01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-04-16 | 3 | 2024-04-16 | 3 |
| Cycle 2 | 2022-09-22 | 5 | 2022-09-22 | 6 |
| Cycle 3 | 2020-01-07 | 5 | 2020-01-07 | 6 |
CMS CCN 3350812026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
St. Ann'S Community
1500 Portland Avenue · Rochester, NY 14621 · Monroe County
Certified beds470CMS provider file
Recent citation rows28current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
28 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-01-07 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-02-20 · complaint2024-04-16 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-06-072024-04-16 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2024-06-072024-04-16 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-06-072024-04-16 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-06-072024-04-16 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2024-06-072024-04-16 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2024-06-072022-09-22 · HEALTHF0607Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Past Non-Compliance · 2020-02-072022-09-22 · HEALTHF0655Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2022-12-012022-09-22 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2022-12-012022-09-22 · HEALTHF0836Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2022-12-012022-09-22 · FIREK0222Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2022-11-212022-09-22 · FIREK0324Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2022-11-212022-09-22 · FIREK0345Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2022-11-212022-09-22 · FIREK0355Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2022-11-212022-09-22 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2022-11-212022-09-22 · FIREK0918Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2022-11-212020-01-07 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2020-03-072020-01-07 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Correction field: Deficient, Provider has date of correction · 2020-03-072020-01-07 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2020-03-072020-01-07 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2020-03-072020-01-07 · HEALTHF0805Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Correction field: Deficient, Provider has date of correction · 2020-03-072020-01-07 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2020-03-072020-01-07 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2020-03-0703 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-01-07 | Fine | $51,301 | 0 |
| 2023-08-28 | Fine | $4,194 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ADAMS, DANIELIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/20/2019
- BURKE, PATRICKIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/21/2022
- HAYES, JOHNIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/28/2018
- INDIANO, CARMENIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/29/2017
- LYNCH, ANNAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/24/2015
- MARRO, NICOLEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/24/2024
- MITCHELL, MARYIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/24/2024
- MORRIS, LUCASIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/24/2024
- RISSONE, PATRICIAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/20/2019
- RYAN, CHERYLIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/26/2014
- SALLUZZO, RONALDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/30/2016
- SALLUZZO, STEPHENIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 02/19/2025
- SCHAUSEIL, DEBORAHIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/29/2017
- SCHNELL, JAMESIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/26/2025
- SCHRADER, ROBERTIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/31/2020
- SIMS, ANGELAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/26/2023
- SOCOLA, JASONIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/26/2025
- TAI, MAZIEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 03/26/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.98per resident day
RN hours0.46per resident day
Weekend nurse hours3.60per resident day
Staff turnover38.9%CMS reported field
06 / LOCAL RECORDS
Open the Rochester ledger →Other published facilities nearby
Blossom Health Care Center Inc.80 beds · CMS overall 1/561 citation rowsChurch Home Of The Protestant Episcopal Church182 beds · CMS overall 3/520 citation rowsEdna Tina Wilson Living Center120 beds · CMS overall 5/513 citation rowsHamilton Manor Nursing Home40 beds · CMS overall 4/514 citation rowsJewish Home Of Rochester362 beds · CMS overall 5/524 citation rowsKirkhaven147 beds · CMS overall 1/544 citation rowsLatta Road Nursing Home East40 beds · CMS overall 3/520 citation rowsLatta Road Nursing Home West40 beds · CMS overall 5/59 citation rows