ix-sfxw
CMS source updated
Jul 1, 2026
CMS provider ID
335578
Source record locator
csv-row:239591:ccn:335578
View official CMS source

Penalties & enforcement

CMS penalty records in the loaded three-year dataset

Fine — Feb 3, 2025
Published fine amount: $125,453.00
View source details
Dataset
Penalties
CMS dataset ID
g6vv-u9sr
CMS source updated
Jul 1, 2026
CMS provider ID
335578
Source record locator
csv-row:9174:ccn:335578
View official CMS source

Questions to ask

Questions generated from the evidence above

CMS records show a monetary penalty dated Feb 3, 2025. What changes were made after that enforcement action?

Facility history

Facility History

26 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.

What changed recently?

State complaint inspection recordedNew York State Department of Health recorded a complaint-related inspection on 2026-04-10.
Total nurse staffing decreasedTotal nurse staffing decreased from 4.30 to 3.76 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.

2026

Apr 10
State complaint inspection recorded
New York State Department of Health recorded a complaint-related inspection on 2026-04-10.
New York State Department of Health · Recorded event date · View related evidence
Apr 10
State complaint inspection recorded
New York State Department of Health recorded a complaint-related inspection on 2026-04-10.
New York State Department of Health · Recorded event date · View related evidence
Mar 2026
Total nurse staffing decreased
Total nurse staffing decreased from 4.30 to 3.76 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
4.30 → 3.76
CMS · Reported in a source release · View related evidence
Feb 25
State complaint inspection recorded
New York State Department of Health recorded a complaint-related inspection on 2026-02-25.
New York State Department of Health · Recorded event date · View related evidence
Feb 25
State complaint inspection recorded
New York State Department of Health recorded a complaint-related inspection on 2026-02-25.
New York State Department of Health · Recorded event date · View related evidence

2025

Dec 22
State complaint inspection recorded
New York State Department of Health recorded a complaint-related inspection on 2025-12-22.
New York State Department of Health · Recorded event date · View related evidence
Oct 23
State fine recorded
New York State Department of Health recorded a state fine of $24,000 on 2025-10-23.
New York State Department of Health · Recorded event date · View related evidence
Feb 3
Civil monetary penalty recorded
CMS recorded a $125,453 civil monetary penalty.
CMS · Recorded event date · View related evidence
Feb 3
Complaint inspection recorded
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
Feb 3
Health inspection completed
1 deficiency was recorded.
CMS · Recorded event date · View related evidence

2024

Dec 5
State complaint inspection recorded
New York State Department of Health recorded a complaint-related inspection on 2024-12-05.
New York State Department of Health · Recorded event date · View related evidence
Aug 30
State complaint inspection recorded
New York State Department of Health recorded a complaint-related inspection on 2024-08-30.
New York State Department of Health · Recorded event date · View related evidence

Staffing

Reported nursing staffing at a glance

CMS staffing rating: 5 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).

Inspect a PBJ quarter

Total nursing: 3.761
RN categories: 0.486
LPN/LVN categories: 0.769
CNA: 2.506

Weekday and weekend calculations

2026Q1 reported hours per resident day
Measure	Monday–Friday	Saturday–Sunday
Total nursing	3.928	3.351
RN categories	0.602	0.2

Contract staff accounted for 18.2% of reported nursing hours included in this quarter calculation.

PBJ reports zero combined RN-category hours on 3 days with a positive MDS census in this quarter.

Reported RN-category hours per resident day were 0.028 lower than the prior loaded quarter.

Staffing over time

Solid bar: Total nursing · Outlined bar: RN categories

Calculated reported hours per resident day by PBJ quarter
Quarter	Total nursing	RN categories	LPN/LVN	CNA	Contract share	Days
2025Q2	4.456	0.527	1.122	2.807	15.4%	91
2025Q3	4.428	0.544	1.092	2.792	15.7%	92
2025Q4	4.301	0.514	1.055	2.733	16.7%	92
2026Q1	3.761	0.486	0.769	2.506	18.2%	90

Questions to ask

PBJ records show lower calculated RN-category hours per resident day on weekends this quarter. How does the facility plan RN coverage on Saturdays and Sundays?
PBJ records show that some reported nursing hours were contract hours. How does the facility orient and integrate contract staff?

Staffing source and calculation details

Source: Centers for Medicare & Medicaid Services (CMS)
Dataset: Payroll Based Journal Daily Nurse Staffing
CMS dataset ID: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Quarter: 2026Q1
Coverage: Jan 1, 2026–Mar 31, 2026
Days represented: 90 (90 with positive MDS census)
CMS source updated: Jul 29, 2026
Calculation version: pbj-quarter-ratio-of-sums-v1

Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.

View official CMS PBJ source

What we can verify today

Current Provider Information facts

These measures come from the current successfully ingested CMS Nursing Home Provider Information release.

CMS reports a 2-star overall rating.
CMS reports a 2-star health inspection rating.
CMS reports a 5-star staffing rating.
CMS reports a 1-star quality-measure rating.

Planned evidence layers

Additional public-source research

These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.

Chain / portfolio intelligence

Trust participation

See something that needs correction?

Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.

Suggest a correction Report a source-data concern Represent this facility? Submit a profile claim

How corrections work

Source register

See where this record came from

Provider Information

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 4pq5-n9py
Source updated: Jul 29, 2026
Retrieved: Aug 14, 2026
Supports: Overview, facility facts, and CMS ratings

View official CMS source

Inspection Dates

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: svdt-c123
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Inspections and facility history

View official CMS source

Health Deficiencies

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: r5ix-sfxw
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Health deficiencies and facility history

View official CMS source

Penalties

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: g6vv-u9sr
Source updated: Jul 1, 2026
Retrieved: Aug 14, 2026
Supports: Penalties, enforcement, and facility history

View official CMS source

Payroll Based Journal Daily Nurse Staffing

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 7e0d53ba-8f02-4c66-98a5-14a1c997c50d
Coverage: Apr 1, 2025–Mar 31, 2026
Source updated: Jul 29, 2026
Retrieved: Aug 15, 2026
Supports: PBJ staffing cards, history, and transparent calculations

View official CMS source

Ownership

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: y2hd-n93e
Source updated: Jul 1, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Skilled Nursing Facility Enrollments

Source organization: Centers for Medicare & Medicaid Services (CMS)
Dataset identifier: 5f2c306f-3b1c-42cd-b037-187b2ce22126
Source updated: Jul 27, 2026
Retrieved: Aug 15, 2026
Supports: Ownership parties, organization connections, and ownership history

View official CMS source

Verified public facility information

Source organization: Public facility listing
Dataset identifier: commercial-corroboration:public-listing
Source updated: Aug 18, 2026
Retrieved: Aug 18, 2026
Supports: Independently verified public website, phone, or publicly used name. Not a CMS rating or regulatory status.

How sources work

Health Facility General Information (HFIS)

Source organization: New York State Department of Health
Dataset identifier: state-regulator:ny
Coverage: Operating certificate 0469300N
Source updated: Aug 18, 2026
Retrieved: Aug 18, 2026
Supports: operating certificate, license type, state licensed capacity, and operator. Separate from CMS certification, ratings, and ownership.

View official state source

No paid placements. Facilities cannot pay to rank higher. We cite. You decide.

CMS rating overview

CMS overall

Health inspection

Staffing

Quality-measure

Contact

State License & Oversight

What to review

Staffing

Inspections

Ownership

Ownership & Operation

Who is behind this facility?

Who CMS records show is connected to this facility

CMS-published ownership and control parties

COUNTY OF CATTARAUGUS

LIEBER, KENT

SCHMIDT, TAMMY

BURR, MARK

GUGINO, CAROL

LIEBER, KENT

SCHMIDT, TAMMY

COUNTY OF CATTARAUGUS

What this means

Questions to ask

What CMS inspection records show

Latest recorded inspection

F0835 — Administration Deficiencies

F0656 — Resident Assessment and Care Planning Deficiencies

F0578 — Resident Rights Deficiencies

F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

F0836 — Administration Deficiencies

F0607 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

F0686 — Quality of Life and Care Deficiencies

CMS penalty records in the loaded three-year dataset

Fine — Feb 3, 2025

Questions generated from the evidence above

Facility History

What changed recently?

2026

2025

2024

Reported nursing staffing at a glance

Weekday and weekend calculations

Staffing over time

Questions to ask

Current Provider Information facts

Additional public-source research

See something that needs correction?

See where this record came from