Citations Summary
Jun 2022 – May 20269 Inspections Conducted
3
No citations found
33% of all inspections
6
Resulted in citations
67% of all inspections
33 Total Citations — state avg: 41
Issued across those 6 inspections
18Standard Health
15Life Safety Code
Severity of Citations
How serious were those 33 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 9 inspections in the current reporting window, 3 found no citations at all; inspectors issued 33 citations in total.
- Of those, 18 were standard health citations (quality of care) and 15 were related to the Life Safety Code (fire protection).
- The state logged 22 complaints about this facility; 8 led to on-site inspections.
- The state has 1 formal enforcement action (fines or stipulations) on record.
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
2757301N
County
Monroe
Phone
(585) 697-6999
Operated By
St Anns Nursing Home Company Inc (the Heritage) (Not for Profit)
DOH Regional Office
Western NY
Occupancy Rate
99%
Staff Flu Vaccination
93%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Feeding Asst/training/supervision/resident
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Emergency Lighting
Life Safety Code Citation — NFPA requirements
Fire Alarm System - Testing And Maintenance
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Baseline Care Plan
Standard Health Citation — quality of care
Label/store Drugs And Biologicals
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Residents Are Free Of Significant Med Errors
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
Fundamentals - Building System Categories
Life Safety Code Citation — NFPA requirements
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation — NFPA requirements
Stairways And Smokeproof Enclosures
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Free From Abuse And Neglect
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Reporting - National Health Safety Network
Standard Health Citation — quality of care
▼
Standard Health Citations
Care Plan Timing And Revision
Standard Health Citation — quality of care
Develop/implement Abuse/neglect Policies
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Standards Of Construction For New Nh
Standard Health Citation — quality of care
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Elevators
Life Safety Code Citation — NFPA requirements
Hvac
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 31.2 complaints per 100 beds vs. a statewide rate of 57.4. 2 citations resulted from those complaints (2.8 per 100 beds vs. 5.3 statewide).
Total Complaints
22
55,669 statewide
Per 100 Occupied Beds
31.2
57.4 state avg
On-Site Inspections
8
7,566 statewide
Citations Issued
2
2.8 per 100 beds · avg 5.3
Facility-Reported Incidents
64%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 1 |
| Other Services | 3 |
| Physical Environment | 0 |
| Quality of Care | 3 |
| Resident Rights | 3 |
| Total | 10 |
Enforcement & Fines
Jun 2016 – May 20261 enforcement action totaling $10,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
January 7, 2025
$10,000
Stipulation & Order #NH-25-053 · Signed September 4, 2025
Reason: Quality of Care
Reason: Quality of Care