Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Life Care Center Of Rochester during CMS and state inspections, most recent first.
A male resident with a history of sexual inappropriateness entered the room of a severely cognitively impaired female resident, both found with pants down. The door alarm was off, allowing the male resident to enter unnoticed. The facility failed to provide adequate supervision and ensure the alarm was functioning, leading to inappropriate behavior.
The facility was found to have sanitation deficiencies in the main kitchen and during meal service. Observations revealed undated and unlabeled food items in the walk-in cooler and dry pantry. Additionally, staff were seen serving meals with their thumbs on the eating portion of plates, contrary to facility policy. The Dietary Manager confirmed these practices were not in line with the facility's standards.
The facility failed to provide transfer and discharge forms for three residents who were hospitalized for various medical conditions, including paraplegia, schizoaffective disorder, diabetes, and COPD. Despite multiple hospitalizations and emergency department visits, the required documentation was not completed, as confirmed by interviews with the Social Service Director and an LPN.
The facility failed to provide bed hold forms for three residents who were transferred to hospitals for various medical reasons, including paraplegia, pressure ulcers, pneumonia, and respiratory distress. Interviews with the Social Service Director and an LPN confirmed the absence of the required documentation, and the facility was unable to provide a policy for the bed hold procedure.
The facility failed to transmit MDS assessments timely for two residents. One resident's Quarterly MDS assessment was delayed over 120 days from the admission assessment, while another's was delayed over 120 days from the last assessment. The MDS Coordinator acknowledged the oversight, noting the assessments did not trigger on her schedule and planned to review for the previous 120 days.
The facility failed to develop comprehensive care plans for two residents, one with edema and another with chronic itching. Despite observations and known medical conditions, the care plans lacked specific interventions for these issues. Interviews with staff confirmed the oversight, and the facility could not provide a care plan policy when requested.
The facility failed to provide timely notification and treatment for changes in condition for two residents. One resident experienced a significant decline in health, including low oxygen saturation and confusion, without timely intervention. Another resident had significant bleeding after a catheter change and elevated blood sugar levels without proper notification to the physician. The facility did not adhere to its policy requiring immediate notification of changes in condition.
The facility failed to store respiratory equipment properly for three residents receiving oxygen therapy. A resident's nebulizer tubing was undated and unbagged, while another resident's nebulizer mask and suction tip were improperly stored. Staff interviews revealed a misunderstanding of the facility's policy, leading to unsanitary conditions.
The facility failed to remove discontinued medications from a medication room and allowed a medication refrigerator to accumulate a large build-up of ice. Various medications, including narcotics, were found in a plastic bag with a list dated months prior, indicating they were not destroyed as per policy. A nurse confirmed the oversight, and facility policies were provided outlining proper procedures.
A CNA failed to change gloves and perform hand hygiene during incontinence care for a resident. The CNA handled a soiled brief and wipes, obtained a trash bag, and dressed the resident without changing contaminated gloves. The facility's hand hygiene policy mandates hand hygiene after contact with body fluids and glove removal.
Inadequate Supervision Leads to Inappropriate Resident Interaction
Penalty
Summary
The facility failed to provide adequate supervision to prevent an incident involving two residents, one of whom was alert and oriented, while the other was severely cognitively impaired. The incident occurred when the alert male resident entered the room of the female resident with severe cognitive impairment, and both were found with their pants down. The male resident was observed by the Social Service Director (SSD) kneeling on the bed, with his pants around his ankles, while the female resident was lying on the bed in a similar state of undress. The door alarm to the female resident's room was found to be turned off, which allowed the male resident to enter unnoticed. The male resident, who had a history of sexual inappropriateness, was cognitively intact and had been assessed as not being a danger to himself or others. Despite this, he was able to enter the female resident's room without detection. The female resident, who had severe cognitive impairment and a history of sexually inappropriate behavior, was unable to recall the incident due to her dementia. The facility's failure to ensure the door alarm was functioning and to provide adequate supervision allowed the male resident to enter the room and engage in inappropriate behavior. The incident was reported to the police, and the families of both residents were notified. The facility's policy on abuse prevention was not effectively implemented, as it failed to prevent the male resident from entering the female resident's room and engaging in inappropriate behavior. The lack of supervision and the malfunctioning door alarm contributed to the incident, highlighting deficiencies in the facility's ability to protect residents from potential harm.
Sanitation Deficiencies in Kitchen and Meal Service
Penalty
Summary
The facility failed to maintain sanitary conditions in the main kitchen, as observed during an inspection. In the walk-in cooler, a plastic bag containing shredded carrots was found with an expiration date, and an opened plastic bag of cooked pork chops was undated and unlabeled. Additionally, in the dry pantry, an unlabeled and opened bag of brownie mix and powdered sugar, along with stuffing mix with an expiration date, were found. During an interview, the Dietary Manager acknowledged that no expired items should be present in the kitchen and that all food should be labeled with expiration dates. Furthermore, during a meal service observation, two staff members were seen serving meals to residents with their thumbs on the eating portion of the dinner plates, which is against the facility's policy. The Dietary Manager confirmed that staff should handle dishes by the outside at an angle to maintain sanitary conditions. The facility's policies, titled 'Use By Date Guide' and 'Resident Dining Services,' were provided by the Administrator and the DON, respectively, indicating the procedures for labeling food and serving meals in accordance with professional standards.
Failure to Provide Transfer and Discharge Forms for Hospitalized Residents
Penalty
Summary
The facility failed to provide a transfer and discharge form for three residents who were hospitalized. Resident 16, who had multiple diagnoses including paraplegia and schizoaffective disorder, was transferred to a neuropsychiatric hospital and later for outpatient surgery and an emergency department visit due to complications with a suprapubic catheter. Despite these transfers, the facility did not provide the required transfer and discharge forms. Resident 2, with diagnoses such as diabetes mellitus type 2 and emphysema, was hospitalized multiple times for conditions including pneumonia and acute respiratory failure. The facility did not provide transfer and discharge forms for her hospitalizations, which included stays in the ICU and emergency department visits for various health issues. Resident 44, who had chronic obstructive pulmonary disease and a tracheostomy, was transferred to the emergency department due to severe breathing difficulties. The facility again failed to provide the necessary transfer and discharge form. Interviews with the Social Service Director and an LPN confirmed the absence of these forms, and a policy for transfer and discharge forms was not provided upon request.
Failure to Provide Bed Hold Forms for Hospitalized Residents
Penalty
Summary
The facility failed to provide a bed hold form for three residents who were transferred to hospitals for various medical reasons. Resident 16, who had multiple diagnoses including paraplegia and pressure ulcers, was transferred to a neuropsychiatric hospital and later for outpatient surgery and emergency care, but no bed hold form was provided for these transfers. Interviews with the Social Service Director and an LPN confirmed the absence of the required documentation. Resident 2, with diagnoses such as diabetes mellitus type 2 and emphysema, was hospitalized multiple times for conditions including pneumonia and respiratory failure. Despite these hospitalizations, the facility did not provide a bed hold form for any of the transfers. The Social Service Director and an LPN acknowledged that the bed hold policy was not followed. Resident 44, who had chronic obstructive pulmonary disease and a tracheostomy, was transferred to the emergency department due to respiratory distress. Again, the facility failed to provide a bed hold form for this transfer. The Social Service Director and an LPN confirmed the oversight, and the facility was unable to provide a policy for the bed hold procedure when requested.
Failure to Transmit MDS Assessments Timely
Penalty
Summary
The facility failed to ensure timely transmission of Minimum Data Set (MDS) assessments for two residents. Resident 47's Quarterly MDS assessment, dated August 5, 2024, was not locked and transmitted until September 17, 2024, which was over 120 days from the admission MDS assessment. Similarly, Resident 20's Quarterly MDS assessment, dated May 12, 2024, was not transmitted and accepted until September 17, 2024, also exceeding 120 days from the last transmitted assessment. During an interview, the MDS Coordinator acknowledged that the next assessments due were listed on her schedule, but the MDS assessment in question had not triggered on the report. She admitted to not reviewing far enough back and planned to begin reviewing for the previous 120 days. The facility utilized the Resident Assessment Instrument (RAI) for these assessments.
Deficiency in Care Planning for Residents with Edema and Itching
Penalty
Summary
The facility failed to develop comprehensive person-centered care plans for two residents, leading to deficiencies in addressing their specific health needs. Resident 29 was observed to have +1 pitting edema in his bilateral lower legs on multiple occasions. Despite having a range of diagnoses including chronic venous idiopathic hypertension and generalized edema, the resident's care plan did not include any interventions for managing edema. Interviews with the MDS Coordinator and the Director of Nursing (DON) revealed that while the resident was identified as being at risk for edema, no specific care plan interventions were documented to address this condition. Similarly, Resident 34, who had a history of itching and was observed with scabbed scratches on his leg, did not have a care plan addressing his chronic itching. The resident's medical record indicated the use of topical and oral medications for skin itching, yet this issue was not included in the care plan. Interviews with an LPN and the MDS Coordinator confirmed that the resident's itching was a known issue but was not care-planned. The facility was unable to provide a care plan policy when requested, further highlighting the deficiency in care planning for these residents.
Failure to Provide Timely Notification and Treatment for Changes in Condition
Penalty
Summary
The facility failed to provide timely notification and treatment for changes in condition for two residents, leading to deficiencies in care. Resident 2, who had a history of diabetes mellitus type 2, emphysema, and other conditions, experienced a significant decline in her health status. Despite multiple nursing progress notes indicating symptoms such as low oxygen saturation, lethargy, and confusion, there was a lack of timely communication with the nurse practitioner or physician. The resident's condition continued to deteriorate over several days without appropriate intervention until she was eventually sent to the emergency department for evaluation. Resident 16, who had diagnoses including paraplegia and diabetes mellitus type 2, also experienced deficiencies in care. The resident had a suprapubic catheter change that resulted in significant bleeding, which was not immediately addressed. Additionally, there were instances of elevated blood sugar levels that exceeded the threshold for physician notification, yet there was no documentation that the physician was informed. This lack of communication and timely intervention posed a risk to the resident's health and well-being. The facility's policy required immediate notification of changes in a resident's condition to the primary care provider, which was not adhered to in these cases. Interviews with staff, including an LPN and the DON, confirmed that the nurse practitioner or physician should have been notified of the changes in condition. The failure to follow the facility's policy and provide timely care and notification contributed to the deficiencies identified in the report.
Improper Storage of Respiratory Equipment
Penalty
Summary
The facility failed to maintain sanitary conditions for respiratory equipment for three residents receiving oxygen therapy. For one resident, the nebulizer tubing was observed to be undated and unbagged, contrary to the physician's orders which required weekly changes and proper storage. The resident confirmed that the nebulizer tubing was never stored in a bag, indicating a lapse in following the prescribed protocol for respiratory care. Another resident's nebulizer mask and tracheostomy suction tip were improperly stored, with the mask lying on a bedside table and the suction tip outside its wrapper. Observations revealed that the suctioning tubing was left open to air, and the Yankauer device was not stored correctly. The resident, who had multiple respiratory diagnoses, confirmed that her equipment was not changed as frequently as required. Interviews with staff indicated a misunderstanding of the facility's policy, which required proper storage and disposal of respiratory equipment. The facility's policies on nebulizer therapy and oral suctioning were not adhered to, leading to unsanitary conditions.
Failure to Remove Discontinued Medications and Maintain Medication Refrigerator
Penalty
Summary
The facility failed to ensure that discontinued medications were removed from a medication room and that a medication refrigerator was free from a large build-up of ice. During an observation of the South/Skilled hall medication room, a plastic bag containing various medications, including Haldol, Hydrocodone, Lorazepam, liquid Morphine Sulfate, and Fentanyl patches, was found. These medications were accompanied by a handwritten list dated several months prior, indicating they had been discontinued but not destroyed as required by the facility's policy. Additionally, the medication refrigerator in the same room was observed to have a large build-up of ice in the freezer section. During an interview, a registered nurse acknowledged that the discontinued medications should have been destroyed and that the refrigerator should not have had an ice build-up. The facility's policies on controlled substance destruction and medication storage in refrigerators/freezers were provided, which outlined the procedures for removing discontinued medications and addressing excessive ice build-up.
Infection Control Breach During Incontinence Care
Penalty
Summary
The facility failed to ensure proper infection prevention and control practices during incontinence care for a resident. During an observation, a CNA was seen providing perineal care to a resident without changing gloves or performing hand hygiene after removing a dirty brief. The CNA placed the soiled brief and wipes on the floor mat, then proceeded to obtain a trash bag, dispose of the waste, and retrieve clean clothing for the resident, all without changing her contaminated gloves. She then dressed the resident and repositioned her, continuing to use the same gloves. The CNA acknowledged during an interview that she should have removed her gloves and washed her hands after cleaning the resident's perineal area. The facility's hand hygiene policy, provided by the Regional Director of Clinical Services, requires hand hygiene after contact with body fluids and after removing gloves.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 114 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Rochester
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Hickory Creek At Rochester | 0.8 mi | — | 0 | 0 |
| Miller's Merry Manor | 15.2 mi | — | 15 | 0 |
| Miller's Merry Manor | 19.2 mi | — | 0 | 0 |
| Hickory Creek At Winamac | 19.7 mi | — | 7 | 0 |
| Pulaski Health Care Center | 19.7 mi | — | 8 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Life Care Center Of Rochester.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.