Inspection Reports for Monroe Community Hospital
435 East Henrietta Road, NY, 14620
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 11
Sep 12, 2025
Visit Reason
State-compiled facility profile showing multiple complaint surveys and inspections from 2021 to 2025 with deficiency and enforcement history.
Findings
Across multiple complaint surveys from 2022 to 2025, Monroe Community Hospital was cited for various deficiencies primarily related to quality of care and life safety, with most deficiencies corrected subsequently. Enforcement actions include fines related to quality of care deficiencies.
Complaint Details
33 complaints received from November 1, 2021 to October 31, 2025 with 53 complaint-related on-site inspections and 43 complaint-related citations covering categories including dietary services, physical environment, quality of care, and resident rights.
Severity Breakdown
Level 3: 1
Level 2: 10
Deficiencies (11)
| Description | Severity |
|---|---|
| Treatment/svcs to prevent/heal pressure ulcer: Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 3 |
| Baseline care plan: Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Notify of changes (injury/decline/room, etc. ): Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Resident rights/exercise of rights: Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Electrical equipment - power cords and extens: Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic. | Level 2 |
| Hazardous areas - enclosure: Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic. | Level 2 |
| Sprinkler system - installation: Standard Life Safety Code Citation: pertains to a wide range of life safety code requirements as established by the National Fire Protection Agency (NFPA), including construction, protection and operational features designed to provide safety from fire, smoke, and panic. | Level 2 |
| Free from abuse and neglect: Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| ADL care provided for dependent residents: Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Free of accident hazards/supervision/devices: Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
| Services provided meet professional standards: Standard Health Inspection Citation: pertains to quality of care, e.g., resident care, staff/resident interaction, environment, and record-keeping. | Level 2 |
Report Facts
Inspections on page: 15
Date range of inspections: August 12, 2022 to September 12, 2025
Total citations: 62
Complaint-related citations: 43
Number of complaints: 33
Total fines: 18000
Loading inspection reports...
