Citations Summary
Jun 2022 – May 20265 Inspections Conducted
2
No citations found
40% of all inspections
3
Resulted in citations
60% of all inspections
11 Total Citations — state avg: 41
Issued across those 3 inspections
8Standard Health
3Life Safety Code
Severity of Citations
How serious were those 11 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 5 inspections in the current reporting window, 2 found no citations at all; inspectors issued 11 citations in total.
- Of those, 8 were standard health citations (quality of care) and 3 were related to the Life Safety Code (fire protection).
- The state logged 56 complaints about this facility; 12 led to on-site inspections.
- The state lists no formal enforcement actions against this facility.
A citation is a rule violation noted by a state inspector. Most are corrected through a plan of correction; the sections below show each citation, its severity, and how the facility compares with the statewide average.
Provider Information
Type
Nursing Home
Operating Certificate
2728300N
County
Monroe
Phone
(585) 395-6052
Operated By
170 West Avenue Operating Company, LLC (For Profit)
DOH Regional Office
Western NY
Occupancy Rate
97%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Infection Control
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Treatment/devices To Maintain Hearing/vision
Standard Health Citation — quality of care
Life Safety Code Citations
Sprinkler System - Maintenance And Testing
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
▼
Standard Health Citations
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
Severity Scale Reference
Level 0 — No Harm Potential
Level 2 — Minor Potential Harm
Level 3 — Actual Harm
Level 4 — Immediate Jeopardy
Complaints
Jun 2022 – May 2026Below state average. This facility received 53.6 complaints per 100 beds vs. a statewide rate of 57.4. 4 citations resulted from those complaints (3.8 per 100 beds vs. 5.3 statewide).
Total Complaints
56
55,669 statewide
Per 100 Occupied Beds
53.6
57.4 state avg
On-Site Inspections
12
7,566 statewide
Citations Issued
4
3.8 per 100 beds · avg 5.3
Facility-Reported Incidents
61%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 2 |
| Physical Environment | 1 |
| Quality of Care | 3 |
| Resident Rights | 0 |
| Total | 6 |