Cycle 1
Health 2023-07-21 · Fire 2023-07-21
3 health deficiencies
Top issue: Resident Rights (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Canandaigua, NY
M.M. Ewing Continuing Care Center
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
350 Parrish Street, Canandaigua, NY
(585) 396-6040
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
178
Certified beds
Average residents
173
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1971-11-22
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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
0.67
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
1.04
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.27
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.98
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.70
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.55
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.32
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.74
CMS adjusted RN staffing hours
Adjusted total hours
4.42
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
21%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
33%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,294
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
45.01
Composite VBP score used to determine payment impact.
Payment multiplier
0.9982
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.24
Baseline 18.75% · Performance 19.00% · Measure score 5.24 · Achievement 5.24 · Improvement 0
Healthcare-associated infections
4.48
Baseline 5.65% · Performance 6.50% · Measure score 4.48 · Achievement 4.48 · Improvement 0
Total nurse turnover
7.78
Baseline 30.54% · Performance 31.87% · Measure score 7.78 · Achievement 7.78 · Improvement 0
Adjusted total nurse staffing
0.51
Baseline 3.59 hours · Performance 3.22 hours · Measure score 0.51 · Achievement 0.51 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.11% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 104 · Observed rate 6.73% · Lower 95% interval 6.24% |
| Discharge to community | 53.06% |
50.57%
2.5 pts better
|
No Different than the National Rate · Eligible stays 96 · Observed rate 51.04% · Lower 95% interval 43.83% |
| Medicare spending per beneficiary | 0.77 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 53 · Denominator 53 |
| Falls with major injury | 1.89% |
0.77%
1.1 pts worse
|
Numerator 1 · Denominator 53 |
| Discharge self-care score | 38.3% |
53.69%
15.4 pts worse
|
Numerator 18 · Denominator 47 |
| Discharge mobility score | 42.55% |
50.94%
8.4 pts worse
|
Numerator 20 · Denominator 47 |
| Pressure ulcers or injuries, new or worsened | 1.89% |
2.29%
0.4 pts better
|
Numerator 1 · Denominator 53 · Adjusted rate 2.16% |
| Healthcare-associated infections requiring hospitalization | 6.5% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 61 · Observed rate 3.28% · Lower 95% interval 2.99% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 385 |
| Staff flu vaccination coverage | 71.52% |
42%
29.5 pts better
|
Numerator 216 · Denominator 302 |
| Discharge function score | 53.19% |
56.45%
3.3 pts worse
|
Numerator 25 · Denominator 47 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 29 · Denominator 29 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 76.92% |
25.2%
51.7 pts better
|
Numerator 20 · Denominator 26 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.7
0.8 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.6 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.3
0.8 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
91.2%
8.2 pts better
|
93.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.5% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.4% |
| 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 4.3% · Q2 5.5% · Q3 3.9% · Q4 3.1% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.8% |
18.5%
16.7 pts better
|
11.4%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.9% · Q3 2.6% · Q4 1.3% · 4Q avg 1.8% |
| Percentage of long-stay residents who lose too much weight | 3.5% |
6.1%
2.6 pts better
|
5.4%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 3.3% · Q3 4.1% · Q4 2.6% · 4Q avg 3.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.4% |
13.5%
7.1 pts better
|
19.6%
13.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 4.6% · Q3 8.1% · Q4 7.2% · 4Q avg 6.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.3% |
14.8%
1.5 pts worse
|
16.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 18.3% · Q3 14.2% · Q4 15.6% · 4Q avg 16.3% · 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 | 17.1% |
15.1%
2 pts worse
|
16.3%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 21.5% · Q3 15.5% · Q4 14.5% · 4Q avg 17.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.1% |
15.5%
3.6 pts worse
|
14.9%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 22.1% · Q3 17.9% · Q4 16.1% · 4Q avg 19.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.6%
0.2 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.0% |
1.4%
0.6 pts worse
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.1% · Q3 1.9% · Q4 1.3% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.4% |
20.8%
7.6 pts worse
|
19.8%
8.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.1% · Q2 23.0% · Q3 29.4% · Q4 28.2% · 4Q avg 28.4% |
| Percentage of long-stay residents with pressure ulcers | 3.0% |
6.9%
3.9 pts better
|
5.1%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 4.9% · Q3 2.2% · Q4 2.7% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.3% |
76.7%
16.6 pts better
|
81.7%
11.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.0% · Q2 94.1% · Q3 95.8% · Q4 87.5% · 4Q avg 93.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.7% |
9.7%
About the same
|
12.0%
2.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.7% · Observed 7.7% · Expected 8.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.2%
0.2 pts worse
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 3.0% · Q3 1.4% · Q4 0.0% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.8% |
78.8%
17 pts better
|
79.7%
16.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 10.2% |
20.6%
10.4 pts better
|
23.9%
13.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.2% · Observed 7.7% · Expected 18.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-11-16 · Fire 2021-11-16
2 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Cycle 3
Health 2019-04-24 · Fire 2019-04-24
4 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2023-07-21
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-09-26
D · Potential for more than minimal harm
2023-07-21
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-26
E · Potential for more than minimal harm
2021-11-16
E29 · Emergency Preparedness Deficiencies
Fire Safety
Develop a communication plan.
Corrected 2022-01-14
D · Potential for more than minimal harm
2019-04-24
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-06-14
Inspection history
Recent health citations
D · Potential for more than minimal harm
2023-07-21
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-09-16
D · Potential for more than minimal harm
2023-07-21
F557 · Resident Rights Deficiencies
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2023-09-16
D · Potential for more than minimal harm
2023-07-21
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-09-16
D · Potential for more than minimal harm
2021-11-16
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-01-14
D · Potential for more than minimal harm
2021-11-16
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-01-14
D · Potential for more than minimal harm
2019-04-24
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 2019-06-20
D · Potential for more than minimal harm
2019-04-24
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-06-20
D · Potential for more than minimal harm
2019-04-24
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-06-20
D · Potential for more than minimal harm
2019-04-24
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2019-06-20
Penalties and ownership
What sits behind the stars
Ownership
Apostolakos, Michael
Corporate Director · Individual
Asante, Akua
Corporate Director · Individual
Blazey, Mark
Corporate Director · Individual
Case, David
Corporate Director · Individual
Dixon, Lauren
Corporate Director · Individual
Friedlander, Roger
Corporate Director · Individual
Fulmer, Susan
Corporate Director · Individual
Goldstein, Steven
Corporate Director · Individual
Griswold, Paul
Corporate Director · Individual
Hunt, Dale
Corporate Director · Individual
Jackson, Krista
Corporate Director · Individual
Jones, Jennifer
Corporate Director · Individual
Kenyon, William
Corporate Director · Individual
Kovaleski, Mark
Corporate Director · Individual
Lamb, Georgia
Corporate Director · Individual
Linehan, David
Corporate Director · Individual
Mm Ewing Continuing Care Center
Operational/Managerial Control · Organization
Nicholas, Nirmala
Operational/Managerial Control · Individual
Nicholas, Nirmala
Corporate Director · Individual
Prunoske, Mark
Operational/Managerial Control · Individual
Prunoske, Mark
Corporate Officer · Individual
Sands, Lauren
Corporate Director · Individual
Somerset, Margaret
Corporate Director · Individual
Stapleton, Michael
Operational/Managerial Control · Individual
Stapleton, Michael
Corporate Officer · Individual
Taubman, Mark
Corporate Director · Individual
Teerlinck, Cynthia
Corporate Director · Individual
Vandusen, Lori
Corporate Director · Individual
Weis, Justin
Corporate Director · Individual
Wolfe, Maureen
Corporate Director · Individual
Nearby options
Other facilities in reach
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Elm Manor Nursing and Rehabilitation Center
Canandaigua, NY
1-star overall rating with 2-star inspections with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Ontario Center for Rehabilitation and Healthcare
Canandaigua, NY
1-star overall rating with 1-star inspections with abuse icon flag with $117,878 in total fines with 15 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Clifton Springs Hospital and Clinic Extended Care
Clifton Springs, NY
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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