Deficiency Index

The Friendly Home

Rochester, New York · CCN 335476

16 surveys since 2010, and no finding has been recorded at harm level.

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

Citations on record
40
Surveys
16
Harm or worse
0
Immediate jeopardy
0
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file13/16

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

The facility

Certified beds
200
Ownership
Non profit - Corporation
Chain
Independent
County
Monroe
Medicare-certified since
1976

CMS ratings

Overall
4
Health inspection
3
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

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

Weighted by harm level, against 82 not-for-profit facilities with 128 or more beds in New York.

Last survey on record

Dec 19, 2025

325 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 day4.343.67
Registered-nurse hours per resident day0.51—
Annual nurse turnover45.4%37.8%

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 minimalD1161.1%E633.3%F—
No harm, potential for minimalA—B15.6%C—
CMS’s current file: 18 of the 40 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.

  • 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.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5501×

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

  • F6051×

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

In the surveyor’s words

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

  • No harm, potential for more than minimal, patternF605Dec 19, 2025

    Based on interviews and record review conducted during the Recertification Survey from 12/11/2025 to 12/19/2025, it was determined that for one (Resident #61) of five residents reviewed, the facility did not ensure that PRN (as needed) orders for anti-psychotic drugs (medications used to treat symptoms of psychosis) were limited to 14 days. Specifically, there were several instances in which Resident #61 had as needed (PRN) Haldol (an antipsychotic medication) orders that exceeded the 14 day timeframe. Additionally, over several months, Pharmacist #1 identified through monthly Medication Regimen Reviews the Haldol orders and recommended they be reordered every 14 days. This is evidenced by the following: Resident #61 had diagnoses including dementia, depression, and anxiety. […]

  • No harm, potential for more than minimal, patternF658Dec 19, 2025

    Based on observations, interviews, and record review conducted during a recertification survey from 12/11/2025 to 12/19/2025, for two (2) (Resident #33 and #140) of three (3) residents reviewed for respiratory care, and two (2) (Resident #6 and #88) of five (5) residents reviewed for drugs and medications, the facility did not provide services to meet professional standards of quality. Specifically, Resident #6 had physician's orders for blood pressure to be obtained prior to receiving blood pressure medication, and the facility could not provide documentation the blood pressure was consistently obtained prior to the administration of the medication per the medical order. […]

  • No harm, potential for more than minimal, patternF689Dec 19, 2025

    Based on observations, interviews, and record review conducted during recertification and complaint (#2619460) surveys from 12/11/2025 to 12/19/2025, for three (3) (Resident's #85, #125, and #126) of ten (10) residents reviewed, the facility did not ensure the resident's environment remained as free of accident hazards as is possible and each resident received adequate supervision and assistive devices to prevent accidents. Specifically, Resident #85 was observed over several days to have unopened wine bottles unsecured at their bedside, Resident #85 was not care planned for personal alcohol possession or consumption and there were other residents with wandering tendencies residing on that unit. […]

  • No harm, potential for more than minimal, patternF607Dec 26, 2023

    Based on record review and interview conducted during the Recertification Survey, it was determined that for four (Employees #1, #3, #4, and #5) of five newly hired employees the facility did not implement written policies and procedures to prevent abuse, neglect, exploitation, and misappropriation of resident property related to screening prospective employees. Specifically, the results of a nurse aide registry abuse screening were not documented for newly hired employees prior to starting work. […]

  • No harm, potential for more than minimal, patternF880Dec 26, 2023

    Based on record review and interviews conducted during a Recertification Survey, the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections and an antibiotic stewardship program (processes to ensure that individuals are receiving appropriate antibiotics, at the correct dose, and for the proper length of time) that included antibiotic use protocols and a system to monitor antibiotic use. Specifically, the facility could not provide evidence of on-going surveillance and tracking of infections since June 2023 and there was no evidence that the facility had been maintaining an antibiotic stewardship program. […]

Read 20 findings in full →The most serious and the most recent: 20 of 40 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 19, 2025Standard and complaint9 findings
  • Dec 26, 2023Standard7 findings
  • Mar 2, 2022Standard4 findings
  • Sep 17, 2019Standard3 findings
  • Mar 14, 2018Standard1 finding
  • Dec 2, 2016Standard3 findings
  • Sep 7, 2016Complaint1 finding
  • Oct 29, 2015Standard1 finding
Show the 8 earlier surveys
  • Dec 19, 2014Complaint2 findings
  • Oct 1, 2014Standard1 finding
  • Oct 22, 2013—2 findings
  • Aug 23, 2012—2 findings
  • Feb 22, 2012—1 finding
  • Sep 8, 2011—1 finding
  • May 5, 2011—1 finding
  • Oct 20, 2010—1 finding

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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