NY DOH Assisted Living Facility — Inspection Report

Brookdale Pittsford

📍 159 Sully's Trail, Pittsford, NY 14534

Inspection Summary

Oct 2021 – Sep 2025
33%
of inspections passed with no issues found
7 of 21 inspections · Oct 2021 – Sep 2025
Inspections with issues
14 of 21 inspections
Total violations cited
43 violations total

Inspection Details

Oct 2021 – Sep 2025
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
July 21, 2025 Complaint Survey 0 Violations
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✓ No violations found

June 6, 2025 Complaint Survey 0 Violations
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✓ No violations found

March 14, 2025 Relicensure Survey 0 Violations
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✓ No violations found

April 8, 2025 Complaint Survey 0 Violations
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✓ No violations found

September 18, 2024 Complaint Survey 1 Violation
▼
Admission standards
Regulation cited: CFR 487.4 (c) (5)
Plan/Notice of Correction Approved
July 23, 2024 Complaint Survey 0 Violations
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✓ No violations found

June 4, 2024 Complaint Survey 6 Violations
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Admission standards
Regulation cited: CFR 487.4 (a)
Plan/Notice of Correction Approved
Resident protections
Regulation cited: CFR 487.5 (a) (3) (xi)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (1) (x)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (6) (i)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (11)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
Plan/Notice of Correction Approved
March 14, 2024 Complaint Survey 2 Violations
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Operating certificates
Regulation cited: CFR 485.5 (f)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (f) (1)
Plan/Notice of Correction Approved
February 14, 2024 Complaint, Follow-up Survey 4 Violations
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Resident services
Regulation cited: CFR 487.7 (f) (5)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (11) (xi)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (a) (3)
Plan/Notice of Correction Approved
Records and reports
Regulation cited: CFR 487.10 (d) (5)
Plan/Notice of Correction Approved
February 9, 2024 Complaint Survey 4 Violations
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General requirements
Regulation cited: CFR 402.4(a)(1)
Plan/Notice of Correction Approved
Operating certificates
Regulation cited: CFR 485.5 (f)
Plan/Notice of Correction Approved
Admission standards
Regulation cited: CFR 487.4 (m)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (6) (iii)
Plan/Notice of Correction Approved
May 25, 2023 Complaint Survey 2 Violations
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Resident services
Regulation cited: CFR 487.7 (f) (5)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (a) (1)
Plan/Notice of Correction Approved
October 17, 2023 Complaint Survey 1 Violation
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Civil penalties
Regulation cited: CFR 486.5 (a) (4) (v)
Plan/Notice of Correction Approved
July 17, 2023 Complaint Survey 4 Violations
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General requirements
Regulation cited: CFR 402.4(b)(2)(iv)
Plan/Notice of Correction Approved
Department criminal history review
Regulation cited: CFR 402.7(d)(1)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (1) (iv)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (5)
Plan/Notice of Correction Approved
April 10, 2023 Complaint Survey 1 Violation
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Civil penalties
Regulation cited: CFR 486.5 (a) (4) (v)
Plan/Notice of Correction Approved
February 24, 2023 Relicensure Survey 11 Violations
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General requirements
Regulation cited: CFR 402.4(b)(2)(iv)
Plan/Notice of Correction Approved
Criminal history record check process
Regulation cited: CFR 402.6(a)
Plan/Notice of Correction Approved
Department criminal history review
Regulation cited: CFR 402.7(d)(2)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (1) (v)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (d) (1) (x)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (5)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (a) (15)
Plan/Notice of Correction Approved
Records and reports
Regulation cited: CFR 487.10 (d) (5)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (h) (5)
Plan/Notice of Correction Approved
Disaster and emergency planning
Regulation cited: CFR 487.12 (f)
Plan/Notice of Correction Approved
October 13, 2022 Complaint Survey 4 Violations
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Operating certificates
Regulation cited: CFR 485.5 (f)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (f) (11) (iii)
Plan/Notice of Correction Approved
Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
Plan/Notice of Correction Approved
Personnel
Regulation cited: CFR 487.9 (a) (3)
Plan/Notice of Correction Approved
December 22, 2021 Other Survey 0 Violations
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✓ No violations found

October 15, 2021 Other Survey 1 Violation
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Resident services
Regulation cited: CFR 487.7 (g) (1) (ii-xiv)
Plan/Notice of Correction Approved
January 25, 2022 Complaint Survey 0 Violations
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✓ No violations found

November 1, 2022 Other Survey 1 Violation
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Records and reports
Regulation cited: CFR 487.10 (e) (2)
Plan/Notice of Correction Approved
November 1, 2021 Other Survey 1 Violation
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Records and reports
Regulation cited: CFR 487.10 (e) (2)
Plan/Notice of Correction Approved

Enforcement & Orders

Oct 2021 – Sep 2025
4 enforcement actions — Stipulation & Order agreement signed with the NY Department of Health.
October 21, 2024
Stipulation & Order
#ACF-24-031
April 19, 2024
Stipulation & Order
#ACF-24-010
November 27, 2023
Stipulation & Order
#ACF-23-017
January 30, 2023
Stipulation & Order
#ACF-23-001