Canandaigua, NY

Ontario Center for Rehabilitation and Healthcare

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

3062 County Complex Drive, Canandaigua, NY

(585) 396-4345

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Centers Health Care

Operator or chain grouping

Approved since

1977-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

35 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

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

0.35

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.81

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

1.89

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.05

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.17

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

2.52

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.23

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.11

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.38

CMS adjusted RN staffing hours

Adjusted total hours

3.26

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

83%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

81%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,080

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

Performance score

30.82

Composite VBP score used to determine payment impact.

Payment multiplier

0.9862

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.23

Baseline 19.96% · Performance 19.93% · Measure score 3.23 · Achievement 3.23 · Improvement 0

Healthcare-associated infections

7.48

Baseline 9.97% · Performance 6.00% · Measure score 7.48 · Achievement 6.13 · Improvement 7.48

Total nurse turnover

Baseline 68.42% · Performance 71.80% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

1.62

Baseline 2.36 hours · Performance 3.09 hours · Measure score 1.62 · Achievement 0 · Improvement 1.62

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.51%	10.72% 0.2 pts better	No Different than the National Rate · Eligible stays 94 · Observed rate 12.77% · Lower 95% interval 7.41%
Discharge to community	42.15%	50.57% 8.4 pts worse	No Different than the National Rate · Eligible stays 81 · Observed rate 30.86% · Lower 95% interval 30.84%
Medicare spending per beneficiary	1.01	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 61 · Denominator 61
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 61
Discharge self-care score	32.43%	53.69% 21.3 pts worse	Numerator 12 · Denominator 37
Discharge mobility score	45.95%	50.94% 5 pts worse	Numerator 17 · Denominator 37
Pressure ulcers or injuries, new or worsened	6.56%	2.29% 4.3 pts worse	Numerator 4 · Denominator 61 · Adjusted rate 6.69%
Healthcare-associated infections requiring hospitalization	6%	7.12% 1.1 pts better	No Different than the National Rate · Eligible stays 42 · Observed rate 2.38% · Lower 95% interval 3.54%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 91
Staff flu vaccination coverage	22.5%	42% 19.5 pts worse	Numerator 36 · Denominator 160
Discharge function score	51.35%	56.45% 5.1 pts worse	Numerator 19 · Denominator 37
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	17.95%	25.2% 7.2 pts worse	Numerator 7 · Denominator 39

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.9	1.7 1.2 pts worse	1.9 1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.2 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.6	1.3 2.3 pts worse	1.8 1.8 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.6 · Observed 3.0 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	94.7%	91.2% 3.5 pts better	93.4% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 86.0% · Q2 95.3% · Q3 97.6% · Q4 100.0% · 4Q avg 94.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	86.0%	95.3% 9.3 pts worse	95.5% 9.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 86.0%
Percentage of long-stay residents experiencing one or more falls with major injury	4.7%	3.0% 1.7 pts worse	3.3% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 3.5% · Q3 5.9% · Q4 4.9% · 4Q avg 4.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	45.6%	18.5% 27.1 pts worse	11.4% 34.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 83.8% · Q2 60.8% · Q3 19.7% · Q4 8.7% · 4Q avg 45.6%
Percentage of long-stay residents who lose too much weight	2.8%	6.1% 3.3 pts better	5.4% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 2.4% · Q3 0.0% · Q4 1.3% · 4Q avg 2.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	13.0%	13.5% 0.5 pts better	19.6% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 12.8% · Q3 11.8% · Q4 12.2% · 4Q avg 13.0%
Percentage of long-stay residents who received an antipsychotic medication	11.9%	14.8% 2.9 pts better	16.7% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 11.1% · Q3 13.2% · Q4 10.9% · 4Q avg 11.9% · 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	8.2%	15.1% 6.9 pts better	16.3% 8.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 8.8% · Q3 6.6% · Q4 6.6% · 4Q avg 8.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.7%	15.5% 3.8 pts better	14.9% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 12.2% · Q3 13.0% · Q4 6.6% · 4Q avg 11.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.6% 0.6 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.8%	1.4% 0.4 pts worse	1.7% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.8% · Q3 2.4% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.5%	20.8% 3.7 pts worse	19.8% 4.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 17.9% · Q3 28.3% · Q4 28.5% · 4Q avg 24.5%
Percentage of long-stay residents with pressure ulcers	9.3%	6.9% 2.4 pts worse	5.1% 4.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 10.1% · Q3 10.6% · Q4 6.7% · 4Q avg 9.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	76.1%	76.7% 0.6 pts worse	81.7% 5.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 51.9% · Q2 69.6% · Q3 85.7% · Q4 88.5% · 4Q avg 76.1%
Percentage of short-stay residents who had an outpatient emergency department visit	23.2%	9.7% 13.5 pts worse	12.0% 11.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 23.2% · Observed 25.4% · Expected 12.2% · 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	82.6%	78.8% 3.8 pts better	79.7% 2.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 82.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.8%	20.6% 5.2 pts worse	23.9% 1.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.8% · Observed 28.8% · Expected 26.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-31 · Fire 2025-01-31

15 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2023-01-11 · Fire 2023-01-11

14 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

5 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 3 Health 2021-06-09 · Fire 2021-06-09

7 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-01-31

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-03-04

D · Potential for more than minimal harm 2025-01-31

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-02-27

F · Potential for more than minimal harm 2023-01-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-02-23

E · Potential for more than minimal harm 2023-01-11

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-02-23

D · Potential for more than minimal harm 2023-01-11

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-02-23

C · Minimal harm 2023-01-11

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2023-02-23

C · Minimal harm 2023-01-11

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2023-02-23

E · Potential for more than minimal harm 2021-06-09

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2021-07-21

E · Potential for more than minimal harm 2021-06-09

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2021-07-21

E · Potential for more than minimal harm 2021-06-09

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2021-07-21

E · Potential for more than minimal harm 2021-06-09

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-07-21

E · Potential for more than minimal harm 2021-06-09

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2021-07-21

E · Potential for more than minimal harm 2021-06-09

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2021-07-21

D · Potential for more than minimal harm 2021-06-09

K111 · Construction Deficiencies

Fire Safety

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Corrected 2021-07-21

D · Potential for more than minimal harm 2021-06-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2021-07-21

Inspection history

Recent health citations

K · Immediate jeopardy 2025-01-31

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-03-05

H · Actual harm 2025-01-31

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-03-05

G · Actual harm 2025-01-31

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 2025-03-05

F · Potential for more than minimal harm 2025-01-31

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2025-03-05

F · Potential for more than minimal harm 2025-01-31

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-03-04

E · Potential for more than minimal harm 2025-01-31

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-03-05

E · Potential for more than minimal harm 2025-01-31

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 2025-03-05

E · Potential for more than minimal harm 2025-01-31

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-03-05

E · Potential for more than minimal harm 2025-01-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-05

D · Potential for more than minimal harm 2025-01-31

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-03-05

D · Potential for more than minimal harm 2025-01-31

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-03-05

D · Potential for more than minimal harm 2025-01-31

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 2025-03-05

D · Potential for more than minimal harm 2025-01-31

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-03-05

B · Minimal harm 2025-01-31

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2025-03-05

B · Minimal harm 2025-01-31

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2025-03-05

D · Potential for more than minimal harm 2024-11-02

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-12-16

D · Potential for more than minimal harm 2024-07-02

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-04-05

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 2024-04-25

D · Potential for more than minimal harm 2024-04-05

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-04-25

F · Potential for more than minimal harm 2023-01-11

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-02-15

E · Potential for more than minimal harm 2023-01-11

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-02-15

E · Potential for more than minimal harm 2023-01-11

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2023-02-15

D · Potential for more than minimal harm 2023-01-11

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 2023-02-15

D · Potential for more than minimal harm 2023-01-11

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-02-15

D · Potential for more than minimal harm 2023-01-11

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 2023-02-15

D · Potential for more than minimal harm 2023-01-11

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-02-15

D · Potential for more than minimal harm 2023-01-11

F761 · Pharmacy Service Deficiencies

Health

Corrected 2023-02-15

D · Potential for more than minimal harm 2023-01-11

F836 · Administration Deficiencies

Health

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.

Corrected 2023-02-15

B · Minimal harm 2023-01-11

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2023-02-15

E · Potential for more than minimal harm 2021-06-09

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2021-08-02

D · Potential for more than minimal harm 2021-06-09

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2021-07-21

D · Potential for more than minimal harm 2021-06-09

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2021-07-21

D · Potential for more than minimal harm 2021-06-09

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 2021-07-21

D · Potential for more than minimal harm 2021-06-09

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2021-07-21

D · Potential for more than minimal harm 2021-06-09

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2021-07-21

D · Potential for more than minimal harm 2021-06-09