Pomeroy Living Rochester Skilled Rehabilitation

In the surveyor’s words

From the most serious findings on record at Pomeroy Living Rochester Skilled Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF690Aug 28, 2025

  This citation pertains to the complaint: 2594578. Based on interviews and record reviews the facility failed to timely identify signs/symptoms of a urinary tract infection (uti), failed to consistently inform the Physician/NP (nurse practitioner) of identified signs/symptom, and failed to timely treat a uti for one (R202) of three residents reviewed for a change of condition, resulting in the resident to be hospitalized in the intensive care unit for urosepsis (urinary tract infection spreads to the bloodstream) and ultimately admitted into hospice care. Findings include:A review of a hospital Emergency Medicine consult dated 8/19/25 at 11:55 AM, documented in part . present to the Emergency. for altered mental status and hypotension. they <sic> she is acting worse than baseline. […]

• Actual harm, isolatedF684Apr 27, 2023

  This citation pertains to Intake Number: MI00135098. Based on interview and record review, the facility failed to respond to a change in condition in a timely manner for one (R801) of two residents reviewed for changes in condition, resulting in the resident being transferred and admitted into the hospital after they refused medications, decreased food intake, and refused nursing care for four to five days. Findings include: Review of a complaint submitted to the State Agency revealed allegations that R801 suffered a decrease in physical and cognitive function due to his lack of food, water, and meds (medications) .There are concerns that (R801) should have been sent to the hospital sooner .he is now on hospice . On 4/27/23, an unannounced onsite investigation was conducted. […]

• Actual harm, isolatedF689Mar 4, 2021

  This citation pertains to Intake MI 346 and MI 074. Based on observation, interview and record review, the facility failed to ensure a resident who required a two person assist using a lift for transfers was transferred per the resident's plan of care for one (R#904) of two residents reviewed for accidents, resulting in the resident experiencing pain and a hospital visit due to a left femur fracture requiring surgical repair. Findings include: Review of a Facility Reported Incident (FRI) submitted to the State Agency revealed on 10/10/20, Certified Nursing Assistant (CNA) A transferred R#904, alone, using a turn and pivot method of transfer knowing R#904 required the use of a mechanical lift for transfers. […]

• No harm, potential for more than minimal, widespreadF812Apr 21, 2026

  Based on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include:On 04/19/2026 at 8:45 AM initial kitchen/dietary services tour with Dietary Manager/Chef (DM) Q and Corporate Chef (CC) R. On 04/19/2026 at 9:10 AM in the dry storage area observed the floor soiled with debris along perimeter of room at floor/wall juncture and soil build-up on storage shelving. When queried about cleaning frequency of this area, DM Q agreed that noted areas needed cleaning attention.According to the 2022 FDA Food Code section 4-602.13 Nonfood-Contact Surfaces. […]

• No harm, potential for more than minimal, widespreadF812Feb 27, 2025

  Based on observation, interview, and record review, the facility failed to prepare food in accordance with professional standards for food service safety. This deficient practice has the potential to result in food borne illness among all residents that consume food from the kitchen. Findings include: On 2/25/25 between 8:35 AM-9:15 AM, during an initial observation of the kitchen, the following items were observed: In the walk-in cooler, there was dried up milk on the floor underneath the milk crates. The inside bottom shelf of the Victory freezer was soiled with food spills and food debris. On 2/25/25 at 9:00 AM, Corporate Chef Y confirmed the soiled flooring in the walk-in cooler and inside the Victory freezer, and stated they would be cleaned right away. […]