New York › Monroe County › Rochester
Kirkhaven
254 Alexander Street, Rochester, NY 14607
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Kirkhaven is a Non-profit, corporation nursing home in Rochester, New York, certified for 147 beds and caring for about 136 residents a day.
CMS gives it 1 of 5 stars overall, below the New York median of 3; the health inspection rating is 1, staffing 1 and quality measures 3.
Inspectors recorded 30 health deficiencies across the three most recent survey cycles (21, 7, 2 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 20.4 per 100 beds, more than the state median of 11.0.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Compared with county, state and nation
| Measure | This facility | Monroe Co. median | New York median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 30 | 17 | 17 | 28.7 |
| Citations per 100 beds | 20.4 | 15.6 | 11.0 | 26.8 |
| Total nurse hours per resident day | — | 3.8 | 3.5 | 3.9 |
| RN hours per resident day | — | 0.5 | 0.6 | 0.7 |
| Nursing staff turnover | — | 51.2% | 38.4% | 45.8% |
| Fines listed | $8,278 | $0 | $0 | — |
County and state figures are medians across facilities (32 in the county, 593 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: New York average per facility for the same cycle, as published by CMS. Standard health survey dates: 9 Dec 2024, 16 Mar 2023.
Severity mix: G ×1 D ×17 E ×12
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 Mar 2026 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 15 May 2026 |
| 18 Mar 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 15 May 2026 |
| 18 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 15 May 2026 |
| 18 Mar 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 15 May 2026 |
| 18 Mar 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 15 May 2026 |
| 18 Mar 2026 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Complaint investigation | 15 May 2026 |
| 8 Dec 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | Complaint investigation | 6 Feb 2026 |
| 8 Dec 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 6 Feb 2026 |
| 8 Dec 2025 | F0761 | 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. | E | Complaint investigation | 6 Feb 2026 |
| 8 Dec 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 6 Feb 2026 |
| 16 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 10 Sep 2025 |
| 9 Dec 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Standard survey | 5 Feb 2025 |
| 9 Dec 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 5 Feb 2025 |
| 9 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 5 Feb 2025 |
| 9 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 5 Feb 2025 |
| 9 Dec 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 5 Feb 2025 |
| 9 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 5 Feb 2025 |
| 9 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 5 Feb 2025 |
| 9 Dec 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 5 Feb 2025 |
| 9 Dec 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 5 Feb 2025 |
| 9 Dec 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 5 Feb 2025 |
| 9 Dec 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 5 Feb 2025 |
| 16 Mar 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard survey | 15 May 2023 |
| 16 Mar 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 15 May 2023 |
| 16 Mar 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 15 May 2023 |
| 16 Mar 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 15 May 2023 |
| 16 Mar 2023 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 15 May 2023 |
| 16 Mar 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 15 May 2023 |
| 2 Apr 2021 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Jun 2021 |
| 2 Apr 2021 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 1 Jun 2021 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 8 Dec 2025 | Fine | $8,278 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the New York average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | New York median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.2% | 13.2% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.2% | 0.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.4% | 2.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.8% | 11.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.4% | 6.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.0% | 12.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Genesee Valley Presbyterian Nursing Center.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Monroe County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Aaron Manor Rehabilitation and Nursing Center | Fairport | 140 | 5 | 4 | 3 | 14 | 10.0 | — | 24 Oct 2024 |
| Edna Tina Wilson Living Center | Rochester | 120 | 5 | 5 | 4 | 5 | 4.2 | — | 11 Apr 2025 |
| Jewish Home of Rochester | Rochester | 362 | 5 | 4 | 5 | 7 | 1.9 | — | 11 Dec 2025 |
| Latta Road Nursing Home West | Rochester | 40 | 5 | 5 | 2 | 4 | 10.0 | — | 21 Jan 2025 |
| Maplewood Nursing Home Inc | Webster | 74 | 5 | 5 | 5 | 8 | 10.8 | — | 23 May 2025 |
| Park Ridge Nursing Home | Rochester | 120 | 5 | 4 | 4 | 17 | 14.2 | — | 1 May 2026 |
| Penfield Place | Penfield | 48 | 5 | 5 | 3 | 9 | 18.8 | — | 31 Jan 2025 |
| St. Ann'S Community | Webster | 72 | 5 | 4 | 5 | 11 | 15.3 | — | 10 Sep 2025 |
All 32 facilities in Monroe County
Questions and answers
How many deficiencies has Kirkhaven been cited for?
30 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The New York median is 17 per facility.
Has Kirkhaven been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at Kirkhaven compare?
CMS does not report staffing hours for this facility.
Who operates Kirkhaven?
Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.
When was Kirkhaven last inspected?
The most recent survey or investigation in the CMS record is dated 18 Mar 2026; the most recent standard health survey was 9 Dec 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.