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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K6 | L6 |
| Actual harm | G8 | H2 | I4 |
| Potential harm | D27 | E40 | F20 |
| Minimal | A· | B4 | C2 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Aug 21, 2026 | Health | Health Complaint | 1 | Actual harm | 1 | Open → |
| Jul 17, 2026 | Health | Health Complaint | 3 | Actual harm | 3 | Open → |
| Dec 22, 2025 | Fire safety | Fire Safety Standard | 16 | Potential harm | — | Open → |
| Dec 22, 2025 | Health | Health Standard | 24 | Immediate jeopardy | — | Open → |
| May 9, 2025 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| May 9, 2025 | Health | Health Complaint, Health Standard | 28 | Immediate jeopardy | — | Open → |
| Sep 17, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Sep 17, 2024 | Health | Health Complaint, Health Standard | 20 | Immediate jeopardy | — | Open → |
| Jan 25, 2024 | Health | Health Complaint | 14 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Dec 22, 2025 | Denial of payment for new admissions | — | Feb 14, 2026 · 102 days | 335082|Payment Denial|2026-02-14 |
| Dec 22, 2025 | Civil money penalty (fine) | $299,319 | — | 335082|Fine|136686 |
| May 9, 2025 | Civil money penalty (fine) | $185,840 | — | 335082|Fine|22415 |
| Sep 17, 2024 | Civil money penalty (fine) | $314,554 | — | 335082|Fine|22327 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K6 | L6 |
| Actual harm | G8 | H2 | I4 |
| Potential harm | D27 | E40 | F20 |
| Minimal | A· | B4 | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 21, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | No plan of correction | Complaint |
| Jul 17, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | H · Actual harm Pattern | No plan of correction |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.38 (case-mix index 1.26).
CMS legal business name of the certified provider. Operates 2 facilities.
13 facilities in 1 states. CMS chain ID 275.
Chain average overall rating (CMS): 3.9
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Hurlbut Health Consulting, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2020 |
| Mark Curletta | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 16, 2021 |
| Mark Curletta | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 16, 2021 |
| Mark Curletta | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jul 16, 2021 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Waterview Heights Rehabilitation and Nursing Center 135 Meriden Street, Rochester, NY 14612 State license only | 229 lic. | Not CMS rated | — | No inspections in window | — |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Conesus Lake Nursing Home, LLC 6131 Big Tree Road, Livonia, NY 14487 CCN 335069 | 48 | Apr 23, 2025 | 10 | — | |
| Avon Nursing Home L L C 215 Clinton Street, Avon, NY 14414 CCN 335216 | 40 |
Coordinates as published by CMS (geocoding footnote 22).
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Latta Road Nursing Home West 2100 Latta Road, Rochester, NY 14612 CCN 335617 | 0.4 km | 40 | Jan 21, 2025 | 9 | — | |
| Latta Road Nursing Home East 2102 Latta Road, Rochester, NY 14612 CCN 335618 | 0.4 km | 40 | Apr 18, 2025 | 201 harm | $8,979 | |
| Edna Tina Wilson Living Center 700 Island Cottage Road, Rochester, NY 14612 CCN 335769 | 1.1 km | 120 | Apr 11, 2025 | 13 | — | |
| Waterview Heights Rehabilitation and Nursing Center 135 Meriden Street, Rochester, NY 14612 State license only | 4.4 km | 229 lic. | Not CMS rated | — | No inspections in window | — |
| Hamilton Manor Nursing Home 1172 Long Pond Road, Rochester, NY 14626 CCN 335615 | 5.1 km | 40 | Jul 23, 2026 | 151 harm1 open | — | |
| Park Ridge Nursing Home 1555 Long Pond Road, Rochester, NY 14626 CCN 335369 | 7.5 km | 120 | May 1, 2026 | 18 | — | |
| The Brook at High Falls Nursing Home and Rehabilit 2150 St. Paul Street, Rochester, NY 14621 CCN 335825 | 8 km | 28 | Jan 16, 2026 | 37 | — | |
| St. Ann's Community 1500 Portland Avenue, Rochester, NY 14621 CCN 335081 | 9.9 km | 470 | Jan 7, 2025 | 281 harm | $51k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 335082 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 335082 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Complaint |
| Jul 17, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | No plan of correction | Complaint |
| Jul 17, 2026 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | No plan of correction | Complaint |
| Dec 22, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Feb 20, 2026 |
| Dec 22, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Feb 20, 2026 |
| Dec 22, 2025 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Apr 22, 2026 |
| Dec 22, 2025 | F-0675 | Honor each resident's preferences, choices, values and beliefs. Quality of Life and Care Deficiencies · Clinical care | I · Actual harm Widespread | Corrected Feb 20, 2026 |
| Dec 22, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 22, 2026 |
| Dec 22, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Feb 20, 2026 |
| Dec 22, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 22, 2026 |
| Dec 22, 2025 | F-0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Administration Deficiencies · Administration & records | G · Actual harm Isolated | Corrected Feb 20, 2026 |
| Dec 22, 2025 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 8, 2026 |
| Dec 22, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 20, 2026 |
| Dec 22, 2025 | K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 3, 2026 |
| Dec 22, 2025 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 20, 2026 |
| Dec 22, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 27, 2026 |
| Dec 22, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 4, 2026 |
| Dec 22, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 20, 2026 |
| Dec 22, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 8, 2026 |
| Dec 22, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 20, 2026 |
| Dec 22, 2025 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 20, 2026 |
| Dec 22, 2025 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 3, 2026 |
| Dec 22, 2025 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 20, 2026 |
| Dec 22, 2025 | K-0917 | Ensure electrical receptacles or cover plates have distinctive color or marking. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 20, 2026 |
| Dec 22, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 20, 2026 |
| Dec 22, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 8, 2026 |
| Dec 22, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 20, 2026 |
| Dec 22, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 20, 2026 |
| Dec 22, 2025 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 22, 2026 |
| Dec 22, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 20, 2026 |
| Dec 22, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 20, 2026 |
| Dec 22, 2025 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 22, 2026 |
| Dec 22, 2025 | F-0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 22, 2026 |
| Dec 22, 2025 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 22, 2026 |
| Dec 22, 2025 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 22, 2026 |
| Dec 22, 2025 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 20, 2026 |
| Dec 22, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Apr 22, 2026 |
| Dec 22, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 22, 2026 |
| Dec 22, 2025 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Feb 20, 2026 |
| Dec 22, 2025 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Feb 20, 2026 |
| Dec 22, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Apr 22, 2026 |
| Dec 22, 2025 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 22, 2026 |
| Dec 22, 2025 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | Corrected Feb 20, 2026 |
| May 9, 2025 | F-0675 | Honor each resident's preferences, choices, values and beliefs. Quality of Life and Care Deficiencies · Clinical care | L · Immediate jeopardy Widespread | Corrected Jun 30, 2025 |
| May 9, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Jun 30, 2025 |
| May 9, 2025 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | L · Immediate jeopardy Widespread | Corrected Jun 30, 2025 | Complaint |
| May 9, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | L · Immediate jeopardy Widespread | Corrected Jun 30, 2025 |
| May 9, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | L · Immediate jeopardy Widespread | Past non-compliance Apr 14, 2025 |
| May 9, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | I · Actual harm Widespread | Corrected Jun 30, 2025 |
| May 9, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 4, 2025 |
| May 9, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jun 30, 2025 | Complaint |
| May 9, 2025 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 18, 2025 |
| May 9, 2025 | K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 13, 2025 |
| May 9, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 13, 2025 |
| May 9, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 13, 2025 |
| May 9, 2025 | K-0754 | Provide properly sized and located linen or trash receptacles. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 13, 2025 |
| May 9, 2025 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 30, 2025 |
| May 9, 2025 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 30, 2025 |
| May 9, 2025 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 4, 2025 |
| May 9, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 30, 2025 |
| May 9, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 30, 2025 | Complaint |
| May 9, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 30, 2025 | Complaint |
| May 9, 2025 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 30, 2025 |
| May 9, 2025 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 30, 2025 | Complaint |
| May 9, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jun 30, 2025 |
| May 9, 2025 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jun 30, 2025 |
| May 9, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 4, 2025 |
| May 9, 2025 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Jun 30, 2025 |
| May 9, 2025 | F-0836 | 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. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Jun 30, 2025 |
| May 9, 2025 | F-0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Jun 30, 2025 |
| May 9, 2025 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Jun 30, 2025 |
| May 9, 2025 | F-0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Jun 30, 2025 |
| May 9, 2025 | F-0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jun 30, 2025 | Complaint |
| May 9, 2025 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 30, 2025 |
| May 9, 2025 | F-0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 30, 2025 |
| May 9, 2025 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Jun 15, 2025 |
| May 9, 2025 | E-0020 | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Jun 15, 2025 |
| May 9, 2025 | F-0917 | Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Jun 30, 2025 |
| Sep 17, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | K · Immediate jeopardy Pattern | Corrected Nov 15, 2024 | Complaint |
| Sep 17, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Jan 13, 2025 | IDR |
| Sep 17, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | K · Immediate jeopardy Pattern | Corrected Jan 13, 2025 | Complaint |
| Sep 17, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | L · Immediate jeopardy Widespread | Corrected Nov 15, 2024 |
| Sep 17, 2024 | F-0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Administration Deficiencies · Administration & records | L · Immediate jeopardy Widespread | Corrected Nov 15, 2024 |
| Sep 17, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | I · Actual harm Widespread | Corrected Nov 15, 2024 | ComplaintIDR |
| Sep 17, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | H · Actual harm Pattern | Corrected Nov 15, 2024 | Complaint |
| Sep 17, 2024 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | I · Actual harm Widespread | Corrected Nov 15, 2024 |
| Sep 17, 2024 | E-0029 | Develop a communication plan. Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Oct 9, 2024 |
| Sep 17, 2024 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Waiver granted Dec 12, 2024 |
| Sep 17, 2024 | K-0232 | Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 20, 2024 |
| Sep 17, 2024 | K-0311 | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 10, 2025 |
| Sep 17, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 23, 2024 |
| Sep 17, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 22, 2024 |
| Sep 17, 2024 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Nov 15, 2024 |
| Sep 17, 2024 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Nov 15, 2024 | Complaint |
| Sep 17, 2024 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | F · Potential harm Widespread | Corrected Nov 15, 2024 |
| Sep 17, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 15, 2024 | Complaint |
| Sep 17, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 21, 2024 |
| Sep 17, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 15, 2024 |
| Sep 17, 2024 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 13, 2025 |
| Sep 17, 2024 | F-0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Nov 15, 2024 |
| Sep 17, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Nov 15, 2024 |
| Sep 17, 2024 | F-0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Nov 20, 2024 |
| Sep 17, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 15, 2024 |
| Sep 17, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Nov 15, 2024 |
| Jan 25, 2024 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 15, 2024 | Complaint |
| Jan 25, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 15, 2024 | Complaint |
| Jan 25, 2024 | F-0584 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 22, 2024 | Complaint |
| Jan 25, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 15, 2024 | Complaint |
| Jan 25, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 22, 2024 | Complaint |
| Jan 25, 2024 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Mar 15, 2024 | Complaint |
| Jan 25, 2024 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 15, 2024 | Complaint |
| Jan 25, 2024 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Mar 15, 2024 | Complaint |
| Jan 25, 2024 | F-0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Mar 15, 2024 | Complaint |
| Jan 25, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 22, 2024 | Complaint |
| Jan 25, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 22, 2024 | Complaint |
| Jan 25, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 22, 2024 | Complaint |
| Jan 25, 2024 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | Corrected Mar 15, 2024 | Complaint |
| Jan 25, 2024 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | B · Minimal Pattern | Corrected Mar 15, 2024 | Complaint |
| Oct 2, 2024 |
111 harm |
| $33k |
| Newark Manor Nursing Home Inc 222 West Pearl Street, Newark, NY 14513 CCN 335219 | 60 | Feb 28, 2025 | 20 | — |
| Maple City Rehabilitation and Nursing Center 434 Monroe Avenue, Hornell, NY 14843 CCN 335322 | 114 | Jul 30, 2026 | 422 harm1 open | $62k |
| The Hurlbut 1177 East Henrietta Road, Rochester, NY 14623 CCN 335341 | 160 | Jul 31, 2025 | 19 | — |
| Woodside Manor Nursing Home Inc 2425 Clinton Avenue South, Rochester, NY 14618 CCN 335366 | 44 | Aug 29, 2025 | 19 | — |
| Seneca Nursing & Rehabilitation Center, LLC 200 Douglas Drive, Waterloo, NY 13165 CCN 335400 | 120 | Jun 27, 2025 | 25 | — |
| Penfield Place 1700 Penfield Road, Penfield, NY 14526 CCN 335407 | 48 | Jan 31, 2025 | 21 | — |