Deficiency Index

The Brightonian, Inc

Rochester, New York · CCN 335554

16 surveys since 2011, 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
114
Surveys
16
Harm or worse
2
Immediate jeopardy
1
The record, 2011–2023
’11’15’20’23
No harm recordedHarm or worseNot surveyed
Immediate jeopardy1

Findings at the most serious level CMS records.

Beyond CMS’s monthly file14/16

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

The facility

Certified beds
54
Ownership
For profit - Corporation
Chain
HURLBUT CARE
County
Monroe
Medicare-certified since
1976

CMS ratings

Overall
5
Health inspection
5
Staffing
3
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=19, floor 20).

Last survey on record

Oct 19, 2023

1,117 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 day3.953.60
Registered-nurse hours per resident day0.40—
Annual nurse turnover62.5%48.7%

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 minimalD1055.6%E211.1%F—
No harm, potential for minimalA—B633.3%C—
CMS’s current file: 18 of the 114 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6892×

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

  • F8122×

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

  • F5531×

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

  • F5741×

    The resident has the right to receive notices in a format and a language he or she understands.

  • F5751×

    Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

In the surveyor’s words

From the most serious findings on record at The Brightonian, Inc, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF888Apr 24, 2022

    Based on observation, interviews and record review during an Abbreviated Survey (#NY 698) completed on 4/22/22 the facility failed to ensure that all staff (except for those staff who have been granted exemptions to the vaccination requirements or staff for whom COVID-19 vaccination must be temporarily delayed, as recommended by the CDC) have received, at a minimum, one dose of COVID-19 vaccine prior to providing care/treatment/services for the facility and/or its residents. In addition, facility failed to have a contingency plan for staff who are not fully vaccinated and when staff have indicated that they will not get vaccinated and do not qualify for an exemption. […]

  • No harm, potential for more than minimal, patternF804Apr 22, 2022

    Based on observation, interviews, and record review conducted during a Recertification Survey 4/19/22 to 4/22/22, it was determined that the facility did not provide food and drink that was palatable, attractive, and at a safe and appetizing temperature for one of one main kitchen. Specifically, food was not served at safe and appetizing temperatures. This is evidenced by the following: Review of the undated facility policy, Food Temperatures, included that temperatures were to be taken and recorded prior to each meal. […]

  • No harm, potential for more than minimal, patternF812Apr 22, 2022

    Based on observations, interviews and record reviews, conducted during the Recertification Survey, completed [DATE] to [DATE], it was determined that for one of one main kitchen, the facility failed to store, prepare, distribute and serve food in accordance with professional standards (U.S. Food and Drug Administration's Food Code) for food service safety. Specifically, there were expired products not discarded, undated and unlabeled food items, food and non-food contact surfaces not maintained in clean and sanitary condition, storage of chemicals with food products, potentially hazardous foods not maintained at an acceptable temperature to prevent foodborne illness, the handwashing sink was used for purposes other than handwashing and an in-use food dispensing utensil was improperly… […]

  • No harm, potential for more than minimal, isolatedF553Oct 19, 2023

    Based on interviews and record reviews conducted during the Recertification Survey from 10/12/23 to 10/19/23, it was determined that for 2 (Resident #41 and Resident #43) of 19 residents reviewed for care planning, the facility did not ensure the residents right to participate in the development and implementation of his or her person-centered plan of care. Specifically, neither Residents #41 or #43 or their representatives had been given the opportunity to attend any care plan meetings since admission. This is evidenced by the following: 1.Resident #41 had been at the facility approximately four months and had diagnoses including Amyotrophic Lateral Sclerosis (a nervous system disease that weakens muscles and impacts physical function), history of falls, and depression. […]

  • No harm, potential for more than minimal, isolatedF600Oct 19, 2023

    Based on interviews, and record review conducted during a Recertification Survey from 10/12/23 to 10/19/23, it was determined for one (Resident #41) of two residents reviewed for abuse, the facility did not ensure the resident was free from verbal abuse, neglect, and/or intimidation. Specifically, Resident #41 was made to wait for assistance with toileting, was subjected to retaliatory remarks and continued to have contact with a staff member following an incident and removal of the staff member from the resident's assignment. […]

Read 21 findings in full →The most serious and the most recent: 21 of 114 on record.

Every survey on record

FindingsAt actual harm or above

  • Oct 19, 2023Standard10 findings
  • Apr 24, 2022Complaint1 finding · 1 harm
  • Apr 22, 2022Standard8 findings
  • Jul 6, 2020Complaint1 finding
  • Mar 5, 2020Standard and complaint10 findings
  • Jan 9, 2019Standard16 findings
  • Aug 31, 2017Standard11 findings
  • Jul 15, 2016Standard4 findings
Show the 8 earlier surveys
  • Aug 12, 2015Standard11 findings
  • Oct 17, 2014Standard2 findings
  • Jul 22, 2014Complaint3 findings
  • Dec 20, 2013—10 findings · 1 harm
  • Jan 30, 2013—12 findings
  • Mar 9, 2012—8 findings
  • Sep 27, 2011—2 findings
  • Jan 6, 2011—5 findings

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.

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