Elm Manor Nursing and Rehabilitation Center

210 North Main Street · Canandaigua, NY · 14424 · 5853943883

46 certified beds For profit - Corporation

  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 72 points, but Recommended is gated: staffing below the Recommended bar. That rule is part of the published method.

Red flags

Total nurse staffing below 3.0 hours per resident-day

2.77 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

85% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 57
Serious harm & abuse 20% 100
Staffing 20% 42
Federal penalties 15% 100
Trend 10% 69
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day2.773.48 min · 4.1 strong
RN hours / resident-day0.400.55–0.75
Weekend hours / resident-day2.55≈ weekday level
Nursing turnover / year85%median 45%
Fines (3-yr window)none

Inspection citations (21 in the current record)

  • Potential for harm · E August 27, 2024

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected October 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E August 27, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 15, 2024 · Quality of Life and Care

  • Potential for harm · D August 27, 2024

    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.

    Corrected October 15, 2024 · Pharmacy Service

  • Potential for harm · E August 27, 2024

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

    Corrected October 15, 2024 · Nutrition and Dietary

  • Potential for harm · D August 27, 2024 · found via complaint

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Corrected October 15, 2024 · Resident Rights

  • Potential for harm · D August 27, 2024 · found via complaint

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

    Corrected October 15, 2024 · Quality of Life and Care

  • Potential for harm · E August 27, 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 October 15, 2024 · Nursing and Physician Services

  • Potential for harm · D October 24, 2022

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

    Corrected January 18, 2023 · Resident Rights

  • Potential for harm · D October 24, 2022

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected January 18, 2023 · Resident Rights

  • Potential for harm · E October 24, 2022

    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 January 18, 2023 · Resident Rights

  • Potential for harm · D October 24, 2022

    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.

    Corrected January 18, 2023 · Resident Rights

  • Potential for harm · E October 24, 2022

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected January 18, 2023 · Quality of Life and Care

  • Potential for harm · D October 24, 2022

    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.

    Corrected January 18, 2023 · Pharmacy Service

  • Potential for harm · E October 24, 2022

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected January 18, 2023 · Nutrition and Dietary

  • Potential for harm · F October 24, 2022

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

    Corrected January 18, 2023 · Nutrition and Dietary

  • Potential for harm · D October 24, 2022

    Provide and implement an infection prevention and control program.

    Corrected January 18, 2023 · Infection Control

  • Potential for harm · D November 2, 2020

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected November 28, 2020 · Resident Rights

  • Potential for harm · D November 2, 2020

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

    Corrected November 28, 2020 · Quality of Life and Care

  • Potential for harm · D November 2, 2020

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected November 28, 2020 · Quality of Life and Care

  • Potential for harm · D November 2, 2020

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 28, 2020 · Quality of Life and Care

  • Potential for harm · D November 2, 2020

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected November 28, 2020 · Quality of Life and Care

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 335255 · certified since January 1, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.