Crest Manor Living and Rehabilitation Center
6745 Pittsford-Palmyra Road, Fairport, NY 14450 · Monroe County · 80 certified beds · avg 72 residents/day · certified since Jan 1, 1976
1/5
Health inspection rating (on-site)
2
Serious findings on record
$41,360
Fines, last 3 years
3.12
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 2, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 2, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (35)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 15, 2026 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| May 15, 2026 | D · Potential for harm, one-off | 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 |
| Oct 15, 2024 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Oct 15, 2024 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Oct 15, 2024 | F · Potential for harm, facility-wide | 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 |
| Oct 15, 2024 | F · Potential for harm, facility-wide | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Oct 15, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Oct 15, 2024 | E · Potential for harm, repeated | 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. |
| Oct 15, 2024 | E · Potential for harm, repeated | 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 |
| Oct 15, 2024 | E · Potential for harm, repeated | 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 |
| Oct 15, 2024 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Oct 15, 2024 | E · Potential for harm, repeated | 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. |
| Oct 15, 2024 | D · Potential for harm, one-off | 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 |
| Oct 15, 2024 | D · Potential for harm, one-off | 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. |
| Oct 15, 2024 | D · Potential for harm, one-off | 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 |
| Oct 15, 2024 | D · Potential for harm, one-off | 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. |
| Oct 15, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 15, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Oct 15, 2024 | D · Potential for harm, one-off | 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. |
| May 16, 2024 | D · Potential for harm, one-off | 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 |
| Jan 16, 2024 | E · Potential for harm, repeated | 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 |
| Jan 16, 2024 | E · Potential for harm, repeated | 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 |
| Jan 16, 2024 | D · Potential for harm, one-off | 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 |
| Jan 16, 2024 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Apr 18, 2023 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Apr 18, 2023 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Apr 18, 2023 | E · Potential for harm, repeated | 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. |
| Apr 18, 2023 | E · Potential for harm, repeated | 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. |
| Apr 18, 2023 | D · Potential for harm, one-off | 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. |
| Apr 18, 2023 | D · Potential for harm, one-off | 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. |
| Apr 18, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Apr 18, 2023 | D · Potential for harm, one-off | 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. |
| Sep 27, 2021 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Sep 27, 2021 | E · Potential for harm, repeated | 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. |
| Sep 27, 2021 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (8 → 17).
| 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.
Fines and enforcement (last 3 years)
1 fine totaling $41,360.
| Date | Type | Amount / length |
|---|---|---|
| Oct 15, 2024 | Fine | $41,360 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| 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, 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. Staffing rating: 1/5.
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: 5/5 · short-stay residents: 4/5
Who owns this facility
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 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| 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 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 335467.