Crest Manor Living and Rehabilitation Center
6745 Pittsford-Palmyra Road · Fairport, NY · 14450 · 5852233633
80 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
RN staffing in the bottom 10% nationally
0.29 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
3.00 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
83% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.00 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.29 | 0.55–0.75 |
| Weekend hours / resident-day | 2.69 | ≈ weekday level |
| Nursing turnover / year | 83% | median 45% |
| Fines (3-yr window) | 1 · $41,360 |
Inspection citations (33 in the current record)
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Actual harm · G October 15, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 2, 2024 · Quality of Life and Care
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Actual harm · G October 15, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected December 2, 2024 · Quality of Life and Care
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Potential for harm · E October 15, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected December 2, 2024 · Resident Rights
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Potential for harm · E October 15, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 2, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 15, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 2, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 15, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 2, 2024 · Quality of Life and Care
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Potential for harm · D October 15, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 2, 2024 · Quality of Life and Care
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Potential for harm · F October 15, 2024
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected December 2, 2024 · Nursing and Physician Services
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Potential for harm · D October 15, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected December 2, 2024 · Pharmacy Service
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Potential for harm · E October 15, 2024
Keep all essential equipment working safely.
Corrected December 9, 2024 · Environmental
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Potential for harm · E October 15, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected December 9, 2024 · Environmental
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Potential for harm · D October 15, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 15, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 2, 2024 · Quality of Life and Care
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Potential for harm · D October 15, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected December 2, 2024 · Quality of Life and Care
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Potential for harm · F October 15, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected December 2, 2024 · Nursing and Physician Services
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Potential for harm · E October 15, 2024 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected December 2, 2024 · Pharmacy Service
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Potential for harm · E October 15, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected December 2, 2024 · Pharmacy Service
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Potential for harm · D May 16, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 12, 2024 · Quality of Life and Care
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Potential for harm · D January 16, 2024 · found via complaint
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected March 14, 2024 · Nutrition and Dietary
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Potential for harm · D January 16, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 14, 2024 · Nutrition and Dietary
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Potential for harm · E January 16, 2024 · found via complaint
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.
Corrected March 14, 2024 · Administration
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Potential for harm · E January 16, 2024 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected March 14, 2024 · Environmental
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Potential for harm · D April 18, 2023
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected June 17, 2023 · Resident Rights
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Potential for harm · E April 18, 2023
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.
Corrected June 17, 2023 · Resident Rights
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Potential for harm · D April 18, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 17, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 15, 2024 | Fine | $41,360 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335467 · certified since January 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.