6745 Pittsford-Palmyra Road, Fairport, NY 14450 · Monroe County · (585) 223-3633
80 certified beds, about 72 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1976
CMS Care Compare ratings, data as of September 1, 2026 · CCN 335467 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on October 15, 2024, inspectors cited 17 health deficiencies (the New York average is 8.1, the national average 9.2).
Of 35 health citations since September 2021, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $41,360 in the last three years; the largest was $41,360, and the latest is dated October 15, 2024.
Nurses and nurse aides worked 3.44 hours per resident per day, against 3.63 across New York and 3.86 nationally. Registered nurses accounted for 0.31 of those hours.
76.9% of nursing staff left within the year CMS measured (New York average 40.3%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 35 health citations on file.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure reported concerns regarding missing personal property were investigated, documented, and addressed in accordance with facility policy for two (2) of six (6) residents reviewed (Resident #9 and Resident #39). Specifically, Resident #9 reported a missing blue fabric zip-up jacket and Resident #39 reported a missing wallet. The facility failed to complete and document investigations, failed to document findings or resolution, and failed to provide documented follow-up regarding the missing items.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure residents who were unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene for two (2) of six (6) residents reviewed (Residents #15 and #73). Specifically, Resident #73, who required staff assistance with grooming, bathing, dressing, and personal hygiene, was observed on multiple occasions with a significant amount of facial hair, unclean fingernails containing dark debris underneath, broken and jagged fingernails, and stained clothing. Resident #15, who required staff assistance with showering and personal hygiene, was observed on multiple occasions with noticeable facial hair on the chin, long fingernails, and greasy hair.
Inspectors wroteBased on observations, interviews, and record review conducted during the Recertification Survey from 10/07/2024 to 10/15/2024, for two (Resident #13 and #59) of two residents reviewed, the facility did not ensure residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices. Specifically, Resident #13 did not have documented evidence of a bowel movement for more than three days, that bowel medications were ordered and/or administered per the facility's protocol, or that a medical provider was notified. [...]
Inspectors wroteBased on observations, record review, and interviews during the Recertification Survey conducted from 10/7/2024 through 10/15/2024, the facility failed to ensure acceptable parameters of nutritional status for two (Residents #38 and #11) of three residents reviewed. Specifically, Resident #38 did not receive assistance at meals per their care plan, did not have their nutritional needs reassessed timely, and had poor meal intakes resulting in significant weight loss. Additionally, Resident #38 developed a stage three pressure ulcer (full thickness tissue loss) following the weight loss. [...]
Inspectors wroteBased on observations, interviews, and record review conducted during the Recertification Survey and complaint investigations (NY00354611 and NY00349191), for two (Second Floor and Third Floor) of two resident units, the facility did not ensure sufficient staffing to provide nursing services to attain or maintain the highest practical physical, mental, and psychosocial well-being for residents in the facility. Specifically, there were several observations of residents who were in bed and wearing hospital gowns during the late morning hours, residents with dirty, unkept fingernails, and residents that were not provided assistance with meals as care planned.
Inspectors wroteBased on interviews and record review conducted during the Recertification Survey from 10/07/2024 to 10/15/2024, for one (Resident #59) of two residents reviewed, the facility did not ensure licensed nurses have the specific competencies and skill sets necessary to care for residents' needs as identified through resident assessments and described in the plan of care. Specifically, Resident #59 who had nephrostomy tubes (thin, flexible tubes that drain urine from the kidney into a bag outside the body), nursing staff reported not having received training related to the care and management of nephrostomy tubes and the facility was unable to provided documented evidence of any trainings or related competencies. This is evidenced by the following: [...]
Inspectors wroteBased on interviews and record review conducted during the Recertification Survey from 10/07/2024 to 10/15/2024, for seven (Residents #1, #2, #6, #26, #31, #51, and #65) of seven residents, the facility did not ensure that grievances and recommendations by the resident group (Resident Council) concerning issues of resident care and life in the facility were acted on promptly. Specifically, during a special Resident Council meeting, seven residents voiced multiple concerns. A review of the previous three months of meeting minutes included issues such as call bell response, inability to find staff during various periods of the day, staff phone use during care, dietary concerns, and missing laundry items. The facility was unable to provide their responses and rationale related to grievances brought by the resident group. This is evidenced by the following: [...]
Inspectors wroteBased on interviews and record review conducted during the Recertification Survey from 10/07/2024 to 10/15/2024, for 10 (Residents #25, #26, #46, #62, #64, #68, #71, #72, #73, and #75) of 10 residents reviewed, the facility did not ensure that the baseline care plan (care plan developed within 48 hours of admission that includes the minimum healthcare information necessary to properly care for the immediate needs of the resident) or summary was reviewed or provided to the residents and/or their representative. Specifically, the facility was unable to provide evidence that a summary of the baseline care plan was reviewed or provided to the resident or the resident representative following admission and prior to the comprehensive care plan meeting.
Inspectors wroteBased on observations, interviews, and record review conducted during a Recertification Survey and complaint investigations (NY00354611 and NY00349191), for two (Residents #1 and #182) of six residents observed during medication administration, the facility did not ensure its medication error rate was less than five percent. There were three medication errors for 47 opportunities resulting in a medication error rate of 6.38 percent. Specifically, three medications were omitted (resident did not receive a medication that was ordered) during the observation due to being unavailable in the facility. This is evidenced by the following: 1. Resident #1 had diagnoses including bipolar disorder, anxiety disorder, and major depressive disorder. The Minimum Data Set Resident Assessment, dated 09/07/2024, included the resident was cognitively intact. [...]
Inspectors wroteBased on observations, interviews, and record review conducted during the Recertification Survey and complaint investigations (ACTS Reference Numbers: NY00354611 and NY00349191), for three (Residents #1, #2, and #53) of eight residents reviewed, the facility did not ensure residents were free from significant medication errors. Specifically, for Resident #1 who had diagnoses of a bipolar disorder and anxiety and was prescribed an antianxiety (lorazepam) medication and a mood stabilizer (lamotrigine), a medication administration observation and medical record review revealed the medications were frequently documented as unavailable in the facility for administration. [...]
Inspectors wroteBased on observations, interviews, and record review conducted during the Recertification Survey from 10/07/2024 to 10/15/2024, for two (Second Floor and Third Floor) of two resident care units, the facility did not ensure they maintained all mechanical, electrical, and patient care equipment in safe operating condition. Specifically, for the Third Floor, a mechanical lift wheel was missing the rubber around the wheel, causing the mechanical lift to tilt. Additionally, both resident care units did not have enough assistive equipment, including mechanical lifts and sit-to-stand lifts, to adequately provide for the transfer needs of the residents. This is evidenced by the following: [...]
Inspectors wroteBased on observations, interview, and record review conducted during the Recertification Survey from 10/7/2024 to 10/15/2024, for one (second floor) of two resident sleeping floors, the facility did not properly maintain the nurse call system. Specifically, there was no central nurse call system panel and the audible component for the system was not functional.
Inspectors wroteBased on interviews and record review conducted during a Recertification Survey and complaint investigation (ACTS Reference Number: NY00319641), for one (Resident #51) of three residents reviewed, the facility did not ensure that an incident resulting in a major injury was thoroughly investigated in order to rule out potential abuse, neglect, mistreatment, or care plan violation. Specifically, Resident #51 fell while being assisted in the bathroom by a staff member resulting in a patella fracture (broken kneecap). The facility was unable to provide evidence (including, but not limited to, statements from the resident, involved staff members or potential witnesses) that the incident was thoroughly investigated to rule out potential abuse, neglect, mistreatment, or care plan violation. This is evidenced by the following: [...]
Inspectors wroteBased on observations, interviews, and record review conducted during the Recertification Survey from 10/07/2024 to 10/15/2024, for two (Resident #19 and Resident #38) of five residents reviewed, the facility did not implement a comprehensive person-centered care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, mental, and psychosocial needs. Specifically, Resident #19 had a history of falls, was care planned to have a fall mat (a floor mat that helps prevent injuries and is often used for people at risk for falling) in place and was observed with the mat improperly placed near their bed. Resident #38, who had a history of falls, was care planned to have a low bed in place and call bell within reach, and was observed in a bed not in the low position and call bell not within reach. This is evidenced by the following: 1. [...]
Inspectors wroteBased on observations, interviews, and record review conducted during the Recertification Survey and complaint investigations (NY00354611 and NY00349191), for two (Residents #25, and #53) of seven residents reviewed for activities of daily living, the facility did not ensure that residents who were unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene. Specifically, residents' fingernails were observed unclean and uncut over multiple days. Additionally, Resident #53 was observed eating with their hands while their fingernails remained dirty. This is evidenced by the following. The undated facility policy Care of Fingernails/Toenails included that the purpose was to clean the nail bed, to keep nails trimmed, and to prevent infections. [...]
Inspectors wroteBased on observations, interviews, and record review conducted during the Recertification Survey from 10/07/2024 to 10/15/2024, for one (Resident #25) of two residents reviewed, the facility did not ensure the resident received the necessary care, treatment, and services, consistent with professional standards of practice to promote healing, prevent new pressure ulcers from developing, and/or prevent existing pressure ulcers from worsening. Specifically, the facility did not ensure that recommendations from the Wound Care Nurse Practitioner were accurately transcribed and implemented and treatments provided. This is evidenced by the following: The facility policy Pressure Ulcer (Injury) Prevention Program, dated 12/19/2022, included risk factors that impact the development, treatment, and/or healing of a pressure ulcer include residents with end stage renal disease and diabetes. [...]
Inspectors wroteBased on observations, record review, and interviews conducted during the Recertification Survey from 10/07/2024 to 10/15/2024, for one (Resident #19) of five residents reviewed, the facility did not ensure each resident received adequate supervision and the environment remained as free of accident hazards as possible. Specifically, Resident #19's care planned fall mat was not in place and there was no documented evidence the resident had been assessed by a Registered Nurse following an unwitnessed fall to their fall mat. The facility's undated policy Fall and Fall Risk documented staff with the help of the attending physician, would identify appropriate interventions to reduce the risk of falls. The facility's undated policy Falls Clinical Protocol documented: a. Staff and physician would document in the medical record a history of one or more falls. b. [...]
Inspectors wroteBased on observations, interviews, and record review conducted during the Recertification Survey and complaint investigation (NY00354611), for one (Resident #2) of one resident reviewed, the facility did ensure the resident's pain was managed to the extent possible in accordance with the comprehensive assessment and plan of care, current professional standards of practice, and the residents goals and preferences. Specifically, Resident #2 did not receive their pain medication as ordered by the physician on multiple occasions. In addition, there was no evidence that the medical team was notified. This is evidenced by the following: [...]
Inspectors wroteBased on observations, interviews, and record review conducted during the Recertification Survey from 10/07/2024 to 10/15/2024, for one (Resident #18) of five residents reviewed, the facility did not ensure a resident was not given psychotropic (medication used to treat mental processes and behaviors) drugs unless the medication is necessary to treat a specific condition as diagnosed and documented in the clinical record. Specifically, Resident #18 was prescribed an antipsychotic (medication used to treat symptoms of psychosis such as hallucinations, delusions, and agitation) medication and there was no documentation in the clinical record to show the resident was experiencing behavioral symptoms that presented a danger to the resident or others, symptoms of significant distress, monitoring for the effectiveness of the medication, and/or the resident's response to the treatment. [...]
Inspectors wroteBased on observations, interviews, and record reviews conducted during an Abbreviated Survey (NY00318784), the facility did not ensure a resident who was unable to carry out activities of daily living independently received the necessary services to maintain good grooming and personal hygiene for one (Resident #3) of three residents reviewed. Specifically, Resident #3 had unclean hair and was wearing soiled clothing over the course of two days. There was no documented evidence that the resident had received a shower or bath for several weeks or had been offered and declined a shower or bath. This is evidenced by the following: Resident #3 had diagnoses including kidney disease, heart failure, and an above the knee left leg amputation. [...]
Inspectors wroteBased on observations, interviews, and record review conducted during an Abbreviated Survey (NY00329516, NY00329869, and NY00330543), it was determined that for one (third floor) of three resident use floors the facility did not operate and provide services in compliance with all applicable Federal, State, and local laws, regulations, and codes including notification of termination of a service vital to the health and safety of residents. Specifically, the nurse call system was not functioning properly for an extended period of time and the incident was not reported to the authority having jurisdiction (New York State Department of Health).
Inspectors wroteBased on observations, interviews, and record review conducted during an Abbreviated Survey in conjunction with complaint investigations (NY00329516, NY00329869, and NY00330543) it was determined that for one (third floor) of three resident use floors the facility did not properly maintain the resident call system. Specifically, the third-floor nurse call system was not functional and did not allow residents to call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area from each resident's bedside, toilet, and bathing facilities.
Inspectors wroteBased on observations, interviews and record review conducted during an Abbreviated Survey (#NY00329869) completed on 1/16/24, the facility did not ensure that for one (Resident #1) of four residents reviewed for dining, that the resident received a nourishing, well balanced diet that meets the daily nutritional and special dietary needs. Specifically. Resident #1 was not provided a lunch meal three days per week on dialysis days for an extended period of time. This is evidenced by the following: Resident # 1 had diagnoses that include fracture of right hip, malnutrition, and kidney disease requiring hemodialysis (process of filtering the blood when the kidneys are unable to) three days a week. The Minimum Data Set (MDS) Resident assessment dated [DATE], documented the resident was cognitively intact. [...]
Inspectors wroteBased on observations, interviews, and record review conducted during an Abbreviated Survey (#NY00329869) completed 1/16/24, the facility did not provide food and drink that was palatable, attractive, and at a safe and appetizing temperature for three (Residents #2, #3, and #4) of four residents reviewed. Specifically, cold drinks were served warm and hot food was served lukewarm and not palatable and trays were missing requested resident preferences without explanations. This is evidenced by the following. During an interview on 1/15/24 at 11:11 AM, Family Member #1 stated the food was horrible, the coffee was lukewarm, the main meal cold and there were missing items on every tray. During a second interview on 1/15/24 at 12:39 PM, Family Member #2 stated that the food items were cold and that there were always missing items from the trays at every meal. [...]
Inspectors wroteBased on observations and interviews conducted during a Recertification Survey conducted from 4/12/23 to 4/18/23 the facility did not provide the residents with a safe, clean, comfortable and homelike environment. Specifically, for two (2nd floor, 3rd floor) of two resident care units reviewed, the facility did not provide clean bed and bath linens resulting in delayed morning care for residents. This is evidenced by: During an observation on 4/12/23 at 9:30 a.m., there was no linen found on the 3rd floor resident unit. Review of the CNA assignment sheet revealed that four resident showers were scheduled for the day shift. During observations on 4/17/23 at 10:45 a.m., the 2nd floor resident unit (resident census of approximately 35) linen cart located in the hallway contained a total of nine washcloths and four gowns. [...]
Inspectors wroteBased on observations, interviews, and record review conducted during the Standard Recertification Survey and complaint investigation (#NY00308355) completed 4/12/23 to 4/18/23, it was determined that for two (second and third floors) of two resident sleeping floors, the facility did not ensure that the resident environment remained free of accident hazards. Specifically, hot water temperatures exceeding 120 degrees Fahrenheit (°F) were accessible to residents at point of use.
Inspectors wroteBased on observations, interviews, and record review conducted during the Standard Recertification Survey completed 4/12/23 to 4/18/23, it was determined that for one of one main kitchen, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, 'temperature controlled for safety-TCS' food items were hot held at less than 140 degrees Fahrenheit (°F), condensers and a condensate line had ice buildup, and floor and ceiling tiles were dirty or in disrepair.
Inspectors wroteBased on observation, interviews and record review conducted during the Recertification Survey and complaint investigation (#NY00313247) from 4/12/23 to 4/18/23, it was determined that the facility did not establish and consistently maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable disease and infections. Specifically, there was a lack of appropriate hand hygiene and unsanitary storage of medication used during a wound treatment for Resident #9, unsanitary care of a indwelling urine catheter drainage bag for Resident #26, lack of hand hygiene during resident care for Residents #12 and #19 and lack of cleaning/disinfecting resident care equipment after use. This was evidenced by the following. 1. [...]
Inspectors wroteBased on observations, interviews, and record reviews conducted during the Recertification Survey and complaint investigation (#NY00313247) completed 4/12/23 to 4/18/23, it was determined that for two (Resident #26 and Resident #58) of five residents reviewed for activities of daily living (ADLs), the facility did not ensure the residents' rights to make choices about aspects of life that were significant to them. Specifically, the facility could not provide evidence that either resident received showers per their preference or Comprehensive Care Plan (CCP). This is evidenced by the following: Review of the undated facility policy Shower/Tub Bath, revealed that documentation of a shower or tub bath should be recorded on the resident's ADL record and/or in the resident's medical record. [...]
Inspectors wroteBased on observations, interviews, and record review conducted during the Recertification Survey and complaint investigation (#NY00311333 and #NY311604) on 4/12/23 to 4/18/23, it was determined that for one (Resident #420) of seven residents reviewed for activities of daily living (ADLs), the facility did not ensure that ADL care was provided for a dependent resident. Specifically, Resident #420's fingernails were observed to be dirty with jagged edges over several days. This is evidenced by the following: Resident #420 was admitted to the facility on [DATE], with diagnoses of chronic heart failure, poly-osteoarthritis, and muscle weakness. A Brief Interview for Mental Status form dated 3/31/23 documented that Resident #420 was moderately impaired of cognitive function. [...]
Inspectors wroteBased on observations, interviews, and record reviews conducted during a Recertification Survey completed on 4/12/23- 4/18/23, it was determined that for one (Resident #64) of three residents reviewed for indwelling catheters, the facility did not ensure that the resident received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan and/or the resident's choice. Specifically, there was no documented evidence that the resident received treatments to their surgical site of a cholecystostomy tube as ordered by the medical team. This is evidenced by the following: Review of the facility policy Wound Care revealed the purpose of the policy was to provide guidelines for the care of wounds to promote healing. [...]
Inspectors wroteBased on observations, interviews, and record review conducted during a Recertification Survey completed 4/12/23 to 4/18/23, it was determined that for one (Resident #58) of three residents reviewed the facility did not ensure the resident received care, consistent with professional standards of practice, to prevent the development of pressure ulcers, and that the resident received the necessary treatment to promote healing of a pressure ulcer, prevent infection and prevent new ulcers from developing. Specifically, the facility could not provide evidence that the use of an ankle foot orthotic (AFO-a brace to the ankle and foot) was appropriately ordered, care planned and monitored to prevent the development of a pressure injury. [...]
Inspectors wroteBased on observations, interviews, and record reviews conducted during the Recertification Survey, completed on 9/27/21, it was determined that for four (Residents #24, #59, #64, and # 73) of four residents reviewed, the facility did not provide food prepared by methods that conserve nutritive value, flavor, and appearance and provide food and drink that is palatable, attractive, and at a safe and appetizing temperature. Specifically, the facility provided food that was unpalatable, not served at safe temperatures and did not have food substitutions readily offered or available. This is evidenced by, but not limited to, the following: Review of a facility policy, Dining Services Operations: Test Trays, dated February 2015, directs that test trays will be performed eight times per month, using alternating meals, days, and diet plans. Testing includes the following: [...]
Inspectors wroteBased on observations, interviews, and record reviews conducted during a Recertification Survey completed on 9/27/21, it was determined that for one of one main kitchen the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, the floor of the walk-in freezer was dirty, there was a significant build-up of ice on the condenser in the walk-in freezer, an indirect drain for two food prep-sinks was improperly installed, a 'temperature controlled for safety (TCS)' food item was not stored at or below 45 degrees Fahrenheit (°F), a handwash sink was obstructed, and food items were stored directly on the floor.
Inspectors wroteBased on observations, interviews and record reviews conducted during the Recertification Survey, completed on 9/27/21, for 1 (Resident # 62) of 25 residents reviewed, the facility did not implement the comprehensive person-centered care plan that includes measurable objectives and timeframes to meet a resident's medical, nursing, mental and psychosocial needs including resident's goals, desired outcomes, and preferences. Specifically, bilateral Geri Sleeves (protective arm coverings to prevent injury) and bilateral leg Tubigrips (provides support to extremities and helps reduce swelling) were not applied as ordered. This is evidenced by the following: Resident #62 had diagnoses including peripheral vascular disease, edema (excessive fluid in the tissues) and dementia. [...]
| Date | Penalty | Amount or length |
|---|---|---|
| October 15, 2024 | Fine | $41,360 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New York | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.44 | 3.63 | 3.86 |
| Registered nurses | 0.31 | 0.71 | 0.69 |
| All nursing staff on weekends | 3.16 | 3.18 | 3.42 |
| Nurse aides | 2.03 | ||
| Licensed practical nurses | 1.10 | ||
| Nursing staff turnover (share who left in a year) | 76.9% | 40.3% | 45.8% |
| Registered nurse turnover | 81.3% | 39.8% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.22 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.55 on weekdays and 3.16 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.27 in April to June 2025 to 3.44 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.44 | 0.31 | 3.55 | 3.16 | 0.0% | 0 of 90 | 72 |
| Oct to Dec 2025 | 3.00 | 0.29 | 3.12 | 2.69 | 0.0% | 3 of 92 | 75 |
| Jul to Sep 2025 | 3.12 | 0.41 | 3.33 | 2.57 | 0.0% | 1 of 92 | 70 |
| Apr to Jun 2025 | 3.27 | 0.42 | 3.47 | 2.78 | 0.0% | 3 of 91 | 72 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New York, Jan to Mar 2026 | 3.55 | 0.68 | 3.72 | 3.13 | 9.8% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| New York, all employers | |||
| CNAs (nursing assistants) | $23.36 | $21.04 to $24.99 | 87,990 |
| LPNs and LVNs | $32.30 | $29.52 to $37.00 | 39,400 |
| Registered nurses | $52.62 | $45.60 to $62.34 | 205,810 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New York | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 3.4 | 14.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.3 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 3.3 | 12.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 13.1 | 6.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.3 | 13.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.9 | 20.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.3 | 9.6 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.4 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Crest Manor Living and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (47.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
47.7% this home
No different from the national rate
US median of homes 51.5% · New York: 101 better, 157 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 77 eligible stays.
11.1% this home
No different from the national rate
US median of homes 10.7% · New York: 12 better, 5 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 94 eligible stays.
6.4% this home
No different from the national rate
US median of homes 7.1% · New York: 7 better, 21 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 49 eligible stays.
55.8% this home
Median of homes: New York60.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 95 residents counted.
0.0% this home
Median of homes: New York0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 147 residents counted.
2.1% this home
Median of homes: New York2.0% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 147 residents counted.
100.0% this home
Median of homes: New York98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 66 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: CREST OPCO LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Cme Jm Opco Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 06/23/2023 |
| Brown, Avrohom | 5% or greater indirect ownership interest | Individual | 30% | 06/23/2023 |
| Farkas, Jennifer | 5% or greater indirect ownership interest | Individual | 45% | 06/23/2023 |
| Gibber, Eliezer | 5% or greater indirect ownership interest | Individual | 15% | 06/23/2023 |
| Lebovics, Michael | 5% or greater indirect ownership interest | Individual | 10% | 06/23/2023 |
| Buslovich, Steven | Contracted managing employee | Individual | 06/23/2023 | |
| Roesch, Burnedette | W-2 managing employee | Individual | 06/23/2023 | |
| Brown, Avrohom | Corporate officer | Individual | 06/23/2023 | |
| Ajb LLC | Operational/managerial control | Organization | 12/09/2024 | |
| Brown, Avrohom | Operational/managerial control | Individual | 06/23/2023 | |
| Krull, Jerome | Operational/managerial control | Individual | 01/21/2025 | |
| Roesch, Burnedette | Operational/managerial control | Individual | 01/21/2025 | |
| Ajb LLC | Adp of the SNF | Organization | 12/09/2024 | |
| Bonadio & Co LLP | Adp of the SNF | Organization | 12/09/2024 | |
| Cme Jm Propco Holdings LLC | Adp of the SNF | Organization | 12/09/2024 | |
| Brown, Avrohom | Adp of the SNF | Individual | 01/23/2025 | |
| Buslovich, Steven | Adp of the SNF | Individual | 01/23/2025 | |
| Farkas, Jennifer | Adp of the SNF | Individual | 12/09/2024 | |
| Gibber, Eliezer | Adp of the SNF | Individual | 12/09/2024 | |
| Krull, Jerome | Adp of the SNF | Individual | 01/23/2025 | |
| Lebovics, Michael | Adp of the SNF | Individual | 12/09/2024 | |
| Roesch, Burnedette | Adp of the SNF | Individual | 01/23/2025 | |
| Steinberg, Moshe | Adp of the SNF | Individual | 12/09/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in New York. NursingHomeClear cannot take or act on complaints.