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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E5 | F· |
| Minimal | A· | B· | C1 |
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 | |
|---|---|---|---|---|---|---|
| Jan 9, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Jan 9, 2024 | Health | Health Complaint, Health Standard | 5 | Potential harm | — | Open → |
| Mar 11, 2022 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Mar 11, 2022 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Oct 8, 2019 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Oct 8, 2019 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E5 | F· |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jan 9, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 8, 2024 | |
| Jan 9, 2024 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 8, 2024 | |
| Jan 9, 2024 | K-0918 |
“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.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Episcopal Senior Life Communities, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 1996 |
| Megan Lovejoy | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 27, 2025 |
| Ahmed Rab | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 16, 2021 |
| Mary Berk | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 1, 2024 |
| Melissa Wendland | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 1, 2024 |
| Richard Yates | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 8, 2017 |
| Michelle Halloran | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 2, 2023 |
| Lisa Marcello | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 4, 2000 |
| Amanda Teugeman | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 2, 2016 |
| Jessica Thomsen | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 4, 2022 |
| Michelle Halloran | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 2, 2023 |
| Megan Lovejoy | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 27, 2025 |
| Ahmed Rab | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 13, 2026 |
| Jessica Thomsen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 4, 2022 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| St. John's Health Care Corporation 150 Highland Avenue, Rochester, NY 14620 CCN 335008 | 1.2 km | 455 | Jun 9, 2025 | 443 harm | $141k | |
| Kirkhaven 254 Alexander Street, Rochester, NY 14607 CCN 335668 | 2 km | 147 | Mar 18, 2026 | 441 harm | $8,278 | |
| Unity Living Center 89 Genesee Street, Rochester, NY 14611 CCN 335620 | 2 km | 120 | May 15, 2025 | 141 IJ | $13k | |
| Lilac Manor Rehabilitation and Nursing Center 3 Upton Park, Rochester, NY 14607 CCN 335488 | 2.7 km | 200 | Aug 13, 2026 | 431 open | — | |
| The Brightonian, Inc 1919 Elmwood Avenue, Rochester, NY 14620 CCN 335554 | 2.9 km | 54 | Feb 12, 2025 | 22 | — | |
| Monroe Community Hospital 435 East Henrietta Road, Rochester, NY 14620 CCN 335197 | 3.1 km | 566 | Oct 24, 2025 | 263 IJ1 harm | $95k | |
| Woodside Manor Nursing Home Inc 2425 Clinton Avenue South, Rochester, NY 14618 CCN 335366 | 3.5 km | 44 | Aug 29, 2025 | 19 | — | |
| The Highlands at Brighton 5901 Lac De Ville Boulevard, Rochester, NY 14618 CCN 335778 | 3.6 km | 145 | May 7, 2026 | 34 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 335263 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 335263 | 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 |
| New York DOH Health Facility Information NY | 444 | state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN). | Inferred | Oct 23, 2026 | Nov 7, 2026 |
| New York DOH Bed Certifications NY | 444 | capacity, bed_certifications | Verified | Nov 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| 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 Mar 8, 2024 |
| Jan 9, 2024 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 8, 2024 | Complaint |
| Jan 9, 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 8, 2024 | Complaint |
| Jan 9, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 8, 2024 | Complaint |
| Jan 9, 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 Mar 8, 2024 | Complaint |
| Jan 9, 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 Mar 8, 2024 | Complaint |
| Mar 11, 2022 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 5, 2022 |
| Mar 11, 2022 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 5, 2022 |
| Mar 11, 2022 | 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 | D · Potential harm Isolated | Corrected May 5, 2022 |
| Mar 11, 2022 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 5, 2022 |
| Mar 11, 2022 | 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 May 5, 2022 |
| Mar 11, 2022 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected May 5, 2022 |
| Oct 8, 2019 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 1, 2019 |
| Oct 8, 2019 | 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 Dec 1, 2019 |
| Oct 8, 2019 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 1, 2019 |
| Oct 8, 2019 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 1, 2019 |
| Oct 8, 2019 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 1, 2019 |
| Oct 8, 2019 | 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 Dec 1, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.04 (case-mix index 1.17).