Above 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 Park Ridge Nursing Home during CMS and state inspections, most recent first.
Medication Administration Errors Exceeded Allowed Rate: An LPN failed to administer and document three scheduled 9:00 AM meds for a resident with Parkinson’s disease, OA, anxiety, and severely impaired cognition. The chlorhexidine oral rinse, fluoride paste, and zinc oxide-white petrolatum paste were not given during observation and were later charted hours after the scheduled time, contributing to a 9.375% med error rate; the RN manager, RN clinical leader, and DON stated meds were to be given and documented at the correct time and that supervisory staff and the MD should be notified if they could not be administered as ordered.
The facility did not adhere to professional standards for food service safety, as raw shell eggs were not fully cooked in four resident cottages. Staff confirmed that eggs were cooked to order, including over-easy eggs, without taking temperatures, contrary to facility policies.
The facility failed to honor a resident's advance directives, resulting in incorrect documentation of their code status as Full Code instead of Do Not Resuscitate (DNR) and Do Not Intubate. This occurred due to inadequate review and updating of the resident's advance directives by social workers and a physician assistant upon admission.
The facility failed to ensure that a resident with severe lymphedema received treatment with a prescribed lymphedema pump. Despite the physician's recommendation, the pump was not consistently used, and there was no documented evidence explaining the lack of administration. Staff training on the pump's use was delayed, and there were no physician orders or proper documentation regarding its use.
A resident with an unstageable pressure ulcer on their right ankle did not receive consistent monitoring and treatment, leading to the worsening of the wound. Despite initial treatment, there was a significant gap in documentation and care from late January to mid-March. Staff interviews revealed communication and follow-up issues, and the facility's expectations for skin and wound monitoring were not met.
The facility failed to maintain an effective Infection Control Program, resulting in undocumented vaccination statuses and education for residents and staff, improper mask use in a covid-19 unit, and inadequate signage. The Director of Nursing acknowledged issues with tracking and monitoring the program.
The facility failed to provide timely access to all resident electronic health records during a Recertification Survey. Surveyors faced expired passwords and incomplete access profiles, delaying access to essential records like the Minimum Data Set Resident Assessments and Treatment Administration Records. The facility's inability to run comprehensive reports further delayed the provision of requested documentation.
Medication Administration Errors Exceeded Allowed Rate
Penalty
Summary
The facility failed to ensure the medication error rate remained below 5 percent for Resident #23, resulting in 3 medication errors out of 32 opportunities and a 9.375 percent error rate. Resident #23 had diagnoses including Parkinson’s disease, poly-osteoarthritis, and anxiety, and the Minimum Data Set dated 03/06/2026 indicated severely impaired cognition. The resident had scheduled 9:00 AM orders for chlorhexidine 0.12 percent oral rinse, fluoride sodium 1.1 percent paste, and zinc oxide-white petrolatum paste, but the orders did not include instructions allowing administration anytime during the shift. During observation on 04/30/2026, an LPN did not administer the chlorhexidine, fluoride paste, or zinc oxide-white petrolatum paste during the medication pass. Later review of the MAR showed the 9:00 AM doses remained undocumented at 1:45 PM, and then were entered as given at 12:10 PM for the chlorhexidine and zinc oxide-white petrolatum paste and at 1:45 PM for the fluoride paste. The RN manager, RN clinical leader, and DON stated nurses were expected to administer medications at the correct time, document them when given, and notify supervisory staff and the medical provider if medications could not be administered within the acceptable timeframe; the RN manager also stated there was no documentation that a provider was notified.
Improper Handling and Cooking of Raw Shell Eggs
Penalty
Summary
The facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety in four resident cottages. Specifically, potentially hazardous foods, such as raw shell eggs, were not being fully cooked. Observations revealed two flats of unpasteurized raw shell eggs in the refrigerator in the kitchen of Cottage 100. Interviews with staff, including a Therapy Assistant/Certified Nursing Aide and the Food Service Manager, confirmed that eggs were cooked to order, including over-easy eggs, and that the eggs were not pasteurized. The Food Service Manager incorrectly believed that fresh raw shell eggs could be cooked to order. Further observations indicated the presence of raw shell eggs in the kitchen refrigerators of Cottage 200, Cottage 300, and Cottage 400. Interviews with additional staff, including another Therapy Assistant/Certified Nursing Aide and a Shahbaz/Certified Nursing Aide, confirmed that temperatures of over-easy or poached eggs were not being taken, and that at least two residents regularly ordered over-easy eggs. The facility's policies required eggs to be cooked to a minimum internal temperature of 145°F for 15 seconds, which was not being adhered to.
Failure to Honor Resident's Advance Directives
Penalty
Summary
The facility did not ensure that Resident #47's advance directives were accurately identified and honored according to their wishes. Resident #47 had a Living Will and a Medical Orders for Life Sustaining Treatment (MOLST) form that specified Do Not Resuscitate (DNR) and Do Not Intubate. However, the facility's records and physician orders incorrectly documented the resident's code status as Full Code, which contradicted the resident's expressed wishes in their advance directives. Interviews and record reviews revealed that the facility's social workers and physician assistant failed to properly review and update Resident #47's advance directives upon admission. The social workers admitted that they did not review the Living Will with the resident and were unaware of the MOLST form. The physician assistant also missed the MOLST form during the admission process, leading to the incorrect documentation of the resident's code status. The Director of Nursing confirmed that advanced directives should be reviewed and discussed with the resident at the time of admission. Despite Resident #47 being alert, oriented, and able to make their needs known, their wishes for DNR and Do Not Intubate were not followed, as evidenced by the incorrect Full Code status in the facility's records and care plans.
Failure to Administer Lymphedema Pump as Prescribed
Penalty
Summary
The facility did not ensure that Resident #22 received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices. Resident #22, who had diagnoses including diabetes, high blood pressure, and lymphedema of the left leg, was recommended by a vascular surgeon to use a Flexitouch system pneumatic compression device for severe lymphedema. Despite this recommendation, the facility failed to consistently administer the lymphedema pump as prescribed, and there was no documented evidence explaining the lack of administration. The resident's care plan and physician orders did not include the use of the vascular pump, and the treatment administration records did not reflect any treatments with the lymphedema pump over a specified period. The deficiency was further evidenced by multiple medical progress notes and interviews with staff and the resident. The vascular surgeon's notes indicated that the resident had not received the lymphedema pump initially and emphasized the urgency of its use to prevent skin ulcers. Although the pump was eventually delivered to the resident's bedside, staff training on its use was delayed, and there were no physician orders for its use. Interviews with various nursing staff revealed a lack of training and uncertainty about the frequency of the treatment. The resident reported that the pump required assistance from one to two people and that there was never enough staff to use it consistently. The Director of Nursing confirmed that the use of the device would require staff education and a physician order, and any treatment refusals should be documented and communicated to the physician. However, there were no orders or nursing notes regarding the lymphedema pump, and the pump's use was inconsistent. The facility's failure to ensure the consistent administration of the lymphedema pump as recommended by the physician and the lack of proper documentation and staff training led to the deficiency identified during the survey.
Failure to Ensure Consistent Pressure Ulcer Care
Penalty
Summary
The facility failed to ensure that a resident received the necessary treatment and services to promote healing and prevent new pressure ulcers from developing. Specifically, Resident #40, who had an unstageable pressure ulcer on their right ankle, did not receive consistent monitoring and treatment. The facility's policy required weekly skin inspections and documentation, but there was a significant gap in the documentation and treatment of the resident's wound from 1/25/24 to 3/13/24. During this period, there were no documented dressing changes or wound assessments, leading to the worsening of the wound condition. The resident, who had diagnoses including osteoarthritis, reduced mobility, and Alzheimer's disease, was initially found to have an abrasion on their right ankle on 12/20/23. Despite initial treatment and documentation, the wound was not consistently monitored or treated as per the facility's policy. The wound was found to have worsened significantly by 3/13/24, with the presence of slough, drainage, and possible bone exposure. The lack of consistent documentation and treatment contributed to the deterioration of the resident's condition. Interviews with staff revealed that there was a breakdown in communication and follow-up regarding the resident's wound care. The Registered Nurse Manager and Clinical Leader/Resource Nurse did not ensure that the wound was monitored and treated according to the facility's policy. Additionally, the medical team was not consistently informed about the wound's condition, leading to a lack of appropriate medical orders and interventions. The Director of Nursing confirmed that the facility's expectations for skin and wound monitoring were not met in this case.
Infection Control Program Deficiencies
Penalty
Summary
The facility failed to maintain an effective Infection Control Program, leading to several deficiencies. Specifically, the facility could not provide documented evidence of the vaccination status or education on the risks and benefits of vaccinations for three residents. For instance, one resident admitted several weeks prior had no records of being vaccinated, offered, or educated about the covid booster, influenza, and pneumococcal vaccinations. Another resident admitted four months ago had no documented evidence of receiving or being educated about the influenza vaccine, and a third resident admitted eight months ago had no documentation regarding the pneumococcal vaccine. Additionally, the facility's vaccination spreadsheet revealed significant gaps in vaccination information for many residents. The facility also failed to ensure appropriate signage and mask use in a transitional care unit with a current positive covid-19 infection. Observations during the survey revealed that staff were not consistently wearing masks or were wearing them improperly. There was also a lack of signage at unit entrances to inform staff and visitors of masking requirements. Interviews with staff indicated a lack of awareness about when and where to wear masks, and the Director of Nursing acknowledged ongoing issues with enforcing mask use. Furthermore, the facility could not provide documented evidence of staff vaccination status and education for influenza and pneumococcal vaccines. A review of staff vaccination records showed that several employees, including direct care and environmental services staff, had no documentation of their vaccination status or education on the risks and benefits of the vaccines. The Director of Nursing admitted that there was a breakdown in tracking and monitoring the Infection Control Program, and the responsibility for staff vaccination follow-up was unclear.
Deficiency in Timely Access to Electronic Health Records
Penalty
Summary
The facility did not maintain medical records on each resident that were readily accessible to the survey team during the Recertification Survey. Specifically, the survey team was not provided with timely access to all resident electronic health records, including the Minimum Data Set Resident Assessments, Pre-Admission Screen Resident Review information, and Treatment Administration Records. The surveyors' access to the electronic health record system was hindered by expired passwords and incomplete access profiles, which were not fully resolved until two days after the start of the survey. Additionally, the facility's inability to run comprehensive reports in the electronic health record system further delayed the provision of requested documentation. During the survey, the Director of Nursing and other staff acknowledged the issues with the surveyors' access to the electronic health records and indicated that the necessary changes required intervention from the Information Technology department. Despite multiple requests and interviews, the survey team did not receive the required Treatment Administration Records in a timely manner, with significant delays in providing printed copies of the records for two residents. The facility's failure to ensure surveyors had full and timely access to all portions of the electronic medical records was a key factor leading to the deficiency.
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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) |
|---|---|---|---|---|
| Hamilton Manor Nursing Home | 1.6 mi | ★★★★★ | 1 | 0 |
| The Brook At High Falls Nursing Home And Rehabilit | 4.2 mi | ★★★★★ | 10 | 0 |
| Latta Road Nursing Home West | 4.4 mi | ★★★★★ | 0 | 0 |
| Latta Road Nursing Home East | 4.4 mi | ★★★★★ | 0 | 0 |
| Unity Living Center | 4.5 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.