Elm Manor Nursing and Rehabilitation Center

Name: Elm Manor Nursing and Rehabilitation Center
Address: 210 North Main Street, Canandaigua, NY, 14424, US
Telephone: 5853943883

210 North Main Street, Canandaigua, NY 14424 · Ontario County · 46 certified beds · avg 41 residents/day · certified since Jan 1, 1977

1/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.94

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.

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 20, 2026	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
May 20, 2026	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint
May 20, 2026	F · Potential for harm, facility-wide	The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint
May 20, 2026	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
May 20, 2026	E · Potential for harm, repeated	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
May 20, 2026	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. · from a complaint
May 20, 2026	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
May 20, 2026	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · from a complaint
May 20, 2026	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. · from a complaint
May 20, 2026	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. · from a complaint
May 20, 2026	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
May 20, 2026	D · Potential for harm, one-off	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. · from a complaint
May 20, 2026	D · Potential for harm, one-off	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. · from a complaint
May 20, 2026	D · Potential for harm, one-off	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. · from a complaint
Aug 27, 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.
Aug 27, 2024	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.
Aug 27, 2024	E · Potential for harm, repeated	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
Aug 27, 2024	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.
Aug 27, 2024	D · Potential for harm, one-off	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint
Aug 27, 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
Aug 27, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 24, 2022	F · Potential for harm, facility-wide	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.
Oct 24, 2022	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.
Oct 24, 2022	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.
Oct 24, 2022	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Oct 24, 2022	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Oct 24, 2022	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Oct 24, 2022	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Oct 24, 2022	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 24, 2022	D · Potential for harm, one-off	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.
Nov 2, 2020	D · Potential for harm, one-off	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences.
Nov 2, 2020	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.
Nov 2, 2020	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.
Nov 2, 2020	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.
Nov 2, 2020	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 7).

Year	Citations	Worst severity that year
2020	5	D
2022	9	F
2024	7	E
2026	14	F

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)

Measure	This facility	New York avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.94	3.58	3.95	bottom 21% in New York; bottom 12% in the U.S.
Registered Nurse hours	0.46	0.68	0.69	bottom 26% in New York; bottom 32% in the U.S.
Weekend total nurse staffing	2.63	3.13	3.50	bottom 25% in New York; bottom 13% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.39	0.48	0.48	top 43% in New York; top 50% in the U.S.
Total nursing staff turnover (%)	85.7	40.3	45.8	bottom 1% in New York; bottom 2% in the U.S.
RN turnover (%)	75.0	39.8	42.9	bottom 4% in New York; bottom 9% 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 2.84, RN 0.45, weekend 2.54. 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: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Grinspan, Aryeh	Individual	5% or Greater Direct Ownership Interest	15%	12/13/2017
Mayer, Abraham	Individual	5% or Greater Direct Ownership Interest	10%	12/13/2017
Mayer, Giorgio	Individual	5% or Greater Direct Ownership Interest	75%	12/13/2017
Fried, Joel	Individual	ADP of the SNF	NOT APPLICABLE	05/12/2023
Grinspan, Aryeh	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/13/2017
Licht, Tzvi	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	12/01/2025
Mackenzie, Martin	Individual	Operational/Managerial Control	NOT APPLICABLE	11/10/2025
Mackenzie, Martin	Individual	ADP of the SNF	NOT APPLICABLE	12/10/2025
Mensah, Seth	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2025
Mensah, Seth	Individual	ADP of the SNF	NOT APPLICABLE	12/10/2025
Omega Business Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	05/13/2023
RF SNF Ny Holdco LLC	Organization	ADP of the SNF	NOT APPLICABLE	05/12/2023
Rubin, Baila	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	12/10/2025
Rubin, Shoshana	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	12/03/2025
Rutner, Abraham	Individual	ADP of the SNF	NOT APPLICABLE	05/12/2023
Rutner, Israel	Individual	ADP of the SNF	NOT APPLICABLE	05/12/2023

Questions to ask on your visit

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

"What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
"How many hours a day is a registered nurse physically in the building, including weekends?"
"What were the findings behind this administration citation, and what has leadership changed since?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"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 falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"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
M.M. Ewing Continuing Care Center	1.4 mi	Canandaigua, NY	★★★★★	4/5
Ontario Center for Rehabilitation and Healthcare	3.7 mi	Canandaigua, NY	★☆☆☆☆	1/5	abuse
Clifton Springs Hospital and Clinic Extended Care	8.7 mi	Clifton Springs, NY	★★★★☆	4/5
Crest Manor Living and Rehabilitation Center	14.4 mi	Fairport, NY	★☆☆☆☆	1/5
Wayne Health Care	14.5 mi	Newark, NY	★★★★☆	3/5
Newark Manor Nursing Home INC	14.9 mi	Newark, NY	★★★★☆	4/5
Finger Lakes Health	15.2 mi	Geneva, NY	★★☆☆☆	2/5
Aaron Manor Rehabilitation and Nursing Center	15.2 mi	Fairport, NY	★★★★★	4/5
Fairport Rehabilitation and Nursing Center	16.8 mi	Fairport, NY	★★☆☆☆	2/5
Highlands Living Center	17.1 mi	Pittsford, NY	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Canandaigua →

Facility data as of CMS processing date 2026-08-01. CCN 335255.

The Care File

Visit checklist — Elm Manor Nursing and Rehabilitation Center

210 North Main Street, Canandaigua, NY 14424 · 5853943883

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $0

Questions for the administrator:

☐ "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
☐ "How many hours a day is a registered nurse physically in the building, including weekends?"
☐ "What were the findings behind this administration citation, and what has leadership changed since?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "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 falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 335255 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)