Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Blossom Health Care Center Inc. during CMS and state inspections, most recent first.
A resident with muscle weakness, prior cerebral infarction, diabetes, moderately impaired cognition, and dependence on staff for mobility and transfers was allegedly treated roughly and spoken to with profanity by a CNA during a transfer observed by a PTA. The PTA reported that the resident appeared fearful and said the CNA behaved that way frequently, but the PTA did not intervene or immediately report the incident. The concern was relayed later that day to an LPN and then to HR, yet the allegation was not promptly escalated to the DON or Administrator, and the CNA continued to be assigned to and provide care to the same resident across multiple shifts. The facility’s subsequent investigation, which found no evidence of abuse, did not include statements from all staff who had knowledge of the allegation, and leadership later acknowledged delays in reporting, initiation of the investigation, and implementation of protective measures.
The facility failed to properly store controlled medications, as observed during a survey. Two narcotic cabinets were not double-locked as required, with one cabinet on the third floor found unlocked and another on the second floor missing a lock. Staff interviews revealed a lack of awareness and communication regarding the broken locks, and the facility's policy did not specify the double-lock requirement.
The facility lacked a comprehensive policy for the storage and handling of foods brought by visitors, leading to improperly labeled and undated food items in resident kitchenettes. Staff were not trained or equipped to safely reheat food, as there were no microwaves or thermometers available, and the Food Service Director was unsure of the procedures in place.
The facility failed to comply with the 2015 International Fire Code and NFPA 720 standards by not testing carbon monoxide detectors in areas with fuel-burning appliances. The Director of Maintenance was unaware of the testing requirements, and no documentation of testing was available.
A resident with Parkinson's disease, requiring two-person assistance, fell and fractured their wrist while a CNA checked for incontinence alone. The facility did not report the incident to the state, as the DON and Administrator did not consider it care. Other staff confirmed the resident's need for two-person assistance. The facility lacked additional information to rule out abuse or neglect.
A resident with Parkinson's disease and other conditions fell from their bed, resulting in a wrist fracture, due to insufficient assistance from staff. The facility's investigation was inadequate, lacking detailed statements and failing to address potential care plan violations. The facility did not fully adhere to its policies on investigating injuries and abuse, neglect, or mistreatment.
A resident with multiple stage three pressure ulcers did not receive prescribed wound care due to a lack of communication and process failures within the facility. The prescribed Triad Hydrophilic cream was unavailable, and staff were unaware of the issue, leading to the resident not receiving necessary treatments. The physician's orders were not entered into the electronic health record, and the facility failed to ensure the availability and administration of the prescribed treatment.
A resident with a history of stroke and hemiplegia did not consistently receive a hand device for a contracture as recommended by Occupational Therapy and ordered by the physician. Observations showed the resident's hand was without the device, leading to skin issues. Interviews revealed a lack of awareness among staff about the care plan, resulting in the deficiency.
A resident with respiratory conditions was observed using oxygen without a physician's order or documentation in their care plan. The facility's policy requires a physician's order for oxygen use, which was not obtained. Staff interviews confirmed the oversight, acknowledging the absence of necessary orders and care plan details.
During a survey, it was found that handwashing sinks in the soiled utility rooms on the second and third floors were non-functional. The Director of Maintenance confirmed that the third-floor sink had been non-operational for at least a year, and the second-floor sink also failed to discharge water when tested.
Failure to Timely Report and Protect Resident After Alleged Abuse Incident
Penalty
Summary
The deficiency involves the facility’s failure to respond timely and appropriately to an allegation of abuse and to protect a resident from further potential abuse once staff became aware of the allegation. Facility policy required any employee who witnessed abuse to immediately intervene to stop the abuse, report it at once to a supervisor or charge nurse, and ensure the alleged abuser was removed from resident care while an investigation was conducted. On the date of the incident, a physical therapy assistant (PTA) observed an interaction between a certified nursing assistant (CNA) and a resident in which the CNA allegedly used profanity, forcefully removed the resident’s blanket, pulled the resident’s leg, and yanked the resident up by the wrist before placing the resident into a wheelchair. The PTA reported that the resident appeared fearful and stated that the CNA behaved that way “all the time,” but the PTA did not intervene during the incident and did not immediately report the allegation. The resident involved had diagnoses including muscle weakness, cerebral infarction, and diabetes, with a recent MDS documenting moderately impaired cognition and a need for staff assistance with bed mobility and transfers. Despite the PTA’s report to an LPN sometime after lunch, and the LPN’s subsequent report to the Human Resources (HR) Director that afternoon, the allegation was not promptly escalated to the DON or Administrator on the day of the incident. Timecard and assignment records showed that the CNA continued to work a full day and evening shift on the day of the alleged incident and was again assigned to the same resident the following morning, indicating that no immediate protective measures, such as removing the CNA from resident care, were implemented upon initial staff awareness of the allegation. The facility’s internal investigation, completed several days later, concluded there was no evidence to support that abuse had occurred and included statements from the PTA, the CNA, the resident, and the resident’s roommate, who described the CNA’s interaction as abrupt. However, the investigation lacked documented statements from the LPN and the HR Director, even though both were identified as having knowledge of the allegation. Interviews with the DON, Administrator, Regional Social Worker, and other staff confirmed that there was a delay in reporting the allegation to facility leadership, that the investigation was not initiated on the day of the incident, and that there was a breakdown in communication that resulted in the CNA continuing to provide care to the resident after the alleged incident without immediate protective actions being taken.
Deficiency in Controlled Medication Storage
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were properly stored in accordance with State and Federal Laws, specifically regarding the storage of controlled medications. During a Recertification Survey, it was observed that two of four narcotic cabinets were not double-locked as required. On the third floor, the controlled medication cabinet was found unlocked and open, and the nurse on duty was unable to lock it, citing past issues with the lock. Similarly, on the second floor, the cabinet was also unlocked and had a missing lock, with several controlled substances stored inside. The nurse on duty confirmed the cabinet had been broken for a long time. Interviews with staff revealed a lack of awareness and communication regarding the broken locks. The Licensed Practical Nurse Manager was unaware of the broken lock on the second floor and believed maintenance had fixed it. The Director of Maintenance confirmed they were informed of the issue but did not have the correct parts to fix it. The Director of Nursing was also unaware of the ongoing issue with the locks, despite previous concerns being raised. The facility's policy did not specify the requirement for double-locking controlled substances, contributing to the oversight.
Deficiency in Food Storage and Handling Procedures
Penalty
Summary
The facility failed to ensure there was a comprehensive policy and procedure regarding the use and storage of foods brought to residents by family and other visitors. During the Recertification Survey, it was observed that staff were not aware or educated on the facility's policies and procedures for labeling, dating, and measuring temperatures of resident food brought in from outside the facility. Specifically, there were undated and improperly labeled food items in the kitchenettes on the 2nd and 3rd floors, and no thermometers were available for staff to measure reheated food temperatures. Additionally, there was no microwave available on the nursing units, which further complicated the reheating process. Interviews with staff, including the Food Service Director, a Licensed Practical Nurse, and a Certified Nursing Aide, revealed a lack of training and resources for properly handling and reheating resident food. The Food Service Director was unsure if nursing staff were trained on reheating procedures or if thermometers were available. Nursing staff confirmed they were responsible for labeling and dating food but had not received training on reheating procedures and lacked the necessary equipment, such as microwaves and thermometers, to safely reheat food for residents.
Non-Compliance with Carbon Monoxide Detection Requirements
Penalty
Summary
During a Recertification Survey conducted from September 25, 2024, to October 1, 2024, it was observed that the facility did not comply with section 915 of the 2015 edition of the International Fire Code as adopted by New York State. This section mandates the use of carbon monoxide detection and testing in buildings with fuel-burning appliances. Observations revealed that battery-operated carbon monoxide detectors were installed on the first, second, and third floors, as well as in the generator room containing a natural gas generator and the main mechanical room on the first floor with fuel-burning furnaces and boilers. The Director of Maintenance, during an interview, admitted to being unaware of the requirement for testing the carbon monoxide detectors and did not know the frequency of such tests. Furthermore, there was no documentation available to indicate that the detectors had ever been tested throughout the building. According to the 2012 Edition of NFPA 720, carbon monoxide alarms should be inspected and tested at least monthly in accordance with the manufacturer's instructions. The facility's failure to adhere to these requirements resulted in a deficiency noted by the surveyors.
Failure to Report Resident Fall and Injury
Penalty
Summary
The facility failed to report an incident involving a resident who fell out of bed while receiving care, resulting in a major injury, to the New York State Department of Health as required by state law. The resident, who had diagnoses including Parkinson's disease and was at risk for falls, required two-person assistance for bed mobility and other activities. Despite this, a Certified Nursing Assistant (CNA) attempted to check the resident for incontinence alone, during which the resident fell and sustained a fracture to the left wrist. The incident was documented in the facility's records, noting the resident's injuries and the CNA's statement that the resident fell while they were checking for incontinence. However, the Director of Nursing and the Administrator did not consider this as providing care, and thus did not report it as a state reportable incident. The Director of Nursing ruled out abuse and neglect based on the CNA's statement, despite the resident's account that the CNA was changing the bed linens, which would have required two-person assistance according to the care plan. Interviews with other staff, including another CNA, confirmed that the resident required two-person assistance even for incontinence checks. The facility did not provide additional information to confirm that abuse, neglect, or mistreatment had been ruled out, and the CNA involved was unavailable for further interview. The lack of reporting and investigation into the incident represents a deficiency in the facility's adherence to state reporting requirements.
Inadequate Investigation of Resident Fall
Penalty
Summary
The facility failed to thoroughly investigate an alleged violation involving a witnessed fall of Resident #29, which resulted in a major injury. The resident, who had diagnoses including Parkinson's disease, respiratory failure, and asthma, was cognitively intact and required maximum assistance for mobility and toileting hygiene. The care plan specified that two persons were needed for assistance with transfers and bed mobility. However, during the incident, only one Certified Nursing Assistant (CNA) was present, which led to the resident falling off the bed and sustaining a fracture to the left wrist. The investigation into the incident was inadequate as it lacked a detailed account of the resident's statement and a thorough statement from the CNA regarding adherence to the care plan. The Incident/Accident form did not address any potential care plan violation related to the one staff assist for bed mobility. The Director of Nursing (DON) and the Administrator believed the investigation was thorough, but acknowledged that more specific questions should have been asked regarding the CNA's actions during the incident. The facility's policies on investigating resident injuries and abuse-prohibition were not fully adhered to, as the investigation did not include a comprehensive assessment of potential abuse, neglect, or mistreatment. The facility was unable to provide additional information or a conclusion ruling out these factors in relation to the fall. This deficiency highlights a failure to ensure all alleged violations involving abuse, neglect, or mistreatment were thoroughly investigated, as required by the facility's policies and regulations.
Failure to Administer Prescribed Wound Care for Resident
Penalty
Summary
The facility failed to provide necessary treatment and services for a resident with multiple stage three pressure ulcers, as prescribed by the physician. The resident, who was severely cognitively impaired and at risk for developing pressure ulcers, did not receive the prescribed treatment for their wounds. Physician's orders included specific wound care instructions, but the treatment was not completed as ordered from 09/20/2024 to 09/27/2024, and was marked as on hold from 09/28/2024 to 09/30/2024. There was no documentation explaining why the prescribed Triad Hydrophilic cream was not administered, and the facility was unable to provide evidence that a subsequent order for wound care was entered into the electronic health record or administered. Interviews with facility staff revealed a lack of awareness and communication regarding the availability of the Triad Hydrophilic cream and the execution of the physician's orders. Registered nurses and the Director of Nursing were unaware that the cream was not available or that the resident had not been receiving the ordered treatments. The pharmacist confirmed that the cream was not provided by them and was noted as a stock item by the facility. The physician expressed that they were not informed of the failure to carry out the new orders in a timely manner. This deficiency highlights a breakdown in communication and process for ensuring that prescribed treatments are available and administered as ordered.
Failure to Provide Appropriate Hand Device for Resident with Contracture
Penalty
Summary
The facility failed to ensure that a resident with limited mobility received the appropriate services and assistance to maintain mobility and prevent complications. Specifically, the resident, who had a history of cerebral infarction with hemiplegia and aphasia, did not consistently receive a hand device, such as a rolled washcloth or gauze pad, for a hand contracture as recommended by Occupational Therapy and ordered by the physician. The resident's care plan and physician's orders specified the use of a rolled washcloth or gauze pad in the right hand during the day to prevent complications, but observations during the survey revealed that the resident did not have the device in place, and the skin on the resident's hand was reddened and peeling. Interviews with facility staff, including a Registered Nurse Manager, a Certified Nursing Assistant, and a Physical Therapist, confirmed that the resident required the hand device to maintain range of motion and skin integrity. However, the Certified Nursing Assistant was unaware of the requirement to use the rolled washcloth, indicating a lack of communication or understanding of the care plan. The Director of Nursing acknowledged that Certified Nursing Assistants should follow the care cards (Kardex) to provide appropriate care, but this was not consistently done, leading to the deficiency.
Failure to Provide Physician-Ordered Respiratory Care
Penalty
Summary
The facility failed to provide specialized respiratory care for a resident, as required by professional standards and the resident's care plan. Specifically, the resident was observed using oxygen via a nasal cannula without a physician's order or documentation in the Medication Administration and Treatment Administration Records. The facility's policy on oxygen administration requires staff to verify a physician's order and review the resident's care plan for any special needs, which was not followed in this case. The resident had diagnoses of respiratory failure, asthma, and obstructive sleep apnea, and was cognitively intact with shortness of breath when lying flat. Despite these conditions, the resident's comprehensive care plan did not address the need for continuous oxygen therapy. Observations confirmed the resident was using oxygen, yet there were no corresponding physician's orders or care plan documentation. Interviews with nursing staff and the Director of Nursing revealed an acknowledgment of the oversight, as they confirmed the absence of necessary orders and care plan details for the resident's oxygen use.
Non-Functional Handwashing Sinks in Soiled Utility Rooms
Penalty
Summary
During a Recertification Survey conducted from September 25, 2024, to October 1, 2024, it was observed that the facility failed to maintain essential equipment in proper working condition on two of its three resident-use floors. Specifically, the handwashing sinks in the soiled utility rooms on the second and third floors were found to be non-functional. On September 25, 2024, at 10:40 AM, the handwashing sink in the third-floor soiled utility room did not discharge water when the hot and cold-water handles were turned. The Director of Maintenance, present during the observation, confirmed that the faucet had been non-operational for at least a year. Similarly, at 10:57 AM, the handwashing sink in the second-floor soiled utility room was also found to be non-functional, with no water discharge when tested.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Rochester
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Friendly Home | 1.8 mi | ★★★★★ | 11 | 0 |
| Lilac Manor Rehabilitation And Nursing Center | 2.1 mi | ★★★★★ | 3 | 0 |
| Kirkhaven | 2.6 mi | ★★★★★ | 10 | 0 |
| The Brightonian, Inc | 2.6 mi | ★★★★★ | 0 | 0 |
| Penfield Place | 3.3 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.