NY DOH Assisted Living Facility — Inspection Report

Legacy at Maiden Park

📍 749 Maiden Lane, Rochester, NY 14615

Inspection Summary

Oct 2021 – Sep 2025
39%
of inspections passed with no issues found
7 of 18 inspections · Oct 2021 – Sep 2025
Inspections with issues
11 of 18 inspections
Total violations cited
23 violations total

Inspection Details

Oct 2021 – Sep 2025
ℹ Violations under dispute through the Inspection Review Process (IRP) are not displayed.
September 15, 2025 Complaint Survey 1 Violation
▼
Admission standards
Regulation cited: CFR 487.4 (a)
Plan/Notice of Correction Approved
July 28, 2025 Complaint Survey 0 Violations
▼

✓ No violations found

July 9, 2025 Complaint Survey 0 Violations
▼

✓ No violations found

June 30, 2025 Complaint Survey 2 Violations
▼
Resident protections
Regulation cited: CFR 487.5 (f) (10-11)
Plan/Notice of Correction Approved
Admission and retention standards.
Regulation cited: CFR 1001.7 (g)(1-3)
Plan/Notice of Correction Approved
October 3, 2024 Relicensure, Complaint Survey 5 Violations
▼
Admission standards
Regulation cited: CFR 487.4 (a)
Plan/Notice of Correction Approved
Food service
Regulation cited: CFR 487.8 (e) (1)
Plan/Notice of Correction Approved
Environmental standards
Regulation cited: CFR 487.11 (i) (1)
Plan/Notice of Correction Approved
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (2)
Plan/Notice of Correction Approved
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Plan/Notice of Correction Approved
August 13, 2024 Complaint Survey 0 Violations
▼

✓ No violations found

May 2, 2024 Complaint Survey 0 Violations
▼

✓ No violations found

December 18, 2023 Complaint Survey 4 Violations
▼
Admission standards
Regulation cited: CFR 487.4 (a)
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) (1) (iv)
Plan/Notice of Correction Approved
Resident services.
Regulation cited: CFR 1001.10 (j) (1)
Plan/Notice of Correction Approved
December 21, 2023 Complaint Survey 0 Violations
▼

✓ No violations found

February 22, 2023 Other Survey 0 Violations
▼

✓ No violations found

September 28, 2022 Complaint Survey 4 Violations
▼
Operating certificates
Regulation cited: CFR 485.5 (f)
Plan/Notice of Correction Approved
Admission standards
Regulation cited: CFR 487.4 (c)(12)
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 1001.10 (j) (1)
Plan/Notice of Correction Approved
January 3, 2022 Other Survey 1 Violation
▼
Resident services
Regulation cited: CFR 487.7 (d) (1) (v)
Plan/Notice of Correction Approved
August 24, 2021 Other Survey 0 Violations
▼

✓ No violations found

November 1, 2021 Other Survey 1 Violation
▼
Records and reports
Regulation cited: CFR 487.10 (e) (2)
Plan/Notice of Correction Approved
September 30, 2021 Other Survey 1 Violation
▼
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved
September 30, 2021 Other Survey 1 Violation
▼
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved
September 23, 2021 Other Survey 1 Violation
▼
Records and reports
Regulation cited: CFR 485.11 (b)
Plan/Notice of Correction Approved
August 5, 2021 Complaint Survey 2 Violations
▼
Supervision in special needs assisted living.
Regulation cited: CFR 1001.10 (n) (5) (i-iii)
Plan/Notice of Correction Approved
Personnel.
Regulation cited: CFR 1001.11 (j)
Plan/Notice of Correction Approved

Enforcement & Orders

Oct 2021 – Sep 2025
2 enforcement actions — Stipulation & Order agreement signed with the NY Department of Health.
June 6, 2025
Stipulation & Order
#ACF-25-030
August 16, 2022
Stipulation & Order
#ACF-22-042