Rochester Manor + Villa

• Keep aisles, corridors, and exits free of obstruction in case of emergency.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected May 5, 2026

• Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected May 5, 2026

• Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 28, 2026

• Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 28, 2026

• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 28, 2026

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity J of L: immediate jeopardy, isolatedCorrected Apr 3, 2026

• Have approved installation, maintenance and testing program for fire alarm systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 15, 2026

• Keep all essential equipment working safely.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 3, 2026

• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 3, 2026

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 19, 2026

• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Apr 3, 2026

• Make sure that a working call system is available in each resident's bathroom and bathing area.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 13, 2026

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 3, 2026

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 3, 2026

• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 3, 2026

• Administer the facility in a manner that enables it to use its resources effectively and efficiently.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 3, 2026

• Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 3, 2026

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 3, 2026

• Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 3, 2026

• Inspect, test, and maintain automatic sprinkler systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 27, 2026

• Install smoke barrier doors that can resist smoke for at least 20 minutes.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 27, 2026

• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 3, 2026

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 3, 2026

• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 3, 2026

• Observe each nurse aide's job performance and give regular training.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 3, 2026

• Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 3, 2026

• Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 3, 2026

• Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 3, 2026

• Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 3, 2026

• Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 3, 2026

• Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 3, 2026

• Provide training in compliance and ethics.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 3, 2026

• Provide behavior health training consistent with the requirements and as determined by a facility assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 3, 2026

• Reasonably accommodate the needs and preferences of each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 3, 2026

• Install emergency lighting that can last at least 1 1/2 hours.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected May 15, 2026

• Keep aisles, corridors, and exits free of obstruction in case of emergency.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 27, 2026

• Have proper medical gas storage and administration areas.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 27, 2026

• Ensure proper usage of power strips and extension cords.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 27, 2026

• Meet requirements for the installation and maintenance of electrical systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 27, 2026

• Properly select, install, inspect, or maintain portable fire extinguishes.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 27, 2026

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 27, 2026

• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 3, 2026

• Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 3, 2026

• Ensure each resident receives an accurate assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 3, 2026

• Provide for the safe, appropriate administration of IV fluids for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 3, 2026

• To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  Severity C of L: potential for minimal harm, widespreadCorrected Mar 27, 2026

• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  Severity L of L: immediate jeopardy, widespreadFound during a complaint inspectionCorrected Mar 9, 2026

• Dispose of garbage and refuse properly.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Mar 9, 2026

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 9, 2026

• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 9, 2026

• Administer the facility in a manner that enables it to use its resources effectively and efficiently.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 9, 2026

• Allow residents to self-administer drugs if determined clinically appropriate.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 9, 2026

• Keep residents' personal and medical records private and confidential.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 9, 2026

• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Oct 30, 2025

• Dispose of garbage and refuse properly.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 30, 2025

• Provide and implement an infection prevention and control program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Oct 30, 2025

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Oct 30, 2025

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 30, 2025

• Have approved installation, maintenance and testing program for fire alarm systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 18, 2025

• Allow residents to self-administer drugs if determined clinically appropriate.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 30, 2025

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 30, 2025

• Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 30, 2025

• Provide enough food/fluids to maintain a resident's health.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 30, 2025

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 30, 2025

• Provide safe, appropriate dialysis care/services for a resident who requires such services.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 30, 2025

• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 30, 2025

• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 30, 2025

• Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 30, 2025

• Implement a program that monitors antibiotic use.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 30, 2025

• Develop and implement policies and procedures for flu and pneumonia vaccinations.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 30, 2025

• Meet requirements for the use of electrical equipment.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 15, 2025

• Install corridor and hallway doors that block smoke.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 15, 2025

• Inspect, test, and maintain automatic sprinkler systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 15, 2025

• Meet requirements for sections of health care facilities separated by fire resistive construction.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 15, 2025

• Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2025

• Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2025

• Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2025

• Provide training in compliance and ethics.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2025

• Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2025

• Provide behavior health training consistent with the requirements and as determined by a facility assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2025

• Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2025

• Honor the resident's right to organize and participate in resident/family groups in the facility.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2025

• Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2025

• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2025

• Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2025

• Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2025

• Provide timely, quality laboratory services/tests to meet the needs of residents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2025

• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2025

• Properly provide smoke detection systems in areas open to corridors.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 15, 2025

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 15, 2025

• Reasonably accommodate the needs and preferences of each resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2025

• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2025

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2025

• Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2025

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2025

• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2025

• Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 30, 2025

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity C of L: potential for minimal harm, widespreadCorrected Oct 15, 2025

• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Sep 3, 2025

• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Sep 3, 2025

• Provide enough food/fluids to maintain a resident's health.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 3, 2025

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 3, 2025

• Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected May 29, 2025

• Ensure that residents are free from significant medication errors.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected May 29, 2025

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected May 29, 2025

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 29, 2025

• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 29, 2025

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Apr 23, 2025

• Provide and implement an infection prevention and control program.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 23, 2025

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Apr 23, 2025

• Honor the resident's right to organize and participate in resident/family groups in the facility.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 23, 2025

• Provide activities to meet all resident's needs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 23, 2025

• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 23, 2025

• Provide enough food/fluids to maintain a resident's health.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 23, 2025

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 23, 2025

• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 23, 2025

• Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 23, 2025

• Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 23, 2025

• Meet requirements for the installation and maintenance of electrical systems.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 23, 2025

• Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 23, 2025

• Reasonably accommodate the needs and preferences of each resident.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 23, 2025

• Inspect, test, and maintain automatic sprinkler systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2025

• Install corridor and hallway doors that block smoke.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2025

• Provide properly protected cooking facilities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2025

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2025

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2025

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2025

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2025

• Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2025

• Provide for the safe, appropriate administration of IV fluids for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2025

• Provide safe, appropriate dialysis care/services for a resident who requires such services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2025

• Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2025

• Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2025

• Provide timely, quality laboratory services/tests to meet the needs of residents.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2025

• Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 23, 2025

• Have a plan that describes the process for conducting QAPI and QAA activities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 23, 2025

• Allow residents to self-administer drugs if determined clinically appropriate.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 2, 2025

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 2, 2025

• Ensure that residents are free from significant medication errors.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 2, 2025

• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 2, 2025

• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 2, 2025

• Make sure that a working call system is available in each resident's bathroom and bathing area.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 15, 2025

• Have a plan that describes the process for conducting QAPI and QAA activities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 15, 2025

• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 15, 2025

• Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 15, 2025

• Keep all essential equipment working safely.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Jan 9, 2025

• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Jan 9, 2025

• Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jan 9, 2025

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 13, 2024

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 13, 2024

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 13, 2024

• Make sure that a working call system is available in each resident's bathroom and bathing area.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 13, 2024

• Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 18, 2024

• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 18, 2024

• Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 18, 2024

• Ensure that residents are free from significant medication errors.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 18, 2024

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Sep 6, 2024

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Sep 6, 2024

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 6, 2024

• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jul 31, 2024

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jul 31, 2024

• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 31, 2024

• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 28, 2023

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 28, 2023

• Ensure each resident’s drug regimen must be free from unnecessary drugs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 28, 2023

• Ensure that residents are free from significant medication errors.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 28, 2023

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 28, 2023

Rochester Manor + Villa offers Skilled Nursing / Long Term Care.

Rochester Manor + Villa is located at 174 Virginia Avenue in Rochester, Pennsylvania.

Rochester Residence And Care Center is a skilled nursing and long-term care community in Rochester, Pennsylvania, licensed for up to 119 residents. No detailed reviews, amenities, or care specifics were provided beyond an overall Google rating of 3.2 out of 5 from 54 reviews, making it hard to gauge day-to-day family experience.

Rochester Manor + Villa had 18 government inspection visits in the last three years, with 167 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page to connect with Rochester Manor + Villa and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.