Citations Summary
Jun 2022 – May 20267 Inspections Conducted
5
No citations found
71% of all inspections
2
Resulted in citations
29% of all inspections
10 Total Citations — state avg: 41
Issued across those 2 inspections
6Standard Health
4Life Safety Code
Severity of Citations
How serious were those 10 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 7 inspections in the current reporting window, 5 found no citations at all; inspectors issued 10 citations in total.
- Of those, 6 were standard health citations (quality of care) and 4 were related to the Life Safety Code (fire protection).
- The state logged 16 complaints about this facility; 7 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
2761303N
County
Monroe
Phone
(585) 586-7433
Operated By
Penfield Place, LLC (For Profit)
DOH Regional Office
Western NY
Occupancy Rate
6%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Resident Self-admin Meds-clinically Approp
Standard Health Citation — quality of care
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Free Of Medication Error Rts 5 Prcnt Or More
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Corridor - Doors
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Fire Drills
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 37.6 complaints per 100 beds vs. a statewide rate of 57.4. 0 citations resulted from those complaints (0.0 per 100 beds vs. 5.3 statewide).
Total Complaints
16
55,669 statewide
Per 100 Occupied Beds
37.6
57.4 state avg
On-Site Inspections
7
7,566 statewide
Citations Issued
0
0.0 per 100 beds · avg 5.3
Facility-Reported Incidents
81%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 0 |
| Dietary Services | 0 |
| Other Services | 0 |
| Physical Environment | 0 |
| Quality of Care | 0 |
| Resident Rights | 1 |
| Total | 1 |