01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-09-10 | 2 | 2025-09-10 | 3 |
| Cycle 2 | 2024-05-08 | 4 | 2024-05-08 | 5 |
| Cycle 3 | 2022-08-29 | 5 | 2022-08-29 | 4 |
CMS CCN 3357302026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
St. Ann'S Community
920 Cherry Ridge Boulevard · Webster, NY 14580 · Monroe County
Certified beds72CMS provider file
Recent citation rows23current CMS citation release
Penalty rows0current 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
23 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-09-10 · 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 · 2025-11-102025-09-10 · HEALTHF0811Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
Correction field: Deficient, Provider has date of correction · 2025-11-102025-09-10 · FIREK0291Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2025-11-102025-09-10 · FIREK0345Severity D · isolated; 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 · 2025-11-102025-09-10 · 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 · 2025-11-102024-05-08 · 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 · 2024-07-052024-05-08 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-07-052024-05-08 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Past Non-Compliance · 2023-11-22 · complaint2024-05-08 · 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 · 2024-07-052024-05-08 · FIREK0225Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Correction field: Deficient, Provider has date of correction · 2024-07-052024-05-08 · FIREK0345Severity D · isolated; 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 · 2024-07-052024-05-08 · FIREK0761Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2024-07-052024-05-08 · FIREK0901Severity C · widespread; potential for minimal harm
Electrical Deficiencies
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Correction field: Deficient, Provider has date of correction · 2024-07-052024-05-08 · 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 · 2024-07-052023-09-13 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2023-11-01 · complaint2022-08-29 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2022-10-212022-08-29 · 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: Deficient, Provider has date of correction · 2022-10-212022-08-29 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2022-10-212022-08-29 · HEALTHF0689Severity E · pattern; 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 · 2022-10-212022-08-29 · 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 · 2022-10-212022-08-29 · FIREK0521Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2022-10-212022-08-29 · FIREK0531Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have elevators that firefighters can control in the event of a fire.
Correction field: Deficient, Provider has date of correction · 2022-10-212022-08-29 · 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 · 2022-10-2103 / 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 |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
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 03/25/2018
- 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 hours4.18per resident day
RN hours0.56per resident day
Weekend nurse hours3.87per resident day
Staff turnover37.5%CMS reported field
06 / LOCAL RECORDS
Open the Webster ledger →