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 Unity Living Center during CMS and state inspections, most recent first.
Surveyors found that three residents with complex medical needs did not have complete or accurate documentation of wound care and skin assessments as required by facility policy. Over multiple weeks, wound treatments were either not documented or lacked details such as the staff member and time of completion. Nursing staff and management interviews confirmed that documentation was inconsistent and often missing, with no clear explanation for the gaps.
The facility failed to maintain an effective infection prevention and control program, as evidenced by the improper cleaning of a blood glucose monitoring device and non-compliance with PPE protocols for residents on contact precautions. An LPN was observed providing care without wearing necessary gowns, and a physician failed to follow PPE protocols during an assessment. These actions compromised infection control measures, placing residents at risk.
Two residents did not receive critical medications due to unavailability during a survey. An LPN failed to administer Lasix, Topamax, and Eliquis as they were not in stock, and the LPN was unaware of the facility's emergency medication resources. The LPN had not been trained on the protocol for handling unavailable medications, leading to significant medication errors.
A recertification survey identified medication management deficiencies on the 3300 unit, where two medication carts contained loose, unpackaged, and unlabeled pills, as well as expired medications. Staff interviews revealed a lack of adherence to the facility's Medication Administration Policy, with the DON emphasizing the need for regular cart audits despite recent staff turnover.
Incomplete Documentation of Wound Care and Assessments
Penalty
Summary
Surveyors identified that the facility failed to maintain complete, accurate, and accessible medical records for three residents with significant medical needs, including pressure ulcers and tracheostomies. The facility's policy required nursing staff to perform and document weekly skin assessments and wound care in the electronic medical record, including details such as who performed the care and when it was completed. However, record reviews revealed that for all three residents, there were multiple days where there was no documented evidence that wound treatments were administered as ordered, nor any documentation of resident refusal. For one resident with a history of stroke, paraplegia, and a neurogenic bladder, physician orders required daily wound care for a sacral pressure ulcer. Over a two-month period, documentation was missing for 38 out of 61 days, and when wound care was recorded, it lacked information on the time and the staff member who performed the treatment. Another resident with a history of stroke, hemiplegia, and chronic kidney disease had orders for multiple wound treatments, but documentation was missing for 25 out of 57 days, with no evidence of refusals or identification of the staff providing care. A third resident, admitted with a tracheostomy, ventilator dependence, and a sacral pressure ulcer, had no documentation of daily wound care on 20 of 22 days reviewed, nor evidence of weekly skin assessments as required by the care plan. Interviews with nursing staff and management confirmed that wound care and assessments should be documented in specific areas of the electronic medical record, and that the work list was used to track completion. However, the documentation system did not consistently capture who performed the care or the time it was completed, and in many cases, there was no documentation at all. The Assistant Director of Nursing acknowledged the lack of documentation and was unable to explain the missing records for the reviewed dates.
Infection Control Deficiencies in Ventilator Unit
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by multiple deficiencies observed during the survey. Specifically, the facility did not ensure that a blood glucose monitoring device was cleaned and disinfected between each use for several residents on the ventilator unit. This failure was observed with Residents #6, #26, and #87, where the device was used on multiple residents without proper cleaning, increasing the risk of cross-contamination and infection. Additionally, staff did not adhere to the required personal protective equipment (PPE) protocols for residents on contact and enhanced contact precautions. For instance, Licensed Practical Nurse #2 was observed providing care to Residents #92, #66, and #26 without wearing the necessary gowns, despite clear signage indicating the need for such precautions. This included handling feeding tubes, administering medications, and performing blood sugar checks without the appropriate PPE, further compromising infection control measures. Moreover, a nursing staff member was seen mixing medications with a gloved finger, which is not a standard practice and poses a risk of contamination. Physician #1 also failed to follow PPE protocols when assessing Resident #100, who was on enhanced contact precautions, by not wearing a gown or gloves and neglecting hand hygiene after the assessment. These actions collectively contributed to the facility's inability to prevent the transmission of communicable diseases and infections, placing all residents at risk.
Removal Plan
- 100% of staff received education on appropriate infection control practices, including posted signage Enhanced Barrier Precautions, Contact Precautions, use of Personal Protective Equipment, hand hygiene, appropriate cleaning of blood glucose monitoring devices, and the facility's policies on infection control practices.
- Interviews with multiple staff revealed appropriate knowledge of the infection control processes and that they had received education.
- Approximately 47% of total licensed nurses were educated on appropriate infection control practices including posted signage, Enhanced Barrier Precautions, Contact Precautions, use of Personal Protective Equipment, hand hygiene, appropriate cleaning of the glucometers, and the facility's policies on infection control practices.
- All medical staff were educated on appropriate infection control practices including posted signage, Enhanced Barrier Precautions, Contact Precautions, use of Personal Protective Equipment, hand hygiene, and the facility's policies on infection control practices.
- Approximately 47% of all certified staff were educated regarding infection control practices, posted signage, Enhanced Barrier Precautions, Contact Precautions, use of Personal Protective Equipment, hand hygiene, and the facility's policy on infection control practices.
- Approximately 55% of all non-medical staff were educated regarding appropriate infection control practices and posted signage including Enhanced Barrier Precautions, Contact Precautions, use of Personal Protective Equipment, and hand hygiene.
- All residents on the resident care unit involved were assessed by a registered nurse and there were no newly identified issues for any resident.
- All infection control policies were signed as reviewed by the facility leadership team and no revisions were made.
- The correction action included a plan to educate all staff and staff on vacation and/or leave and are being tracked by administrative team on a spreadsheet to ensure 100% compliance.
- Observations on resident units revealed no infection control deficient practices.
Medication Unavailability Leads to Significant Errors
Penalty
Summary
During a Recertification Survey conducted from July 19 to July 25, 2024, it was found that the facility failed to ensure that two residents were free from significant medication errors. Resident #20, who had diagnoses including chronic obstructive pulmonary disease, seizure disorder, and hypertension, did not receive their scheduled doses of Lasix and Topamax due to unavailability. The Lasix was not present in the medication cart, and the Topamax was only available in a lower dosage than prescribed. Similarly, Resident #93, with a history of recurrent pulmonary thromboembolism, chronic pain, and megacolon, did not receive their scheduled dose of Eliquis because it was not available. Licensed Practical Nurse #1, responsible for administering the medications, stated that the medications had been ordered but were not delivered in time. The nurse was unaware of the facility's emergency medication box and Pyxis machine, which contained frequently used medications like Lasix and Eliquis. The nurse had not received training on the medication protocol and did not notify the leadership or pharmacy about the unavailability of medications. The nurse also did not inform the provider about the missed medications, as they were not trained to do so, relying instead on the unit manager to make such notifications.
Medication Management Deficiencies on 3300 Unit
Penalty
Summary
During a recertification survey conducted from July 19 to July 25, 2024, deficiencies were identified in the medication management practices on the 3300 unit of the facility. Observations revealed that two medication carts contained multiple loose, unpackaged, and unlabeled pills, as well as expired medications. Specifically, one cart had 25 loose pills of various shapes and colors, which a Licensed Practical Nurse (LPN) could not identify, except for a possible stool softener. The LPN was also unaware of who was responsible for cleaning the medication carts. Another cart contained more loose pills and expired medications, including a bottle of vitamin D3 and a stool softener that had expired in June 2024. Interviews with staff highlighted a lack of adherence to the facility's Medication Administration Policy, which mandates secure storage of all medications until administration. The Registered Nurse Manager indicated that loose and expired pills should be discarded in designated bins, while the Director of Nursing (DON) emphasized the importance of regular cart audits, ideally conducted monthly or weekly during night shifts. The DON acknowledged recent staff turnover but expected medication storage protocols to be followed, as they are covered during staff orientation.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 148 citations issued within 25 miles in the last 12 months — including the 4 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Rochester
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Church Home Of The Protestant Episcopal Church | 1.2 mi | ★★★★★ | 0 | 0 |
| St. John's Health Care Corporation | 1.8 mi | ★★★★★ | 0 | 0 |
| Kirkhaven | 2 mi | ★★★★★ | 10 | 0 |
| Lilac Manor Rehabilitation And Nursing Center | 2.6 mi | ★★★★★ | 3 | 0 |
| Monroe Community Hospital | 2.7 mi | ★★★★★ | 3 | 2 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Unity Living Center.
100% money-back within 48 hours.
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.