Deficiency Index

Waterview Heights Rehabilitation and Nursing Cente

Rochester, New York · CCN 335082

28 surveys since 2011, 30 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
211
Surveys
28
Harm or worse
30
Immediate jeopardy
14
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy14

Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file23/28

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

The facility

Certified beds
229
Ownership
For profit - Partnership
Chain
HURLBUT CARE
County
Monroe
Medicare-certified since
1972

CMS ratings

Overall
—
Health inspection
—
Staffing
—
Quality measures
—

CMS’s own Five-Star ratings.

Compared with similar facilities

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

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

Last survey on record

Jul 17, 2026

115 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 day3.513.37
Registered-nurse hours per resident day0.56—
Annual nurse turnover67.0%33.3%

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

Enforcement

Fines
$960,884 across 3 penalties
Payment denials
1
Special focus
SFF

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K66.7%L66.7%
Actual harmG77.9%H22.2%I44.5%
No harm, potential for more than minimalD2224.7%E2325.8%F1516.9%
No harm, potential for minimalA—B44.5%C—
CMS’s current file: 89 of the 211 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6775×

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

  • F5844×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  • F7614×

    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.

  • F8124×

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

  • F8804×

    Provide and implement an infection prevention and control program.

In the surveyor’s words

From the most serious findings on record at Waterview Heights Rehabilitation and Nursing Cente, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF675May 9, 2025

    Based on observations, interviews, and record review conducted during the Extended Recertification Survey from 03/09/2025 to 05/09/2025, the facility failed to provide an environment which supported and enhanced each resident's quality of life, which was the result of the cumulative effect of noncompliance cited for abuse/neglect, incontinence care, quality of care, pressure ulcers, accident hazards, sufficient staffing, significant medication errors, and infection prevention and control. […]

  • Immediate jeopardy, widespreadF725May 9, 2025

    Based on observations, interviews and record review conducted during the Extended Recertification Survey and complaint investigations (NY00372404, NY00372850, NY00364319, & NY00372698) from 03/09/2025 to 05/09/2025, the facility failed to ensure sufficient nursing staff to provide nursing services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for residents in the facility (Units South One, South 2, South 3, North One, North Two, [NAME] One and [NAME] Two). Specifically, there was insufficient staff to meet all resident needs including showers, assistance with eating, toileting, personal hygiene, and receiving medications as ordered by the medical team due to lack of licensed nurses and certified nursing assistants. […]

  • Immediate jeopardy, widespreadF760May 9, 2025

    Based on observations, interviews, and record review conducted during the Extended Recertification Survey and complaint investigations (NY00372404, NY00372850, NY00371489, and NY00372698) from 03/09/2025 to 05/09/2025, for four (4) (Residents #3, #32, #111, #459) of nine (9) residents reviewed, the facility failed to ensure that residents were free of significant medication errors. Specifically, there was no documented evidence that the residents received multiple significant medications over the course of several days including but not limited to insulin, antihypertensives (used to treat high blood pressure), antiplatelets (used to prevent blood platelets from forming clots), antidepressants, antipsychotics, antibiotics, antirejection medication (used for kidney transplants) and a… […]

  • Immediate jeopardy, widespreadF880May 9, 2025

    Based on observations, interviews, and record reviews conducted during an Extended Recertification Survey from [DATE] to [DATE], the facility did not maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and help prevent the development and transmission of communicable diseases and infections for three (3) (Residents #82, #148, and #459) of 10 residents reviewed and one (1) of one (1) facility potable water systems (the collection, treatment, storage, and distribution of safe drinking water). […]

  • Immediate jeopardy, widespreadF761Sep 17, 2024

    Based on observations, interviews, and record reviews conducted during the extended Recertification Survey from 07/08/2024 to 09/17/2024, the facility did not ensure that all drugs and biologicals in the facility were properly stored in accordance with State and Federal Laws for eight (West Two Long Hall, South One Short Hall, North One Unit, North Two Unit, South Two Long Hall, South Two Short Hall, South Three Short Hall and South Three Long Hall) of nine medication carts and three (South One, North One, and [NAME] One) of four medication rooms reviewed. […]

Read 40 findings in full →The most serious and the most recent: 40 of 211 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 21, 2026Complaint1 finding · 1 harm
  • Jul 17, 2026Complaint3 findings · 1 harm
  • Dec 22, 2025Standard24 findings · 8 harm
  • May 9, 2025Standard28 findings · 8 harm
  • Sep 17, 2024Standard and complaint20 findings · 8 harm
  • Jan 25, 2024Standard15 findings
  • May 25, 2023Standard and complaint18 findings · 1 harm
  • Jan 20, 2023Complaint4 findings
Show the 20 earlier surveys
  • Jan 21, 2022Complaint1 finding · 1 harm
  • Oct 14, 2020Standard4 findings
  • Jul 10, 2020Complaint1 finding
  • Dec 21, 2018Standard13 findings
  • Aug 31, 2018Complaint1 finding
  • Jun 8, 2018Complaint1 finding
  • Jul 13, 2017Standard12 findings
  • Jul 22, 2016Complaint1 finding
  • May 2, 2016Standard16 findings
  • Mar 13, 2015Standard8 findings
  • Nov 14, 2014Complaint1 finding
  • Mar 21, 2014Complaint2 findings
  • Feb 28, 2014Standard8 findings
  • Dec 18, 2013—2 findings
  • Dec 6, 2013—1 finding
  • Apr 18, 2013—2 findings
  • Jan 8, 2013—11 findings
  • Feb 8, 2012—8 findings · 2 harm
  • Apr 7, 2011—4 findings
  • Mar 29, 2011—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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