16 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
24 fire-safety deficiencies
Top issue: Smoke (10 deficiencies)
Rochester, NY
1-star overall rating with 1-star inspections with 16 recent health deficiencies with 24 fire-safety deficiencies in the latest cycle
1335 Portland Avenue, Rochester, NY
(585) 504-0400
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
103
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1975-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.40
Registered nurse staffing
LPN hours / resident day
1.00
Licensed practical nurse staffing
Aide hours / resident day
1.56
Nurse aide staffing
Weekend hours
2.59
Weekend nurse staffing
RN turnover
71%
Annual RN turnover
Total nurse turnover
58%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.7
0.2 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 |
| 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 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 59.7% |
91.2%
31.5 pts worse
|
93.4%
33.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.1% |
3.0%
1.9 pts better
|
3.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 9.9% |
18.5%
8.6 pts better
|
11.4%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 4.3% |
6.1%
1.8 pts better
|
5.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.3% |
13.5%
8.2 pts better
|
19.6%
14.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 17.2% |
14.8%
2.4 pts worse
|
16.7%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 27.4% |
15.1%
12.3 pts worse
|
16.3%
11.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 30.5% |
15.5%
15 pts worse
|
14.9%
15.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
1.4%
1.1 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.7% |
20.8%
10.9 pts worse
|
19.8%
11.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 4.4% |
6.9%
2.5 pts better
|
5.1%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 25.7% |
76.7%
51 pts worse
|
81.7%
56 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.0% |
9.7%
2.3 pts worse
|
12.0%
About the same
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.2%
0.5 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 25.3% |
78.8%
53.5 pts worse
|
79.7%
54.4 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.3% |
20.6%
0.3 pts better
|
23.9%
3.6 pts better
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Resident Assessment and Care Planning (4 deficiencies)
24 fire-safety deficiencies
Top issue: Smoke (10 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
24 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2026-02-16
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-09-27
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-27
Fire Safety
Develop a communication plan.
Corrected 2024-08-26
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-08-26
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-08-26
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-08-26
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-08-26
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 2024-08-26
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-10-03
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-08-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-27
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-08-26
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-08-26
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-26
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-08-26
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2024-08-26
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-26
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-09-27
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-08-26
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-08-26
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-08-26
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2024-08-26
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-08-26
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-02-21
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-02-21
Fire Safety
Develop a communication plan.
Corrected 2023-02-21
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-02-21
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2023-02-21
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-02-21
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 2023-02-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-21
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-02-21
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-02-21
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-02-21
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2023-02-21
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2023-02-21
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-02-21
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-02-21
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-02-21
Fire Safety
Install proper backup exit lighting.
Corrected 2023-02-21
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-02-21
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-02-21
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2023-02-21
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-02-21
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-02-21
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-02-21
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-02-21
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2020-11-02
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 2020-11-02
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-11-02
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-11-02
Fire Safety
Provide properly protected cooking facilities.
Corrected 2020-11-02
Inspection history
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 2025-12-31
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-12-31
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-11-04
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-10-29
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 2025-09-08
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2025-01-13
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-01-13
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 2024-08-26
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-27
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-09-27
Health
Keep all essential equipment working safely.
Corrected 2024-08-26
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-08-26
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-09-27
Health
Dispose of garbage and refuse properly.
Corrected 2024-08-26
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 2024-08-26
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-08-26
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-09-27
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-11-14
Health
Keep all essential equipment working safely.
Corrected 2023-11-14
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-11-14
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-14
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 2023-11-14
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 2023-03-09
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-02-14
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-02-14
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-03-09
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-02-14
Health
Respond appropriately to all alleged violations.
Corrected 2023-02-14
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 2023-02-14
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-02-14
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-02-14
Health
Dispose of garbage and refuse properly.
Corrected 2023-02-14
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2023-02-14
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 2023-02-14
Health
Keep all essential equipment working safely.
Corrected 2023-02-14
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 2020-11-02
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2020-11-02
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2020-11-02
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2020-11-02
Penalties and ownership
Payment Denial · denial start 2024-09-28 · 5 days
5 day denial
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
W-2 Managing Employee · Individual
Nearby options
Rochester, NY
4-star overall rating with 4-star inspections with $55,495 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Rochester, NY
3-star overall rating with 2-star inspections with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Rochester, NY
1-star overall rating with 1-star inspections with 21 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Jump out