6745 Pittsford-Palmyra Road, Fairport, NY 14450 (opens Google Maps) · Monroe County · (585) 223-3633· 80 certified beds · avg 72 residents/day · certified since Jan 1, 1976 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
New to these records? How to read an inspection report →
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Actual harm, isolated · Oct 15, 2024 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Dec 2, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Oct 15, 2024 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Dec 2, 2024 (Deficient, Provider has date of correction)
Showing the latest 3 of 35 inspection findings. Open the full record below to read every finding.
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint F-0584
The 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 F-0677
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 15, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584 |
| May 15, 2026 | D · Potential for more than minimal harm, isolated | The 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 · F-0677 |
| Oct 15, 2024 | ▲ G · Actual harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Oct 15, 2024 | ▲ G · Actual harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Oct 15, 2024 | F · Potential for more than minimal harm, widespread | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725 |
| Oct 15, 2024 | F · Potential for more than minimal harm, widespread | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726 |
| Oct 15, 2024 | E · Potential for more than minimal harm, pattern | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · F-0565 |
| Oct 15, 2024 | E · Potential for more than minimal harm, pattern | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655 |
| Oct 15, 2024 | E · Potential for more than minimal harm, pattern | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint · F-0759 |
| Oct 15, 2024 | E · Potential for more than minimal harm, pattern | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint · F-0760 |
| Oct 15, 2024 | E · Potential for more than minimal harm, pattern | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908 |
| Oct 15, 2024 | E · Potential for more than minimal harm, pattern | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · F-0919 |
| Oct 15, 2024 | D · Potential for more than minimal harm, isolated | The 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. · from a complaint · F-0610 |
| Oct 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Oct 15, 2024 | D · Potential for more than minimal harm, isolated | The 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 · F-0677 |
| Oct 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| Oct 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Oct 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697 |
| Oct 15, 2024 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| May 16, 2024 | D · Potential for more than minimal harm, isolated | The 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 · F-0677 |
| Jan 16, 2024 | E · Potential for more than minimal harm, pattern | The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. · from a complaint · F-0836 |
| Jan 16, 2024 | E · Potential for more than minimal harm, pattern | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint · F-0919 |
| Jan 16, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. · from a complaint · F-0800 |
| Jan 16, 2024 | D · Potential for more than minimal harm, isolated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint · F-0804 |
| Apr 18, 2023 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Apr 18, 2023 | E · Potential for more than minimal harm, pattern | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Apr 18, 2023 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Apr 18, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Apr 18, 2023 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · F-0561 |
| Apr 18, 2023 | D · Potential for more than minimal harm, isolated | The 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. · F-0677 |
| Apr 18, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Apr 18, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| Sep 27, 2021 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Sep 27, 2021 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Sep 27, 2021 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
Citations from standard inspections increased between the last two inspection cycles (8 → 17).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 3 | 0 | E |
| 2023 | 8 | 0 | E |
| 2024 | 22 | 2 | G ▲ |
| 2026 | 2 | 0 | D |
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.
How to file a complaint about care →
1 fine totaling $41,360.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Oct 15, 2024 | Fine | $41,360 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | New York avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.12 | 3.58 | 3.95 | bottom 32% in New York; bottom 18% in the U.S. |
| Registered Nurse hours | 0.29 | 0.68 | 0.69 | bottom 2% in New York; bottom 8% in the U.S. |
| Weekend total nurse staffing | 2.87 | 3.13 | 3.50 | bottom 43% in New York; bottom 24% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.18 | 0.48 | 0.48 | bottom 9% in New York; bottom 9% in the U.S. |
| Total nursing staff turnover (%) | 76.9 | 40.3 | 45.8 | bottom 1% in New York; bottom 3% in the U.S. |
| RN turnover (%) | 81.3 | 39.8 | 42.9 | bottom 2% in New York; bottom 5% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.44, RN 0.31, weekend 3.16.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.44 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Crest Manor Living and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Brown, Avrohom | Individual | 5% or Greater Indirect Ownership Interest | 30% | 06/23/2023 |
| Cme JM Opco Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/23/2023 |
| Farkas, Jennifer | Individual | 5% or Greater Indirect Ownership Interest | 45% | 06/23/2023 |
| Gibber, Eliezer | Individual | 5% or Greater Indirect Ownership Interest | 15% | 06/23/2023 |
| Lebovics, Michael | Individual | 5% or Greater Indirect Ownership Interest | 10% | 06/23/2023 |
| Ajb LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/09/2024 |
| Ajb LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/09/2024 |
| Bonadio & Co LLP | Organization | ADP of the SNF | NOT APPLICABLE | 12/09/2024 |
| Brown, Avrohom | Individual | Corporate Officer | NOT APPLICABLE | 06/23/2023 |
| Brown, Avrohom | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/23/2023 |
| Brown, Avrohom | Individual | ADP of the SNF | NOT APPLICABLE | 01/23/2025 |
| Buslovich, Steven | Individual | Contracted Managing Employee | NOT APPLICABLE | 06/23/2023 |
| Buslovich, Steven | Individual | ADP of the SNF | NOT APPLICABLE | 01/23/2025 |
| Cme JM Propco Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/09/2024 |
| Farkas, Jennifer | Individual | ADP of the SNF | NOT APPLICABLE | 12/09/2024 |
| Gibber, Eliezer | Individual | ADP of the SNF | NOT APPLICABLE | 12/09/2024 |
| Krull, Jerome | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/21/2025 |
| Krull, Jerome | Individual | ADP of the SNF | NOT APPLICABLE | 01/23/2025 |
| Lebovics, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 12/09/2024 |
| Roesch, Burnedette | Individual | W-2 Managing Employee | NOT APPLICABLE | 06/23/2023 |
Showing 20 of 23 parties CMS has on file for this facility; 3 are not displayed. The full list is in the CMS Ownership dataset.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Aaron Manor Rehabilitation and Nursing Center | 1.3 mi | Fairport, NY | ★★★★★ | 4/5 | |
| Fairport Rehabilitation and Nursing Center | 2.8 mi | Fairport, NY | ★★☆☆☆ | 2/5 | |
| Highlands Living Center | 3.2 mi | Pittsford, NY | ★★☆☆☆ | 2/5 | |
| Penfield Place | 4.8 mi | Penfield, NY | ★★★★★ | 5/5 | |
| The Friendly Home | 5.9 mi | Rochester, NY | ★★★★☆ | 3/5 | |
| Jewish Home of Rochester | 7.3 mi | Rochester, NY | ★★★★★ | 4/5 | |
| Blossom Health Care Center INC. | 7.6 mi | Rochester, NY | ★☆☆☆☆ | 2/5 | |
| The Highlands at Brighton | 8.2 mi | Rochester, NY | ★★★☆☆ | 3/5 | |
| The Brightonian, INC | 8.3 mi | Rochester, NY | ★★★★★ | 5/5 | |
| Woodside Manor Nursing Home INC | 8.4 mi | Rochester, NY | ★★★★☆ | 4/5 | |
| The Hurlbut | 8.9 mi | Rochester, NY | ★★☆☆☆ | 3/5 | |
| Monroe Community Hospital | 9.3 mi | Rochester, NY | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Monroe, NY — 32 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 335467.
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