New YorkRochester

Church Home of the Protestant Episcopal Church

505 Mt. Hope Avenue, Rochester, NY 14620 · Monroe County · 182 certified beds · avg 138 residents/day · certified since Sep 1, 1968

3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
4.87
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (12)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

DateSeverityWhat the facility was cited for
Jan 9, 2024E · Potential for harm, repeatedThe facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Jan 9, 2024E · Potential for harm, repeatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Jan 9, 2024D · Potential for harm, one-offThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Jan 9, 2024D · Potential for harm, one-offThe facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Jan 9, 2024D · Potential for harm, one-offThe facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. · from a complaint
Mar 11, 2022E · Potential for harm, repeatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 11, 2022D · Potential for harm, one-offThe facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Mar 11, 2022D · Potential for harm, one-offThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Mar 11, 2022D · Potential for harm, one-offThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Oct 8, 2019D · Potential for harm, one-offThe facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Oct 8, 2019D · Potential for harm, one-offThe facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Oct 8, 2019D · Potential for harm, one-offThe facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 5).

YearCitationsSerious (G–L)Worst severity that year
201930D
202240E
202450E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

MeasureThis facilityNew York avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.873.583.95top 7% in New York; top 15% in the U.S.
Registered Nurse hours0.540.680.69bottom 45% in New York; bottom 44% in the U.S.
Weekend total nurse staffing4.423.133.50top 5% in New York; top 13% in the U.S.
Weekend RN hours (not acuity-adjusted)0.200.480.48bottom 16% in New York; bottom 13% in the U.S.
Total nursing staff turnover (%)38.840.345.8bottom 49% in New York; top 33% in the U.S.
RN turnover (%)25.039.842.9top 19% in New York; top 20% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.23, RN 0.47, weekend 3.83. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Who owns this facility

Non profit - Corporation

Owner / managerTypeRoleStakeSince
Berk, MaryIndividualCorporate DirectorNOT APPLICABLE05/01/2024
Episcopal Senior Life Communities, INC.OrganizationOperational/Managerial ControlNOT APPLICABLE04/01/1996
Halloran, MichelleIndividualCorporate OfficerNOT APPLICABLE07/02/2023
Halloran, MichelleIndividualADP of the SNFNOT APPLICABLE07/02/2023
Lovejoy, MeganIndividualOperational/Managerial ControlNOT APPLICABLE04/27/2025
Lovejoy, MeganIndividualADP of the SNFNOT APPLICABLE04/27/2025
Marcello, LisaIndividualCorporate OfficerNOT APPLICABLE04/04/2000
Rab, AhmedIndividualOperational/Managerial ControlNOT APPLICABLE11/16/2021
Rab, AhmedIndividualADP of the SNFNOT APPLICABLE03/13/2026
Teugeman, AmandaIndividualCorporate OfficerNOT APPLICABLE10/02/2016
Thomsen, JessicaIndividualCorporate OfficerNOT APPLICABLE09/04/2022
Thomsen, JessicaIndividualADP of the SNFNOT APPLICABLE09/04/2022
Wendland, MelissaIndividualCorporate DirectorNOT APPLICABLE05/01/2024
Yates, RichardIndividualCorporate DirectorNOT APPLICABLE05/08/2017

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

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Facility data as of CMS processing date 2026-08-01. CCN 335263.