Starfile

Starfile / New York

Kirkhaven

254 Alexander Street, Rochester, NY 14607 · CCN 335668

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★★☆ 4
Staffing
★★☆☆☆ 2

Facility

Ownership type
Non profit - Corporation
Certified beds
147
Avg residents/day
132.8
Phone
5854611991

Inspection history vs New York & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityNew York avgNational avgvs state
12024-12-09167.79.5+8.3 worse
22023-03-1666.19.8-0.1 better
32021-04-0225.79.3-3.7 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care7
Resident assessment and care planning3
Resident rights2
Nutrition and dietary2
Pharmacy service1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.1256.7%
RN staffing (reported)0.3150.0%
Total nurse staffing (adjusted)3.44

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Inspection citations (24)1 actual harm

  1. GF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-12-08 · Health

    Actual harm

  2. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-12-08 · Health

    Potential for more than minimal harm

  3. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-12-08 · Health

    Potential for more than minimal harm

  4. EF0761Ensure 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.2025-12-08 · Health

    Potential for more than minimal harm

  5. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-16 · Health · corrected 2025-09-10

    Potential for more than minimal harm

  6. DF0578Honor 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.2024-12-09 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  7. EF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-12-09 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  8. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-09 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  9. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-09 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  10. DF0685Assist a resident in gaining access to vision and hearing services.2024-12-09 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  11. DF0692Provide enough food/fluids to maintain a resident's health.2024-12-09 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  12. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-09 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  13. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-12-09 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  14. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-12-09 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  15. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-09 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  16. EF0880Provide and implement an infection prevention and control program.2024-12-09 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  17. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-03-16 · Health · corrected 2023-05-15

    Potential for more than minimal harm

  18. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-16 · Health · corrected 2023-05-15

    Potential for more than minimal harm

  19. DF0610Respond appropriately to all alleged violations.2023-03-16 · Health · corrected 2023-05-15

    Potential for more than minimal harm

  20. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-03-16 · Health · corrected 2023-05-15

    Potential for more than minimal harm

  21. DF0760Ensure that residents are free from significant medication errors.2023-03-16 · Health · corrected 2023-05-15

    Potential for more than minimal harm

  22. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-16 · Health · corrected 2023-05-15

    Potential for more than minimal harm

  23. DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-04-02 · Health · corrected 2021-06-01

    Potential for more than minimal harm

  24. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2021-04-02 · Health · corrected 2021-06-01

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
SCHALLER, CHRISTINEIndividualOPERATIONAL/MANAGERIAL CONTROL2022-12-19
FORNATARO, LETICIAIndividualCORPORATE DIRECTOR2019-01-01
MUTHIG, MARKIndividualCORPORATE DIRECTOR2021-01-01
MAAR, SCOTTIndividualCORPORATE OFFICER2005-05-04
SCHALLER, CHRISTINEIndividualCORPORATE OFFICER2022-12-19

Other facilities in Rochester

NameOverallBeds
The Brightonian, Inc★★★★★54
Hamilton Manor Nursing Home★★★★★40
Jewish Home of Rochester★★★★★362
Park Ridge Nursing Home★★★★★120
Latta Road Nursing Home West★★★★★40

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.