4 Reports
Inspection Report — Dec 11, 2025
State
Date: Dec 11, 2025
Visit Reason
State-compiled facility profile showing 10 inspections from June 2022 to May 2026 with citation and enforcement history.
Complaint Details
The state logged 70 complaints about this facility; 18 led to on-site inspections. No citations resulted from those complaints during the reporting period.
Findings
Across 10 inspections, 6 had no citations while 4 resulted in 36 total citations including standard health and life safety code violations. The facility had 70 complaints with 18 on-site inspections and 1 enforcement action with fines recorded.
Citations (19)
Standard Health Citation — quality of care: ADL Care Provided For Dependent Residents was cited with minor potential harm.
Standard Health Citation — quality of care: Free Of Accident Hazards/supervision/devices was cited with minor potential harm.
Standard Health Citation — quality of care: Infection Prevention & Control was cited with minor potential harm.
Standard Health Citation — quality of care: Investigate/prevent/correct Alleged Violation was cited with minor potential harm.
Standard Health Citation — quality of care: Reporting Of Alleged Violations was cited with minor potential harm.
Standard Health Citation — quality of care: Services Provided Meet Professional Standards was cited with minor potential harm.
Life Safety Code Citation — NFPA requirements: Fire Alarm System - Testing And Maintenance was cited with minor potential harm.
Life Safety Code Citation — NFPA requirements: Gas Equipment - Cylinder And Container Storage was cited with potential for minimal harm.
Life Safety Code Citation — NFPA requirements: Rubbish Chutes, Incinerators, And Laundry Chutes was cited with minor potential harm.
Life Safety Code Citation — NFPA requirements: Sprinkler System - Maintenance And Testing was cited with minor potential harm.
Standard Health Citation — quality of care: Reporting - National Health Safety Network was cited with minor potential harm and not yet corrected.
Life Safety Code Citation — NFPA requirements: Aisle, Corridor, Or Ramp Width was cited with minor potential harm.
Life Safety Code Citation — NFPA requirements: Development Of Communication Plan was cited with potential for minimal harm.
Life Safety Code Citation — NFPA requirements: Electrical Systems - Essential Electric System was cited with minor potential harm.
Life Safety Code Citation — NFPA requirements: Fire Alarm System - Testing And Maintenance was cited with minor potential harm.
Life Safety Code Citation — NFPA requirements: Hvac was cited with minor potential harm.
Life Safety Code Citation — NFPA requirements: Sprinkler System - Maintenance And Testing was cited with minor potential harm.
Life Safety Code Citation — NFPA requirements: Subdivision Of Building Spaces - Smoke Barrier was cited with minor potential harm.
Standard Health Citation — quality of care: Reporting - National Health Safety Network was cited with minor potential harm and not yet corrected.
Report Facts
Inspections on page: 10
Total violations/deficiencies cited: 36
Inspections with violations: 4
Inspections without violations: 6
Total complaints: 70
On-site complaint inspections: 18
Enforcement actions: 1
Total fines: 2000
Citations issued from complaints: 0
Citations by category - Standard Health: 14
Citations by category - Life Safety Code: 22
Inspection Report — Aug 17, 2023
Annual Inspection CMS
Date: Aug 17, 2023
Visit Reason
The inspection was conducted as an annual survey of the Jewish Home of Rochester to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report — Aug 6, 2021
Complaint Investigation CMS
Date: Aug 6, 2021
Visit Reason
The inspection was conducted as a Recertification Survey and complaint investigation regarding the facility's failure to timely report allegations of abuse, neglect, or mistreatment to the New York State Department of Health (NYSDOH).
Complaint Details
The complaint investigation (#NY00276039) found that the facility did not report allegations of abuse, neglect, or mistreatment to NYSDOH in a timely manner. The incident involved resident-to-resident physical abuse causing injury, which was reported late to NYSDOH. The Director of Nursing stated the residents were demented and lacked intent, so the incident did not fall under abuse, neglect, or mistreatment, and the facility had 5 days to report the incident.
Findings
The facility failed to report an incident of resident-to-resident physical abuse resulting in injury within the required timeframe to NYSDOH. Specifically, an incident on 5/9/21 involving two residents was not reported until 5/12/21, exceeding the required reporting period.
Citations (1)
Failure to timely report suspected abuse, neglect, or mistreatment to proper authorities.
Report Facts
Days late reporting incident: 3
Residents reviewed: 3
Residents affected: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Completed Incident Investigation Summary and provided interview statements regarding the incident and reporting timeline |
| Licensed Practical Nurse (LPN) | Witnessed the incident and reported it | |
| Registered Nurse (RN) | Completed assessment of injured resident |
Inspection Report — Jan 9, 2019
Annual Inspection CMS
Date: Jan 9, 2019
Visit Reason
The inspection was conducted as a Recertification Survey to assess compliance with regulatory requirements related to resident care plans, medication administration, and psychotropic medication use.
Findings
The facility failed to revise a resident's care plan to reflect refusal of CPAP therapy and did not document education regarding the resident's decision. Additionally, the facility did not ensure that a resident's drug regimen was free from unnecessary medications, as an antipsychotic was administered without proper documentation of diagnosis, symptoms, or non-pharmacological interventions.
Citations (2)
Failure to revise the care plan to reflect the resident's current condition regarding CPAP therapy.
Failure to ensure drug regimen remained free from unnecessary medications; antipsychotic administered without proper documentation.
Report Facts
Treatment Administration Record (TAR) sign-offs: 86
Treatment Administration Record (TAR) sign-offs: 93
Residents reviewed for respiratory care: 2
Residents reviewed for unnecessary medications: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Clinical Coordinator | Interviewed regarding resident refusal of CPAP and care plan revisions | |
| Registered Nurse Manager | Interviewed regarding care plan completion and documentation expectations | |
| Registered Nurse (RN) | Admitted resident and administered IM Haldol; interviewed about medication administration | |
| Physician | Interviewed regarding resident's delirium, medication orders, and treatment rationale | |
| Medical Director | Interviewed regarding medication audit and documentation requirements |
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