St. Ann's Community
1500 Portland Avenue, Rochester, NY 14621 · Monroe County · 470 certified beds · avg 366 residents/day · certified since Jan 1, 1967
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
⚠ 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jan 7, 2025 · F-0686 · triggered by a complaint
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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: Feb 20, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (13)
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 |
|---|---|---|
| Jan 7, 2025 | ▲ G · Actual 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 |
| Apr 16, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Apr 16, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Apr 16, 2024 | 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. |
| Sep 22, 2022 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Sep 22, 2022 | 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. |
| Sep 22, 2022 | 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. |
| Sep 22, 2022 | D · Potential for harm, one-off | The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. |
| Jan 7, 2020 | 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. |
| Jan 7, 2020 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Jan 7, 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. |
| Jan 7, 2020 | 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. |
| Jan 7, 2020 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 5 | 0 | D |
| 2022 | 4 | 0 | E |
| 2024 | 3 | 0 | D |
| 2025 | 1 | 1 | G ▲ |
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)
2 fines totaling $55,495.
| Date | Type | Amount / length |
|---|---|---|
| Jan 7, 2025 | Fine | $51,301 |
| Aug 28, 2023 | Fine | $4,194 |
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) | 4.63 | 3.58 | 3.95 | top 10% in New York; top 20% in the U.S. |
| Registered Nurse hours | 0.54 | 0.68 | 0.69 | bottom 44% in New York; bottom 43% in the U.S. |
| Weekend total nurse staffing | 4.18 | 3.13 | 3.50 | top 7% in New York; top 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.23 | 0.48 | 0.48 | bottom 22% in New York; bottom 17% in the U.S. |
| Total nursing staff turnover (%) | 38.9 | 40.3 | 45.8 | bottom 49% in New York; top 34% in the U.S. |
| RN turnover (%) | 31.1 | 39.8 | 42.9 | top 34% in New York; top 31% 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 3.98, RN 0.46, weekend 3.60. 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: 3/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Adams, Daniel | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/20/2019 |
| Adams, Daniel | Individual | ADP of the SNF | NOT APPLICABLE | 03/20/2019 |
| Bourg, Robert | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2001 |
| Bourg, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2001 |
| Brown, Kevin | Individual | Corporate Officer | NOT APPLICABLE | 02/27/2023 |
| Brown, Kevin | Individual | ADP of the SNF | NOT APPLICABLE | 02/27/2023 |
| Burke, Patrick | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/21/2022 |
| Burke, Patrick | Individual | ADP of the SNF | NOT APPLICABLE | 09/21/2022 |
| Hayes, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/28/2018 |
| Hayes, John | Individual | ADP of the SNF | NOT APPLICABLE | 03/28/2018 |
| Indiano, Carmen | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/29/2017 |
| Indiano, Carmen | Individual | ADP of the SNF | NOT APPLICABLE | 03/29/2017 |
| Kuhn, Kari | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/10/2025 |
| Kuhn, Kari | Individual | ADP of the SNF | NOT APPLICABLE | 04/10/2025 |
| Lynch, Anna | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/24/2015 |
| Lynch, Anna | Individual | ADP of the SNF | NOT APPLICABLE | 03/25/2015 |
| Marro, Nicole | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/24/2024 |
| Marro, Nicole | Individual | ADP of the SNF | NOT APPLICABLE | 04/24/2024 |
| McRae, Michael | Individual | Corporate Officer | NOT APPLICABLE | 09/07/2010 |
| McRae, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/07/2010 |
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 prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you tell me about this citation and confirm your license and compliance status today?"
- "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 |
|---|---|---|---|---|---|
| The Pearl Nursing Center of Rochester | 0.2 mi | Rochester, NY | ★☆☆☆☆ | 1/5 | |
| The Brook at High Falls Nursing Home and Rehabilit | 1.7 mi | Rochester, NY | ★★☆☆☆ | 2/5 | |
| Lilac Manor Rehabilitation and Nursing Center | 2.7 mi | Rochester, NY | ★☆☆☆☆ | 1/5 | |
| Kirkhaven | 2.9 mi | Rochester, NY | ★☆☆☆☆ | 1/5 | |
| Blossom Health Care Center INC. | 3.6 mi | Rochester, NY | ★☆☆☆☆ | 2/5 | |
| Church Home of the Protestant Episcopal Church | 4.0 mi | Rochester, NY | ★★★☆☆ | 3/5 | |
| Unity Living Center | 4.1 mi | Rochester, NY | ★★★☆☆ | 2/5 | |
| St. John's Health Care Corporation | 4.6 mi | Rochester, NY | ★☆☆☆☆ | 1/5 | |
| The Brightonian, INC | 4.7 mi | Rochester, NY | ★★★★★ | 5/5 | |
| The Friendly Home | 5.4 mi | Rochester, NY | ★★★★☆ | 3/5 | |
| The Highlands at Brighton | 5.7 mi | Rochester, NY | ★★★☆☆ | 3/5 | |
| Woodside Manor Nursing Home INC | 5.7 mi | Rochester, NY | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 335081.