Deficiency Index

Woodside Manor Nursing Home Inc

Rochester, New York · CCN 335366

12 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
60
Surveys
12
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
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 file10/12

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

The facility

Certified beds
44
Ownership
For profit - Individual
Chain
HURLBUT CARE
County
Monroe
Medicare-certified since
1976

CMS ratings

Overall
4
Health inspection
4
Staffing
4
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=15, floor 20).

Last survey on record

Aug 29, 2025

437 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 day3.883.60
Registered-nurse hours per resident day0.43—
Annual nurse turnover62.3%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 minimalD1071.4%E17.1%F—
No harm, potential for minimalA—B321.4%C—
CMS’s current file: 14 of the 60 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6772×

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

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5541×

    Allow residents to self-administer drugs if determined clinically appropriate.

  • F5631×

    Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

  • F5831×

    Keep residents' personal and medical records private and confidential.

In the surveyor’s words

From the most serious findings on record at Woodside Manor Nursing Home Inc, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF812Aug 29, 2025

    Based on observations, interviews, and record review conducted during a Recertification Survey from 08/25/2025 to 08/29/2025, for one (1) of one (1) main kitchen, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. Specifically, raw shell eggs and raw chicken were not stored in a sanitary manner to prevent cross contamination, temperature controlled for safety (potentially hazardous) foods were not hot-held for service at 140 degrees Fahrenheit ( ) or above, thermometers were not stored in a sanitary solution, there was a severely dented can of food, condensation was dripping onto a food container from a hole in a reach-in cooler, and food items were undated and unlabeled. […]

  • No harm, potential for more than minimal, isolatedF554Aug 29, 2025

    Based on observations, interviews, and record review conducted during a Recertification Survey from 08/25/2025 to 08/29/2025, for one (1) (Resident #48) of one (1) resident reviewed, the facility did not ensure the interdisciplinary team determined the Resident's right to self-administer medications was clinically appropriate. Specifically, Resident #48 was observed to have a bottle of antifungal powder at their bedside and the Resident stated they had been self-administering the medication. There were no medical orders in place for the powder, for the resident to self-administer or to keep medications at the bedside, and no comprehensive care plan was in place to address the self-administration of medications. […]

  • No harm, potential for more than minimal, isolatedF583Aug 29, 2025

    Based on observation, interviews, and record review conducted during a Recertification Survey from 08/25/2025 to 08/29/2025, for two (2) (Residents #25 and #30) of two (2) residents reviewed, the facility did not ensure the residents' right to privacy and the confidentiality of their personal and medical records was maintained. Specifically, a computer stationed in a hallway by a resident's room was observed open, exposing Resident #25's personal and medical information, and there were no staff members present to secure the information for nine (9) minutes and a computer was observed open, exposing Resident #30's personal information and medication administration record and there were no staff members present to secure the information for several minutes. […]

  • No harm, potential for more than minimal, isolatedF677Aug 29, 2025

    Based on observations, interviews, and record review conducted during a Recertification Survey from 08/25/2025 to 08/29/2025, for one (1) (Residents #12) of one (1) resident reviewed, the facility did not ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good grooming and personal hygiene. Specifically, for multiple days, Resident #12 was observed with dark brown debris underneath their fingernails and was observed eating food with their hands. This is evidenced by the following:The facility policy Care of Finger and Toenails, dated October 2023, documented in part the purpose of this procedure is to clean the nail bed, keep nails trimmed, and prevent infections. […]

  • No harm, potential for more than minimal, isolatedF686Aug 29, 2025

    Based on observations, interviews, and record review conducted during a Recertification Survey from 08/25/2025 to 08/29/2025, for one (1) (Resident #4) of one (1) resident reviewed, the facility did not ensure a resident with pressure ulcers received necessary treatment and services consistent with professional standards of practice to promote healing, prevent infection, and prevent new ulcers from developing. Specifically, a nurse was observed performing wound care to Resident #4's right heel pressure ulcer, did not follow the medical orders in place for the wound treatment, and did not change gloves or perform hand hygiene in between removing the old dressing and applying the new dressing. […]

Read 20 findings in full →The most serious and the most recent: 20 of 60 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 29, 2025Standard7 findings
  • Jul 13, 2022Standard and complaint7 findings
  • Apr 1, 2022Infection control1 finding
  • Nov 1, 2019Standard7 findings
  • Aug 2, 2018Standard5 findings
  • Apr 21, 2017Standard4 findings
  • Apr 18, 2016Standard8 findings
  • Mar 6, 2015Standard6 findings
Show the 4 earlier surveys
  • Mar 6, 2014Standard1 finding
  • Apr 15, 2013—5 findings
  • May 31, 2012—4 findings
  • Apr 20, 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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