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.
| Cycle | Inspection date | This facility | New York avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-12-09 | 16 | 7.7 | 9.5 | +8.3 worse |
| 2 | 2023-03-16 | 6 | 6.1 | 9.8 | -0.1 better |
| 3 | 2021-04-02 | 2 | 5.7 | 9.3 | -3.7 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 7 |
| Resident assessment and care planning | 3 |
| Resident rights | 2 |
| Nutrition and dietary | 2 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.12 | 56.7% |
| RN staffing (reported) | 0.31 | 50.0% |
| 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
- 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
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-12-08 · Health
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0692Provide enough food/fluids to maintain a resident's health.2024-12-09 · Health · corrected 2025-02-05
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2024-12-09 · Health · corrected 2025-02-05
Potential for more than minimal harm
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2023-03-16 · Health · corrected 2023-05-15
Potential for more than minimal harm
- 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
- DF0760Ensure that residents are free from significant medication errors.2023-03-16 · Health · corrected 2023-05-15
Potential for more than minimal harm
- 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
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SCHALLER, CHRISTINE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-12-19 |
| FORNATARO, LETICIA | Individual | CORPORATE DIRECTOR | — | 2019-01-01 |
| MUTHIG, MARK | Individual | CORPORATE DIRECTOR | — | 2021-01-01 |
| MAAR, SCOTT | Individual | CORPORATE OFFICER | — | 2005-05-04 |
| SCHALLER, CHRISTINE | Individual | CORPORATE OFFICER | — | 2022-12-19 |
Other facilities in Rochester
| Name | Overall | Beds |
|---|---|---|
| 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.