Lilac Manor Rehabilitation and Nursing CenterCMS ratings, inspections and fines
- Address
- 3 Upton Park, Rochester, NY 14607
- CCN
- 335488
- Ownership type
- For-profit, individual
- Certified beds
- 200
- Chain
- None in the CMS record
- Residents per day
- 124
- CMS flags
- No standard survey in more than 2 years
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Lilac Manor Rehabilitation and Nursing Center an overall rating of 1 of 5 stars. The last standard survey was on 6 Jun 2024. The latest survey cycle has 23 health citations. The median for nursing homes in New York is 7. CMS lists no fines for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Monroe County median | New York median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 3 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 32 homes in the county, 593 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | New York median |
|---|---|---|---|
| Cycle 1 (latest) | 6 Jun 2024 | 23 | 7 |
| Cycle 2 | 8 Feb 2023 | 5 | 5 |
| Cycle 3 | No date | 9 | 5 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 23 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 15 May 2026 | F0584 | 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. | E | Complaint investigation | 10 Jul 2026 |
| 15 May 2026 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 10 Jul 2026 |
| 20 Aug 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 15 Oct 2025 |
| 6 Jun 2024 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | B | Standard survey | 5 Aug 2024 |
| 6 Jun 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 Aug 2024 |
| 6 Jun 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard survey | 5 Aug 2024 |
| 6 Jun 2024 | F0584 | 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. | E | Complaint investigation | 4 Sep 2024 |
| 6 Jun 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 4 Sep 2024 |
| 6 Jun 2024 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 5 Aug 2024 |
| 6 Jun 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 5 Aug 2024 |
| 6 Jun 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | B | Complaint investigation | 5 Aug 2024 |
| 6 Jun 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 4 Sep 2024 |
| 6 Jun 2024 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 5 Aug 2024 |
| 6 Jun 2024 | F0688 | 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. | D | Complaint investigation | 5 Aug 2024 |
| 6 Jun 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 5 Aug 2024 |
| 6 Jun 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 5 Aug 2024 |
| 6 Jun 2024 | F0732 | Post nurse staffing information every day. | B | Complaint investigation | 4 Sep 2024 |
| 6 Jun 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 4 Sep 2024 |
| 6 Jun 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 4 Sep 2024 |
| 6 Jun 2024 | 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 | Standard survey | 4 Sep 2024 |
| 6 Jun 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint investigation | 4 Sep 2024 |
| 6 Jun 2024 | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | D | Complaint investigation | 5 Aug 2024 |
| 6 Jun 2024 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 4 Sep 2024 |
Survey cycle 2: 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 8 Feb 2023 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | B | Standard survey | 9 Apr 2023 |
| 8 Feb 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 9 Apr 2023 |
| 8 Feb 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 9 Apr 2023 |
| 8 Feb 2023 | F0732 | Post nurse staffing information every day. | B | Standard survey | 9 Apr 2023 |
| 8 Feb 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 9 Apr 2023 |
Survey cycle 3: 9 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 Apr 2021 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 22 Jun 2021 |
| 23 Apr 2021 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 22 Jun 2021 |
| 23 Apr 2021 | 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 | 22 Jun 2021 |
| 23 Apr 2021 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 22 Jun 2021 |
| 23 Apr 2021 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 22 Jun 2021 |
| 23 Apr 2021 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 22 Jun 2021 |
| 23 Apr 2021 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 22 Jun 2021 |
| 23 Apr 2021 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 22 Jun 2021 |
| 23 Apr 2021 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 23 Jun 2021 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 6 Jun 2024 | Payment denial | 73 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | New York median | New York average (CMS) |
|---|---|---|---|
| All nurse staff | 3.49 | 3.50 | 3.62 |
| Registered nurses (RN) | 0.61 | 0.60 | 0.71 |
| Licensed practical nurses (LPN) | 0.88 | 0.76 | |
| Nurse aides | 2.00 | 2.15 | |
| All nurse staff, weekends | 2.96 | 3.10 | 3.18 |
- Nurse staff turnover in a year
- 70.0%
- Nurse staff turnover, New York median
- 38.4%
- RN turnover in a year
- 75.0%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | New York median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 4.5% | 13.2% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.1% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.0% | 2.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 1.0% | 11.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.9% | 6.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.0% | 12.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, individual
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| M&T Bank | 5% or greater mortgage interest | 30 Jun 2015 |
The site shows organisations only. It does not show the names of persons.
Other homes in Monroe County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Kirkhaven | Rochester | 1 of 5 | 21 | $8,278 | 9 Dec 2024 | |
| Church Home of the Protestant Episcopal Church | Rochester | 3 of 5 | 5 | $0 | 9 Jan 2024 | |
| The Brightonian, Inc | Rochester | 5 of 5 | 0 | $0 | 12 Feb 2025 | |
| St. John's Health Care Corporation | Rochester | 1 of 5 | 14 | $141,034 | 9 Jun 2025 | |
| Blossom Health Care Center Inc. | Rochester | 1 of 5 | 10 | $0 | 1 Oct 2024 | |
| The Pearl Nursing Center of Rochester | Rochester | 1 of 5 | 16 | $0 | 28 Jun 2024 | |
| Unity Living Center | Rochester | 3 of 5 | 3 | $12,868 | 25 Jul 2024 | |
| St. Ann's Community | Rochester | 4 of 5 | 3 | $55,495 | 16 Apr 2024 | |
| The Highlands at Brighton | Rochester | 3 of 5 | 9 | $0 | 13 Aug 2025 | |
| Woodside Manor Nursing Home Inc | Rochester | 4 of 5 | 7 | $0 | 29 Aug 2025 | |
| Monroe Community Hospital | Rochester | 1 of 5 | 6 | $94,936 | 20 Dec 2024 | |
| The Brook at High Falls Nursing Home and Rehabilit | Rochester | 2 of 5 | 5 | $0 | 16 Jan 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Lilac Manor Rehabilitation and Nursing Center (CCN 335488). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/lilac-manor-rehabilitation-and-nursing-center-rochester-ny-335488/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Lilac Manor Rehabilitation and Nursing Center last inspected?
- The latest inspection with a citation in the CMS record was on 15 May 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 8 Feb 2023. CMS marks the last health inspection of this home as more than 2 years old.
- Who operates Lilac Manor Rehabilitation and Nursing Center?
- The CMS record gives the ownership type as for-profit, individual. CMS lists no chain for the home. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Lilac Manor Rehabilitation and Nursing Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in New York as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.