Deficiency Index

Fairport Rehabilitation and Nursing Center

Fairport, New York · CCN 335576

15 surveys since 2010, 2 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
79
Surveys
15
Harm or worse
2
Immediate jeopardy
0
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse2

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file11/15

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
196
Ownership
For profit - Limited Liability company
Chain
Independent
County
Monroe
Medicare-certified since
1977

CMS ratings

Overall
2
Health inspection
2
Staffing
2
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 259 for-profit facilities with 128 or more beds in New York.

Last survey on record

May 13, 2025

545 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.643.37
Registered-nurse hours per resident day0.24—
Annual nurse turnover66.2%33.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1763.0%E725.9%F13.7%
No harm, potential for minimalA—B27.4%C—
CMS’s current file: 27 of the 79 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6102×

    Respond appropriately to all alleged violations.

  • F7612×

    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.

  • F8102×

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

  • F8122×

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

  • F8682×

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

In the surveyor’s words

From the most serious findings on record at Fairport Rehabilitation and Nursing Center, in the surveyor’s own words.

  • Actual harm, isolatedF689Sep 9, 2022

    Based on observations, interviews and record review conducted during an Abbreviated Survey (complaint #NY00301646), it was determined that for one (Resident #14) of four resident's reviewed for accidents, the facility failed to ensure that the resident's environment remained as free of accident hazards as possible, and that each resident received adequate supervision to prevent accidents. Specifically, the resident had unsupervised access to a heating source that was not being monitored and had registered heating surface temperatures of 171-173 degrees ( ) which resulted in third degree burns to their left hand. This was actual harm that was not an immediate jeopardy to Resident #14 with the potential for harm to eight other dementia residents on that unit. […]

  • No harm, potential for more than minimal, widespreadF882May 13, 2025

    Based on observations, interviews, and record review conducted during the Recertification Survey from 05/05/2025 to 05/13/2025, the facility did not ensure they had an Infection Preventionist who was responsible for the facility's Infection Prevention Control Practices. Specifically, the facility could not provide verification and documentation of the Infection Preventionist designated onsite hours for the assessing, developing, implementing, monitoring, and managing the facility's Infection Prevention and Control Program. […]

  • No harm, potential for more than minimal, patternF761May 13, 2025

    Based on interview and record review conducted during the Recertification Survey 05/05/2025 to 05/13/2025, the facility did not appropriately label and store all medications in accordance with currently accepted professional standards of practice and in accordance with stated and federal laws for eight (8) of 14 medication carts and five (5) of eight (8) medication rooms reviewed. Specifically, medications were left unattended by staff, multiple expired medications were stored in medication carts and medication rooms, loose unlabeled and uncovered pills were stored in multiple medication carts, narcotic medications were kept for multiple deceased residents over an extended period of time (versus returning to pharmacy) and narcotic sheets were missing signatures to verify that the narcotic… […]

  • No harm, potential for more than minimal, patternF812May 13, 2025

    Based on observations, interviews, and record review conducted during the Recertification Survey from 05/05/2025 to 05/12/2025, for six (6) (Third Floor A, E, F, and G-units, Second Floor A and F-units) of 10 resident units, the facility did not store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Specifically, there were undated and unlabeled food items, microwaves and a freezer were dirty, there were outdated food items, food warming/holding units were not functioning properly, cups and lids were stored below sink plumbing, and there were moldy bread items. The findings are: The undated facility Food Storage Policy included all foods must be labeled with product name, date received/prepared, and expiration or use by date. […]

  • No harm, potential for more than minimal, patternF868May 13, 2025

    Based on interviews and record review conducted during the Recertification Survey from 05/05/2025 to 05/13/2025, the facility did not maintain a Quality Assessment and Assurance Committee consisting at a minimum of the Director of Nursing Services, the Medical Director or his/her designee, at least three other members of the facility's staff, one of who must be an individual in a leadership role, and the Infection Preventionist. Specifically, the facility could not provide documented evidence the Infection Preventionist participated in the Quality Assurance and Performance Improvement meetings on a regular basis. […]

Read 22 findings in full →The most serious and the most recent: 22 of 79 on record.

Every survey on record

FindingsAt actual harm or above

  • May 13, 2025Standard13 findings
  • Nov 30, 2023Complaint2 findings
  • Nov 20, 2023Standard and complaint9 findings
  • Sep 9, 2022Complaint2 findings · 1 harm
  • Feb 17, 2022Standard3 findings
  • Jul 23, 2019Standard4 findings
  • Apr 10, 2018Standard7 findings
  • Jan 30, 2017Standard7 findings
Show the 7 earlier surveys
  • Dec 16, 2015Standard6 findings
  • Oct 6, 2014Standard9 findings
  • Feb 26, 2014Complaint1 finding
  • Nov 8, 2013—4 findings
  • Sep 20, 2012—7 findings
  • Aug 17, 2011—4 findings
  • Sep 8, 2010—1 finding · 1 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction