Inspection Summary
Apr 2022 – Mar 202639%
of inspections passed with no issues found
7 of 18 inspections · Apr 2022 – Mar 2026
Inspections with issues
11 of 18 inspections
Total violations cited
64 violations total
What the violations were about
Resident services 20Personnel 9Medication management 7Admission & retention standards 6Environmental standards 6General provisions 4Food service 3Resident protections 3Disaster & emergency planning 2Operating certificates 2Civil penalties 1Records & reports 1
In plain language
- The most recent inspection was on February 2, 2026 (complaint survey) and found no violations.
- Across 18 inspections in the current reporting window, 7 found no violations at all; inspectors cited 64 violations in total.
- Of the 18 visits in this window, 16 were prompted by complaints and 2 were routine or other surveys.
- The state has 1 formal enforcement action on record for this facility.
A violation is a rule breach noted by a state inspector. Most are administrative and get corrected through an approved plan of correction; the sections below show exactly what was cited and the status of each correction plan.
Provider Information
Type
Enriched Housing Program
Operating Certificate
370-S-849
County
Monroe
Phone
(585) 637-3140
Operated By
Wegman Family (Brockport) LLC II
DOH Regional Office
Western Regional Office - Buffalo
Inspection Details
Apr 2022 – Mar 2026ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
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✓ No violations found
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✓ No violations found
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✓ No violations found
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✓ No violations found
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Resident services
Regulation cited: CFR 488.7 (b) (1) (iii)
Resident services
Regulation cited: CFR 488.7 (b) (12-13)
Resident services
Regulation cited: CFR 488.7 (d) (6)
Personnel
Regulation cited: CFR 488.9 (a) (5) (i)
Environmental standards
Regulation cited: CFR 488.11 (d) (1)
Environmental standards
Regulation cited: CFR 488.11 (f) (1)
Environmental standards
Regulation cited: CFR 488.11(g)(2,3,7-9)
Admission and retention standards.
Regulation cited: CFR 1001.7 (h)
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (5)
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Medication management.
Regulation cited: CFR 1001.10 (l) (2)
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Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
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✓ No violations found
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✓ No violations found
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Operating certificates
Regulation cited: CFR 485.5 (f)
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
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General provisions
Regulation cited: CFR 488.3 (d)
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
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Resident protections
Regulation cited: CFR 488.5 (a) (3) (i) (a-d)
Resident services
Regulation cited: CFR 488.7 (b) (11)
Resident services
Regulation cited: CFR 488.7 (c) (5)
Resident services
Regulation cited: CFR 488.7 (c) (7)
Food service
Regulation cited: CFR 488.8 (b) (4)
Personnel
Regulation cited: CFR 488.9 (a) (1)
Environmental standards
Regulation cited: CFR 488.11 (d) (1)
Disaster and emergency procedures
Regulation cited: CFR 488.12 (l)
General provisions.
Regulation cited: CFR 1001.6 (e) (1) (i-iii)
General provisions.
Regulation cited: CFR 1001.6 (e) (6)
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (2)
Consumer and resident protections.
Regulation cited: CFR 1001.8 (f) (1)-(2) (i-ii)
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Resident services.
Regulation cited: CFR 1001.10 (k) (4) (i-iii)
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
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Medication management.
Regulation cited: CFR 1001.10 (l)(1)
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Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
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Operating certificates
Regulation cited: CFR 485.5 (f)
General provisions
Regulation cited: CFR 488.3 (d)
Admission and retention standards
Regulation cited: CFR 488.4 (c) (1)
Resident services
Regulation cited: CFR 488.7 (b) (1) (i)
Resident services
Regulation cited: CFR 488.7 (b) (1) (iii)
Resident services
Regulation cited: CFR 488.7 (b) (5)
Personnel
Regulation cited: CFR 488.9 (a) (1)
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (4)
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
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Civil penalties
Regulation cited: CFR 486.5 (a) (4) (v)
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Resident services
Regulation cited: CFR 488.7 (c) (7)
Records and reports
Regulation cited: CFR 488.10 (d) (4)
Disaster and emergency procedures
Regulation cited: CFR 488.12 (b)
Resident services.
Regulation cited: CFR 1001.10 (j) (1)
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
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✓ No violations found
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Resident services
Regulation cited: CFR 488.7 (b) (1) (iv)
Resident services
Regulation cited: CFR 488.7 (d) (1)(i-iii)
Food service
Regulation cited: CFR 488.8 (b) (4)
Food service
Regulation cited: CFR 488.8 (b) (7)
Personnel
Regulation cited: CFR 488.9 (a) (5) (i)
Environmental standards
Regulation cited: CFR 488.11 (d) (1)
Environmental standards
Regulation cited: CFR 488.11 (g) (2)
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (5)
Consumer and resident protections.
Regulation cited: CFR 1001.8 (f) (1)-(2) (i-ii)
Resident services.
Regulation cited: CFR 1001.10 (c)
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Resident services.
Regulation cited: CFR 1001.10 (k) (4) (i-iii)
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Personnel.
Regulation cited: CFR 1001.11 (c) (2) (i-iv)
Enforcement & Orders
Apr 2022 – Mar 20261 enforcement action — Stipulation & Order agreement signed with the NY Department of Health.
June 10, 2022
Stipulation & Order
#ACF-22-037