Deficiency Index

Wedgewood Nursing and Rehabilitation Center

Spencerport, New York · CCN 335408

17 surveys since 2011, 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
46
Surveys
17
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
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 file12/17

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

The facility

Certified beds
29
Ownership
For profit - Partnership
Chain
Independent
County
Monroe
Medicare-certified since
1974

CMS ratings

Overall
2
Health inspection
2
Staffing
3
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=12, floor 20).

Last survey on record

Feb 13, 2026

269 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 day3.743.60
Registered-nurse hours per resident day0.68—
Annual nurse turnover48.5%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 minimalD538.5%E646.2%F17.7%
No harm, potential for minimalA—B17.7%C—
CMS’s current file: 13 of the 46 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F5843×

    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.

  • F8122×

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

  • F5501×

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

  • F6251×

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

  • F6841×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

In the surveyor’s words

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

  • No harm, potential for more than minimal, widespreadF584Dec 4, 2025

    Based on observations, interviews, and record review conducted during an Abbreviated Survey (Intake ID: 2656534, 2667467, and NY00382089/820392) completed on 12/04/2025, for one (1) of one (1) residential unit, the facility did not provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, comfortable, and homelike environment. Specifically, there were heavy urine and bowel odors upon entering the facility and, in the hallways, floors were dirty and/or in disrepair, walls had missing paint, a hand soap dispenser was broken, two (2) apex (a device used to assist residents with standing) machines were dirty and had duct tape on the frames, and the dumbwaiter (a small freight elevator used for moving items, such as laundry and food) was dirty. […]

  • No harm, potential for more than minimal, patternF584Feb 13, 2026

    Based on observations, interviews, and record review conducted during the Recertification Survey and complaint investigation (Intake ID: 2673831), the facility did not provide housekeeping and maintenance services necessary to maintain a safe, clean, comfortable, and homelike environment for 9 of 15 resident rooms (Rooms #11, #13, #14, #15, #16, #17, #21, #22, and #23) and one (1) of one (1) ventilation system. Specifically, there were damaged baseboard radiators, exhaust ventilation was not functional resulting in foul odors, boxes of supplies were stored outside in the snow, there was a damaged electrical outlet cover, and a bathroom faucet was corroded. […]

  • No harm, potential for more than minimal, patternF550Dec 4, 2025

    Based on observations, interviews and record review conducted during an Abbreviated Survey (Intake ID: 2621922 and 2626565) completed on 12/04/2025, for one (1) (Resident #3) of three (3) residents reviewed, the facility did not ensure each resident is treated with respect and dignity and cared for in a manner and in an environment that promotes maintenance or enhancement of their quality of life. Specifically, Resident #3 was observed in the dining room for several hours with a strong odor of bowel incontinence while in the presence of other residents. Additionally, Resident #3 requested to go to their room and staff yelled at the resident in a loud, demeaning tone and multiple residents were observed in the dining room and hallways wearing hospital gowns. […]

  • No harm, potential for more than minimal, patternF880Dec 4, 2025

    Based on observations, interviews and record review conducted during an Abbreviated Survey (Intake ID: 2626565, NY00382613/820391) completed on 12/04/2025, for two (2) (Residents #3 and #8) of two (2) residents reviewed, the facility did not establish and 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. Specifically, for Resident #3 staff did not perform hand hygiene after assisting with incontinence care and prior to touching multiple surfaces and equipment. […]

  • No harm, potential for more than minimal, patternF584Mar 15, 2024

    Based on observations, interviews, and record review conducted during a Recertification Survey it was determined that for five (rooms # 11, 12, 15, 18, and 19) of 15 resident rooms and one of one shower room, the facility did not provide housekeeping and maintenance services necessary to maintain a safe, clean, comfortable, and homelike environment. Specifically, floor tiles were cracked and damaged, and hot water in a shower room was not maintained above 90 degrees Fahrenheit ( F). The findings are: The facility policy titled: 'Water Temperatures, Safety of' included that water heaters that service resident rooms, bathrooms, common areas, and tub/shower areas shall be set to temperatures of no more than 90 F (120 C), or the maximum allowable temperature per state regulation. […]

Read 20 findings in full →The most serious and the most recent: 20 of 46 on record.

Every survey on record

FindingsAt actual harm or above

  • Feb 13, 2026Complaint1 finding
  • Dec 4, 2025Complaint4 findings
  • Mar 15, 2024Standard and complaint3 findings
  • Mar 27, 2023Complaint2 findings
  • Jun 17, 2022Standard2 findings
  • May 26, 2020Complaint2 findings
  • Mar 4, 2020Standard3 findings
  • Mar 21, 2019Standard3 findings
Show the 9 earlier surveys
  • Nov 8, 2017Standard2 findings
  • Sep 12, 2016Standard3 findings
  • Sep 3, 2015Standard2 findings
  • Aug 7, 2014Standard5 findings
  • Apr 3, 2014Standard8 findings
  • Jun 20, 2013—2 findings
  • Aug 16, 2012—1 finding
  • Jul 31, 2012—1 finding
  • Sep 28, 2011—2 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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