Citations Summary
Jun 2022 – May 202612 Inspections Conducted
5
No citations found
42% of all inspections
7
Resulted in citations
58% of all inspections
54 Total Citations — state avg: 41
Issued across those 7 inspections
34Standard Health
20Life Safety Code
Severity of Citations
How serious were those 54 citations?
0
Minor potential harm
All corrected ✓
0
No actual harm
None in this period
In plain language
- Across 12 inspections in the current reporting window, 5 found no citations at all; inspectors issued 54 citations in total.
- Of those, 34 were standard health citations (quality of care) and 20 were related to the Life Safety Code (fire protection).
- The state logged 80 complaints about this facility; 17 led to on-site inspections.
- The state has 3 formal enforcement actions (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
2762302N
County
Monroe
Phone
(585) 223-3633
Operated By
Crest Opco LLC (For Profit)
DOH Regional Office
Western NY
Occupancy Rate
90%
Staff Flu Vaccination
76%
Inspection Details
Surveys with Citations Only▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Baseline Care Plan
Standard Health Citation — quality of care
Competent Nursing Staff
Standard Health Citation — quality of care
Develop/implement Comprehensive Care Plan
Standard Health Citation — quality of care
Essential Equipment, Safe Operating Condition
Standard Health Citation — quality of care
Free From Unnec Psychotropic Meds/prn Use
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
Investigate/prevent/correct Alleged Violation
Standard Health Citation — quality of care
Nutrition/hydration Status Maintenance
Standard Health Citation — quality of care
Pain Management
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Resident Call System
Standard Health Citation — quality of care
Resident/family Group And Response
Standard Health Citation — quality of care
Residents Are Free Of Significant Med Errors
Standard Health Citation — quality of care
Sufficient Nursing Staff
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Electrical Equipment - Power Cords And Extens
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Evacuation And Relocation Plan
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Subdivision Of Building Spaces - Smoke Barrie
Life Safety Code Citation — NFPA requirements
Utilities - Gas And Electric
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
▼
Standard Health Citations
License/comply W/ Fed/state/locl Law/prof Std
Standard Health Citation — quality of care
Nutritive Value/appear, Palatable/prefer Temp
Standard Health Citation — quality of care
Provided Diet Meets Needs Of Each Resident
Standard Health Citation — quality of care
Resident Call System
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
ADL Care Provided For Dependent Residents
Standard Health Citation — quality of care
Food Procurement,store/prepare/serve-sanitary
Standard Health Citation — quality of care
Free Of Accident Hazards/supervision/devices
Standard Health Citation — quality of care
Infection Prevention & Control
Standard Health Citation — quality of care
Quality Of Care
Standard Health Citation — quality of care
Safe/clean/comfortable/homelike Environment
Standard Health Citation — quality of care
Self-determination
Standard Health Citation — quality of care
Treatment/svcs To Prevent/heal Pressure Ulcer
Standard Health Citation — quality of care
Life Safety Code Citations
Building Construction Type And Height
Life Safety Code Citation — NFPA requirements
Cooking Facilities
Life Safety Code Citation — NFPA requirements
Electrical Equipment - Testing And Maintenanc
Life Safety Code Citation — NFPA requirements
Electrical Systems - Essential Electric Syste
Life Safety Code Citation — NFPA requirements
Elevators
Life Safety Code Citation — NFPA requirements
Emergency Lighting
Life Safety Code Citation — NFPA requirements
Fire Drills
Life Safety Code Citation — NFPA requirements
Fundamentals - Building System Categories
Life Safety Code Citation — NFPA requirements
Gas Equipment - Cylinder And Container Storag
Life Safety Code Citation — NFPA requirements
Hvac
Life Safety Code Citation — NFPA requirements
Interior Wall And Ceiling Finish
Life Safety Code Citation — NFPA requirements
Maintenance, Inspection & Testing - Doors
Life Safety Code Citation — NFPA requirements
Portable Fire Extinguishers
Life Safety Code Citation — NFPA requirements
▼
Standard Health Citations
Covid-19 Immunization
Standard Health Citation — quality of care
Physical Environment
Standard Health Citation — quality of care
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 2026Above state average. This facility received 110.5 complaints per 100 beds vs. a statewide rate of 57.4. 19 citations resulted from those complaints (26.2 per 100 beds vs. 5.3 statewide).
Total Complaints
80
55,669 statewide
Per 100 Occupied Beds
110.5
57.4 state avg
On-Site Inspections
17
7,566 statewide
Citations Issued
19
26.2 per 100 beds · avg 5.3
Facility-Reported Incidents
39%
55% statewide
| Citations by Category | This Facility |
|---|---|
| Administration | 1 |
| Dietary Services | 2 |
| Other Services | 3 |
| Physical Environment | 4 |
| Quality of Care | 3 |
| Resident Rights | 2 |
| Total | 15 |
Enforcement & Fines
Jun 2016 – May 20263 enforcement actions totaling $24,000 in fines over the reporting period. Resolved via Stipulation & Order agreements with the NY Department of Health where applicable.
October 15, 2024
$20,000
Stipulation & Order #NH-25-023 · Signed June 30, 2025
Reason: Multiple Deficiencies
Reason: Multiple Deficiencies
April 18, 2023
$2,000
Stipulation & Order #NH-23-097 · Signed October 12, 2023
Reason: Infection Control
Reason: Infection Control
December 22, 2022
$2,000
Stipulation & Order #NH-24-022 · Signed February 22, 2024
Reason: Infection Control
Reason: Infection Control