Federal inspection record · CMS data as of October 1, 2026
Church Home of the Protestant Episcopal Church
505 Mt. Hope Avenue, Rochester, NY · (585) 546-8400
- Certified beds
- 182
- Residents per day
- 143
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 1, 1968
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in New York.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among New York homes
Church Home of the Protestant Episcopal Church carries 26 inspection points. That is fewer than 67% of New York's 589 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in New York: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–12 pts
- 4★ 12–27 pts
- 3★ 27–46 pts
- 2★ 46–82 pts
- 1★ over 82 pts
Bars show every rated home in New York by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
12 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation3E
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Respond appropriately to all alleged violations.
- D
Respond appropriately to all alleged violations.
Nutrition and Dietary3E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care3D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
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.
Resident Rights2D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
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 Assessment and Care Planning1D
- D
Assess the resident when there is a significant change in condition
Inspection history
2024-01-09
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2022-03-11
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2019-10-08
3 health deficiencies · 3 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 13 min of nursing staff time a day, 26 min of it from a registered nurse.
This home
4 h 13 min
New York average
3 h 41 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 40% of nursing staff and 33% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.2 pts better | 0.5 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts better | 0 | 1.3 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.9 pts worse | 86.9% | 91.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.1 pts better | 99.3% | 95.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.1 pts worse | 4.2% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms20.1 pts better | 0.0% | 20.1% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.3 pts better | 4.4% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.9 pts better | 7.3% | 13.2% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.6 pts worse | 21.3% | 13.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.3 pts worse | 15.4% | 11.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased13.5 pts worse | 27.2% | 13.7% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.8 pts worse | 2.3% | 0.5% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts worse | 2.1% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.8 pts worse | 28.4% | 18.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.6 pts better | 3.9% | 6.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.5 pts better | 91.1% | 77.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.4 pts worse | 16.8% | 9.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.0% | 1.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.9 pts worse | 72.0% | 78.9% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.6 pts better | 15.0% | 20.6% | 23.4% |
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Who owns and runs it
14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Berk, Mary | Corporate Director · Individual | 0% | 1 facilities |
| Episcopal Senior Life Communities, Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Halloran, Michelle | Corporate Officer · Individual | 0% | 1 facilities |
| Halloran, Michelle | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lovejoy, Megan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lovejoy, Megan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Marcello, Lisa | Corporate Officer · Individual | 0% | 1 facilities |
| Rab, Ahmed | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rab, Ahmed | Adp Of The SNF · Individual | 0% | 1 facilities |
| Teugeman, Amanda | Corporate Officer · Individual | 0% | 1 facilities |
| Thomsen, Jessica | Corporate Officer · Individual | 0% | 1 facilities |
| Thomsen, Jessica | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wendland, Melissa | Corporate Director · Individual | 0% | 1 facilities |
| Yates, Richard | Corporate Director · Individual | 0% | 1 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4E
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Provide properly protected cooking facilities.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems3D
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
Miscellaneous1C
- C
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
St. John's Health Care Corporation
Rochester, NY
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 17 min
- Fines
- $141,034
-
Kirkhaven
Rochester, NY
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 59 min
- Fines
- $8,278
-
Unity Living Center
Rochester, NY · Rochester Regional Health
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 23 min
- Fines
- $12,868