Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
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 Jewish Home Of Rochester during CMS and state inspections, most recent first.
Failure to report abuse allegations and a major injury incident: A resident with severe cognitive impairment was involved in multiple resident-to-resident altercations, including striking and pushing others, but the incidents were not reported to the State Survey Agency. Another resident with dementia and mobility issues fell from a wheelchair off a curb, struck the head, and required hospital care with sutures, yet the event was also not reported. Staff stated the incidents were handled internally, but reporting to the state was not completed.
Infection control and EBP were not consistently followed for residents with wounds and an indwelling catheter. A resident with a heel pressure ulcer, a resident with a toe wound, and a resident with a suprapubic catheter all had care provided without proper EBP signage or PPE availability, and an LPN performed wound care without a gown and without changing gloves or performing hand hygiene between dressing changes. In another event, an LPN exited a room wearing contaminated gloves and touched another resident in the hallway, creating direct glove-to-resident contact.
Incomplete Investigation of Resident Fall Injury: A resident with dementia, mobility impairment, and a history of falls sustained a head strike, facial laceration, bruising, and other skin injuries after rolling off a curb while being transported in a wheelchair for an outside event. The facility’s investigation was incomplete and did not include the resident’s care plan, a full injury list, all witness statements, the resident’s statement, or a documented conclusion ruling out abuse, neglect, or mistreatment.
An LPN gave a resident metoprolol without checking BP or HR first, even though the order included hold parameters and instructions to notify the provider. The resident had atrial flutter, DM, HTN, and severely impaired cognition, and record review showed repeated missing BP/HR documentation when the medication was administered; the RN manager and DON stated vital signs must be checked and documented before giving meds with hold parameters.
Failure to Provide Grooming and Nail Care: A resident with dementia, adult failure to thrive, and Parkinson's disease required staff assistance with ADLs, showering, and personal hygiene, but was repeatedly observed with dark debris under fingernails, broken jagged nails, and significant facial hair on the chin. The care plan and Kardex directed total assistance with hygiene, yet the record lacked documentation of showering, nail care, or grooming, and staff interviews confirmed uncertainty about when nail care was last provided.
Two residents were involved in deficiencies related to accident prevention and supervision. One resident with dementia and mobility impairment was left in a wheelchair outside, fell off a curb, and sustained a head laceration, bruising, and other injuries; the care plan did not specify the level of supervision needed for wheelchair mobility on and off the unit. Another resident with severe cognitive impairment and feeding dependence was observed drinking with a straw despite a no-straw order and aspiration precautions, and staff had not checked the diet roster or Kardex before assisting with the meal.
Failure to Report Abuse Allegations and Major Injury Incident
Penalty
Summary
The facility failed to report alleged abuse and a serious injury incident to the State Survey Agency as required. The facility policy stated that suspected abuse, neglect, or mistreatment must be reported immediately to the administrator and appropriate agency, with serious bodily injury reported within 2 hours and other incidents within 24 hours. Surveyors found that two residents were involved in events that met reporting criteria, but the facility did not notify the New York State Department of Health. One resident had severe dementia with behavioral disturbance, cognitive communication deficit, and aphasia, and the MDS documented severely impaired cognition and physical behaviors toward others. The care plan and incident records showed 16 resident-to-resident incidents from 05/17/2025 through 09/13/2025, with 15 documenting the resident striking, slapping, hitting, or pushing other residents. One incident on 07/13/2025 involved the resident pushing another resident to the floor, causing a skin tear to the elbow. Facility staff stated the incidents were investigated and reported internally, but the Administrator and DON stated they were not reported to the State Survey Agency because no one was injured, the altercations were not sexual in nature, or no care plan violation was involved. A second resident with dementia, difficulty walking, and weakness sustained a head injury after falling from a wheelchair off a sidewalk curb. The resident was observed with bruising to the face and a large forehead bandage and stated they fell, went to the hospital, and stayed for a couple of days. The investigation documented that the wheelchair was placed on the sidewalk for an outside event, one side was not locked, and the chair slowly rolled off the curb while staff were away retrieving paperwork. The resident had a laceration above the left eye, bruising, and required EMS transport and hospitalization with sutures. The DON stated the fall was not reported to the State Survey Agency because falls with major injuries were only reported if a care plan violation had been identified.
Infection Control and Enhanced Barrier Precautions Not Followed
Penalty
Summary
The facility did not establish and maintain an infection prevention and control program that was consistently implemented for residents with wounds and indwelling devices. The facility policy for Enhanced Barrier Precautions (EBP), dated 06/24/2024, stated that gowns and gloves should be worn during high-contact resident care activities such as wound care and device care, and that signage and PPE should be available outside the resident’s room. However, for residents with wounds or a suprapubic catheter, the care plans did not include EBP information, and staff were observed providing care without the required gown use or with PPE not readily available. Resident #37 had an unstageable right heel pressure ulcer, generalized edema, and adult failure to thrive, with moderately impaired cognition and a need for wound care. During observations, there was no EBP signage or PPE outside the room. An LPN performed wound care to the right heel wearing gloves only, without a gown, and did not change gloves or perform hand hygiene between removing the soiled dressing and applying the clean dressing. The LPN stated they usually change gloves but did not this time and were not taught to wear a gown for wound care if there was no bleeding. The Infection Preventionist stated staff must wear a gown for wound care and should change gloves before applying a clean dressing. Resident #10 had an unstageable pressure ulcer to the left toe and received wound care, but the room had no EBP signage and an LPN provided wound care without a gown. Resident #143 had chronic kidney disease, obstructive uropathy, and a suprapubic catheter; a CNA emptied the catheter drainage bag wearing only gloves, with no EBP signage or PPE readily available. In another observation, an LPN exited a room still wearing contaminated gloves and carrying a soiled brief, then touched Resident #222 in the hallway while still wearing those gloves, and the resident made direct contact with the nurse’s wrist. The Infection Preventionist and DON stated residents with wounds or indwelling devices should be on EBP, and staff are trained not to wear gloves in hallways or touch residents with contaminated gloves.
Incomplete Investigation of Resident Fall Injury
Penalty
Summary
The facility did not ensure an incident involving Resident #280 was thoroughly investigated to rule out abuse, neglect, or mistreatment after the resident fell off a sidewalk curb and sustained a major head injury. Resident #280 had diagnoses including dementia, difficulty walking, and weakness. The resident’s assessment indicated use of a manual wheelchair for independent mobility for at least 50 feet and moderate assistance for mobility up to 150 feet. During observation, the resident had bruising to the left side of the face and a large forehead bandage and stated they had stepped off a curb, fell on their head, and went to the hospital for a couple of days. The resident’s care plan documented altered thought process related to dementia, altered mobility, and a history of falls, with interventions including staff assistance for transfers, use of a front wheeled walker because ambulation was no longer functional and safe, self-propelling the wheelchair short distances on the unit, verbal cues to scoot back in the chair, and foot pedals for off-unit mobility. A progress note documented the resident returned from the hospital after a fall that resulted in a head strike and facial laceration. The incident involved the resident being wheeled outside for an event, placed on the sidewalk by Recreation Therapy Assistant #1, and then rolling off the curb while the assistant had turned away to retrieve items that had fallen from their pocket. The facility’s investigative documentation was incomplete. Although an incident report and investigative report described the fall, the report did not include the resident’s plan of care, a comprehensive listing of injuries, a complete list of witnesses and their statements, a statement from the resident, or a conclusion ruling out abuse, neglect, or mistreatment. Interviews showed the DON stated security staff completed their own reports and were not included in the investigation file, and later stated the facility should have included Security Guard #1’s statement and documented that no abuse, neglect, mistreatment, or care plan violation was determined. The survey found the facility was unable to provide documented evidence of a thorough investigation to rule out potential neglect.
Medication Given Without Required Vital Sign Check
Penalty
Summary
Services provided by the nursing facility did not meet professional standards of quality for one resident when an LPN administered metoprolol tartrate without first checking the resident’s blood pressure or heart rate, despite the medication order containing hold parameters for systolic blood pressure less than 100 or heart rate less than 60 and instructions to notify a medical provider. During a medication administration observation, the nurse placed the metoprolol tablets in a medication cup and gave them to the resident without obtaining or documenting vital signs before administration. The resident had diagnoses including atrial flutter, diabetes, and high blood pressure, and the MDS dated 09/04/2025 indicated severely impaired cognition. Record review showed the resident’s current order was metoprolol tartrate 25 mg, 1.5 tablets by mouth twice daily for hypertension, with hold parameters tied to blood pressure and heart rate. Review of the MARs from 08/01/2025 to 09/23/2025 revealed no documented blood pressures or heart rates, and the electronic health record’s Vital Signs tab showed no documented blood pressures or heart rates for 94 of 107 opportunities when metoprolol was given. The LPN stated she did not check the resident’s blood pressure or heart rate because she did not notice any hold parameters in the order, while the RN manager and DON stated nurses must follow the order and check and document blood pressure or heart rate before giving medications with hold parameters.
Failure to Provide Grooming and Nail Care
Penalty
Summary
The facility did not ensure that a resident who was unable to perform activities of daily living received the necessary services to maintain good grooming and personal hygiene. Resident #196 had diagnoses including dementia, adult failure to thrive, and Parkinson's disease, and the Minimum Data Set documented severely impaired cognition, need for staff assistance with showering and personal hygiene, and no rejection of care. The resident's care plan identified a self-care deficit related to hemiparesis and Parkinson's disease and directed staff to follow the ADL sheet and encourage participation, but it did not include interventions for nail care or grooming. The Kardex directed staff to provide total assistance daily with ADLs and hygiene care, and the facility policy stated the ADIR/CNA would provide nail care with bathing as assigned. During the survey, Resident #196 was observed multiple times with dark brown debris under fingernails, broken fingernails with sharp jagged edges, and a significant amount of facial hair on the chin. Nursing progress notes from 08/26/2025 through 09/25/2025 did not document a shower, bed bath, nail care, personal grooming, or rejection of care. Staff interviews indicated the resident's last shower was on the evening of 09/19/2025, but staff were unsure when nail care had last been provided. An RN manager stated the resident previously went to the salon for facial hair removal but no longer did so, and the ADIRs/CNAs should have removed it. The DON stated staff should have cleaned the resident's nails and removed all facial hair on the resident's shower day, and that debris should not be under any resident's fingernails.
Failure to Follow Mobility Supervision and Diet Orders
Penalty
Summary
The facility did not ensure the resident environment remained as free of accident hazards as possible and did not provide adequate supervision and assistance devices to prevent accidents for two residents. Resident #280 had diagnoses including dementia, difficulty walking, and weakness, and the comprehensive care plan addressed altered thought process, altered mobility, and a history of falls, with interventions for transfers, wheelchair use, and foot pedals for off-unit mobility. However, the care plan did not include the level of supervision required for mobility while on and/or off the residential unit in the wheelchair. Resident #280 was observed with bruising to the left side of the face and a large bandage on the forehead after reporting that they were outside, stepped off a curb, fell on their head, and went to the hospital for a couple of days. The progress note documented a return from the hospital after a fall that caused a head strike and facial laceration, along with a left forehead laceration with sutures, bruising, skin tears to the left elbow and left shoulder, and abrasions to the left knee and right hand. During interview, the Recreation Therapy Assistant stated they wheeled the resident outside, locked one brake, went back to retrieve items that had fallen, and then heard the resident fall off the sidewalk curb onto the street while a pillar blocked the view. Resident #85 had diagnoses including Alzheimer's disease, adult failure to thrive, and seizure disorder, and the MDS documented severely impaired cognition and dependence on staff for eating assistance. During observation, a CNA assisted the resident with drinking from a cup with a straw even though the resident had an order for no straws. The resident's care plan, Kardex, and diet roster identified pureed foods, nectar thick liquids, no straws, and aspiration precautions, and staff interviews confirmed the CNA had not checked the diet roster or Kardex before assisting the resident.
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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 Highlands At Brighton | 0.9 mi | ★★★★★ | 12 | 0 |
| Woodside Manor Nursing Home Inc | 1.1 mi | ★★★★★ | 7 | 0 |
| The Brightonian, Inc | 1.4 mi | ★★★★★ | 0 | 0 |
| The Hurlbut | 1.9 mi | ★★★★★ | 0 | 0 |
| Monroe Community Hospital | 2 mi | ★★★★★ | 3 | 2 |
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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.