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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 31st out of 388 homes in New York. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 20m per day |
Lower than the New York average: 88.3%Lilac Manor Rehabilitation and Nursing Center is legally operated by Wesley Gardens Corporation (Not for Profit).
In New York, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York state average. See the nursing homes benchmark below for the typical New York score; higher is better.
F · Well below the New York average for nursing homes.
New York nursing homes benchmark: C 74/100
Inspection score: 50 out of 100. Letter grade F. Well below the New York average for nursing homes.
Enforcement actions are formal penalties or interventions imposed by New York regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.
This facility has 6 enforcement actions. 34% of New York nursing homes have zero, and the statewide average is 1.6.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 55 | 13 | This facility has 323% more total citations than a typical New York nursing home (55 vs. NY avg 13).↑ 323% worse |
|
Health citations
Violations related to resident care, clinical practices, and day-to-day operations.
| 50 | 20 | This facility has 150% more health citations than a typical New York nursing home (50 vs. NY avg 20).↑ 150% worse |
|
Life safety citations
Violations related to building safety — fire prevention, emergency egress, and similar.
| 5 | 4 | This facility has 25% more life safety citations than a typical New York nursing home (5 vs. NY avg 4).↑ 25% worse |
|
Citations per year
Average citations per year since 2022.
| 13.8 | 3.3 | This facility has 318% more citations per year than a typical New York nursing home (13.8 vs. NY avg 3.3).↑ 318% worse |
|
Citations per inspection
Average citations per inspection.
| 2.6 | 1.4 | This facility has 86% more citations per inspection than a typical New York nursing home (2.6 vs. NY avg 1.4).↑ 86% worse |
Inspections
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 21 | 9 | This facility has 133% more total inspections than a typical New York nursing home (21 vs. NY avg 9).↑ 133% worse |
|
Inspections with citations
Inspections that resulted in at least one regulatory citation.
| 17 | 4 | This facility has 325% more inspections with citations than a typical New York nursing home (17 vs. NY avg 4).↑ 325% worse |
|
Inspection citation rate
Percentage of inspections that resulted in at least one citation.
| 81% | 44% | This facility has 37 percentage points higher inspection citation rate than a typical New York nursing home (81% vs. NY avg 44%).↑ 37% worse |
Complaints & Investigations
| This Facility | NY Average | vs. NY Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 162 | 79 | This facility has 105% more total complaints than a typical New York nursing home (162 vs. NY avg 79).↑ 105% worse |
|
Complaints per year
Average complaints per year since 2022.
| 40.5 | 19.8 | This facility has 105% more complaints per year than a typical New York nursing home (40.5 vs. NY avg 19.8).↑ 105% worse |
|
Complaints per bed
Size-adjusted complaint rate based on occupied beds.
| 1.24 | 0.50 | This facility has 148% more complaints per bed than a typical New York nursing home (1.24 vs. NY avg 0.5).↑ 148% worse |
|
Complaint investigations
On-site investigations triggered by complaints filed with New York regulators.
| 32 | 15 | This facility has 113% more complaint investigations than a typical New York nursing home (32 vs. NY avg 15).↑ 113% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on August 20, 2025, identified one isolated deficiency related to notifying of changes in resident condition, with no immediate jeopardy or actual harm. Earlier inspections showed a pattern of deficiencies mainly involving quality of care issues such as activities of daily living (ADL) assistance, nurse staffing, care planning, medication management, and reporting requirements. Complaint investigations were unsubstantiated or corrected promptly, and no fines, immediate jeopardy findings, or license actions were listed in the available reports. Prior reports also noted issues with reporting to the national health safety network during the COVID-19 period, which were addressed over time. The facility’s record shows a trend of addressing and correcting deficiencies, with fewer and less extensive issues in the most recent inspection.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNew York average 3.6
Last Health inspection on Aug 2025
New York average 18.5
New York average 5.05
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
21 of 36 citations resulted from standard inspections; 2 of 36 resulted from complaint investigations; and 13 of 36 came from combined inspections (standard and complaint).
100% better than New York averageNew York average: 0.2
100% better than New York averageNew York average: 0.2
Corrected
Corrected
Corrected
Corrected
How this facility protects residents through staff vaccination policies and immunization practices.
Percentage of facility employees vaccinated against influenza.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
656% better than New York average
6% better than New York average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
97 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 69 | 0 | 69 | 23,796 | 92 | 100% | 8 |
| Licensed Practical Nurse | 39 | 0 | 39 | 11,431 | 92 | 100% | 9 |
| Registered Nurse | 12 | 0 | 12 | 4,377 | 92 | 100% | 8.6 |
| Clinical Nurse Specialist | 7 | 0 | 7 | 2,164 | 73 | 79% | 7.3 |
| Respiratory Therapy Technician | 7 | 0 | 7 | 1,588 | 73 | 79% | 7.3 |
| RN Director of Nursing | 2 | 0 | 2 | 1,036 | 83 | 90% | 8.8 |
| Physical Therapy Aide | 4 | 0 | 4 | 960 | 70 | 76% | 7.5 |
| Physical Therapy Assistant | 7 | 0 | 7 | 917 | 73 | 79% | 7.2 |
| Nurse Practitioner | 1 | 0 | 1 | 470 | 61 | 66% | 7.7 |
| Administrator | 1 | 0 | 1 | 443 | 59 | 64% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 441 | 57 | 62% | 7.7 |
| Qualified Social Worker | 1 | 0 | 1 | 434 | 57 | 62% | 7.6 |
| Speech Language Pathologist | 1 | 0 | 1 | 370 | 51 | 55% | 7.3 |
| Occupational Therapy Aide | 1 | 0 | 1 | 345 | 62 | 67% | 5.6 |
| Medical Director | 0 | 1 | 1 | 52 | 13 | 14% | 4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 45 | 13 | 14% | 3.5 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
100% lower than New York averageNew York average: $66K
100% fewer fines than New York averageNew York average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
759% more payment denials than New York averageNew York average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 6, 2024 · 73 days
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Jun 6, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.9
30% better than New York averageNew York average: 9.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.3
In line with New York averageNew York average: 18.1
Percent of long-stay residents whose need for help with daily activities has increased
8.5%
48% better than New York averageNew York average: 16.4%
Percent of long-stay residents whose ability to move independently worsened
9.5%
43% better than New York averageNew York average: 16.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
37.0%
73% worse than New York averageNew York average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
1.9%
36% better than New York averageNew York average: 3.0%
Percent of long-stay high risk residents with pressure ulcers
8.5%
19% worse than New York averageNew York average: 7.2%
Percent of long-stay residents with a urinary tract infection
1.0%
28% better than New York averageNew York average: 1.4%
Percent of long-stay residents who lose too much weight
6.1%
In line with New York averageNew York average: 6.1%
Percent of long-stay residents who have depressive symptoms
3.5%
81% better than New York averageNew York average: 18.1%
Percent of long-stay residents who received an antipsychotic medication
6.3%
50% better than New York averageNew York average: 12.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
79.4%
13% worse than New York averageNew York average: 91.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
89.7%
6% worse than New York averageNew York average: 95.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
43.9%
43% worse than New York averageNew York average: 76.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.8%
42% worse than New York averageNew York average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
45.8%
42% worse than New York averageNew York average: 78.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
34% of new residents, usually for short-term rehab.
33% of new residents, often for short stays.
33% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
117Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Lilac Manor Rehabilitation and Nursing Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #287 / 383Payroll — State benchmarkedThis home is ranked 287th out of 383 homes in New York. Shows total annual staff payroll benchmarked to the New York average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
1.1 miles from city center
Estimated distance in miles from Rochester's city center to Lilac Manor Rehabilitation and Nursing Center's address, calculated via Google Maps.
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Lilac Manor Rehabilitation and Nursing Center is located in Rochester, New York.
Here are the financial assistance programs available to residents in New York.
The information below is reported by the New York State Department of Health.
| Jewish Home of Rochester |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Rochester (South Winton Road) | 328 | 96.0% | +9% | 5.25 | -84% | +47% | $0 | 3 | 1.5 | - | 306 | 8 | Robert Baker | $59.5M | $41.6M | 69.9% | 335105 | ||||
| Edna Tina Wilson Living Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Rochester (Island Cottage Road) | 120 | 98.3% | +11% | 4.83 | -56% | +35% | $0 | 5 | 1.7 | - | 119 | 2 | Sandra Loan | $17.7M | $11.3M | 64.1% | 335769 | ||||
| St. Ann’s Community |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Rochester (East Irondequoit) | 376 | 97.9% | +11% | 4.61 | -33% | +29% | $55.5k | 12 | 4.0 | - | 366 | 37 | Michelle Ashby | $110.1M | $52.2M | 47.4% | 335081 | ||||
| Lilac Manor Rehabilitation and Nursing Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Rochester (Park Avenue) | 200 | 65.0% | -26% | 4.63 | -39% | +29% | $0 | 36 | 9.0 | - | 130 | 89 | Robert Maddamma | $13.0M | $9.1M | 70.1% | 335488 | ||||
| St. John‘s Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Rochester (Highland Park) | 455 | 90.1% | +2% | 3.90 | -6% | +9% | $182.6k | 30 | 10.0 | 3 | 325 | 54 | St Johns Health Care Corporation | $57.9M | $30.9M | 53.4% | 335008 |
Lilac Manor Rehabilitation and Nursing Center is in the Park Avenue neighborhood of Rochester.
The legal owner and operator of Lilac Manor Rehabilitation and Nursing Center is Wesley Gardens Corporation (Not for Profit).
Lilac Manor Rehabilitation and Nursing Center has a walk score of 89. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to NY state health department records, Lilac Manor Rehabilitation and Nursing Center's license number is 2701352N.
Lilac Manor Rehabilitation and Nursing Center's occupancy is 65%.
Lilac Manor Rehabilitation and Nursing Center has 200 beds.
Lilac Manor Rehabilitation and Nursing Center has had 55 recently reported deficiencies.
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