| Kirkhaven | |
| 254 Alexander Street, Rochester, New York 14607 | |
| (585) 461-1991 | |
| Name | Kirkhaven |
|---|---|
| Location | 254 Alexander Street, Rochester, New York |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 147 |
| Occupancy Rate | 92.65% |
| Medicare ID (CCN) | 335668 |
| Legal Business Name | Genesee Valley Presbyterian Nursing Center |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1306832613 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Genesee Valley Presbyterian Nursing Center |
| Doing Business As | Kirkhaven |
| Address | 254 Alexander St, Rochester, NY 14607 |
| Phone Number | 585-461-1991 |
| NPI Number | 1437098936 |
| Match | Possible same name, address or phone number |
| Organization Name | Kirkhaven SNF Opco LLC |
| Address | 254 Alexander St, Rochester, NY 14607 |
| Phone Number | 585-461-1991 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | Not available: the nursing home did not submit staffing data | 3.86 |
| Registered nurse (RN) hours per resident per day | Not available: the nursing home did not submit staffing data | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | Not available: the nursing home did not submit staffing data | 0.86 |
| Nurse aide hours per resident per day | Not available: the nursing home did not submit staffing data | 2.32 |
| Total nurse staff hours per resident per day on the weekend | Not available: the nursing home did not submit staffing data | 3.42 |
| RN hours per resident per day on the weekend | Not available: the nursing home did not submit staffing data | 0.48 |
| Physical therapist hours per resident per day | Not available: the nursing home did not submit staffing data | 0.07 |
| Total nursing staff turnover | Not available: no valid staffing data was submitted | 45.8% |
| Registered nurse turnover | Not available: no valid staffing data was submitted | 42.9% |
| Number of administrators who have left the nursing home | Not available: no valid staffing data was submitted | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $8,278 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Mar 18, 2026 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Corrected by May 15, 2026 |
| Mar 18, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by May 15, 2026 |
| Mar 18, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by May 15, 2026 |
| Mar 18, 2026 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Complaint inspection | Potential for harm, pattern | Corrected by May 15, 2026 |
| Mar 18, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by May 15, 2026 |
| Mar 18, 2026 | 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. F0803, Nutrition and Dietary, Complaint inspection | Potential for harm, isolated | Corrected by May 15, 2026 |
| Dec 8, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Complaint inspection | Actual harm, isolated | Corrected by Feb 6, 2026 |
| Dec 8, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Complaint inspection | Potential for harm, pattern | Corrected by Feb 6, 2026 |
| Dec 8, 2025 | 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. F0761, Pharmacy Service, Complaint inspection | Potential for harm, pattern | Corrected by Feb 6, 2026 |
| Dec 8, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Feb 6, 2026 |
| Jul 16, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Sep 10, 2025 |
| Dec 9, 2024 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Feb 5, 2025 |
| Dec 9, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Feb 5, 2025 |
| Dec 9, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Feb 5, 2025 |
| Dec 9, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Feb 5, 2025 |
| Dec 9, 2024 | 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. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 5, 2025 |
| Dec 9, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 5, 2025 |
| Dec 9, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 5, 2025 |
| Dec 9, 2024 | Assist a resident in gaining access to vision and hearing services. F0685, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 5, 2025 |
| Dec 9, 2024 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 5, 2025 |
| Dec 9, 2024 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Feb 5, 2025 |
| Dec 9, 2024 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Feb 5, 2025 |
| Mar 16, 2023 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by May 15, 2023 |
| Mar 16, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by May 15, 2023 |
| Mar 16, 2023 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2023 |
| Mar 16, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2023 |
| Mar 16, 2023 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2023 |
| Mar 16, 2023 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by May 15, 2023 |
| Apr 2, 2021 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 1, 2021 |
| Apr 2, 2021 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jun 1, 2021 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.16 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 11.38 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.26 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.22 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 15.91 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.44 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 31.5 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 31.17 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.61 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 7.83 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.14 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.54 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 56.15 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 8.35 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.31 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 22.02 | 15.38 |
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