Starfile / New York

Lilac Manor Rehabilitation and Nursing Center

3 Upton Park, Rochester, NY 14607 · CCN 335488

Inspection history vs New York & national averages

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

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

1

Payment denials

1

Inspection citations (35)

1. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-08-20 · Health · corrected 2025-10-15

   Potential for more than minimal harm

2. BF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2024-06-06 · Health · corrected 2024-08-05

   Potential for minimal harm

3. 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.2024-06-06 · Health · corrected 2024-08-05

   Potential for more than minimal harm

4. BF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-06-06 · Health · corrected 2024-08-05

   Potential for minimal harm

5. EF0584Honor 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.2024-06-06 · Health · corrected 2024-09-04

   Potential for more than minimal harm

6. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-06-06 · Health · corrected 2024-09-04

   Potential for more than minimal harm

7. EF0610Respond appropriately to all alleged violations.2024-06-06 · Health · corrected 2024-08-05

   Potential for more than minimal harm

8. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-06-06 · Health · corrected 2024-08-05

   Potential for more than minimal harm

9. BF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-06-06 · Health · corrected 2024-08-05

   Potential for minimal harm

10. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-06-06 · Health · corrected 2024-09-04

    Potential for more than minimal harm

11. DF0685Assist a resident in gaining access to vision and hearing services.2024-06-06 · Health · corrected 2024-08-05

    Potential for more than minimal harm

12. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-06-06 · Health · corrected 2024-08-05

    Potential for more than minimal harm

13. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-06-06 · Health · corrected 2024-08-05

    Potential for more than minimal harm

14. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-06-06 · Health · corrected 2024-08-05

    Potential for more than minimal harm

15. BF0732Post nurse staffing information every day.2024-06-06 · Health · corrected 2024-09-04

    Potential for minimal harm

16. DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-06-06 · Health · corrected 2024-09-04

    Potential for more than minimal harm

17. EF0760Ensure that residents are free from significant medication errors.2024-06-06 · Health · corrected 2024-09-04

    Potential for more than minimal harm

18. 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.2024-06-06 · Health · corrected 2024-09-04

    Potential for more than minimal harm

19. EF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-06-06 · Health · corrected 2024-09-04

    Potential for more than minimal harm

20. DF0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.2024-06-06 · Health · corrected 2024-08-05

    Potential for more than minimal harm

21. EF0908Keep all essential equipment working safely.2024-06-06 · Health · corrected 2024-09-04

    Potential for more than minimal harm

22. BF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2023-02-08 · Health · corrected 2023-04-09

    Potential for minimal harm

23. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-02-08 · Health · corrected 2023-04-09

    Potential for more than minimal harm

24. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-02-08 · Health · corrected 2023-04-09

    Potential for more than minimal harm

25. BF0732Post nurse staffing information every day.2023-02-08 · Health · corrected 2023-04-09

    Potential for minimal harm

26. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-02-08 · Health · corrected 2023-04-09

    Potential for more than minimal harm

27. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2021-04-23 · Health · corrected 2021-06-22

    Potential for more than minimal harm

28. DF0610Respond appropriately to all alleged violations.2021-04-23 · Health · corrected 2021-06-22

    Potential for more than minimal harm

29. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-04-23 · Health · corrected 2021-06-22

    Potential for more than minimal harm

30. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-04-23 · Health · corrected 2021-06-22

    Potential for more than minimal harm

31. DF0679Provide activities to meet all resident's needs.2021-04-23 · Health · corrected 2021-06-22

    Potential for more than minimal harm

32. DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-04-23 · Health · corrected 2021-06-22

    Potential for more than minimal harm

33. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2021-04-23 · Health · corrected 2021-06-22

    Potential for more than minimal harm

34. EF0880Provide and implement an infection prevention and control program.2021-04-23 · Health · corrected 2021-06-22

    Potential for more than minimal harm

35. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2021-04-23 · Health · corrected 2021-06-23

    Potential for more than minimal harm

Ownership

Other facilities in Rochester

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