Inspection Reports for Lilac Manor Rehabilitation and Nursing Center
3 Upton Park, Rochester, NY, 14607
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
76% worse than New York average
New York average: 5.1 deficiencies/yearDeficiencies per year
24
18
12
6
0
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Aug 20, 2025
Visit Reason
One isolated level 2 deficiency related to notifying of changes (injury/decline/room, etc.) with no immediate jeopardy or actual harm.
Findings
One isolated level 2 deficiency related to notifying of changes (injury/decline/room, etc.) with no immediate jeopardy or actual harm.
Deficiencies (1)
Notify of changes (injury/decline/room, etc. ) — quality of care
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 22
Date: Jun 6, 2024
Visit Reason
Multiple level 1 and 2 deficiencies related to ADL care, administration, care plans, behavioral health, equipment, medication labeling, licensing, pain management, nurse staffing, and other quality of care issues. Many corrected by September 2024.
Findings
Multiple level 1 and 2 deficiencies related to ADL care, administration, care plans, behavioral health, equipment, medication labeling, licensing, pain management, nurse staffing, and other quality of care issues. Many corrected by September 2024.
Deficiencies (22)
ADL care provided for dependent residents — quality of care
Administration — quality of care
Baseline care plan — quality of care
Behavioral health services — quality of care
Essential equipment, safe operating condition — quality of care
Free from misappropriation/exploitation — quality of care
Increase/prevent decrease in rom/mobility — quality of care
Label/store drugs and biologicals — quality of care
License/comply w/ fed/state/locl law/prof std — quality of care
Medicaid/medicare coverage/liability notice — quality of care
Notice requirements before transfer/discharge — quality of care
Pain management — quality of care
Posted nurse staffing information — quality of care
Request/refuse/dscntnue trmnt;formlte adv dir — quality of care
Requirements before submitting a request for — quality of care
Residents are free of significant med errors — quality of care
Respiratory/tracheostomy care and suctioning — quality of care
Responsibilities of providers; required notif — quality of care
Right to survey results/advocate agency info — quality of care
Safe/clean/comfortable/homelike environment — quality of care
Standards of construction for new nh — quality of care
Treatment/devices to maintain hearing/vision — quality of care
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 7
Date: Feb 8, 2023
Visit Reason
Several level 1 and 2 deficiencies related to accounting of personal funds, ADL care, care plan revisions, drug regimen review, notification of changes, nurse staffing, and construction standards. All corrected by April 2023.
Findings
Several level 1 and 2 deficiencies related to accounting of personal funds, ADL care, care plan revisions, drug regimen review, notification of changes, nurse staffing, and construction standards. All corrected by April 2023.
Deficiencies (7)
Accounting and records of personal funds — quality of care
ADL care provided for dependent residents — quality of care
Care plan timing and revision — quality of care
Drug regimen review, report irregular, act on — quality of care
Notify of changes (injury/decline/room, etc. ) — quality of care
Posted nurse staffing information — quality of care
Standards of construction for new nh — quality of care
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Nov 22, 2022
Visit Reason
One isolated level 2 deficiency related to investigating and preventing alleged violations, corrected by December 2022.
Findings
One isolated level 2 deficiency related to investigating and preventing alleged violations, corrected by December 2022.
Deficiencies (1)
Investigate/prevent/correct alleged violation — quality of care
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Aug 2, 2022
Visit Reason
One widespread level 2 deficiency related to reporting to the national health safety network during Covid-19 survey.
Findings
One widespread level 2 deficiency related to reporting to the national health safety network during Covid-19 survey.
Deficiencies (1)
Reporting - national health safety network — quality of care
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jul 25, 2022
Visit Reason
One widespread level 2 deficiency related to reporting to the national health safety network during Covid-19 survey.
Findings
One widespread level 2 deficiency related to reporting to the national health safety network during Covid-19 survey.
Deficiencies (1)
Reporting - national health safety network — quality of care
Inspection Report
Capacity: 60
Deficiencies: 1
Date: Jul 18, 2022
Visit Reason
One widespread level 2 deficiency related to reporting to the national health safety network during Covid-19 survey.
Findings
One widespread level 2 deficiency related to reporting to the national health safety network during Covid-19 survey.
Deficiencies (1)
Reporting - national health safety network — quality of care
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 2
Date: Mar 17, 2022
Visit Reason
Two isolated level 2 deficiencies related to nutrition/hydration maintenance and RN staffing, corrected by April 2022.
Findings
Two isolated level 2 deficiencies related to nutrition/hydration maintenance and RN staffing, corrected by April 2022.
Deficiencies (2)
Nutrition/hydration status maintenance — quality of care
Rn 8 hrs/7 days/wk, full time don — quality of care
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