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Park Ridge Nursing Home

1555 Long Pond Road, Rochester, NY 14626 · Non profit - Corporation · 120 certified beds · (585) 723-7205 Medicare & Medicaid certified

Call the home — (585) 723-7205 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 17 lower-level deficiencies on record (see below)
Insights

On the public record, this home looks stronger than most — but visit before you decide.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • a high number of inspection citations overall (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

5/5
CMS overall
5 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 5 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1561 Long Pond Rd Ste 410 · (888) 300-9660 · Call to confirm hours
Pharmacy
1561 Long Pond Rd · (585) 723-7340 · Call to confirm hours
Grocery
2544 Ridgeway Ave · (585) 319-3681 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 5 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 5 to 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased10.7%14.1%15.4%better
Long-stay residents who lose too much weight6.6%5.8%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.5%0.9%better
Long-stay residents with a urinary tract infection0.0%1.3%2.0%better
Long-stay residents with depressive symptoms2.2%19.5%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury9.8%3.1%3.3%worse
Long-stay residents whose ability to walk worsened13.4%12.5%16.1%better
Long-stay residents on antianxiety or hypnotic medication8.8%13.2%18.9%better
Long-stay residents given the seasonal flu vaccine97.7%95.3%95.3%typical
Long-stay residents with pressure ulcers7.3%6.5%4.7%worse
Long-stay residents with worsening bladder/bowel control10.2%19.5%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table12.1%13.7%17.1%better
Short-stay residents who newly got an antipsychotic medication0.2%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine89.9%78.8%79.4%better
Short-stay residents rehospitalized after admission23.0%20.6%22.6%typical
Short-stay residents with an outpatient ER visit5.6%9.6%12.0%better
Long-stay hospitalizations per 1,000 resident days1.261.701.67better
Long-stay outpatient ER visits per 1,000 resident days0.511.361.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

57.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 235 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

57.2%U.S. median 51.5%
Got home and stayed home
11.5%U.S. median 10.7%
Went back to hospital
57.4%U.S. median 56.6%
Met the expected recovery
0.63U.S. median 0.31
Therapy hours / resident / day
0.33hours / resident / day
Physical therapy
0.26hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 57.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 108 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.63 therapist hours per resident per day in 2026Q1 — more than 89% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF57.2%CMS range 51.3–63.551.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.5%CMS range 8.4–14.710.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge57.4%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge44.4%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge49.1%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified97.7%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting76.2%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge95.7%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay2.3%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.8%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.4%CMS range 5.0–11.67.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.841.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.63
RN hours/ resident / day
1.11
LPN hours/ resident / day
2.62
Aide hours/ resident / day
4.36
Total nurse hours/ resident / day
0.35
RN hoursweekends
41.9%
Total nursing turnover
47.6%
RN turnover

How full it usually is: this home is certified for 120 beds and averages 121.6 residents a day — about 101% occupied, or roughly -2 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.36 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.63 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.62 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.74 hrs/resident/day on weekends vs 4.62 on weekdays — 19% thinner on weekends. RN hours go from 0.75 to 0.35 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 42% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

6
deficiencies at the latest standard inspection (2024-04-29)
5
at the previous standard inspection (2022-08-19)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.

  • Potential for harm · D2026-05-01 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review, the facility failed to ensure a medication error rate of less than five (5) percent for one (1) of three (3) residents reviewed (Resident #23). Specifically, Resident #23's scheduled 9:00 AM doses of chlorhexidine (an antimicrobial oral rinse used to reduce oral bacteria and prevent infection), fluoride sodium 1.1 percent paste (a prescription-strength fluoride dental medication used to prevent tooth decay), and zinc oxide-white petrolatum paste (a topical skin protectant medication used to treat and prevent skin irritation) were not administered and documented within the facility's established medication administration timeframe. There were three (3) medication errors out of 32 opportunities, resulting in a medication error rate of 9.375 percent.The findings include:Review of the facility policy Medication Administration, dated July 2025, revealed medications were to be administered following a valid physician order entered into the Electronic Medical Record (an electronic system used to maintain resident health information),…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has no plan of correction
  • Potential for harm · E2024-04-29 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review conducted during a Recertification Survey, it was determined that for four of four resident cottages the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, potentially hazardous foods (raw shell eggs) were not being fully cooked. The findings are: Review of the facility policy titled 'Production Recipe Egg Bkfst' last revised 4/23/2024 included the following: Fresh Egg, cook to a minimum internal temperature of 145° F (71 degrees C) for 15 seconds. The policy also included that if shell eggs are used, follow instructions according to state safe handling specifications. Use of pasteurized eggs is recommended unless egg is served directly from grill to plate. A second policy titled 'Egg Fried bkfst (fresh)' included: [NAME] over low heat, turning once during cooking, until yolks are set and whites are firm. [NAME] to a minimum internal temperature of 145°F (63° C) for 15 seconds. Observations on 4/22/24 at 1:24 PM included two flats of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-29 · tag F0578 — failed to honor advance directives / code status — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review conducted during the Recertification Survey the facility did not ensure that all residents had the right to request, refuse, and/or discontinue treatment, and to formulate an advance directive (medical interventions in the event of a life-threatening episode) that would be honored for one (Residents #47) of one resident reviewed. Specifically, the facility did not ensure that Resident #47's advance directives (their preferred code status in the event of cardiac or pulmonary arrest) were accurately identified per their wishes. This is evidenced by the following: The facility policy, Advanced Directives for Long Term Care, dated [DATE] documented that the facility is committed to honoring the wishes of our patients' that include the right to accept or refuse medical or surgical treatment. Additionally, all patient's verbal or written statements about advanced directives should be accepted as expression of their wishes. The policy also documented the Social Worker will review…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-04-29 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record review conducted during a Recertification Survey, the facility did not ensure that the resident received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for one (Resident #22) of one resident reviewed for edema (swelling caused by excess fluid in body tissues). Specifically, the facility did not ensure that the recommendations provided by the physician consult for vascular services for a lymphedema compression pump were consistently administered per the recommendation and no documented evidence as to why not. This was evidenced by the following. 1.Resident #22 had diagnoses including diabetes, high blood pressure, and lymphedema (an excess tissue fluid in the extremities results in swelling) of the left leg. The Minimum Data Set Resident Assessment, dated 3/14/24, revealed that Resident #22 was cognitively intact for decision making, and required the application of nonsurgical dressings and ointments/medications. Resident #22's current…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-29 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews and record review conducted during the Recertification Survey, for one (Resident #40) of two residents reviewed for pressure ulcers, the facility did not ensure a resident received the necessary treatment and services consistent with professional standards of practice to promote healing and prevent new ulcers from developing. Specifically, Resident #40 was found to have an open area to their right ankle on 12/20/23. The facility was unable to provide documented evidence that the wound was consistently monitored and treated to promote healing and/or prevent worsening. This is evidenced by the following: Review of the facility policy and procedure Skin Inspection and Care, dated November 2019, revealed that the nurse would inspect skin integrity weekly and document the inspection on the Integumentary (an organ system that includes the skin) Flow Sheet. The Licensed Practical Nurse would notify the Registered Nurse of any changes to the resident's skin. During daily care, skin observations would be done by the primary caregiver (i.e., Certified Nursing…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-04-29 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews and record review conducted during the Recertification Survey the facility did not ensure they established and maintained an Infection Control Program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically: Issue #1: The facility was unable to provide documented evidence of the current status for three (Residents #62, #88 and #352) of five residents reviewed for vaccinations (influenza and/or pneumococcal) or that education was consistently provided on the risks/benefits of vaccinations. Issue #2: The facility did not ensure appropriate signage or mask use on one (transitional care unit) of five residential care units due to a current positive covid-19 infection. Issue #3: The facility was unable to provide documented evidence of staff vaccination status and/or eligibility for 4 of 10 staff reviewed for influenza vaccine and 10 of 10 staff reviewed for…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-08-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, and record reviews conducted during the Recertification Survey and complaint investigation (#NY00299342), completed on 8/19/22, it was determined that the facility did not ensure the resident's environment was free from accident hazards for two of two residents reviewed. Specifically, Resident #2, who was assessed by the facility to be at high risk for elopement was able to exit the facility unattended and unsupervised and Resident #107 who was not assessed to safely self-administer medications was observed to have unsecured medications at their bedside. This was evidenced by the following: 1.Resident #2 had diagnoses that included non-Alzheimer's dementia, hypertension, and anemia. The Minimum Data Set (MDS) Assessment, dated 4/8/22, documented that Resident #2 was moderately impaired of cognitive function, displayed wandering behavior, and that the resident was independent with mobility with the use of a wheelchair. Review of Resident #2's Elopement Screen dated 4/28/22 revealed that the resident displayed wandering behavior and was documented to…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-08-19 · tag F0726 — failed to have competent, trained nursing staff — isolated
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review, conducted during the Recertification Survey completed on 8/19/22, the facility failed to ensure six of eight Registered Nurses RNs) were able to demonstrate competency in skills and techniques for two of two residents reviewed for care of parenteral access sites. Specifically, Resident #472 did not receive dressing and cap changes and site assessments to their peripherally inserted central catheter (PICC) and Resident #107 did not receive site assessments and care for a peripheral intravenous (IV) catheter placing both residents at risk for potential infection. The findings were: The facility policy LTC54, dated 11/19, Central Venous Catheter (CVC) Care and Maintenance (Central line, PICC, Implantable Vascular access device (IVAD)/Medi port, Hemodialysis Catheters for Long Term Care, read as, all CVC care is to be done by an RN only. II., Assessment #1 access and document every shift (D-E-N) and with dressing change, dressing integrity (clean, dry and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-08-19 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews conducted during the Recertification Survey completed on 8/19/22, it was determined that for one (cottage 400) of four resident care cottages reviewed, the facility did not ensure that all drugs and biologicals were properly labeled and stored in accordance with State and Federal laws. Specifically, multiple medications in blister packs and stocked medication bottles were found unsecured and unsupervised on a workstation (computer) on wheels (WOW) near the cottage entrance that were easily accessible to residents, visitors, and all disciplines of facility staff. This is evidenced by the following: The facility policy Medication Administration, dated February 2020, documented that all medications must remain in secure storage until administered to the patient by the nurse or respiratory therapist. The policy included that no medications are to be left on the cart when unattended. During an observation on 8/18/22 at 4:08 p.m., an unsecured WOW station was parked in the common area outside the front nursing office near the building entrance and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-02-05 · tag F0561 — failed to honor residents' choices — isolated
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews conducted during the Recertification Survey, it was determined that for one of two residents reviewed for choices, the facility did not allow each resident the right to make choices about aspects of life that were significant to them. Specifically, Resident 63 was not showered twice a week per plan of care or when requested. This is evidenced by the following: Resident #63 was admitted to the facility on [DATE] and had diagnoses including Parkinson's, influenza, and macular degeneration. The Minimum Data Set Assessment, dated 12/18/19, revealed the resident was cognitively intact and required physical help with bathing. The resident was transferred to another room on 1/22/20. The Certified Nursing Assistant (CNA) Closet Care Plan, dated 1/31/20, included to ask the resident their preference regarding showers and document in Care Tracker when completed. The current shower schedule revealed the resident was scheduled for a shower on Mondays and Thursdays on the day shift. The…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
Show the remaining 7 citations
  • Potential for harm · Dcited before2020-02-05 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews conducted during the Recertification Survey, it was determined that for one (Resident #106) of one resident reviewed for hospitalization, the facility did not ensure that each resident received treatment and care in accordance with professional standards of practice, their comprehensive, person-centered care plan, and the resident's choice. Specifically, the resident complained of severe pain with all movement and a decreased functional status for several days that was not addressed in a timely manner. This is evidenced by the following: Resident #106 was admitted to the facility on [DATE] with diagnoses that included osteoarthritis, morbid obesity and recent total hip arthroplasty (replacement) on 11/14/19. The admission Minimum Data Set Assessment, dated 11/29/19, revealed the resident was cognitively intact, transferred with the extensive assistance of two staff members, and ambulated with the limited assistance of one staff member. The pain interview revealed the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2020-02-05 · tag F0726 — failed to have competent, trained nursing staff — isolated
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews and record reviews conducted during the Recertification Survey, it was determined that for one (Resident #23) of four residents reviewed for positioning and mobility, the facility did not ensure that nurse aides demonstrated competency in skills and techniques necessary to care for residents' needs, as identified through resident assessments, and described in the plan of care. Specifically, the resident was observed with a palm protector incorrectly applied on two occasions. This is evidenced by the following: Resident #23 had diagnoses including arthritis, Parkinsonism hand tremors and a Dupuytren-like contracture (a condition where the development of connective tissue between fingers causes the fingers to be bent inward and may cause pain and tenderness of the palm) of the left hand. The Minimum Data Set Assessment, dated 11/20/19, revealed that the resident had moderately impaired cognition and required supervision to extensive assistance with all activities of daily living. The current Comprehensive Care Plan and the Certified Nursing Assistant (CNA) Care…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2024-04-29 · tag F0842 — failed to keep accurate, complete medical records — pattern
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review conducted during the Recertification Survey, the facility did not maintain medical records on each resident that were readily accessible. Specifically, the facility did not provide the survey team with timely access to all resident electronic health records that included all medical record information and instructions on how to access and use the electronic records by the end of the first day of survey. This is evidenced by the following: During the Entrance Conference meeting on [DATE] at 9:31 AM with the Operations Manager and the Director of Nursing, the following items were requested by the end of the first day of survey: 1.To provide each surveyor with access to all resident electronic health records 2.To not exclude any information that should be a part of the resident's medical record, and 3.To complete the Electronic Health Record Information form that gives specific instructions on how to access information in the electronic health record. During an interview on…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2022-08-19 · tag F0575 — pattern
    Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record review conducted during the Recertification Survey completed 8/19/22, for four (cottages 100, 200, 300 and 400) of five resident care areas reviewed the facility did not post, in a manner accessible and understandable to residents and resident representatives, the pertinent contact information for the State Long-Term Care Ombudsman Program and the State Agency Complaint Hotline number, including a statement that the resident may file a complaint. The findings are: During the Resident Council meeting held on 8/18/22 at 1:10 p.m., Resident #103 (identified by the facility Brief Interview of Mental Status, dated 7/21/22, as cognitively intact) vocalized concerns regarding staffing issues within the facility and felt that the facility was not prompt when addressing resident concerns. Resident #103 stated that they did not know where in the facility they could find Ombudsman's contact information or how to formally file a complaint with the State Agency. Observations made…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2022-08-19 · tag F0732 — pattern
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews conducted during the Recertification Survey completed on 8/19/22, the facility did not ensure that the nurse staffing data was posted at the beginning of each shift in a prominent place readily accessible to residents and visitors and included the required information. Specifically, the posted forms did not consistently provide the hours worked by the licensed and unlicensed nursing staff and was not posted in a prominent place. This was evidenced by the following: Nurse staffing sheets reviewed 7/27/22 through 8/19/22 revealed the 'actual hours worked under Registered Nurses (RNs) Licensed Practical Nurses (LPNs) and Certified Nurse Aides (CNAs) were blank for 51 of 72 shifts (over 24 days) reviewed. During an observation on 8/15/22 at 9:12 a.m., the posted nurse staffing information was found at the receptionist desk at the main entrance to the facility's transitional care center (TCC). The posted staffing form included the number of day, evening, and night shift RNs, LPN, and CNAs but did not have the number of hours for each discipline listed…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2020-02-05 · tag F0623 — pattern
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews conducted during the Recertification Survey, it was determined that for one (Resident #106) of one resident reviewed for hospitalization, the facility did not ensure that the resident or the resident's representative and the Office of the State-Long Term Care Ombudsman was notified in writing of the resident's transfer/discharge to the hospital. This is evidenced by the following: Resident #106 was admitted to the facility on [DATE] with diagnoses including osteoarthritis and a recent right hip arthroplasty (replacement) on 11/14/19. The Minimum Data Set (MDS) Assessment, dated 11/29/19, revealed the resident was cognitively intact. The discharge MDS Assessment, dated 12/3/19, revealed the resident was discharged to the hospital on [DATE]. Review of the Electronic Medical Record revealed that the resident sustained a fracture of the right hip requiring further surgical repair and was transferred to the hospital. The resident did not return to the facility. There was no…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2020-02-05 · tag F0625 — pattern
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews conducted during the Recertification Survey, it was determined that for one (Resident #106) of one resident reviewed for hospitalization, the facility did not notify the resident or the resident's representative of the facility policy for bedhold, including the reserve bed payment at the time of transfer to the hospital. This is evidenced by the following: The current facility policy, Bedhold Policy, included that at the time of transfer for hospitalization the facility will provide the resident and representative a written notice of the bedhold policy. Resident #106 was admitted to the facility on [DATE] with diagnoses including osteoarthritis and status post hip arthroplasty (replacement) on 11/14/19. The Minimum Data Set (MDS) Assessment, dated 11/29/19, revealed the resident was cognitively intact. The discharge MDS Assessment, dated 12/3/19, revealed the resident was discharged to the hospital on [DATE]. Review of the Electronic Medical Record revealed the resident…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to ROCHESTER REGIONAL HEALTH — 5 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 5 of 54.2+0.8 vs chain
Health inspection 4 of 53.6+0.4 vs chain
Staffing 4 of 53.8+0.2 vs chain
Quality measures 5 of 54.6+0.4 vs chain
The other 4 homes this chain runs (chain average 4.2★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleSince
HAMILTON, YVONNEIndividualW-2 MANAGING EMPLOYEEsince 09/01/2021
HOLDER, NICHOLEIndividualW-2 MANAGING EMPLOYEEsince 01/01/2021
HOYT, SHAWNIndividualW-2 MANAGING EMPLOYEEsince 04/14/2021
ALAG, KARANIndividualCORPORATE DIRECTORsince 07/01/2020
COONEY-MINER, DIANNEIndividualCORPORATE DIRECTORsince 05/24/2017
CRILLY, THOMASIndividualCORPORATE DIRECTORsince 01/01/2010
DESTEPHANO, RALPHIndividualCORPORATE DIRECTORsince 12/07/2016
MULCONRY, MARCYIndividualCORPORATE DIRECTORsince 07/01/2020
RIEDY, DAWNIndividualCORPORATE DIRECTORsince 07/01/2020
RILEY, THOMASIndividualCORPORATE DIRECTORsince 12/07/2016
TEDESCO, JULIAIndividualCORPORATE DIRECTORsince 05/24/2017
BECKER, LINDAIndividualCORPORATE OFFICERsince 07/01/2014
DAVIS, RICHARDIndividualCORPORATE OFFICERsince 03/01/2022
GALLINA, KARENIndividualCORPORATE OFFICERsince 07/01/2014
GLASTONBURY, HOWARDIndividualCORPORATE OFFICERsince 07/01/2020
MAPSTONE, JEFFREYIndividualCORPORATE OFFICERsince 07/01/2014
MEYERS, DANIELIndividualCORPORATE OFFICERsince 07/01/2014
MURRAY, JAMESIndividualCORPORATE OFFICERsince 07/01/2020
PATTON, ELIZABETHIndividualCORPORATE OFFICERsince 07/01/2014
SAWYKO, LEONIndividualCORPORATE OFFICERsince 07/01/2014

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in NY

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the New York Medicaid page.

Typical monthly cost in New York
$15,528/mo
Nursing home (semi-private)
$16,729/mo
Nursing home (private)
$7,110/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 335369. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-04-29, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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