Kirkhaven

254 Alexander Street · Rochester, NY · 14607 · 5854611991

147 certified beds Non profit - Corporation

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

63% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 38
Serious harm & abuse 20% 94
Staffing 20% 50
Federal penalties 15% 77
Trend 10% 18
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.243.48 min · 4.1 strong
RN hours / resident-day0.330.55–0.75
Weekend hours / resident-day2.94≈ weekday level
Nursing turnover / year63%median 45%
Fines (3-yr window)1 · $8,278

Inspection citations (30 in the current record)

  • Potential for harm · D March 18, 2026 · found via complaint

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

    Corrected May 15, 2026 · Resident Rights

  • Potential for harm · E March 18, 2026 · found via complaint

    Respond appropriately to all alleged violations.

    Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E March 18, 2026 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 15, 2026 · Quality of Life and Care

  • Potential for harm · E March 18, 2026 · found via complaint

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

    Corrected May 15, 2026 · Quality of Life and Care

  • Potential for harm · E March 18, 2026 · found via complaint

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

    Corrected May 15, 2026 · Nursing and Physician Services

  • Potential for harm · D March 18, 2026 · found via complaint

    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.

    Corrected May 15, 2026 · Nutrition and Dietary

  • Actual harm · G December 8, 2025 · found via complaint

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

    Corrected February 6, 2026 · Resident Rights

  • Potential for harm · D December 8, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected February 6, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E December 8, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected February 6, 2026 · Quality of Life and Care

  • Potential for harm · E December 8, 2025 · found via complaint

    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.

    Corrected February 6, 2026 · Pharmacy Service

  • Potential for harm · D July 16, 2025 · found via complaint

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

    Corrected September 10, 2025 · Quality of Life and Care

  • Potential for harm · D December 9, 2024

    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.

    Corrected February 5, 2025 · Resident Rights

  • Potential for harm · E December 9, 2024

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected February 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 9, 2024

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

    Corrected February 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D December 9, 2024

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

    Corrected February 5, 2025 · Quality of Life and Care

  • Potential for harm · D December 9, 2024

    Assist a resident in gaining access to vision and hearing services.

    Corrected February 5, 2025 · Quality of Life and Care

  • Potential for harm · E December 9, 2024

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

    Corrected February 5, 2025 · Quality of Life and Care

  • Potential for harm · D December 9, 2024

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

    Corrected February 5, 2025 · Nutrition and Dietary

  • Potential for harm · E December 9, 2024

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

    Corrected February 5, 2025 · Nutrition and Dietary

  • Potential for harm · E December 9, 2024

    Provide and implement an infection prevention and control program.

    Corrected February 5, 2025 · Infection Control

  • Potential for harm · D December 9, 2024 · found via complaint

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

    Corrected February 5, 2025 · Quality of Life and Care

  • Potential for harm · D December 9, 2024 · found via complaint

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

    Corrected February 5, 2025 · Quality of Life and Care

  • Potential for harm · D March 16, 2023

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected May 15, 2023 · Resident Rights

  • Potential for harm · D March 16, 2023

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

    Corrected May 15, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 16, 2023

    Respond appropriately to all alleged violations.

    Corrected May 15, 2023 · Freedom from Abuse, Neglect, and Exploitation

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
December 8, 2025Fine$8,278

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335668 · certified since February 20, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.