Fairport, NY

Aaron Manor Rehabilitation and Nursing Center

4-star overall rating with 4-star inspections with 5 recent health deficiencies

100 St. Camillus Way, Fairport, NY

(585) 377-4000

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

140

Certified beds

Average residents

129

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1976-08-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.33

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

1.11

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.21

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.65

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.44

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

3.14

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.16

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.12

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.37

CMS adjusted RN staffing hours

Adjusted total hours

4.06

CMS adjusted total nurse staffing hours

Case-mix index

1.23

Higher values indicate more complex resident acuity

RN turnover

29%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

62%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,674

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

29.06

Composite VBP score used to determine payment impact.

Payment multiplier

0.9853

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

7.94

Baseline 18.95% · Performance 17.75% · Measure score 7.94 · Achievement 7.94 · Improvement 5.72

Healthcare-associated infections

0

Baseline 5.90% · Performance 7.98% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

0.67

Baseline 58.88% · Performance 60.94% · Measure score 0.67 · Achievement 0.67 · Improvement 0

Adjusted total nurse staffing

3.02

Baseline 3.56 hours · Performance 3.94 hours · Measure score 3.02 · Achievement 3.02 · Improvement 1.18

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.54%	10.72% 0.2 pts better	No Different than the National Rate · Eligible stays 132 · Observed rate 9.85% · Lower 95% interval 7.17%
Discharge to community	37.21%	50.57% 13.4 pts worse	Worse than the National Rate · Eligible stays 121 · Observed rate 29.75% · Lower 95% interval 28.27%
Medicare spending per beneficiary	0.8	1.02 0.2 pts better
Drug regimen review with follow-up	91.38%	95.27% 3.9 pts worse	Numerator 53 · Denominator 58
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 58
Discharge self-care score	27.27%	53.69% 26.4 pts worse	Numerator 15 · Denominator 55
Discharge mobility score	47.27%	50.94% 3.7 pts worse	Numerator 26 · Denominator 55
Pressure ulcers or injuries, new or worsened	1.72%	2.29% 0.6 pts better	Numerator 1 · Denominator 58 · Adjusted rate 1.38%
Healthcare-associated infections requiring hospitalization	7.98%	7.12% 0.9 pts worse	No Different than the National Rate · Eligible stays 69 · Observed rate 8.7% · Lower 95% interval 4.4%
Staff COVID-19 vaccination coverage	14.49%	8.2% 6.3 pts better	Numerator 20 · Denominator 138
Staff flu vaccination coverage	66.52%	42% 24.5 pts better	Numerator 153 · Denominator 230
Discharge function score	41.82%	56.45% 14.6 pts worse	Numerator 23 · Denominator 55
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 23 · Denominator 23
Resident COVID-19 vaccinations up to date	57.14%	25.2% 31.9 pts better	Numerator 12 · Denominator 21

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.0	1.7 0.3 pts worse	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.7 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.6	1.3 0.7 pts better	1.8 1.2 pts better	Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	91.2% 8.8 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.3% 4.7 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	4.2%	3.0% 1.2 pts worse	3.3% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 4.3% · Q3 4.3% · Q4 2.5% · 4Q avg 4.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.9%	18.5% 17.6 pts better	11.4% 10.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 1.9% · Q4 0.9% · 4Q avg 0.9%
Percentage of long-stay residents who lose too much weight	3.1%	6.1% 3 pts better	5.4% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 4.6% · Q3 3.6% · Q4 3.5% · 4Q avg 3.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	6.1%	13.5% 7.4 pts better	19.6% 13.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 6.4% · Q3 8.0% · Q4 5.2% · 4Q avg 6.1%
Percentage of long-stay residents who received an antipsychotic medication	14.3%	14.8% 0.5 pts better	16.7% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.5% · Q2 15.3% · Q3 14.1% · Q4 11.5% · 4Q avg 14.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	17.4%	15.1% 2.3 pts worse	16.3% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.7% · Q2 13.9% · Q3 16.8% · Q4 18.8% · 4Q avg 17.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	22.1%	15.5% 6.6 pts worse	14.9% 7.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.3% · Q2 17.6% · Q3 22.4% · Q4 19.8% · 4Q avg 22.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.2%	0.6% 0.4 pts better	1.0% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.7% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.7%	1.4% 0.3 pts worse	1.7% About the same	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 1.8% · Q3 0.0% · Q4 0.8% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.3%	20.8% 5.5 pts worse	19.8% 6.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 27.6% · Q3 29.0% · Q4 23.5% · 4Q avg 26.3%
Percentage of long-stay residents with pressure ulcers	3.7%	6.9% 3.2 pts better	5.1% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 5.1% · Q3 4.7% · Q4 3.0% · 4Q avg 3.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.9%	76.7% 21.2 pts better	81.7% 16.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 97.6% · Q3 98.9% · Q4 97.5% · 4Q avg 97.9%
Percentage of short-stay residents who had an outpatient emergency department visit	11.9%	9.7% 2.2 pts worse	12.0% 0.1 pts better	Short Stay · 20240701-20250630 · Adjusted 11.9% · Observed 15.0% · Expected 14.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.2% 1.2 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	78.8% 21.2 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	16.4%	20.6% 4.2 pts better	23.9% 7.5 pts better	Short Stay · 20240701-20250630 · Adjusted 16.4% · Observed 22.5% · Expected 32.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-24 · Fire 2024-10-24

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-01-27 · Fire 2023-01-27

4 health deficiencies

Top issue: Resident Rights (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2021-05-11 · Fire 2021-05-11

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Fire safety

Fire-safety citations

C · Minimal harm 2021-05-11

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2021-07-15

C · Minimal harm 2021-05-11

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2021-07-15

C · Minimal harm 2021-05-11

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2021-07-15

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-10-24

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2024-12-31

D · Potential for more than minimal harm 2024-10-24

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-10-24

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-12-31

D · Potential for more than minimal harm 2024-10-24

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-10-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-31

D · Potential for more than minimal harm 2023-09-21

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-10-27

D · Potential for more than minimal harm 2023-01-27

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-03-24

D · Potential for more than minimal harm 2023-01-27

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2023-03-24

D · Potential for more than minimal harm 2023-01-27

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-03-24

B · Minimal harm 2023-01-27

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-03-24

D · Potential for more than minimal harm 2021-05-11

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2021-06-25

D · Potential for more than minimal harm 2021-05-11

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2021-06-25

D · Potential for more than minimal harm 2021-05-11

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2021-06-25

D · Potential for more than minimal harm 2021-05-11

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2021-06-25

Penalties and ownership