Inspection Summary
Apr 2022 – Mar 202645%
of inspections passed with no issues found
5 of 11 inspections · Apr 2022 – Mar 2026
Inspections with issues
6 of 11 inspections
Total violations cited
21 violations total
What the violations were about
Medication management 6Resident services 5Admission & retention standards 3Environmental standards 2Records & reports 2Resident protections 2General provisions 1
In plain language
- The most recent inspection was on August 21, 2025 (complaint survey) and found no violations.
- Across 11 inspections in the current reporting window, 5 found no violations at all; inspectors cited 21 violations in total.
- Of the 11 visits in this window, 7 were prompted by complaints and 4 were routine or other surveys.
- The state lists no formal enforcement actions against 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-865
County
Monroe
Phone
(585) 978-8889
Operated By
Episcopal Senior Housing, Penfield, LLC
DOH Regional Office
Western Regional Office - Rochester
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
▼
✓ No violations found
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Environmental standards
Regulation cited: CFR 488.11 (f) (1)
Consumer and resident protections.
Regulation cited: CFR 1001.8 (a)
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
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✓ No violations found
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✓ No violations found
▼
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
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Admission and retention standards
Regulation cited: CFR 488.4 (c) (5)
Records and reports
Regulation cited: CFR 488.10 (c) (1)
Environmental standards
Regulation cited: CFR 488.11 (g) (16)
Admission and retention standards.
Regulation cited: CFR 1001.7 (g)(1-3)
Admission and retention standards.
Regulation cited: CFR 1001.7 (k) (5)
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Medication management.
Regulation cited: CFR 1001.10 (l) (2)
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✓ No violations found
▼
Resident services
Regulation cited: CFR 488.7 (a)
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Medication management.
Regulation cited: CFR 1001.10 (l)(1)
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General provisions.
Regulation cited: CFR 1001.6 (b)
Consumer and resident protections.
Regulation cited: CFR 1001.8 (f) (6)
Resident services.
Regulation cited: CFR 1001.10 (i) (5-8)
Resident services.
Regulation cited: CFR 1001.10 (j) (1)
Medication management.
Regulation cited: CFR 1001.10 (l)(1)
Medication management.
Regulation cited: CFR 1001.10 (l) (3)
Records and reports.
Regulation cited: CFR 1001.12 (b) (1-7)
Enforcement & Orders
Apr 2022 – Mar 2026No enforcement actions during the reporting period.