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F0584
E

Failure to Maintain Sanitary, Safe, and Homelike Environment

Rochester, New York Survey Completed on 05-09-2025

Penalty

Fine: $182,722
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

Surveyors identified multiple deficiencies in the facility's provision of a safe, clean, comfortable, and homelike environment across several resident units and both basements. Observations included persistent heavy urine and fecal odors in common areas, dirty and damaged floors and walls, jagged door frames, and malfunctioning or unclean equipment such as mechanical lifts, weight scales, and shower stretchers. Plumbing fixtures were found to be in disrepair or non-functional, and trash receptacles were missing lids or were cracked, with garbage bags left on the floor. Resident rooms and common areas were cluttered, with personal items stored in disarray, and lacked adequate space or fixtures for hanging personal belongings. Specific resident rooms were noted to have limited accessibility due to furniture placement, with pathways to bathrooms narrowed to less than the required width for wheelchair access. Privacy curtains were either soiled or did not provide full visual privacy, and some rooms lacked outside windows or direct access to natural light. In one instance, a resident reported discomfort due to excessive room temperature, which was confirmed by thermometer reading, and the room was described as bare and lacking decorations, with a bulletin board falling off the wall. Additional findings included damaged and rusted door frames, holes and cracks in walls, missing or damaged floor tiles, and accumulation of various items and debris in the basement. Shared closet space was insufficient for the number of residents in some rooms, and there was a lack of individual storage. The facility failed to maintain sanitary and orderly conditions, as evidenced by soiled equipment, non-functional sinks, and improper storage of medical and personal items.

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