Nursing homes › New York › Kirkhaven
254 Alexander Street, Rochester, NY 14607 · 5854611991 · 147 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Corporation.
All-time on record: 30 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-18 | Respond appropriately to all alleged violations. | E | complaint | Deficient, Provider has no plan of correction |
| 2026-03-18 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2026-05-15 |
| 2026-03-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | complaint | corrected 2026-05-15 |
| 2026-03-18 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2026-05-15 |
| 2026-03-18 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2026-05-15 |
| 2026-03-18 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | complaint | corrected 2026-05-15 |
| 2025-12-08 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | complaint | corrected 2026-02-06 |
| 2025-12-08 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2026-02-06 |
| 2025-12-08 | 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. | E | complaint | corrected 2026-02-06 |
| 2025-12-08 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2026-02-06 |
| 2025-07-16 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2025-09-10 |
| 2024-12-09 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Health | corrected 2025-02-05 |
| 2024-12-09 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2025-02-05 |
| 2024-12-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-02-05 |
| 2024-12-09 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-02-05 |
| 2024-12-09 | 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. | D | Health | corrected 2025-02-05 |
| 2024-12-09 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-02-05 |
| 2024-12-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-02-05 |
| 2024-12-09 | Assist a resident in gaining access to vision and hearing services. | D | Health | corrected 2025-02-05 |
| 2024-12-09 | Provide enough food/fluids to maintain a resident's health. | D | complaint | corrected 2025-02-05 |
| 2024-12-09 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | complaint | corrected 2025-02-05 |
| 2024-12-09 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Health | corrected 2025-02-05 |
| 2023-03-16 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Health | corrected 2023-05-15 |
| 2023-03-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-05-15 |
| 2023-03-16 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Health | corrected 2023-05-15 |
| 2023-03-16 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Health | corrected 2023-05-15 |
| 2023-03-16 | Respond appropriately to all alleged violations. | D | Health | corrected 2023-05-15 |
| 2023-03-16 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2023-05-15 |
| Date | Type | Amount |
|---|---|---|
| 2025-12-08 | Fine | $8,278 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| FORNATARO, LETICIA | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2019 |
| MUTHIG, MARK | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2021 |
| MAAR, SCOTT | Corporate Officer | Individual | NOT APPLICABLE | since 05/04/2005 |
| SCHALLER, CHRISTINE | Corporate Officer | Individual | NOT APPLICABLE | since 12/19/2022 |
| SCHALLER, CHRISTINE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/19/2022 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 335668. Corrections: data@carerecords.org.